HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC .I LEI FO MUST BE
Date: , __ q 1?A
Planningan� DevelopmentSBUAd
9u/ldingand ode Services
Regulation 61v/sion
Z300 Virgini. Avenue, For't Pierce FL.34982
Phone:(77 462-1553 Fax: (772)462-1;731
PERMITA PLICATION FOR; TO _l n .. :.�
Address: Sbl7 MAN
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APPLICATION TO BE ACCEPTED
Permit Number:
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Permit Application
Commercial
—� Residential_
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Phone No. Fax:
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Fill In fee simp a Title Holder on next s �R'rent
from the Own r listed page (if �
above)
If value of const uctlon is 1
$25D0 or more, a RECORL([i+Not a of
Qwim
Roof
Building H
Name:
P Y �o✓w �
Com an
Address: 6811
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City: 0-f 54- (. 4t
Zip Code: ` .q Sa
Phone No, ~j ) Fax: 7 7�
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Address: NWRTQJ1CaECdMP
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Icertifythatn rkorinsteJlatlpnhat t`�_
�nmena #§-a+l9r to the Isnianca af3
sc t qe n ekes no P?rmRt, h:'
tvhk� Is in r4ft prase tat tha {s
structure. Plea' with ttny aJI [ ettitl`tJt{gA A. It WiOR
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Pprawed plans, the Fle r�l aRresthat IA (cap respRc� l
Thefollotvint4 I Pp I ngcodrsandSLLt��e�unH�nendmcts,P"form:thework I i,
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WARNING T ,p PoaN, rsnces waNr 1, screen r�R� C... envy revltw: room addtlans,
WNERwynurfaiiure}o °ansandaccasso usastoAnom"r, nrOtis, tialuse (jli
impovem'in to our Racon�si:jatkeofCa
be f the fi ins ., it . A Notice c€ 17tmanre �en� mq rMi InVatir Paeirw tw&e f r
c❑m ancin A on, If you ntand to' In MMncf �cn ust be recmded and Posted on the Iohs to
din r IN cli en onsuit wl lender aran:retnt
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REVIEWS FRONT
COUNTER ZONING
taro .. REVIEW
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Yeof! RntllCcetfpn,prpduterf
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PLANS IIEGETATIaN
REVIEW REVIEW 5EAT11RTLE
REV€Ew
ant
❑ COMPRESSOR
O HEAD Of— PS
O VOLTS-- AMP:
❑ ELECTRICAL CONNECTIONS
O CONTACTS TIGHT CLEAN
O OIL LEVEL& CONDITION
O CONDENSOR COIL
0 CLEAN COIL & CHECK FIN COND.
] ENT— uF LVG__°f
❑ REFRIGERANT
0,22 0,,,c
❑ FAN AND MOTOR
0 VOLTSAMPS
❑ ELECTRICAL CONNECTIONS
0 CONTACTSTIGHT & CLEAN
O FAN PULLEYS (ADJUST BELT)
❑ CHECK LUS BEARINGS & MOTOR
❑ EVAPORATOR COIL
O CLEAN & OIL & CHECK FIN
C ENT DB_-o ILVG DB —'F
❑ENTWB_F LVGWB_°F
❑ CONDENSATE AREAS
O INSPECT & OFPN CRNN PAN
❑INSPECTBOEM'OPWN
❑AIR FILTERS
❑CIEANPD OREPLACEO
TLTERS,E �-
❑ HEATING ASSY
OBUWcABHFAT IXa�'�
0RIELSUFR.Y&PRESw�`
'OPLQTABEEISM
OPRVMkRONSTMEFU
0FAN f WRRA,,HGf1
OFAyBLdrinSWnCNOHER
❑BLOAtRASSEMBLY
ORVVALVE
USTRWHFAT
CIDEFROSTCYCLE
7 ELECTRICAL CONIPTS-
ORELAYS ODDNTACTGRB
00VBtW OFRESSSwTTCH
❑THERMOSTAT
ORBOCATE
❑ DLICT SYSTEM
STATiCPRESSMERETURN — SUPPLY -
FILTER
— LNRRATPIG_
TEMPWHVENT�
__BROWARD FACTORY SERVICE INVOICE
�- S 2 7C- ESPOSITC-'
q121 505 ELR - -. 3,21
,1/03 11 20 E 5 G FT PIERCE - - Giij'I)3./20
,..Z. J97-1S92 F�P%LG
r DR. Did. GD.y HTC IM.y OR._
1i:.3 .�.i`1.'yr C7ii RF. V
COVERAGES "OC.v WH4y 1A 1, XR.
Problem.... ARP INSPECTION Solution ... 485 AR7
PREVIOUS Ai= A/C UV TO 3 TON M�F: �t T P CALLS FL`. TT:
NOT ;_ _iOLING ENOUGH
SERVICE G'- 904-716-6525 CARE GI�j, R
REQUEST
2, S '-h)v\ N
T110
Manufacturer PART NEEDED
BM OR#
PART NEEDED
P.O.#
P.O.#
&I
TECH
t1
TECH
#2
PAYMENT
and agree to
a is a claim at
DESCRIPTION OF WORK
IN
TIME
IN
TIME
OUT
TIME
OUT
SERVICED 9 ! E
CALL#
SCHEDULED_
DATE C) 7/0 9 2
50
❑ COMPLETE
❑ PARTS ORDER
❑ NOT HOME
❑RESCHEDULE
OTHER
and conditions of my contract, and I understand
contract
All part as recorded are warranted as per manufacturer specigcallons
LABOR GUARANTY
The labor charge as recorded here
PARTS
mlathm to the equipment serviced as noted. Is guaranteed for a pedod of 00 days.
LABOR
We do not, of cauree, guaranty other parts than those we Insult. if repairs later become
necessary due to other defective pans, they will be charged separetely.
No guaranty on any drain stoppages.
SERVICE
CHARGE
BFS WILL NOT BE RESPONSIBLE FOR PROPERTY DAMAGE WHEN
REMOVING
OTHER
DISCOUNTS
TO PERFORM NECESSARY SERVICE WORK AND IACCEPT
TAX
PERFORMED SERVICE AND/OR CHARGES AS BEING SATISFACTORY
All sales ars, final with no adjustments or refund.
www.browardfactorycom -
-S-2 Rev. &,18 Licenses: CAC056778, CACO56774, CACO57400, CFC056867, ES0000336, 0040504, 0046467, 280095, 279402, 289307, 0081113, 0081114