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HomeMy WebLinkAbout16-17572 CITY OF ZEPHYRHILLS ' ' 5335-8TH STREET � (813)780-0020 17572 BUILDING PERMIT ''� ' PERMIT INFORMATION LOCATION.INFORMATION Permit Number: 17572 Address: 39344 GREENMEADOW 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0070-09100-0010 Improv. Cost: 2,800.00 OWNER INFORMATION Date Issued: 7/14/2016 Name: KINSMAN PROPERTIES LLC Total Fees: 50.00 Address: 36145 CHANCEY RD Amount Paid: 50.00 ZEPHYRHILLS FL 33541-4705 Date Paid: 7/14/2016 Phone: 813-355-1499 Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 50.00 J '1 � � � � � � I Ins ections Re uired D CT 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 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. � � � __- GL�rH-e. CONTRACT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813aeo-oozo City of Zephyrhills Permit Application Fax 813-780-0021 � = Building Depar4ment Date Recelved , -' � ��. : �g� _ �O`� � , , � "Phone ContactAfor'Pe`rmtttin .� Owner's Name d�1/�1��!'I"7 /1� /' G�- .'�'�� Owrner Phone Number 0��� 3���Z-� � Owner's Address �'�.�__ .,1 =�j�/� � 'l�-J� Owrner•Phone Numtier � � � Fee Simple Tltleholder:Name��� � � ' Owner.Phone Number '" � � ,. _. , ., . ;�. _ _ , - , . ._ - .. '. - F�e Simple Tltlehold�rAddress � ¢ •- - � � JOB ADDItESS %3 y C1-�/�+@�/�,! J'1L¢. � � �l�� � '�� LOT# � SUBDIVISION ' . ` - , PARCEG ID#'' �� 'a��P '02� '` `��7�' �!��G `���' y. � . - • : � " � (OBTAINED FROM PROPERTYTAX'NOTICE)` ` - � WORK PROPOSED "'�, NEW CONSTR � ADD/ALT � SIGN' -Q;�" � �'� Q�"' :A DEMOLIS.H , - ,_ ,. ` : B ,-, INSTALL � :�-� -REP�IR � , .. ` . ` _�. �• .... .. , . PROPOSED:USE , Q � 'SFR � ;COMM ;_ Q OTHER` "�-' TYPE OF CONSTRUCTION_ �Q' ''BLOCK�'�'Q�„��`'FRAME, .[� STEEL Q; . . DE3CRIPTIOPI OF WORK }' � C �i��-I"N �i�p/,(,� . .._p�s �D/� r p� �.D�Z OJ4I G/U , - BUILDINGSIZE- � ' $Q�FOOTAGE � 4HEIGHT:`. - ` � �_�. .,�< , . ,,- .�., QBUILDING $ _ „z'�.�+`�::.. _,.r�;,...-..._.,.. ` .... - . _ - - � , ,` ' VAF:UATION`'dF'TOTAL-CONSTRUCTION , " . , ,.�, ._ , .. _ ,. . QELECTRICAL $ = AMP SERVICE " �Q' PROGRE3S ENERGY 'Q. � W.R.E.C.., QPLUMBING --$ ' ' � " � � OMECHANICAL $ ' �' VALUATIOiV��OF MECHp►NICAL:INSTALLATION � 0�800,l� '� 4 � QGAS - Q. - ROOFING,.,,:Q SP.ECIALTY-0 OTHER' ' ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES. NO , BUILDER COMPANY � " - � . -, I SIGNATUitE REGISTERED Y/ N. `_FEE CURRE�'`.'_.+4 .Y/N. �•: _ Address . , f 'Llcense#' . . ,.- . .. : ;. �. , . �. - ., .. .,. ,.., ELECTRICIAN::;� ;: - ,z '`� COMPi4NY 'Y� .. ` , � SIGN�►TURE - "' REGISTERED Y/ N F�cuR�� 'Y/N �� Addresa , , � -�.Ucense#: � . , _ PLUAABER '. , , , . : COMPANIf_. .-,�., r� -; : ., _ �- , SIGFIAYUi2E - ��. . .�,, 4REGISTERED: ••k� : �Y'/�N , t. ,FEE�cuttREn ., ; -Y/N:':� . - - �; L, �� . : ., � - • ., . . . � Addr��s . , License#, � .- .. . � ". ,;. � ,, .,,= a..... � ._ . ,. ,, ,; . .- . ..; ,. MECHEWICAL: _ , ��L , '_ -- - .. �:� �COMP/�NY,: � �'. R:S. -. /1/L 7-.' � SIGNATURE `- _ :'' �7�� - REGI�STERED:, . ; --.:Y;/`N: : -,:EEE CURRED' = �Y'/-N-�;:• � ' Addres�.> ' `���f'� 7-� ]CC.6=Z- i[.L�S , ,,_ . .ucense.# ,��/,,�J�.��':�rt�°. OTHER . ___: - ' . � ;, . . , ,COMPANIf• .� . -_ L� : . ,-, _:.-. . ,_ , SIGWATURE �-° ° • . . ' ` �REctst�o Y/<N. ;E��GuR�n -.Y.:L,H:�. . , . - , . �►ddress .:�'�4� - �=�%:aC'�� k. ;'... „ _.... , - � , `L''fcense"#: . . - .. ,. ,.:, . . . '� .:..;.::,�: .;.,:.t..;:;;•:•.;:�.:�,�=�� � =s:<°.._...,,,:��:�;.�-.;`-:.r-.:`.j'•">:ri�.: ;':,#.�..:_.p�- - �._ . , .. � R�SIDENTIAI:'. :`Atta'ch;`2 4P.;1otsP.,lans;h 2�sets'''o'frBwlltling?P-.lans;(1.),sef'°of��nergy�Forms;�R-0=_,W..•,Permit for.newrconstruction; _ _ ' . ., � , �..) . �..),. .: ...� .... _.. . .. . - . ,',. ..:. � inimum=.tern:•�10;�worltin �a"s'after,>>submlttal�tlate:�Required`,onslte;;Cons'triicdori�Plans:�Stomiwafe�;Plans w/Sllt Fenqe,installed,, • �..'''a;M.. __ (,y..),.._ 9.>...Y�. . : . _,. .. .,, ,:�. - .. _ _ , _ Sanitay.�Fadlides:���•�dumpstar�Site�,� or1i.PEerrn�t-:��,r;sutidivl�loris]large`proJects':,:�'�b�`":�����,�:. . ----_ - • - __ _ rY _,;,,F.:,:w�.,��.,,.�r,,, :�_� .e,�.k�..�,._. ..� .;.�..f4� :._:,: : ..:_ ;. .�, � : •:. . _ . CORAiYIEliC1AL Attach(3j�complete'`sets of Bullding'Pians plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for neW constnicUon: Mfnimum ten(10)working days'efter submittal date. Required onsite,.Constructlon Plans,Stortnwater Plans w/Silt Fence Installed, .. ,_ . ; Sanitary,Fadlides.;8.,�1,.dumpster.,Site.,Work,Perrnit for;all;new�projects:�i411:commercfal.cequlrements�mu�t meet compllance - R ,Y �$IGN!PERfNIT Attach'(2)'set§of�E�gi�eered4Plans� ::r.'s���'=:�_..' -. .. - , A ' � , ., "••PROPERTY SURT/EY required for;all;NEW.coqs.trucyon... --�� _ - � - - :;�:- _ - 41'rectlons: :�.: ,. . . ..... ... .. . ._ _,. . � FIII'out appNcaUon completely. Owner 8 ContracMr sign.badc of appl(caHon,notarized If`over�2500,a..Notice of:Commenc�ment la r�quired. (NC upgrades over•�7500) ,. �. . � - .,s �?-'��'-...:.. ......�„�.:._. ._ •• f;.,:;':t�a,y,..»:d;.c,,, AqeM(for ttie'contrector)`or:Powe�of Attoiney�(fo�the:owner)would'be someone_with notarized letter from owner autho�izing same OV,ER'THE.COUNTER�.PERMITYING-'-="--� =(FronE'of=ApplicationOnly)`�.� ReroofsJf shingles � Sewers Service Upgrades A!C Fences,(Plot/Survey/Footage) -- --- -�: - . , � ..,_ „ _.._�_„_..._...M�... - . .. . . _ ._�.-��� r ...� -'; .�., __ . , . Driveways-Not over Counter if on,public roadways.:needs ROW� � � , , ., .. , , ' " ' . '' ' ' .i � � . , � .. . ' � � ....... . , . . ... . ......... .. , ...... ... _ .Y II - ..A-.�,,i ... . . )TiCE OF DEED.REST131CTIO�IS: The:::undersigned:F,under�tand.s,�fti�t�iF,�la;p��rniE:may.be,:subje.ct,to;>deed�,rest[Ccttons. , z ,,�- � �;, ., .. ti.�.�•, :,, r , � . . :.�.�.,,< iich may:,tie�more:°reslfictive�tiia�i�Gi�unty�reg�ilatfori�: 7he;und'e'i!s1gned`�a�`su`mes resprin9lbilttj�!�"for{compliance wlt�-any " � ' ...`��.`'j�yya � Iicable=.deed;re�trictions.-- `� .:;-.- ,; ' � . , ,: < . p _ ... ..�. :=,r::����;;<;::�,�; - - - .. .._ . . . , _ : :. ; . , -..: „-:,;...�- . .� .. •.._.:.. .. � . _. �LICENSED"��,CONTRAC�ORS'°AND�,:CONTRAGTOEt RESRAN�I�ILITI�S':��'aff`-�he"�ovi►ner�`ti`�s�'ht�etl��'s���;cbrit�actor�or �ntractoFs.to:undertakeY�work.:the{�-meV� ;be;:r�e;�Ered�to��,�.e�licensed;<In::accordan�e:with�state�:and`-[ocal: ��u0a�ions:t���:lf`:theK�=��`�'- �:; .1 -/,..��..�I.;�rs;__f.�:.tl�I�^.,^y.;.i . ' y•}�3v:3^d,n�.:,-.:;",¢3v.a.,i:..,:G:iea4::-:':�-os..-.�i:.__�.�:.�. _ ...�....s.. . _ r �ntracto�'<Is:�not.licensed"as��requlred�by law;=botfi the owner.and�Acontractor��inay-°be>�cited for���{rn"isd.'einearior-elolatlon �der state la�nr. If.the owner or intende�>;contra�to��are,.uncertain:as.to what�-llcensing.:requtre�nents:;may=�eppfy��rrtlie�=;r�x==�=°-.�_„�� � i{ C fi.y�E!•Aj f ^f -• .�. h. ended'work;•they=are ativised`to-contact the Pasco;�Cout�ty Bu(Idtng�`Inepection�'Dlvlsion--Ltcensfng�Section,at 727=847- : „.-,._.. .. .. -.,.._. __..�. .�.;.. : ., ..;._._�'..^•-,...X ... , . ,.., r �09. Furthermore��If�the�:owner has`'�hi`r�d`-a-ccititcactoF o�=contraaEors,'.he. is�'advtged to Fi'ave.�lhe .contractor(s);:sign,,.,. ;,, ,,,.._ �rtions of'the "contrector Block°,_of..this�a Ilcation.,forwhlch�the ,wlll:be;: es onslhle. :I o '#�`�'�"` � ` �" � � -�� {-" ?1 _ APP:.._ .� __ _. Y. _ � P . _ ,�y u;.,.as'.:the'aiivn�e�.stgn`�as''tiie, ;- , . . : :�� . ,, . . , ,...�.,.�.. ----_-_ ._,. .._:.� ntracto�;.thaffiiay=tie`an'indioation='thaf°he�ts�'not'`:properiy lioenseit'and'i�y'not':'�eri�Ned�fo'�peririftting�priiiileges`in Pasco„ _ ,.__. i°� � ; . A;:.;:.�j;s._;: ,-.:;>:,�.: " ; �unty• ,. .. : ;�,..,, , __ . . .. . .. - - - _...:_:v..:�_�. .�....�___._. .�. :.� - ..�. ._,;_�..., _:...,. .. ,; � tAR1SPORTA'fION�IMPACT/IJTELItI�StII�RA�'��AW6=�ESO�I�CE�RECOVEE2Y°FEE8:�The understgned'�understands 7� ; �..�-:.,,;:.. . �„ ; �t Transportatfon Impact Fe�s:�nd.Recourse Recove.ry.Fees,m�y,eppl.y.:#a::tf�e:�onatruction.;o#;new.b,uildings;:�changerof!��-�� �� r -- �. . e in existtng buildings;;�ar=�eicpa�si�i�r�;of°�i�i.sti���iciiliH�igs;as spectfled.in Pasco County�Ordinance number 89=07 and � � �-07, as amende.d4,.,:,'�t».;'undetsigned �lso.understands� tti�if:�suchfees„as�ma�r`be::dtre'�;tvuilli;�e identffied at the<ttme=of��fi° ��'��t�°":=`, , �rmitting. It is turtfie��understoo�d that Transportatlon.lmpa"ot'Fees andwR�sour.ae`R�ery�>Fees��mu�t`be�paid prior to �: i �eEvtng,a"cerftflcate�of�occupancy"or-flna��.powec=release.-:If•the proJ�ct;;do�s?not�involve,a^c�rt�icate_of occupancy�o�r:`-��_�'" � , al power;release;.the.:�fees;:mu�i,t��tie`�paid�:pcior:to,permft Is�uance. �Ft��ther�more;��if`�Pascm,�County:WaterlSewer�:lmpact:��=-��.�FY�.�, � ., as are due,,.they:must_be;paid�p;�r�orto;permit?ts'syance;�n.aEcordance'witf�,;appllcatite.Pasco'�County-oidinances. � � )NSTRUCTION°LIEN LAV��(Ch�pter 773�Florrila'�tatu��s�as.�arnend�d): if valuatlon of work is$2,500:OO�or.more;�1::; � ���;t� rtify that ,l, the,:appiicant,: �iave:been�,provideii;with--�-=copy�:of-�the°::"•�Iorida���CorisQ�uctlon.�Lten-Law---Homeowner's ' otection Gulde"�prepered by�tiie'Flor�ida Depertinent�of Agriculture and Consum�er.Affatrs: .If the appitcant is,sotneone .,_,_ ,�-��: her than the'owner",.I cert �that:l:have.o fa)ned�a=;co .o ``� �'`'"`' ` ' ffY�_ _ b_ ,py. f:the°above.:�es.cFltietl��d�curraent�ahd;; romi�e�,:i"n�;g od;f�ith to ,. .� �liver it to:the«'owne�:pNoF�;toFcomi�iencemeiit��- . . , �, . . ,-, , ._ . . _. ' " `..�',. �_p.".'. � � �NT�4CTAR'S/OWNER'S AFFIDA10iT: I.,ceitify;etkiat-allzthg_:Ufonmatton_i��thl��appllcatlon ts accurat�:�nd that a'll9work II'be done (n compl(ance with�all•applicable_lauv§'regulatlng con�tndction� zoNng and�land;deyelopment. Appltcation is , �reby made to obtaim:a..permtt.�to.rdo;;�yotl�;�and��installation as indl�eted:�;-, °I�..ceftffy�t�iat no�work"�or installatton��Fias �� �mmenced'p�lor to'Issuance of a pemllt�antl�•that.all'�work �rill be perFormed�to meet.:stand�rds�of��ll I�ws regulating• �nstructlon, County and City codes, zoMng regulattans� and land development tegulattons�In T the�=>)u�lsdiction:.��=i.also � �rtify that ( u�de�stend that the regulations of other�government agenctes may�apply;to,the;intended_work, and that it(s y responsibllity to Identi(y•what.act(ons lmust�.tske:to�be.in;conlplla,nce..,S,.uch;agencies�lnclude but�are:not Iimited,.to: � � � - De artrrient of E�lvironmental'�Protetctt�n������"ress�B�'he�d�;1VYletl'and%Areas and E�vironmentally Sensttlde � P -�P -::� �. Lands,WatedW�stevveiter Treatment. '�:"'� - f �� `- ° �.. � ; ;� - Southwest FloNda Water Management::�I�tstrict Wells, �Cypress•' .Bay�i�ad"s;�"=VVetla�d Areas, Altering � Watercourses. . . . ,. . _ � , - _ ��: ` - Army Corps of Engineer`s�eawaUs;Docks, Navtgatile Vllaterierays. - Department_,of:Health:'&;Rehabilitefive $ervlces/Envlronmen#al_.Health-:Unit-.Well.s;::Wastewater�-Treatn�ent; ' " . Septic Tanks::. ; �: � , ,. y _ ,. ' , _ �. - US Environmental Protectlon Agency-Asbestos abatement. . ��F�deral Avletton Authori�ty_;Runways: - - • , inderstand that theefollowang_�rest�lctl'ons apply to`the��se of flll:• - Use of fiil is not allowed in Flood<Zone"V"unless expressly permitted. - -If-the flll_�materfal;,:ts:�_to;.:be`:�used:-:ln:flood..Zone. "A"� It"is��undersfood��that��a �drainage'�plan addresstng a "compensattng.volume" wlll be submitted at#ime'of permittJng wtiich ts prepared by a professional engineer" Iicensed by�#fi'e'=�tate��of:Flo�ida: ::-� . � - . If,ih�_flll mate�lal`_i��_to tie�used�in �lood �one 'A" in5 connection�with:a��permitted building ustng stem;wall conatruction,,l certify that_flll:�uJll:l�s used only.to..fill3he�area-wtthin�the�stem wa11. ..- • - - If"flll=inate�lal�'Is��to��be��used'in� �ny�-are�;�i��certify tha�t .use. of sucFi"fl11�will t�ot adversely affect ad)acent properties. :If use;of fill..is found�to adyersely.�ffect"a�iJa�ent��:praipertles,.the owner may be'clted for a�iolaling , � �-�.-- the condWons`"of:tFie'ti�ilaing;p�rmit issued�,under tfie`'at�acFied.permit��ppltc;atlon; for:lots less�than.one (1) acre wh(ch are-elevatetl=tiy,fill;�rr engineered dralnage pl�n'ls requlred:� • . � I am the AGENT.FOR�TH�.:OIMNER,<=1�.�rifmise5in good:falth to�inform the owner:of,.the.permitting�conditions.set forth in s affldavtt`prtor to�comriiencing��consttu6ti6n:�"f�unclersfand thet e;sep,��rate permit may be required for electrlcaP work,. F-y� - , _ .. , �mbing, signs� wrells,,:po,olsivalr_.condl.tioning�,.gas,.,or::otF�er Instailatio,na.nok speclflcally inclusled�in.the application. .A ,, .._ � f>.,,nJ.,..,.�.. !.i �rmit Issued stiall tie�;coitstiued fo 6e��a°;Itcense�to;proceed witb�'the�wo�tc:and no.t:_as.authoN �to vlolate;.�cancel;�alter, o� ���; tY_..._, t aslde any-prodislons��of'tfie teciioical:codes;�nor shall Issuance�of a.permlf.prevent the Bulldirig Ofticial from thereafter �. :.`� • _, ,_. .: qulring a conecqon.Yai errors;.ln..plans�,`,coristivction.or vlolations�of'any�codes..���very:p'ermit�l.ssued��h�ll:become invalid L�°; �less the wo�k�aut'hortzed by such permit�s-coirimenced•"veritF�fn,afx,,months:of;�permit Issuance� or tf work authorfzed by �" �permit is suspendad or.abandoned for.a period=of;six:f6)�montlisr:after the�tir�e the�work��s commenced. An extenston `� I �y be request'ed, In vvr,iting;;;from'the`aBuilding:�Otflcial�.for-a per`tod�notito:•exceed�ntneqr{90)r�lays=aiid�wllf:demonstrate ;�y �tiflable cause�for.�the extensior�. If`wor,k.cea�es,for ninety(90)consecutive:day.s,..the)ob�is�considered aba�doned. _, 4 ,. � .. :�,.. - _ , . �a. , .:... _:... . ;:. � � : _..�..�.... : � ARNING TO�OWNER:�'�YOUR'':FAILIJitE'Tt1:'R�E.C:ORQ`:A;-1+lOTICE:OF:COMMEMGEMEMT;IVFAY�RESUlT�IN�YOUR. ' IYING TWI.CE:FOR IMPROVEI41ER���:,Tfl YOUtt PROPEI�7Y YIF YQt1,�;IlV��EWD"TO�;�iB�•'�AIN��FINA�IE1NG;cC.ON3ULT I� OU = � O':=�1�� �� O (il�_ .� F }. � • 0 �=,_:p 1� : ..�..-�.. � • . � _, . . � .. .,__...._, .,. „-- ` ... JRIDA JURAT•(F. t1 ..03}� .."� 1 _ '— �.- -- - - -�- -_-y--- iIPIER OR AOEN /�s✓�.� ;6�����. .COM'R�GTO �. /!'M.� � //i' , �scrib�d and swom t or afflnned)' to mv fhla Sutiecrlbe��and� =to(or�aflirmed)�before.me�t�t� - . by . � o Isfare person�lly cnovm lo.me or•hasA�ave produced Who:ts/e►e:personallyknown•tolei�orr�ha�/have-prndi�ced • as lden9flcatlpn. � - � � - . � .•" as Id'endflcaBon. � _ ,. , • Not�ry Public . ' � Notary Public nmisslon No: Comnhleslon.No._ _ ne of fVotary typed,printed ar atemped Name ot Notary lyped,pdnted or stamped , P : , , �,J'1 . � � � PROPANE GAS � � � � � AND AIC ttvc. Service Order/Proposal Air Conditioning&Heating �7ce �988 $13•7g2,-5p 13 � • � WORK ORDER#/SERVICEMAN 6'357� EJL Sales, Service & Installations �ATEITIME TAKEN " �7�1��1E �9:�6 4441 Allen Rd. �Zephyrhills, FL 33541 T.At�,E�v RY SARAH ¢�s DATE/TIME F'ROMISED NOTES� CUSTOMER#1LQCATIQN �7`�� " F=HO�lE# 35c-4c4-1841 C ' F'HQNE`# � ' 81.:�—�JJ"-1�F�� C , GONl'F�CT . JOHfV KINSMAN RDUTE/SEG� EJL-CUR- GREEIVMEADOW AF'TS GREEIVMEADOW AF�TS • 39.?,11 GREENMEADOW DR 39344 GREENMEADOW DR � AF�T #�5 ' ZEF'HYRHILLS FL ..:i.:�J4G ZEF'HYRHILLS FL�354� COI�ID: 13AJflc4A�1, 74��Ni�`��F���37c _ , IVO # ON .A/H , � � GD: GDRS AIRE" .�D: 1/�:/��1� � • TI�T: GE RALD I IVE 813-�'35-37�8 FROZE, UF� YESTERDAY. THAWED OUT NOW, gUT IVOT COOLIIVGo � ._ . . . � � __ - _. DESCRIPTION.OF WORK � QTY. , MAl'ERIALS.&SERVIGES , UNIT PRICE AMO,IJNT i i ----------=------------------------- -- ---- ---------------- ------ ------ � ` i i , i i GCJ � � • � � � � • � � - � � • � � � � ' � � ' � � � � � . . . � � � • - �' RECOMMENDATIONS � � ' i i 'Annual Maintenance Recommended by'AlI Equipment Manufacturers. � � � Pressures Lo HF T-Stat i i i i REFRIGER.4NT R- LBS. $per lbs. � � FILTERS x x Changed Monthly I I • • FILTERS x x Changed Monthly I I O REGULAR ❑WARRANTY TOTAL SUMMAF2Y �•Dehumidistat;Settings: When here"ON", When Away 60°0, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL - i or suppliers'writlen warranty only.All labor performed by lhe above named company is warranted(or TOTAL i 30 days or as otherwise indicaled in writing.The above named company makes no otherwarranties, ❑CASH ❑CK# � MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on t behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have authority to order the work outhned above which has been satislactorily completed.I agree Ihat Seller PROG. W / C retains title lo equipmenUmaterials(urnished unlil fnal payment is made.II payment is not made as agreed, CLAIM# � seller can remove saitl equipmenUmaterials at Seller's expense.Any damage resulnng(rom said removal shall not be Ihe responsibiliry of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY TO � ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED I TECH. �,�Jc- N'�/ T� ' i ✓� /f �"l I . CUSTOMERSIGNATURE DATE ZCL�I�i dCG TOTAL � L '_ _