HomeMy WebLinkAboutBuilding permit appALL APPLIC . LE INFO `iD F
MUST BE COMPLE1• fCy Fjj
Date:
Planning an DeITIO BLl ild
Pu11dIn and ode pment Services
Regulation Dlvlsfon
23DD Virgfnl Avenue, Fort Plerce FL.3ggg2 ` Phone:(77 462-1SS3 Fax:(772)462-1578.1
PERMITA PLICATION FOR;
_,. �„ - To Slalerti
Address: _
Legal Descrlp
APPLICATION TO BE ACCEPTED
Permit Number:
Permit Application
Commercial
--- Residential
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Site Plan Na I ;—
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Gas Tank aPPY
CI Piping
Electric ❑Plumbing _ Shutters
Windows ;')I_
Totals CI?pl flklers /D ors
q. Ft of onstruction; J Generator n
�j Roof ,"
Cost of Constr ction: $ 3� - . S Ft, of First Floor:X.
Utllltfes:nSewer Septic
Na .� _ r Building Heigh,
Address:°
City: .a„{. Ovfi`'1,..-�141ej!
Name:
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Zipq Company:
Code'. ` ate:_' Address:6911 Iry
Phone No. Fax:'
E-Mail:
city: P� (a, re
tr Zip Code: H We
Fill in fee situp a Title Holder on next_ Fax: 7 Phone No, 6)�b3�
from the Own r listed above) rent tO . t 13
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If value of cons[ uction Is 2500 or more, a I �t State qr CDunt
$ RECORD" Y License: L� C.p r It--
, Notice of commencement is re
quired. U
Name;
Address: V
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ZIP-'
FEE SIMPLE HOLbEtt: Phone:
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: OONDING COMPANY: Address
City: Name: —Not Applic
Address:
Zip: Phone: city:
zip: Phone.
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ILL 11kiss no ar�pllqrtc the lspwncq are ermlt,
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structure, with a "Eryi, the �s 8*11 g a
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Your
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in ac ranting of thl"s r rp I
PlOn7ved of do hereby al My 10,01y.
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Ti,elbliumnsb It titans
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WARNING T OWNERIy 'we
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re an to your- a A or i"', ryuMto anodiern
be t efl tY. A Notic 1 : . at" of Comma Dr1-r4sIdenjjjI use
insp Ila Ill to of rnmence "a may rmlt Inv
ca encin u I d 0 n ant must bl'irecOMed and "r paving twke fi
din nc co an -on tha Jobi r ce ent. �lendcir or an attorney before
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The forgoing I I,
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this i!�day rVe", mad 6e 2&E. ,by Is TZyo
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111� PLjbk' State Or .. rk4l lid
tsIviature of
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TYPt of IdentIN _�__LDX Produced IdondfirAtiat ill:
Van PirodurAir f., i i Periertalti,Kndwn
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Revis6d 07/ W2014 BORES; PA. sju
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REVIEWS FRONTZONINQ onwThrialvis
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COUNTER REVIEW I ��i�Sajj PLANS VEGETATIO
NDATE RE1rm REVIEW REVIEW
ATNWTLE]741AlCa PLeTE REiE1tINMALS
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License Numbers:
pyy� cnco57„a
Fort Pierce Service Center oAcoS,aoo
6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867
CFC032576
.. C. ES0000336
EQUIPMENT PROPOSAL
PROPOSAL SUBMITTED TO F CONTRACT # O) WIUb SALESPERSON ca)J�j DATEe-1a,-a
STREET IPtYL W0 fa ( O3 CITY, STATE AND ZIP CODE r3 y Sa•
E-MAIL: I PHONE# NOTES
OPTION t
OPTION 2
MANUFACTURER:
AH MODEL:
CU MODEL:
ca aJ iN�f
MOTOR
x ?)
COOLING STAGES
SEER
TONS
d
HEATER
SUBTOTAL:
OTHER DISCOUNTS:
_ / SO y/ V1
TOTAL INVESTMENT:Ca
3 rJ�
Insttaa���aaa,,,tttion shall include:
reinforced equipment pad
Sonnect to existing lines
emit included
,If Install new thermostat
❑ _InWall new H-stat
2 Vertical ❑ j� ° ontal
El Filter Rack S Stand
❑ 2nd Pan ❑ Vert ❑ Horz
❑ Hanging ❑ Attic ❑ Shelf
❑ UV paint
Additional work to be performed
P1� Breaker Brand Size
Breaker Brand Size 3D
El Hurricane Brackets or Strapping
❑ C1nrrugated pipe ft.
� eet all code requirements
13 Complete system start up
J' /fQ 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 responsible for any'condo association approvals on changes to HVAC systems.
Method of Payment Accepted:
0 Check 0 Visa 0 Master Card 0 American Express 0 Cash O Financing 0 Deposit
Card number
Exp. date Security Code
Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 30 days
Billing Address
Payment in full is due upon startup —All 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 respons5litilp for property damIn
a when removing or replacing
younir 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 on u n v n orders, a will become an tra 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 b v kmer Compensa Insurance. � --�
Acceptance of Proposal -Tie above prices, specifications and conditions are satisfactory and are hereby Signature /���
accepted. You are au rl �d to d work as specified. Payment will be made as outlined above.
Date of Acceptance: Signatu
All s9l s are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.