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HomeMy WebLinkAbout16-17924 � � � CITY OF ZEPHYRHILLS 5335- 8TH STREET (813)780-0020 �2� ' ,I BUILDING PERMIT PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 17924 Address: 37511 LORENA AVE LOT 107 Pertnit Type: MECHANICAL ZEPHYRHILLS, FL. Class'of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS E�t. Value: Parcel Number: 34-25-21-0090-00000-1070 Improv. Cost: 4,770.00 OWNER INFORMATION Dat� Issued: 11/17/2016 Name: HUBBELL SOPHIE A Total Fees: 60.00 Address: 37511 LORENA AVE Amount Paid: 60.00 ZEPHYRHILLS FL 3541-9315 D'ate Paid: 11/17/2016 Phone: 813-713-1380 Work Desc: A/C CHANGE OUT 4 TON � CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 � I ,� � � Cl� I I I ': Ins ections Re uired DUCTS INSTALLED DUCTS INSULAT D FINAL �,� t� • (p �� REINSPECTION 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 ienposed 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 properly that � may b�e 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." Compl�te Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with ;I City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ';� NO OCCUPANCY BEFORE C.O. I � 1 � � I �� ONTRAC R IGNATURE PERMIT OFFI R '� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ;� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '� PROTECT CARD FROM WEATHER �I I� �� : � , 11/17/2016 09:57 B137831374 BAHRS RROPANE GAS PAGE 01/01 1�� � , e+��so-oozo ,City of ZePhyrhiNs Permit Application �8��-�D'D�� �// i ' , • 9uNding Qopat6neAt . . � �u.aemtv.a, ' ::t+.�ne:.coe�t�or++ '$! '9�� — 5'�/ � Owae�'s Nnma �""" ' .b. i•:•' //�C� au Numb�r ,O/3' —� '��D I � . � ' • .�^ , • , . . . ' 7�'ir �e , ae� ��r�� � _ t ow�»ra auarora � FN 9lmpta YltWholdu Nmwu ' �r���� � ' I ' .. ,� .1 :a • . ' I •.. �. � Fee Simpie,TWehold�,r,llddnese � . � � „ � , . . �. JQBADORE88 � D7't�/U6�- ��� I,ort� ' � .i � �,Ba�� �►a �� �r�zo�s��;• P�,.�� 3 as �� �a9a boc,�o.. .�o�� � � , ; ; . � . , coar�n�seaope�rt!TiucKaix�l !� wo�caRoaa�n . :N�►•c� noara�.s• � sa�• •'[�� • ' •`p' � o�aousN . ' , .. �ie. INSTALL) .8�•I •�R . , .. , . PRQPOSEO�I�SE � Q� '8ER •� a j "COMWI.`�, Q• •CTHER•. �oFaa�i�ctio�i 'p`• •e�.�c•j''Q�; FRaai� ' �j� :sr� ��p . , ,� , oescwa�wwo�wanc�• ' � HA�nJ e�d�� Tr L°.r'sm aNenry— . � , , , .. — . eu�i.a�wosag. � . � • �•sc�;�uort�' ' : .H�;F • . . peui� s ' v�.ua�nor���t�r�aesr�sx�ue� .. . � � . i , , . , ' p�crn�. . s ", � ; ew�sERv�c� �p �ss�+�aGv p wr.�.e. pPwn�,rao. �' s � i; i -- , . . ' QME4'FUw�C/A. �'�r�� � vKLVA7IQ,N�F:HIECFIAt,iIG�uVs'I`At lq'f10�.. , , ''�'�}`�/ lQr D1J- I ' ' ,./1 "� ,�' 1 ' , � � ' j `. 1 pcas p 'ri�oa��Np ;.�t s�cu��n..�. o�tt�ct . . . FINI$HEG FLOCR ELEVATl6N13 i I Fi,OGD 7,ONE AR£A �YE& .NO `. � ; i , � , : . � , • HiTILD�R • � I CG'eAt+`A��llf •.: � � $!(iNATURE ' � REC�SiERED Y/N ' F�E W� ' ''Y/N' ' • . Address � � U�� , ,. • : . . . . . ';^' �. , . ��cTwcuu�: . • I ��G�Pw+r� ' • • , Tw SlONATURE „� R�G� Y!N F�EEC�+•. ..Y/(J p,dd� • .. � �, • � . . , , , • ' •LteBnse*. • ' PI,INNB�R ' ' . ' •� ,,�R� ' �'.,' • ' , ' ,.. � ' ( $tGNA7URE''., , .� . , � .R�EY+�(ret�n •Y.!•N.: ,:tF�.WRI�•� •Yd t�}: ( �d� .� ' . � ! • �#��`� �YIECNANl�fI: d��`7y�t�' ��.; G.`AMIP/1,N)( ��..� .d+ .�...�' / `J� .L SIGilAA1'URE ;r�isi�o. . .YJ•N .,,;•�: C�`�1 aa��� / ��I' °Z=.�1E1�Z5 ,�t,L ' u�,a�:�L��G'D�3�''E I �� ,- , . . , ' . ., , f,. ." � ^ +"�'�"r.t'��PA}PIX� ' • . . . � . SlPNAYUR� +;-.� �• •�' � "�SiE�Jt�� 'Y/PI.. FEE cuRt�+• Y/Pl . IMMdro�•. `,M1 -.. , ,.'���'.• .I' `> '1'� e%`� •�Tl:Y1..t.. , • ..-��I' . . . . t�aio�;� �':at�ai•f�)�tp�I,xjs�:�i'i0'tt�el�,�ii)������Ra-�►r�+k��r..��o�p�c�w�. ," ,. . " r.;;,,Hlni��,a;���uR'�+�➢�X�a��Y�ffi•�•TYd'ai�tc�eanslC��tictloi►�Fian�s�rim�reter'Paatiis��d'3@tF�ce,irwteletl. "_k'aiittaryF. It��.. .: . ,: - . caNMl:Rcult. atled,(3}`ooin(�'6"Q ��' : °PFOn's ""aL'�`e'�ateq+� ,�..M��.��a��i�yFom�e.R�o-wi�nnitsornm+oona�,r'euon. t�nfmum ten h0)waKk�B d�efter eubm ttal�W. �d onsit?�Conabuotlan Pim►s.8tanmremr Plans w!s�!Fc�aa me�tlad, Sfr+�ay FeoAHiM�1 duin�ter:_�S.�iba WOIiQ Pertnit for eq n@iND�'0�WI aommefdalfeGuhemarNa,must meet mmpNe�e .: 81GN PERMIT AlFadi'E21'89�'dE'n�a��t+9i�^�.•�...�.: . •i,•:..::: . .. • ""PRbt+ER?Y SUitVEX req,utrdd t4i.,4�.._N,EW�6�EI�su►� . _ .. • DM�atlotW: ..�_c;.,��,-:: ,,:,. , , . . . , Fld ont appkC9t�f1 C4)11P.��Y• � • I. Qamer6Conheclol'etgnbaokofappl(wti0rt.ltq.��ed , ' If over 5�300 a Notlw of Cammanc�inint�A I+oqutnd.; (A1C�PB�ea ovsr S71UD) � �t�r:-;at„ �►�Y(�. .� " ngent(iorthe'aa►trat:�ot'PtAVerbt- uie woutd be aomcone wiB�not�ed letmriran owner eutlwrl�ng seme D1i�giH�COUN�•R�1?71N6...• .;-�Ftiont�ofApplbnNorrQnly) ;...... . ..• .. , Retoots�6hir�glas Sawara smrvloeUpgt@dea A/C� Fences(WotlSwveYlFoota9le) � , , , , . , , . , . oAveways-►Jotover Counror ff an p�31(c roadway+s:.i1e9Q�R3�Y11. . . • , , i . , , 3 ' � I _ 81�780-002� City of Zephyrhills Permit Application Fax 813-780-0021 I . Building Department i . i Date Recelved � Phone�Contact forPerm(ttln �/�1 %��- – �d/� .�. .� , Owner's Pla i e @�""' � d� //.C/U� � ner hone Number O��' � = � ��Q Owner's Address /��� /'e/l�� f"1�� •Owner Phone.Number • II . � � Fee Simple TI tleholder Name Owner Phone Number 'r, i! ' ; • Fee Stmple Tltlehold�r,.Addres� _ � JOBADDRE�S �75�� �Qy'e/�}f�. �UL LOT# � SUBDIVISION ��N 3� (�j"��d7� . PARCEL�ID# J �� o�1� �d�� �dD�O !��� , (08TAINED.FR�OM PROPERTYT�rcE)DEMOLISH � WORK PROiOSED , -;NEW CONSTR � ' ADD/ALT Q� SIGN B; INSTALL B �REPAIR �� PROPOSED�USE Q SFR Q COMM 'Q OTHER TYPE OF CO STRUCTION � Q BLOCK " Q FRAME [� 'STEEL Q _ DESCRIPTIO�OF WORK' -� �Si �� �/�/9`/� L'"�}d�� J� ��-7l� l�/1�L��}"�'"' BUILDING SIZE ' � SQ FOOTAGE � � HEIGH ��.. i� • , , T � - -°` = ', OBUILDING $ VALUATION�O`F'TOTAL"CONSTRUCTION i QELECTRICAL . $ ." AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. < . . � , QPI:UMBING � ' ' � OMECHANICAL ' $ rf VACUATIqN OF'MECHANICAL INSTALWTION '�/ �D, D� .. , _ . , QGAS Q �ROOFING .Q SPECIALl'Y .Q OTHER - FINISHED FLIOOR ELEVATIONS FLOOD ZONE AREA QYES NO � II ` r - � .. I , I BUILDER I , � (� COM PANY= SIGNAYURE � REGISTERED Y/ N FE6 Cl1RRE� - I Y/N Ii . . Address� • � Ucense# ' , �� . ._ � . . ELECTRICIA�N; ' =C'OMPAWY' � SIGNATURE f � REGISTERED Y/ N FEE CURRE�; 'Y/•N I ' Address� ` " � �_ License.# � � ,.� . . , e. _ � PLUMBER ' I COMPANY - � SIGNATURE`I� � �� ,._REGISTERED- Y/:'N., '. FEE CURRE�' , Y./N. - Addres� ' License.# • MECHANICAL ~ SIGNATURE � - ' ,li�l��G���7����h– �; . COMPANY �� S D .�II1�e �`J * �L� � I REGI$TERED Y./ N . FEE CURRE� Y/�N �I>'' '[�.'r7�I ���1� /� � �=/��LCS �.L ' ,License# L�/�GD� 3� '��. Addres�'�' :s.' f � - , i OTHER '� . , . - ` ' 'COMPANY � � ' , SIGNATURE' -�- � � -� •• � ` '' "REGISTERED�� ' Y/ N,... �'FEE CURRE� Y L N , II. , . _ . . i' . ` - " ' ' ' - Address�� _ ��• � -j . - L'lceiise# �Ftiii+li:ii+K' ' RESIDENTIAL��� •Attach"(2);P>lof P,lans;;;(2)setsiof;Bullding Plans;(1)sef of-Enercjy�Fortns';'�R�O=W'Perinit for new constfuction, � - �;����_.r_Minimumyten,.(1A)�wo,rl4tng;days;after,�subrtilftal date.�•Requlred on§ite„ConstiuoBon:Pl�ens;StorrnwateYPlans w/S(It Fence installed, S__ry Facfltti�es=&,1.,dumpsterTSite�.W.ork;.P..ermit for subdivislonsAarge_p_r,oJects___�;a,_ " ,_ _ ' _ p� antta ' :_ ;, : � COMAAERCI�L Attach(3)`aomplete seCs�of Building Plans;plus a Life Safety Page;(1)set of Energy�orms.R=O-VY-Permit for new construction.— �� Mintmum ten(10)working days after submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w/SEIt Fence installed, � Sanitary FaciliBes&1 dumpster.Site Work Permlt for all new:projects:,All commercial resaulremen4s,must meet compliance' • , SIGN PERMI I AttacFi'(2)'sets ofEngineered;Plans:: ���� .. x �. �� � ` � i ""PROPERTY SURVEY reguired for all NEW c�nsWction. , . ._ � • Dlrectlons: I� �.-��°_;-•�: � -' Ffll aut application wmpletely. Owner&��Contractor sign back of applicatlon,notarized If over S;t500,a Notice of Commencerr�ent i�required. (A/C upgrades over 57500) , �� '� r1nf:'i " . - � Agent(fo�the contracto�)`or Pow,eP,�,af',Atto�a„��Qc;t�ie;o�};vKould°be someone with notarize letter from owner authorizing same ��s...'c ,., F, •, ..:� � . � �r.�r+�'�Css�A�'+eMCs,aa.4u.�t�',"»;�-�u:f�lr6�'st`�t;:�'.-4' DVERTHECAUNTER.P��tMITY1NG�y'"'-%•(FrontofiAp�plication:Qnly) �'� s;:lkir,A,tt�;� .a .�,d.;'!2 ����o•.,, Reroofsifshingies Seinrers�� �����Service�Upgrade� A/ ��;ti' Fenc�s PIoUSurve /Foota e) �, �^'�;="°�'• � I _ .. .. .. _.. . ��... a ( Y 9 :�i;c�a t :���+� 1�_:F:,��,.r!;,;j }.r,. . .:ii � .�,� :;�L.;;td'd::.�-➢:iC1G':s`,'i" tA�' ,� r. :�,�„%r °' �� :J-- t� '�'�{�r �fF ��o.^}`r".'� S i(IS ���3t41.2✓t'i:Xu rP.tY?U.% (;�{ ..�s y A' 31��r, DPivewa�s-Not over�ounter:if`on`public�roa�lv3'ays..nee8`s��20W�' � ;��;c„ r ., ,�,� �`la �}:� � ;� , ., ��,;., ,,�,,,. �, 'f.:t 1. a'.i}?dr:;t);i1qcl _.,.r�:'_�.;;s �.i1�7}i,�t,iiCt'if.r:�i�c� +;,;:,sr.i G�rt:; ,r � ,a,��s"'a'�S t�1''F'�'w,'�p'""�"+.;.���.°�tr,�'�""4.4"aS, fss,:;:y�i����R,i i`.">:'.•IiGti.i(n�iit�;:�!rs'4^,?Fi ''/��d'°vn�`:�<"'��``:•d "��'x�.�'e"i;�g'x�r'��?ie'iYiNz��c�+�"c�ym�°�:a � 1 ,.. . , . NOTiCE OF DEED RESTRI�TIONS: Theundersignedundergtands�:th�ttthi�;.p�cmi€•.may.;be,subJect;to,"deed",cestrictioi�s"_'::;�'��;1�;`,y which may°tie�=more�r.estFictive�th��County��regr�E�tions:`"P�i�uiiderslgned assumes°n�esp�insibilltji=ifor compUance�with any ".. applicable deed�rest�ictions. -,:.; : : .. �:= '= .: • .. ,.. .' .�.,. .:.. .... d. -;:.�� .. .�•���. UNLICENSED-CONTRACTORS�A'ND CONTRACTOR RESPQNSIBILITIES:• =�:If-the�cwner=hasK�hired��a�`cenMactor or ' contractors to undertake work,.they may:b.e.re�qulred_�to:�be;,licensed_irt�accordance.with state.and,�local,tegulallons:-���If=the�-Y`� `�`��'�� cantractor�is nof�Itcensed=as�required`tiy lairt►� both the owner and-conUactor��may�be��cited'forya�m)sdemeanorviolation I � under state law. If the owner or In#ended�contcacto�yare:uncertaln as to H►hat Ilcensing require�nents'�rnay:;appiy::for�:the����; �� •���� :. ,.:.,. . ; , . . : __� .. __.._.,_.. t._ ..,,. � , . ..... ' intended work,they are:'advised fo�contact,the;Pasco County.Bulldtng;Inspe�tion�D(vision-�:icensing Section at 727-847- 8009. Furthermore, if the owner°tias`�hireii a conVacfoF'or contractors� he is advised to have �the contractor(s),;sign._ ,,., ,,_._ portfons of the "contracto� Btock" of this.application,foc whtch.they.will.be-responslble:-. If-:you;-as:the owner`sign`�as'"�the " .. '¢ ,. _ _ . �._.�..., :_. -, _ � contractor; that�may"be an indication�that''he`=1s�noti:properly'licen"sed�and`is°not`entftled to pennitting pri�ll�ges in Pasco ,., County. ' . :._ . . _.; �,_;�:�.;s.. : :,,�,,. TRANSPORTATION;IMPACTIUTILITIES�1�41PACY ANb:RESOURCE RECOVERY�FEES: The�undei�stgned understands ' that Transportation Impact��as and.Reco.urse.Recovery.Fees may.��apply��ta tf�e,;constructton:of new_bulldings��change�'of'_�`�=-� ��� �� use In existing buildings,'�or:expar��ian�rof�existin�g:�buildings, a§ specifled.fn.Pasco County Ordtnance_number 89-07 and 90-07. as amended..f�,The undersigned alsa�urtderstands, tliat"such fees;�as��may:�be-�due;,>wlll�be identlfted at the�time�ofi��-�•_���`� �`` - , . , permitting. It Is furttier understood that Tra�sportation Impaat Fees an�t�Resoucce::Recoi'►.ery�Fees..must be paid prior to receivtng�a.°certfficate.of ocxupancy"•or flnal�.power.release:• :If�-the p�oject,does;not,Involveaa�certi�caFe of occupancy�o�s=���•=�� r��° final power release;'#he�fees�mu�t,�tie paid;p�lor to,p,ermft issuance. F.,u�thermore;�if:Pascos County�'llVater/Sewer�<Impacfi -- .. . fees are due�.they�must..be:pald,pnior to permit_:issuance=ln�accordance-arlEh��applicatite<Pascc��Gounty ordtnances. • CONSTItUCTiON'l:IEN�LI4W"(Cliapt�r 7�3� Flmrlda Statutes��s�m�nded): I�valuation of wor4c Is$2,500.00>.or;more�_I�•-�� _ :k3_� certify that I, �he applicant,. have:be,en proqided��with a-capy�of the�°Florida-°Const"rtictlon- Llen�Law—Fiomeowner's � Protection Guide" prepared by,the"Florida D�partment�of Agricuiture and Consumer;Affairs. if the applicant Is someone; ;_ �.;: �-n : . .:i�: otherthanthe"owner", Icertffy��that-I:have.,:o.b.tained�a�copy;of:th�:abova:rlesceibedtlocument;and,p.r.omise�.in,good:_faith-to :..� deliver It to the"owne�'�p�ior to commencement:�° ' � ' ' -� = • -� ' � CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certiy;;th;at-all•#h�:,lnf.ormetion:in�thi�application is accurat�and that all work will'be done in compltance with all appltcable�laws regulating construction� zoning and��land�deyelopment:' Applicatlon,is hereby made to obtain .a.pecmit�,to�,do,-work;:;.and�Instellation as indl�afed:��:.1: certffy that no work�'or tnstallatton fias' � commenced prior to issuance'of'a perrrilf"and that.all work v�rlll be�perFormed to meet standaTds-of•�II laws regula�ing� construction, County and City codes� zoning regulatians, and land development regidations�in th"e�,jurisdtction.�� i�-al'sa _ '� certify that I understand that the regulattons of other governmenf agencies may�apply�to.the_Intended verork, and that it(s my responsibility to identiry�what.acttons I must t�ke.M be�in:.cor�lpliance..,.Such agencles lnclude but-are.not iimfted to: •, : - Department of Environmental°Proteetion=Cypress��Bayh'eads, Wetland Areas and Env(ronmentally Sensitive Lands,WaterNVastewater Treatment. _� LL "' � � - Southwest FloNda W�ter Management:.:District-Vllells; --Cypress.�Bay�eads�, 'Wetland- Areas, Altering VVatercourses. � � � , -, - " � � � � � � - Army Corps of Engineers-Seawalls,`Docks�Navigable Waterways. ' - Department,of ,Health',�,,ReMabllitatirre..Services/Env�tonmental..-Health=Un(t Well.s� Wastewater-0 Treatment, � Septic Tanks:__ . . . - - - - - ..� :� - US Environmental ProtecBon Agency-Asbestos abatement.., � Federal�Av.latlon.Autt�ority;<Runways:� . � I understand that the.following.�estrictlons apply to the use of flIL•� - Use of fiil is not allowed in;Flood�Zo,ne"V"unless expressly permitted. , - if the=�flll mate�fal-=is to be used::ln :Flood-Zone. "A", IG is understood that a dra(nage plan addresstng a °compensating volume" will be subr�itted at time of-permitting wli(ch is prepared by a professlonal�engineer � ��� Itcensed by#Ne�State of'Florida: � � . � - If ihe flll-material�is to be us�d in Flood �bne 'A" In=connection�with�a permltted building using stem wall ' construction, I certiry.that�ILwall:b.e used.only.to.fill the area within the�stem�wall: - - � If flll materlal is to be used In any area, I��certify t#�at .use. of such flll will not adversely affect adJacent ' ' properties. If use of flll is.found:.to adver�ely:�fiect adjaeent�properties,.the owner may be'cited for violating, ` the condifions.of the bi�ilding;permit issued:under the�at�ached_permit application;for lots�:less�than one (1) acre whicH�are elevateil�by flit; ��t englneered drainage plan is required. If i am the AGENT FOR THE OYYNER; I;.promise in.good f.aith to fnform the owner of-the permitttng conditions set forth In this aifidavit'prto�to commencing conatruction. �I understand thet a-separate�permit m�y be requtred for electrlcaP vvork, _ , . ,. plumbing, signs, wells,.pools;. air condit(ontng,..gas,� or.othe� instail�ttons no�.spec�flcally included-in the appiication. .A , permit Issued shall be constcued to be a�Ilaense`•to�proceed with thie.work and not-as:authoNty.:to:violate;�'cancei, alter, or set aside an��provistons of the�tecfi�ical.codes; nor shall issuance�of a.permit.prevent the Buildir�g Officialfrom thereafter requiring a correction af.,eRors in plans,,construction or violations of-any codes. Every-p�ermtt Issued sfiall-become invalid unless the work authorized.by such permR:is-commenced�within.sbc,.months of permit issuance. or if work authorized by the pe�mlt.is suspended or.abandoned-for:a;period;,of six=E6)�mon�s,:after,the:time the�wowk�is commenced. An extension may be requested, In writing�4f�om tHe.Buildtng,0ific(al for a period.�not.to exceed�ninety�(90) days and-viiill�demonstrate justifiable"cause for.the extens(on� If work ceases.for ninety(90)consecutive day.sr..th�Job:is.considered aba�doned. � " I WARNING TO OWNER; YOUR..FAILWRE•TO<.:REC.ORD A:;MOTIGE OF��COMMENCEAAENT:MAY-RESULT IN�YOUR PAYING TWICE;FOR_IMPROVEMENTS�TO.-YAl1E�.:PROPERTY:�1��YO.U�IN'�E�VD:�TO��OBTAIN��FIRtAt�E1NG;'C.ON�ULT WI� ` D O. AMATT NEY FORE�RECO � �: : � ,C "OF`� `�•; , __ FLORIDA JURA�_(F: : . T.03) �-�. . . � '.�, : � . , , , OWNER OR A�iENT. CONTRACTO L�Y�?1L, Subscrlbe and swom o.aNirm ) efo e me thl� Subscribed and' �to(ot afflrmed� ' te mse�� - Who isfare ersonali nown •me or haslhave.produced o.ls/are raonallyJcno • me�or has/have-produced • - '" as`Identlflcatlpn. ' � as Idendflca0on. , Notery Public . ' � Notary Publlc Commisslon N ` Commiselon No. �������� � ��N�Y p y�� SYL -� :i°o ;`�: Nofary Public-State of Florida .'��� �°�%'= Notar Public-State Ot Florida , . Name of Notary , ��t�op�d.ExpireS Jul�9;2017 Name oi Nolary ,�ta e ' � 9 ammission#�FF.034230 .�;; Commission#�FF 034230 '�.,�o���o;.•'� ,���OF 6��•� gpnded Through Natienal Notary Assn. � Banded TArough Natidnat Notary Assn: .,.nu.r• �I , � � �� � � � �� PROPANE GAS ' • � � � � � � AND AIC �Nc. Service Order/Proposal Air Conditioning&Heating �it�e �988 8 i 3•782-5013 � Sales, Service & Installations . �r��:s+�� �_��'���-�;>>:: :�r'�:.'4.i=.�;}j!��r.� -��_°��`,�, ��`. ,__�._ :�:-. [.,_�r 44�-1 Allen Rd. • Zephyrhills, FL 33541 ������� ��������� • �'�`-����-�'� ��=':"'; � '`--� . _ ��'`=� /�� ��'(?� "i ;t 1-'•r_.i'w; '�1'i ._;i'�i �,%��� NOTES. 1 ?;�i=.�t: i!:r���= G='�-i�:��1�4::���'i? ' �( � � �C � /� � l;l._�`•=�"1 i=sl�iF�'si;;�,'I._C�C=.�.?";";(ih�i :i.�.'!L'_�.�, _ �/ �='i�-1��i`.,i!::;:� 4.7 :�'_� �l:l ._ --i .:;���Iz�1 (-i U V• FZ.U�� I C'I`��E'_1_'S (_I�_ f i 3 •� f 1� ` ' . �I 3 � t t�A I -� . �.��_��'��"'t� ;Z�_� 1 j__�!-{ ,il��1���:�;Jq i._��,� � �_(-i 4.: f'�'7 -t ! _'^,c� s r�r �"l 1 I 5.'�' �:.'.+��r� f 1.t_�����+��� ��d Y�i:. _:i �t, � �--.'.��i'�.L:.r�'�r� Il i�: �. r- �_si?i�r`•��� ��_.Ir�.[?;__;•• t�"�.� �'r � �^ t K- t''i -�- - . �r�� � � •r ^ t�„ �-. -; -r..r , "r'�"�1 tn�j"i.l.�_.1__,.:) 1"L,. .�•:S�.J'���. i.r:l-'i'f i�"il'"'�.6�._.I_.._.: s"'L_..::�_J=•.•i II .,__.-_—.___."—__._,—.—�._—_.—L__— � �I _'� _ ` _.__ ._ �� �nu�aaa+w �'�'��'���i•tLSi-il':�-f:.!, � !�`{1 1 � :�i;-'i !�._..S _ 'I � . GPC1548H41 ,, . . _ - . _ . _ _ _ - - �� i .;QTX ' - _MATERIALS�&-SER1/ICES.:=:�;' -- � _ - ;"UNITPRICE;;`<,AMqUN7',.�� ��s� oo�s_8S� _ _____ ____ _ _} �_.. _ _ -_ . F-rv i � i i �I �`, '}�:�, `;/L �i-,i�n'+, i. ; ., __ IIIIIUInIIII�IIIIIIIIIIII�uIIII11�Nll�ll�lll�ll�l{N F - -..-. --.----.----.d�--,��-�;.;r.�:�-- � ----- --.--;----. ---___ ,__. I GPC1548F�41A6 . ; iiiiiiiiiiiiiiiiiiiiiiiii�niii�i�iiii�ii�i��iiiiiini j�����f' 1� J r��� ' ' , � � � � � � ; , � �',.Y,� �-� ;��..;; � I _Y:* . � » yT 2' _ � '�ry1:T' , __" � "__./_ �`t';;- ��aa h - i!�-- �-�';i' �:a�<O��!t~_�Vr�.',�;`::(� � `Y+L`�J Jlll r. 1�- I I �:���:�=�f:4 .��'`��,., � � .� �L ,._.._'.c�'t:`5:,;:"^`,Y�`.;�x1a;�' ...e .;��' �_{,...-.y_Y a _' -...� .^ :-,�.c;':;'`4�'� ,�4"`�:,r.� x�"-�'.�*[�.aK%-=��.':,, � �li {I '��f�) �C �C'`I I I . .I_�':;'�,'.;,ci,��..'+',-G��--';�v..,".:r�;».r:y; �i��r.= - _•`;s�r�. I , _ . " . .�. c.._�',m5vi� • I .. � � ..... � .. ' � t U '/��/l� � �it��f � � I J n � � z ' fr� �,'`�'1�.� ; i i.^ri^vyF- � i ,i� � 5 � � � � ' + � r o�, ��r-°, � � '� RE�ONIMENDATIONS_-_ _ , , ' ` a ' � � - - ,, �"� , � i i Annual Maintenance:Recommeoded�byAll`,Equipment:Manufacturers:';:.: � � ii _ - - Pressures Lo T-Stat ���VY1`�'f� i � �i y I . � _ - �. - . n„�LL�. . - ftEERIGEBANSR==::=r - _- •� - _ 'i � ' � `:I"'., � ".- LBS. i - -$,Per'I6s.==;_ - ; .1 = I U'L � � �tJevl� - - - � �� b'v FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly I I ❑ REGULAR ❑WARRANTY "�`-�TQTAC:SUMMARY V ,. �� � _Dehumidistst Settings: When'here"ON?;.=When Away 60°`, T-Stat 80°; ❑ MAINTENANCE CONTRACT ' SERVICE i � LIMITED WARRANTY: All materials,parts and equipment are warzanted by the manufacturers' • „ . . METHOD;OF:PAYMENT�;'.�. �•. CALL i I or suppliers'written warcanty only.All labor performed by the above named company is warranted for ` �" - -' ` TOTAL i � 30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# . MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � ' ' PROG. W / C � I have authority lo order the work outlined above which has been satisfactorily completed.I agree that Seller retains tltle to equipmendmaleriels fumished untll final payment Is made.If payment is not made as agreed, CLAIM# � � seller can remove said equipmenUmaterials at Seller's expense.My damage resultinq from said removal shall n i t ALL UNPAID BALANCES OVERr30 DAYS.NOYREFUNDS SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE CQMPLETED I �i `i 1 `� I I , � � TECH: `� t�,1 ! �.� +��` TAX � � I � I' � '�.,;,. f -� i� L. i J y'' � �{�.r ,�,� .:� G_ r , i o v�-_ ,�ir� �� ` � TOTAL � I � I�`i�� CNSTOMER SIGNATURE DATE � C� ,