HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC . LE INFO MUST BE COMWLF?';IC1 Fi,I)R APPLICATION TO BE ACCEPTED
Date:_ Permit Number:
e�Uild i�g Permit Application NI.
P
lanninglopment Services -
Regulation Division
ue, Fort Pierce FL 34982
-1553 Fax: (772)462-_578. 1 Commercial Residential
PERMIT A PLICATION FOR:
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Address:
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Property Tax N: 3Ha � -QQO—� L f•;o, _Site Plan Na
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VAC Gas Tank
C e ' Plping Shutters ❑Windows/C or
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Electric � Plumbing F , pPlhklers �Generator � Roof Pk
Total Sq. Ft of onstruction:
SiL S Ft,of First�F`l'o�or._
Cost of Constr ctlon: $ �,� �j(�, Q° i $ Utilities:12Sewer L_1Septic Building fSeigh
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Mail: Fa
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Fill in fee limp a Title Holder on next page (If I -rent E-Mail:
from the Own r listed above)
State or County License: o
If value of const uctlon Is$2500 or more a RECORD ''Notice of Commencement is require
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License Numbers'
6774
k4*, CAC05740
Fort Pierce Service Center oAC057400
6811 Herita a Dr • Port Saint Lucie, FL 34952 • Phone: 888 237-7070 CFC056867
9 CFC032576
ES0000336
EQUIPMENT PROPOSAL
DPOSAL SUBMITTED TO CONTRACT# SAIESPERSON Pf DATE
2EET LN t P, I CITY STATE AND ZIP dODE
1AIL: Mn/"»�, PHONE# 95 61 G NOTES poo
OPTION 1 OPTION 2 Installation shall include: t�
IUFACTURER: ❑ ew reinforced equipment pad U Breaker Brand M4ize a0
11 Reconnect to existing lines ❑i H Breaker Brand ize )
AODEL: C�'5��, ¢1 Permit included 9 Hurricane Brackets or trapping
v1ODEL: Install new thermostat ❑ orrugated pipe_ft.
-OR ❑ stall new H-stat meet all code requirements
1:3 Vertical ❑ Horizontal Eromplete system start up
)LING STAGES ❑ Filter Rack i Stand c year parts MFG warranty
R ❑ 2nd Pan ❑ Vert ❑ Horz -Enr�—L year labor BFS warranty
Cl Hanging ❑ Attic ❑ Shelf ❑ year maintenance
S ❑ UV paint ❑ Crane service n
TER Additional work to be perform ed �\ w
tEpr ryl"< -7
TOTAL: 0 10
�, c
IER DISCOUNTS: Installation does not include any duct work or line set unless specified on proposal.
AL INVESTMENT: 5�r0•c� 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.
!omer responsible for any condo association approvals on changes to HVAC systems.
od of Payment Acc�ted:
O Check Visa O Master Card O American Express O Cash 0 Financing O Deposit
number Exp. date Security Code
orized Signature Note: This proposal may be withdrawn by us if not accepted within 30 days.
g Address
ant 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 responsible for property damage when removing or replacing
r conditioning system.Including but not limited to atdc access,staircases,floors,trim,wall,etc.Any alteration or deviation from above specifications involving extra costs will be executed only upon written oM and w I become an ra charge
id 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 Work 's setlo neura
eptance of Proposa -The above prices, specifications and conditions are satisfactory and are hereby Sign ure
pted.You are authorize o do a work as specified. Payment will be made as outlined above.
of Acceptance: ' /� '7.a Signature
II sale are final with no adjustments or refunds. 10yr MFG Parts Warranty If registered by customer only applies to original purchaser.