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HomeMy WebLinkAboutPermit PackageALL APPLI Date: Planning Building i 2300 Virg Phone: ( PERMIT INFO MUST BE COMPLEI ED (II, R APPLICATION TO BE ACCEPTED Permit Number: DevelopmenfServices Burld�r�g Permit Application :ode Regulation Ulvision 4venue, Fort Pierce FL 34982 hl 462-1553 Fax: (772 Commercial R: Residential PLICATION FO _ To S30ectjfrom dropbox, click arrow at the end of line i' Address: LegalDescrip on:�r_(�y�� Property Tax p; 3 y ( O Site Plan Na So3 Project Namesw: �� ? t� Setbacks Fi nt Back: f l" Right Side: —� Left Side: Cxci L_ JElectric Total Sq. Ft of Cost of Conctr, Nam City: C" Zip Code; Phone No.— E-Mail: Fill in fee sim from the Owl If value of 11 L—cnecka °„Sbfi SfSt Gas Tank app y: :-a Plping Shutters OPlumbing E f' 11Wind�-1 SPd; klers fiction. Generator Roof Ft of First Floor.- Utilities: loor; ------- Septic Utllities:�Sewer� } Se tic g P � Building Company: Address:fo cy City: J'5 L_ 1 Qe .; 4 W, rc Zip Code: 3N�5 Phone No.7 2 Fax: �y . E -Mail: r%A State qr Count cion I: $ zsoo or V Llcense:� r> -C=_ more, aRECORD, -`ryogce h of Co .'°7 mmencement Is re qulred. I i; qua. s ' �_ Fax: i - i No, i Title HOlder on next AV page (if went listed above) t! '''T 'IF Company: Address:fo cy City: J'5 L_ 1 Qe .; 4 W, rc Zip Code: 3N�5 Phone No.7 2 Fax: �y . E -Mail: r%A State qr Count cion I: $ zsoo or V Llcense:� r> -C=_ more, aRECORD, -`ryogce h of Co .'°7 mmencement Is re qulred. I i; 5 i - i No, i ck No. r N'atne: yj rapprttlate NiORiYiAC�ECOMPANY: NotqppEli Address: i Name; , city, —�' t' Address: Zip' Phone: St u6" (3tY Zlp: 5tau FEE SIMPLE MOLDERt -- Phone: Name: Not Apsalaile BONDING COMPANY: Address;. Name: `Not Applic City: I _- Addre5s; Zip: II Phone: City - 71 certify thetn koringailatlgnhas lit St. Lyge Co c°mmenop tPriorto the Issuance of-e.Permit, which Is In [pn�t Ake5 no repr q I lion tha (S structuI Plei oAt wa ®ppe�sca��s j, �n stl gi e . • It yrtp lza the jer � uau consult with yaurHon e. '^• t �i���slls p q� mit ho9d to•huUd b)ItCt dl In con of the tidbhartdretll ursidt co"nents tray. alar In acmrdanm 6rondng of this regy d E Your 1 foreriy rertrktlonswisl nray apAly, the approved plats the FlarLde f. afreo that Iwl TMfollowing b Itdd tdingCodesandSt nty;kgncrntts,patortstthevrork nBAermdtappticatl 6E tuCf6Cdunty�ettdments: accessory strut rm, swlmmin tins ire eMem. I mMnderg BpootS,.tg�pps,yse WOlnr�b `9ncurren,tyrei'lexo: room addrtlans, im VeG7 OWNER Yuurfagurata °grnsandaccarAfyus"toAnother !mp ovemen tayourgro er Recoril� �lptkeof� n�-rosidenttatuse be the tl ins ur- P ty. A Notice o' nrnance Mmen�n"d may result Inyour paying twice k CD m encln A on, IaFlyou kEtld to tt jn financf consa Jtbe re� and posted on the job, r Notice of anrrten ent wl lender grantomey before •I t. e 5TA F RIDA btq Oreo ce dee Hold COU O COU O D t]RIDA The r�ingl trumenswasa this A day ° 6etota i it it fwgNrIZ'nWumentw1sa by .: t this _b dayof C31, cknowledgpdbeforeme ISlgndtureof teryPuhm,, -tate at o �i. Pwsonalty Kn s yr (ill: {Slgggture o(k7DteryP NC, State Of Florid*) TYPeof Idenia tion produced nrdoced Ioi Perl.*" yKnown._.. —' type ofldenHHt� o t76Producedtdendtkstlen Commis5i6n Li CBOT! t ry ti n �Producert —"—�` Cenirnlrston Nat G v U 7„t y dtt5tatenop - IsaaI. Revls6d 07! Sl3014 ” ` ` , k 2W , ky 00 ora PadsdThag'r r tL'w;vi'ssnat tr ynst Mr "r^euaed Thrrttgdy R€ut€ws FRONT 7AMINCr sunF' COUNTER REVIEW RTLE >111St7A P�tfS VEGETATION SEATUR DATE EVIEW REVI R'NEW REVIEW MA RF INFTIALS 1 2M EQUIPMENT PROPOSAL PROPOSAL SUBMITTED TO 1J j R fj4 CONTRACT # 900 CJ % L/17 SALESPERSON (V DATE STREET 61.16 1 CITY, STATE AND ZIP CODE -T 3Yq a, E-MAIL: PHONE# !`-/N74_ INOTES License Numbers: Fort Pierce Service Center CAC056774 CAC057400 6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867 32576 AH MODEL: ES0000336 EQUIPMENT PROPOSAL PROPOSAL SUBMITTED TO 1J j R fj4 CONTRACT # 900 CJ % L/17 SALESPERSON (V DATE STREET 61.16 1 CITY, STATE AND ZIP CODE -T 3Yq a, E-MAIL: PHONE# !`-/N74_ INOTES Install tion shall include: ES�Dfew reinforced equipment pad onnect to existing lines Permit included Install new thermostat ❑ Install new H -stat 0ertical ❑_Fjorizontal ❑ Filter Rack ET Stand ❑ 2nd Pan ❑ Vert ❑ Horz ❑ Hanging ❑ Attic ❑ Shelf ❑ UV paint Additional work to be performed Breaker Brand Size 3y QHYBreaker Brand Size Hurricane Brackets or Strapping ❑ corrugated pipe ft. IT Meet all code requirements Complete system start up �year parts MFG warranty year labor BFS warranty ❑ year maintenance ❑ Crane service Installation does not include any duct work or line set unless specified on proposal. Drain cleaning or old line sets are not guaranteed. Maintenance must be performed at least once a year to system to honor part and labor warranty. Customer r sponsible for any condo association approvals on changes to HVAC systems. Method o ayment Accepted: Check 0 Visa O Master Card O American Express O Cash O Financing 0 Deposit Card number Authorized Sigl Billing Address Exp. date Security Note: This proposal may be withdrawn by us if not accepted within 30 days. Payment in full is due upon startup—AII material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. BFS will not be responsible for property damage when removing or replacing yt70rair conditioning system. Including but not limited to attic access, staircases, floors, trim, wall, etc. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby Signature accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: G l.V .�9 Signature All sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser. OPTION 1 OPTION 2 MANUFACTURER: C r �� L• AH MODEL: fflpN CU MODEL: 1_ MOTOR COOLING STAGES SEER TONS HEATER '-1 Yvv,2 SUBTOTAL: 7 OTHER DISCOUNTS: 01 TOTAL INVESTMENT: 3 S r OD Install tion shall include: ES�Dfew reinforced equipment pad onnect to existing lines Permit included Install new thermostat ❑ Install new H -stat 0ertical ❑_Fjorizontal ❑ Filter Rack ET Stand ❑ 2nd Pan ❑ Vert ❑ Horz ❑ Hanging ❑ Attic ❑ Shelf ❑ UV paint Additional work to be performed Breaker Brand Size 3y QHYBreaker Brand Size Hurricane Brackets or Strapping ❑ corrugated pipe ft. IT Meet all code requirements Complete system start up �year parts MFG warranty year labor BFS warranty ❑ year maintenance ❑ Crane service Installation does not include any duct work or line set unless specified on proposal. Drain cleaning or old line sets are not guaranteed. Maintenance must be performed at least once a year to system to honor part and labor warranty. Customer r sponsible for any condo association approvals on changes to HVAC systems. Method o ayment Accepted: Check 0 Visa O Master Card O American Express O Cash O Financing 0 Deposit Card number Authorized Sigl Billing Address Exp. date Security Note: This proposal may be withdrawn by us if not accepted within 30 days. Payment in full is due upon startup—AII material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. BFS will not be responsible for property damage when removing or replacing yt70rair conditioning system. Including but not limited to attic access, staircases, floors, trim, wall, etc. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby Signature accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: G l.V .�9 Signature All sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser. ■■■■t■■■i■■■■■■■�■■■!■t■i■■■■■■� ■■■■t■■■■■■■■■■■■■■■■■.■�■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■v■■■■■■■■■e■�■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■