Loading...
HomeMy WebLinkAbout16-17601 , . � CITY OF ZEPHYRHILLS �f� � � � 5335-8TH STREET , (8i3)78o-oozo.• - 17 01 ; �. BUILDING PERMIT � � � _ I � PERMIT INFORMATION . LOCATION INFORMATION Permit Number: 17601 Address: 37601 GILL AVE LOT 284 � Perrinit Type: MECHANICAL ZEPHYRHILLS, FL. � Class of Work: A/C CHANGEOUT Township: Range: Book: { Propo�ed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS E�t. Value: Parcel Number: 34-25-21-0170-00000-2840 � Improv. Cost: 3,995.00 OWNER INFORMATION Date Issued: 7/25/2016 Name: DAVIS, GARY& JUDI � Total Fees: 55.00 Address: 37601 GILL AVE LOT 284 ; Amo�unt Paid: 55.00 ZEPHYRHILLS, FL. 33542 , � Date Paid: 7/25/2016 Phone: 813-778-6635 � Work Desc:- A/C CHANGE OUT 4 TON ; i CONTRACTOR S � - - APPLICATION FEES - BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00; i' ' i � I � i � i '� � ✓ � � i a y� �\.J i �U � I , � . I � I_ns ections Re uired - DU TSI STALLED ' { DUCTS If�SULATED FINAL I I � � I REINS�ECTION 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 I first reinspection,whichever is greater,for each such subsequent reinspection. I NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may b� found in the public records of this county, and there may be additional permits required from other governmental j entities such as water management, state agencies or federal agencies. j "Wa'ning to owner: Your failure to record a notice of commencement may result in your paying twice for� impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney I i before recording your notice of commencement." i Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with �) City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. I II - i NO OCCUPANCY BEFORE C.O. � � � �� � � i � CONTRACTOR SIGNATURE PERMIT OFFI R � � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ; PROTECT CARD FROM WEATHER - � i 81$-790-0�30 City of Zephyrhilis Permit Application Fax 813-780-0021 Building Departrnent Date Rece�ived . � • �j p �^ - I i . . . ;-Phone-Contact<for�Permtttin ��" '• .Dl� O � — ...!��� .. t, i Owaer'a Name �S/14(�/� � R' �� � . Owrner Phone Number O l�" //D "(OSP� � Owner's Addres� �� /�G Owrner•Phon��Numtier ` ' � i �� Fee Simpli Tltleholder;Name°� � � ' � � Owner Phone•Nuinber '" I .. ... . , ;�., , _ <, . . ' Fee S(mpla Titlaholiler Address �=Zj�:�,� � . �� JOB ADDI2ESS � � �/ �� � , LOT# _ � I , .. .. ,. � � ,.. ,l '�� �p/f/� :I SUBDIVISbON � ,PARCEL";'ID# �T,,. ��':`�%,�,..����' .��;`o�OTC�' I ' . , � � ' .-�(OBTAINED FROM PROPERTYTAX�NOTICE); � � WORK PROP.OSED � NEW CONSTR "� . ADD/ALT =[� SIGN �Q;" ��-� �, Q J"' ,;�DEMOLISH - � , .. , • ��B `• � INSTALL .�:REP�►IR E' � � PROPOSE�-USE� ,., •Q:; =SFR. � � ; �COMM�`* ;Q 'OTHER' ' � '. I TYPE OF CON3T1tUCT10N; �'Q v BLOCK�' `Q'., ,FRAAAE . [� STEEL. Q _ - - • { . _ , DESCRIPTION 0F WORK �� ��GS � C ! .,= C�i/�-N ����e-� �oitl . � � o c - - : :. , ; . � . .. _. ; BUILDIFIG SIZE�' � SQ;FO.OTAGE ..� . - . -� � .nHE1GHT��,� .. ;: - � ' _ :�;: ., ; QI UILDING _$ _. µ����:.v. ...�.,r.. . . ; _.. ,. • �� ' - i � - , • .VACUATION`a�`TOTAL'CON§TRUCTION , 1 ' QELECTRICAL $ AMP SERVICE �, �Q' PROGRESS ENERGY [7_ � '�W.R.E.C.; ', .., . ; QPLUMBING •$' ~. � �; ' ` J / ✓ ! [� ECHANICAL ' $ y -VALUATION;OF MECHANICAL.INSTALLATION ?j�� �� I i �99�'0 l�t?.. . . - Oc�►s [� - ROOFING:,_Q seEci�nr:0 OTHER� ��� � � � �.� . FINISHED', LOOR EI.EVATIONS FLOOD ZONE AREA , QYES. NO � � . , . �, . . .. ., � . � � BUILDER COMPANY � � � SIGN�►TU E REGISTERED . Y/ N. `FEE CURRE�";,_ Y/.N. _-S_. , I , ' ; � AdelfeSs ''�, "' . . LlcenSe#` " ` . � ELECTRICIARI�. Y - � � +COMPANY' � ' -: - - SIGNATUR - 1 sry ' REGISTERED Y/ N FEE 6URRE� Y/N ' � I Addre � "'_ ` ., _,. .. � , �.Gcense:#� • ` . , � , - . - � � . � . . .. - . � - - � PLUfHBERi - � • � - .CAMPANY:;. .;`.,,. .. : .- � . , '� ' , SIGNATUR ` - � <REGIS7ERED;- ,. '�Y'/�.N � ��.cut�En �. �'Y/N,' I �0.ddres� � , �. .,.. 4� ' , L-icense# - . , .. i �. , , .- � . .. , .. NaECFiANICAL�s�� - � . ,.COMPANY. .�I.�R S. ��f�-/�/�?�..!,..'%.C:.�/!/C � , SIGNATURE " , REGISTERED` ' .Y:/ N': , �FEE:CURREP _ Y,/�M�' � Addre s: ' ��� flEN �i '�'/�/LL.S�. , , • License#. �'!4-�d ��l�c� � . i OTHER � � _ .:_ . ,. . ,�. ,. - - f CONIPANY: ..-. -- � , , - . . SIGPiA'PU I ;� •, . ,'. _ . . _�. .. ' YREGISTERED , ''YL,N._a.'� FE�".G,URBE�� Y:1,N�. , . i ._ . , _ _ '.�.,:{;y .;;::� _.- , �'�.. .. ., . . � , AddPe _ ::t _ �License'#• � � _ - - �s"� .',,.�,�.., '.�:�„�,.-.;;,—>.;�:-':..:.,-'' ^'s''.. >.:C�.�3:=:::,..s;_: '�>:.'e;'_�-F _ , . . . . RESIDENTIAL:;�-�`-AttaoFi;(2;;P1gt;Plans;t 2:sets�of;Bulldin''PI_ans;";1�;set:of.°Ene �Forms��R=O=W�Permit:fof.new;constructfon: - , � , ) ,(.,I. g . ( ,)... �9Y � - - ���-' ..�.. .. ,.. . .,� . . ,. . .. . , :..:, .v:...:. ;:-.... _,.. ,., � � : . . . , ,. :.: .,. �.:::�,.<< - �` =r; - - - . .. ,,,. ;�:-r,Mlnimumr.tenw(1�0);worlting;d.'a.ys�;after,�'s"utiinittal tlatie,...Required onsite;-�onsUucdori;Plans;cStormwater;Plans-w/,-�Sllt FenC,e installed,, . ..d.,,'�::--,.:: �`; 'r � Sanitary Fac�ltdes&�,��cjuqtpst�r,S14e�Work��Penri�pt���r subdivisio�s%la�ge projects',:�':x:,-d;:•,, �y- ,.- -�" '�' -::.-_ :_ � .__ � - CaAAMERCYF►L Attach(3j eomple4e�sets'of Bull$ing'Plans plus a Life Safety�Page;(9)set of Energy Forms.R-O-W Permit for new ccnstructlon: - - -� Minimum ten(10)wrorktng days after submittal date. Required onsite,,ConsUucUon Plans,Stormwater Plans w/Sllt Fence Instailed;. ; SaMhary,Facil(tles.,�,1_dumRster..Site.Work Permit tor all'new,projects:;All commercial:requlrements•mustmeet compllance SIGN:PE .�IT Attacii`(2)sets of Eagi�eered�Pla�s 4 . r � . _ . . , � ' - "••PROPERTY SURVEY required fa�aII,NEW coqshuctloq . " .: , � ��� = � �Dicectlons: �:�;'::��;��_;_.,. . _. ._ _. - _. .. . Ffll ou4�ppNcallon oompletely. � Owner&Contractcr,sign bacic�of applfcaUon,notarized If'over 52500,.a Notice of:Commencement is requlred. (A[C upgrades oyer$7500) _ ,_ . � . �w I 'C:�:;;"t;�,h�+.,�:��{�.;,„ _.. . -•...:.._...._.._. ,_._ ..... -.,__-.._ , . . .. . ._. : , � Agent(for ttie conVactot):'Or=PoweF'of'Attortiey(forftie�owner)would be someone.with notarized letter from owner authorizing same ; `01/,ER THE COUNTER;PERMITTING:-..-.":.:=(Front'of�ApPlication Only)=� �- '''-�•�'�.�, ^ � Reroofs if shingles Seweis _ �Service'Upg�ades,NC ; Fences:(Plot/Survey/Footage) .., --- .�. - ' � fs ,,-j,�f Driveways-Not over'Counter if on public roadways.':needs�ROW � r �^ �-�" �f - ._, � . . .. ` ' ' � � , . , , _ . , ' � � ��f �i _._. . .. `o�;.;t - :ItESTRICTIONS:. The:undersl ne,d�:undergtands�rth�t:thls;_p .r::mi�,ma be.:sub)ect:to.."deed".�resaCctlons"�,.,,., ` _ )TIGE AF DEED a. z,. � .. . g ,,. . , _:�....,� �:r� ��; y ,,:...;.�,.�.�,,. ,4 r��� , ,. . _,,,,�,- . iich may;b,e�more�4re`st�icflve��tha�t G�unty�reg�ilattbris:.<The°'i�rider�lgnetl'�'a�sumes*resp�in�ibllityr..forcoinpitanbe with.:any��" , � Ncable.deed.resMctlons. � i - �f:�. ..�:���-_ '_ _ - - - - " . , -, � P _ _ , - - - :�AND��GONTRAGTOR RESPO�fSi�ILltl��': ��if��he.�oviine��:�ti�s"lii�e�!'�'�"�'�o�itractor�or VLICEN,SED:�:CONTRA�7:OttS , _ : . � :�tie•:r`' 'ired�to:;�e:;licensed��ln::eccocdance`.'_,virith;state;and'�local;regul,aHons:,=�if�the�f�=s<`��'�`:=_ niractors�tv undertake:work,.�ttiey may,. ,_e�.qt�.�..;�•.�,�n.�c � �.,:,�:,.,::r�,.: .rw,,.�-_.__,,..:.:,.�.,...� .... .,r.. - �nt�actoc,:ls,not�:licensed'>as�cequlred,-"tiy',law;.tiot�a��the:owner.and��:con�racto��may�be��cited�fo�°����riilsd�Meanor�violatlon �der state law. if�the owner or intendetl�_c�ntTa�to���a�e�;unce�taln�:as,to wh�t-Ilcensing,:requl�ements°:;mayr:appfy-sfo�<=`tli'e;��-��.-- � " � -dvlsed to:aontacCtfie'�Pasc'o':iCouii� Butl�din�`'Ins`�ection'�DIvlslon:=Licensing�SecNon at=.727=847- , ' ended Hrork;'�they�are�a _ __ _ �, ..h! 9 . :P ;Y��,.r_. �09. Furtfier`riiore;�ff�the�ovmer'has``lilr�tl`a cotihactor o�`conUacto�; he'1� �dvised�`to Fiave;-tf�e ,confractor(s);,sign. .t,: , :_t..,�,,,:rs<'��•7,:�;.v:. ,::�;-' i'- :`='. i �rtlons of`the:."contractor B,lock",_of`thl�_application�.for_vvhlch,they.^wIIL be.;.�esponsi�le.:-.l�you;;aas�,:the':own���sign.�as.'`the�"-� ;� ; ntractor,`thaC�iriay"be��an i'ndicatlon-{hat�he�ts riot'properiy°Iicensecl'and=ls'`not`eritit�ed�to'p�r'mitfing�prl�tileges.in Pas,co, _ . � :t¢�.�. n J=.<. -� � IU11�j/. ' �'' �, _ _ . , . :_...._. . - :.. ._.._ ^s�. ..' -.. , � - � , t tAN�PORTAI'ION�INIRACTIUTILITI�S`�IMRA�`i'�A�Ib�i���O�JRCE�RI�COVERY�FEES:��The�under�lgi�ed'�understands i`' � �t Transpo�atfon imp�ct Fees and.Recoutse Recove.ry.Fees may,�;epply�#a the constr.uctlon..o�,new_buildtngs;.=changenof-"�`�'=�"���'' ;' .� e in existing�buildings;��r:�eicpa�stbi�;o,f�+extsfi�briiliitngs, as`speclfled:in P�eco County Oi`dinance�number 89�AT and ` � �-O7, as amended.,,�Th�:undetsigned elso,understands� thgt:`such fees,��as�may�be�:°dt�e�,:twNb-,�e iden�ified at thestime�=of��'="��°=:°�= f-� ; .�.�., . e ;f'r �rmitting. It Is tu�tfier understood that Tra�isportatlon�Impaof Fees and�Resour'ce:RecoverySnFees:<mu�t be paid prior to ,�' ! �e�vtng a."certificate�of.occupancy"�or•final'-power�Release. :I#�the:proJB�t;;does:ncst��tnvolve:a�-.certiflca't'e,of occupancy�or>::�_�����"" � - � al power;retease,,;the�_fees`::musit"�'tie�paid�:prfor:to,�permft issi�ance. ,Ftt�tk�e�more;`=ff Pascm,.Countq`VNater/Se.werrlmpact��5 :�.:°•:�, .� . 3s are due,.=.they�must be-paid:p�tor to,permit Issuance:ln.accord�ance wit�t:appl1ca61e:Pasco'Gounty`ordinances. � � )NSTRUCTIAN�LIEN l:AV11'(Chajrte�793�FIo�1tla�tetute���s�m�rrd�d): tf valuaHon of work is$2�500.OQ�or_more; l�-� ;- _,� .. . rtify that I��;ttie__applicant,.:have�;been-�provideii-�with-�a.,copy�.of:�the°:"Florida���Constivction;=,Llen��Law—Homeowner's , otection Gutde' prepared:by�tMe`Flo�ida``Dep�rtment�.of Agriculture and�Consum�r.Atfaiirs. If the appltcant Is svMeone: , ,_��:t��� i.;�p tier than the°owner", I certify;th�t�l,h�ve;.obt�ine��a"'"copy;of:the above.:rle�crlbetl���focui�ent-an;d;pror�is��in�,good�;faith.foN .. �.. .. �liver it ta the:'owrtec"�:pNoi��,toFcommenc"emeiit:"` ':`. Y;� '.' �. .:� � . ' . '`� --: . ,� ,NTRI�CTOR'S/OWNER'S AFFIDAVIT: I.;cer':ti[ywtktat�all;�the�.:Inf�rmatlmr.J��thl�,�applicatlon is accurat�:and that a0�iivork II'be done in compllance with all•applloable'laws reguladng constivction� zoning and��land:,development. Applicatton (s �i �reby m�de, to. obtain :a�,.p.ermit,:Co.-.do;,,u��tlr�and"I'nstallatlon as indicafed:��;:t;°t:.certffyi=��ttia# no�work�,or Installattbn�`'fias . �mmenced p�lo�to 1s'suance of a pe`"'rn11t`and thaf':aIC�`work will tie perFormed�to meet_standards.�.of:gl�l laws regulating� �nstn�ction, County and City codes� zoning regul�tians, and land development�regulatl"ons�in`ttie�JuNsdiction:�: �I.al'so • i �rtify that I u�d�rstand that the regulations of other�government agenoles may�apply_:to..theyintended work� and that it is ' y responsibility to Identify•uvhat.acttons I;must�take:to tie,.dn:.compllance. Such�agencies'include but�are:not Ilmite.d�.to:, � ' i.±-.,;...;.u..�. .r.y�.y..�.. ., ...:. .� ._,. % 9""'' ' - Dep�rtrtient of E�1vlronmental:�Profectibn=Cypreas�Bayh��d�; VI'IeHand-Areas and E�vlronmentally Sensttive Lands�WatedVtlastewater Treatment. �. , ,"'� "" '` : - Southwest Florida VN�ter Management-�.:I�tsUlct VVells, ��Cypress• -BayM�ads;•�' Wetland Areas, Altering � Watercourses. . . - � `` - Army Corps of Engtneers=Seawails�Dock's� �lavigatile VVaterways. , � - Department of=Hea�ith.'_8 .Re.MabllttaHve;,Servtces/Erntronmen#al:.Health �Untt=-WeII.s�:.:Waste.water��Treatm�nt; � ,m,. .... ,. r_.. . , . _ .. Septic�l'anks:`"� '; -., . _ . . _ _. - 11S Environmental Protection Agency-Asbestos abatement:.., � Federal Avlatton:AWhority�Runwa,ys: � ; � � inderstand that.the:follow�ng;rest�lcti_ons appiy�to'tiie tase offlil:• - - Use of fiil is not allowed in:Flood,:Zone"V"unless expressly p�rrnitted. - If th.e flll_�mate�faF�isxto�ybe_;used=�In:.:f,lood..Zvne. "A", It is undersfood�that�a drainage�plan addressing a "compensattng volume"will.be submitted at 8me'of;permitting which ts prepared by a professional englneer ' Iicensed by�he:�t�te��of=FloHda: >�-� - .. . - !f ih�_.,flll.:materlal"•:1��=to.be�used�In �lood`�one aA" ins connection�with:a'���ermitted tiuilding using stem.wall ' construc0o�,,l:certifythatfllfi�irall:b.e�.�sedonty.to.fill.the:.areawithin�the:stem�wall.. - If�flll mate�al=�'Is�to"be�used�'in any �area;tii"�certifjr that .use. of sucli flll"will not��advereely affect ad)acent properties. If,use�of fill,is.found�to adversel�r..�ect'�a.d)a�ent��:praiparties�.the owner may be cited for vlolating• � the cond�lons-:of::the""ti�lldirig��p�rmtt Issued'under the°atfached permit�-�pplicatlon,.for:lots less than:one (1) �; acre whichaare elevatetl�t�y.flll;�rtengineer�ed drainage plan�l§requireii. • •� , I am the AGEN.T..FOR,:THE;OWNER;�:I,rproml'se�_In,good faith to�i�form�the own�c,_of�the:permitting condftions..set forth In °��� s affidavit prior to�corinmeiacing`con$Eructi�n: "1"understand�thet aseep�rate permit may be requtred for electrical work,, ._ . F`;y �mbing, signs�.wells,>:pvolsi,air..conditloning,.gas�..or:other,insta�j�tlons not•specJfleal�y inclu�led�in.the application, .A ;�v� ; :rmit issued shalf tie constiu`ed;to�lie•�a'�Iicense to�,proceed v�+ith'the viio�k and not as�authoNty;to.,violate,�cancel;:alter, or ;.-:, t aslde any proviston��of'tlie'fechnical:,codes;�nor sh�ll issuance�of a.permif.prevent the Bulldirig O#ticlal frorn thereafter .._ �_� � .�.. . ..� . . quiring a.conecllon:af_errors;in�;plans:;.con�ttuction.or violaUons°of��any�•codes..:�very�p'ermit�:issued�sh�ll�:become•invalPd �`', � � - � ,;�. �less the work�autho�ized;by sucti`permlt:�is-coRiiinence��iniitliln. _sfx�months:of`permit Issuance� or If work authorized by . - ; ., . x::� s per►nit is suspended_or.abar�doned-fo�;a�:period,of<stx�EII):montFis;.affe�the.ti�e�the�work=�Is commen�esl. An extension . ay be requested, in writing;,from'ihe�Building:OfHcia4 for�a peNod��not to'-exceed.ninety{90)��iays•a�d=witf:demonstrate �° stlflable cause for.�the exfen�sion� If"work_cea�es,for ninety(90)consecutive:day.s,..the Job�is�conside�ed aba�doned. - • " -. ., . '\_ •- '"" ..V F ' • n:l`,,. �k�. '. '" , v ! �. ARNING TO�dWN1ERc'`'YOUR,:FAILWRE�„TQ.;:R;EC:O�t�;_A�I�TlGE<::OF:COMMEMEEMENT:MAY=RESULT.�IN�YOUIt� ,. <<:� i:<, 1YIMG TWICE:FOR�IMPRO�lEIdfEN��,Tfl YO.UIt P��PERTY IF.:YO.t1�I1N'�EJVD"TO;�B�'�AIN�FIN�ApE11VG;'C.ON3ULT r-°; IT OU ; ,� ..D x._.:O_ 'AN-�4TT0 N �. . s,��ECO � �::�,:p"� �� : ;;�C :,-.. �.�� ' �- �3ffci��=JUR/!�•(F. '.��; ., ... . .. _--- . - --_ - .`° . �_-� -- -. - - :------� - - -'---- - e --- - - - � -- --- ------- _;�-�._ =,\ —�- VNER OR A�EN7 CbNTRl1C70, �- � �scribed and swom or afflmted)be o me'1h� '. " " " Subsc�rltied' ot'aflirtnedrb` re� e:tfilA b , y.. - �o Is/are pe nally know� o.me or•haslhave produced Who:ls/e _.p.ersonally:kn . ;to me.or:hasihave�ptoduced, • as:ldentlwcatlpn':� - -� ' ' � . ��a�tdentlfi�atlon. � � _ .... ,�- Not�ry Public . �.lL Notary Publlc mm �No: Com � on. o. � � �ne of fVotary lyped rinted or s a d Neme`of Notary typed,pdnted � . • ,,,,,, :.; �� Commission#FE 150A22 ;a�::^y�;., JACQUELINE BOGES :� �'a: Expires Jecember 12,2018 :� a? COm1711sS10�#FF 150422 `%;PF F;°".••` Bontled ThN Troy Far Insurance 800�385•7019 a: Expires December 12,2018 :�.�: - `'�o�t;0.p`�• Banded Thru Troy Fein Insuranco BDO•385•7019 �s i� � .w �� �. �.: . _ � _. ���.� �- �� PROPANE GAS Service Order/Proposal � � � � {�� p►Ho AIC �rvc. Air Conditioning 8�Heating ��t�e 1�88 8 i 3-782•5013 l�G�+-�� D�f,�5� �9�� � , ' Sales, Service & Installations 4441 Allen Rd. • Zephyrhills, FL 33541 ��Ry ��-%� `f" S NorEs: I ���n c� f � � �'' ,��`; ; � / ?s � �JY,�G r.. �;i; � ��' � t�� . � � ` I i ::r�=- � - - - - - - - - - - - - - - - - - - - - :s�. - �...,;:r-r�:er.�r,>.::,.=5;�...�,-,-.v.r:.:�,:.,,.e�.� _ - ' f- ".,._..M ..:.�-,>„_.,,..F_'r�,� _ - -;e. .y`� ,:'P,.;.; .,., ._.t�.r,�;�:..-..: ' :.!•: .'�:.9'"' _ " �."�." _ !� _ .ea'f�. - _ _ -fr'1 ' .:Y � +f" _ _ '� ''•sy^ '..<'Y _ _ " _ _ - ':a>:='' - --- - _ - - '_�: .. __. .,a�::��. � ;:...,..:r;:i..,:._,..�,:'=.E,i:, - - - - "- �,....<.� .�,-.�. -.�-„ _ ' " ^.t." �'�'_- ' � _ ,C?f.�,'�,:;�;. _ ;Q,., ..�a r,s; >,ERVICES�i,..�r:>::�k.;.. UN lE - S TY�� ��iVfAl'� lAL 8�:S T'PRI� �ANfOU lT�'.� Fa :iDE CR1RTit�N'QF'.1NQRK�r ,:.:,",• >....- . : -•. s._.._� .-,:� •�,4.. . -- - -.... _ _��_�:�- r;�._ �. �„�_.;. . ,.,,,,y�,:,,.• - ,.r� �,�.. �;�.1 `x�- - - =- �l._:.,.�... �.�,..�. ..�..;r�y . ,...,.�<.,� , ... -.4,. , ,..,. ::-� - - - - - -r = - .�._._,:....;.�...,.,:. ....,....�_..__�_:__.,..u. _...r _.,. - _- -- _ 3 -- - .,`.', .,. ..,.-i �. � ..__ .n,. ...r..,.�:,_,...._. ..:..r.,._ ..c.._._., - ' ' - x` -.,1' .. ..tc�. f • .. ... . . ,,......_�-. . ., r� . . _=�rr...-":�..::.,.�:= _ ^y', - . .�:y>.L;' �r�",.' ��..,�5�-�r ' lU y r -/�5 `t � �,/��.�.r.✓+ L� �'Ln.. �A'�, n5�� - - - - - � ���i.�''u? i'i L!�� i�d 6'i r� � � � l�i/ /'�i.�x /t��y f' Srr,�> I i I fJ � � � I it/���� ��^Jh.- G'� (�u-[.�� (sv'+(rfG/ ��l� SCGe� � I � II �I i ���� '• �l _'L.,ICi �F/y � � � i p L:.c:�'GPL� 1'��—•J '�. /j!'7C�-`k.�C� I I I y } I I + r I • �j � l a ' �¢ �t�r i�" I 1 I I X I I I �t3 r �u�- �i%��i i - ' i �li � X!'�� - _ "`Fir✓TJ� ..�.�.r.�,-.. . -...fi,-1. .�.... :.:; -,:. ':_-'____- " . ,�: - _ __' _ - RECOMMENDQ'F.IONS;'�- - _�.�=�.,.-� - ` � � iu,7 _:�;��;� . - - - - :���, !� . � =:�r�,:,=,r�;�:�,�.:>�;�_:. .�.:�•,�,���;_;;:°�;,., :�=::=:-�-: _- - - -_ _ - - f i i 'P�nnaalwMa►nt�nance Recommended=b AIP E w ment Manufacturers.=_�-_: � � - :y��,t,�v.,;.-.:.:rt.- __ ___ Y,�- _.4_P - _ Pressures Lo HI T-Stat i i -:..:•.,_.�-=.-- .._ . ,.,.. - - . . .........: :.�-. -,.,.:.. = - -.�REFRI6ERANTR=�f - -- „ ... _ _�.. _ _..,__ ..: -- I '- I I -LBS::;:: � _ $.peclbs.- -- I _ - I FILTERS x x Changed Monthly I i I I FILTERS x x Changed Monthly � I � �1 ❑ REGULAR ❑WARRANTY --.,.,,TOTAL_SUMMARY� �=� �, ,+; `�'+x'{�{,%ic.�"�V{."'{;��"„"�:.t:-_}„t:s_ _,.,....,i . ,._ _,._� -_ _ '-_ _ - - � =_ - =`,s�u„�rr)�distat4Setfingsj�When here°0�;;?When Away 6�,°�T-Stat 8if� ❑ MAINTENANCE CONTRACT _.s~; s,:y =.� SERVICE i I {.... . 1:.L'IMITED WARRANTY: NI materials,parts and equipment are warranted by the manufadurers' :•y _ �f���MEfHOD-' - A�� I�}T CALL i i ' or suppliers'writ�en wamanty only.AI!labor performed by the above named company is warranted for `•'�'^'��'-• ' �'� �}µ TOTAL i 30 days or as ot�erwise indicated in avriting.The above named company makes no other warranties, Q CASH ❑CK# � MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on i ' behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i � i have aulhoriry to order the work oWined above which has'been satisfaGorily completed.I agree Nat Seller - PR�G. W � C retains tiUe[o equipmenUmaterials fumished untii final payment ts made.If payment is not maCe as agreed, CLAIM# � seller can removel said equipmenUmaterials at Seiler's expense.My damage resulting from said removal shall /� ( � not be the responeibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO 7�.�(,r —/� Lr�/(� �' �'� � `'� ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COIy1PLETED t � i ! t t ��! ,� ; TECH: � tC � ��liQf TAX �1.c-�my��1 r , ,.,. , �j �� � � �� .__ i,`-�-<-� • ��. /t'.i._.,_ �!�_,C / '� �' / ,,,,,,v/ �A/ �Cy � 1 CUSTOMERSIGNATURE DATE a/1L�aV/Gl(� ✓o-tc TOTAL / �I � '-.�_/ �