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HomeMy WebLinkAbout16-17574 CITY OF ZEPHYRHILLS • 5335-8TH STREET (813)780-0020 1757 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORiIAATION � Permit Number: 17574 Address: 6930 GALL BLVD 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: 02-26-21-0010-00800=0050 Improv. Cost: 4,495.00 - OWNER INFORMATION - Date Issued: 7/14/2016 Name: COMMUNITY NATIONAL BANK Total Fees: 60.00 Address: 6930 GALL BLVD Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 � Date Paid: 7/14/2016 Phone: (813)783-8122 Work Desc: A/C CHANGE OUT BOARDROOM 2 - CONTRACTOR $ � APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 � � � � , � Ins ections Re uired � DUCTSINSTALLED � 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. d t � CONTRAC O SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER 813-780:oozo City of Zephyrhills Permit Application Fax 813-780-0021 ' • Bullding Departrnent I Date Recetv�d : � �. ' `, �`� = ��� _ , ��`� ' � - - -'°' Phone Contact<for'Perrrm(ttin' � Owner's Name J7'I'� G�G �i-Tl�/��-L ,�/J O�wner Phone Number b ��—' /O 3"Q�� �� Owner's Address ��i ��/` 11� `Z-ff//� Owner•Ptione Number � � � Fee Slmple Tltleholder;Name�� � " _ - Ownee Phone Number '� ,. ' ''i�. � � -- . - �. �� -.. _ . . . . � Fee S(mple Titleholder Addre� ., - � . _ � � � , JOB ADDItESS '� �� �/�/,�<lJ Z'I�I�-S � 6-, . �/�L�7g! 12Z�/77'/ y LOT# � SUBDIVISION ` � PAttCEL'ID# • • _ _ � ,-_; ,,,;,.;. .;. ` ' ' ' � ` - �'' (O�TAINED FROfdI PROPERTY TAX'NOTICE�' - "" WORK PROPOSED '` NEW CONSTR ADD/ALT �Q' 31GN Q�` � � [�t�; _ �DEMOLISH - . ,. � B e INSTALL .�'_��REPAIR � � � � � PROPOSED>USE� Q:� SFR Q °COMM'' Q OTHER ' ' ' �' TYPE OF CONSTRUCTION_� t 0 � -�BL'OCK�'.`Q; ''FF2AME, . �,� STEEL Q. .. � - -- DESCRIPT10P1-OF WORK � ' � � � BUILDING SIZE: , -:$Q:FOOT�IGE: ,., HEIGHT:a..�,°-, . _ • , �,' _ ' - QBUILDING $ �x�;:�:;:.. ..,�-., . � , : . �. '�,1:..TY�s:r"._'..'•. .. , � � � VALUATION'dF TOTAL CONSTRtJCTION 1 �" Y • QELECTRICAL $ -AMP SERVICE Q PROGRESS ENERGY [�. � ,W.R.E.C., 3 .'. . QPLUMBING. $' ' � Q MECHANICAL � � $ � �VALUATION OF MECHA�VICAL INSTALLATION _ �`f 9�, oC� : : � .� , _ Q�S Q:. ., ROOFING:,.;� SP.ECIALTY Q- OTHER' " FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YE$_ NO � ' , ��f;_ � . -,.. .. i , BUILDER COMPAN1f `` " � SIGNI�TUP2E REGiSTERED Y/ N. ��E CURRen', Y L_N,-= _. II - , - = � Address . _ ` Ucense#�� � � � ELECTfZICIAN� . ' ',:, , '� 'COMPANY � '°,; . . , _ SIGPI�►Tl1ftE - �5"' REGISTERED Y J fV FEE GURRE� Y/N �" �ddress ,_ , . , .. = :::L•tcense:#; ` � . ., . PLURABER � � _ C.OMPANY;. - . , , _ . ,� . :� - :,, - � -, SIGNATURE �'° " � , :REGIS.TERED�,� - , . ���:;Y/4N . � FEE_CURRE�''' .. : 'Y/N' ' ` Address � ' � '` - .. License#�• - _ - - . MHCHANICAI: '`. ' . ,,�-j/y���Y: _ . - ,COMPANY;� �1��OC S.� ,,.R-/�1 �:'-%��{J ` . � „..,: , D SIGPIATURE �`` G�% � ���I�(!f�_ . REGISTERED�' , ,. �Y:/.N:� ; . ;�E.curt�n., < _Y/�N<.'�..,s_ --, . Address;. ,,y' /7/C@N /�� �%�I L%�,l �� `�I .r , ,.Licensa#�-�Ig�►� �J�..�.� ' .- , . � , ,^y }� ' � �-.�. ,,., , ' i�'.; -' .. ' ;.�i: -.'__ " .... � , ' , _ '; .. ;. �-.- ,. . _' ' . OTHER . . . . . . ,. . >,CORAPANYL - . ,• '; -- _ StGWAYURB. .'��� .., , .. - , : : , .� ,.. _ ,... _:: . • - : -- � � :.,.: _ ,:,<. : �;. r..,. ,.. ; - ,<,..,.,.. F., ,,:;� ,„ , ._..:. _ ,,REGISTERED Y L..N<; ,-FE�:GURF3E�` _Y/�Ne e , - . ,. , . -. . - . -- `,' _ Addeess _ ,�1��- � .z.. . .. �-- •� ° ' . _.��License'#� .�: -�:�„ .�� --�,•- - ���' - :a.,r.._. :x.�> :r=` ,:'� , . ,.. . ... ;`� _ =,i." -- _ - - �.! _ RESIDENTIAL:: `AttacFi,`2�::.P•,lotsPlans h 2�"sefs'.of,Bulldin �Plans•` 1 `seY'of�Ene� ��Fomi"��R=O=W.+Pertn `fornew,° n c� , „ `^ �. ) ,. ...� ,�.,�.. ,. . - 9 � ), .., . r9Y . s..,. lt. _,.go stru..t1,on;:,.,� _, . Y , ':MlnimumT:tens:1,0, woiktn da s a ': �a� � ��" -.: + � `"� (,..,���_.,., 9:} Y..;,_�e�.$uti;mittaf�dafe;+Requliedonsite;�'ConsUticBon�Plans;4Stortnwater.Plansw/SIItFenc,e,(nstalled,, _ .�..:.`4�^:. ...l. �.._.�.e. . . .�.� ' . Sanitary�Fa,cJlides,�s51.�c�uipRster,Site Wortc:{Per.mit�qr subtlivislons/largefpro)ects •xS 3 '.`.r.� . � ° - -~= ' �' -` COMMERCIAL Attach(3j'eomplete sets of'Bulldi'ng Plans plus a`Life Sefely Page;(1)set of Energy Forms.R-O-W Permit for new construc�tion: , Minimum ten(10)working days'after submittal date. Required onsite,C,o,nstructlon Plans,Stormwater Plans w/Sllt Fence installed,:, , SaNtary,Fadlides�,1 dumpster..S(teyWork,Permitforallnew'projects':�All-commerclal.requirementsmust,meeYcompliance . . SIGN PERMIT Attacti"(2)"set§of'Engineeied�Plans:+;�,�;r{r:-,:`'`=_`.�".. , : - � , ' - � "'"PROPERTI!SURVEYreguired;fgrall:NEW;constcucy,on..��.-,:._: : ' - " .' , , ... .< ,_ _ _ . Directlona: ..., � -. ,� _ _., .. � ----- -_ . • Flll:out applicatlon completely. Ownar&Contractor sign.back of appl(caUon,notarized If'over 52500,a;Notice_of'Commencement Is�required. (A!C upgrades over$7500). ._ • .. �,�'�.,:;,-�,�..��?:: _ : Agent(for the contractor)"or:Powe��of Attortiey'(forflie:owmerj would be someone with notarized letter from owner autho�izing same 'DYER"TFIE.COUNT�R•:PERIYIITTING�---•=;•�(Front'of�Application�Only)-,=� �j � Reroofs if shingles Sewers Seroice Upgrades NC Fences:;(PIoUSurvey/Footage) .- • . .,.,. ..__..�_.,.._._ ._�... ._ .._ ._ _ -. -�- - ., .. . , . , . �_ . - - .. ,.,,.�... ,�:. _ ,�• "-. _ - . - . • , w,��.�._-,:: ., . , . Drlveways-Not over Counter if on public roadways.:needs ROW _ ,� ' ,. , - - -. �, � ., ` CTIO S: The-u derst nedf.undergtands:�th�t;thi�� rtniE�:r� be. �resaictlons�`"��` " " ,T10E OF DEED..RE8TI�1 �1. n g. p!��, �y:.. _sub)e.ct..to:°deetl"_ ,�. "" -- :,i'e `.i-. �Y.bif:ry:u�_ ��$�}e�ru�2^ :,.l2'3 �h^,2��:F.f✓VYu�n ..4' _-... �. , _ 'g.i- '.�'I"�'-�',.e�..:.`:�' �Y.:;�.�,'�i• ��� - "a beimore:re"st�ictive��th��='G�un� .�r��ilatroris::�Ttie.:underslgned:`a��umes��"s''j��insiblitty=.foir"coiinpitanc��`with�any`T�"�� �ich m y� �Y .. , - , - � „ . _ .,. ; - , ,. . . .. ..,. _ .., - �t;x.. �. .. . � . . ,plicable=deed-re�Mctlons. ; rv,:�.. -�: - - - . _ ....:. �:�,.;�-- - - - - - - _- , . ...... ... .. .. . . . ... ... _ �`��: VLICENSED�,CONT�RAC�ORS�-AND�.CONTRACTOR��RESPO�$IF�ILITI�$;:=w�°I€�°�he`�owner�-hr�s�ht�etl,"����coY�tractor,or � a ;b:e:.rer ul�:-d��to:,b�.Ilcens�tl;:ln.accardance:with_state:and:lo�l_regulallons:���If�=tFie��=<��=.ff°�'} , nt�actors to:nndertake�vvo�k,`;they_m Y...,......�q.,�,!'�;__, .- �A,..L4'+s;t';'.:.u:.,:,:�d'ya:�:.w�_.v'lc.+--�•:�-v,:.'�4 �nf�actoc°fs:;not:-:licensed:"es��regulred.°tiy'law;.tiotf��the'owner.'and:�contracto��may=be�cited.��for=�a=:misdenreanor violation � �der state law. if-the�owner or�intended>�confra�tor,e:ere:�:uncertalh,:es to wh�t�(icenstng_requirements�,mayx�"eppl�r`•�for?tiie;=,.��'r�,`u''j , � �.�,:�,,..., ,�.�. : �,; ,,,,.-.�_._ ended�i�vork;�they'are-acivisei!'to:cori#acf the Pasco;:�otitnty.BuOdl,i���;Insp,ectfvn,^Dlvlaton=�.tcensing SecNom at.727=847- :� � �08. Furtherrriore;If tFie'�:owne� has"'Hii�dv°a aotitractor or"contractors�'he�is advlaed�to have;fhe contracto s si n � , K;.�., 9, t�.,..t.�;�;; � �rtlons of`the:"contrecto� Bl.ock".:of this:,application�.for:whtch:.they-.wIIl.�be:�,r.e.sponslhle.�.;,If;you;��as:.:the"ov�iie�u�stgn:'as=`tfie°' � �� � , , � ntracto�;"that friay`�tie�an"'Intlioation�`that�he Is�notr:prope�ly�Nce'nsetl�anii�is"not"enqtied:�o'peniiftfing prtvileges in Pasco„�,V,,.K, ; �unty. ' �; . .. : . w_ .�.; ._ _.:.,_. `��`°`�' - ' � � u; .; tANSP.ORTa'TION.;IMRACTNTILItIESrIiYIRl4�'1'�AI�b�E30�1aCE R�COVERY�FEES:�=Th��und'ers(gi�ed`�u;nderstands `; ' �t Transportatton Impact Fees�and.Reco.urse Recovery.Fees,_?naytiapply�:#o:;tf�e constr,uction.,,of;nev�t,buildings;,�change$-of��`°"+=�`'`�:'�'-'�:;• "� ': e in exist�ng�buildings;�rd�r'�expa�isi�n��o'F;�xisti��ailtlii�gs�as sp�ctfled:in Pasco�County��Ordiriance number 89-07 and �; i �-07. as �mende.d.,,;,..�h�,;undetsigned �Iso;u�rtdersta�ds, th�iF:'such fees;•�as�tn��:be:due„.yufll:��be ident(fied at the=tlme='df,�`-�''=��A�����" � � '. �rmitting. It Is tuHFier understood tfiat Tra�spo�tation�:Impacf`Fees and�>Resourae�Recovery:°Fees musY be paid prior to , �e4etng,a:"certiflcate•of.=-occupancy"-�o��flna�=.power�release:�:If�the proJ�t;;does:not'Invoiv�e:a-,.certiflcate of occupancy:-o�"��=:���-'� , „ ;..., � ,; . al power�release;.the:fees;-:mu�if:be aaid��:prlor,to�,pe.rmft Is��ance. -Ft��thermore;;�if:Pasco j.County,��llVater/Sewer=�lmpack��-� �°�_�='=��� ' �.. ., _. � ' as are due,.,ttiey,•�must be�pald p�for;to,:permit_Iss4ance.in accordance with�appiicabte�Pasco'=County;ordinances. )NSTRUCTION`LIENtLAVII"(Ch�p��r 71�3�floNda�tatut����s�m�nded): if valuatlon of work is$2,500;00�or more;�1:� ;-;� >,�t..: � rtify that I, .the,:appllcant,_.:have:been:�,provided.>wlth--� :copy::of_.the;."Florida•-•Constivction;�Lien�::Law--Homeowner's � .. ............... ... ._ . otection Gufde" prepared by'.tMe Flo�ida Departrnent�.of Agriculture and Consum�er,Aifairs: If the applicant is sohneone., ; : ��,:._�#.;.. tier than the"owner", I certify�,that�F:have.obtaine��a�`copy:of.the:above.des,crltie�t�ocument:�nd:pfo�ise=,in.;g'o'od�faith>to; . .._ � .�k �4 ' , r,, r � - . ':sr,..;;-r . , . �liver it to;.the."owner�prio��to�commenc�merit:- _ - � - .-. ' --- :-, . aNTRACTOR'SIOWNER'�AFFIDAVIT: I.,cer'.tity�tkiat-all;-th�-;Inf.ormation:in�,thi.s.�appllcatlon is accurat�:�nd that all vvork � II'be done in compltance vuith.all applicable�law§�regulaang constniction� zoning and�land.;_development. Appitcatlon is �reby made to, obtain-:�,.permit;,tos,do;.wotl�;�;and;'liistellation as indtceted:,:;.°I=�certffji��ttiat�no�work`;or Installattort'`tias � . �mmenced'�p�for`M'Issuance of"a`pemilt"and�that�:all`'work will be pertormed�to meet�stand�rds of v�ll laws regulating- �nstn�ction, County and Ciiy codes, zoning regulattans� and land development�[�gulattons��in'tfie<Ju�isdiction:��= l-�;ai'so . ' ;rtlfy that I u�derstand that the regulations of other�government agencies may�app�y to the.,lntended�work� and that it is � " d responsibllity to identi(y•what.actlons I.must.3take:to be.;in;compliance. Such�;agencles=lnclude�but�are.:not Iimited•.to: -- � �' - Department of Er�vironmentalF'Prriteeti€iii=Gypress:�B�yli�ad�;Wetland�Areas.and E�vironmentally Sensltive Land�,WateNVt/astewater Treatment. � ' '" ' � " ' . � - Southwest Florid� Water Managemet�t-,::1�(strict Wells; =Cypress.'x'.Bayhe�adg;��'Wetland Areas, Altering �M _ , .. . _ . .-- . _ . :3 W�tercouraes: , ., , ,. _ ' - Army Corps of Englneers=Seawalis;:Docks�Navigatile INaterways. _ �; ; ' - Department_,,af,,Health,.8, Ref�abilitalive.,SenilceslEnvtronmental�:F�ealth�Unit:Well.s, UVaste.vkatec�Treahnent; .� ..� a. , ,_ , � . - Septic Tanks�'`.� � . ..- . . - US Environmental Protectfon Agency-Asbestos abatement:::� Federal Avletlon:Authority-Runways. � ° � �. � � mderstand that the.followang.resGictlons apply=to�the��t�se offliL•• - Use of fill is not allowed in:Flopd;Zone�V"unless expressly_perrnitted. . - If the flll: mate�ial:.is"��fo':be;���usetl:-:ln..�f_lood:_Zone.."A", It:"is undersfoo�•that-a`drainage`plan addressfng a � "compensating volume"wlll.be submitt�d at time of�permitting.which is prepared by a professtonal engineer � Ifce�sed by#he�;�tate�of;Flotida� � � �. � � ' .. - If thA.fill:.materlal�:i�:�ta:be�used�(n �lood �one 'A" ins connectton�wlth�:a�•�ertriitted building using stem:wall � constrvctton,,l,.certify.th...at fitl��ulll.be��sed.only.tv..fill the..area..withtn�the<stem�wall. . . - - - �° if fllf inaterlal����ts���fd��tie�=used•'in any�are�;'I��+certlfy that .uae. of �uch"�fllf�will not�adversely affect ad)acent properties. If,use.of fili,is,.found�to adversely..�ffect'°adJaEent�:prope�tie��.the owner may be clt�d for violaling• :�..,,._. .. .: s:,. the cond�lon§'of,the"'b�iNaing;;permit issued:under the=�atfacfied..�ermit�ppUcation,.for�lots less�than.one (1) � acrs which a�'elevafetl�tiy:flll;�ctengineered drainage plan�ls required. • . , , . ;3. I�m the A6ENT,,FOR..TH�-.OWNEft,.;?I�iromise ln.,good,faith to-lnform the-owner of:the_.permitting:conditions.set forth In ' ' s affidavtt pctor to�commencing'construcfibri:"`I'und,ersfand that e�sepe�ete permit may be requlred for electMcal work,, , ;�� � imbing, sign�, wells��_pools;,.,alr:.condl.tioNng,__gas,,or;otF�er_Insta'�a'tion,s not.specfflcal�y inclu�led-in.the applfcation. .A , ' f'<. :rmit issued'�shalf be constnied�to`be°a'�Ilcense-Yo p�ceed with tNe wo�ti and not:as_authoHiy_to.violate;.�cancel;,aiter, or �� t aslde any provistons'�of��ttie`tecFinical:codes;�nor shgll issuence�of'a.permlt.prevent the Bulldirig Of�iclel from thereafter �':{ quiring a conection-_af.errors in�,plans:,,";eonstruction ocviolations=of=any�codes::��very,p�etrinit issued�sh�ll:become tnvalid ;; . . �less the work�autfiorized:by suoh pe�rirnit>�Is-commericed�wltlifn_sUc„months=of,�permit Issuance� or If work authorized by ;,��;' 3 pemn(t is suspended;ior.abandoned:•for:a::�eriod:,of�six:(8)�montFis;,aiter�the.time the�work��is commence�.. An extenslon � `:= �y be requested� In writliig;:.from the`Bufl'ding;Officlal�for a pe�lodwnot�to':excsed:ninety{90).�days:end�wil��demonstrate ;�? :tlflable cause for.�the exfension: if wo�k.ceases,for ntnety(90)consecuttve:days...the Job�is�consid�red aba�doned. , _ i', . _... ; _ . ..,��..-,_ . -- � _ . ._ .� .: .,._ •; . - -, ARNING�TO�OWN�R:"�'YOUR;'FAILIJRE,=Tta�REC:AEtQ_.A:;NOTIGE:A,F�;COMMEMEEMEMT,�MAY�RE��LT�IN�YOUR_ - �� IYING TWICE:FOR:IMP.ROVEMEI���;T�b YOUIi PROPERTY:r IF°:YOU 1���"T�;�B�T�AIN��FINA'NElA1G,�CON3ULT : I'P OU - i' ,,O -d :`�►�'FO - s �7 �._�: O ' � -- -- - - _ A� . � . . . . ..., .. ,y .. . .. . �...;...�.... ',,,.:..�., .., . A JRIDAJURA�•(Ff : . ,.03} ., ,,. ^ , ifP1ER OR AOE CONTRRGTO� - � �scribed and�wom t ' aHirtned be m ih utiecritied'a'nd`swo (or aflirmed)�b' ,re; a'ttil� .. � by •by ' o Islare personally I, own to.me or�hasJhave produced Who:is/ere,p.ersonally�Cno��to.me:o,r.haslhave�produced � , ae;ldentlflcatlon.�� - - ' '' ' as Id'entlRcaUon. � _ • _. . • Notary Public . � Notary Publlc nmisslon No: " Commlasion.ido. � ne of Notary typed,printed ar�tampad Idame of Notary lyped,printed or atamped r �� � , r,yr����� ' ! I `l l I C� —�t'► � � � � � PROPANE GAS � � � � � AND AIC �Nc. Service Order/Proposal Air Conditioning&Heating . ��rc� �98� 813-782-50 i 3 Sales, Service & Installations WORN.� ORDER#/SERVICEMAN E9�86 EFE "DATE/TIME TAKEN Q�7/0�/1E Q�B:Q�� 4441 Allen Rd.��Zephyrhilis, FL 33541 �AN,Et� RY �,z� �� NOTES•��/��LSo^� � ��'�v7`S/LS�A'j� DATE/TI�IE RROMISED �7/�5/1E OQ�:�� CUSTOMER#lLOGATIQhI AC7�c /�3 �A w K . LGi'"! � �'HOI�E# , 783-81�` � COi�ITAGT ' • MGR: F".ATMY WH I TMA ROUTE/SEG! • EFE CEIVTERSTATE PANIi WEST FL hl. A. CENTERSTATE C[7�IF/P[7ARD ROOM � 6`33� GALL PLVD #3: TEMF'STAR CD: NAC�4cAliA� ' MATNgRAIVCH ' SFR E�3�84E3�E-RECOND 11/`�14 � ZEF'HYRHILLS FL 3354c ZEF�HYRHILLS FL33�4c A/H W. CLOSET IN PKIiF'ING RM � • F'RDD #FC4PNF�_4�0�Q�AAAA , � • CARRIER MOD# FC4PIdF�4� � S/N31�3A�3�6'3 WATER LEAK I NG FROM CE I L I�IG OIVTO FLO�]R. .,- . DESCRIPTION OF VVORK „ -: QTY. MATERIALS B�.SERVICES � ' � UNIT PRICE. AMOUNT- i i �£•� � a o � � 3 ro� ��,� �L ,o Y��.S�� �J' .�8 x Z / X 2 , £.qT � � � � � � y z G,� � � � � ��rv�,.v o -e Z 00 Pa � s�.v G� a � � ' � � � � ' _- �0/�1 Lf C C it/ clr i i � � £ ,� —, � _s"' r � i i . , ,.� ` RECOMMENDATIONS`: - �� w G�� i Annual Maintenance Recommended'by All'Eguipment Manufacturers. pressures Lo HI T-Stat � � .. -. .;.:• ,. . . , . . _. �: _ ... . . _. i i , �REFRIGERANT.R= LBS.; _- $per Itis. � � , , FILTERS x x Changed Monthly I- I � � • FILTERS x x Changed Monthly I I . N ❑ REGULAR ❑WARRANTY TOTAL SIJMMAR`( ``DehuniidistatlSettings:,When here"ON", When Away 60° , T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i LIMITED WARRANTY: All materials,parls and equipment are warranted by the manufacturers' METFiOD OF�PAYMENT CALL � i or suppliers'written warranty only.All labor periortned by the above named company is warranted for . - 30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i � express or implied,and its agents or technicians are not authorized to make any such warranties on � behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have authonry�o order lhe work outlined above which has been satisfactorily completed.I agree that Seller PROG. W 1 C � retains[itle lo equipmenUmaterials furnished until final payment is made.If paymenl is not matle as agreed, CLAIM# I seller can remove said equipmenUmaterials at Seller's expense.Any damage resulting from said removal shall nol be Ihe responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MON7HLY TO � ALLUNPAIDBALANCESOVER300AYS.NOREFUNDS DATE COMPLETED TECH: T� i �//���,,,,�,/ ��J/�, � CUSTOMER SIGNATURE DATE v 1 L�(//NL ✓fi.LG TOTAL �