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HomeMy WebLinkAbout16-17628 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 176 -� f -� BUILDING PERMIT I � . PERMIT INFORMATION �I . - � - � ' "L-OCATION'INFORMATION : � Permit umber: 17628 I Address: 37308 GILL AVE LOT 165 Perm�t Type: MECHANICAL � ZEPHYRHILLS, FL. Class ¢f Work: A/C CHANGEOUT ' Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s):165 Block: Section: Squa�e Feet: Subdivision: GRAND HORIZONS Es$. Value: Parcel Number: 34-25-21-0010-02800-1650 Improb. Cost: 4,395.00 ; �- � OWNER INFORMATION - � Date Ilssued: 8/08/2016 Name: MCMASTER CAROLISTA K REV TRUST Tot I Fees: 60.00 � Address: 37308 GILL AVE LOT 165 Amo nt Paid: 60.00 � ZEPHYRHILLS, FL. 33542 D e Paid: 8/08/2016 j Phone: 813-394-4601 Wo k Desc: A/C CHANGE OUT 5 TON PKG UNIT � CONTRACTOR S 1 � APPLICATION FEES � ��- BAHR'S PROPANE GAS &A/C, INC. I A/C CHANGEOUT 60.00 � � - � / � ✓ � - � - � • ! ins ections Re uired - � -� � D T T ED ; DUCTSI SULATED FINAL � I REIN PECTlON FEES: (c)With respect'to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the , local overnment 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. NOTI E: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may e found in the public records of thislcounty, and there may be additional permits required from other governmental entities such as�lvater management, state agencies or federal agencies. "Wa ning to owner: Your failure to 'record a notice of commencement may result in your paying twice for imp ovements to your property. If you intend to obtain financing,consult with your lender or an attorney - before recording your notice of commencement." Com lete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � � � � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 'I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8� (aao-oo2o Ci of Zephyrhilis Permit Application Fax 813•�eo-aoz� � Buitding Department Date Rec�tv d � ' � , � ` _ � �� -Phon�-Goritact�for Perrinittin" �':�� 1 ' �a b C3wner's Na e �'! +�S L�c�` . . 5 Qwrnsr�hcne�iumber C3 t�'� J�7-'����, . Owner'sAd res$ � �C7��-` t`� /`'t'L�ei ' QwnerPhone-Number � � F�e Slmple Itleholder;Name'' � ;�" ` � �_ OwnerPhone Number =� _-� � " . . . r.j.t'R� , . . 4� �Y r Fee Sim !e�Rleholder.Addr�ss � � � + L� ^ . . . ' P , JOB ADDR�SS � � D , 6 ,�'- . . LOT# .. � / . SUBDIVISI�Pl ��77�Q /�QT!`�'E��. '-PARCEL'ID# � ` �c�'-.c�/'.-Ga-, �L� 4� �- l`�.�'� � , •- - - . �,,, - . '(08T/UNED�FROM�PRGAERTYTAXMOTICE)" '�. �:, WORK PR PQSED ';. NEVv�CONSTR•: ; ADp/ALT " C�� SIGN [� ' ' CJ,.. :,DEMOLISW� - .. - .,-� e _> INSTALt .�' �REPAIR= , . . PROPO,S`iE �USE� ,Q` �SFR ' �' °GOMM'� �] ''QTHER ; "' . : . � . TYPE O�C NSTRUCTION. 'Q` ''B�OGK`' �Q",, ,:"FRAME, � STEEL ��- - � � DE3CRIPTI W OF WCMftK ` � /l�s G' � . rt " �. ll.� / _ i� ��-' C0� d� , BUILDING 17,E�`'� � ��34<�OOTAGE. MEIGHT�� - _� ..,. . �;��Fi.;>r:.t.. :r;,,.�.n�Fr'........:-,_ - . . . , ' Q UILDING $ `;VALUATION`�F"�TOTAL'CONSTRUCTION' . , ���:. , , .. � � . ' Q LECTRiCAI. � �} �'AMP SERVECE Q` PROGRESS ENERGY �.�_ �W.R.E.C. � Q LUMBINt� $ . . � �: � [„� ECHANIGAI. - $ `l3�y�/ ,�,j VAlUATt�N;QF MECHANICAL:tNSTALLATION � - "7 ! G'(� Q S �Q.. - RC}OFING;4,;=Q SPEGIAL'iY�_� OTFIfR � FIfU1SHED LOQR EI.EVATIONS ��� F1.00D ZONE AREA [�YES. NO > - ,,,��nJ� - . BUILDER COMPANY " � SIGNATU E REGIS7ERED . Y/ N, FEE CURREA'. Y L.N_:�: . - Addr ss � _ ' � � �Ucense#'�� � � ELECTWC API;�..-. ,_ � . , ,,"`CONIPANY ' , . - `,_ . . �� SlGW�TU E - "' REGI$7ERED Y/ N F�suitr�n Y/N'' „_ , `_ �''�� e . ,. , , _.,,. . _, '. Addr ss . � � ' , -.License#�.=�t�-`� A ' �� ` . _ • . , , £ _ .. . PLUMBE � p � COMPANYY: �• ' ' . .. - �, ,<�.� : ., SIGNATU E:;x Y - • - ..; :REOIS.TERED�' : z,.:: ;:.-Y'/-.N. - • .FEE:CURREk.` '< Y/'N: ' Add ss �:, , x � , Ucense#•,�,^ . . � {NECH�0.N1 AL:'�` ` � �� , _ .COMPJ4PIY,; ��� y t�f2 u`'�- . A��C�.�'� G°%, . SIGYVATU E '�'' ���'"� 2���Q�7L(+�,_�•. . , �REGISTERED'; , , .Y:l'N' ..FEECURRE��' . '�Y:/MIV`�:� _ " , Add s�' ' �'7� % �N` /`�f 4'/� L-LS� : ,. ..:License# �.�,�Tt��- w`, � .�. OTHER _ _ _.� ;a . _._:} . ..-. - - �COMPANY , - .. ' -, -, _ , .,. . SIGW14TU E - ' `':. " �°' . . . . . y,REGISTERED Y/ N-.:' FE�'QURREp, �YJ,I!1-_ ? -- ' . ,.. ,,:, 7a. . , .. r _ . .. . ., �<Lic�rise#�I� � Addr ss �r�i.t' , � , ,. � - 'r 1�•'T. ,C.'. ..'r.�.i,., ..u=�_"' _ :�.•. ;.��`�;'��' ) N_. �".-"'.'.?�r"�,, �-.,,u...._ � �kF`i �y,i;_-- � - �f=� ildin �P..laiis�:�1 ;seti'af�Erie �Foriris�-R=O-W;Peniilt;for�neyr„construction;: > R SID�NTIAL'�, _�A� r.t�?:(2):,PIot;Pians�}2. sets o B�u 9 �_(.). !�8Y . .x„ .,,. ,,. N.�.,,,; � � ,�(`.),�_...�� _ . . . ., ,,. _ ,.: .:. , = '- � `' ' ., ,-.- . - -��v <s �Mlnimumt,ten�s10:�wor'itin xcla s;at#er,:suamittal�daEe*Required onsite;�`GanstiucBon�Plans;}Sto`rinwater.Plans wL�SIIt FenC,e;installed,. t _ „� � ��, )� . . 9.t �!.� :��- ., � . � - • :�.,,,2;. � �Sanitary�Fac�4l��si:8���gi�u't�psfer;Sitei:VliocicaPe�rtnitX�r.subd�ql`slbnsitarge:piojecis' ��j.�• � " •„ ; �;;.:�:�:,�.z, .,..,.,,�.. �,.. ��..:: C.OMME CIAL Attach(3��i�o�nple't�i"sstis'aa�B'�tl'di�tg`Piarss p�us a'I:Ife Safety�Page:(1)seg of Ettergy Forms.i2-t)-W Permit far new-constiut�tton: . Minimum te�(10)wrorking dayg after submittal date. Requfred onsite,,C�nstrucUan Plans,Stormwater Plans w/Sllt Fence installed, Santtary,Facil�tes:.�1 dumpsier._SIte�Woric Perntit far,ai{neiiv�pi�iimject's:`A41 commerclai�qulrements�mu�st meet compitance � . . $IGN:PE IT Attacti"(2)sets of�ngineeir,ed�P1aRS� s r- _ .' � •"""PROPERTY,S.URI/�Y requlrerJ br aJl NEW conshuati,on � _ .,.,�..�. 'Qiiectlon .��;::;= - , ' ' �- - - _ - _�. __ _ Eitl o t eppticaUon completely. Own r 8�Cootractar stgn.:back of.appltcaUon,natarized I�ov r$�SOO.,�Notice,of:Commencement is require�l. (AIC upgrades_over 5T5pQ),. _ � �- � :�:�:'r;%�,=:�,�=_�.;>•z.'•.- ..... .,:_._.�...,.; � :.m. Age t(#ortne contractar}`or:Poi�iec'of P�ttoiney(f(i�#tie�owner)woutd be someone pwith,notacized letter from owner sutho�izing same . � ....• , .. . 'DVER� E COUNT�R:P.ERMITIING-�=".. .=(Front=6f�Ap'plication`Only)'.. Reroisfs-i sh{ngies Sewers ServicaUpgrades.A/C F_Fences,(Pl,ot/Survey/Foatage) ��- �- .. ---..;:�:�: �"��'�'=�~ ..-..� ., . _.. ... .. . . , ..... ... .....R.__.,-,��: __. .._ ,. ._';�;;:_"t:.,.; , . . ,�,..•f _. � ` L1rlv ways-Not over Gounter if on public roadways`..needs ROW .�- � - . � ,T10E.OF DEED:RESTRICTIONS: The:undersigned��.undecgtan,ds�tth�t;thl�:.p Q,,rrni��.may..:be,subject.to�"deed";resttrctions",�;';� � :" - s ,' , r LrP e.� -: � r � .i :.�'< i x �:. : :.•;,:' � �ich may'<tie,�r�ore'srestticfiVe=t�i��r�G�iunty�reg�ilatftins�:_�The�un�ers1gned'agsumes?�sporisiblitty.�=for coinpliance with any � �pllcable�deed;re�Mctlons. � _ - • .��.;,.;.;�:�,;�:,.<,,,>-_ • _ _ _ �`.''"fi,: . . '� VLICEPISED:�CONTRAC.�ORS-AND�:CON� � � - TRACTO,R'�RESPOtJ�S1�ILITI��':�:-'�;;I���the �owner�has`�ht�etl�'g"coritractor or �.:..__ �ntractors-to undertake:work,::the _may;be;re�qufred�to;b.�.Ilcens�d;�in�.accardance:wlth�.state�:and:loEal:regcilaHons:>°If�,tlie�=� � . . . y . .�.._,.�...,,,.... . d _.. � '- �.i.;..�.e.o- ..� o-.. �ntractor:ts'not�licerised`as��requlred:�tiy law;.tioti���tFie�ovmer;and��confracto��may�tie��cited for'a�misden�eenot vlolation �der state law. 1f the owner or intendedr�con#ea�tor.��are,.uncertatn:as'to what�licensing,,requlrements�,mayr'appCy�sfo��.'tiie�:��:�-��� ��-'� .s, . �, , . _ . ,_s.,. - ; ended work,-�they�are advised-to contact tFie_Pasco Coutityy;8ulldtng,"InspectionnDlviefon.;-Lii�n'sing'Seotion�at 727=847- �09. Furtflertnore,- It the owne���Yias�°Filred'a contractor�or contra`otors;'he rls �advised to have°the ,contractor(s),,.sign, ,. ,,�.,.,,, '� y,t�V•-..: ttiw� �f.S . t �rtions of'the;"contrector Block"..of:this__appl�atlon�for.:whlch�th�y....wlll.:be�,r��ponsihle, If.y:ou;�as-.the`oviiner,;slgn'�as�tiie`��- " � � ntractor, tM�t'�rriay=be'an�iridicafion Ehet'he�t"s=not".propeHy licensed and�is`�not erifi�ed to�pemiit�ing�privlleges;in Pas,co . ;: ; . ;., ;;.,.,-t. .;-;i-. ,. iunty. _ : :;- , ,. , - � - -_.... ._.._.,-, _. ... . ��� , tAN�PORTNTION;JMPACTIUTIL�'FI�$�IMRA�'�`AI�b=�E�Ok11tCE��RECOVERY�FEES:'Th�undersigned�unde�stands ; �t Transportation Impact Fees:and.Reco.urse Recovery-Fees_may�,eppiy�#a tf�e construction.,of�,new,.bulldings;�change�of.''�•`�°'��'`�°"� ;; � e in existing buildings;:�a�r',expa�sib,�tr,�..of"'�eiil..sN�>�bcilitlings; as�specffied:in P�sca County Ordinance number 89-07 and ' i �-07. as amended.,.�'Fh�undersigned �Iso<understa�ds, th�t:such fees;�,as��nnajr;be;�due,;.wilFa�be [den�ffied at the=time~of<'���"���� '��=`� ;� ! �rmitting. It is turttie�understood that Tra�isportatlon.Impact"Fees.and�Resource Recovery4=Fees;.musti be paid prior to , �e�vfng a."certiflcate•of°�occupancy"-�or�flnal•�.powerrelease. :l�-the pro)�cf;;does':not�invoive�;a�.certiflcate of occupancy�For����� �`��_-'-'� ' � al powerrelease;.the,fees�mu�.t��tie'paid�.p�lor;,to:pe.rmft issu�nce. :F��thermore;;�if Pascm,�County'Wate�/$.ewerr�impack�a���,�°��-��- 3s are due�,.they:must be;paid pMor to,permit Is's4anceJn accordance with,,applicabie.Pasco'�.County�ordinances. � )(VSTRUCTION`L'IEN"LAVII�(Chapter'T13,Flortda�Statut�s,aa�mended): tf valuatlon of work is$2,500:OO�or:more;J•. : - .. _ rtify that I�,:the :applicent,�_k�ave-�_been•�provided:,,:with>-a-�copy..of:`�tt�e.�_'Florida�°�Con§dtictton�.:Lien`:Law--Homeowner's otection Guide" prepared by.tMe�Florida Depertm�nt�of Agric.ulti�re and Consum�sr:,;Aifai'rs. if the appllcant Is,sotneone, -_ �- •�. �er than th�"owne�", I certlfjr.;th�t.l:have..ob�ilne���.copy.of.th�above.�des,crlbetl�docu�ent:and;;promt.se�ln;good�,fa,lth;�to:, ,. _.. :� :,�..,..,� ; diver It to�the.'owne��pHo��`toFcommencemeiit:�� ' � � " - _ -=--- � - . JMTRACTOR'SIOVYNER'S AFFIDAVIT: I.�ceitl[�.;tki�t:all;•th�=:lnf.ormation�J�,thl��appllcatlon ts accurat�:�nd that all�work II'be done ln compliance wlth all.appllcable'laws�reguladng constructlon� zonfng and��land�deyelopment. Appl(catlon Is �reby made to obtaln�a.permit.:to.do,;,wotl�;.iand�lftistallatlon as Indlcafed�.;:.:l�.:certify that no�work�or Instellatlon has �mmenced'p�lor to'Issuance of'a�pemil[ and that�.all work wlll be pertormed�to meet.standacds.of.-all I�ws regulaking- �nstructlon, County and City codes� zoning regulatiQns� and iand development=regulattons�In��tfie;)u�lsdlctlon:�: �I��al'so� ;rtlfy that I u�derstand that the regul�tlons of other�govemment agencles may��pply.,•,to.the,lntended:work, and that it is y responstbllity to Identify•what.actlons I,must�take;to betln:.cotrlpllance.;r Such;agencles.�lncl�de but�are:not Ilmlted.to: - Departm`'ent of Er�vlronmental�'Piotectf€in=Cjrpress.�Bayheed�;'V�letl'and,Area� and E�vlronmentally Sensitive ' Lands,WaterlWastewater Treatment. " -' � �� � ,. - Southwest FloNda Water Management-�.:l�tstrlct Wells, �Cypress.?'.Bayh�ads;•��Wetlac�d Areas� Altering 'i' �. Watercourses. , , " - � -.. - Army Corps of Engtneers�Seawalls;Docks, Navlgable Waterways. ° . _ -. - Department, of,.Health:;&: ReMabilltafive„Servtces/Envlronmental t�ealth�Unft:Well.s,:.V1�aste.water�Tre�hnent; ' "Septic Tanks� , t . :..,,. . ' , - _ , - . - US Envlronmental Protectlon Agency-Asbestos abatement..r .Federal Avlatlon:AWho�ty,=Runways: �, �nderstand that the.followl�g;rest�lctlons apply�to'the t�se of flll:• - Use of�II Is not allowed 1n.Flood�Zone"V"unless expressly permltted. - If the_ fl11=..maCer,l.al:l"s:�to::be'�usetl'--1n::Flood Zone. 'A", tE Is understood that a dralnage'plan addresstng a "compensating.volume"wlll.be submltted at#lme of permiftJng w61ch Is prepared by a professlonal englneer Ilcensed by�Fie;t�tate��of:Floi�lda: � � .�- � . - If th�.flll�mate�lal`�is=to>be used tn �lood Zone 'A" In5 connectlon�wlth:a���ermltted building using stem t wall � construc8on, I certlfy that flll:wlll:b.e used only.to.illl the:.acea wlthtn�the�stem wall. - If flll-=mate�lal='Is��°to'�be��used��In any �area;�l`�cenlfy tfiat .uae. of such��flll w111 not adversely affect adjacent propertles. If use of flll..ls found to advereel�r..�ffect"ad)aEerit��praipertles,.the owner may be ctted for vlofating• the cond�lo�s•,��of;taie:ti�illding:;p�rmtt Issued"under the:�atfa�tied permlt�appltcatlon�#or:lots less than.one (1) acre arhlch are elevafecl�6y�illl;��tenglneered dralnag�plan�ls requlred. � • „ r I�m the AGENT.FOR.-THE:O.WNER;�I;;�rai"mise�In good;falth to�lnform the-ownerof.the permitting conditlons set forth In �� . s affldavlt`�prior to•commeiacing�aonstnictli�n:"'1'under"stand`that alseparate permlt may be requlred for elecMcal work,, . ;:,'. �mbing, slgns� wells,�pv.ols+.�alr_.condttloNng,..gas,-:or_other Insta���ttons not.spec�ftcally Included-in.the appllcation. .A� - . • ?s., : :rmlt Issued shalf be aonshu'ed�to-lie�a'Ilcense`to;�pr�oceed wlth"tFie:`iivork and not;as�authoHiy to vlolate�.�cancel; alte�, or ' t aslde any provlstons ofi�the`tecfiolcal.aod�s;�nor shall issuance�of a.pe�mlf:prevent the Bulldtrig O#�iclal from thereafter qulring�correcqon-.af errocs,-in�_plans,.;constivctlon.or vlolatlons�of�any�codes..�;�vsry_�p'ermlt_Issued-sh�Il:bec�me=lnealid �"' . �less the work auttiorized:by'sucN permlt��s-coErimenced•w(thtn sfx�months of�permlt Issuance� or If work authorized by 3 permlt Is suspended�or,abandoned for:a:�ertodYof,eI���B).monEFis;.aRe�tfie tlr�e the�work��s commen�ed. An extenslon �.' ,. ,.. .,..>=• �,, a be re uested� In wrltl�n ;;�from the"Bulldln :Offlclal�.fon a erlod::not=to..exceed;nlne -�90 `.�a � ' Y 4 S 8 P ty{ ) ys•a�d�wllf demonstrate ,:} �tl0iable cause"for.�the extenston. If work.ceases:for nlnety(90)cons.�cutive:days�..theiob�is�consldered aba�doned. , ,... ARNING TO OVYNER: "YOUR::FAILWRE'TO::R�EC:O�tQ,;A_.NOTI.C�;.OF;COMMEAIEGIIAEMT.�MAY�RESULT�IN YOUR : 1YING TWI,CE:FOR,IMPROVEMEN�3:aTO:,YOUR::PI,�OPERT:Y:;:l�°:YO.v,IId��EWD"Tt���B�AIN��FINA�IEfNG;��.ONSULT � I IY OU D O. AN�A: O N ;. �O� � G�� O �C. �'�`Y . �RIDli JUFW��(F:S::'CY3.:63)-- - -_ --_..--- - ---�'_-- - -----. �.��.:.'-— ----- ---- —- . , INER OR A�ENT CdNTR/iGTOR: ' I �scrlbed and�wom to(or a(flrtned)tiefore me thla ' Subsc�lbed and'swom�to(ot afllrmed)•before me�ttil8 , by �by a Is/are personally known to.me or•haa/have produced Who:ls/ere,personallyknowrtr•to,me�.or.:has/have�produced_ • as.IdentlflcaHpn. � - • ' ' . as'IdentlRcaUo'n. d _ _ , Notary Publlc . _ _ � Notary Publlc nmisslon No: Comrlfdsalon.No._ � ne oi t�otary typed,printed or stamped Neme`of Nolary lyped,pdnted or stamped � , - � �r� ��5� j!� z. - . .-�,��...�.._.��.��..�.._�..�.�..._._.��_ ' "�_._._'_��.�."__._..���..��.�. ._...__`�'..._�_.._�.�.__. �l � ~ � �� s �_. " PROPANE .r'.'�AS �ervice Order Pro osai � � �� � � A.t�tD AIC ►rvc. . Air Conditioning 8�l , � c3/KGe ��c�8 $']�-�78�KrJ�'�� � .. ''.'!'IF;F� f:r'j�'.�. . , ,'i'� . , �P'��''�•! �1��i:. .�r'r ._..'i�, Sale�; Service & Instaliations `� �:��,���+_ : ; �_��: -F,� _ . >,{;;4�:; � ;, ; :_ . :-:w� 4441 Allen Rd. • Zephyrhills, FL 33541 ��:�'`r ' ' `." - - ' 1 ���'' �.1,� z: ,�. . . , ;,,:,. � :.}F-i f�{_. ? f`��:._ r. iii,.ii-; f ._f.' ..`;t 4t'> '_ i • ._ •�.��� NOTE i iV u� �I i7��L`C V'✓1�}rv k� I� i t.���T i..'"ij:� �.<.�:, r�G-�r''•�''�j` '• -- '�•�-. ' + �, � f�� ''-'���flf'�iF .:',ri: , . � ... .. ^ • 's._ � , Ln�t ..�_ � �sT � - _ . . . , , 'r�'�il i f h� ,.� ,? i %a: ! � . . !1''t�' c .j�s i.i I� • r,I �r�����t.i ...r`�;�i..✓���i , f, ii�ii; �'' . - � .r r ..�r�_-. � . �-��:_:,__ _... • ... � '�:�i i_-i i i„ t i:}1 1� �� ' ,i'�t. i'i ,_I t-!°: i. � _;E"l.ii'.li' i j1.�ii' 1 ,T! 1� t : z��:��i-�������-a � ,. �. .. , � _, __ t " .. .. =!; . .- r; �- � _ , . � . . i!f•`1 t:'� ' . 1 f r'S r .l.:�h� � � 3 � i:�...�i'�I � .� . .1� r � i i;`.? i (� `,ii I�r i"!;iCti. �l�'' ... DESGRIPTIOlV OF ItYG?Rl't -<�';t2'Tl':", IVIATERtALS�&SER1/ICES UNlT RRICE` AMOUN' _ ... _.._. ._ , ., ... . . ._ . .- ---- - - -_ .. __ _. . _ .� .... . . .i t� C�uc.� re n.1 c' .. �X ✓'�' (� '� --1 �3rv 1�j' ''� � c.,> ' � ` / ; � �, i � ' � �,. ILJ (' �� S • l �fi � I � � I , '" ,wJ� rf F •^� • �E'i.,.� G.. � � �, , � � . NCttiJ ' � . , i ___._..... , _ � �. ' ' `�LT' � . . � , � , � � � , � � �, � � a RECOMMENDATIONS r � � i i Annual. aintenance.Recommended by AU Equipment Maiiufaetut�i�s:'- �. { �..�� � � PFessures �o H! 'f Stat • i . . � � REFF21C4ERANT R• LBS. $per Ibs. � , � ' FILTERS x x Changed Monthty I I F1lTERS x a Cfianged Monthty � � ❑ REGULAR C1 WARRANTY TQl'AL Sl1l+AMARY Dehuinidistat Settings:-N/hen here"ON",, When Away§Q°(Q, T-Stat$Q° ❑ MAINTENANCE CONTFtACT SERVIGE i I.__ LIMITEA ARRRNI'Y: Ali materials,paris and equipment are warranted by the manufecturers' (tAETHOD O�PAYMENT � CALL i or suppliers'written warranty only.All labor performed by ihe above named company is warrarted for � TOTAL i 30 days or s othenvise indicated in writing.tAQabwe named company makes no other warranGes, Q CASH 0 CK# � MATER(ALS i express or i piied,and its agents or technicians ate not authorized to make any such wartanties on � behalCofa venamadcompany. 0 DEBIT ❑CREDIT C�OTHER MAINTENANCE � 7 have autho�ty to order the wotk ou0ined above which has been satistactorily compleSed.I agree that Seller PROG. W 1�C retains Ntie t eqvipmenVmatedeis(umished until final,paymen!is made.I!paymont is not made as agreetl, �(A«t/�# t � setier can rem ove saitl equipmenVmaledals 2t Seller's e�cpense.My damage rasulting hom said removai shali not be the res' nsibiliry of Sellec NET 30 DAYS.A 1 1!2%SHRVlCE CNARGE WILI SE ADDED MONTHLY TO � ALl UNPAID AIANGES qVER 3�DAYS NO REPUNpS DATE COMPLETED ---F � 1 �,!`!I ,�.%}-���r�/f TECH: (�,)r yN'f'r -rnv ' � / � �_ � ,l