HomeMy WebLinkAbout16-17912 �1
`�� " CITY OF ZEPHYRHILLS
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' 813)78o-oozo� 17 2
i BUILDING PERMIT ��
PERMIT INFORMATION OG`A'1'tO1�tiNfORMAILON
Permit Number: 17912 Adde�s: 37619 EUKOM AVE LOT#'i�5
Perenit Type: MECHANICAL ZEPHY�II�L-S;-FL=-�--�
Clas� of Work: A/C CHANGEOUT Township. Range: Book:
Propa�sed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ,are Feet: Subdivision: GRAND HORIZONS
Est. Vaiue: Parcel Number: 34-25-21-0090-00000-1500
Imp�ov. Cost: 3,960.00 . OWNER INFORMATION "
Date Issued: 11/15/2016 Name: BARTLE LELAND & LINDA & WATERMAN
Total Fees: 55.00 Address: 6416 SILVER OAKS DR
Am�unt Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/15/2016 Phone: 813-788-5363
Work Desc: A/C CHP►NGE OUT 3 TON
�- � CONTRACTOR S APPLICATION FEES
BAHR'� PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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� Ins ections Re uired �
DUC�B 1 NSTALLED
DUCTSINSULATED
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REiN PECTION 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.
NOTIGE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may b�e found in the public records of this county, and there may be additional permits required from other governmental
I 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 properly. 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 performed in accordance with
; City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I i �. NO OCCUP/ANCY BEFORE C.O.
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!'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
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a� �-7eo-oo2J City of Zephyrhills Permit Application �j��y tb Fax 813-780-0021
� Building Departrnent l� !
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Date R�celv�d gG�, "9�773 - �`� f
;i - � Phon�-Contact forPeririltlin ` L �1 L
Owner'�Na�I e L �/�! Owner Phone Number U`�7 � �O O `` .�
Owner's Ad I�ress ,/ / �B J» v� Owner Phone'Rlumber
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Fee Slmple FlHeholder Name Owner Phone Number
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Fee Slmple 1'Itleholder Address >
JOB ADDRESS ��` e�D/1'� � LOT# �]
SUBDIi/ISION ��ND O/"LZD PARCEL ID# �� �� ''o�� �� (� Q�� `�
� _ . (OBTAINED F,ROM PROPERTX TAX NOTICE)
WORK PRO I OSED :,�,NEW CONSTR ADD/ALT Q SIGN �Q Q DEMOLISH
� .B, INSTALL � REPAIR �
PROPOSED:I SE Q SFR- Q °COMM Q OTHER �
TYPE OF CO STRUCTION - Q ` BLOCK ' Q FR�fUIE Q 'STEEC Q _
DESCRIPTION OF WORK - ��i� C� ���-�,f � s^ O(,,C�'�' � � d
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BUILDING Si� E ' SQ FOOTAGE � ^ ; „HEIGHT . _. , . _
Q B i LDING $ VALUATIONwOF TOTAL CONSTRUCTION '� , '
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QELI CTRIGAL $ � � AMP SERVICE Q PRO'GRESS ENERGY Q W.R.E.C.
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OPLI MBING $ - ' ' , ,,;'� f � ^���
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QM ICHANICAL $ �q j_�, vo VACUATION OF'MECHANICAL INSTALLATION ��
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Q IS Q ROOFING Q SPECIALTY Q OTHER�. �-�- j��
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� FINISHED F IOOR ELEVATIONS FLOOD�ONE AREA QYES NO
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' BUILDER
COMP'
ANY�`'
SIGNATURE REGISTERED Y/ fV FEE CURRE� Y/`N
Addres - Gcense# ' I
ELECTRICI I COMPANY� �
SIGNATURE� � REGISTERED Y/ N FEE'GURREk'�' Y/.N ` '
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' r4ddress � - , , _- Llcense#. - - _ � '
PLUMBER ` I COMPANY ; �.
SIGNATURE° ' �REGI3TERED. � Y/-N ' FEE CURREA " Y/N.
Addres i Llcense,# �
MECHANIC I' ,r���,,!,,, � C.OMPANY 1eS.� �4l11��j7�9F'�La �t�iL,
SIGNATURE� ' �d�� �� _ REGI'STERED , Y,/ N . FEE CURREA- Y/�N
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Addre�� �'.��7,�'������D�L 2= �ILLS 3�5� _ " �icense# C����''-�' . .
OTHER ``�I' � - . . � • ; ° • `tCOMPANYy ' • .
SIGNATUItE{ •• - � "�- ' � �� � k ° � p REGISTERED Y/ N._ FEE CURRE�• Y/N
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Address ,, • :,� ., u_ � .. . . ' Clcense# � " �
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RESIDENTIAE::; :AttacFi'(2)„Plot�Plans;,,(2)sets�.of<BuIlding Plans;(1)set of'Energy=Po'rins;�R='aW:Pemilt for new construcUon, '
`� ��.:Min(mum:ten°:1,0�worliln "da. :after,;submlttal clate.�:R'"ulred on§Ife;:Constiucdon Plans;Stortnwate'r'Plans wr%Sllt'Fence Insfalled,
�:.,�, ,�.•: .,,,. ,...�..r)a._. , 9s Yg. �
---- __, Sani�ery Faclllyes�8.,1:,dumpster,�Slte�Work;Permit for sub.tliyislons/large.proJects,� ° :�:- • � , , "- _ _ - - __ ,_ _ __
COMMERCI �—Attach(3)complete sets'of Bullding`Plan�plus a I.,ffejSafet���?�g�;�;�)=se4 0�@�ercy'rorms.-R=C'i-W-Permlt for new construction:--
- : -- --- -- ti�ir�ie�r�urei tan(10)working days`after submittal date. Requlred onsite,ConstrucNon Plans,Stortnwater Plans w/Silt Fence insta{led, -
Sanitary FaGliBes 8 1 d'umpster.Site Work Pertnit for all new�projects:.All commercial requlremsnts.must meat compllance ' �
� SIGN PERMI� Attacfi"(2)sets of-Englneered;Plans:. :.:�;-�= - �. .�- . `
"'•PROPERTY SURVEY requlred for,all NEW construction.
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D'�eVIIDA�� '1 ' ._„_�.`�._`�_ .. i . ' . '
FIII out applicatlon completely.-`-� -- � "-
Owner&�IContractor slgn back of appllcaUon,notarized - -
If over�¢500,a Notfce of Comm�nc�meait 1�required. (AIC upgrade�over 57500) _ .
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'• Agent(f�r tlie contractor)�or P vvvcyr"of Attomey(for tFie�owner)would be someone with notarized letter fram owner authorizing same
OVE�THE COUNTER P,ERMI��NG�a:�StQc�&of�Ap�Uc�Yioi�O�ly}�'�x %' ' � "�"�` -
Reroofs If shi �@S / 5 a e r a ii, 1 f�'f�'�`es.N�� �i����.#yy ���'e�yT�r _
� Sewe�� -Se�2se�l'Jpgrade's A/C ,.�er.�,c�s.(P'dSurvey/Footage) ,�,��. _
��ti�'��- � t+Saiu :.fi:iU�T Y7SF:lf •-;��� e��'��:
� ,�.�..fil:t�i'f�i;fi 9?+�i'- :=ir�c�=1•�`��t)b3 ;,, �� y'�.�, � C.•-{tl?i3�`r Y� � �a e
Drlvewal -Not ovar Counter�if(On publtc roadvaays7:need's R01N�' *' _ i�''.�'t',��,``�4{�a� �'"'�is`��`''� 7�54� as�= �
.� '�' '�� i�:;'.,.fa`�'� '� ',� , "� :r�`� �,�,r,�:.���.' � C�tSu+Eli +i'a nt.tzcts�!�:t�:� a�i ,a,r
f.�f(�.t}il�iii.. S�6G..y!"tiY: • :��iU'�'
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�t?d=:�tji..y iS^d:?f.'f;�i�7tl:";:It,^Ohpqa n�i��• .fl$3i'�y:.)�'� I�1LL�1�Si iS:
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NOTICE OF DEED RESTRICTIONS: The undersigned,undergtands:th�t;thi�:p�r:mit°.may.be.subJectMto,"deed"S,cesUictions"` z � "
which may�tie=more�r.estFlotive>th�i�=Cbunly��reg�ilatCons:`yThe�underelgned�-as�ume�'resprtinslblltty#or'comp�llance in►ith any""�'�"'�"v'"�
apppcable:deed=restrictlons. � .-�..:� ,:.�: -: _ � _ _ .. , .. -..,.. -.,.. =. �° , : � ` � _
UNUC�NSED�CONTRACTORS �ND CONTRACTOR RESPQNSIBILITIES: �xlf�the•owner�has�`hlred��a.conhactor or
contractors to undertake work,they may:b;e.re�qulrsd_�to:be::llcensed In:accorifance_with�s..tate;and locaf_regulatlons:���lf=the� � -� �� °
� hY..:...).-.%�:
contractor Is=not Itcensed='as-requlred"tiy law, both�the oeimer_and��contractor�;may be clted�:for a�misdemeanor vlolatlon
under state law. If the owner or In�ended�;contca�tor ere,,�uncertaln as to what Ilcensing requlrements,may�apply�for�tlie�.�����__��
intended work,they a�e-advlsed to contact-ttiAe�Pasco County;BuIlding�Inspectlon,DCvlslon-Llce~nsing Sectlon at 727-847-
I 8009. FurtFiermore, If the owner'Fias�`hlred�a conhacto��o� con4r�ctors� he Is advlsed to have the c:ontractoKs);,slgn,: _.
-__a.�s.`...._5.- ��..�7:.r,r„„•�
portions ofthe_."co�tractor.,Block°of thla�appllcatlon..for,;whlch.they wlll..be..responslble.�. If::you,-asMthe owner''s_ign"as the""
contractor,-that��may be an indicatlon that'he'is not:properly 1lcensed�antl`�Is not-entlNed to permlttfng p�ivlleges In Pasco,
County. ; d��.'�::_..5�, , ..t.
TRANSPORTATIONaIMPACTIUTILITIES�rMPAC7�ANb-RESAU�tCE RECOVERY•FEES:"The understgned.-u"nderstands
I that Trensportatlon Impact Fees and.Reco.urse.Recovery.Fees mey:�;apply�ta tf�e;construction of new,bulldings.�change�'of�-�' `-����'°'•
use in existing bulldings,�oc.:.expansio��of�exlstin,g��bulldings, as specffted.In.P�sco County Ordlnance number 89-07 and
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� 90-07, as amended.,�_The und,erslgned also;understands, that:�such fees;��as�may:tie::due;�wlll:;be Identlfied at the'.titrie�of���° �ti'� �'� �
permitting. It Is iurtHer understood that Transportatlon ImpacC Fees and'�Resource..Recouery�Fees;,rn.ust be pald prbr to
recelving a'certlflcate-of occupancy"•or flnal•�.power.-release:��:If�the.project..does.not Involveia.certfficafe of occupancy�=o�v��w''~�`e- `
, _ . .
flnal power release;.-,the-,fees mu�t�tie pald;p�lor to.pecmltissuance. F��tk�ermare;�If:.Pasco.County�Water/Sewer<<:Impact -:������
� fees are due�,they m,ust.be�pald�prlor#o,permit��Issyance�In,accordance.wltH gppllcatile_Pasco��Gounty ordlnances. •
, GONSTFtUCTION�L"IEN'l.l�Vll"(Cliepter 713� Florlda St�tutea�a��amended�: If valuatlon of work Is$2,500.00;or more;.I°� �� -•-..
certify that I, the :appllcant,: have.been provlded �wlth-a copy-oY th�� "Florida� �onstructton` Lien.:Law—Homeowner's
Protectfon Gulde" prepared by.the"Flo�lda Department:of Agrlculture and Consumer.Affalrs. If the appllcant Is someone ;. „ .
other than the°ovmer", I certify-that.l h�ve:obtained=a�sopy;of.the;aboye:.des.crlbed'tJocument:and:promtse;ln;good�faith�to �- ��.
deliver It to.the<'owner"�pi�ior�to�commeriaement:� ' � � � .. � -` ' � , �-
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certity,�tti;at:all,_theylnformaNdn:,ln�thl�appllcatlon is accurate.�nd that all work
will'be done in compliance with all.appllcable laws regulating constructlon, zoning and::land'devetopment. Appltcatlon Is
hereby made to obtain .a permit�.to_do�.wark,,and�Ihstallatlon as Indl�ated:•�=�•:I. certffy thet no work;or Installation lias
�i commenced prlor b Issuance of'a permlf"and that�.all wark auill be�pertormed to meet standards-of all laws regulating-
construction, County and City codes, zoning regulatlans, and land development regulattons�tn� tfie:jurlsdtctlon.- �I.al'so
certify that I u�d'erstand that the�regulattons of other government agencles may�apply�to the_lntended.work� and that it (s
my responslbllity to Identlfy•what,actfons I must•take:to be�In:.compllance..;,Such.agencles-Include but=are.not Ilmited to: �� �-
- Department of Env(ronmental�Protection=Gypress�BayFiead�, VVe�end Areas �nd Envlronmentally Sensitive
Lands,WatedWastewater Treatment. � -
- Southwest Florida Water Management:":Distrlct-VVells;` Cypress.� Bay�eads, Wetland Areas, Altering
Watercourses. - - - . - :_ � •
- Army Corps of Englneer"s-Seawalls,�Docks, Navlgatile Waterways.
- Department of.,Health�:,8,;Rehabllltativ.e.,Servlces/Er�vitonmenfal.:Health Unit Well.s� Wastewater�Treatment, �
Septic Tan�is:_.:` ,:: ,'. �:.- _ _. .
- US Environmental Protectlon Agency-Asbestos abatement. ,_
- Federal AvlattonAut�ior,lty:=ftunways:� -
I understand.that the.folloiiving:.restrlctlons apply fo the use of flll:•
- Use of fill Is not allowed 1n;Flood.Zone"V"unless expr.essly permltted. .
- If Qhe.�flll materlal-Is to'b.e used:`In.:Flood Zone. "A"� tG Is understood that�a drainage pian addressing a
°compensating volume"w111 be submltted at�ime of permltting wh(ch is prepared by a professlonal eng(neer •
licensed bythe�tate of'Flo�da: .
- If ih� flll m�terial-is to be used in Flood Zone "A" ln�connection�wlth:a��ermitted building using stem wall
� conatruction, I certi,fy that fUl:vi►all:.•be used only.to.flll the a�ea wlthtn�the stem�wall. �
- If flll materlal Is to be used ln any area� I��certlfy t#�at .use of such flll wlll not adversely affect adJacent
propertles. If use of fill Is found to adversely.�ffect adJaEent��pr�pertfes�.the owner may be clted for violating
the condl#ions_of the bullding-.permlt.Issued�under the°atEached_permit appllcatlon;for:lots�.less�than.one (1)
acre whlch are elevated�6y flll,a�t englneered dralnage plan Is requlred. •�
If I am the AGENT FOR THE OWNER,_I;promise In good falth to Inform#he�owner of•the permltting condftlons set forth In
thts affidavtt prlor to,commer�cing constructlon. f understand that a-;separate permlt may be required for elect�lcal�wor.k, . .
plumbing, signs� weUs,.pools; alr cond(tioning,.gas,��or.otMer Instali�ttons nok spec�laally Included-in.the�appllcation. .A
, permlt Issued shall be constcued to be�a�Ilcense to proceed wlth tFie�iork and�not-as.authoHiyto,violate;"cancel, alter, or
set aslde any provlslons of the.teohnical codes; nor shall tssuance�of a.permlt.prevent the Bulldlrig O#ttctal from thereafter �
requlring a conection af errors ln.pfans;-construc.tlon.�orviolatlons of-any codes:� Every�p�ermlt=lssued=sfiall�become�invalid
unless the work�uthorized by such permlt:is.commenced•wlthfn sGc,m�nths of�permlt tssuance, or If work authorized by
the permlt Is suspended or.abandoned-for:a�,perlod�of slx(8)montfi�s,:sfter the tlr�e the�wowk�ls cortemenced. An extension
may be requested, In writing,,from tfie.�Bullding,Offlclal for a perlod:not-.to-exceed�nlnety-(90)��days and�wllf demonstrate
justl�able cause for.�the extension.. If work ceases:for nlnety(90)cons.ecutive daysr..th\)ob�is consldered aba�doned. � "
WARNIPlG TO OWNER: YOUR.:FAILURE..TQ..RE�.ORD A:MOTIGE:O�:�COMMENC�MEMT:IV�AY�RESUI:T IN�YOUR
PAYING TYVICE;FOR�IMPROVEIVIENTS•Tfl:YOUR��:PRt�PERTY:~�IF°YO.tJ�IN�'FEN�:TO��OBTAIN�FIN�If�EtIVf;�.ONSULT
�JVITH YO�l13 9�ENl��R:OR AN°ATT�RNEY�FOR�iRE�OR��ll�f�=YOUf�'�0�7�E'O!F''��AfllI�EMC�ENT: '
FLORIDA JURA'f�(F.S:t17:03) -. , _ _. -- - , _ .,. _ -_ • --- -—--- - — '
OIAINER Olt AOENT . ` ~ CONTRAGTO �'�- �
Supscxlbed and swom r fflrmed) e me thls Sabscrlbed and' =to(ot atflrtn )before"me'tfit�-� "
iI-ID-I� �►�---��i�/rd►G �. �lSr.t'I�' 11��-/L . . `� � � Mis r �
Wlio Is/are ersonal(y knoemm�n.me.or has�ave.prodviced Who.ls/a . eraonelly known� me:or hasA��ve:•produced •
— aa Identlflcatlon. ` - a�Idendficadon.
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Notery Publlc _ � Motaty Publlc �
Co sslon No: � Commission• • �-
� r 'qa�,� �l►LYIAjI�.CA�IfPQE�I, ��.•�"."�N., �BYIVIAA.CAIV�PBEII
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Name o�Notary �.Mp�OASMh.,Erpire$;lal)'9,2017 Name of Note = �d -
_ y. om ., xpires Jul 19;2017
• � Canpmiesion+I FF 03�p3p ',� �r� Cummlaaion+R FF 034230 -
. pOndeQ�luaupN N�tt9i►N I�iy Afed: ''���q;n� � Bonded�throuph Nation8l Nolary Asan: _
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�`� �� ���&��� � `�� � ' PROPANE �� � Service Order/Pro.posal . � � � �
� ; AND AIC �Nc. .- Air Conditioning 8 Heatin
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��tce �988^ � 813•782�50�3 ' -�- - ' _. �
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Sales; Service & Installations _ �,�;-r� �;-�r�Yj� "i�;r�,;_;•,� �. �. :c��;.� :1.E�, ��_;;;;�,
� _ 4441 Allen�;�d. • Zephyrhills, FL 33541, "�F:�<.���`.� r,�� !-,,:;�� ��,}�ti
�C_ f,/�C_11: � ,��, ' �i� r� '7 ��"ii_ r-}i�'.�SI"'�.t�_7��1 e. ' �,�i��:' �� ..� �' $ f. �.
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I � $� 'C'.QC°,��', '' �� C3
F;ECDMMENDATIONS�... _- -� ,,,_•�r � E i i
�. - _ _ _ - " — _
�Annual M'�intenance Reecimmended.Fiy�Q11°Equiprnent`Manufacturers.�.-':�� � � � � �
�i - Pressures Lo HI T-Stat i i
_ , , . .. , _ .:-...� -.__�;,_..-.-_ ._�.. .
_ ...,..-.. _.__._ _ _ ..,.._. .,._ . _ .,_.�...-•:_.. ,..... - '=_i_-_:" i
I ' - REFRIGERANT R=�'_ --_'-lBSri._':�==l-_- ='✓$Pei Ibs::;�:_:`•�'r''_,'.}:;��' I
I -- = - - - - -= - " - - =
FILTERS x x Changed Monthly I I
I ' FILTERS x x Changed Monthly I I
I '�-_. . ._..:�..;.._,;..,.":.��. . ._.
❑ REGULAR ❑WARRANTY l�r `fOTAL`=SUMMARY= =
.�.
<Defiumidistat Settings: �Nhen here"ON".;�:When Away 60%a, T-Stat 80°, ❑ MAINTENANCE CONTRACT
q-,.. _ ,: : _ : ._ -- — SERVICE i
LIMITED WARRANTY: All materials, arts and e ui ment are warranted b the manufacturers' ; " �-. '" CALL i
P q P Y '. ='METHQD'OF'PAYNlENT:=-�: . ";.;`�=
or suppliers'w�itten warranty only.�JI labor performed by lhe above named company is wartanted for �'` " - ' - - "- - - TOTAL i
, 30 days or asiothenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or im�lied,and its agents or technicians are not authorized to make any such warranties on
behalf ofabove named company. , ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have authont�to order the work outi:ned above which has been satis(aaority wmpleted.I agree ihat Seller PROG. W/ C
retains title to equipmenUmaterials(u�nished until final paymenl is made.If payment is not made as agreed, CLAIM# " �
seller can remove said equipmenVmalcrials al Seller's expense.My damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 7!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO " s � �
ALL UNPAID BlILANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: T� " �
i
CUSTOMERSIGNATURE ' DATE ✓��j'L ✓ou TOTAL I �
'I ��/ w .�1�.