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HomeMy WebLinkAbout16-17491 CITY OF ZEPHYRHILLS • 5335-8TH STREET ' (813)780-0020 17491 ' � BUILDING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 17491 Address: 38145 15TH AVE 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-00800-0070 Improv. Cost: 5,180.00 OWNER INFORMATION Date Issued: 6/20/2016 Name: MEALS ON WHEELS Total Fees: 65.00 Address: 38145 15TH AVE Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/20/2016 Phone: (813)782-7859 Work Desc: A/C CHANGE OUT 5 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 1, � � � I ections Re uired D S INSTALLED DUCTS INS LATE9/ l , �" FINAL � REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the Iocal 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 property 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � . ONTRAC OR SIGNATURE , -. , PERMIT OFFI R PERMIT EXPIRES�IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I , ` ' 813aao-oozo City of Zephyrhills Permit Application FeX-813-780.0021 � Building Departrnent Date Recelved ., . - ' " �(3 ., 7�a _ s��l� � ' � -� ' Phone�Contact�for'Permittin `tr I Owner's Name �i9'S% pF}SG'8 �� �/v �� Owrner.Phone Number . (� �^ �d r.� ` Owner's Address �O 1 ��� �U� ' �Owner•Phone Number � Fee Simple TlHeholdecName � � ' � ^� Owner Phone Number - . , �.•7 . , , . . . . Fee Simple T(tleholder�Address ; " ., � . ' JOBADDRESS ��I�S ` � /�jf� ` ,.�1 �/�/L.��j' ��• LOT# � susnivisioN � � Pa�ce�in# /` ��v � �l �bl D OD�'DC) OD��� ' � � "' �(OBTAINED FROM PROPERTY TAX NOTICE) > � WORK PROPOSED . NEW CONSTR �°� ADD/ALT Q SIGN ��Q ' Q _ 'DEMOUSH ' - K 'B ` ' INS7'ALL � • • REPAIR - PROPOSED�USE Q' SFR °�] COMAA Q OTHER � ,, . . :.. ... :.. _. TYPE OF CONSTRUCTION., -Q `�BLOCK�' '�Q' "� FRAME ��� ST,EEL . DESCRIPTION OF WORK i' fl �Yl�f d U� �' �4e lac� S�"o-» s �'� R /� - � ea� o�e,�s BUILDINGSIZE'= ` :SQ.FOOTAGE��, . ,,,HEIGHT:'�. ...•. QBUILDING $ -�5�,:;�,:.._ �-�":r,�:.... ' . . , , VALUATION'a�OTAL'GONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] � W.R.E.C. OPLUMBING $ ' QMECHANICAL �' ` I$ p 'VALUAT'ION OF.MECHANICAL.INSTALLATION � I ��`�� ��0�, Q�_ ' � D�S -Q. ROOFING:.,Q SPECIALlY::O� OTHER� � ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO � BUILDER COMPANY ' ' - • . � SIGN�4TURE REGISTERED _ Y/ N FEE CURRE�''R Y/.N .�-.< , Address � : , . Llcense# . , . ., , _ ` ELECTRICIAN,... .� _ COMPANY � ' + � - , . , - � � . SIGNATURE - ��"' REGISTERED Y/ N FEE GURREK '.Y.'%'N Address _-.License#-:: ` � - _ - - PWMBER ' '.' ,. _ COMPANY= � . � _ _.., . SIGNATURE � .1 ,. tREGIS.T,ERED:. _ ..-':. -::Y.'/-�N. .� , .F.EE:cuRR�. -. `Y/'N: Address . . �. ..License#� � �. -_ -.. MECHANICAI: ` Y , -:� . � _.COMPANY l�/,�'�.: S�� '�:- �� SIGNATURE ` ��'"e ` ` � REGISTERED.� , .,Y!'N , CUR�tEn � =Y/-N��<°'.,: - • = Address�"=`�.� y4��/� A//en7' � - -.�itl.s`:-�.�.• ` , , ..License# A-� :��. ..,5 . OTHER ' � _.a , � . -_. .. , _ ' COMPANY : :. , �. ;% : , :. ...._- ,. , � SIGNAT R 'f' ,,. . � . . . - ,. -�- .- �: : -_, . , . , ,. .. , ,. :. , .,•.� - . - U E REGIS7ERED , _ . . . Y,/ N,.: ;�ECuR�n=� .,. �.Y�/.N�-_ - Address ,... _; .,,i,.;. :.,. r�, .,,;u . . � ,.:;., _ � • �License#�� ' �;,=�s: RESIDENTIAL�.. .;:AEtach •2'Plo^ ,�,` :,:� .�.. .,�. ;i'��6^:"s1;-.e ri= t.y!.,,d;c�'S"..,y..�;:s,a` ,,tc,,_;. , .... . .,.._. (,),._,_.t.Plens,,(�)se�of`Bullding�'Plans;;(1)serof:Energy�Forms;:R O-W Pertnit for neyr con§huction, . . , ;��.,,Minimumy�tem(�10)�woriting;days�aite�w"suti�iilttal date�Requited onsite Construcdon Plans;,Sto'rtnwate�Plans w%�Sllt Fence installed, _ :.. .,. �.....x�.. ..-. . , ::- , ,. �..,: , SanlfaryrF,-,acJlid...;&�1fic�umPster,,,Sifekyllork�Perrniti.(or.�sutidicrisi6ri�Herge'prioJecZs ••,.:�.<�:'�°`-� -.- -..- ... -'_ .' . , �,�,�,. �-, �:�, .,,x�.,�-.�....:a:•>: COMMERCIAL Attach(3j c;omplete sets'of'Bu7ldfrig Plans plus a Lifa Safety Pege;(1)set o�Energy Forms.R-0=W Permit for neW consUucUon. Minimum tea(10)warking days after submittal date. Requ(red onsite,Construcdon Plans,Stormwater Plans w/Silt Fence instalied; Sanitary.Fadlitles&:1.dumRster.,Site,Work.PermiGfor;all�new�p'roJe�:�i411;commerdal.requlrements must meeYcompllance . SIGN PERMIT AttacFi(2j sets oi"Eng'�n�ered�,Pla[is:;,;r,��r��: � •. - - .., ' - . _ - •'••PROP,..ERTY_SURVEY-required fQr,a11-NEW:cons.tructlon.....,__ - - - _ _ . .t: .. - s-� .. Dir�ctlons: .... -_� _ . ._..._. ._ . �. -. .-- -- • - . _ . Fill out applicadon oompletely. Owner 8 Contractor sign back.of appl(caUon,notadzad If over 52500,a•Notic,o of-.Commencement la requlre�l. (AIC u�grades over 57500).,__, •,. . . __ H �"l��tii'�bs'jit`St=C:" ..a�.._.._�..... ... ,__� ....v...._.. _ .._. . _ - . ' Age�t(for tFie contractor)pr:Power'ofAttoriiey'(for the�owrier)would be someone with notarized letter from owner authorizing same .. ==�•; �.:.:�.,: �° ._ -___ . ... .... _ _ 'D,VER'THE COUNTER.PERMI1TINti`.��-"=- -(F'rontof•Applicadon Only)��;- � Reroofs if shin les Sewers ,Service U rades:A/C Fences Plot/Suryey/Footage) .. - - -- 9 P9 .� ... - ......_... _ - _".. ._ .. .� . ..... . .. '�:...F.� '.:""'^ t.+.'.���� " .. . 'vF� � , .'u . ... .._ .. . _ .. " , Drivewrays-Not over Counter if on public roadweys.:need's ROW "� • ; 1• '. i .i � . . � i . r��� L .. ..t � � .. .. . ' . . `Fi. " .a ' ,t . AT10E Ci�DEED.-REB.T.RICTIONS: The:underslgr�ed=.un�e�t�n,ds��thh�t;t����p,�1�:msy.,:;b.e,�:sub�ect;,tc�y"dee�"res#tictt�ins"���;,`,3 ,'�` - :�,4: - �.;Y .,.i��- �:. .-t;,�;.. - :�i:k.,7�1�+=i;,i( .,r.�, �,�.. .�.G?` �-Ki;�'�,.ri�,t..»..�«'a'� � a`�,;.,`-_._..,>•. , . ' .._ �hlch may:tie��More�re.sttictl�e•�th�I���G�unty,'.+'i�ilafforis:`-The°"i►.n`,diarslgned'Ca��umes,'cespo�s�biltty.-�#or:a5mpliance'''wlth�any� ... , . . AP!lcab}e..deed:resMctlocts. '...:,.,-..,�,_,..:.�:s:;,�t•:Y:;>.,�:�- _ ' - _ _ � . , .� ,_ - , ,.. .._. i r�r,t.;����_ .s.- :� _ .. . ::. .......: :.�,;...�_;<<;-=;- .:,�"���' • NLiCENSED�"CONTRkC'��tS�:At�D��CONTR�kCTOR'�RI�SPCI�IS��Ikl���S •.=�tf��he owner-�h�s hir.ed'�Y��cd�itraa#ar o� t... � a�ntractors to:undertaike��work;:tF're :m� ;�be,r�qu'ired�to:�e��licensed-ln':accordance:wlth,state�and,local�,re utallons:,��If�tF'ie�'�,- =•;' � Y �Y..: �9�,:;�.. , _. ... w. �_,_.�<..,�:-^ m#racto�<,Is�not:ltceiised�ais��reqult�e�;by�latiiV;:both ttie'own�r a�rt�f�contractar�ri�ay.be cit�d for~��misdetrieanor�vfol�t�on nder state law. If the-o.wne�or Intendi�tic•.contr,a�rtoG�are;runce�talh�as;ta whet�(icansl� ..re utrements:�ma. �ra�� t�r�%tlie.rv��4,y.,°°3=.f_2:. ; . , . ,..;., �r.V;9� q Y..:. Pp�:. tended work;�#fiey�are�advlseii'to:coritact��tie=:Pasco Coanty;Biilfcling lnspec'tlon;Dlvlsloi�--i,.�ceitsing Sectbn at�727�847- � ,_.�_,_..... t.-�._:.. �.�r r.,......,rt.-c7..-. . _......:. ....�.,.. � .. .. .,... ...a.v» ,... , .. �08. Furthennore;::if�fFie:awner tia's"'1iired.�a"con�iatoT�or contractors; lie.is aiivised'fo #isve°#he conhacfor(sj,.:sign_;h�:,...:;n,, �.-.� �; �rtlons bf'the.�"conttactor Block'_.of.this appllcationa.�for:;whtch�they.wtll::be;�s.sponsl6ile,.��.If:.yau;;m�as'�fheso`wn�'r;:atgn:'as''tfie�� ' ' '" F` �`i � ,,.. .; � .. . �_ ..,.,»..r =r.r :; mttac#oir;-tli�!':�rtiay-de'ar��iridlca#lorrthait•he��fs�no�:propeily=llcenss��and�ts�not`.en�iNed`=�C►'perini#f�ng`privlleges"In Pasca,. . ,. ;: l,•�A � I ��nty. � �;,, . _ ._ �. .. _ .d . ;_., _� ..: ,. r:r"r`i'�.,-;°, :3..,,r _ ,�,1 , " ' ' . ' _ __ . s_ , _.. , . : . .. . ,. ... RANSRtiRTATIQN.�IMPACTNTI��i'�IES�rtVtPid1C'�A�b`=1�ESQU�tCE R�COVERY-�EEB:�Th�t�nders#�ne��urtderstands ;�;, ; at T�ansportatlon impact�ees�and.Recaurse.Recovery.Fees mey��eppty4:#o:tf�e construc�on;.of new.,b,u0dtngs;,�chan�enof":��-::=~}'i�'�' �t :e In exfsNng-bulldings;-.qr�ezpa�ist�ir:q.f:�e�ils#i'�;briiltlirigs;a§spectfied:in P�sco Counljr�Qrdinance number 89-07 and ;� ,' �_�-,. r. ... 1-07, as amended:,v.1'��.undetslgned'also�undetsta�ds, #h�i�'su�sh fees,�,as}tnay�;��;�d�e;;,�ulth,�e Eden�itted at�the�tirrie of�°.` ':,�':F� � ;� . �rmitttng. It I�furtfier iinder`stood that Tra�i�portatlon'.Impa'cf"Fees and��Resnur.ae;Recoveir�`��Fees.:_n�u�'Y be paid pri.or to �� ` _ - . . � ... - ce�ving a,"ce�filcate�of-oawpancy"-�or°flnaX4power;�eteas�.�t:4�-the proJ�t,�:does�no��lr�volve;g-.ceni�cste o€occupartcjt yoc�=�,-v i.� ':;: � ial power;:release;_the�,fees'::mu�t:ti��iaid�pitor,to.-permit issuence. _Fi�{�tki.ermore;��ff:Pasc�►�.County��Water/Sewernimpact�°��-��- �__�•��. , es are due;ttiey:must be,pafd;p�"or to�;pe�miE�iss4ance;ln,accori(ance wit�c�Pplicatite::Pascr�Gaunty onllnences. ONSTRUCTtCtN�tiEN'LAYI�(Ctiept�r 713�FloHda Statut���a��m�nded). if vaiu�tion of.work fis$��Sdd:00,ar:r�ace, 1�: � �- �:;�. �rlifiy that .I,,, the_:applicant,,,.haxe_�been,�;provided:-�wtth„a�,copy.:c�f'-�the��"Florida•��Constructi�on;<Llen:�.:Lav�—Hameowner's rotectlon Gulde"prapa�red:by,ttie�Flarkfa Dep�iitinet�t,of Agctc�lf�re and�Consri,m�ar�.;:;.AfFa1�s: �f the appifcant Is.someone; -.. .��-. .f; her than the owner"� I certffji:th�t:i�,have;.obt�lned�copy,of_the,abova�describetl�dbcu�ent°:and,;promisetin;gpod:faith�.to , .,.F, ailver it ta::t�ieF"ou+mei.�'-:pr:to��to�commencemerlt=�,;.`;� ,." ,, , .�,;,:�-_ :. � _;.. .:.,:,,; . - _; _ " ., `.. ONTRACTOR'SJOWNER'S AFFIDAViT i ceii:tify,�t�i�kalt#h,e;lnformattcm�in�tht�applic�tion is accuret�;and that ail work � ill'be done in campliance with.all�applicable�laws�regiilating constructlon� zonln�and�.land�'dgvelvpmsnt. Appltcatlon Is ; �reby made Eo. obtain..a,.permit:,to>,da,;wotk;�and:=l�i�tallatlon a� indiceted�•:; °I .certify�tFtat no�work'=oi;, tnst�illation"Fias � �mmenced�p�lar to'is'suance of'�:pemnlf"antl�thaf�all`work will be perfomned�to meet:_standgrds�of=all laws reguleting- i mst�ct�on, County and Clty codss, z.oning regulatlans, and land developmerit re�la#ttihs=in the�Junsdtction:._.I:.al'so . ; �rtify thak I u�derstand that the regulatbns of other�govemment agenci�s may�appty�_to..the..intended.,work, and that it ts � y responsiblllty to fdentify�wh�t.actlons I Amust�t&ke�:to befln:.comp!lar�cs:.Such��agenctes�incl�de�but�are:not!lmlte.d::to. ,�� ° ' - �epaitrrien#-of Er�vironmentait'f?rote`c��n=G�pre�s.�B�yii�ails�;'I�V�Stland�Areas.and Environmentally Sensitive ;r Lands,WateNVtlastewater Treatment. - . �� �- - Southwesf Fforida Water .Managefier�t',:�C�lstrtct Wells, �CYPress.�".Bay.�i�atfs���` We#ia�d Areas, Attering� �. , Watercourses. _ . ' • Army Gorps of Engineeis'�a�wal!'s;D►orks,Navlgatile Waterways, s .. : - Department,;of;Hea,lth,.'B�ReI�'abilitathre ServtceslEnvltonmen#al:�l�ealth Unit:Well.s;_:Waste.water�Treatrrient, Septic Tanks: `' � : ::�,.. . . ' . . � . � - US Environmen#al tProtec#ion Ager�cy-Asbestos.abateme��:., • � -Federal Avlatlon:Authortty;Runways:-� - , - . . nderstand that.the_follow�ag,�restrt�dons�aPPly`to'fhe use af flll:� - Use of flll Is not altowed tn-Fload;Zone"V"unless expre�sly.permltted. - If��th..e�_,flll..:matet�al;;l"s:'ko'�tie�'used�ln.:fload4Zone: °A"� If. ls under�tood=that-a dralnage�plan addresstng a "compensating v.alume"will..be subrnitted at#m�af pacmitttng wi�tch is prepared by a prafessione! englneer Ilcensed�by;the�State�f;'Flottda: , . =,:.: � . . - • �#_tt��_fill�m�te�lal`_1�=to:;be=us�ed �n �loo� Zone "A" Inj c.onnectior��uvlth�:a��permttted bc�ilding ustn� stem walE � conatructlan;_I,ce�tify.thetfill:��u111:b�.a��usedonly.to.filllthe..area.wtthtn�the�:stemwall. � • - � it �111 materlaF''Is�#o=��be�°used��lrt any..area;`=t�-�cettlfy th�t .use. of�suc�i.."fIN�w81 not adversely affect adjacent ' properties._ tf use:af fltl,ls found.to advers�iy:�fff'ect�adjaEer�t��proiperties,.the owner may be cited fo�viotattng � the condl�ons�:of.tfie.ti�,ill�ing�,p�rmlt Issued;':under tha'�at�acFied.;�ecmit_�ppltcatlon,#or��lots less�than:one (1) acre wMeh are�levateit�t�Y;�1l;.:��tenglneersd dralnage ptari�ts raquired. • ,'� . am the A6EN.T,,,.f.,ORWTH�.OVMNER;'I�ro"mise,ln.good falth to�lnf�rm#he�owner of�the..per.mltting�condl#tons set forth In ` s aifldavtt'prlar to�-coii�meracing`aaiishvctt�in:'..t,"aiaderstand":that ar s�parate permlt may be requlred for etectrEcat wark. �; ' or�o . ��'�_ � imbing, signs, wetis,z:poof�i,.atr.cctind[8aning,..,gas�.:,, ._.ti�er,.,instai��tlons no1�spec�icalXjr inctu�led�in.the�appticatlon;. �A ... �,..,; , rmlt Issued�Hall'be>construed-to'6e�a`'llcense to:prcrc"eed wltb'tlie''viio�tc,and no t:�ass�uthorlty_to.:vlolate,��cancel, al#er, o� `" t astde any provlsians�of the:#ectiiitiiaal:c+�des;�nor shalt Issuanc:��ofa:permit:preverit the Bulldlrig O#�Iclal from therea#ter r;�. �ulring a coRectlon af.errors;.ln_plans;�consWc�lon,or vlolatlons�of'any cndes:a�,very�p�ermlt�:[ssued shall�.bec�me lnvalid � �'` iess the virork�euthoMzed by such perrtatl�!s_ciiiiimericed�inrithln sfX�trtonths ofe permlt Issa�nce, or ff work sutharized by � ' . �permit i's suspended�or..abar�doned for a�eriod�of:.�si�c�(8):mon�t�s;sfte;r the tlme�the�work•ds cornmenced. An extenslon ��, ; �y be requested. ln wclting;;:fiom`the�`BuIIIding;C�iflclal.for a perlod;�not tb:exceed-nlnety{90).�tlays.�a�d wllf deinonsfrate ��; � �,;. 3 t�iabte c�use for�the+eiitenslor�:�li woik;aeas.as,for nlnety�{98)cons.e�tttve:days...tl�e��ob�ts�consldered abac�doned. . . � . _��.- , i � _ ... - . .. . . � '..; , 1�2N1�t� Tt9-t�iRiN�(�c�--YfyiUR=�r.�,a1�CJ�E=�;�;;R;�C:t��:i�:�T1t�E�.��;:C!�}M�ii��1�ElYl���V!'l�11F>�ES[!LT-�1N�Yt'3UR - _ YII�G TWICE.FOR:IMP.RQ.�`/EMEI�t��;T�:YQ1;�R�:_P.�OPEF,iTY:;7',I��wYOkl�liV�:€E�1Dt?TG�:�!�B�''AIN��FINii�i�C1NCs;��.O�ISULT ��: ; r ou - -- �A �o w ��. R 's G:����C� G f� � " ; 3RlDA.ltJFtA�•(F. . 7.Q3} - .,.� - . -.° . .. . � , , . N�R OR AGEN7 �� CONTt3JtGT0 �� scrfbed and awom (cr af�rmedj ia mg�iFa' ' Subsdrltied` Yo{ot ailittned)•68fors me�ttil9� . by ►Isfare personelly knovm ta-me or•haa/hava produced Who•I&!a .. .ersonally`. wrt•tt►me�,or,ttasLhave-ptodi�ced � 4.. - ,. asilden$�aaitCon.= � - ° � ' „��,`,',_,;=as tiien�Bca@on. Notary Publlc . �x..� Notary Publla imisslon No: '` Ct:�mr�is�lo' o, � . �.��`��F.Y pY,B�c ACQUELINE BQGES � _.• ° �:: Commission#F 0422 tie ot Notary typed,Prfnted or atamped tdame of Notary iYPed, �r��s December 12,2018 �'%�p��,,RQ`� BondedThruTmyFelnlnaurance8C0385•70f9. �A N l� � � � �' PROPANE GAS u � � � � � AND AlC iNc. Service Order/�Proposal Air Conditioning 8 He �7�e �988 813-782-5013 � • WORii ORDER#/SERVICEMAN EiE�J�J MAR Sales, Service & Installations . � DATE/TIh1E TAF�.EtV Q�3/16/1E 13:4E 4441 Aller� Rd. • Zephyrhills, FL 33541 _ TA�,EN PY ROSA �� DATE/TIME F'ROMISED NOTES � �5� �'�C�PS �� �� � CUSTOMER#/LOCATION �J1�J , F'HONE# 81�-78c-7859 - CONTACT ' PETH RG]UTE/SEG? , � MAR - � .. . . ,a�r� c 937- Y�y- /6 EAST PASCO MEALS ON WHEELS � EAST F�ASCO MEALS ON WHEELS • 38145 15TH AVE ,� 38145 15TH AVE ZEpHYRHILLS FL 3354� � ZEF'HYRHILLS FL�3�4� �STIMATE ON NEW UNIT DES.GR�PTION OF 1NORK QTY. MATERIALS�SERVICES � UNIT PRICE AMOUA ----------------------------------- -- ------------------------- ---'-- ----� iv � -� .5"T"o�/ G o.✓ G d o v ,4 � ' p,0 .1 Sv L ,� � ,'„� � � � � bFF �� v L ..Z-'�v . � . � � � . � iG . /C ao�J � Lr L �S� � /!/i � ' S��D .�(� /✓ •L i i � x 2 �TU ..Z"i�/ /'"/�c/CR 6 .S�'� (//�/ � 1" � .5�8� � � 00 ' � . ' ' � � . ,, , � � - � � � � , RECOMMENDATIONS '� � ��, ' �£rL�. 'T 8S� � Annual Maintenance Recommended by All Equipment Manufacturers. � � Pressures L-o HI T-Stat � � i i i � � � REFRIGERANT R- LBS. $per Ibs. � � , ' FIITERS n x Changed Monthly I I ', ' , FILTERS x r Changed Monthly � � a + ' , 'I E� REGULAR ❑WARRANTY TOTAL SUMMARY Dehumidistat:Settings: When here��l", When Away 60° , T-Stat 80° ❑ -tNAINTENANCE CONTRACT SERVICE � LIMITED WARRANTY: All materials,parts and eqwpmenl are warranted by Ihe manu(aclurers METMOD OF PAYMENT CALt i or suppliers'written warranty only.Ail labor performed by lhe above named company is warranted for, TOTAL ' i 30 days or as otherv+ise indicated in wnUng.The above named company makes no other warraniies. ❑CR�H ❑CK# NY{�'f ERIALS i express or implied,and its agenls or technicians are nol authorized lo make any such warranlies on - . - behalf of above named company. ❑DEBYT �CREDIT �OTHER MAINTENANCE � i have aulhonty�o orCer Ihe work oulhneC above w�ic�has oeen saustacroniy como�eteo.i agree mai sener • • PROG. W I C relains title lo eQuipmenUmatenals furnishetl untd Gnal Oaymem is matle u oayment�s noi maae as agreea. CLAIM�$ �� seller can remove saitl eQuipmenUmaterials at Seilers expense Any aamage resulling Irom saia removal shall not be the responsibihty ol Seller NET 30 DAYS.A 1 1/2°�e SERVICE CHARGE W�LL BE ADDED MON7HLY TO DATE COMPLETED I ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNOS � TECH ,� T� i ,/ • i ��farzlr `Jy(iu TOTAL � - CUSTOMER SIGNATURE DATE "