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HomeMy WebLinkAbout16-17490 CITY OF ZEPHYRHILLS �� -, 5335-8TH STREET ' - (813)780-0020 1J490 BUILDING PERMIT � I PERMIT INFORMATION . LOCATION INFORMATION Permit Number: 17490 Address: 6624 ASPEN CT 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: DRIFTWOOD Est. Value: Parcel Number: 022621021 B00B000020 Improv. Cost: 3,995.00 OWNER INFORMATION Date issued: 6/20/2016 Name: �RIFE MARTHA Total Fees: 55.00 Address: 6624 ASPEN CT Amount Paid: 55.00 ZEPHYRHILLS; FL. 33542 Date Paid: 6/20/2016 Phone: (813)469-8934 Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55:00 �� Ins ections Re uired DUCTS INSTAL ED �. _ DUCTS INS�ILA�� . FINAL �Q 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 properly. 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. LQ.�� CONTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES.IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM�WEATHER s�aaeo-aozo Ci#y of Zephyrhills Permit Application Fax 813-78p-0021 Bultding Department - � .. Date Recelved _ � 'Ahone=Contact'=for'Permtttin`:`. ` � - - � Owner's Name !1C/'G I�//�-27M� Clwrner Phone Number ��� "7t�t �.!� - Owner's Address !� �'v e/� 'C_.,`� 'QwnerPhone Number, � ' � Fee Slmple Tltlehalder:Name ' ` ' Owner.Phone Number � ♦ ;._� � ..., :.,, . : - ._ . , Fee Simple Tltlehalder:/�ddress � , �� �*�. , ` � - �� �� JOB ADDRESS 4G��� � [�7�' G� � L� 1 GL.S' � LOT# i : :: � . , . I sueoivisioN ��!� �zr3�z�� � ad � Pa�c��"i� I D�' � �I D�IEg dl� ��� , • � �{OBTAINED'FRqMPR01+ERTYTAXNOTICE� • � WC?RiC PRqPOSED �` ` '" � NEW CONSTR .•. i ADD/Ai:T Q S1GN DEMQLISH • � '� r , e INSTAI:L :•� .REPAIR' - -- PROPOSED:USE , Q� SFl� ' � 'COMM ` � OTHEF2� . TYPE OF CONSTitUCT10N�� "Q` BCOCK�' ,'Q:`. ,FRAME �.�� STEEL Q' . ; . DESCRIPTION OF�WORK ` ' .. L�/I�L,s j}[�. 9�/l e �G�L`e.�. O'C /C//� : G'�H''Z` �/!7-� , o� �D7'Y7 j> . .� BUII.DINGSIZE `'� � SQ�,FQOTAGE��, , - ,HEIGHT•=�:_��. - . QBt}ILDING $ ���.�_.. .�r,� '' '. - �VACUATION"a�lJTAL'"GONSTRUCTION ��, . ,-, , , , QEI.ECTRIC�. $- �� A{NP SERVICE Q PROGFtESS ENERGY [^,] � � W.R.E.C._ , . � � [�Fi.tIM81NG $ � � .�. '��, �... � : . . ,; , MEGHANtGAL ' <_� , Q $ � �� D� VAR:tJAT10N;OF MECHANICAL II�tSTAL•LATlON ��� � y��/ � g, , « . : ( OGAS j [� • E200FiNG:,�Q SP_ECIALTY Q OTHER. � , FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES. NO - � �,,,�_ � - , � . '� �-- . ,_ � . ,x, , BUii.DER , , . . - COMP ANY' ' SIGNATUR� REf31STERED Y/ N. �E CUR�n'�_„„ . Y l.N..:- : � ., . � , „ � Address . :.�'. , - . , Llcense# 1 " ' � � . ,••. . , . , , • , - . i ,. M _ , . �: - E�ECTRIClAN��_ .� , . - „ . COMPANY - - SIGNATURE M REOISTEREU Y/ N �CurirtE� ' Y/N Address ' ` ' J . : �4 - , .'.Licen"se#�:1� =� = =� � a ' I PltlMBER . COMP.ANY, � ; : ; - t:- . SIGNATURE ' ' � •` ' , ,REa�s�REa� _ , �.:Y�/�N , ,�e cuRR��:., .Y/N: ' Address F .> > .� , =� ' ..Ucense#F� -- � II MEC!{�11+1lCRL•' �Yyr.F .._ ;COMPANY; j�'!'4�..R. S;1f'"!'D�?,�/\}�, _��G��� SIGNATURE - � , . .. .;.'; _ " , , REGISTERED;' . ,Y:/�.N,• �FEE CURREN 'Y/•N:�- Address:, ����f`����/V � l/+ t � '� , , .. l:fcense#����-��3�.`�'o,��� OTHER � --- -. .. . � _ _ ' G01�APANY ' �� ,. ., :. :,^:�.,.,, s - .. - _ . SIGN/ITURB , .. �., . . . .k ,. h:�: ,_ ,. � ,:�., REGIS7ERED: , �Y/ N=s. ' rFEE CrURRE� -,� =Y:/;Ns� ,t. ,_ , .. /�11ddPess :U;�;�°,,, • -- ,`�`=,:. . , , . _ � -- .<'- _" . f � 2 . �`License#��� � - � _ ___ .;it' S,i�:�: , ,_. . . � , .. ,� ,...� , .. . t' . '. . : . �,. `,+-. RE81pE�I11At::., - fAi#aeh;2,:I',�at�Plans;�2�'sets;of�B�uttdin"�'Plans��,:i�`setof�Eiie �Fonris��R-0=1NY�+ermi#:for ne`"constnictlan- ._. `• t.) � }. _ . 9 �t } . , r9Y . �<<.s..,:- r... , ...., :K±,,.. , �,,.��.. , . , ,.�,.:_,�, a,:.`_Mlnlmum;tenY(AQ)j,wor�tingftlaiys�,a;tte��„'suticnittal�d'ate:$<Requlred.ons(te;-.GonstnicHon�Plans;Y3tn'rmwate'rPlans:w/SIItFenceinstatled, - . � San{tary FacllltlQs�,B�`j1.,�umpater-Site�,WorkaPer.mlt:(�r,..,sutidi�islonsllarge projects .��;:��r;'":-'�.:::: : , _: °,�, �� �' ., � . COMMERClAI_ Rttach(3}`ccniptete sets of'BuD'citng`Fiaits ptus a Life Safstyr Page;{1 j set of E�iergy Fqrms.Pt-O W Permit far neW cbnstnlctlon. � Minimum ten(1 p)working days'after submittal date. Requtred anslte,..Construcdon Plans,Stormwater Plans w/Sllt Fence installed, Sanitary Fadl(ties„8��1.dumpster.,.Site Wark_P..err»lt,for ali newiproJ�cts:AI!'�mmerc�a�requirements must meet comp!lance � SIGN PERMlT Attadi(2j-sets`ot"Eng"�nia�redrPiai�s;3:s°~�„,�:;`,-° .. . - � , . . . "`"PROP.,ERT.1!3U.RVE.Y..:requlred�fio�;aJI;NEW;cons,WcUoi�.,, .• ' _ Dlr'e;.c#tons: ,is{;:,;.�,,�:::.:;:�. .. .e. ._ _.. _ . � � Ffll out applicallon comqletely. tOinrner&Contractar slgn:back of applicaUon,notarized � tf over 5�508,a�Nottce,cf:Cont�mencament ls requiresi. :(A1C uPBrades over-57500)._ _. _ �,. .. .. �qent(for ttie'con�tra��otoc)`or'Pouv"er of Attoiney'(fni=the:owner)would�be�someane with notarized lstter.from owner_suthndzing same- -- �� t.r �,.:�. ., - ' . _' 4 � .T.., ' . .. . . , ' :DVER"TF{ECOUNT�RiPERMITTfNt'a::._.�.-'.{Fi�o,nt<af•ApP1lcaHon'Oniy):.�; . ��; . �. , . � - Reroofs If shingles Sewers Servica Upgredes.A/G Fences,(PIoUSurvey/Faotage) ; , . ,. _ . . - � , � _. .. �_. _.� - _ ��._�<y';; �'`•_ ,_,, .� . -._ { . _ , _,... . � , ,. . ..- priveways-Not aver Counter if on pubila roaduiiays.:needs ROW t '_ _ ._- ..- -- . •=.f�: � I' ' ., ' s - u . } .. � � . ' { .., � f � , __ .. _ _": y _ ...rt.. --� � ,,.�'xt�,�.��a..�..' :;�`; O"�CE Q�DEED..REBTRtCT10�E&: The:undersEgned�i�nde�#end��th�t,�t��=�m,�tl�a�nay_:b+�.,sub�ject-.to�:,.deed;,-.cestrtt,c�ons:;..4.. '��` _ "'r:y — .:i. ;t� _ ' ,.:�.� ras.Li.,:t_ e�{..at;, xl.t.< 'a4•rT'' "`d�.'__{:.,. rt>> 3'rr' . , filch may:,tie�moretrestf(ctive:�t�s1��Gou�i ''�re��ilatfor�s:`�The°;i�nderslgne:d�<a��umesycssp�n�iibiliiy�:to�°compliarrice°uuith�any �� �;� .�� ApNcable�:ileed��cestficttons. t . .. <<;��.�,..�, .��,_ • - - - ,;,-,�'� , , ..:.,,,._...;.,:...�.-.�.. ... .,_ ....�. _ . >_.... ,�..�h.. ,.,_� . � , : T�•= . _ .;__.. _ � ..__.,_. _....�.,..��..�....,:.�-�-,. .,,.�k.: NLtCENS.ED`�CfiNTRAC'.�OltS`:AN��.CON'fRAGTOR�RESPO�iSIBi�:t{T��.:=�i€�-�e-�cvuner°`h�s;�hired������'+ct�ritraotar or antractars to undertake work,;the .ma >;be.sr..�rquUed�to:�,e.�licenseid�ln:aiccordance.w(th:staii��:and';tocal:re ul,aHons:��if�.tF�ier�-�° � �:�}' , Y .Y , -�_�:w n��:�:" ,��u-_z:� 8... . �nfraato"r`<ts not�:lEcensed���i�`:�requir;ed¢tiy I�t,�b�tt�°tt�e own�ar�nd=coritiactor�may�b+���tf��d`foi��a�ni#sdeme�nar vlolation nder st�ite la�r. if the ownet or (ntended�contr,a�f:o,r,�are�uncertaln as to wF�at�ltcensing.requl�ements.�,`may:,appl�r4�fdi�:-�tiie-,f�-����=������' �. � , � �.�.. . �._..::.. �.�� ,.. ,_ ..,. ,,,. .. . �...... , ,;... tended worlc,4hey are�advlsed'to"c�ntacE the::Pasco:.County�uilding;Inspectlon;=Dtvlslon;:;�,Llceiising�Sectb».�t727=847- �OS. Furttiermore��`if"ttte��.owner'�has'`:liired��a"cvn`tractoT�or�coMrectoi�s;�tie'�is adVised�to't�sve�#he ,conhactor(sj;:sfgn.� : ., �k:��,:�. �.�;�,.. . -:,.,��,,. ` �rtlon� at'ther_"contractor 81ock",af`thie,appllcation..�far;whloh,they,,,wiil,�be:-r.e.sponslble. �,I�:you;=as�::fhe':aY�ncr;stgn"as=ttie;}' �.. ��' �rttractor;-tha#-�m�r�e�an i�tllca#Ion-Etiet�Fie��`s"�no#��.properly licengec!and`'ts''r`irit`en#itted tii�perr�flt�ing'priv�leges'1n Pas,co, '� ; � . � � w;Y'3c'. �.. .Fyi.�+F OUllhl. i . � • �. _ . •� . o . ;�j - ,.. .. : .. - . .. . . _ . . _ .. -. ._ __ RANSPt?RTA'TiON�lMPACTNTIL:1�'lES�tl�lRA�7�A{�b�i�ESQU�CE�RECOV�RY�F�ES:=Th�t�ridetslgited':unders#ands ; at Trar�sportatbn Impact Fees:and.Recourse Recod.ery-�'ees, 'miay�app{y°�#att�e constructiot�.of;new>b,ulfdtngs;:ichan�eaof'"�'°�����'���s` �? � :e in exi'sHng~buildings;`a�c-�ezpa�tsi�imrc�f'�te�ilsNi�,b�illi#ings;"as�speclfled.In Pas�CauntyyOt'dinance,number 89-07 and !r � I-�7, as amende.d..,wTh�:undetslgned`�{so��nders#acids� th��'suc�h fees,:�s:�majr�e:�due;,;wifF��e tden�fied at the{tiine'}'of`�=���°�Y;,,ry',',..= :� � �nnimng. It is iurtlier underetood that Tran�portatlon.Impa`cf"Fees and�R�saur,ce'yRei�ery���Fees:.mu�t be�paid:prlar ta _ � , aeEvtng a�"cerEi�cafe..of-acxupancy"�or flna�-power:�elease.;:l�.the prv���:sdoes:rio��'involv+�=a�.cert�lcate of occupan�Yo��=�. ���=°'.. . ial power;�rete�ase;:-the;;f.ees,'�:mu�it:be"��ald%pctor:to;perrrift Is�suan�ce. -F,�a�tk�ermore;,�N':Pesc��,County`�IllaterlSewer.,•�Impact�„:��•.����-<���f, ; ; ; es are due,nthey;must�be;peld:prior ta�.permtt'�Issuance-:In,accord'ance iivlt�r�app!lcatite�Pasco�County`ortllnance►s. DNSTRUCT1t?N�ZlEN1A'IA1{CFia#�ter'T13�Fiorftta�Statutea�a��m�mdedj; �f valuatian of�wark is$2�50d:00�oc�:mace;,i;< ;..;:,;,s. -: R P PP Y � �._.-�n;;provl.ded-:wlth-a}c�py vaf.�the;_"Floride..C6n"stFuictlon::�Lien;'�L-'avu�-Homeowner's yrtify that._I�, !h_e.a_ Iicant,,.:haye:,�b.e �.... �otecttan Gufde re ared.b ,:the�Florlda Qepart;�mer�t�of Agt�c�ilture and Cor�s�m�er;Affairs: #f the applfcant ts sotrieone�� . :;;tu�. her than th�"owner"�.I certlfy,�th�t�l-have:.obfaJne"���'�copy;af:the<abova�.descrl�ietl�ifibcu'�iant�and;pro�il,se;tn;g�od.falkh:.to. _ .-. � ,.;; _. �... ,..�.:_ - - �lIYBR It t0,thBF". • , , ,. ,. :_.... ,t• ; ,., � , . ,s- , , . .. `: _'.. ..._ owne�`:prior�:to}'cQmirie�cemerit:�' �- :. :•::� . . .. r ._,... ..: ...:. t�NTRACTOR`S/OWNER'S AF�iDAVIT: I.cei�tify�tki�at a1l:thg-�lnf�armaticm:,i���tiat�appllcattan Is ar.curat�:and that all�work� ill'be done in compliance wlth all.applloabfe�laws�regulating constructlan. zontng and�land�developm�nt. Appltca#1on Is �reby made to. obtaln.1a;.perrnlf.:to:;do�w�r�a►rtd:�°Ili�#$Il�tlon a� ittdtCetetl:h:<:<t cerl�fy�tFiet no�wark�;or` installatton''Fias ►mmenced�p�lor to'Issuance of`a pe�lf'and thaf`all`work will be perFarmed�to meet,standgcds.:of:�all laws regul�ting- msfr�ctipn} County and Clty cades, zontng regulatiansf and land devetapmer�# r.�ilatlons�ln`�tlie;jur�sdlction:•�=1:a1'so� . �rtlfy that I u�derstand that the regulatbns of other govemment�agencles may�apply.;to.the,_lntended;wark, and that it (s y responslblliky#o ldentlfy.what.actlons l.must=t�ke�:to betln=.conlpllanc�.Such:�agencles�•lnclude but=a�e:not Nmfted.M:- • � ; F.,. >�.�,�i , �-�,,�..., . - Departrrie'n# af Er�vironmental�'Pi+o#�acfi�in"=G�ipress.�8aytt�ad�; V�eBand-Areas and E�vtronmentaHy Sensitive ; � Lands,WaterNflestewater Treatment. -' � � - Southwest �larida V1t�ter !Vlana�erinerit�.:l�lstrtct Wells� 't%YPress•�-8ay��ai�s�;t��Wetiand Areas, AI#ering .' VVatercourses. � � ` � - Army Corps of Englneet�=Seawa!!'s,,Docks�Navlgatite 1�faterways. y - Departmen#,_of.Healthy$;.Ret�abillta#Ivs�rSerriiceslEnvtranmen#ai-.Nealtii�Unit-Wel[s;::Waste.water�Treatnient, Septic Tarilis;�`.,.v.:��'_.�:...�` ,.: � , , _ • .. �.,. .� , - US Envlronmental Prateatlan Agency-�sbestos atiatemen��_, Federal.Avlatlon.�AutMorl#y-Riinways: -. • , � � nderstartt!that.the.follov+ring?rest�icflons�appty to'thesc�se�af fll1: .. - Use of fill is not attowed'in�1oad,;Zane"V"�unteas expr.e�sly.permttted. ' - If-the,.;flll,maket��l;51s':to"rb�e'�used�ln..:fload=:-Zone: "A"�`IE Is�understoo+d�th�t�a rJralnage-plan adtlress(ng a � "compe�saEing volume"wilt'ba sutimltted at#ime bf-�permltting.virlilch 1s prep�rod by a professionaf engtneer � . u�ensea�y;�n'e;State-of�Florlda: �_ ' � �.�"� . ` , - � - If.th�.#311 matei{ar=:ls=;taFbe�used tn �lood �one `A" Ins�cannection�w1th:a��permitted bulCdl�tg using stem wal! � constructtor�;.l,certify,,that fill;vV111=t�e t�sed only..to..f111 the:.arQa withln�the�stem�wall. .p � - !f`flll inateclal�';Is�:#o-=be�used'ln at►y=area,-�1-�+certffy that .use. of�such:`.flll"wlll r�ot adversely affect .adjacent ' properties. If use:of,flll�is fvund to adversel�r.�fiFeci�adja�ent�;prc�perties,.the awner may be cited for ulal'ating , • the aond�lans'=of,�.tl�ie:�5�illaing��permlt Issued-"under tha�'at�ached,permlt_�pplicallon, far:�lots.less��than.one (1) ac.�e wE�tch ate�ete'vate��t"sY:il11;_��englneere�dralnage�plari"�s requlred. . � �m the AGENT.FOR„THE�OIMNEI�;.I�iromCse'In.good falth to-lnform the•ownet�:of�-the.;permltting conditlons set farth In ,;; , s affldevtt'prlor to-commen�#ng'constiucflon...1'"un�erstan+d�that a�separate permtt may be requlrec!for electrlcal work,, �;$ ' irrabing, sig�s, weils,,..pc,ols,,;air.__cand[tioNng,.,,gas,,ar•wotijer.,insf"a�����fons not�spe��tcatty inclux�ed�in.the appiication A ��� � .... : � � ;.�;,..�. . � . .,,•,,,.�., ., , Gy;, .. rmlt Issued"'shall 6e�c�ons►trued•to-tie��a`�Ilcense�tou prciceed wltla'"�tlte�viro�k and not:;as;;authorlty.to.vlolate;•cancel; alter. or , �aslde eny provlstans•of:;t�te tecti�i�Cai:cade�;•nor shalt Issuanc$�of�a�perrr�Ef.p�event the Bultdlrig t?fflclal from thereafter. , ,� ,, ., . . � ;,�. �ulring a conectlon:.ai;errocs,ln:.plans�,�:eonstiuctlon,orvlolatlons-of:�ny=codes:-��Every_pierrinit�lssued�shall�be�me.lnvalid� •.; less the worli aatt�orized�:t�Y�such"perr�tlt:�ls-cbmmenced wltliln-s�c;;anonths�of•permlt Issu�nce. or if work autho�ized by ``' �permit i`;s.suspended:or:abar�doned;_for�a;�ertod�of:,ebc:��):mon�is eRei��ttie:time�the�work=��commenced._An extensio� ��; ; �y be requested. In wrltl�g;:�:from the Bulll'ding;Otflslal:#or a perlod,.not'to:exce�dtnlnety.{90)�tlays:a�d�wllf demonstrate ;,�; ; t�iable cause for:the exten'siori: If woilc.ceas.�es�far nlrtety+{SO)coneecutive:days,_���ob�Cs�cansEdered abac�doned. . � �f; ; . , {� 1RNtN� TO�'C1WNfR:"YOUR:��'AILlJRE'TC1��;R,E.C:t�!�tQ,A_:N@TtGE:QF�-CClMMEM4EMENTaNtAY��RESULT�IN-YQUR.. �' ! �.,- �. .��. � YING 7WICE,FOR IMPRQVEMEIY�'�;�rT�b�Y'Gt!l�:PR�PERTY:;�;I�;:YOEIxi��D"7'Q;�BT�AIN<FIPi��1�1N�3;�C.ONSULT ��? ' C D" .0��`A� �f R 's. O �� ls':, ,p C .,- , '� tRtQA JUFSA'T{F �T._.03} . ..,.. . � .,;: ___- - - - ' .,,- " - '-- , _. _ .. .�__,.._F r --�_ - - - --- , . - . _ . ,._...�,� _ti._-� ___. � ._ __ _:__— = - '. ' . � � NER OR AOENT ' ��� . .If�' . C�NTRkGYt� : G�t�2 ''/"G � saibed and awom (ar at�ssn 6e#ore me thts Subscrlbed�arid' m�ta{ar afNrmadpbefora:me�#hi� . .. by ' ' ►Islare pe elly . ta-me or•haa/lteve produced Who:ls/are . _onally wri•ta me:bctiaslh8►ve-prcdin:ed. � as:IdenU�calloii.- - t � " ` �• as i�lentiAcaHon. "o — .. .,i."f � ,,y _ � . � �� �ry Publta . :: �" � Nofary Publlc . ,.R.M ;fACQUELIN OGES � �misslar�t o: """""' """' Com s n.Fto ,,�.:"::°:���,. . . ` Y���� ` =": :'`: � ber 12,2018 _�.��''� ;._= Commission#FF 150422 ;��. �,:a, pires Decern �7019 ie of Nolaty lyped,Rrt , 018 Name oi NotarY 1YP t or '',R����. Sar�,1e3TNuTrayFamins+uanw800�38578t9 . _ ,e.6. � •�' � � I,ROPANE GAS � � � � � AN� AIC �Nc. Service Order/Proposal Air Conditioning&Heating S�tce �988 � 8�3�782�5013 Sales, Service & Installations _ WORF�. ORDER#lSERV ICEMA�I 68717 JUN 4441 Alen Rd. • Ze h rhills, FL 33541 DATE/TIME TAKEN ��ii�i1E i�:�� p y TAKEN PY AC 0c NOTES: I ��I��/✓ DATE/TIME P�RC7MISED - �C�/14/1E �O�:�Q� CUSTOMER#/LOGATIOIV 18Ef�4 F'HONE# 813-4f�9-8�3�+ ROUTElSEO JUN RIFE�, MARTHA - RIFE, MARTHA EE�4 ASF'EN CT f�E�4 ASF'Ehl CT DRIFTWOOD ZERHYRHILLS FL �.?��4^ ZEPHYRHILLS FL?.:,54c _ NEW CUSTOMER GET UNIT INFQ �- r 1 � 3� O �ip-TQ / C'P S"I — � EST ;;_,:...... __ .- - . .,.: ....: ... ..:.: : ..: . - - - - - - ; • R__;: .:,...-�, .... , � ...:.,�. .-� ...., ..:.......::.._> :..::_ , . _. ::.:_:��:,.,;..: :r.,,�...,.�..<_.,...,: ;.. >= :-:=::.,-.,_u=-,:;� -- _ _ -: :DESGRIPTION OF.WORK.- ° .�,.``;QTY• .",_-;.MATERlALS&,SERtGICES�<::.�:`'�;;',,�_-, y :UNI.T;PRICE:AMOUNT, � i i ---- ---------•----------------------- — -------------------------- -- — ---- — � L Q o r LrS 2 To�✓ � T,p/L ' vr uJ. �1" � �ex' � �ys � £ � � � � � r ;+� U.y. �,r s � � ,.. � ' DD�id v�v - .�. o,.. 2 0.� .' S TA /y�� �r �S.' v`��� � v � � _ � y�£� � � � � � � � � [�.r �' �`�° � 2 � • _ _ - : - - - --- � � -__ - �= _ _ .RECOMME�I.DQTI�ON$�t�� - - - -_ i i Ann_ual:Maintenance:Recorr,mended._b.y,All4sEquipment1ManufacEpr`e�s..°_'� � � - _ - - - - Pressures Lo HI T-Stat i i .-......... . . ... .. . . .. _ - . :. v - _.... :,� :. - _ _ -..__ , _ ,.__..�,,,.,•:�. •= �e -- i o /t/ Lf, - -REFRIGERANT,R=��__ _ __,�,LBS:`�- -_ _ ?:3�perltis:.;-, '�_:- /g�I✓ / IQ ��I I G �. /• � FILTERS x x Changed Monthly I I FILTERS x x Changed Monlhly � � ❑ REGULAR ❑WARRANTY _-:-,'.TQTALaSUMM/�RY - T - - Dehurti�idi'statSettings:.�;Whenhere"ON":,,'WhenAway6�,�T-Stat$0'; ❑ MAINTENANCECONTRACT • SERVICE �� i _. , . . .. - ... . ,: . .. :•. . . _. _. . :,. =.,.. ... . .. - LIMITED WARRANTY: All materials, arts and e ui ment are warranted b the manufacturers' ' - ' CALL i P 9 P Y ;�.. _ •: METHOD:QF:PAYMENT����=-�.:=_ ; " or suppliers'written warranty only.All labor performed by the above named company is warranted for " `' ` - ' ' ' ' " " - TOTAL i 30 days or as othenvise indicated in wdti�g.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i I express or implied,and its agents or technicians are not authorized to make any such warranties on � behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i I have authorily to order the work outlined above which has been salisfactorily completed.I agree[hat Seller PROG. W 1 C retains lltle to equipmenVmaterials furnished until final payment is made.If paymenl is not made as agreed, CLAIM� seller can remove said equipmenUmalerials at Seller's expense.My damage resulting from said removal shall ��O not be the responsibility of Seller.NET 30 UAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �v � �. ZQO � ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE GOMPLETED ` TECH: T'°`X i +.-- � �;- -- � � -- - �-�y��� ��� � ' CUSTOMER SIGNATURE DATE o-u TOTAL I