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HomeMy WebLinkAbout16-17508 _: F` � CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 17508 BUILDING PERMIT / PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17508 Address: 6851 WIRE RD �� Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS ' Est. Value: Parcel Number: 02-26-21-0010-01200-0000 Improv. Cost: 2,950:00 OWNER INFORMATION , Date Issued: 6/22/2016 Name: ZEK INC Total Fees: 50.00 Address: 6851 WIRE RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 , Date Paid: 6/22/2016 Phone: (813)782-4604 Work Desc: A/C CHANGE OUT 12,000 BTU DUCTLESS CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 50.00 �� ' � i� / � � Ins ections Re uired � DU TS INSTALLED DUCTSINSULATED 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. ` . CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a �813=780-oozo City of Zephyrhills F'ermit Application Fax 813-76q-0021 � Building Department Date Racsived ., - : , � t� 2�7 , Phoss�Coetact':for'PerimlftEn �:; ` O l-�., 2�•� _�cJ d Owner's Name �� t� �/V� ��L�'S a Owner Phone Ptumber 81�-��a'- �'{g'��. . , . _A . - , . C..� Ownar'a Address �� !'� ��� � �Owner-Phone-Number ' , �. , . 1 �, � . ._ � Fee Simple Titleholde'r:Name ' � � �� " �� � Ownar Phone.Number . � r :;�_ , � , - . . . •,�� . . - � �, � � , � ' i Fea 8tmple Tltleholdec/4ddress ,.- - r • - Q �' �� = ' � ` � J08 ADDRESS ���I '�� /,�L� �-H�L1--.5 ', �o�r#_ �,_� , SUBp{VISION - �� ..:�� �iu�ci��i� �� � -�/ l G�,eDI D 6��DL)- ��Z� .. , � � � �' ',-�(OB7AINED'FRC�M�PROpERTYTAX'NOTICE} '•• WORK PRQPOSED '< + NEW GpNSTR RDD/AI.T �� �S1GN '� � = Q:�� DEMOL'ISN , • , .. - .. , :e�j' 7 INSTAL:L �:REPAIR: -• PROP05ED USf .�_= SFR . .._ Q`= ., .. <,.Q 'COMM`; _� OTNER',x .Y_.. . , . „, � . , , . . . . ,, TYPE OF GONSTRWCTION; '�]. BL'OCK' ' ;'Q' �'',FRAME � ;S'LEEL, Q_-.., - DESCRIPTIOFI�OF WORK '�,' a,�%I)I37��'- �"/"� G�Gn�.� �'��,Da� ia�'�L. �. IE�S �G of C�D!Yt dN 4r BUIt»D1NG SiZE;�� � �`�SQ;FOOTAGE:._ _��.�. , _ :a HEIGHx;. ; ...�:'' �<, ` 1 ..;,.. = , ...�� ;.. .. QBUt�DING � _.�.,,��:.._ ...r. � = .. -� ` ' ' , , VAL.UATI(7iiN`�F`I"laTAL'CONSTRtlCTIOiV , , �, , .. � [�EI.ECTft{C�4L $ ANIPSERVlCE � f�` PROGFtESSENERG`f "Q��' ,`W.R.E.C. ��' < o����B��� ��� - - . . � � � ,; . , , QMECHANiGA1� � $ ,.„� 'VA�iJAT'IdNsOF NI�G�ICAL 1lHSTALL.ATION � . ' ����. UJ' " - . - CJ4;�►s � �,-,�oQ�E�c�-��p sPECN�nr-=0-� 07��� , :, � � - FINISHED FLOOR ELEVA710NS C"� FLOOD ZONE AREA , ;�YE$: NO „ , _ �: � . . .. .� � . , ;r,x,' � . ; BU11.DEit GfiMPi41'VY' , ' , � . _ . ,. SIGNATUI21� REGISTERED Y/ N. ' FEE CURREA'"ry':, �.:Y l.N.,::;, z.." ., . , Address . ;� . . . ` UCense�#`� ` " � . E�ECTRICI�N«_ , ` , , CdMPAPlY` .. . _ � �: _ ,� , - , ' , - a �� � S GiVpTU RE � RE ST R D Y F G REK N~�. Q� e � / N uR Y/ � Addre$� - _ � . � '3�� `'�''�.�''� , i _ .. l;lrsnse`#:;I =``� ; „' ;:, I PlUMBER „ . � � . COMP.ANY� - ` ` . - SIGNATUR�; � . ., �REGI&7ERED . ,. >sY./.-,Na . F.EE;CURREt��;; , ,Y/'N:"` ° ..; . ..- , , �: � s , :� - ..,. ., _ . , _, . '�- �] �►ddre� �.. , � ; - , . ..Ucense#•� , ���.. I - [�ECHJ�lP11GAi:�i - r t �'%�,�,.�JL.l�,i�. . :GCiMFANY: . :�{�� 1Y��•`>�l1/L. " .�C , SIGPlATURE " REG�S7ERED' , :Y- , `.:FEE:GIJRREt�. .. �;5` " � �r,: . ,, ,- . . _. ;�. _, . ; _ ,.;. .. ,,. _a�N. :�:: Y r-n�,;,., �►ddre8s°`� ���'�`l" E%4�� "/�}jL-�S�., . . s� .� ,Ucens.e#r �%�� '�J-�Z' .�. l. . . - - 4���', - - - , . , ,_ ., z - - . . � -, :, r - , . OTHEtt . . ".` ` . , _� r. • GOMPAAIIt'. �,� . � SI(3WATUR� � v .. .. , Y,•� . . .�,, ,_ . -:;,,. ,. _ . , 'REGISTERED ,: GY,/.,N�..� A����uRr�n-� �:Y.�I,N��.�:,;, ,. _ , . ' _. - �._ . ._. .. L$P. 3r.- �' ty e ..,�F _.r . +... _ - ' � ' : .., r ,� . . �.. , J�ddf688 .,�^ r. ..( � �uC�IS6�# t� � . . . �t.� 1:.��._ .c_ . T.4'i.',�'.� .. -. ,�. " _ - - 'r".t^'_ ` .`t�.t "^..i^: - ,f7' F..�...;"�''.G. '?'§�K`�;?�,. _ ' R� E 'tli= Flo�P"�ii`�=2 5se�` ':f;f t�ltcli`ri' :Ians�< 9;�eti`of�Ene `s�crir�shR=0=1N:;Permif:for new;con'striict'i�on�... - < �s�o �;r�;�: Ya� .c?i,._3_�.,�a s;.t.y,. ��� e ,+��e ,c.�, �x . _ ,�_- . ,. 3 •,.....:srr; .�.... �.rt,,, . ,r;. >. a ,.:;a�:;..,�- ��,>�,w �... �,Mlnimum�.teri:.o1Q'wo:rkfn'�d"a s�a�ter,}sutimiftal£clatie:.�!R"`uired:onslte;�ConstriicUon�Plans,�Stormuvafeir.,Plans'wl;SiltFQnce.installed,.. ,. , ,_..,.: .,r,.(,:�.��... 9.>:..X..�. _�1 '-R ' •�' <.2 . �. ^ . . _: , t ;v ��r..�.o:��..:. � .M - -. _ . Sanlfa�FFadlid. s�'8�1�":ii .t�r�=$Ite*�IUiilfirR�er.it►Fx r:siitidi�lsto�s%la'.e�:;r`o ecls_s:::��n;;t:,k; ._ .._.�.� ., - _ - -- ry -�•-���„�:>nd,x!�!ps- �• ..., .�;�.:.:�..�._. .l._� ,.__ �$.,.R..1,,,�.r ° '�.�,�;�� ,� :.�. ;, :,:.,.. ,.;. . CQMMERCIAL Attac�(Sj'eamplete sets of Bulti�ing Plans ptus a Life�Safefy Pag�;(1}set of Energy Fqrms.Ft-O W Aerm�t far neW i:onsti�it�ibn.� � MiNmum ten(10)wrorking days after submlttal date. Requlred_Onsite,�C�nsWcUon Plans,Stormwater Plans w/Sllt Fence Installed, , , � Sar►llary Fadlitles�8�:1,dumpster..Site�Wark-Permlt,for•�ll�ne'vir projects:'Afl'commerciai:cequirements•must'meet:comgllance � , , ,_ .SiGN PEI�MiT Attai�i(2)sets of`Engtni�erea`Pia�s:�,�;:,�„rr�„{" .. �... ,". � <� ;,,,- _. ..., , - •""•PROPERTY.BURVEY-required;�r�a11 NEW,.consWction:;_ � _ • , ,� �_ , . ::�. ���-� Rireclions: _� ;=-a�- _- . < < . �...._.__._ �.. ._ _W . . E(II'out applicatlon completely. Owner&Coritractor stgn.back of appllcatfon.notarJzad � if'over y2500,a;Nottc�of,Commencament is required. (I!UC:upgrades over 57500) �F.� �� ..�. - , X . ...., z_. .. . .... .. , . . _ . .w...... .. . :i�4:,'.t;yliv"'-.I±€a�;.:.. ..�_�..�mv:....-.._�,,...�,u........:...... .. ._W..,....,,�.- _; . .._. " Agent(fnr tf►e.+contractpr);or'Power of Attoiiiey'(fo��the:owner.)virould'be``someone.v+rith,notarized letter from owner authoriaing same .:., '_:�: '...,`:,,.,_,.�:,.�,.;.:�:Y ,_ ._ __ _... . __, ... �QVERTHE:COUN'T�RoP.�RMiTTiNti�;"---, v(Front�of�ApPlication 0niy)=��-�, ' Reroofs if shingles Sewers- �Service Upgraides,,A/C �� _ Fences(PIoUSurvey/Faotage) -- _ -' ,-r #{ ....�.: ''..y._,..�.._.'...._,....�.. ,�..4$... ,.._,.er., •:. �::•.'.��' _ ai... ,_i K, i- �,, .Y:y`s_ s. o-,e.�. . .� . . ,. � u':-'y..ts':={ ;�.__' . _ Driveways-Not aver Caunter lf on;pubiia roadways.:naeds�RfOW, -�� � , �; .,, , ,�.. .. ... - � �_ - ... �;2, . „ 4 , . , , _._. _ . .�. .-.,�,_.i.,.._. , OTiCE OF DEED RE�7RICTIO S: ,The:u dersi ned� �ndergta ds�f#h�t:thist. �`��`� ` Y II M"�•.��.�•. N n g. .;.� n,u ;p ,rr.tiit:may:be sub)ect;tn;Mdeed7:.;resatctlons,,... ' � - " :'�t,.r - -:`Y t�'.2�.. i"i-..:�a:�i�i�.a ii�il'�,rt`k�^�.�4:� _ Yw�t .t,��m.:`..�.'�� - :T., ;Ls�J.,.`�"-LL�!"- _ � i I "•.y��^_ •..w.. .i^S:.s'it::. S�. MP'"`'"�. �"e._i Y5_;L.'BA.. r..l:.+.-,. N:. . �hich mey::tie��more��re�th(ctive;�tF���t�County.r�g�iistfo►tis:�;.The`='dnda'signed�a��iurnes`^!resp�n�iblli�R#or°sompllance:�with,any ' -°"� PPlicable..de'ed:rest'lctions. " ':�,. ��,;�-:i�ny��.�;�^�:.� � • � '_' �;"'_�.:`''. _ :,,.::..- .;_ _ - ...f,._ ....:.a - - ____ (VLICENS D_ C:ONTRAC�OR$=-AND�'�CONTRACTOR;RESPdNSI�i�l1"1�5..-.�ifYthe;ovi►ne'';�has�`�hl' .-��;` E _ . r red�`��';ci��+itractor or �ntractocs to:undertake.wo�k ttie .�meV�be<re�/�' i�e��to:�•e�l�icerised:ln�:accardance.with;state�:�nd:_local::r��'uta{�ons.��-:if�tF�ie:.ti�::�°'��-��' _ _ ':T 1 <��r�.�,7;•. 1:`1�.�F;;3s .� - ` .,t;i••_:1,:.-",r+}�=.,__:�..w.:.::....:'-='.e;..,..e+o_.,H....,,.�o�� ,�y-n.-...c-.��....��-�I,...t. �ntractor.;�ts;not�:�.ltcensed�`as_requl�d;tiyTlaw;:tiotti��.fMe,ouicn�r andi�eontcactor�may�be�clted�:for����misd.eMe�no�violatlon nder state law. If tFie ow�er or.Intended�+contia�tor�,ereeuncettalh'as:to•wNat��ltcensin r uicements:�ma. ��a ��fo��the,-�f$�k:�r����'� `. , �:. ,. ,. ,.,,�,,z., �.,� - -�-��,., Y... �:F9; e4,�m,... . _ �.�. Y�..-Pp�- tended}work;�they�are�advised�#o�contact'the;:Pasco�:Cou�ity;.Building'InspecNon"DI"v'Isioro:�l:icensln�;Sestion at 727=847 )09. FunFierriiore;�if`tli�e�`�'ovimer�F�ia"s"Fif�ed���cont�acto��or�co�ntra'ctors; he�'�is"��advisetl"to�"liave;.the ,contracto�s)„sign ; I -,a<:r._;;�rt�i°_ -'g::,' 42" ''<.."`�'-�'_c:'�a; . �rtlons of'the.:.�contractor Block°.of:this��ppllcation:_for:which:they,,wlll.;be::r.e.sp..o�aslhle.;:If..-;you;�Mas::the''own��:sfgn��as:tfie�` �; . . ,.. . ._ .._. ...�, .. _ . � _..,_� .,-..__...�. _�..,;� rz ° mtractor;-tliat=�ri�iay�be'an indication°fii�t��he`is'notY properiy��licensed���and�is'"'not`"entitled=�to permifting'prlvileges'in Pasco. , . , �; �° r , , :.;�:,;<,��.,.,,..�:...b,�.:.,, ;�: , I OU11h/. ,',,,, . � �_ .�..�. :..:........ ...�;.._ •`: ,•,. :,a ,,� 3 ; r �I RANSPORTATION:::IMPACTNTIL�'IES��I�IM�A�'i'�ANb`=1�ESOU�CE�R�COVERY�FEE�:'Tlt��unders(�ned`�u�derstands . ;:� ` , atTransportatfon Impact Fees�and.Reco.utse Recovery.Fees may�eppiy��#a:tt�e�constructton:,of:.new.b.uildings;�changerof�Y'j3�'�+P��-`l,'"� {� � ie in exisNng�tiuildings;k a���;eicpa�si�ii:;of=+��iBti.��bail�irigs;"as'�pecffled:in P�scq Coun@y Ordinance number 89-OT-and '; : )-07. as amended:.,;.,�h�,undetsigned elso;understands, thalt:ysuokfees;-;as��may�`�e-du�;;,an►ilF37be-ideniiffed atthe�titr"ie�of�`��'��s���'��`��- `�` ', �rmitting. It is furt�ie�'unders'tood that Tra�i�portation.IinpacFxFees and��Resour.ce`Recovery�Fees:,m.usti�be paid prior to �A ' ' ae�ving,a,�".certiflcate-of�vccupancy"-�or-flnat�.powerrelease:;�:if•the:proj��tf�does':not�tnvolve�a�.certiflcafe of occupaneyYor`r��:�=`���_::�:, � - � iat power�:celease�>the:.:fe.es��:mt��t�.°be�"'aidr���"�clor,#o'permR Issuance. :Ft�Xtkiermo�e;��ff:Pascm��County�Vllater/Sewernlm ackh-:°.��"��°` , _.�.�._... p p p es are due,.they:must_ba�paidvpHor ta;permit_issyance in,accord'ance,wit�x:appll`ca6te:Pa�co County-ordin�nces. ��i ONSTRUCTION'L"IEN'LAIf��(Cliapter713�Flodda Statute�,��m�rrded): �f valuatlos�aF�work is$2�600:OO�or more;l, �{�; >,s;>,.: �rtify that_ I,,.th�_,:applicant,.:have.,be.en::.provldetl>vwith:.•a ycopy_:vt••.the=."Florida�-ConstFuction�=LteR::Lainr--Homeowner's �otection Gutde" prep�retl.by the'Flocida:ReParbnent of Agricult�re and Consum.�r,Aifairs� If the appltcant Is.soMeone: , ..�=-,.�� her than the owne�', I certlfy th�t�l.hav.e..obt�itn���copy.of.the.abQve:.des�c�l�etl��cu�aentsand;pro�1`se�in;gQod;faittt to. , . , _ allve�It to:the,'owner":prio�s:toFcommenc�meri�t.'=-.r'Y. ����,`` , � ...:.,,-:�:,�..... _ . . _. ,:.�, -:� �•_ -.�. .` DNTRACTOR'$/OWNER'S AFFIDAVIT:. I..:certl[y�wtkiat;:all::the�=:lnformatlon::l��th1�_appllcatlon Is accurat�:and that all work ' ill'be done in compllance wlth.all.appllcable�laws��egulatlng construction� zoning and;.l�nd;:development. Appltcatlon is. �reby made.,to. obtain•;a:pecmlt;;to:y,do.,;.wotl�;,tand,'=1i�stallatlon as ind[cafed::�::�`I:;certlfy"'t�iat no iivark�{or`. lnstallatton'has- '- �mmenced`�p�lor to Issuance of a,permlt and that all�work wlll be perFonr�ed�to meet�:.�tandacds.:of<;�II laws regulating- mstn�ctlon, County and Clty codes, zoning regul�i�tans� and land development�regtalattons��`in`tfi�eaJu�lsdlctlon:� wl��al'so � �rtlfy that I uaderstand that�.the regulatlons of otl�er�govemment agencles may�apply�to the.lntended:work, and that it is �� � y responstbllity to tdentlfy_•what.acttons.l.must�take:to be_.tln:.compllance:_S.uch.agencles�lncl�de but�are:not Ilm)ted.to: ;-: : ' - Department of E�lvironmental�`�PFote�stibn`=��Gypre�ss.�B�yliead�;�Vrletl'and`rA�eas and.EnvlronmentellX Senstttve - Lands�WaterMlastewater'Preatment. -" � - � '' - Southwest FIoNd� Water Managert�en�'S.:I�istNct Wells, �Cypress.��Beyh�ads�;�-��IMetlac�d Areas, Altering �' Vllatercourses. _ . ..._. , .... . . ,;, . �.,:,-. - Army Corps of Englneefs=Seawall's;:.Docks,Navlgatile Waterwajrs. - Department-of.,Health..Br;ReMabilltaftve,Senilces'/Envtronmental�Health -Unit�Wells; �-Waste.water�Treatment; Septic�Tanks:,.� �,�: - :y..' "`� � .. .� . - . - _ : . ... ._ - US Environmental Protectlon Agency-Asbestos abatement:,.,� .. - �..Federal.AvlaHon::AutMortty:Rur�weys:=,� - - " , nderstand that.the,..folloaring;�rest�tcttons-apply fo�iFie°use of flIL•• - - Use of f(Il ls not allowed�1n'Flood.;Zone"V"unless expressly.permltted. - If�the�:fills-mateMal��ls"�to.�be��used:�fn.:flood -Zone. 'A",-1t:�ls understood=that=a dralnage plan addresstng a "compensating;volume"wllt.be submltted at�ime:of permlftJng w6tch Is prep�red by a professional englnee"r ' � Ilcenaed=by:#kie;,'�tate�of'FloHda;-,; � . ,:� � � -_.� �v� � - - If ih�-.flll:mate�lal>ts;_ta:be".used In �lood"�one 'A" lns connectior��wlth:a��ermitted building using stem wall constnic8on;_I cerftfyth.at.flll;�iiall.ti.s_.t�sed only.to.f111.the..are.a:wtthln;the�-stem�w�ll. - � ��If"flll maferlal�r`ts���to��tie��used'�In�any�area��1=�+certlfy that .use. of such'"flll�viilll not'adversely affect�adjacent propertles. If,use:of f111_Is found:.to advetsely..t�ffect'�'adJa�ent��pr�pertles,.the awner may be'clted for vlolating. � the condlllons'�;of=:t�e"b�iil�Ing�ip�rmlE IssuedE'u�der th��;at�acfied�ermit��appliciatlon; for:lots less�.than�one (1) acre�whfch are�elevafecl�dy,fill;.�n englneer•ed dralnage�plan ls�equtred. � • • ::;, ; am the AGENT.FOR�THE:OIMNER;�I;>�romtse°>In good-falth to inform the own,ec�cf�the..permltting condltlons set forth In ,�:� : s affidavtt p�lor'to��aommencing�constnictlon. "I"unde�stand.that ayae ,arate ermlt�ma be re utred for elecMcal work, 5 � ��..:���_. ,;, �.,p=�-._ P Y 4 . _,r . , : imbing, signs, wells� pools�,,�alt.co,ndttloning,_.gas�;.or�;otMer._lnstalja�lons not.spec�lcalty Included�in.the�appllcatlon. .A` ._ .. ,_,�.,.;y��,�,� .. �;; ; rmlt Issued shall tie consfcued to besa'=1lcense�:to pr�ceed wlth'the-�viroPk,and nok;as~authoHiy�to,ylolate;�cancel;°-alte�, or ;:r; c aslde�ny provl'stons-of-ttie'teclinlcal.�codes;�noc shall Issuance�of a.pe�mtf:pcevent ttie Bulldlrig Ofttclal from thereaRer ;� �ul�ln.g a canectlon ai ecrors-in;.plans-;�constructlon,.or vlolatlons�of-any.codes:,��very;p'ermlt:lssu�d��hall.become lnvalid �µ less the ,work�authorized�:by sucti permlC:�ts-commenced�wlthln,s�c�months�of;permft Issuance. or If work authorized by - �permtt Is suspended;or,eba�doned�f,gc�a,:��riod}of�,elx;(g)�mon�is;,sftek"the tlrn��the�worUrts commen�:ed. An extenston � iy be requested, In wrltlhg; f�om:`the Billlding Offlclal:for�a per'lod not:to:;exceed�nlnety:�90)��ays-�and wllf demonstrate 'w;'! � tlfiable cause tor:the exCenslon: If work cease��for nlnety(90)consecuttve:day.s...the job�ls�consldered aba�doned. '��� � - . ,_ � '-�- - ,_ . _...__.:�.,: _ _ ;:- � � " _. ' I.:,' •'F.,'_,: A.. z �- _ ._.._ . .. . , . . . _ . _ ..-�-... �. . . � . �. . :- ._' ..,... ; . IRNtNG TO'�OWNEI�:`���YOUR::FAILWRE'��7tJ:r;REC`t��tQ�,A°�I�IOTlGE;'OF-;COMMEAICEMEI�T�NIAY.,RESULT=IN��YOUR. YING TWICE FO. �IMPR�O\`/EMEN�'�T�?Y•OUI�P�;QPEI�T1f:K;l�°:YO.U�:1�'�E�ID:"T�:�B7?AIN3FINA�iEMIG;=CONSULT G�� { r v � � - 4= �ro _ Fc� 4.. ._� �:� �,� .-:� -- -- - -—-- - _ �,. . . � : . � : iRIDAJURA'i•(F. 4.7.03} •-� . - . ;. , . .. . ; NER OR AOENT ' , ��ZL"�"`. .CONTRk,� • � • , scdbed and s to(or a e fore m fhlg 3ubealtied'and' = (ot'afflrmedpbefore:ma 1ti1� - . by ' i Is/are pe�so y known to-me or has/have prqduced Mlho:ls/erre p. �a kirown.to nie:or�has/�ave�p�oduced- • . �: '�as�IdenBflc`a�on. - , __ � . '-'( " . . " `. 'a�-1d`,entlflcatlon. " 6.. _ .. .,c_! Notery Publlc . .�� 'Notary Publlc imisslon No: ' ComrAl s o. ' „^",�„ � `_"� ��= Comm�ELINE BpGES . ie of Notary typed,printed or atampad Name`oi Notary e P,,' � o.��em6 2 Bondud ihiu e��2,2018 � T�°Y Fpn Ineuranc�800.3g5-7018 4d ., � ' � � � � � �AN E GAS � � � � � �i� AIC �Nc. Service Order/Proposal Air Conditioning&Heating . �'ee �988 3-782-5013 ���r�f:�_ �..;�;�r�t-,r�i+ =;r.--�t"i.�-�-;f�a.ra ����h_,F-,.��. :t�__±r�i �: . fi;r.i��: , , :���;F- �rc,,:���.� �-�r ,.--- `� -� �,�`S:i_.r ...�".4'�'t'�=hd }�,;' �rr; �,i�:��, Sales, Service 8� Installations ,_r,F��-r��- -, �, iF. ,.,f,;.;r,;-i:_;r-i7 - 4441 Allen Rd. �• Zephyrhills, FL 33541 - ,_,,_,,;;;�,:_,;;�� ;:,.;.., � ;_i�-��a��:r.�:ar� f=,r %,�-� ;�.� ��; NOTES• , !-'f{[:li�,i:::.�fi � ?:��_' �+(:-,1�'%; , �-F�f,.�r]h:E,_'�k l�,1'1 %'f•.' c. G'C= I_.I._. ��. � _ ��_'!.-li,ii�fE:�;�t • _ �=�'��'�--��`;F.3Fi , '�.�JC�•.111=i�� ! . hdTf'I� ��f,���l,Jri.T.-. F'�7i�1���� '�.F C:! ?!_!{�.i i�f_F•'.� LCi1:?(:;1= • L"i_I- �=:; 1 +�i:�:�!� --L-'•�a��t "i�•i��.l,J li�.I:i („ F,�;G`.��l 4�J I N E:' 1 i:l� !_,f3:_�1 �J i f�F ��'�:)}. , }.�� ` F? ] I C-; r- - �-��-tii i� ?F..E�'1—� r I?�"1 f.� I_ ._ I � ._ ,`�„14'7 ;.F_ "!-�� 6i_:t__ rt_ �•=,_� �,: • , `J�i� i..—:��''j i i���=l �"�i�-�E._..� 1 '�'�'�.G:` �` L�-!.��L��:1'si'�4 L�f_I: 't.7�">ii J. :�I j�•I;T�i � 4��'��.i�i i- �f .'!�.:� - ,� :.�'��;'�.;f e (`��'.�%L.c;l�li�l��ir-i(•�.. .� � QI'-)�G7�4.'�'+:1.,Fi r, ' � t't�l t !__,-, �'�Hi='F-�i rih;(�i1r.9- 4�1`:�: .1 7r_':I.=1;:'s(: �: • • ;t' i— � - -V > j'�.;; '�r-� � �l "� f� ' � � �.j I���-: �.I �j. � �=ii-lh�f;: F?�:1C7��1 .�TTI.._i__ T��?i:i l,..�A�?F1., �^)�:: I�l.J�i E_.,�fh�l :I._,�- ..I� i_.�•d , . 1. ;'1.`, i. I __� . 4�-;.�1'`.' F:F:�11:r.� 1_[i �F�!_t..• !-I]:i+�a ' . "' DESCRIPTION OF N/ORK � QTY MATERIALS&SERVICES - UNIT PRICE' AMOUNT , . . _... - — -- ---_.____ � ' � �i i • 'Z ODo � (_/ ' . ` / � i i _ � � � � i S� � c /� � � � �°p � � � . � � � F � (/ ri l' ' 2 � � � . -S�✓�2 £. J�2ort c�o/1- 7S'�°e� �.5� " RG�'�.T..f � °`' -�,ai° � � � ' ;� �� >, � ✓� �c L � �_ � . i' RECOMMENDATIONS ��� £L�L�.- � G i i Annual Maintenance Recommended:by All Equipment Manufacturers. pressures Lo �'/�FiI�L T-Stat ��.3— �� '.��.�� � i i i � if1� rr /� ,� REFJ�IGERANT R= LBS. $per Ibs. � I /•' C, ' � � FILTERS x x Changed Monlhly I I - FILTERS z x Changed Monlhly I'� I ❑ REGULAR ❑WARRANTY TOTALSUMMARY =Dehumidistat Settings: When here"ON", When Away 60°to, T-Stat 80� ❑ AINTENANCE CONTRACT SERVICE ' i LIMITED WARRANTY: All materials,parts and equipment are warranted by lhe manufactu s' " METHOD OF PAYMENT ` CALL i I' ' r' e arr n onl.All labor erformed b the above named com an is warrante8 for or supp iers w itt n w a ty y p y P Y TOTAL i 30 days or as othenvise indicated in writing.The above named company makes no other warr�nties, ❑C SH ❑CK# MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on � behalfofabovenamedcompany. C�. EBIT ❑CREDIT ❑OTHER MAINTENANCE i I have authority to order the work outlined above which has been satislactorily completed.I agree Ihat Seller PROG. W 1 C �/ relains litle lo equipmenUmalerial5 furnished until fnal payment is made.If paymenl is nol matle as agreed, CLAIM# _y I seller can remove said equipmenUmaterials al Seller s expense.Any damage resulhng(rom said removal shall /� � " 7! �� not be Ihe responsihilily ot Seller.NET 30 DAYS.A 1 1/2%SERVICE CFWRGE WILL BE ADDED MONTHLY TO DATE COMPLETED "—��� �� AlL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS � � � TECH: TA�C i ,�,rrm�c ��„ TOTAL � 9�D I D� ci�crnneFa cirtinn iac �•T� I t