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HomeMy WebLinkAbout16-17609 % CITY OF ZEPHYRHILLS 5335-8TH STREET - '' (813)780-0020 7609 BUILDING PERMIT ' PERMIT INFORMATION LOCATION INFORMATION '' Permit Number: 17609 Address: 6755 GALL BLVD Permit Type: MECHANICAL � ZEPHYRHILLS, FL. Class pf Work: A/C CHANGEOUT Township: Range: Book: � Proposed Use: 'NOT APPLICABLE Lot(s): Block: Section: I Square Feet: Subdivision: CITY OF ZEPHYRHILLS � EsL. Value: Parcel Number: 03-26-21-0010-03200-0010 Improv. Cost: 5,200.00 OWNER INFORMATION Date Issued: 7/28/2016 Name: GALL BOULEVARD HEALTH PARK INC � Total Fees: 65.00 Address: 4121 HIGHLAND PARK CIR Amount Paid: 65.00 , LUTZ FL 33558-5314 Date Paid: 7/28/2016 Phone: 813-782-1070 Wor,k Desc: A/C CHANGE OUT 5 TON SPLIT SYSTEM r CONTRACTOR S APPLICATION FEES ' � BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 , C � Ins ections Re uire DUCTS 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 beJfound 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 properly. 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 Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. .I 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 813aeo-oozo City of Zephyrhills Permit Application Fax 813-780-0021 �. � Building Department Date Recalved , . - - ~ -Phone Contact?for Perm(tt(n :,' ', � Owner'�Nfam� ���� ��I,s �f}-.h'�, Owner Phone Number , � gl 3- 2-`D�l� Owner'�Ilddress � j gR re, � ' Owner•Phon��Number � + Fee Sfmple Titleholder'Name � � " - � � Own.er Phone Number , ;,rt . - - . - Fe.si�,pio rieienoiae�Aaa`re� .. °., ._.. JOB ADDRESS ,f �J' mI �� 6l,� e � /Q�l``j L , ���l�! LOT# 1 � ,. .. , _ : C� , , . . . : SUBDIVISI�N �� - 'PARCEL'ID#' �J� �� '.07�" ,����"'���Q� "��f� '(OBTAINED FROM PROPERTYTAX•NOTICE) '� WORK PR i POSED , NEW CONSTR•:` � ADD/ALT [�' SIGN �[� Q;�: :DEMOLISH - � B ' INSTALL � �.,-�REPAIR •� PROPOSEQsUSE Q SFR �] COMM', � OTHER' � " ' � TYPE OF CON3TRUCTION, -��[�]" "BCOCK�' `�Q '� �;FRAME �Q STEEL Q; � - � v - . ... . : DE3CRIPTIOPI°OF WORK / � �'j� �'�'�/�� � y�� � • � edyy� d/�le�f.�$ BUILDING gI IZE . - ' SQ;FOOTAGE -�_.. ..;HEIGHT:`:. - •� • - I �; • • . ,. QBUILDING . $ -yz„�--�::::.. ..-�r;,4�.. ._:.'` . - � - VALUATION��`7'OTAL'CON$TRUCTION Q E�ECTRICAL $ -� qMp � . t -- � � l SERVICE Q' PROGRESS ENERGY '[�. W.R.E.C. QPLUMBING $ ' � � QMECHANICAL $ VALUAl'ION�OF MECHANICAL INSTALLATION - � � - ���D. �� . , . _ . I��'$ Q • ROOFING.,,,Q SP.ECIALTY.� = OTHER '' � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. , NO i � � - - , � BUILDER COMP/4Nlf " " � SIGPIATURE REGISTERED Y/ N. �E Cu�n'�-: Y/.N.- - - Addrea� , i Licens�e# ._ ELECTRICIAN,- - ., COMP�INY - ' SIGNATURE - ��y REGISTERED Y/ N F�etiRttEr: Y/N ., .. . � . . . , �.F. - .., . Address - , . , �.License#: ` • � � PLUMBER , , C,OMP.ANY� �' SIGNATURE ' � � � - _ •REGIS.TEREp� _,. ��Y.'/--,N=V� � •FEE.CURREI� - Y/N: ,�,. • , .:, a;. -._ . :. , � .. �ddress .Wcense# - ,. .. . . . . 4. . . �. ��-�. ,.. . , :,. . � ��.,... ' (� MECHANICAL '' ' _ - ,-.COMPANY�: � . �/f/�,S f'l.'OPr3/�I2�J-$�;.!�G �i✓C SIGIVATURE ' � ��� � - '_ _ BEGISTEREDt ' ..Y;1•'N: , EEE'CURREP'; _. : Y:/N:';.` Addre�a ��I �I�e�I����}/LL �� ��J� J , { Y ,. _.:Llcense# �/C}�D���'� 6.� OTHER , , _... .- y _. _ - COMPAPIY ,. � . , � . . _.,: - . , SIGNAYURE. t - � - ''" - � ` � ' REGIS7ERED. , , Y/ N,:.. �RE�.GURRED ';Y:/�hl:-.. ,•; � , . , , . . -..,�......... � r , , . . ...... ,J - ,`_ , , . - /1Yd�A88 ;•i ,:vyr . . ., :j.) ,s, .. .. : • , . , ... „ . , . � uCB�$8#� R� �'D� .fy - _ Sr, _ -,¢::,.. ;,�,... _ _ .-s,:�i.:.,s;; ,.l�s� '�a•i�;•_ =.r:•w..' ,1 , .. . .. ES EPITIAI:�: ^Attach;:(2)w_P.>.lot;Plans;.(2.):sets.of.Building P,._lans;':(1)"seti'of.?EnergyyEormsC�R-O=W.Pe[mit.for.new;:constriicf(on;-.. �' �-�rMlnimumctens(:10);worlting�;days�,a�ter<submlttaf�d"ate:��Requlredonsite;=Consliuotlon;Plans;�8to,'rmwater`Plansw/:SlltFenceinstalled,. _ _ - �`�_"SaMtaryFecJjitlesc8�r�rc�u�Pster,Slte�;W,nrkaPer.m�CfQr:sutidivi�lOns/Iarge�proJec�s�:'��.;'�t:a_,:�y��. +`- '.'•:' :, :�• � � COMMERCIAL: Attach(3j�complete sets'of Bullding"Piens plus a Life Safety Pege;(1)set of Energy Forms.R-O-W Permit for new constiucUon: , Mlnimum ten(10)working days'after submittal date. Requfred onsite,_ConsUuctlon Plans,Stormwater Plans w/Sllt Fence Installed, _ Sanicary,Fadltqes 81.,dumpster._Site-WorictP-ertnit for all new;projects:All'commerclal[Bqulrements�must meet compllance , SIGN:PERAAI7I ;4;�ROPERl'Y.SURVEY requ Ired for�all NEW,.coqsWcUon...� I ` , � � Dlrecdons: i :e:i<.,�.;_: _.- - . .. .. . . _ __ --- - - � ' � - FIII out applicatlon completely. ' , Ownar 8 Contraotor sign.badc of appl(caUon,notarized . Ifiovec 5�500,�,Notice o£Comm�ncement la:requfred. (AIC upgradas,over 57500) , • ,_,_ , � �i{i`r;';;:;�.,._,,,,,,,.:.�. .. . . .. _ .__ . _ ..._, -._ __... .._ ., . _ " I\qent(for the cootractoF)"Gr:Power:of�Attoiriey(fo�`fhe�owner)would be someone with notarized letter from owner authorizing same .,.�, ,.:..,. :. 'OVER�THECOUNTER.PERMITTING�-=='<.(Front=of-ApplioafionOnly)���� _ - Reroofs if shingles Sewrers Service Upgrades-,NC�-.._-�:Fences:(PloySurv_ey/Footage) .:- ,-. , : � -- - - - _ - -�: . _ . • , Drlveway�-Not over Counter if on public roadways.:needs��ROW � ' _...,,.. .: ... ,,. �. . .. . :.-_ � - r . � ' r S: The.undersi nect�undergtands�,_ t� J ��'��,�:r: . � - - �TICE OF DEED.RESTRICTION. g th� tl�Is:;p�rrniE;may,be.sub ect:to°deed",restrtctlons°.+::;.,,,,_,. � �ich may,be:riior±e':r.est�ictiire.th��Gounty`�r�gelaffoitis�:'�Thesil`riderslgned'`a�sumes"resprinsibilit�=fior corripllance with�ny � �plicable deed;resMctions. . . -_.:..:�;,::,�:•,�,:::�.,-. - , ' _ _ �. _ .._. _ „_ ..._.�.::,,._..._, . .;,.,n:. , . - VL.ICENSED��`CONTRAC�RS:AND,CONTRACTOR��RESPO�ISI�ILiT1�S':w���1€=.�he"��owner�`h�s�ht�ed"°s►"'cont'actor�or ;.., _ � ractors�to nndertake work.tFie _ma ;�.be>.;r.�qu:ired�to_���,Ilcen.s.�l�In�.eccacdance..with�state�:and-,+local�:regutallons:�•�If�tHeY`..��=�;�.:� ni � Y_. ,Y.:., ��, , �. = ��,,:a ,._...�......�. ��:..<_:�.....w:�_.:. ....:... .: �niracto�;Is:.not�:Ilcensed:as�-requlred`tiy'law�.bot�i'the owner�and=�contractor�may•be-�clted for a�•misdeinea�or�violation �der state law. If the`owneror Intendedr,contra�to�;•ere�_uncertaln as:to what;Iicensing,,requlrements�;may�•:appljNkfo�.:the.��x*:==,-a�" ended�work,�they'are�advised�to'contact ttie Pasco�ouqty Bull"ding`�Inspectlon��Dlvlslon--l.liiensing Section..at 727-847- ' �09. Furthemiore,�lf�the owner=has'`'�Fii�ed a�contr�icto� o�contrectors; he�ls advised to liaventhe .contractor(s),,sfgn,�,,,,r,;,, ,,.,, ;; , rtlons of`the "contractor Blo.ck°.of thla.�applieatlon.:foc,whlch�the.y,:.wi,lt.ba.�espo�sl6le. :,If.-;you;�as'-�he__o'wn���s(gn'�as'�tfi"e'�� � �- � ntractor, that.•may`be`an indtcafion fh�t�-he ts�not�`propeNy�licensed=and'is`'not'�'entiHsd to'perniftting�privileges;in P�sco_ � � _., .:.....�. :,..:::� .a , iunty. ; ` - � -.-'. ;_.._.. _._,.,_:... � ,1 � „ , _ . .. .._ tANSPORTATION:IMPACTIUTILI�'I�S��IIIRAC7�AI�b=1�ES0�IRCE RECOVERY�FEES:��Ttie nnd'er�igned�understand� ;; ; at Transpo�tation Impact Fees:and.Reco.urse Recovery-�ees_mey;;;app1y�;,tatF�e constructlon;,of.:new b,uildings;achangerof"��= ;:�`�° �; � e in existing�buildings;��a�r,eicparisi�n�.o.f-�eiiisti-�p�li�itl�tlings;as speclfted.in Pasc'v County��Ordinance number 89-0.7 and �`� � �-07. as amended..,�.Th�:,underslgned�Iso;:urtderstands, th�ft`such fees;,;as�maj�;bB:rdue�;:w(Ih;be tden�tfied at thettime�'of�" '���°��' � �rmitting. It Is furtfier understaod tfiat Tra�sportatlon'.Impact"Fees and�-R�soutce:Recoue'ry`'Fees;_musY be pald p�lor to �,' � �elv(ng a:"certiflcate•of�occupancy"���or:flnal�.power�release: :I#��the.proJ�ct;;does:,not�invoive:�a>.certifloate'of occupaney:o�:�'�-���y�`=�• � ' , . . .. � . ,_ . . , al power�;release��the;;fees�:mu�it'�be`paid�.p�lo�;to,,permit issuance. .-Ft��tk�ermore;,ffPascm,�County,WatedSewer��impact�::-•, �°�.� 3s are due;..tkiey�must be;,paid pMor to'permit-lssuance:in.accord',ance wit�;appiicabte�Pasco�:County�ocdinances. )NSTRUCTION`I:IEN"LAVII�(Chaptar 713�Flortda Statut�rs�as am�n�led). tf valuatlon of�rork ls$2,500.00�or more;�l- --� �,�=: rlify that I, .the,_:applicent,_;�ave•>�been_;provided:-with�-a,copy-:�of:�the°"Florida�`�Construction'��Uen�:�Law--Homeowner's r � . . ` y1 `;��.",`� :of.the°above:;des,cribetl'�focu�ent�and: ro�ise�in.- od�faith:t � ' +�- ��: otectlon Guide prep�red by�the FIoMd'a Depsirtnne�t�of Agricult�re and ConsumscA�fiatrs. If the � Ilcant is someon tier than the owner", I cert�►th�t:l,hav.e:.obt�ined a-copy. ..; . ,,, p.._.._, . ,gQ _ o. - ,,.. ,.. �Bver it to;lhe�'owner�`pdo�'toFcommencemerit:�' � `"� , � ' `�- - ` � ,� ''` , � . . .. �NTR�4CTOR'$IOWNER'S A�FIDAVIT: I..certify;t�i�at:all��th�.;lnformation:l��thi�°appllcatlon is accurat�;�nd that all work II'be done in compltance writh all•applicable'laws reguladng constructlon� zontng and�land:;development. Appitcation is �reby made, to obtain;a.pecm(t;:to:.do.tiwotl�;;and�itistallatlon as Indicated�:�-;�°1 cen(fji��tFiat no vuork-5or installation'Yias �mmenced'prlo� to'is'suance of'a�pemiif�-and thaf':alf�work will be performed�to meet::standerds,,of:all laws regulating- �nstruction, County and City codes, zoning regulations, and land development regulattons�In�the:ju�lsdtctlon:� �1=�'al'so� - �rtify that I u�de�stand that the regulations of other�government agencies may�apply..�_to fhe..intended work, and that it is y responsibility to Identliy•what.�ctions l.must�,take:to bedn:.compllance.,,S.uch;agencies��lnclude-but-are:not Iimtte,d.to:� - : - Departrtient of Envlronmental���Protectt�n'=Gypress:=��yhead�,'Illle�land�A�eas.and Envlronmentally Sensltive � Lands�WaterllNastewater Treatment. , ' "� " - " - Southwest FloNda Water Managemen�`�::I�tsfrlct Wells,:�Cypress.��.Bay�eiads;��'Wetland Areas, Altering ' Watercourses. - � � � • '> - Army Corps of Englneefs-Seawalls;Docks� Mavlgable Waterways. - Department of Health;.8 ReF�abilltative:,Servtces/Environmen#aI::H�alth:Unit:Well.s;-.;Waste.water�Treatment, Septic,Tanks� � ' ' . " �- : � . � _ - U3 Endlronmental Protectlon Agency-Asbestos atiatemec�t..,. � - - Federal Avlatton:Autharlty,.=Rumvays: . - � - mderstand that.the follow��ig:restrlctlons apply to'the use of flll:• - Use of flll Is not allowed ln Flood:�Zone"V"unless expres�ly.permltted. ' - If the flll materlal-`Is;}to:tie��usetl�lrt:_Flood .Zone. 'A", IE ts�underBtood that a dralnage�-plan addresstng a "compensattng volume"wlll.be subm(tted at�ime.of permifttng vi►filch ts prepared by a professional.englneer Ilcensed by-#hei�tate��ofi�Flqtlda: . - - If ih�.flll�:mate�lal_is:to-be�used tn (�lood Zone 'A" In5 connection�Wlth:�a���`erntiltted bu(Idlrlg ustng stem�uvall construction.,,l ce�tlfy,that:flll:�►all:l�e.tased only.to flll the_�cea wlthln�the�s#ern:�wall. - . - ' - If flll"mate�lal�'ts�to'be��used•'In� any area;='1"�certlfy that .use. of such`fllf wlll r�ot adversely affect adjacent ' _ . _, nd to advereelyr..�ffect�-adJaEer�t��pra�pertles,.the owne�may be'clted for.viofating propertles. If use�of flll,ls fou . ..... ...._.: - the cond�io�s of,tF�e`ti�fldfng��permit Issued:under the�attacfied.pecmit�epplk:atloFl,•#or��lots less than.one (1) acre whlch�ere=eleVafed�tiy;illl;��tengtneered dralnage plan ls requlred. . I am the AGEN.T..EORvTHE.:O..WNER;`I�roml'se in good falth to'9nform#he�-owner�of��the_permltting conditlons.set forth In � s aHldavlt`prlor to�commencing con$trucfltin."I`understand��that a5aepa.r,ate permlt may be requlred for electrlca! work, . ;; �mbing, signs� wells,;:poolsi,,.alr .condltloNng,..gas,,,or•.otliet Insta(��tlons�not�specJfical�j► Included-in,the application. .A� ., � � � �- � , ��, .,. .;.. �. rmft Issued�shall tie�.constiued to'be:a�llce�nse.tc�pi�ceed wlth�the:,work and n.o.k�as;authoNty t_o.vtolate,.-cancel;alte�, or �:, t aslde any provlstons�of�'the=:teahnlcal�codes;�nor shall fssuance�of`a.permlf.prevent tl�Bulldlrig Ofilclal from thereafter , ` : � qul�ing a conectlon.af.eRors in.:plana;`corishpctlon;or vlolatlons�of�anyrycodes:.��v�ry_p�ermlt-:Issued:�h�ll:become�ln4alld ';� �less the vvork authortzed:by such permlt>�ts-coaimenced�virlffiln,sUc.months�of,permlt lssuance, or If work authorized by `=; 3 permlt is suspended:or..abandoned,•for:a�:period;of�elx:E6)�mon�Fis,.aiter the:tlrne the�work�•Is commen�ed. An extensto� '�� �y be requested, In wrlting;:from'ihe�Bullding:Offlclal for a perlod:>not,to:exeeed�:nlnety{90)��ays�a�d w11�=demon`strate ;>� :tlfiable cause for.�the exfenslon. If work.ceas,es�tor ntnety(90)cons.ecutive:day.s...the�ob�is�consldered abandoned. . _- y�; _. , __�:. . - ,� --; � � ARNING TO OWN�Rs YOUR.:FAILIJRE�Tta,;R�.C:ORQ;A;NOTICE.:OF;_COMMEMEEMEM7':MAY�RESULT (N�YOUR � '�� _1YING TWICE:FOR IMPROVEI4�EN�'�'Tfl�YOU.R�::Pf,�t�PERT:V:;�;,1�°.YO.U�I�V'.�D:"T�.�`iB�TA1N��FIIV�I�EII�IG;'C.ON3ULT - IT-^OU -- � i7 �'��:�IY-- fi�� iii . P . ;� . . _ p �;';�:.� ' �;';� � : �-., . � ..p , . .. _ � _ ...: .. . ,..-....�.:. .,.:..r:: -- - --- - --- 7RIDAJURA�•(F. x.03}- � • . , . . . : :=- _,i ' rldEFt OR AOENT � CONTR/iGl'O�� � I �scxlbed and swom t 4 r aHirmed)before me Ihls � Sutiscrlbed� (ot afflnned)�befot+e,me�thl� , ' by 1 � • o is/are personally , own to.me or•haa/have produced Who:ls/ere, _ .na owrtF•to me;or_haslhave;produced; • ` as:IdentlRcaBpn: • - • ' � " as IdentlflcaUon. � _ ;• . Notary Publlc . � Notary Publlc nmisslon No:' Comr�le lon• o. ne oI fVotary lyped,printed or stamped Neme`oi Note �,kJ,�ed,4Lt�p�,dBp�ES _*� :: Commisslon#FF 1b0422 � - ='�`• ;;o= Expires December 12,2018 �'�Pf;�4g'�` eonaed Thru rre Rdn�eaoronc. y BOD385-7019 1TM + �� ,r.,,�,� .�..�2dc � I I c7/1(� �fl � ' - 5.;�:. ; � ' r � PROPANE.GAS SerV1Ce OrClel'/Proposal � � � � � � AND AIC tNc. Air Conditioning 8 Heating �irce�988 8'I3•782�50'I3 Sales, Service & Installations • WORK ORDER#ISERuiGEMAN �87�Q� OCT 444� Allen Rd. • Zephyrhills, FL 33541 DATE�TIME TAKEiV ���i.4�1� 14:4E Q TAKEN BY SC Q�4 NOTES: �X� �� 3--I � � — 31 `7� DATE/TIhIE �'ROIYIISED �d6/14/16 ►Z��:��J ° CUSTOhIER#/LOCATION ���81 RHONE# 813 78�-1�7� 0 CdNTACT ELEANOR DELGADO � ROUTE/SEi� OCT2�Xc�X1 ' �13—"1��-�`701 � ; -- I�'l.�s� �l�.o� GALL BLVD HEALTH CARE PARK It�C GALL BLVD HEALTH CARE F�ARK I�IC 41�T H�IGHLAND �'ARti �IJJ GALL RLVD LUTZ � FL ..^S..'rJJB ZEPHYRHILLS FL3�54� � MEED U1�II.T. _I,f�IFO/#S A/H—ItV�`��tt2��GALL BLVD OFFICE IN DRQR CEILING. SEE TAh�IMY � 78c-4439 hIOT COQL I NG, TEMp KEEP'S R I S T IVG, SET AT 74, NOW 78 REOI�ENS �� 8:��d . .-..:;�.;n�...._ .., u.ati;�.v�f•'r':-.t�.-t„-i..�,.,..„�i-:•R>.f�.�.;'r_.� _ " _ �f` _ " _ _ " __" " " _ .�r...�_' _ '- ' - -r,o. - ...,=,wf-.::. _. ...., ' _ "�+=" r_.rva�_ ::r:.�ab^ - - ;✓'.,.. ...a., _.a. _�_ _ _ ' - - ,�r;,.�,:�".„ � ..;.{p �y< _' - _ + , r..R_::,+:-'S-` ='1."•^ _ �_ ' �,� . " _ fr�..,�. _ '�,`, _ _ !^'L'; _ '4• _ "��.si'-' ' _ �'S?='= - �.-i�,+ " ' s�3�' ''r , ' ' _ x,�`� __ r-'�/;� _ ''.�.IiT - - �{"� - - ��::: w3�. _ ^��� _ _ _ _ .�j^.` ,.� � _ {C.i�TIO. �:'L�. ,,g }�',{� B,�:M-:�:K�::;.;y,;:,�µ:,. _.� =�'3P:' ti;D R N'r`O.;v17.°REC: :�_�=� �#� A� E M- R Ci `OfJ'"T., ��� ,=� •.,�'� 'TY' .1 ,E � ! .E�=r:i4M t� ;r�'s .�.. 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'F2E�WGERdNi';f4-��:�-.��" =vLBS:h>s�.,.. ar."Ibsr.-:-^. - � - ---%:;'"� _:d=:..�>$;p ";i.�;r::''1:.�^'- I 1 - - r.7v•::x:='4;".s.. - - - - _ ' , ,._,. ..-,�3�..��.-_....,. -r. .,.:;...:�..-r., .c•,:�:r-"`.s:�S:.. s-. e.. ,.:..:,.:.,�,n.�^?:--"^' ' _ ..,;�-,. . ,:.. ... -- ..-. ._.,...9:,.__ .� y�._.,.... .. ._...h..:.:. IFILTERS x x Chan ed Monthi I I ! FILTERS x x Changed Monthly � � "o[�ryi:jZ- - 5�..^�7�3�a'�:.' ��"'_"',,',-_-- ! ❑ REGULAR ❑WARRANTY `Y-����=_. =�;�07'AIi:SUNIN1ARl!"�-��' ��'��-��� �,.��:,.; >;,;.=„k,s� --:>r�.= <•.�.-,: -- ���.�3;kq>z` - = 's:F`�= _ - _ _i C: -'�.;"' _ .,-;'�r,'..-..'�.`.� Y'�, "0'_ _.� � '�DQh�mCdisfaf'Se'tttng��a;When here.Ot�t°;:;When Away 6a.e;{T-Stat 8�;, ❑ MAINTENANCE CONTRACT x:r�:�<;u�:�=,:��,.;�.��-�..s.: - _ �,�. SERVICE i u LIMITED WA RANTY:;AI;. : �:��.�,; e rranted b the manufacturers' - --_ r�';- __ - �"�;`:.'-`"�`T�;.x,;,;"r"''�"",- CALL R I materials,parts and equipment ar wa y - __ �;:jyj�j;j�p}��jF'$A„_Y;MEM1�:�"=F>��=G'=:=: � y,::�_�.v...: Ya or suppliers'wntten warranty only.All labor perfortned by the above named company is warranted for 's��'"'���-r�` --"�'3�"""`%`��°��-`�'=J'•'•'r`�- "�"`��`•`''"` 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH~ ❑CK# TOTAL i express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i behalfofabovenamedcompany. _ _ ❑DEBIT ❑CREDIT ❑OTHER' MAINTENANCE � Y•- �y • PROG. W I C � I have authority toiorder Ne work oWlned above w�ich has been satis(aMorily compleled.1 agree thal Seller retains tltle to equipmenUmateriais fumishetl un61 Bnal payment Is made.If payment Is not made as agreed, C��M# � seller can remove Said equipmenUmaterials at Seller's expense.My damage resulting from said removal shall not be Ne responslbiliry of Seller.NET 30 DAYS.A�1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I ALL UNPAID B CES OVER 30 DAYS.NO REFUNDS DATE COMPLETE TECH: ;��c. T� i CUSTOMERSIGNATURE DATE J� ✓au TOTAL �Z7�W I