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HomeMy WebLinkAbout16-17573 CITY OF ZEPHYRHILLS 5335-8TN STREET (813}780-0020 17573 4-� ' BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17573 Address: 5551 8TH 5T 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: C1TY OF ZEPHYRHI�.LS Est.Value: Parcet Number: 11-26-0010-08900-0010 Improv. Cast: 5,995.00 OWNER INFORMATION Date Issued: 7114I2016 Name: SHANNON, W.V. �JR} Totai Fees: 65.00 Address: 5551 8TH ST Amount Paid: 65.Q0 ZEPNYRNILLS, FL. 33542 Date Paid: 7I14/2Q16 Phone: Work Desc: ,A/C CNANGE OUT CONTRACTOR S APPLICATI4N FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 � � ����� Ins ections Re uired D TS I TALLE DUCTSENSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statu#e 553.80 (2)(c)#he local gavernment shall impase a fee of four fiimes the amount of the fea impased far the initial inspection or first reinspecfiion,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additiana! restrictians applicable to this praperty fihat may be found in the pubE9c recorcfs af this county, and there may be additional permits required from other governmentai entities such as water management, state agencies or federal agencies. "Warning to owner: Yoar fai[ure to record a notice of cammencement may result in your paying twice for impravements to your property. If yau intend to obtain financing,consult with yaur lender ar an attorney befare recording your natice of commencement." Complete Plans,Specificatians Must Accompany Application.All wark shall be pertarmed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. Nf3 OCCUPANCY BEFORE C.O. r 2�.�.�c, CONTRA O SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MC}NTHS 1NITHOUT APPR4VED INSPECTION CALI. FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRt�TECT CARD FROM INEATHER � �� a�saeo-oaao City of Zephyrhills Permit Application F�e�3aaaoo2� Build9ng Depachnent Date Raceiv� ' ° � `u � . . Fhone`-Contact%for"Rarmittiri ��, ' � ��.�- �D c�{ ��� �J` Own�r's Name �tJl d t�1'fb'j . �'�f�J'11�1�111�' t3vvner�hone Nutnbee O l�` f��" ���3 ' ' .. Owner's Addres� � � �` . ��. —tT/LLLS �J�.�� : �t�waerAhons�Numbsr �— � , Fee Slmple TlHeholderName'� � ' � � CJwner Phone Number � _ � ��r&. , . . , , • . „ . . �- , p �., � ' . Fae SiPnple Titleholder A+dde�s� : .. . � � JOB ADDRESS �,� � ��' � , !'J /�/L,L,$ � � /,/-,� LOT# �.�� e f susaivis�oN � . ��' -PARCEL'ID# �6 � -�l_%��1� j$�L�l� ���f , � � - �.• . ,(OBTAINED FROM�PROPERTY TA!(NOTlCE), ,->. ' WpRK PROpOSEp � NEW CONSTR�.G ��� ADDIAL7 �;� S1GN `�[�` "� ; .Q'�x"Y ,':DEMOLISH� • � � � e ' INS7ALL :�' ��REPAIR' ' . � . � ` PROPOSED>USE. , Q � � SFR � 'COMM' �] OTHER:" "' .'� ' - . " TYPE OF CONSTRUCTION: � `Q ",>BCOCK• `�. Q' �� „FRAME `s� STEEL [,�.. `. ' . DESCRIPTION�OF WORK x { BUILDIFIG SIZE"� � $4 FOOTAGE M r� HEIGHT`:� �: . � . - .�5,�,_'t :��'�- - QBUiLDING $ "��:�.-.;:.� ,,,,,r. , -. _ .. Vv . � � �..._. .. .- . , VAG:UATIQiV•a�TOTAL'CONSTRfJCTION . ��. , . _ . �. � . . , QEI.ECTRICAL $ , AMP SERVlCE ' �Q` PFtOGRESS ENERGY Q W.R.E.C. .. �. � � _ �PLUMBING $ , . - � - . � '; � . -��' . ,. _ . QMECHRNlGAL ' $ -YALUATtON:OF MECHANiCAL;INSTALLATIOiV - �9�- ��� � - �r�s , . Q , �aofi���:,,�tC] s��c�a�.rr-.Q ost��R � . FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�]YES. NO .� , _ - :� - - _ - - _ BUILQER GOMPANY ` " � $IGNP►TURE R�GISTERED Y/ N. �E Cutt�n' . .Y1.N ,•� .• Address , " ' �L:icense'# � � ELECTRIGIAN:�;;; ' ' � �A ' '`CQMPANY �x. , _ � �. SIGIVATURE "' REGISTERED Y/ N �cutittEn ' `°Y'/N "' ' , . Addres$ ' + - � . . . - - - , . , '�.L•Icense:#=-��'=°� _ � ' Y� � � I PLUNABER � , , ` . . � : COMRANY�; :;:.4 � . SIGNA'TURE ' ' _y -���iS.�R�o,:. �;:� ,,;..Y./�;N :. � ��:Cuwzen' . ; '.y/N: � Addre�s ,. • � ; - . , � .Ucense#+.�: - �� • iYfECHAP1iC/fiL: ` �.iy�-�'"� ��Pi'K,Q•L•+ { _ t- :CONtPANYc:-_;< ��"�}i�'S /`' , f.�/Ij�`���,5.'D�,�.�G-'��C'a , ;:� .Y;l�N.- . ��;�Ecur�en Y!N•�.� SIGWATURE R�oisre�a:; , Addre�s� =' :'��e.f-� /`y''j/G/C.p.,=��'� �h�1t.L5,�✓��«S�1' .. .:License#: C����7't3�T..C7�: , OTNER * „ ...�.. .. ., . . . .� - - yCOiNPANII' - - � � ,. . - , . _.. , . , , .. . .,,. . . •. .: . •.,-_, ,� : _ SIGfNA7URE. �;, , - �;• . ,,. �• > . , jREGISTERED ,.,r `YL N,.er `FE�GURRE��I� :r. _�Y�I.I�L:�; , , .. - .._ ; ' ` j' 4 ,"_- ° ,. . . ,,, � _ �, .. Addr�Bs :'i�; �x�t'. _ . _ .. .�� ` ' '�I:ICensB# .. - _ -=si=^'�.: �:c.,..�. -- •'-;:nz-„ �;f:"�'Y`�.:"�.:ZsF'•:-�:i:;µ:`.•�,;;�.;.rY . , n._, � ' . . R SIDEN77At,',;.�=�'AttacFi'2 �P.,lot�Rlans�z�2�:setsiof.�8u0tilnf'Ptans•';�1 ;sefofEne'"��Fori»;:;R=C1=1N�:Rermit:forsnewoons#nic�on;,Y:� E. ,. .,(. )._ _. ,t.). . ., 9 , . �,(...). . t9y . ,� ,: � .. _ . _ . ��,� - � ;Minimum:.ten�t,A orkin �day,"s�after�.su6mitt�l:ilafe:.=`.<Requlred onsite`''��ConsUucdon<P,lans;<Stortnwat`e�`Plansw/Sllk Fenc,e Insfelled, . .. �',�s�.,)K�Y. 9� . �. . � , �,w-- ,. _ �;;:"Saiiltary�.Fec�ltUes�&�1 cjumpgter,.SltekWcrk�Per�►?�=:fiQc;sutidivl�l'ons%iatge:projscts: .1�����:. :���:�- -,`: .� ��` >° .,.'.� _. � � . CpIVIMERCIAL Attach(3)�compiete"'sets ofB'uittl(ng Plans pius a Life Safeiy Page;(1)set of E�ergy Fom►s.RA W Permitfor new cansWckian: Minimum tea(10)wrorking days after subm(ttal date. Required,onsite,�Construction Plans,Stormwater Plans w/Sllt Fenc�installed;.. , Sani#ary Facit�les;&1�,dum�tster:,.Site,Work.Permit,for�lt=newiprojeCt's:A11�commerda�requEtemeats�rnustmeeYcampltance � - SIGN'PERINIT AttacFi(2j:set`s of'Eng,�rieer.ed�pta[i$T;°���s�'�` ;'• .: - , , , . . . . �,-. "•'PROPERT.Y,SURI7EY.�reguired forall NEW;ccnstnucti,on.;,, ' - • =DI��►ctlons. . .U.. , . _ _ . ____... � _ -- - -- - - � Fill out applicaUon completely. Ownar&Contractor sfign.back of applicatEon,natarized If over�2500,,a•Notlae of,Commencement is>requlred. �ac,��,�reaa$a�e��rsoo�..,_ _ . .. tt "'f:"�P�'ii':<•.`;��?`:i,:. :.:.........................._.�'...:_'..;... �,....__. • ' _ . ' _.. Agent(for ttCs contractti'r)'or:Powe��of Attomey(fci ttie owner}would be someane with notarized tetter from owner authorizing same .� • , : .. :.:._.,.�.,.. .._. :,- �. ._ . _,,. ,. :.;.:�.�. .- - •- _ . . �. _, .. ... . DVER THE COUNT�R�PERMII'1'ING�-=`-.:":(Front of�i4pPlication:Only):�y ; � : •�; , : Recoofs 1#shingles Sawers 3er,vice Upgrades NC Fences�(PIoUSurvey_/Footage) �` �� • ;,.,.-.- - - . ._ , ... ,._._...µ -..�,.,.;--_t, �;�; �.::.;.��;7:==,;=�=�'>.,_:._":t:..,';5`_,,,:� . .,�_ :, - ` ' , , ., , -. Drlv�wrays-Not over Counter�if on public roadwrays::needs Ft4W' , ' ` �� - � � ° � z� � .� . . ,.. , ' _ :r,' ,. ., . ...- :...- .. „ •-- �-=y. �71�E A�DEED_RE�'��iCT1ANS;:,The under�lgned�.unde�tands�y�t:tlits�=,�}��i�:may;be�:sub�ec#to."deed��rest��ctions�"�t_�' � - y - r g � �� t ' c. ' S� � ' 4',i't•?C;�:a1 � y+,v,aa �.f".�:,1.,.���t �..�e+•�rr.i �r ,�.r.i.w 3:`^�':+'•:,. �ich may>be�:�ior��restftctive�tF��f�Gbunty�i�ig�ilatf�itis:uTFie£�n��ecs1gnetl��°as��mes res�n�itiili't'y.�:for=comptlance:with any � ' " 3 i.Y�.W.�.';±"' Q71�G8�l�@'dB@t�7@$�C�10ft8;. i - =;a.;�,._:%;;-:;:�,.�»':-., � , ' - - ,c .. � �LICEN�ED`:'CONTRi4C"�:O�tS;"A(�D�'CONTRAGTOR�RE3Pty�i�i�1L1T1�Si`:=''�'����he'�oinme��'h�s�'lilretl="�"�oi5t�actor ar. ,• � �ntractoi�s to.undertake verork_theV�:ma Y�`;tie:�t��u�i:�tl�ko:;��.licen��d;in.acca�dance:wlth:.st�ite.:anii`�tocal;re�'�Iallons.°��:If�ttie�-i��.y����`:= " ,,_,. , .:,� : .J� ....,I•...., ....p�i. �.. ..�h. - ..r�-...a.. }. " # " 't;��.!'Y`Y�T•ai; F;,'hsrr,....`ix,;:a4.;... '_ fit�actaEr`=,is;.riot:::lEc+ensed�es�;r�qiilred�"1iy`law,M:tiot#i'#F�e awn�r art��cxiri�s�tar�m�p"=tie�ct#�iil�fiir.a��stiiis�l.etnea,nof-u#ola�an ; � � � z�`,f"•;�;i: ider state law. if�#he�ov�ner or Inteniled��carnp�a.�tar�,ere;,uncettaln,as to wFiat licensing.;require�nent�«mayr<i�ppfy��fo�°��th�.�rc� � ended�eroik;=they-are ativised'to'c+cintacf`EFie'Pasco�ou�ty Buitdliig::lrlspec#to�i"!?�risfort--Llcertsfng Sec#lon a#-72T�47- 'u5::.. �-.��.r;;Y"��:v �g. �urtheninore;•':tf'`ttiia°owiii�i��Yias"iiireii'�a'co�ititracto��o��cantFectiSrs, �ie'�isuadvisei! tb�iiave;ihe .ccnhactoKs);sign,< , �rtlons of`the"contrector Block".,.of`.thle_eppllcation.�tor whlch.they:-.wlll.be:r:e.ap.on�ib�le..;,lf you;:kas`::#her'uw`�wri�'iR'stgri�as'�'ttie=�="'";-�:���`;` � �1► Y� Y .. � �-_ _�_:_r. ._:.Kn.�a�,__., � n#�ac#or;.fli�t:�m._ be'an�indic;ation-tli�t he�fis-not"tope�i� Ilce%isei�'antl ls r�ot`�n�tFed��to�periitlt�iitg pri�lleges°In Pas�u,, rs; iunty, °� ;=� . � , . :. ..�,r. .. ...,. . :.;,�-�:;;. �:.. .._-;���... ,:: l�iNSPl7RTAT10t�=lMPACTtU'Tit:i'�lES'=1�lRfl�-7�A(��?==�ESO��CE�It�COlfEttY��EES;�The�under�t�ite�`�understands '.'` �t Trensportakion impact Fees�and.Recourse Rec,av�r.y.�ees m�y=.apply=:#a tF�e;canatr.uctton..,of�n,ew bulidings;=changexof`''='=`�,�;`"� �� e in ex�sting bultdings;�:qr�+expari�tbii��a.f-sezis#i�5i�iltlings;`"as�speclfleid:in P�sco County Ordlnance num6er 89-07 and �-07. as $mend�d._:.,,'Ttii�:undet�igned �Iso�undersfa�ds, #h��:such fees;�as��maj�'�asdue;,w�E>_.�� �a�i;ti��a at tt►eYtime=df��'.;;'�:'.�_ . ��mitt(ng. It is iurt�ier unde�s'tca�d tfiat Tra�isportatlon:Impact`F'ees an�d��R�eour'cei`Recor►ery�'Fees_musti be paid prior to re�ving a.'ceFEtticate�oi-;o�pancy"��ar.flnat��.power�release:'-:1#�the pmj��;does:i�o�l�votve;a�:.cert#�cate-of o.cctapariGyi�or;�:.;,.-:°:`�.,.` ,-� al povuer;,refe�se;.v#he�;fees:�:mu�t;'b��pi�id=.prior to per.mif lssi�ance. -F�r�thermo�e;��ff�Pascat,,Counly�V1latedS�.wer.=<Impaa��r�,�°����=�� ° . 3s are due;they�tnust be psltl�ptior to,�perc�it issuance�in a�cordance wlth;appllca6te�Pasco;County��a�iltnsnces. �NSTRUCTIt3N7:tEN"LAVI►(CNapt�r`'t13;xro�aa�sta�ut��,a��„�rra.d�: tfvalusNon afvuorkfis��,500sQ0,�oc�more;,i� =T.: :,f�� r�: rtify that .I� .�he,.app8cant�.::have,-,been:�:pcovfdetl.�wtth�-,a�copy::of--.tlie,�"Florlda•-Constivctton..'i:lert:Lav�—�lameowner's otectlon Guide" prepar�d by,tt�e'Flortda Qepsi�irriet�t'of A$rlcultt�re and �oflsum�sr,A#falrs: �##he�pplicant ts satneone�< < ner than the"owner", 1 certlfji�fh�t�F:have.obt�,lne�}aFcopy,af:the�bove.�.d�s,crltietl��fi�icu►�ent:and ror�i.se;'ii�;good;;f�ith,to>. � � .'- .. . .. ;P;. �liver it to=lher"owner"-,A;pr�oT sto�corni�ii�ncems�it:.:f-�;_. ,:::; . �.. � ::.: .._..� �.,.�:;: ..;�;,..: . �r.;:.,: '.:- '.. �.-. �. , - �T�TRA�TAR'�/OWNER'S'AFFIDA101'f: I;;aarti[jr,:#�tatattyth�-;Inf�rmatitrrx�ln�thl��appitcetion is �acurat�:�nd that aill work II'be done in compllance wlth.all,appllcable'laws cegulaang�constnactlon, zor�tn�and�lar�d�-davelopment� Applica#!on Is �reby rnade to,ob#ain:a;.pecm3Q;-�to.-�;do,t�,wotl�.,:and"ltistelf�tlan a� indi+�a#etl:�...�I��eeKity-.ttiaf�no'vuartc�or instatlation�`iias �mmenced prtor to'Issuance of'a'perrrilt"and that`.all'work wlll be performed�to meet_-stand.a�rds_.of a�ll laws regulating- �nsfructEan, County and Ctty codes, aoning regulatlQns, and 1ant3 devetopment°r.e,gt�l�oets�ln°tFie;�3urlsdlction:_,..Ix�`al'so ; frtify th�at I u�derstand that the re�ula#lons of other�government agencles may�apply�:to.the_,lntended.,work� and that It 1s �respareslbllity to ldenUfy�what.actlons l.must��take;to be,ln:.carr��llance..Such,agencleszlncfude�but-ace:not fiimlte.d:.to: : ; - Depa�tnien# of E�lvironmentat�kPr+citecti�`n=Cypre�s:-8ayiiead�;`W'�'tl�and�A�e�s and Errvlronmentally Sensit(ve `t , Lands,VlletedWasteww��ter Treatm�nt. ';-' ���� " " " �� - Sauthwest Ftarld� WaEer �lana emeri�';.=I�istr[ct:1lVeNs � ' " :� u � , �Gypress. Bay�e�ads;� Wetland� Areas� Aitering Vilatercourses. . ; ,; . ., ... . _ __ - , ::; - Army Corps of Engfn�ers=Seswall's;Qa�1cs��favlgatile Waterways, : - Department,of<.Heaith:,�r R�iaablil#efive,:,,,SeniicesJEn�tronmen#aI�,,1�ealth Unit-Well.s;::Waste.water+��Treatn�ent; ' `" � Se�tic T�itiks:` "� �' . '- � � _ � _.,_ , . � - US Envlronmental Pratectbn Agency-Asbesfas aba#em��t...• - Federal Avlatlon:AWfi�rlty.=Rumvays. �_-� , - ' - ` � �nder�t�nd that the.:#ollow�rig:restrletlotis-�RP4y'ta the��se�of fil1;• . - Use of flll ls not allowed ln Flood:;Zone"V"unless expressly,per�ltk�rd. - li--the-fill:�materlali:.ls_;tii:�bs`�used:4:ln�.��load -Zone. "A°. It:ls '�nderstood°that�a dralnege'�plan addressfng a pcompensating vatume"wiQ.be submltted at#ime.of p�r:mitting virlitch is prepared by a profi�ssionat engineer Ilcensed by;#h'ek�tate�of;Floflda: -. � .� - . If th�..#�1l.m�tetial�1��to�..be-used In �tood"Zoite "A" In�connec�lori�w�h:a���etntitted building us3n� stem wall construction,_I certlfy;that flll;�►lll:ae used anly.to,.flll the�area�wlth(n�:th�•,stem:�wall. � -- � - If'�flq iimaterlaF-`lsM�to'"be��used�In any..are�;�'t"�certify ttt�t .use. af�sucti"_fltl"wlll ijof��adversely affectJadjacenf propertie�. if use:af fili,is founcF ta edvetraiet�r..�ftect"'aid)aEent��.pra�pertles�.the owner may be cited for vlorating. the aond�lon§:�'iiif',�tFie"'b�lldi�ng�w;p�rmtt�lssued�'under the��'at��cfieii,.�ermlt���pplkatton, for�lots�-less than:one (1} ; acre wl�tch�are elevafeii��#�y;il1l;��ertgineered dt��lnage pl�n ts reqiilred.. . . ,; .. � ..; I am the AGEIVT.FQRMTH�:,OWN�R,�:'I�roml'se'In good;falth to�l�form.the�ov�mer:of:the.permltting conditlons:set farth In -� ' ;. , s aflidavlt`prlor to-comrr'iencing:canstiuctl�iii:".! uncl�r�tand�that a�sep�arat�permlt may be requlred for etectrtcal work�. - � tmbing, signs, weile,..po.ols�,:alr conditioNng�.gats�.ar oti�er.:insf`a�,l�ons not,speclflcat(y inctuded�in.the appllcatian. �A , ` ��� �rmlt Issued shall be�,conshued tayb�e��a�IMcense�to_:proceed wltb`tNe`:worti and.nok�asr�uthaNty lo:.vlolate,�cancef; alter. or � '�� - t aslde any pr�xlstons�of��tFie tect�nlcal r�d�;•nar sh�113ssu�nc;e�,of`a:pecmlt`preven#the 8ultdlrig OFfictal from theresfter r�� qulring�corcectlon-rtaf.errors:ln::plans:;;;canstnu�tlon,orvlolattons:ofany�codes:.- �vsry�p�ermlt�.�lssued�sh�ll:bec�me�invelld �� �.';i �less the viro�ck autha�!'zed'by such permlt�is:coxi�tmen��wEtlifn�sfx:�nanths of>:permit Issuance, ar if wark authariaed by � k <�,z � a permi#is suspended or,.ebandoned f,or e pariod,of 4sIx�E6)�montti�•.eRer the#t�e the�work��ls commen�e�l. An extenslon `.� �y be requested, In wclting;wfrom`the Bu1lding;Offlcl�l:.for a perla��not=to-exceed�nitieqr{90}::tlays�•and�w!!f dem6nst�aEe �'��` ;tlfiabte cau�e'f+��tlie eiitensio�: �'u�rk.ca�s.es,fa�ntnety{90}aans.�cuittve�clay_.�...th�)ab�is considered aband�ned. , . . _ .. - - ,,. _ ..��.;. . . �.R,� . , . <. . ARNIMG TQ CtINl�t�R:�`Yt7UR:FAILlJRE;�.TCCl4�;R�C:l��t3Q,A�.l�}TtCE=O�;GOMl41If�MEEMEt�1'.MAY-RES�I�T�IN�YtJUR. � _ 1YIMG TW1,CE:FOR.IM�RO�EMEIi���;70'YClUR�PROP�I�TY:::IF'YOtI.�1�FF�lD":,Tta'�8�"`AIIV�FIN�Afi1�1NG,��'CONSULT ��~' 11' YOU _ .D.. .;0�.`A� ��TPCi �l �CC�9 � �':, :p. ,C` `'--` - -___- _ - — '' - - �a�on avwt�{F, -�.�:os}4 , , - _ . .. .t .. , ,:� _ u,'x - , °"` _ ., y rhIER OR AO C[�.Pp^RpCTp • �scrl6ed aacd s�nram {or a rine b" re m0'thls . Sut�sct�tied'�nd` rr� {ot'a rtne •b T i+�:me�tfil�B , • . . _ , _ ... ... .. -- o Is/are pe onally kn to.me or haslhave produced VNho:fclere; .er�cri�lfy o .to m,e�.or�hasfi�ve�prodi�ced- •, 4 - _ as;Id�n��callo�: ,�. - , � � �`:'.` as tilenNBca�on. � Notery Publlc . �L Notary Publlc nmissRo o: `�� �- �'".�""�r—d�t��E���.{N��9�#T� _ Comr�Tss .No. :� w: Camrnission#FF 150422 �.:�:'•"���:?�;; �A�QUELINE BOGES_' - �� :_: r, �.,,�nn,.�..,���_ � =.; ..: C • . 7�e ot F�ot2lty typed,p,.t t .A`Bf�t,�� �,;�,F�,�„�e�m go�ss-zo,s Name of NoteTY tYP . ., �.,��i�dDecember 12,.2098 - .. _ %i,p��;,°r`' •BondadThruTroyFeinlneuranaeBa038570f9� �--' s � Tr�/va, 2�''''�' �ma�led ?�/i� ;rv� -� �' � ' PROPANE GAS �ervice ClyderjPro�asal . ; � � � � . , l}iN� Af� INC. Air Conditioning�Heafing Si��e�988 813-?$2-50�3 , � •WQRY. ORDER##tSERVICEMAh! ��17� JUL Sales, Service &�(nstalfations ^ DATE/T7ME �TAN.EN ��/�:9/i� �8:�,:, 4441 Rllen Rd�. • Zephyrhilis, FL 33541 'TA�E�i BY SARAH �+� NOTES: lnS I I I 1�ltn �nnan �$� al�oa. Com �ATEIT�ME Rf70h1:[SE , ,��`,�_ . � 5 ._ . �, _. Y y � CUSTOMER#1L.00ATI�hI �:� � t �'�y»��-� ' F'HOhfE# , � 8 i�-71�—�886 _ . RbUTEI�E� � JUl. � ' SHAE�I�ON, W I LL I A�I �HANhJdh�, W I LL I Ahi ��51 87H �T 5��1 8TH ST ' ZEF�HYRHILL.S FL 3,:,�4�: ZE�'HYRHIl.L$ FL?3�4� EST I�IAI'E T� REF'LAGE U1�I T. - � `,�,,,��' � ' � DESGRlPTlON OF WQRK � � QTl' , {VIATERIALS&SERVlGES � - , UNfT PRIGE �„ AMOUNT i i ________________...,_...___:_______..,___..,.__ _— --_______------------____.._ _.._._ __ ____ _ r'�-'�C. � ,' T'o� �,�A•v,C.1.'sv � � .��� . �i v f,�,�7" � � � � � � � f � S � � � � / /Z ,- f'" � S," S ' c�J"QD .S 2 s r,4 ' � � . /� � /1 +�d.�T..S e. .o o " �8 5�.� .S tt � � � � � � �= v ." Re*1 �ia' � � � . �RECOMiV1ENDAT10hJS � � � � Annual:Maintehance'Recommended•by;411EquipmentManufacturers. � ' Fressures lo NI T-Stat i � • i i . REFRlGERANT R- LBS. $per @s. � � • ' FILTERS z x Changed Monlhly I I FILTERS x x Changed Monthly � � � ❑ REGUZAR ❑WARRANTY TOTA�SU(y�tN�fF+,RY s. �Dehttmidis#at Settings: When here"OR!", When Away 60° ;�T-Stat 80°; ❑ MAINTEtJANCE CONTRACT SERVECE � i llMtTED WARRANTY: A(i materials,parts and equipment are warranted by tfie manufacturers' . METHOD.OF-PAYMENT CALL i . or suppiiers'written warranty only.All labor pedormed by the above named company is warzanted for ' . TOTAL i 30 days or as oiherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERlRI.S � express ar implied,and its agents or technicians are not autharized io make any such warranties on behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑QTNER MAINTENANCE � I have aulhority fo order lhe work outlineC above which has been satislactonly completed.I agree Ihal Seller PROG W / C � retains htfe to equipmenUmaterials furnished unht flnal payment is rttade.it Daymeni is not maGe as agreed �(„j�+f17�# � seller can remave saitl equipmenUmaieriais at Sellers expense.Any damage resulling Irom said removal shall /� t dd AlG UNFAID BALANCES OVER 30 DAYS.NO REFUNDS $ERVICE GHARGE WlLL BE ADOED MONTHl.Y TO DATE COMP�.ETED A � A(/_+,,,,_ TECH T�� � i /� / ��//,, i CUSTOMERSIGNATURE pqTE t..fy(rC�'/fliN .lt/�l,l. T(?TAL �