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HomeMy WebLinkAbout16-17374 CITY OF ZEPHYRHILLS 5335-8TH STREEf (813)780-0020 17374 � _ „ BUILDING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 17374 Address: 37405 DERBYSHIRE DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0880 � Improv. Cost: 4,200.00 OWNER INFORMATION Date Issued: 5/23/2016 Name: WHEELER, JANICE Total Fees: 60.00 Address: 37405 DERBYSHIRE DR Amount Paid: 60.00 ZEPHYRHILLS, FL 33542 Date Paid: 5/23/2016 Phone: 813-862-0283 Work Desc: A/C CHANGE OUT 2.5 TON HP CONTRACTOR S APPLICATION.FEES SACKETT A/C INC A/C CHANGEOUT 60.00 � �-I , �� Ins ections Re uired DUCT I TA LED DUCTS INSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. � "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. �-�.�v CONT OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-ao2o City of Zephyrhills Permit Applicatian Fax 813-780-0021 8uifding Dapartrnent Date Recelued - ' ` ' ' /��j , � -� Phone�ContacNfor"Perm(tNn �� Ow�ner's Nam� G� ��'✓L ,E',�' Owner P,ho.ne Number �G.� - Owner•s Address � C� / Qwner•Phone�Number � � � � Fee Slmple Tltlehalder'Nam�'� ' ' _' • � '� ' Owner.Phone Number �� ,��� , :., . , . . � " Av • Fee Slmple Titleholder Addre�a. . � � - - "" � - � ' " JOBADDRESS 7�� � /' /b '� �C_.. L.OT# ��.� SUBDIVISION C-�,.%r//!��^'„��"�� y PARCEL ID#' ' , ,-, _ -- . � ��/���Gr/ . . � : {QStAlNED'FRt?MPRpAERTYTAXNOTtCE} WORK PROPOSED' � NEwCONS7R :"" �" ' ADD/ALT Q SIGN` Q� �'Q�j� DEMOLISH • _ M- . � . ' e Y' ' INSTAkL 8;:-.'��REPAIR' ' ' ` - PROFOSEp�USE Q; ,:SFi2 � `COMM-� `� OTh{ER� `. ,. - • .. ,�,.. • •_ .. ,.: ,,.r.,.- .. ., .. . � :; TYPE OF CONSTRUCTION__±_�Q�'y "'BLOCK'"'. Q��� �FRAME. STEEL, r� - _ . . -� . ,_ � r � �_� � .. DESCRIP110N OF WORK � �(/� � ! J/'��"�°� S�/� BUILDING SIZE`"�� ` �,$Q;FOOTAGE .HEIGHT ����y ��`v�� � .. . _ "��• l�V' .s'��.2_ 08UttDING $ .4; -k�:-�, , ..,r� t - . . _ • �,:; �..,..-.-�- _. VAGUATIONy"OF�TOTAL CbNSTRCJCTION � �� _ , � , � . � . , Q�LECTRICAL $ �. AMP SERViCE y Q' ' �PROGRESS ENERGY �.[�, W.R.E.C. .. �� , QP�UMBING � $ . � �.�� . .,.., . .. QMEGHAiVIG,4t + � $ G�����VAI.UATION.OF MECHANEGAL.INSTALLATION ._ =- ' j/j��� ' ' �� r o�� o - ��o����.,.�o ��EG�,�n-�o o���R.. � � ��I � FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES. NO , ,.r: . . BUiLDER GOMPANY'� '' ' � 4 � � � � 81GNATURE R6GISTEREO Y/ N.. , -�e cu�n'',;_ '.Y l.N..-.- . , Addreas - - ' ,Cicense#�� "" , -� ' � , < , , . . -:�,. , - ELECTRICiAN:.. ` . .„' COMP�INY ' ' " ' SIGN�►TUFI'E �' REGISTERED Y/ EV FEE Cl1RRE� �.Y`/N : � Address ` . . ,� I � � .. . �.Ucense:#-FI `�• - , � � PLUMBER, . . , - � . -- COMPANY> :;� , , . Y , , , ' .. SIGNATURE � � ' ' ' REoi�T�ED: , •-�Y I-�N. �E cuw�En � `Y7 N:�- - Addre�s . . , � -. . , .License# � � MEGHANIGAL. ` �., . -,CQMPANY;� !'.%'�-/► :-% ° �- , , SICiNATUR� RecisTert�o:;. .,.Y,/.:N, :.�Fee.Cuwten�• . ° Y/-N;.•� - ' a. - . . . , Addre��� 0 .� C�'�/� .r�.. ;,�`�.�✓'� ... . _Llcense#;1�--'" ./ c-.�2-->�/�`��, : OTHER " , �_" � . , ,.. _... ' .. - �COMPANY ��� . , ,_, .. ., . . . .� . .-� }. .�. x_:;.,- , . �, . . SIQ�NATURE� ,`., _ . : „ ` .. ,REGISTERED,.-. ,1 , �: , . Y/.�N.�; ;Fe Cuw�n ,..e-�,:Y.I.N� l�ddreas r: ;.;.::,; '-�;,;Y�s1:. . �,. .. ,. ....,- _ � � . e ._`Llcense#`� = .. . � . . �.t .p�:.. ..;�c.�.. :e�§. ,..R•_ _" d.i;t4� L"a:.}�..,T.1'tii�1;=xvy:m" ri:r' _ .. � ,-...,.I . , RE8ibENT1AL,a.'���Atta`cti'(2):Plot;P.,lans;:�(2):sets-of�Butidiny'�F?lans;':(1:};seif of EriergyrFortin�;R=a1Al�Peririif:for�rie"vir„construcfion;;. :, . �:,.. .....a..,�ti, ,.� . . ,A,;,��... '-.Mlnlmumc.ten�(:1A.);working;day;srafte:r„'s"utimlttal�d'afe:�:Regufred onslte;�Consfiu'cUon�Pla'n's;�Stoimwateir'Flans'"w%`Silt Fence Installed, _... „Saii[#ary-:Facttttias.;&�1�Sdut}�pst�,er,,>Site�,,WoikzPemilt.f�r;suti�ivtsEonsliarge?projects�;:�-:M�e�.�•.��; �- . _,_ ,_` , ' , � -. - C.OMMERCIAI. Attach(3j'`ceiiipiefe`'sets"of'Bullii�ng"Plaos plus a'Llfe 8afeiy Pege;`(1)set of Energy Farms.R-0-W Permit far new construction. Minimuin ten(10)working days'after submittal date.,Required onsRe,.ConsWcdon Plans,Stormwater Plans w/Slit Fence Installed, � --Sanitary.�dtitles&,.1:dumpster..S1#e Work Femnit far�11,new`proJects:All ccmmerclai,cequl�ements must meet compilance SiGN PERMt? AttacFi'(2)`settig`of'Eag7jieer,�edJF.'tan�;�,�.�?'� . �. . , � _ ,. »•"•PROPERT,Y.,SURVEY:requir,ed;iqr,all_NE1N:construcdo�..;_. -�. . .�. _ _ _ Dlrectlons: .�.s , _ -� ......._ . ---- ._ __ _ . Fill out applicaUon wmpletely. Owner&Contractor slgn back�of applica8on,natarizzed � If over$�500.a�_Notice-of.CommenaemenE(a requlred._(A/C upgrades aver i7500) t�. " :,,�..�;.��T,:��.:', :, . _ .._._..._�.. _.,. . .�_ . _ •, ....,., .,,____ _..,_ _ . .. � ._ " Agent(for the cantractor}qr:Fow`er'of Attomey`(for#he:owrier}woutd'be someone with no#arized letter icnm owner authadzing same � � W.,.;_._.w�. ,,. ... _ . _ . 'OYER'THE COUN.T,ER:PERMITI1N13�==--•:-�(Front�ofiAppllca�on Only)=� � ' Reroats if shingles Sewers Service Upgrades AIC _ _Fences{Ptot/SurveylFoohage) --y -- . --- , , DNvaways-Nat.aver Counter if on%publlo roadiivays::nerad's ROW J t,.� - . - � � Y- ' , � , , ` _ s .. .� �:,:::.� - , �1 . � „ . . ,... _., , ., , _ , . „ .�� � , , .z:. , : � _ ..,_. .� .. .. .._ ,. . . w . _._._._. "` .' .t.v,��.-,.- . -. �OTiCE.OF DEED:RESTRICTICINS; The;.underslgi�ect=un�er�t�ntls�{�it:t�iss> ,�r,a;niE:may..be,,�sub�ect to:°deed",�r..est�lctlons"�x:i, . • . ,� „ . .. . , y . • «:_..' � z � a w"' c �r... J ' S �r.` 7 � '1 jc I which may":be`gmore:rest�ict(ve,�tFa�frrCounty���fat(b'ris. TFie�Un�e�lgned��a��umestresp�n`�Ibflltx for�campllance with any � applfcabte:deed•cestricftons; - .:; :,,n.��;>i;:.�;, _ - ; - -• - - �- - . . - -_ . . ., _� - - �;;= CONTRACTOR RESP��t'g1�11:ltiE`5:-:`�.;:i€:�iie-�o'utiinec:.:ti�s`.:tii'r.ed*.'a�co�itractcr or. Ui�LIC�N.SED;:CONTRAG`fflRS«�IND . . . , , - �r contractors'-to underkake work�_the� .ma .':b=e:<retq�ireid;�to;�e,:licen"s,edrin-ac.cocdance;with.state,and;local;,.regulallons:°,�'If��tfir���"� I contractor::ta�ot�ltcerise��as�=reqiilre�lf y law; bo�i=the�owner:an+d:�coritiactor inay be'�at�d'fcir �=rret�detrie�nor vlola�an ' �nderstate law. If the-owner or.1ntend.ed.��eontracMr��ere�.uncertaln.as:to what:Iicensin uireGnents,;ma >a ifo��:�tlie;�.�-t���'°'� 'I E. � �- , ,.�,..� 9��1... .,n. , .. Y� .f�p�, � . :t'�.�. . Yu' C+..�..�r.r� i' , 'ntereded'wark,�ttie �are�advlsed�to�'c�rit�cl�the=`Pasco°.�outity Bulitling'lrispectiv��sDlvlslon-=G.tcenstng:Sectlorr,a#727=847'- Y �._�.__�, 9009. �urtfi�rmore;'.if-"tMe-ownertias'�tilreii`�a'coiitracto�=mr can#reators;'tiiei�is advlsed��to-have;`the .cantrsctor�s),.sign.w. , . - so�tlons bf the;"conkractor Dlock".,.of:`.this,appll�atton<,for:;whtchatF�ey_wIU,:,be,:r.e,aponsil�le.�,:,lf�you;:�as':fhe`ownei�":slgn=`as'the - _ �ontracto�r:,.tlie#�rria�r=6e-an`Iri�Pcation�tha#°he"is~�atr'prope�ly�licerisect�ind�,l"s':.iio#`�rfElffed�to'`pertiilfting'priuileges,ln Pas�n , �aunty. � - , . : . ; :=:�,=�.r�. t'RANSPQRTATION:�IMPACTlU'1'll:i'�'1�$�1�tIPA�'t��A{�b`4l�ESQU�tCE RECOY�[tY-�FEE�;°�Tl���i�nd�rsignei�"ur�derstands � :hat Transportation Impact�ees and.Reco.utae RecoVe.ry.�ees may�;epplyy#a the cqnstr,uc�on�o�neinr.;buitdirigs;.�cfiange�of"'��� �''�`"'� .� � ase in exisNng buildings;:,or.��.ezpa�i�si�rr�:o�f�xi.sting'�btilltlings;as;spectfled.in Pascv�County'O�dinance number 88-07 and °� 30-07. as amende,d...,:�.Th�..under�igned atso.:understands� #ti�t=suah#se�,;.asx�may�b�:=due;;��r�11�,�e liien'�tfi�ed at the=;time`°o��� ' �'' '`- �-j , :.., �.. ; � . � ' . . - ,�»�.lrt �ermitting. It Is furt�ie'r'understaad that Trati�portation�.impa"ct'Fees and�;Reaoutce'�'RecoiisFyi�"Fees.tmusti be pald-prlor ta '�� •eceEving.a"certi�cate:�af-occupa�nay"-=�or fEn�t pawe_r:.;�etease.,:I��the pro�tt��:;do�s:ncf��lrnralve.ta�cert�lca#e of oc�upai�iicy or';:;, ".:-`-� . �nal pow�r�.release;.�the�;;fees,mu�it��tie�pald�=prtor to.permR Cssuance. :F�a�thermore;;�If:Pasc�d•County;`1NaterlSe.werr;lmpact;--� : - t. �..... . • � • � s `ees are due..they��must�be.patd;prlor.to,permlt`�Isa�#ange;ln,accord'a_nce with;app!lca6te:Pasco County orilinances. CANSTRUCTItiN�Cl�N"LA1N(Cl'tepter 713��'1a�ida'Statu#es,a�amend�d); itvatuation+af work 3s$2,500:OO:o,r::mor.e;-I�� . - ;ertiry that I,,_the::applicant,. �iave-;tieen�.provided:r�with•-a.�copy=;:of.:=th.e.r"Florida��Construi:tion;�Llen�_L�aw—Homeawner's �rotectbn Gulde" prep�red by�,t�ie`�Flo�iia Dep�i�et�t�of AgrtcuEtiire and Coris�m�r.•Aftalrs'. If the appllcant!s.sat»eane: �- . , �ther than the"awner", I certffy,_th�t�l>hav.e.obtalned�a,copy;of.the;above:.des,cri�ietl�id�cu�ent�and�promiseain;gQotl�:faitFi�ta.- . :.- �elivec Ik to.the,�.",.owner."�-priocy:#o�comme�icerrierit::; . "' . . � ,°- , -�,_. .� ,.,.. ,��- ' .. •_. _...�_ _ . � . �, .,,.>. .,; ., _ . _. CONTRI�ICTOR'SIOWNER'S AF�lDAVIT: i.certi�y�.tki�t;ail.�the:ir�formation:.i��,thts.-appilcatlan is aacurat�:and that atl�work y � Gable'lau+rs-•regulaHng construc#lan.zontng arid��land°devefopment. �ppl(catton is nrill'be done In compllance wlth all.appli �ereb made ta. obtatn.a. ecmit�;.#a;,do�wotk.x,and"'1�istallaEion as 1ndt�a#ed:�:.::1�,cetl�fiy ttiat na worlc�sor Instatl�tton Fias' �ammenced'��ior to°Is'suance of"a"pemiit`and that.all`work will be.perFormed�to meet.:skandacds.-of:�ll laws regulating• :anstrua#lan, Coun#y and Clty codes, �oMng regulatlans, and iand devetopmerit=reg�lations=ln'�lFie�Ju�tsdicfion.=::I�a1'so :ertNy that i ur�de�stand that the regulatibns of bther�government agencles may�apply:t_o,^the.,.intended.work� and that It is ny responsibility to ldentlfy�what.act(ons!must�take to be,ln:.corr�pli,ance;,rSuch:�agen�les include-but=are:not Ilmtted:.to. , � . - �apeetrrienf of Environmen#a1��Prci#ec��in-Gypress.'Bayh�ea��, 1�%�iNsnd?Atess and Environment�ity Sensitive , L�nds,WaterMlesteuuv�aater'1Yeatment. �, ,,., � " � - Southu�est Ftorida Vltafer Managemeri��°.:C3istrtc#-Wells, ���Cypress.' .Bay�i�aii"s,�`� Wetland Ate�s, AI#ering �� Watercourses. - • . - - � ' � - " - Army Gorps of Engfneei�s=Seawails;'Docks,Navr�a�re vtiraterways. ' - Department, of,.Hea{th;.B;,Rehatiilitafiy.e.,,,Services/Environmental-.:,N�a1tli�Unit:Weil.s; Wastrawater�Treatnient, " Se�tic Tanks� ' � �. .- • � ~ _ - US Envlronmental Protect�on Agency-Asbestos�bateme.nt., Federal Avlation:AuthoMty;Runways: �� -- � . understand that the.foflow�rig;�restrlc�otts appfy to�the use�of fltl:• -- - Use of fill is not allowed in:Flocd;Zane"V"unless expressly permltted. - lf-the:�Il�;mateH�il':.Is"�M:�,�6e';used�ln:,��load.-Zone. "A",'tt"is understood��that e drainege�plan addressing a "compe�sating�volume"will be submltted at#ime,of_permitt�ng whtah Is prepated by a professionef englneer : Ilcensed�by#he;:�tate�cf:FloNd'.a� .. :• � . , - If th�.�11 m�terlat':1�_to�:tie�::used fn �tood �one •A" in.s connectton�u�►1tt��:a���er.mitted balldtng using stem wall conatruction,.l_certify#hat;ftll;.�uall;b�e�;used.only.to..fiil the�,area.withU�;the�ste�n�waQ. - -� -- - - If-fl!!=mate�a!`Is=lo`.tie'�used 'in�=any area,�1��certtfy that .use. of sucfi_.fll! v�l11.nat adversely afiect adjacent prapertie,�. if use,of till.is f�unt��to adverseiy,�ffecf'adja�er�t��prc�perties,,the owner may be cited far vialating. the cond�lons'�of the�`b�iilding::permit Issued'�unde�the��at�acfied__�ermit:�ppllcation, for�lots less than�_ane (1) acre which ere=elevatetl°til!;#�tl,a�engineer�ed dralnage�ptan ls reqialred. �� , . f I am the AGENT,.:FOR,;TH�:OIMNER;,'I;;.promlee`�In.good falth to Inforra-�the-owner:af�the;pecmitting_conditlons set forth in .,5s �is affldavlE=prlor"to commsnafng'.consfru+�fltin:-.1'undeistand thet e:separate perinit rriay be required for eleat�tcal wack, ; `, �,: �lumbir�g, sig�s� weils,.,poots;,,ait:;conditionUg,,.gas,�or:,o't�er.inst,'a�,�a ons not,spec�tcaliy inctu�ed-in.the�appiication. .A , ; , �ermit Issued shall be'�const�ved to be<a�1lcense5to.pr�oceed with ttle`.viiark and not:as�auttioHiy.ta,:violat,e,��cancel, alter, or . �'� et aslde any provlslons=vf`tF`te:tech�itcal:aad�s,�nor shalt is�uana3�of�a.permlt.pceven##he Bulldlrig O#flclal from theres#ter j-; squiring a conectlonY.raf.errors in:plans-,�bcorisMuction,or vlolations�of�any-codes: ��very�p�ermlt.lssued�sh�ll°becdme invalid ;y,' n4ess the work authortied:by�such perirmit:is-c�mmenced�'vi+ltfifn s{�c.,�nonths;af;pecmlt lssuance, or If work authorized by ,�• ie pe�mit i's suapended�,or.,abacadoned:f.or:.a��.e�riodtiof<six(8)�montiiis:.aiter ti�e time�the�work>is commenaed. An extenslon , �� � iay be requested, tn�wrlting;::f�om"'the:�uilding,Offtcial:,foc� pe�lod,.not.tc:�excsed;�ninety�90}:,�ays_�a�d�wilf demon"strate is#itfa6ie cause fbr-the eXteiislo�: If�work ceas.�,for nlne#�t{90}cons�cuth+e:d�ys,..tiae,�b�1s•canslde�ed aba�tdor►erl. . �; , . - �z:: "��' ' - �. � , � VARHING TO OWN�R: �'YCtUR.FAll::tJRE TC�<,R�E.C.QRQ;A;#�lQTIGE:.O��:COMMEI�GEMEM7'�;MAY=RES�E�T tN:YOUR, <.; 'AYING TWICE;FOR,IMPROVEIIM�N.�'9rTU:;YC�UR��RROPE�TY�.;,iF�Y0Ux1�'.�EKID^TQ;<�H�'AIN•��INA��1fi1G,'C.OiVStULT ` � VIT 4U , �, _D.... O: AN-ATTO N �.$ 0'R ';.. . .,_� .f �., :� . . ,� :: . ,-,.y. ' —--...�. _QRIDA JURA�{�.S:t!T:t}3} _ . ., . - -, — — _ WNER OR AOENY CCINTRACTq - - lbstxtbad and swom ta(or a�lrmedj befrna m�tht� � Siil�scrlbed'a tn-t�{oYaflt :me;#fii�, . by fio Islare pe►sonally known to.me ar haa/have pmduced WMo:I's/are, , _ onaltjr.k wrt•to,ma�qr:tfas/h8ve,�roduced • . ae;lden$Hca$on: - ', . • :. � . - . as`1den�Sca�on. Natary Pubitc , tary Publla �mmisslon Na:' Comr7fl�ss n•Na. �� � � sme of IYotary typed,pdr�ted flr stamped Name of tdatary typed �qr si�g�ly�UNE "' F�150h22 �_°�'� �&":: Commission# 12 2019 � :�r,�:,r; Expires pecember � gs.ro,e ";� o;:�' 8c�edTiwSrop�si�Vnsutanea8�3 ` ,ft��` ' .�... ._' ..-;-n-.�:.---. .._.._'�."'^ ___'___".� . ,—.' . ' .-- . „� . _:__ - _ ..�____ _; -.. .....�--.,. . . .-, � ,R> . _.o .__r _ .., ..`--.-. . .. • .._'__.,'• ' _'...'_ __.. .'_"_"',? " ' . ��.. .�_.._�.. .-.-..;_-�....._..—.. . ��.._-.-.-.-.�, -�.�,. . , . .. . . T . � . . .. , . , . ,. � . , ---`.�--. ..� . s ,_ . ' i � , , . $` '+ � Trovel SERVI�CE�INVOICE � � " , _ DateofOrder �ACKET�T A/C INC. -� 'J IOB.TME IN. ,oBnMEo�: �� Da[eSc�ed�de�ti���, �,�: (352) 567-2211 OR (813) 779-4161 �. ��' ' CustomersOrderNa. Phone Mej�nlc^' HNper Date � � ' f.����� � 36601 ROBERTS RD. DADE CITY, FL 33525� : -� :; BIOTo �F Order7akenBy ' �� » � � j� `�a��,,F f,�, ��,<�,�^y,.�.,,, ��,,a�°, STATE CLASS A CONTRACTOR#CAC058172 : ,� "'d`"'�''a� ,��,��,.,� H.�i''� `f�,�-�'��.,,�,,,. �"�.��, o�ay W��� � RESIDENTIAL "Fast-dependable-professional-service" COMMERCIAL ;, �� pty . r ❑[ontraa � Model#Cond. �Serial p(Cond.) � i� � ,,,9` J'^�rr��; � ''� "� 'r°'a'.�"6'�.9°���•, � ❑After Haurs Mak2 .. , I( »e:c.S"��',fi,�aF,-� �s.^F� fi � ..C'��:�' '" +� �' f a�"' .� . „ , , , i lab Name and Id2aLon � �� ' _ _ d" �d ��� .'�ty;s��.*l,�,e�j� ' Make Modelq(A.H.) Serial#(A.H.) - �-�.•��.�:�: 'Work Ordered By: � � y� lob Phone �'�` /��� ' =i , p''` ��",�ti.� ��::`"� �� " ,�.��Dealer Date Furchased _PARTS SERVICE ❑Warranry ❑Warranty � I� � ' � � � �� � ❑ C:O.D. ❑ C.O.D. 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System Pressures Comp.Amps � � � , FREON RECLAIMED(LBS.) � '?� '� _� s � NooneHune oatecomv�� ' ' '�� �� UNITPERFORMINGSAT�!$Fj1CTORILY �,� NEW FREON USED ' k � L � / �+ (/ f ,a �',r ' , . , +�`�"�'F�'� ,j,f '�C'�-C�� .I`�!f � i -f''G-�i.' - F-i , - _ REUSED'FREON � CUStORI@rS51g�8tUff-.' � ❑ Total amount ❑ Totel billing[o rART`s wnRrwNTv � � MAKE�CHECKS'.PAYABLE TO:SACKE7T-HEATING&AIR CONDITIONING , due for above be mailed after w.' A�I parts as recorded are warran[ed.as per manufacture specifications. - work,or mm.letiom'ofwork.� IABORGUARANTY � . � � � . � I have the authority fo order the above work and do so P outlined.above:IE is agreed that the seller will retain'4his - ' Sh(s labor charge as remrded here relative to the equipment serviced as ,..,- � noted,is guarenteed'fora perlod of.9odays.we do not,of course , , to ahy.equipment'or material furnished untll final and complete payment Cs made,and if settlement is not made as guaranty other partsthen those we�install.lf repalrs.later become agreed;theseller shall�have the rigtit.to r,emove same�and the seller wfll tie held harmless�for any�damages resulting necessary tlue to other detective parts,they�w(II be charged separately o emov the�e f o eow �c � ible fo� i i a�an . • White:Customer A' Yellow:Numeifcal Pink:Alphabetfcal �iold:'.7echNcfan ' � ' , . � � . � - ��` � ' . - - - - - - ----- - --- - - � - -- - - --- ----- -_ - - - ` - ., ,v�