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HomeMy WebLinkAbout16-17673 CITY OF ZEPHYRHILLS 5335-8TH STREET � (813)780-0020 17673 ' BUILDING PERMIT PERI1111T INFORMATION LOCATION INFORMATION Permit Number: 17673 Address: 5554 EUGENE DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: - Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�e Feet: Subdivision: SIXTH AVE Es� Value: Parcel Number: 12-26-21-002B-00500-0000 Impro�. Cost: 3,820.00 OWNER INFORMATION Datellssued: 8/18/2016 Name: SIXTH AVE LLC (JERRY RABBERS) Tot�l Fees: 55.00 Address: P.O. BOX 06115 Amo�nt Paid: 55.00 CHICAGO, IL. 60606-0115 D te Paid: 8/18/2016 Phone: (813)778-4654 Wo k Desc: A/C CHANGE OUT 3 TON PKG CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS & A/C, INC. A/C CHANGEOUT 55.00 . � �" / 1, /�� � � Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL I 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. NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may b 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. "Wa ning 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." Comp ete 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. � � ONTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a��aap-aa2o Ci of Ze h hills F"ermlt A lication Fax 813-780-0021 �Y P Yr PP Building Dapartmen# Data�!ecclved* -:,,. ` � � ' � �t� ' ��U o�- – ��l�` ' ' ' I _ � �Rhone=Contact'for_Permittin'�`:':� / �p .�j c�/2 Owner'�Na f e , �"� j,� � � L..�.{�. Owner.Phona Humber T��– �� Owner'�Ad ress �+/'V 1Q11J�'(`S t�j� �l� ST�D(U Cv t�wner•Phone Number �'' " ' � . r, r:- ,. • „- _ � . - _ . , , ,. Fea Simple� Itleholder�Name��� � ' �` .� Ownar Phone Num�er ' - � . _ . , '—'�'t,�; . . , , f, � . . - _ � . . . � � • Feo Simple ,tleholrler,Address .. �' � ., � , . � JOB ADDR SS ^ t•J SJ`T � � � �l� + ���� ��T� .. , . LOT# �� . SUBDIVISI N � „ ' PARCEL ID# ' ` j "" � ` �� � !,�'C/�.� .4.KJ�� G%� �;;;:• � '(OBTAINED'FRC111l�PROPERTYtAXN4TiCE)' }r WOttK PRO�POSED :" "� • NEW CONSTR �. �" ADD/ALT �� �StGN [� y 'Q`" � DEMOLISH � � - , ,. , 'e INSTALC ,�`":REPAIR - - PROPOSE :USE 0=` SFR �] "COMM`` � OTHER' -:' ° , _ . . .. : ... :.,. _ . . ,., . . .. . . ... ... TYPB OF C N3TRUCTION;� Q -�BCOCK '^`�] FRAME � �STEEL. [�]�-�: , - - DESCRIPTI W OF 1NORK :.?�' ^`� ' ., , " . �E�,� l� JG�� �o ..T � � 7'a� ��' .. ,, ,. .; . _ . .. .. : . _ _ �UIL,DING°$IZE.� �.�SQ,FG1QtAGE; � . . �,vHE _ � . - . � � ,. IGH�;: ., OB� tLDiNG $ -��.:�:;;,�:�. _...»-r.��...; n:: :V�1L.CIATION''�F`rOTAL'CONSI'Rt1CTION � �,, . .< • • QE ECTRIC�4L ($ :_ �� RMP SERVIGE- �Q PROGRESS ENERGY [�?� .W.R.E.C.. ��� � [�P UMBING � $ _ , . . ._. ��.��': . . . � _ Q ECFiPtNIGAI + $ �,�o�D,v DI}: �VAI.lJAT'IQN;OF MEGFfANlCAL;ENSTALLATlON ',r � �' . - , , ' ' Q , _s . , 0 #tOOFlNG_,,Q SP.EGIALTY•��,, , aTFtER� � � FINISHED ,LOOR ELEVATIONS ��-� FLOOp ZONE AREA �]YES. NO . , ,.- , .,.: . � . . ,,.,;: BUILDER COMPANY ''' , , - � � - SIQ�IATUf� REGISTERED Y/ N. ' �e CuwtEK: `R.. '.Y/_N,_.:;.,i: Addre • _"�. _ � , _. . ' �Llcense#'� . , - . t f �, ; � ��s . . . _ _. � , ELECTRICI, , _ : } ..,�.• - . , , _ ., ��- . � - �_ :�. ., COHfPANY� �`' SIG�IATUR M REGISTERED Y/ N FEE 6URREN ' '`Y'%N' ..' Addr s . ., ; , . . ,. . , < .:l:icense�.#"�I'�=�>.•' - 1 ; �_� PLUMBER� � _ , CO,MP.ANY,,; , „ �� ' SIGNATUR ,� R,�G�s�RED „ �::Y~/�N�- {.'.:•FEE�CurtREn�x , 'Y/�N:_ . Addra .._. s {: : , •- - .. �_ �' , � ..—� �: , , l:icense#:I? .....�..,. � t 4 � " ':`o.f r ' " _, � �. 'r, . . . , Mec�i a�:` r. �� n � . ;ca�pnNir�. ��t��2.S .,� ��e�s�-f-�..�J� . SI(3NATUR� � R��iSTE�D:, � Y:�',N r.�EcuwtEn.w _ ��'� ; � - � - � ., Y.l iV-<: :,, �. .,. ,.. ... _ . Add s'�� ��! ���le�l�-_ � - �G�s��s��� , � . �:u��s�#������9'�� . - . .. e:�- � . � _ : . . _ _. , , . _ . . -, . .. n � . _, � . . .... -r 07HER =; _. . , . . • `�_ ; ' -, ��`CO�APANY. � ,- , SI(iWATUR �- .,. ,. i ,_ .. .Y.. . .:. �- .:::..::r ,�,,,�...� .s `i`'°S, :Y :'� FiEGIS�ERED.A /:'N,.a. FF,E CURRE� :Y hNa::;. v��.: . � , Addre �,>� ;<.�z ;�:, a,:. :,�:., _ ::�,, . ..>,... .-. . ., . �License#�' ` . ~ , � _ _ - ,:�_. - - _ „t:�,;r-' - �n�c�'k�: ...:;�;,o-.,.�'�.�;o.i-.:� - .� .., .. , , ' - �'i '�fc`". �.'f'�. .o. �:'k7'�.:��i r> =r.p.._ '.�+'"�.,._ , ,''s�fi•�.. `%�.ac,. •R EPil' A 'ch- �-� .'o�� -�', il�»� tari"�`.V:j. h,�E�. , �:c�: ':::R=�h'W,°Perm j:far new:oori truc�an.::- ESID tta „.(2);,FI.t.Pians,h(2);sets�afiBw,dngA s��( )setqf nengyF rms, . t�-,,_,,..,, it.._y....,.. .. � � : _ , , . . w. �..: -k.N�.;�•y;�. � ' ,Minii�ium�.ten�i1Q'wiorkin�<d'a �afte%�sutimiftalydate�*+R`�uired on'sifB;�Co"nstr►ic8on?Plans;_Stor`mwater Plans�wl-Sllt Fence.fnstalled, , . __. �_"�.,.,4.�,. ..(,�,.��}M. 9. .Y� BW., . • - - .W w.� . ,.�- .... Sanita:.��Ea 4i� �8��1'c1u e'`�Slte oik'Peri�rit'�`r.sutidivlsiti "e�Atoects:`�r;�„`�`���;:4��`. . _ ,� -, _ ._ ry.n.�;.�'�s,F.�.t:�:..,s����,�'s��,r.'�.�r��.:.;-:��4:�..�t --- „�&llai8.P,_1..,.,.... �=_.�. ;,., ;: ,:.. :...T:;� _::..:. s , � . "' -CONIMER I,AL Attach(3j=eoinplete'`sets'of Bulldi'ng Plans plus a�ttfe Safety Page;(1 j set of Energy Fartns.R-O-V1l Permit for new construc#icn: Mlinimum ten(10)working days'after submittal date.-Required onsite,,ConsUucBon Plans,Stormwater Plans w/Silt Fence Installed;,. -, Sanitary Fadlitles.&.1_dumpster.,.Site.Work,Per;nit.for;at!new�pro��ct's:`Ail'cammerc�ai.:requlremenis�must'meet compilancs � . , ..: StGM PE IT Attacti(2)sets ofiEngi�ieered.;P(a�s:�:;�:w��=;;:.;::�:�'':� `��`..-3� ; _ . ' .; . - - = ,F. «•••PROPERT'Y SURVEY reguired•for�ll NEW-cons.tructlo, " = _ , , � . � , , e= .z. �" �Dir;eictlons: i�;Y�.a:.9: , _ ,� ._._. . . _ .. _. . . . FIII'ou appllcaUan completely. flwne &Contractar slgn:back.of appltcation,notarized ' Ifiove �6250Q,,��.Notir:q of:Cor�nmencement is requiresi. (AIC.upgrades ovee i7500)_.. „ �t _ r:,�b;�,�;�.�a:s�;l;� " Agent��{for th�conttactot}pr�Aower cf Attomey(foi'!!ie owtieiy wautd be someone.with,nataiFzed tetter from owner autho�izing same �. _. ..�._;.-,_i:�::.;,::...�, :DVER'TH��COUNT�R:P�RMITI'IN��=•--•�":{Front:ofApplic:s�tion l�nly)��� Reroofs If shingles Sewers Service Upgredas i4/C w,Fence�s.(Plot/5urvey/Footage) _. _.- - __ .. _. _.. .. ._. .._.., :_..,:..�.�,-» _--_..n. _. :;:� .._.,,. ;,�..�Y.�T:.,i..,. .. , ...� :�._�� , . ,� >e.. .. ,. . _-._ . .. ___,.,:. .... _�;:^e` :�_�r» ..,: . . � ' - DHve ays-Not over Counter if on`pwblic r+nadwejis.`:ri�eeds RQW,, . _ , „ � i , �. , � ,. :'.. � ,:;-�-.,. ._.. ,.,�. _ ... •--� .r. -• • � .. _:};, . � � . ' . .�. � . �. � � � "fJ��: .; ' OTiCE OF DEED._RE87RICTIONS:-The-undersigraed.undergtands�:#h�t;this<p�rtn[�;may:be.subj,e,ct- " " ��"'�''�"�`` ,to;:,.deed.:restilctlons.� - - : :� --,<._ :, : �.i;::: .�,,-,;.:�,.����. �,4 ;',�- �^n'=":s::.*���_ - �'a- �hich me :tie;moiePrest�icflve::t���t�G�un� ��� ���ilatfortis::� �",�'�`�Lf.,.:."". 4 � ... Y ty-r� ._ . �"fhe�;un'derslgned��a�sumes;respon�ibiltty fo�~compllance�:viii�th�any`'` . . . ._ , , , , . _ PPlicable deed�resMctlons. ' :-. �,:�.::-,:-: • _ • ,_��.;,� ,: . ..f`h'-!w.,;.: Ii5`" :.. .!'r".,d:•! � ' �1F,y.. � � NLICENSED"GONTRAC�'.ORS:;AND �CONTRACTOR�.RESPOw�1dILIT1��'c-=�i€��he�owne��has`��fit�ed��Ya��coritractcr or �ntractors to undertake-.work;;tFte ' a ;be:;r�� u'ired:ito;�e.:licerised-:ln�sccordance.with:state�:and' �n�`�-' li �' -- �t�-��`.. Y:m .Y. �4, __ _ •local:regulaHo s:��:;lf:$t �>•� ,s , .. . < . . � ... �. . �::.,_..��,��:<�.. ...�._..,,.�..:.�:,.- -x,,,�-.,,..... �ntractor:'�)s•.not��;licensed<�a;s�'�requlred:,tiy:lavv;.`tiotl��the'�owmer �nd>:contreato�wme�r�ti���c(ted:�for�armisderrie�rior�violaUon nder state law. If the ownec or Intended;,,can.tra�to,t�ere�.uncerEatn`.ae:to what�llcensing_zrequirements^fmayh,appt�n`��fd�wtifie•-�::4-'�,-^°�:'�� , -' 1 s - ! • - ,,.�.., �� : tended work,�they;are�advised'to:contact the Pas�o�ouply Buildi,ng;';Inspeation;Dl`v`Iston-Licenstng Sectiorr-at 727=847- - )09. Furthemiore;�if"tFi�e�.ovtirner�has`fil`red`�a�contraato��`o���contra'ctors;��he`7s advised�to tiave;.tl�e ,contractor(s),sign _ ,;; �rtlons oi'the�°contractor Block"�of.:thla_application�for.whl.ch.they wlll,_be:_�e.spo�slhle. :df.�you;�ras::;the"'o n'v`�iie�stgn as"`fFie�"�`�``�����`�""' -, .�-- ->�._<_.,_..�_,..�. . ��tractor;.tliaf�iriay be�an InBication°-�Ehet�he��`is"=not'`�.prope�lyi 1lcensed arid`'is'n'ot'enfitiedrfo�per'r`nfttiiig prlvileges�In Pasco ,_ __ . _, �� ounty. : �,... . ... . ,. ,t .� �. -:,:=;v.�. . _ � ..,� , � ,. ,. .. : .. .. - . _ -- ---- �, ., RANSPORTATION.�:IMPACTIUTIL�I'f1ES�IMRA�7 A(�1�>ItESOU�tCE RECOVERY FEE3:�Th�under�i�ned�urtderstands ,�� ' atTransportationlmpactFess;and_RecourseRecove,.ry.Fees.m`ay�;spply4#at(�econsttuctlon.;ofnew..b.uildings;:�change�of�'��'�'°r�=�l'y�� '' } :e in exi'stfng tiuildings;;�a�r-,expa�ist�mof`�zi,eN��sbr�ll�fings;jas-specffied.in Pasco Courity Ordinance number 89-OT and ; )-07, as amende.d,.,_;:,Th�.undetsigned aiso2unde�staods, th�it°suoh fees;,;as��may��e:�due;,.�u�IF:ibe iden�[fied at the�time�of�="�`����-=��-- armiNing. It Is fiirtFier under'stoo�d that Tra�isportallon.Impacf`Fees and:Resour.ae'Recoue��Fees-..must be pald prior to ceEvtng.,a�'cerfiflcate�,of-occupan.cy°•=or�flnal�.power=release. :I�`the:pro)e�t;,does:no��'Invoive��a�.certiflcate:ofoccupancy.�o��-�3'=�`��"�='`'� ' � ial power=•release;,�the��fees:�.:mu9t�°tie`pald�prior;to'permit Issuance. .F�i�tk�ermore;�if�Pascmf•County;�lllater/Sewer�;impact������-�:;�-�� � x.,,_, . es are due,rthey;�mus,t�be�patd;pHor to•�pemiit;lssyanee:�n accordance:wit�;appllcatite�Pasco'_County�o%�dinances. DNSTRUCTION`t1EN LAYIY�(Cliapter 713� FloNda'Statut�a�a�emernled): if valuatlon af.work is$,2�500:OO,or;mor,e;;l:- : : �.�;�. �rtify that, I,.�he_:applicant,,..�iave<been:-;pcovideil._with�-a,copyrof:�the°�_"FlorJda�-Constivctlon_�L(en;':law .Homeowner's �otection Guide".prep'aretl.by.';tFie�Fio�ida Dep�rtment�.of Agric.ulture and Consum�ar�/hffa(rs: If the appltcant is sorr�eone , her than th�`owner" I cert .th�t.l�.have;.obfairied3�sco :of:the.abQve.�. s, � �tfbcu�ent�and; � � �� � �`. �. . .. ;� PY. de c�i�ie��`.�` °pro�iise;in;good;,faith.to, . - ---. jOver it to:the�"owne�";priorti;to�commencemeiit: �'j:� , � ' ._, _ .. `� _ ::'"';":: � " :.•_.,. . - _ ONTRACTOR'�/OWNER'�'AFFIDAVIT:_ I.,ceitl[y,;t�iat:;all��th�,information����thi�:appitcation is accurat�:and that all work ill'be done in compliance with all.applioable`laws�regtilating construction� zoninp and�land�devefopment. Appltcation is _ �reby made;_to.obtain �a::perm(t;.:to:,do�-wotk;�and��liti�tailation as indtcafed��•:;��;I:,certify tfiat no work'=:o� Installatton"ha's � �mmenced`prior to'Is'suance of a`periiait`and•thaf.all�work will be performed�to meet-standgrds.of.:�ll laws regula�ing- � mstruction, County and City codes, z.oning regul�ttans� and land development regulatlons"U�'the`r)u�isdiction:�:�-1��a1'so� . �rtify that I u�derstand that the regulatfons of othergovernment agencies may�apply�_to,,the,intended.,work, and that it is ; -� y responstbllity to identify•what.acQons�I must.take;to bedn:.compilancs.y Such:agencles•�Include�but=are:not Iimited.to: � � .�.,.=ii.,.}.�r. .. �fr �.�.h 4 J'.�.�:��...�. ., - Depa�tment of Er�vtronmental>PFotectl�n�=`C�ress:`B�yheed�; Wetiand%Areas and Environmentally Sensttive , Lands�WaterNtlastewater Treatment. " � � - - � - Southwest FloNda Water Managemen��sl�istrlct-Wells, �•�Cypress.��.Beyli`�ads�;�� Wetland Areas, Altering �� Watercourses. • � < . - Army Corps of Englneers-Seawalls�Docks,Navigatile lNaterways. - Department of Health.:;�..ReMabilitaHve Senitces/Environmental:,Healtfi:Unit-Well.s;:�Wastewater�Treatnient, �° y ,r•,. .. . r,:. ; . - � ,. N , . ,,. . , . ....... ... ... ... ..r. Septic'Tanks;., _._...�_ ..,.,.: '..- ._ .. . . _ _ .._ ._ - U3 Environmental ProtecBon Agency Asbestos abatement. - -Federal Aviatlon-AuthoHty�Runwa.ys: �� ; , , nderstand thaf.the_follotii►�ng;resf�icUons=:apply to�'tlie t�se of flIL• -- - �Use of fill Is not allowed in=Flood Zone"V"unless expreasly.permltted. - If- the-flll�_.mate�lal_:`is`:to.``tie-:used=fn::flood�.Zone. °A",`If.1s understbod��that�a drainage`plan addresstng a "compensating�volumep will.be submitted at�tme of p.ermittJng wfiich ts,prepared by a professtonal englneer Ilcensed byAtfiezState�cf�Flotida:, . �� .. �- .� ��� � - If tfi�:.flll.:mate�lal�:is:_to�be�used tn �Idod�Zone 'A" ins connectton•wlth:a��ermitted buildin8 usin� stem�wall construction;.l certify that fill:Viiall.�e.�sed only..to.fill the.a�e.a:,wtthln:the��tem wall. ..... - "If flll=mate�lal=�'rs�to'�tie�used`°in�any-area; i'��certifjr that .use. of such�`flll will-not adversely aifect� adJacent ' propertles. If use:of fill.is found to ed.vereely,�ffecf'ad)aEernt��prdpertles�.the owner may be cited for viorating• 4he"condwons=of.the`ti�iilairig;;p�rmft Issued;'under tlie�-attached.,pecmit_-eppucatlon, for��lots less�than:one (1) , acre�which a�e=elevafeil�ti"y�flll;:.��r engineered dralnage plan�is required. . . _ - am the AGEN.T.,FOR:THE�O.IMNER;;`I,�promise,IR;good�f�ith to=lnform-the•ownec:of�the,:permJtting:conditions-set forth in r�`� s aifidevlt'p�for to-commencing-aonstructt�in. �'I`unde'stand that�a;aeparate permlt may be requtred for electrical work�, . '� ��.. .,.�, ��fz� ���{ imbing, signs, wells,,;pootsi,alt_condltioning,.:gas,,.orotla�er instal�'�tions�not•spec.ittcal�y Included�in.the applicallon. .A . ._. ��� '..�:,- , �Sn. �:.u:.+i..,..i ' r t �:� , rmit Issued�hall"be:aonstcued�to'be�s°�Iicense=to,:pr�ceed wittrtFie'�viroFti and not�as:_authoHty:to.�.vlolate;��cancel;�alte�, or ���. ' �aside any provlslons�of'tFie:teclintcal:codes;�nor shall Issuance�of a.permif.pr.event the Bulldirig Ofticlal from thereafter �. �uiring a coRection�af er.rors,-in�_plana,'constructlon orvlola8ons�of�any►,codes:-��very,.�p�l'mit:Issued=�hell-becdme�invalid ' • less the work autfiorized`by such permit:�s-com�ienced�witlitn.$hc.moMhs=of;.permit Issuance� or if work authorized by ��` a•�.r�� .. � . �pe�mit i's suspended;or.aba�doned#orxa�:#�eriod�of:,six�.(8):mon�s;:affe��the tirne the�work��s commenced. An extenslon , > � i .h. v.2r�.. � ,',vl � iy be requested� in writing;::fro'm;`tFierBitllding;OffiElal::for a period�not to.exceed=ninety{90)��days:�a�d wilf demonsfrate ;.; ; tifiable cause for:the extension: If work ceas.es,for ninety(90)conaecutive:day�s...the)ob�is constdered aba�doned. - . _ .. .. . �.�_:.._�. , y ; r.,. -. ; ►RNING TO OWNfR:• YOUR.�FAILIJRE�-TOr:R�FC:ORQ�A;.N�TICE,:OF:CbMMEMEEMENt'f�MAY9RESULT�IN�YOUR � � � YING TINICE:FOR IMPROV�EMEN;S�T�?;YO,UR::PI�OPERT1f.��;1�°:YO.U:I�FF�'EI�D"7'O`;�8�'�AIN�<FIN��lE1NG;�CON3ULT �-�^ 4.,, �9� ��1' - - . �� =O, i�,: �� - �'!�. `„��..� �'i'=., _ ,•� ,Y- , y �RIDA JURA'f•(F. �. 7.03)� .... , � ' � .. -- — . �. NER OR A08NT CtlNTRR4T0 - scxtbed an bswom or afflrtned)�b ore e this - Sutisal���nd�'swo to(ot'aflirme � ` re=me=U�lA , i Islare personally , to•m�or•haalhave produced Who:l's/ .=Rersan'llylti�ow►t:h►me:orefiaslhave-��oduced. � ae;Iden8Rca8pn:+ - . " " � . as'Identlflcation. ' A - .. .;c_, . Notery Public . G�GZ�- � Notary Publlc imisslon No: ' � Isa n o._ ' ie of Notary typed,printed or atamped Neme`oi Notary c�.� or .��a�� +�. �� E BOGES :�� :: Commission#FF 150422 ' ' • _;;��i+,��as Expires December 12,2018 ���P����`��` BoMed Thn�Troy Fdn Inswance 800385.7p�g � - • " s � r PROPAME GAS Service Order/Proposal � � � � -'� AND AIC �Hc. Air Conditioning 8 Heating "��ce^�988 8 i 3-782-50��3 r--� -- � !�'('��f r,i-���—[���. <<-.-' 1� (' q �� r.�7 � r WLfF.R IiR.IJ�.R',rf �.,'�RY�.L_EFll�i4 _'JJ�..t_ "G_ Sales, Service & Installations . _ r,�i7�F��;F;�;:r�;� -�-�;,,,�i•.,, �-�7,�r,,�_,f��, ,��-,„�,�_ 444 Allen Rd. • Zephyrhilis, FL 33541 �����f;�.�,. :�.�r =��� v���� NOTES: � l�. ':7A'f(=� T:C i'�i�-- :-,�an� ;_�����-�„e���,��; ,Ct� l_%Jl, �Gf � C�i%4.��'-s.' >•'.[`f G'� �_- r' .r, _,,.x.��.:_� ��'�-"��. '> ��,�:�.,..�,-e�����`� .y �� y�,� �t CC� ie!:4i ! fJ��'I�!`{�'.��..1:?Lsrr�� a.l ij'`�����1 !,�'._I.J 1 f �; r� . c ..!n � �.r�(�t�J(:!'L'/:�'� �/''` :Y.J�, �'�jf.�.�{ j�'�f �!'-II.�f4il�:t" ��i..:�'"" (G�n ._�ry a.•J - � r � .. c; /; ' �?��:.;'i'�'. :��•::'-a F'�:;F. �ra��,F:r�� ,J�:r��-:���� ��;r::�;���;, ..�,���,;. ��.�_��} �i��ci�� F%�( �:�;.:i�} �����7�1��'r_. 1?�r F,i I-1 !��J i�= i i�a i='. 7�F•���1���l.L�_�_4J �`'. .J•:�c�`�-,tt= �G�`i"��i��:�"��1--i�:? i 1._'._:J��•i:' Y� . I !'J�1-I��i • ��i17'f" E�F= F=1��:r1��dz L•J.t�hfT�, ^,lL:►•� ����; `L�i�:T�i.._!__l�:r� ;�«i}!u 1r?:�l..L_ ��'f�i' ? /_; UC��(��w t:��iao��1/.it�,� � � -c• - " - ..._ ._..:-. .:...... ,..._.. ......,,.;..-..,��,:_.-;:._� - - - - .. ..�..:- :._:_� , . •:: . . -:���_,. - - s=:,L::r_� :�;z.:: -- - - - .._� .�...-. .. .-.. ... - .:...,_....,._..� -..,...:..Y ' -. ...'::.- �. - _ �:';cJ�:�,�t ' '.l. � '�,�f' —i."S:v. {s� _�_ b� _ p ' p ' �+� _ ,`�'� ��.y ' +� - �"�� ��i T" ,c�` ��auivT �'s-y '�7"+I�::_ �V>. '"�7-... 3!1� .�41 :'f1lYF �t3ES O �F .O 3�F'i;,"r'•`.�^ � G P�i N;:O tlfl K�' -M1�T;�'. - :�S•'=:::� � R - - �t ._s.,:�� ..�', V:_:r� �.,._� .�::`�: ;;f� - - � _ _ ;�.�� .:�.;,,.:,a,_ ..::.:.., .,,.� ...... ._�._. ..._.. ,:�, � .. .. .,..:.., .�.�,;:,..,.: �..,.,�..:.__.... .. ..... - - :�._. ..:. �. ,..:, ; :- . -�- :,�. .._ .�.. ... ..,. ..� �� __...,,. . _._.. . _. .�.:....:���- .. ;: : ,.. , _... ��,,..._.,__..._.:.._...,. ..... ,. ...._. . ...��..,�' �.t_� n;,,.V _._::�s�,;;,:.::.::..::.:::: . --� µl . _, _ " � _�:.._ i - --- - I - -- - - --- - -- - - - - -----h - ,.�'_.ti. _C�n _.�'C.- -�••- -- ---I- - --i- i i � �.-�". !�� � ��?� � , i it�C� , . � i t i i � "" �� 1 `� ' I ' ( ���J I I , � • • , I I �o � /��: .� �.ii .� n 1 I 1 � I I r ' ` I I I I I L � I..-� 7'� � � � ` � ��yFt: . , � RE�OMMENDATIOf�S.`� .. - , _ , i . � ' .. - i i ;Anri�ai�Mai a�ce Recom�ierided'tiy Aff'Equipmeiit"iNan�factuie�s::,-, � � � ,�� + . Pressures Lo HI T-Stat i i � _ _ .... -.,._,.,..w,_ _.,; ..-._. _. _ _....: ,. .. _ .i.. . � . ... ...-.. . ��G� _ .REFRLGERAN;Ff�` '�1:BSi�`:-,•; -_-- " >`:6'.i?et:i6S.t_: ; -_ .. :p � FILTERS x x Changed Monthiy I I �3� �Q� FILTERS x x Changed Monthly � � �� - _ ` .....a ,.. .. ::.,-, ; ... - ❑ REGULAR ❑WARRANTY -:'�Q��=�Sk1M(�AARY` � _Defiumid'�i tat Settings::.When here Q,-When Away 6�� T-Stat$0°; ❑ MAINTENANCE CONTRACT � �SERVICE i :7..,__ _ LIMITED WARRANTY: All materiais,parts and e uipment are warranted by the manufacturers' `. � � -'" " � CALL i q , fUIE`EHQD:<OF�pA'#'�1?1E1�-T.�.°,="_ or suppliers'wr�tten warranry only.All labor performed by the above named company is wartanted for -` - " " � ... _..:-.._._.. ... _... 30 days or as thenvise indicated in wri6ng.The above named company makes no otherwarranties, ❑CASH ❑CK# TOTAL i ex press or im p�ied,and its a gents or technicians are not authorized to make an y such warranties on MATERIALS i behaliofabov�named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � '_.` � '. . . PROG. W/ C � I have aulhoritylto order fhe work outlined above whith has bean sa65factorily completed.1 agree fhat Seller retaina UUe lo e�qulpmenUmaterials fumished until final payment is made.If payment is not made as agreed, CLAIM# � • seller wn remoYe said equiOmenVmale�ials at Seller's expense.My damage resultlng from said removal shell not be the responsibility of Seilet.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO � ALL UNPAID B NCES OVER 30 DAYS.NO REFUNDS DATE COM PLETED TECH: T� � i CUSTOMERSI�'iNATURE DATE a/J!%L!//Glfi ✓ou TOTAL 1