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HomeMy WebLinkAbout16-17665 _ � CITY OF ZEPHYRHILLS � 5335-8TH STREET (813)780-0020 17665 BUILDING PERMIT ' PERMIT INFORMATION . LQCATION INFORMATION Permit umber: 17665 Address: 5854 FOREST LN Per it Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Propo ed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0110-00000-0170 Impr v. Cost: 3,495.00 OWNER INFORMATION Date Issued: 8/15/2016 Name: HARRIS PAUL E & REBECCA Total Fees: 55.00 Address: 10228 DUSTY HILL LOOP Amo� nt Paid: 55.00 DADE CITY FL 33525-0989 D te Paid: 8/15/2016 Phone: 813-838-1568 Wo k Desc: A/C CHANGE OUT 2 TON CONTRACTOR S � APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00 . � � Ins ections Re ui�ed DUCTS INS�TAL ED DUCTSINS TED FINAL I �?�� " REINSP CTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local g vernment 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 ound 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. "Warn ng to owner: Your failure to record a notice of commencement may result in your paying twice for impro ements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Comple e Plans,Specifications Must Accompany Application.All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � . �rn _ �i'r� ONTRACTO SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � �'13-780-0020 ,, � Ci#y of Zephyrhills Permit Application FaX-s�3aeaoo2� T'` 'r ' Building Dapartrnent �at�R$�Ys� , , �'13 � � _ d;d�� - . ' • °"�Phone�Contact'for`P`ermtttin`�` � Own�r`s N me f� p � . . . . _ Owner Phane Nutnber �! �"' O.�O �d Owner's Address ��o�---� �,l�G$ /��/��- - �,'�� "�'�- OwnerPhone=lVumber � � �. , ... . , ! .,. ,, Fee Simple TlHeholder:Name ' Owner:Phone Number .C� , � �,t . � . � . . . - , _ ,. . ,�,� � ° Fee Simpl�71tleholderAddreaa :• � � °' ��:., _ , . JOB ADDR SS 5�'85 ORc�S AI1/�'_. G'-�//L l.5� �or# �� suaaivisi N �� , ��. ��PaRc��:iu# /l>- � � G�l �G1dDD �/�'L� � , � ' � ` �(QBTAINED"FROM PRORERTY TAX•NQTtCE} • WORK PRO„OSEO �` NEw CONSTR � ' ADD/ALT [�'� SIGN �Q ' �Q`;� DEMO'LISH � _ ,� � � ,, ,� INSTA�L � ._. -:REPAIR' � . . .� PROADSEO USE. . Qf° � SFR � � COMM � ` OTHEF2� .: . . TYPE OF C N3TRUCTION,•. ;[� ` ��BLOCK�' `Q ' `,FRAMEy '�] ;STEEL- ;C]�' `. � . � I, DESCRIPTI N OF WORK f' �C 4f/�A�N ���/,�1.�% � T�'N CO�'Y3 Q7V�NTS � . � � HUI4p1NGS ZE.=�� _ � ;, ., � , ; - SQ,,FOOTAGE��, _ _ „HEIGH�_�.�,. �: . QBt}�LE}itVCa $ -'�,r.�4� �v. -r`�,� ;. , _ • � . , ,VAl:UATION�B�TCOTAC'CONSTRUGTION QEL CTR1CAl $ • �AMP SfRViGE Q` PROGRESS ENERGY � � W.R.E.C. , QPi: MBlNG -��µ ,, - , �ME MAi�lICA� " , $ ,;j�jt.gJr"'. d�, ,, VAt,UATIflP}.QE.MECNANICACINSTALLATlON _ - r. � QGA Q RflOFiNG-,�Q SPECIAI.lY '� •OTHER� •" , FINISHED FL OR ELEVATIONS � � FLOOD ZONE AREA ��YES. NQ . , �i_`5 . � �� _ : - ' ' ' �� .Vr.. . ', BUILDER CQMPANY � `" . � SIGNATURE RE(31STERED Y/ N �e CuwzE�' ,, Y./.N:..::, , Addreas . . . �lJcense# �- ..,..=..:..� E�ECTRiC1AN:.� � • .- - ` � , i . . , ' L� ., CQMPANY' ''=- .�. ,. , ,. SIGNATURE �' REGISTERED Y/ N FEE CURREP ' '.Y'/N � , ,. ' - _ . Address � a _;�.License#;�. '`.t� " .. .� ' PLUMBER , , ,. . COMP.ANY� _ .+ . � { `. . ., � SIGNATURE � -� .�REGIS.TertED� _ , �<:,Y/�.N,-. .._:�e�cuwten�` .� Y/N:- Address ;.� ` ' ..Ucense#� � MECti�ttGN:`' Gg�,�,„ � �,, _ . ,,COM_P.ANY, . _�1��S ,A1t� S�'G"� .-=hl�i '. SIGNATURE " w�� f `i I�r�V`� ;RECi15TEREd� . , .Y,/'.`N.. t . '.:FEE'4URRE� ''Y./�N••`,: Addres��a. ;,: � , . ., , .:r .-. ,. �' _ . . .Wcens_.e#-� � �'� ; . „� ; , ; �,��� � . -K ..< � .. _ . � . , , . . ; _ , OTHER . `�' � , GCII�tFANI�, .� -.; • � :�h:.:-.;. . ° ; ` , SI(iNATURE.�? -�' � . , _ > < , •'� , � . , REGIS7EREp Y/ N�..;, �FEE CURRE� ,,9�t.Y.�/;N� _ � . _ . , .•� -- Addreas -,:�.;:�:,;'F � , , , , - " ', . . , •-`LlcenSe#�I`� ' I _ .f.�� �,};• =-,��>. - ''°..r'.={�-`,'_i' *�:u,,, =:s>r,_. , �_. ._ . . �RE810E�1TIAL;.-;�fi� 'tEach�'2 ict:Plans�.2-'=`sefs`:of�Bnit'illn �Plans;,�1�,setof�Etie �Fomis,r�R-O=VV-Permlf:for�n�yt+,con's,bvc�on;:,,,,_,,. - ..,...._ A..,. . {. );.�'_ _ �.t :)„ , � .. ., .A.� t )... . . !'�Y_: ,..�,,..9.,;, - ,,. .., . <_.:. - = . "'���'� S(t F'nce tnst�lled; -Minlmuin�:ten�(10)�woriting�,days�a(te'r„"sutimiEtel�date:�Requitedo.nsife,';-CansVucNon�Plans;�Storinwete`r�Plansw% t �, . - ��'Santtary Far�1tU�;s&���c�u�pster�,SltebVlto,r,Ic�Per,mit(or subdivistdnsllatge;Pro�ectst r:=r:��'ni:,-,, <��-` - _ . - .4 - .y�' . COMMERCtAL Attach(3j�coinbp}ete sets'cf Builiiing`Plans ptus a'Llf�Safety P'age;{1}set of Energy Forms.R-0=W Permit far new constructlan. Minimum ten(10)wo�lcing days'efter submfttal date. Requlred onsite,.t�onstrucUon Plans,Stormwater Plans w/SUt Fence installed;, - Sanitary.FadtiBes,S�1.dumpster...Site.Woric-Permit for.aii`nei+vipro�ecfs:i0.11'commerc�ai.tequl�ementsmust,meet compiEance , . , ,, , StGN PERMiT Attacti(2)""s'ets tif'�ogin�aer,eci:Platis;�;,t:�«c=f� • .�. ,. '. � ,,- - � . . - ""PROP..ERtY SUR1/,EY:reguired,-fios,all-NEW:canstruc8o�.,,;;. � _ - •�. . +i._�. t.l.. Dtrections: ._., . . _ .._ ._._ .. _. w _ .. _ _ Fill out appli dan completely. Qwner 8 Co tactar sign back of appl(cattan,notacized If over$�500,a�Notice af.,Commencement is required. (AIC upglraide�over 57500),._ x , � - �s '�;t.:;g�yF c.:y;;5�'�;:�:.•� ;,�__, .�i.:,,:.'r. '. ...u�,.xu,-.��.,:..,....�„ .._�:v � - Agent(for the cantractar}'qt:Po'Sni'e��of i�t(omey(for tlie;owner)would'.be someone rvlth notacized letter from owner authorizing same � • -� : . _ .:�,.;r...,,, ,.,� ,_ :O,VERTHECQU T�R�PERMfTTII�,ti�=:.--E:::�(Frront�of�/CpPllcaBonOn�y):- �W: ;�. Reroafs if shingle Sewers � Servlcs'Upgredes�AIC'' ::Fences.Plot/Survey/Faatage) __ . ._.� -. :;-. , " : , `` .. .. (.:,. y .,_ .._,»,..�_._ w?::E.:��t�ea'aa,i....t..r .:•o.n�.:.__ -„S - i .. ,.. ��;1..'._, _, ..,. ,. . ' _ w r � ,< <_ � _-=.�r.�:Y.t �.:��.: _ ,:_ � � . _ Drtveways-Not aver Counter If oi�`piitilia ioedways.`neact§ROW ' � ' ' . F ..�. . i . ^' ' , .•� � „' F� ._ ,......,._ . , � ',. t � ,... ' � . .. _ ._ _ ...,.. '... -' :lrn`'. _ ` ( Q'1'ICE OE DEED RESTRIC'flt?NS: The:undersigned�:;clndergtan�s;tfi�t,�ls<<p�,r:.mltim�y;;be.�,sub��ct tc�:"deed";restrf�fio,iis":, ��� ;j y 4..,.. o �e c.9! �, �....:i�i,••a�'•t{,�• a a �' i ��t�'�t�b,.e�:::T'��� i:' , I �hlch may:�tie�more�°re`st�(ctiVe:�tFi�i�t�Gounty°�:r�gkilafforis �TFie`,�tnders1gned'�a�'�iumea'resp�in�iibility.torHcbmpltance with �ny � p flcable,;deed:restriicttons. � - '-- --� _ ., ..... ' - : .::,.,�:...�, . -, " '; . ._ - O�T��FRAGTOR�R�SPO��SI�ILiTl��4;-- ff`°�he-ouiine��fi�i���fiicei�°'a�.ic��itraittor+or NLICENSED::CONTRAC'FORS_�AND':G N PO :`"�°' ' ' ke work :tlie 'rina `be�:"r;� �'i�ed�to:�e:<Ilceris�d:'In�accordance:virlth:.state_:and'-tocal,t�egulatlons::::'if�ttie�w� , , �ntrac#ors to undeita ,. y�� ,.Y ..q._ _ �d - - - , - �-.:,- �.. .,a,..�....;.�, s.����.: .y.,..., .�.,.,.,,:,,, ..> . �ntractoc;ls:,notc.ilcerise�i`as��reqiilreda�iy'laiiv; liott�=#�ie�awner ansf:�t�nt�actoT�inay''Sii��cit�ilXfor'�i�inisiletneanof vtolatton nder state law. If the-owner orintendedr�.contractoir�ere.�unce�alh as'.tb wFiaf�llc�nsing.requt�ement��may�-�appfy'�r`tli�>>��;�!-��{��°�i'� � te�ded wa�tc,ttee -are�atlirlsetl�to=ckitit�ct�tlie��Pas`�b::CountjF;Bulttlt`r,�g;irtspe�lo�i;'Dl�Iston,=�;L•'tcensli�g:Sec#!a�at T27�847- ; Y �.... ---�. .... . ... ....,_ ._.u.�.._.r„ .,,�...� ,::_...�;. �-:.�. �.::�:t �09. Funhermore;�lf-fNe-.owner�fias`htred a"con#ractbr�:oT�.contractb'rs��`Fiei�'ls`edvised`#o�tiave,#he co�tractor�s),sl9n:..,,:. ,,,,.:;; �rtlons of�the"contractor �I.ock".�nf.'.thls ap�llcatlon�fior whM.ch.they wlll.�.be,,re,s,ponsltale,.:df,.y.. f : ��`,... ..4 '���,. ` -. '` _.__ w. __._ _.. _ , ,..... . _ _ : .�.._.._. -.,. �.. .. _. �..:,:-- ._ _ .-. ou;..as.':.the oiivneir�`:stgn"as'the'°:: : ,, m#rac#or;::tFiaf�may�be"an indIcatian�fhat£'tie-�s�na#�.pirope�tji licen"satl�ant�"is'`nof'�ntl8ed`=fai pemiltticig priullegeis'in Pasca � , ounry. � ; _ _. rt, _ .,._ _..._ ��:.,.�� �::.,.;,�.� , ... . -� . i�ti,.:.*tdi,"'- !+ , �., r 1'! ' . . . ,� � .. .. . . _ _ ._-.... _ �tANSPC►RTA'fION:IMP.ACTIUTIl�1'�1�$�+�VIPAC'1'-ANf�=�ESQU�.CE R�CQV�RY��EES::T��t�nder�if�tted`:tirtder+stands �s � . . ;,,,.. * . ;. atTransportatlon lmpact Fees�and.Recourse Recove_.ry-�ees m'ajr�apply::#a.the constructton.;of.new�b,ulldtngs;;ichange�ofi m��'��������' �_; ;e In exlsNng bulldlrigs;;a�c°;expaf.istbir�of'+�xlsNi�i��bi�lltlings;as�spe�clfled.In Pasco Cc�unty Ordlnance number 89-07 and �, I-07. as amended.,r:y,'�h�.undetslgned also.understands, #h�it'su�h fees;:as��na�r�efidtie�,,wflF-be Identiff�d at the=tiimeuof����-t�=�'�°�`� - ;� , �rmltting. It Is furtHer unders"tood that Tra�isportatlan��lmp�i�`Fees andYResoucce;Ftecovery��Fees.,musti be pald-prlor to �:s ce�ving a_�cerfi�cate-ofi:vccupanay"��or fln�t=pawer:Fetease., :I�the pro��ct;,�ioes;tii���t�volue,�a:cert#t�ceEe,of occupancy�ac$�.{:��4',;` • � , ial power�release;;the:fees�;mt��rt':be:p�ild�.priar�to�pe��rriit Issuan`ce. �F..wktk�ermore;�"ff:.Pasc�►,.County�W�ter/Sewer.;�lmpact:'�° . ,w es are�due,lhey�must;be��pafd,pi�or to�.permlt�.lssti�a�nce ln,accord'.a_ncs:wit�f;aPpticatife.Pasco':County'oi�lnances. aNSTRUCTtON'titEN�tJA'1111�(Ch�iptir'713�Fiarfida:Statut�a,a�amernded): tf va{uation af avork is$��5d0:00�or�mar.e;�U ,-�- . . 3 • ..: +, . . .. .. ..a. a....,� �. ` � } �.rl �rtify that I,_�he�appllcant,.�have;'.been.•:provldetl,�-wlth==a=copy�,of�the:."Florld�� Cans6tictlon°`�Ien�:Law--Homeowner's �otectlon Gulde" prepe,rei�:�by`tt�e Flai�da Depaitment'of Agrlail#t�re and Consumer .,kifairs. If#he apptEcant is.sotrieone;;. �:-�.:,. her than the"awner", I certlfy:_th�t�l=have.,obt�lne��'�rcopy;of.the.abQva.descrl�e�d'�d�cu�ent�and:pro,r�Ise�;tn;gQod�,falth.�to;. ._.. , aliver I{t the ,,N rrYw .,( e.,, � a: . . . � : . r �...,,.,,. . 1 �};'� •MflW�$t�.?-'�i!IQT���'��m"y��{r'�m�i'It. .;r�.I, {.,�'. ..`�• ' . G►NTRRI�CT�R`SIOVYNER'S AFFiDAVIT:� I..cei4iEs+��#ki�.kalE:thg•:Informatl�an.ln�thl.s�appilcatlon is accurat�i;and that allf work il!'be done in compllance wlth all�appllcable laws�regulaHng const'uctlon. zo»Ing and��lartd��developntent� Ap�llcatl�n!s _ lraby made to,ob#alnz;a.permit�:ta:;�o.,;w�k;;,and:;!#i�tailatlort a� indt�ateti:��::.�1. cecttfy��tFi�af no worlcj�or installation�tias, . ►mmenced p�lor to'�Issuance of a�pemlilt�antl�that'.all virork wlll be performed�to meet�standgrds of.all laws regula�ing� rnstrttctlanw-County and Clty codes, zoning regula#it�nsf and land devetopmet�t�r.egt�la�fions�in`the,��urlstitctian.�=1P�ai'so�, �rttfy that I understand that the regulatbns of other�government agencl�es may�apply�to th�a.lntended�work, and that it is ; � y respanslbllity#o Identify•what.actlons l.must;take:to be,lnncor�p!lance�_Such.�get�ries-tncl�tde�buE�ar.e:not limited.to: , - �epartnient of`EnvironmentatF�Protec��n`G�press:`Bay`h�a�i�;�'V�Wetland-Areas and Envlronmentally Senstttve " Lands,WaledWastewater Treatm�nt. � , - :. - Southwest Florlda Weter Mana�emeriE,.;I�Estrlct Wells, Cypress. .Bay.t��acts�;-�'We#iand Areas, Altering ;' , Watercourses. " . . ';� - Army Corps of Englnee�s=Seawalls;Clocks,Nsvlga�te Watenivaj►s. - Department„of;Health� $;;,;Ret�abilttativ.e.�SerViceslEnvlronmental•..�#e�lth Unit-Welfs; :Waste.water�Treatrrient, ' SepNc Tanks:...� . . .. . ,• ; , . _. _ . _ .. - US Envlronmsnt�ai Protec#bn Agency Asbestas abaEemerst. : • Federal Avli�tt+�n:AulhoH#y=Rumveys: �- - � � nderstand tt�at.the.folloini�ng;,restilcdons aRR�y'to'tlie t�se af flll:• - Use of flll is�not allowed U�Flood„Zone"V"untess expreselypermltte�d. - If��the�:flll�mate�lal;'I"s:�to°,be:_used=:In�:fload�Zone. °A"� tt Is understoo�=�that�a dralnage��plan addresstng a "compensating,votume*w�ll_be submi�ed at#ime,of-per=m�tJng wtatch ia prepared by a profe�sional englneer Ilcensed�by�tth:e�,State�qf;FloNda:, , - .�.�� , . - If th�.f�1l:mateflah�t��=toxbe«used in �to�d"�one "A" ln;connecfion�u�t�:a����r.mltted ball�ing using stem�watl � constructian;_I„_certify that�fill�w�ll=b�et�sed only.to.tlll therarea.,wlthln:the�stemv�raA. . � ,. . , . _. .. _ - �.�If fill mafe�laf��'Cs��#o°°�Nrase�:°�n•,any.area;E��certlfy Ehat use. of such:`.flN wltl-.r�ot-aiiverseiy $fFec# ad�acen# properties, if use:of fili,is Tound.to advereieiyr.,�t't'ecf�a�#jaEerit��praiperties�.the owner may be clted for.ylorating. ' _ � the condlltons;of;the ti�illding�;pei�ni(t Issu�d:'under tlie�,atEacfied�eirmit�eppllca#lon; far�:lots less�than_one (1) " acre w#ildt a�e�elev�ttecl�ti"y�fltt;a�engineersd d�alnage�ptan`ls�equlr�ed. • . am the A6ENT:FOR..THE.OIMNER;;I,�iroml'se'In ood falth to�l�form�#he�•ownet,of�the..permltting condftlons:set forth In :` r9_ s af�davlt`prlor to oommencing:constivctton. "�'�under�tand"that a�Rsap�arate permlt may 1�requtred far electrEcat work,. t,�; : irrabing, signs, wetfs,,�,pools,i,.air,.conditioning�,.gas�.or;;cther„insfa�,l��tons"not.speclflcal�y included�In.the�appllcatlon. •A ._. ,��� ' ,... . � ,t. .,..,.- ... . �. . rmlt Issued sFialf be�canshued to�e'�a'Ilcense:.tv;:proceed wlth`'tti�_:tiiio�k and nokas;authoNty to.ylolate,.�cancel;.,alte'r* or ?� . ,,,, �aslcie eny provlslans of�'tl�e�tecFiali�t:a�des;�nor shall Issuenc��of a.perrriit.prever�#fhe Butldtrig Oiflciatfrom thereafiter , :.; �ulring a correctlon af„errors;in;;plens;,:vaansttuc�lon,orvlolatlons°ofiany=codes:-���very,.,p�rmlt.lssued shall°become in'altd ��� less the inrork aathoriie8 by such permlt��ls-ciiEnmenced�wltiiln:sbt.�nonths=of�permlt Issaan�ei or if work au#horizeii by � • �;, , . {�.,�,r, �pemtif is suspendad„or a6ar�doned fo.r:;.a�:#�eriadYof.six��).�montf�s;.afteF�ttie Hri�e#he�anrork��ls cornmen�:e�. An extenslon ��. iy be requested� In vvilting;.;fr.om`�tlie`BuIlding;C3fflclal��for a pe�lod:�not;to:�ex�eed,nliaee�r{9Y?)�i�ays a�id�wllf dertion"st�ate � ��':; ' �ma�i��aUs��or-tne��s�sior� �'i�rork:ceas�as;for nlne#y{90)cans.ecutive:day.s...the�ab�fs�consfdered�ba�doned. `" , ,..: _ .._ ,_�,.._.._ ;;;; � ,. :.£�_ ._._ ,�. :s- ; ►RNtNG TQ=dWNEl�:��YOUR.,FAILURE�rrtti�;R�E.CfJ�fQ;:A:�TlGE;:OF;;COMMEWEEMEI�'!'�MAY:pRES�1:T�iN��1fOUR : �.,w ; YING7WiCE:FO.R.iMP.,ROVEMEN�$;T#);YOCIR;<:P1�PER'tY.<<I�'�Y0.4J;1��'E�1�°TQ;�`1B�T'AIN�jFINil�i�l�1NG;�ONSULT � � ��! - - 'D ,'�� -A �`f N - 13 ���� :�. ,,�:; .�' � it- - =i--- ——_--_-_—. . , : � 1RIQAJURA'fi�{F. if .03} -.... ., � - �. . . • ,a,�- .. — - ,� � ,_ � , ;.; , . , . .-�:• � . - � ` ` ' - NER OR AGER'F--•..._ -' /���r+� CbIdTRACTO, . ' '�''-�-^'L saibed and awom ar a�imedj e ' me iftle 3utisaltied'snd' m�{at af�nnedpbafiorasm��#1i�c by 1��.. . �Is/are personelly . own to.me or•healhave prroduced Who:ls/are . ally. o_ •ta.me:o.r,haslha�ve-prodi�ced • as:ldengflca84�:` - , - :. . ' . as tii"eiittt3cistton. ,;' _ ,. , . NoUary Pubnc . �'�:-�i • � � Notary Publlc amtssicn No:' �sio . ,���+��., JAC ELlNE BOGES ' _.; ,r *; �a,: Expires December 12,2018 -� ae oC Notary typed,pttnted ar atemped Name of Odotety iype _l �� �� � PROPANE GAS � � ' � {' AND AIC �Nc. Service Order/Proposal Air Conditioning&Heating � ���e �988 813-782�5013 � . � �WDFtN. ORL�ER#/SERVIGE�IAN 7�`86 REN Sales, Service & �nstallations - . DATEJT2ME TAKEN ����4i1E i 1 : i8 ' 44 1 Allen Rdr� Zephyrhills, FL 33541 :TAt�,E�► RY �;1 h� �� NOTES: � �' I� DATE/TT�1E F'ROM:[�ED �8!�5/16 �8:�� � ,/ J CL�STOI�ER�!LC�CATTQhI �B�E� ' � r� � � �L.���`�U �- .F'HOI�IE# 81,:� $38--1�68 G ( a ��� � ,RO�JTE/5F_G! � RpIV�-CURRRTS !NS'�ti-CI � )��� ���.S�a ` �A�� • ' AIR F+AIVDLER ATTIC ' ` �� �;� . ��/ �� . HARRIS, F�AUL HARRIL-REI�TAL_, F'f�UL � 1�`�8 DUSTY H T LL LF� J�J�F FQREST LIV DADE ITY FL ..:,���5 ZEF'HYF�H:[LLS FL�3�4� SF'LT-AIH 1N ATTIG I _ � rqRRIFR AIR HAI�DLER � • RHEEM rpNDEf�S�R ' • � TEhI a JUA�I t313�-�1�L��LJL_7 RUhJS� OT C�7�LII�G. ADDED iLB R�FRIG R� F'ERFQRMEn MAII�T GHF'. Qi� 5/11116 q � .._. . .. � , _ . . - D�vGRIPTiON:QF�WQRK QTY..�- MATERIALS&SERUICES UMT PRICE AMOUNT — --------------------------- — — — •---�-- ----� ! � � � ' , ' ' �C� �� ' , � � �, � � � ._ � � ' e � � , . . � � � � � � � � _ - � � - � � � � � � _ � .. R�co�tM�i�Ariz�nis � � � � , � � Annuai�Mai,fenat�ce Reeommended by:Aif EGuipment Manufacturers. � � � Pressures Lo �il T-Stat i i ' REFRIGERANT.R-� LBS. $.per Ibs. FILTERS x x Changed Monthly I i - • • FILTERS x x Changed Monthly I I •❑ REGULAR ❑WARRANTY TOTAL,SUMMARY .Dehumidi t 5etfings: When here"ON„' When Away 60° , T-Stat 80° ❑ MAINTENANCE CONTRACT ..;I..:_.:. .. .. SERVICE i LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHQD OF PAYMETV�" CALL - i or suppliers'wntten warcanty only.All labor performed by the above named company is warranted for TOTAL i 30 days or as ot�envise indicated in�vriting.The above named company makes no other warranties, ❑CASH ❑CK# � express or impli d,and its agents or lechnicians are not authorized to make any such wananties on MATERIALS i behalfofabove amedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have authority[c�order Ihe vrork ouNined ebove whicfi has been satisfactorily completed.I agree that Seller PROG. W / C re[ains litle lo equipmenUmatenals furnisheG until fnal payment Is made.It payment is nol made as agreed, CLAIM# � seller can remove�said eQuipmenVmateria�s at Seller's�enpense.Any damage resulling from said removal shall �y —�. , not be t�e responybility of Seiler.NET 30 DAYS.A 1 712%SERVICE CHARGE WILL BE ADDED MONTHLY TO � AlL UNPAID BA �NCES OVER 30 DAYS.NO REFUNDS DATE COM PLETED �� TECH. ` T�1X � 6��`� .��i. �c �,� TOTAL � . _ I CUSTOM IGN�TURE DATE ��/ a'u . I , . .. - ,