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HomeMy WebLinkAbout16-17502�I CITY OF ZEPHYRHILLS � � 5335-8TH STREET • (813)780-002D 17502 BUILDING PERMIT PERMIT INFORMATION - - LOCATION INFORMATION � Permit Number: 17502 Address: 37544 LORENA AVE LOT 133 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-1330 Improv. Cost: 4,095.00 OWNER INFORMATION Date Issued: 6/22/2016 Name: SEXTON GEORGE & LUCIENNE Total Fees: 60.00 Address: 37544 LORENA AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/22/2016 Phone: 813-778-4633 Work Desc: A/C CHANGE OUT 4 TON _ CONTRACTOR S APPLICATION FEES � BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 Ins ections Re uired D CT IN T LLED DUCTSINSULATED FINALTr 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 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. r ��A'_�� `� ONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED IiVSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e�saso-oozo City of Zephyrhills Permit Application Fax 813-T80-0021 � Building Department , . Date Rsaeived 'Ph`an��Cantact'for`P�srniti#iri ;:`, � D 1:,J ��O o� — ..t v t � � t}wner'a Name �F.Y��� . . _ Owrner,Pha»e Numb�r a l�'"" �!� "'7�rs Owner's Address ��� -� L ' e OwrnerPhone Number � , •� � FeeSlmpleTltleholder:Name- �'� !�_ � Ownar.Phone.Number � .,�� . .,� ' ' a „ Fee Stmple Titleholde,r.��iddress - � JOB ADdRESS �7«'J� "T . _ G�-- U�. . 1.07# �� . sueoivisioN I�6Y/�f/1J 7')� lD�[!ZL?/�� PARCEL:ID#" � , ca�J� oZ� C 7 � �� '�,�3Ca . � , ., �(OBTAINEDFRGhf°pROPERTYT�U(`Nti7lCEj: , WORK NItOPOS�D : NEW CONSTR ' ` ADD/ALT � SIGN Q` � 'Q � DEMOLISH - _ � e .`_� INSTALt - ����.-REPAIR - - . � PROPOSED�USE.. . Q� SFR ' [� COMM� �� Ct1`FiER'.- " " 7YPE OF CON$TRUCTION.. �Q '�'BCQCK�' 'Q' � FRAMEI �� :STEEL. .Q: . .. � DESCRIPTION"OF WORK E'�f.�l'.'N%//�f-L �L°.Uf7f} e UGQT , l � o , � � BUILDING�SIZE,-'C�, ��SQ FOOTAi3E� ,�,HEIGHT`�. „ _ 4�: � QBUtLDING $ �fi:,�-;;.., ....a_,.y.,�.,;. ,.' ,. .,Y >. , � �, ,�y �VAWATION'0��1'OTAL CONSTRUCl'ION ��J QElECTR1CA� �� AiV1P SEFidiCE Q' PROGRESS ENERGY [� W.R.E.C. QPLUMBING $ ._- �W�' � � [�MECHANlIGAi.' $ �y VAIUA't'i0(st+OF.MECHANIC�4I.,IWSFALtATIOi�! ��. � �l��i��: . . , .. ��S C�, �.-�ooF��v�..�;.p s��ciat�nr-� oTH��., .._ � -n FINISHED FLOQR ELEVATIONB �-1� FLOOD ZONE AREA [�YES. NO . , BW�DER COMP7a►1�1Y , _ ° � ; , 8113NATUI2E REGISTERED Y/ N. ' FEE CURRE��:,� "'.Y/.N: ..�: .: , Addreas ' � Cicense'# I � ` � s EI.ECTti1CllaN;-�. �- , G�INPANY ', - . : � _ � - . SICNATURE ��' REGISTERED Y/ N �cuRit�� - ' �;Y'/N' Address � . , _ ,, � ` `.Ucense�{ `� � 4 , . +}r'•r--� . Pt�UMBER COMBANY; .�' ... ' � ... , � ti =• : ,,_ .. SIGNATURE �' �' :REGIS7ERED� �i" -:Y'/�N:�- ,.�EEE:CURR� � �'TY/-N: Address - • _ - � : � _ Ucense.# � . � ;�, . . c •� �:.� .. �/� � . ! :z � ;_ • . : MECl�lA�NtCAL,, . - .COMPANY�-. 1�7�1�i'�S.. /`L9 �C�.•�`�"'��G� �fv r SIGNATURE '�rn'e %+���)'L.QJ�.�`'� ' aE�isTE�o:. , .:Y<I'N� ".:,FEECURRE� .� Y./-Ns; Address;`` `.� .: /L -..:Ucens.e# ���a�3���'��I, .. ,.., _ €r. _ .�, ,, _ , : ,._ , . . - ;�-� t - . . : ; _ . . , . o��� . _ . , . ._ .. .. ., .. . . � .:co�t�aMr . .; ... - .. �-_�. :.: ::,.:-. _ :: . SN3PIATURE -. . . ' .�, " ` � � . .REGI87ERED Y l N«, ��6�uR�tE�:. ,.�,Y./:N::,_ � • Address - � .:r;sf: ,,�:�,:. - :.�5 ';'...:. ..F : . •- . .Licerise#���` '� z - _.j;` =i� _ •-SJ���:•rr-,�;.�:: ��..f :�'.t.�-..:�;'iei•+`s�.s�;;e�;z-. ,i�;,�.- .._ , ��E$1DEF1TiAl,y:�=��.�Aitacn�(2};p1ot:P,.laiis,-�(2)sets,iif�Builtl�ii'g��F?lans;`..{1)set'of.�Energy�Fpr`ms;'i2=0=W°Permi for" � , - � -- t.. new.con�tniatlon�:;. �. . ,v.�;.,.b F.,..,;., �.��.;;, -, rv;lMinl�tuiit7ten�(+1rQ)}wor{tl�g�day;s,;atte"r,�subriiitkail�dafe:��>Requited'o'neite;%Consirucdon�FlansrStoRnwate�Plans"wrLSilkFence,instelled, . - � SanlCary Facjll��s.8�s�1,c�u�m�Sster:Sl�eYW�;orlc�Per�ft.�qr'�su6divislbt�li8rge ptqJecls;�.:_:;4Y�.� " "��. � - ; ..,:- • _ - �. . - - - CC?MMERCtAL Attach(3j=cortiplete"set's`cf'BulCtiing'Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O W Permit for neW c+onstnictlon. Minimum ten(1Q)work(ng day�'after aubmittal date. Requirad onslte,,Construc8on Plens,Starmwater Plans w1 Silt Fence installed;, - Santtery,Fadlitles�.t..dumpster._Slte..Wark F'ermt;,fqr•ail;new'p'roJect's:;Aiircamcnerdal.requlrements°must meeYcompilance' SlGN:PERMl7 Attacti(2j�s`e`f"sofEng"i�ieer.edsPlans;s�,�w^�s:'�'``�- . . . . .. , _ , , ., , . . ""••PROPER7X.SURVEY reguired;fia�;�aJl_NE,„W.,:co � - - ' _" : . _ ,, � nstcucyon.; ,: Dti�;+ctions: ,��-;'�.�. . , • . .. .. . _ . ._ _, • FIII�out appflcaUon c4mpletely. Qirvner&Contractor sign back of applicatlo�,notarized tf�ovar�2500,a�Notice of:Commencement la required. (A!C upglrades aver S7S00), �� � I�BR�����18t�<�}tr,.�.;zec,: => ,....... . ........ .... , _ . . " � � ntractoi)�or"Power of Attoriiey'(fo�'tt►e.owner)would be someone wtth.notarized Istter from owner autharizing same `�VER'THE:COUNTER.P.ERMiTTiN�:== ;.(Front=ofAppiica6on Only}.,.� .. � . _ . . ._ .__ _... ._. Reraofs if shingles Sewers Service Upgrades A/C Fences:(PIoUu,urvey/Footage) _ _.._-- .... -.--. . - ... .. .. .. . .. . -. .t;_ �°� : _ -_ : - �... . . � -.. _ .. �, .. , � ., � :'.}•,,�.;�=,�% �.. , � Driveways-Nok over Counter if on pubilc roadwajrs,:need§RC7W -��° . .� � , . , ,. , .. - � . � _.. . . .M� .. - _,_�,: ,.a, - OTtCE OF DEED,R�STFEICTIONS: ,The:undecsigned�undergta�;ds��th�t;thi�.;p e�yrrni�;:may.be.subject:_tc�.°deed"�restrtictio�ns"���� "' �_ I r.,i . ' 'u y'„`�y � r� GCe",n*+ a 't1. �.� � t v.. .�n. �hich may:be.rrmore�re�t�idlve::tb��i�County neg�ilafforis:�3Tlie un`der'slgned'�as��umes r�esp�in9lbiltty torsco�pliance"vir,ith any� � ' � PPUcable.,deed::restrictlons. •, .::.;�:;,.;�::_.:,�:,:.�,;.�;:._�_. • " _ _• - - - _ - - � ,.. -. >--. , ; ` :�:..rv„�,,�.�. ; _�. .... .. � __. ; _. ,....:_ r....�...::�,,.:,........:,.,.�....,,..:. NLICEN3ED��C:ONTRAC'F:OR$::AND'�CONTRACTOR�?RE�POW���ILI1`i�5:r��ff���he��ovime��fi�s=�litred�`��"coititractor or ' - �ntractors to und'ertake work tfte �me 'be�:re� uired�to:;b.e�licerised'�In.accordance:with�state_;and; ^'�r=`'{_'� �-_ ,Y X ,4 _E __ _ _�.. lo�al-�regul,aHo�ns�;r.lf-'the=�< � � ...:.� .:- .: � , ... _. ,_ ,,;. ..,. :.,, � ,.. _ , , . _. . �.,,:�.;<.:1:. mtractoc`;Is not=.11censed;as��=requlred:tiy.:law;:both:;the=owner and�conti�eo�or�may��ti�'�clteil�`fo���a�misdemeano�iilolation nder state law. If.the�o.wner or Inteiided>-contractor�are,;�unce�t�ln as.to what;licenain re uirements:��ma fe ~fo����(���i`��ii��'4C7a! '1" � 1'.��.�1->.p:. a n„ „_.,r�a F�9:; 9..�.. �° PP� : tended work;�tfiey-ere advised'to:contact the>Pas�o,:.Couiity�.Buliding;insPec'tion'Dlvlslo,n�-L•Icenstng�Section_at 727=847- ; __.,.._.. ... . __,:_. ._:..:�;..,:., . .:...;�.,z,_.,,��..z,::«7�r H.„, _...___,�.. � -. ..:, .,�:.. ..; �09. F,urthermore; if the��:ovmer�ha's-hiretl�a=�conhacto� or contractors;"lie�ls advised to�have;_ttie contractor(s);slgn,_,,,_.,,.�__;,� �rtlons of'the `contrector Block".,of.�thle eppllcation,for_whlch.they,:will.:be;,re.sponsl6le. :df.:,you;�as�:the"ov+in`er slgn:�a`'s``the� � -''` ��` �. mtractor,.tFiet�riay be�an"`Indication�that��he=�is=not"':p�ope�ly�Iicen"seif and��is not"entitled��to peririftting privileges`in Pasco �� , ; : . . ��.;:.;�,.,:,,,w:�.,;�_ �; ounty. .. . • .�:: -.�_ _.. ..,::�, - . . _� RANSPORTATION;IMPACTIUTIL�TI�S�INIRl1C7=Af��=1�ESOUaCE�RECOVERY�FEE3:'�Tfi�nndersi�ned�understands �� ' i�: at Transportation Impact Fees:and.Reco.uree Recovery.Fees,m`ay.happly;#a t�e construcBon of new.,b.ulldings;;ichangerof'��°'�i�'�:`�y' :e In existing tiuildings;�a�r-;expar�'s.'�ir.ofi�"cisN�p�;6tiiltlings;as �pecifled:in P�sco`County�Ordinance number 89-0T�and 1-07, as amended.�:..,�he undetsigned also,:urtderstands, th�t`suoh fees;-.as�fnay�be;°due;�,wilh:�be iderittfled at the�timeLbf��� '�����-�'- . , jrmitting. It Is fii'nhe�'understcod that Tra�isportatlon Impac�`Fees and�Resoures Recrn►'.ery�'Fees,.mu�Y be paid prior to , ce�vtng a."certKicate�-of.occupancy'°��or flnal�.power;release. �:I��the proj��t;does:nd��;involve.a=certiEicate.of occupancy.rb�:�:�r�4'�$`-� �al powecacelease�-,therfeesY:musit:tie�pald��.pcfo�;to�permit Is���nce. :Fti,�thermore;:�t�•Pascmy;County�lNaterlSewer�;impact�;.° �:_ . ; es are due,they:,must.-be paid.�p�or to;:permiE-lssyance-Jn_accord'ance::wif�:appllcabie.Pasco`Couniy ordinances. DNSTRUCTION`tIEN�LAVII�(Cfi�pter 713�FloNda'Statutes�ab amertded): (f valuatlon of+work is$2�500:00�or�moce;:I�-_ � • - ;a. : �rtify tha#.I,.�the_.applicant,.-.have=:been,,provided,,•with-.a-.copy.;of:,the;°Florida•��Constcuctlon:'�Llen..:Law—Homeowner's •otection Guide" prep'ared by'tMe'Florida Depe„rtment�of Agric.ult�re and Consum�r.,Affairs. If the �pplicant is.sotneone� : �, , , , her than the"owner"� I certify,�:th�t-b�have,,o�falned�g�copy;of.the,�bQve,.desc�ipetf;tficuriaent�.and;pro�ii,s�;in;good�faith.,to . , . �._ , �liver it to�the�� :p�� Fcomitien'cemer'it:`" ' • .. � � - - ''-� ,---: . - . -- , . : 'ownec"•• rio��tc. . . . _. ., ONTRACTOR'S/OVYNER'8/AFFIDAVIT:. I.,ceitify;,:tkiat.al�-th�inf.ormation�l�tthl��appllcation is accurate;�nd that.all work ili'be done in compliance with all.applicable'laws regiilatlng construc8on� zoning and�land�-:development. Applicallon is . �reby made, to obtain-�a;j:permit,_fo;,.do.,,wotk,�;and'���Ih'�tallatton .as ind(c�ted�:s•;;::t,. certffyi tFiat no iiuork�}or, installatlon'Fias � �mmenced`p�lor to Issuance of'a pemiit.=and"that':all�work will be pertormed�to meet,standards.,of all laws regula�ing- mstrucqon, County and City codes� zoning regulatians� and land development�tegulatlong`'in4the'>ju�lsdtction.�= I,�al'so �rtify that I u�derstand that.the regulations of other�goverr�ment�gencles may�apply:to,,.the...intended:work, and that it is y responsibility to tdentffy•what.acttons�I.must�take�:to be�in:.�rrlpliaracs;;Such�agencles include but-are:not Iimite.d:to:: -- � - Departrtie"nt of E�lvironmental��Profe`cti�in{=Gypiess:'Bayhead�;`Vrletl�and-Areas and Ernironmentally Sensttive tir � Lands,WateNWastewater�Treatment. � �' � ;- � - Southwest Florida Water ManagemenE:::btstrict Wells, �Cypress.�'.Bey�i�ads�;�'-Wetland -Areas� Altering ' Watercourses. ,.. , .::. , . � � - Army Corps of Engtneers�Seawalls;�Doeks, A�evigatile Waterways. � - Department,:of,^Health�,.;B;.ReM�abil(tative_,Ser:vtces/Envltonmental>.;Hepfth�Unft-Wells,.,:Waste.water��Treatnient, � "Septic�Tanks;. '. . � :. . ' � , �� � _ _ - US Environmental.ProtecNon Agency-Asbestos abatement., - .Federal Avlelion,AutMo�ity,=RumNays:- :� . - nderstand that:the;follovv�ng�rest�lctlons:apply to'the use of flli:• - Use of flll�is not allowed in Flood:Zone"V"unless expressly permitted. � , - If-the fill��materlal;is`�t'o:�be"��used�in�.�flood .Zone. °A",`IE�is understood that-a drainage'plan addresstng a "compensating volume"wlll.be submitted at time`of permifting virfilch is prepared by a professional engineer Iicensed by;tFi'e�State�of.rFloFida: - � " � � - �- . . - If ihe.flll.:mate�lal`°.I�,to.be�used In �lobd�Zone 'A" in5 connectton�with:�a��er•miKed�bi�ilding using stem wall ' construction.�,C,certifythat;fill�u�i111:b.e;�sed.only.to.iillthe.�cea.wtthln�the�stem�wall. .. - -- - �' "if flif"m�fe�lal��is�to="tie��used=1n�any �area;'1`�+certify that .use. of�sucli`fllf w11f�ot adversely affect adjacent ' properties. ,If use:of fili.:is found.to advecs�sly_.,�ffect`�adJa�ent��properties,.the owner may be clted for ylofating,, . the cond�lons�;:of,�.�ie b�iflaing�ap�rmiE fssued:under tfiae'at�acMed.permit�_applicatlon; for:lots less�than.one (1) , acre�which�are`elevafed:tiy;illl;an engineered dralnage plan'ls requtred. , am the AGENT..FOR,:THE�;OVIlNER,'�;�romise`In,good f.aith to=lnform the�owner.of��tfie::permitting conditions set forth In s a(fidavtt`p'rior to commerScing�oonstni�ctitin: "I"uradei;�stan'd:thet ezaeparate permit may be requlred for electrical work� - . '1; ; imbin , signs, welis,.._poois;,alr_.cond(t1oNn ,_,gas�..or�.otMer Insta�l„�i�lons=not.s ec�fical included-in.the a Iication; .A' _ ��`' � 9 , ; .._ . g . . P lY pP .. •- � :;. rmit issued"�liall'be corishued�to-lie�a��l1'cense�toiproceed wlth'tlie`;irtiork-�and not;as„authoNty�to:ylolate,�,cancel� aite�. or , i� �aside any provistons of�th�e'`teclinical:code�;•nor shall issuance�of`a:perMif:p�event the Buildirig O#1lctal from thereafter :'� �ul�ing a conection_ai errors in�plens:,�conshuction,or vlolations�of=any�codes:,-�very._p�el�mit�.lssued:�hall�become invaltd �� �� less the work-authoriie'd�.by sucl� permit��l"s-coinmenced�witliln.sfx;months�of permit issuance, or If work autho�ized by "` �permit is suspendedsor..eba�doned.for a�:petiodjof.six�(6):mon�tis;:afteF�tFie time�the'work��s commertce�l.. An extenslon - �,:, , i be re uested, U wr.it'In� ;.;Tro.m'tlie Bulldin ;OffiElal:for a erlod::not.to.�exceed;nine"-�•90 ��la "'' ' ' y q g g p ty{ �) ys.�a�d wilf demonsfrate : tifiable cause for.�the exfension;"If`wock.ceaees,for ninety(90)conaecutive:day.s�..the)ob�is�considered aba�doned. ;��` � _, � ---�� - ! .. ._ , _ .t�, . ._ . .: .. IRNING TO OWNEi�:"YOUR:_FAILIJRE�YC�:;REC:��tQ;=A;:I�OTlGE:OF�-COMMEt�CEME1�'TwMAY:RESULT=�IN-YOUR ' YIMG TWICE: .OR:IMPR'OVEME �S?Tfl:Y�O.UR:,P�OPERTY.�:1��;YO.U?II�F'.�E1�1D�"T0:�7•'�AIN•�FINif��lE1NG;'CONSULT �� ' � OU -�0�. 'A aT N FaR ,. �p - - - �� } a :5 � ; -- - !,;-- iRiDA JU •�(F.S.1.1. } � " "1 ' - .' , - � � � �� NER OR OE CONTRAGTO � - I sarlbed and swom r atflrme etor me fhla" " - Sutiearltied'end' =to(ot'afti edp efore;me tliiB . bY ' - �Is/are personali nown to.me or�haaThave produced Who:Is/are , rsonal � wrrta m,e:or.ftaslhave-ptodiiced • _ 6 ' a�:Identlfloallon.� - " • ' ' �� '. as Iden88caUon. ' ,~ Notary Public . /� Notary Publlc imisston No: Cbmr�e n.No. � ie oI Notary typed,printed or atamped Name oi Nota 1;�� OGES :� ':_ Commission#FF 15U422 ' ' � -�;,��; Expires December 12,2018 �'•�i,�,��;°•`� Bonded TNu Troy Fan Insurenee BppJB$-7019 � � � � PROPANE C�sAS � � � � �; • Service Order/Proposal AND AIC �Nc. Air Conditioning 8�Heating �ir�e�988 8'I 3-782�50 i 3 Sales, Service & Installations _ � _r�� " `'_` '�-� n�' ���I-cF': l.Jt:?.}���i�•�;��r.i.�•L.1�1�� Caf.�-r�_�i H!-� 4441 Allen Rd. • Zephyrhills, FL 33541 �}�'��=` `��'��� ���'���'a �`'`�''�1`'�`j.�:' ' �`�``'�' I /� T I•���-:ti_C'•I I�`r' i-;!.`i�i ih t,?1 N�TES: �� � .� �JN�`./ 1�1���_f_i .��`'��G_ �-'��.�i�.t,�'.iC� �i7%j.J r7� 4't���f_Ifi,l { —} r'• -�' i.� _ .. � Y�c��Nl . � f � � G!�,:�"f'►.7P�I��I;��i 1_���C6, I":i:r.�o��� .r,.E�,�.`7t�• . . �'1-i�7�dF:�� t'i�_- -�r%+—���,•�•.� ) .�-v f���i�T E:�`:��€=C� F�rt�'z ���1�'�J��a �:}��Jf�[jF_ ' �Cn� �.}F'•�y �.'J�'�.JI-(I^r d,"f�l�hli i...�.��h'�t��f-� h=�+.3�. �itJriT�3• �..�h��i`��! �-��[r'_ f��h-i���i� i•-i���i.� s_�_��'Y� � i�,r i -;�_ i �; . -�-c.—_�� l�.�-'rirr�r�!,:I__!_'_� �="L.. ,_..:_�•_�i ;�,�.F-ri`t"i�?I-f=i.._{�ci �'I...•��.�•:.� re. - �t�l..�r����ra �.��;r, � F'�'��(%il;;::1-����=1�4 ��f•L=i*11'��'1�!'�-��Z�? �:`_�T T n�IAl"E� ... . ..........._.� ......., . ..... . ...._..,., ,.. - - - -- - - _ - tl. ;I. - ' _ - - - "�s_ _ 1:_ ' ' ' ' . _ _ _ '_ _ 'S;}�:,;'i.r``�y.,'t``j ' ^:c:::Y!i. � _ _ '7�:: ..RI�E' "�AMOU .U��ITP C N 1. 'E UlG�B•• - - N �:�.�'+ - ':MAT� �5:8�� R 'QTY:-' .ER AI. - e��f:�� -- ,: •, -.;,_;:, - �OaRK:�� - :.��:.. -....., ._ » ... ,.v,., .<,;,-.:-,,. .. . _ , ... ' ESCWPTION;OF�W _ . ,;� ..,_-,.=...-_ , .:.. ._ _ �.. � ::,,;.,:::,_.,:' ;;;,�. ..._... __.A - . .. - - �-:�:^_ - _:.�.. . _. _,,,..: - - - - - - -- __.:._..:.. ...:_.a. - - ..:. ... .. ..:... .. ....<.__,. . _ _,.._: - ::�.: - �k;-<-, , - _.,,;_ - r. - - - - - `:`ir:�t;,�_�;,, 'tr'r-=3ii¢�:"=:�ci::'ir_- , I "I _ . . .._ ..... ._c__. .......__....... ..._.---.�.____ . . • ' -' - �.---._....__..--•----.__._.�.-- •-•---_'---.__ ._.,._ ._.____---_.._...._._..__.__._.__._. __._. ._.___._.—'-- '- Ne� �� ' . � � � �..-e � � � . I � � . �� i i .. . . . . � � � � + � � ' � f � �r �� � �� � � � � z � � i i i I � _- "_- - -= "" -- �_ - - �=';:r`:' rz:i3. - ' I 'RECOMMENDA7'IONS=�='=���s���;.r:.�-�":��`�.., - = ''-��� - - - - � I - � �•- - - " - _- - _1 • - -- - -- .,�,,. - - - _ -- - - I - - - - �- - _ GtUf2f5`;�h',i �Arinual;Mainfenance;�Recommended-b�';AII:�E�`ui�`inent�Mariufa_ _, � - Pressures Lo HI T-Stat t�i � ,: - , ., ,:- Y. 9 p,.., - - - - : .- - - - - _,.�.. - - - - - _ - _ .:��.; - - = ;r =� i - ;����:;:,%��_: - -�� - - - - - e�:itis:_�",�-r - - - '`B5�`?-'�,`tti.`� - ='$. ��:;; REFR(GERANT;R= _ :;;L _ - - - P r4;`'.��"��`" I - -- - -_ -- �.u, - •;.�"` _ :a:•:.: ���;<,�:._ __"I:�iri�. _ - �"x�' - -- FILTERS x x Changed Monthly I 1 , FILTERS x x Changed Monthly I I ❑ REGULAR ❑WARRANTY �:''i'1�;'=�y:;-.�� -.- l:-. _�:TOTi�=SUMM/�RY�� _ i�;,. _ _ _ --� : - - - -"!•,�'�."i.�:;�.�r�.:/�� ...,�t-...;N "' _ -'_ " �.".-�..r^. ..':'..:.-' .�i.:::.::. ���.:".' .....�_t�.-.•;•r,.__..��..<s . _�..s.,i�..,...,'!:..:. . . =Defiuii'aidistat:Settings:;�..When here"Ot�"•;. When Away Ofj�° ;pT-Stat 80':� ❑ MAINTENANCE CONTRACT SERVICE i - � -- - - - - --_ -- _ - - -- CALL i LIMITED WARRANTY�. NI materials,parts and.equipment are warranted by the manufacturers' _,;.'°- _ ,''(yj����HOD�=OF=�P``MEx�T.`:;.;r,='r;;_'�<;; .__;�'*`��'; _.�:....,.__;..�,,.:.-�_ y- ' - or suppliers'written warranty only.All labor perfortned by the above named company is warranted for -'^`�""-`"'`""-' �"�` "`�"`' � .�..:_�:.:-..:. ... ._�._. ..:..___,. 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i I have authority to order ihe work outlinetl ahove which has been satisfaclorily completed.I agree that Seller PROG. W / C retains title to equipmenVmaterials furnlshetl until final payment Is mada.If payment is not made as agreed, CLAIM# � , seller can remove said equipm Umaterials at Seller's expense.Any damege resulGng from saitl removal shall not be Ne responsibiliry of Se r.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COM PLETED I UNPAID BALANCES O R 30 DAYS.40 REF NDS �;� TECH:(/VU YO� TAX i / `/ /J���y� �1 E��� ✓dUi CUSTOMER SI ATURE� y DATE TOTAL I J / I v �