HomeMy WebLinkAbout16-17959 '� � ' ` ' CITY OF ZEPHYRHILLS %�
5335-8TH STREET �
(813)780-0020 �7�9
� BUILDING PERMIT �
' ' PERMIT INFORMATION LOCATION INFORMATION
Permit Idumber: 17959 Address: 38435 NORTH AVE
Perm�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00100-0010
Impro'v. Cost: 7,100.00 OWNER INFORMATION
Datel�lssued: 11/28/2016 Name: GOD'S SHARE PROGRAM INC
Total Fees: 75.00 Address: 38435 NORTH AVE
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-3549
Date Paid: 11/28/2016 Phone:
Wo"rk Desc: A/C CHANGEOUT 3 TON
� CONTRACTOR S APPLICATION FEES
ALL TE �� H AIR & FILTRATION LLC A/C CHANGEOUT 75.00
�U r
�� Ins ections Re uired
D TSINSTALLED
DUCTSINSULATED
FINAL iI �
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REINSPE ON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local ij 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. �
NOTICE: In addition to the requirements of this permit, there'maybe additional restrictions applicable to this property 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for�
imprlovements to your property. If you intend to obtain financing,consult with your lender or an attorney
� before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
�1 City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
(� NO OCCUPANCY 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 �
�
, � � i
813-780-0020 City of Zephyrhills Pemtit Appiication F���-��
BuEkfing oeparbnent
� DaW Rec�fvod � . C� . ��.,L FhotssCasstaetfarPesmt#�e► i � - �."! ! �-"" .
� OrmoYs fd�mq �� aY-Q. �'�,�.�' Ownor P4►one Number p d- � 1 y�„
I Owmpre Address ����j�J i v tSf"^'�i � �'v�Q..- Q+mar Pfioae Num6cn
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Feo Slmptv T{!lehalder Name � �� Qwner Phan�Numbcsr � ..�
� F�o Simpb 17tleholder�ldress
I JOBADDRESS LOTS C�
su�ns�ns�o� f �'� �a��.i� 6��ea�t �. — "' C3 l C��"'{) ��?"
' (GBTAtttID Fti4t1 PA�Y,A7I►�
WORK PROROSED e NEW CONSTR 8 ADDIALT � SIGN [� [� DEMOLISH
iNSTA�L REPASR
PRQP�ED USE [� SFR Q COMM � qTHER
TYPE QF CONSTRUGTIQN Q BLOCK Q FRAME �� S1EEl a
� DESCRlP170NOPWqRK r� � � 3 `�'�n C \ ' 1�� S �'- C.�nl��
' Bi31LDINt3 St7!E � � SQ F04TAGE� HElG4fT �,��
� QBUlLQING � � VALUATION OF T4TAt COtdSTRUGiIOM
QEIECTRICAi. �� AMp SERVICE [� PROGRE88 ENER�Y Q W.R.E.C.
QPLUMS(NG $�'—� �/� �
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�MECHANiGAL S -�i ,F"1 VAi.UATIOAi OF MEGHARSCAl.tNSTAltA7tOtd �
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OGAS Q ROOFIPIG Q SPECIN.N �� 07NER
FtNISFiED FLOOR ElEVATIONS �� FLOOD ZONE AREA QY�S NO
BUIl.DER � � COAHPANY � �
SICaNATiJRE R�caGs�stEa Y/ N cff ctu� Y/N
Addrosa l{cense���' ��
II ELECtRiGlSisl � � COABPANY
SIGNATURE � t¢Ecust�a X!N �CURR�n YtAi
�) Addresa Llr�r�se tF J 1
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PI,UMBER CORIPANY
S{GPdATURE R�c�srerteo Y! fd �cut�n Y!N
IAddress UCenssi�� -1
r��cs�nr,�cn�. �'=�_��� GQ�Pa�v 1 -�T2CYt lY ��t i�Q�"1bl'1,L
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( Sl�NATURE R�tsre�D 7 N �cuFt�t� Y t N�
,�d,�� 3�qy S e 5 u��B��C1Ss1�-41��1 �
OTHER � � COAlPAAP7fY � �
SIGNAYURE HEo1sT� Y/N �ECukRE� Y/N � .
Addro�s Lieense i j E
IIIIIIOIIIi11C16L111698YiE10101E6i1Bi96lB9pi1B11E6pIBLi911111t101l1
R6gtpENS1tU. Attech{2}Flat Plarss;f2}sets oi BuGding Ptnns;{1}set ot Eaergy fflrtns:R-0-W PermfY fot rrew cns�aw�{en.
Minimum fen{t6)uvrking days after sut�mittei deto. ftequired onsite.Cass6vGiari PtarFs.Stotmtuater P3�ts wt SAt Festa�3sis#�,
Sanitery Fadiities&7 dumpster,Site Wwk Permit for aubdi��isiansAaJga.pro}P,cLs
COMMERGAI. Attach(2y complete sets of eutlding Plans phrs a Life 8afety Pe�e�(1)se2 of Energy Pams.R•tYW Pesmt!tor�rt oumtrudlan.
tr4nimum ten{S 0}v�ridng days a{!et su6miitat date. t2equited onsib,Can�on Plarzs.SiozYmus�et Ptana vd Stl!��a$�B�Sf.
Sanitary�adi'�ies&1 dumpster.Sits Work Pamrit tor afi neva pinyects.A!i commatr�al m,quhe+me�s must meei eettrp6s�s -
SIGPd PERNlIT A#ach(2)sets af Enginesred Plans.
""PROPERTY SURVEY required tor all WEW consUuGion. �
Dlt�actions:
FlQ out app6r�tion completely ,
� 4umer 8 Contradnr stgn beck of apptication.notarized
( « K aror$25�,u Ptot3ca of Comr�zencemeM ls ree}ui�d. {AlC upgrades aver$78{3Q}
I, Agertt(fw the cronUactor)or Pov+er of Attomey(fiar the wmerj wwutd be someane valh natariaed lettor irom ow�ter authotizl�same
OVER THE COUMER PERMITSiNG (copy of cantrad re�uired)
Reraa(s#sh3ngtes Sev,�rs SerKc�Upgrades AiC Fences{P!a#?SusveytfooL�ge)
Driveways-Not over Counter if on public roadvrays..naeds ROW �
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�i rra����s�etcno�s: n,e�ur�eest�s�t th�a penr,it ma�bE sati�eat ta�.�a�iqloM�°
I; ,�hic�may.he more restr�tive t1�n courny re�ula�s. rna tu�de�sdgr�es��es�lp�y.iar ao�n�iler�oe urilri say
�d�r�ons. !
UNt.iC�COli7RACTQRS ALd� CONFidACF�R R�5�OU8lBiL91'!ffi: K tb a�M�a�es hss I�ired a COc�lCtor a
coc�tractors la tmddta'ke uraic.theY►naY!s�reqt�ad 4o be�c�ssed fi A�v�h&�E�td br.El P�D�etiD�s. K�}9B �
conlr�tcr is nof�a3 required by tasro, ts�h the�r e�d�c�ad�istiy he e�far a te�lsQere�lfor tiioir�S�n '
�s�,e tsw. �f ine awr�r or E�ste�c�trecsor��ms m vi�e N�g�•�ttey►App�►:loF.tl�e I
I� �rte�ed wvrk,t�eY.are sdv�ed to cor�tact fhe P�sco County�te�p�an Oi�stoea--Lfcmt�tks�.$�ilOn rd 7Z1-64�=-
eoos. Fu,��, n m� �n�s r�a a �«���s, ne_� ea�a to��aa�s�_at�n I
I vcrtlar�a ot tt�e"cor�or elaci�of thls appifc�i«,tnr whd�l6�r v�t��spoes!lbie. If ycu..s��e c�a�p,ea the I
c�or�r�cxar,tt�at r�y be an irialcaUor►a►ac ne ia noc�►rrt�nsed a�d�a��Od to penr�g prf�h Ras�o .I
Cotn►tY• I
7'RANSPORTATiON IMPACT1iJ71L1T1�S MlPACT.AMD��MERif F� The t�t�ed tnde�afar�d6
tt�at Trarsspo�r�lmpact Fesa and itBc�otese Recov�ry Fee�m�y appir�ttle,cot�ort of new_bt�egs,Ch�r+pE Of
t�ae En e�ds�g bW�gs.a e�ar�ia�af exis�n�buNd!r+��as s��Pa3oo C,ous�lyr�eFfoe�r�:�07 ard ,
86�07.as am�t�d�d. The�also trr�'st�rtdsrfh�t aud�16es.�.mey bc dam,v�be�ed et we tY�a�C� �
Pe�9. tt k f+u9her�sEood�tai T�r�partaUon Irt�yact Fees aRd Re�otsae.R�ywyr f-aes mt�t tie p�id,plbr Eo
rec�vinp a ber�at oxupsr+q�'or t�al pavaer�feffie. t�the�.does+�oot�ro�ie a:ear11�.ct_�a�ati�r or
fmal pcve�r r�e.ti►e 4ees must be Pald�r�o Pem►��. ��fhefrEfom:�f P�Oo�s�lY WaleG�ew�r k�t
�a ane due.theY rra�st be pae�p�iot to p�sr�it issuae►c�in 8�rda�with epplicaDie Paico Co�l+j ordFlorx;as.
CONSI'RUC'RQf�!UEM LAW(CM�t 713.�Ibrd�a�.bz anlc�dj: tf v�ks�Dn c!w�Oth is�2.60D 00�mo�.t �
cer�ty ft�at 1, the e�pqcar�t, ha+�e bean provlded wiitt a oopq a!Ehia "FlOdds CQ� Uen �
Proi�n cw�e•ar�ar�d by me Fla�i�DepaM�rd oe Ag�x�re�x!Cor�umer ati�. If f!�applcant I�sceneore �
other tlr�n the'awne�'.�c�ttty tl�at!heve o6t�its�d a copy of tt�e e3�cve dasa�d d�r�ar�t�p['a�nYe in�Ood t�to '
c�iw�r if to�e'oNrt�:f prior to connr�a�t.
'S AFffDA1RT: i oerSfy tltet atl tlte irrfo�n_fn�8s app�tlOtf b eDClsals 9t1d tlt�t afl.W�xk
wtp be done in ca�tptiance v�h aN appticsble lawa t�gttl8t�g consU�sdiorr.zadt�g snd land�. �4ppic�otl Es ,
hsr�by made to abta#n a petmit to ao wark end insls�atian 2a irtdirated. 1 c�ttMy tt�at f�o woff�_�at�_h�5
carrt�r�d prior to Ess�of a perrtdt and fhat efl work w�b3�orraod��tK�ef s�dsl+dB d A9 liws'e�gt�al�
�fon, Caur�Y and CEEy codes.a�in8 re.gutatior�s, end I�d d�elope�+ent ri0ptd�S En.lt�E Jurlee6odoa:";1 tlisv
c�4ify+that 1 uncfar�rtd tt�at tt�reg�atbns of otlaar 9ov�rr�d ag�s nsay►applgr�g�e @dtieded wotl�.:i�nd Bf�!id�
mY�P�+��S►to tder�ffy what ac�fo�s t must ffiio�to be In�t�at�. �8�ar�c3es lledt�de htt ae�e Nt�Q�Ea:-..
- Departrneert d Emritar�srsertal Profficfion-Cyp�ss Ba�s.llVelt2�tid Ase�s 2�d�6aiie+0�1ir�1�
Lsnds�Ul��Ttaets�nt �
- sou�»,�st Ftoroda water Mana�►t o�ta�w�. Cyp� Baytt�sds. W�d A�as. Ailetit�g ;
1N��rCatases.
- ArtRY Csirps o#Engin�as-.S�awalls,E�oc3cs,Ntau��a4orv�s. _ �
- D�en4 of Heaith � Ret�NEtattt�e H��h t1r�,1�Te�eetrtiee�t, �
Se�ic Terdcs.
- l!S Ernirartrnsnta!Pr�rti Agency-Aatsestos 2b�rr�t. �
- Fed�et Avi�lun Authaiiy-Rurndrays.
1 tmders�nd Utst V�e'fo:towFng cesL'hstlans 8pply to the use of ti!!:
- iJse o!�1 ia not eJ'awed fn Flood Zone'V'ursicss ex�s9y�. '
- tf tlss� fiH n€�Eerial is to ba t� in Ftoad Za�o A, it Ds ta�desatood tlt� e drek�e0e f,f'k� edd�g�a, �
"cart�a�ng trdu�rie'wiU be st�nitted ffi tlrrte af pe�mfd�whE�is peep�d 6y a�tl e[qiJ�ets' ,
ticer�ej�d/b_y,tl�t^e_Saf�e{o�f{F.1�or.E,d,�aJ. y��� y� ����p����y� - : �p
- ����.,�11.f�/{,I�lK..�li61 IS N Yoy�4���Rry��{��,'�,��,�{ LWRi��yAy Y�mY��oS�tli.l.'.i}Yy�.N�w��WW��y�.����_�.�_wP
VlA 4lY{`i�iJYl�����.��171�WAI LG!�i�t0 KW�wV�+.WfLw'��0���. • �
- If fiu rr�aterla� is co be e�d tn �}r area, � c�i�fy 1F� �e.ar s�uh t�l+a�! rrot ad�iee�ely.a�eGt a�oe�t
pm�Nes. If use��!s€�urtd to edverseiy atied 2d}e�r►3 PmP�ed.�Ct+iia�er�trlaY b0{�for I�fo�,
the c�onattior�s of the b�r�g�rrrttf iesued tr�r����a'►.�b!6 bi6�I�f►di�'��) �
8�xe�ar�el��raEad bY f�L en�dra��i 1�r�a�od• - -
' tf I 8t»�Se AC+�f11'FOR itiP'OY�tER,!ptott�4ss In good fz[#t�to irefnnn fPae oarr��€.�i perttt�C�l�lofld.seit�Cr!!�bt i
ttds aftkfavit�xior to canvrtetx�ng cat5tru�lon. I�d2rst8r�fhat 8 s�tsda p�n��►b�f�OQ4�ir�d taf e9eC�d=tt�[i4 "
�t+mbEnD.si�,va�ta� poo�. efr corsd�orein,q, 9as� or ottter Is�iiatiorss not s�kx�ud6d�t,#ie G{tptC�efs A
p�+�ed sfwx t�e�ro a�a r�e to p�c�ea�stx�w�ic erid noe e�s aa�iy m vio�,eeo�al;aM�r:.t�r I
aet a8ide anY�ovisforia oi the ted�tc�!e�des.r�r sh�issuartoa d�p�nit(Re�esd��-i�l�i i¢o1i�►#+e�+a�
�ufrincJ a cort�sr�lon of errora in pl�s,�ort or vtota�aros ot Fsty cadDs. Eve�y P�bsu�d:atiEb���,i�e�i i
ur�c�s tl�e wark euthorfzed by such p�rNt is camrr�abed w�n siz�,oF pe�c�t�oe.dr tf te��b91.. '
the pertrut ia s�peradod w abandors�d for a peciod of six{6�mor�tles Sf�t�he 1irti�tl+e w�ork�a�xn9tdfaed: ib e�eri�iC� '
may be ret�t�sted.in wri�ting,fsom Ihs 8tn'lditg�ffte9al f�t a pesfod not ta eoceeed eMaf�►�days�t vd9�Oile�ta�s �
�ifleb4e cattse qos ttse ext�nsia�. H v�orlc�for nuse4y(90)oor�ci�ts,tfs�jo�is cosis�r.�d a4endor�eeF: ;
WA�TO�Ai!l�Z: YOiBA FAILUR�'TO RECt3RD A t�T�B?F , Y!►Y�LT 8!Y�1��3
PA1PIt�i6'fNiICE F05t TA Ytidl�PR0��4Y. !F Y�t91�ITE�IQ 3C1�BYT�J f�l�fEi;E�!&�tl1.7 ,
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S�soc�ae�awam to(or al6imed)befan me tlds f/ smom � /`//�jl%I 1/1///,/ '
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Wh0 WsrO paso�y lu�o�wn tn ma ot h��o�e�d i�e p�f� b��►►�� I
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�a�Y��ti4 DEBRAELAINERUFFELL
;i�� �';__Commission#GG 045343
r;�q;Expires November7,2020
,� �•?,•,�r;°.•' Bond�d ituit Troy Fain tnsutance 800�38�7019
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��rtificate of Product �ating�
e4�iRl Certified Reference Number: 7984196 Date: 11/17/2016 ,
P�oduct: Split System:Air-Cooled Condensing Unit,Coil with Blower
O�tdoor Unit Model Number: GSX140361K*
I Ildoor Unit Mociel Number:ARUF37C14A*
IVii nufacturer: GOODMAN MANUFACTURING CO., LP.
Tllade/Brand name: GOODMAN;JANITROL;AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
C'ONDITIONING AND HEATING; ENERGI AIR
R'egion: Southeast and North (AL,AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC,OK, SC,TN,TX,VA
A�K, CO,CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NII,OH, OR, PA, RI, SD, llT,VT,ONA,WV,WI,WY, U.S.Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015,are eligible to be
installed en all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s)for which they meet the regionai efficiency requirement.
� __,_.__w_�...__.._._.:;..-:___�....___.._._____.._.__�......_....
__...._�.
_,..:,._�...____.,�_.. ___._..__.__.._.�_._..._.
Series nam�.GSX14 .. -
Iaf� .� �_..,._..� i .'�__. ._��...._..._ _ f.."_' .� .� �' '_ .
I�anufactu�ertresponsible for the rating of;�hissystem combination-is GOOQMAN MANUFACTURIPJG CO., LP.
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Rated as follows-in accordarice with AHRIrSfandard 210l240-2008:for;Unitary:.Air-Conciitioning and Air-Source
Heat;Purtip.Equipment and=sutiject to ve�ifcation,of rating`accu�acy by.AHRl=sponsored; independe�t�,third
party,test�ng;r � p. `' �j �__._�_..� _._>; _. . .. _..... �. ..> _ �� �_ ._�. _
, , , . ;
� Cooting Capacity(Btuh): 33640��;,� ;-,:�_ , �, _�} :; ;�����; ��r�,'.�'_�,, ;; , ,
. i� t.`y'�'S+.- .. .. t 1 i,, ;�'. ,5..' flf i 1..��.. 'i:i
EER Rating:(Coolin9): " . 11.50 ": , � ' _
, , , . ,
SEER Rafin Coolin _. 14:00"" " � "' - " � � � "� � �" �
9.( 9)� �. . - � . .,.- - ..�. _ - - --
IEER Rating (Cooling):
•Ratings followed by an asterisk(•)indicate a voluntary rerate of previously publlshed data,unless accompanied with a WAS,which indirates an involuntary rerate.
DI�SCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)listed on this Certlflcate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the
unauthorized alteration of data listed on this Certiflcate.Certified ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS ' '�
Thls Certificate and its contents are proprietary products of AHRI.This Certiflcate shall only be used for individual,personal and
confldential reference purposes.The contenis of this Certificate may not,in whole or in part,be reproduced;copied;disseminated;
entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's indivldual,
personal and confidential reference. AIR-CONDI7tONING,HEATING.
CERTIFICATE VERIFICATION &REfRIGERATION INS7ITUTE
The information for the model cited on this certiflcate can be verifled at www.ahridirectory.nrg,click on"Verify Certlficate'link �y�make life hecter'"
aritl enter the AHRI Certified Reference Number and the date on which the certificate was issued,
wFiich Is listed above,and the Certfficate No.,which Is Ilsted at bottom right. ""'" ""�'--�` �' ���'
0;2014 Air-Conditioning,Heating,and Refrigeration Institute ' -CERTIFICATE NO.: 131238947585195492.
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' 35946 State Road 54, Zephyrhills,F133541 Ph 813-870-6934 Fax 813-783-2336 CAC 1814196 �
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Air Conditioning&Heating p�A��s�, / ,rQhtr��i'� 11-16-16
PROPOSAL SUB1VdITTED TO: WORK TO BE PERFORMED AT:
God's Share Program (Same)
38435 North Ave
Zephyrhills,F133542 813-715-1970 �sp.kimnao,verizon.net
WE IdEREBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM'II'HE LABOR NECESSARY FOR:
1. 2—Goodman 14 SEER Puron 410A(3 Ton Straight Cool)Split System with Skw back up heat
CONDENSER:GSX140361 /AIR HANDLER:ARLTF37C14 ARI 798419G
2. This Also Includes:Digital Thermostat,Flush Drain,Flush Copper Lines,Re-build Hang Kits for Air
Handler with Float Switches,Hurricane,Slab&Straps for Condenser,and Permit.
**Goodman Warranty: (5 Years Parts and 1 Year Labor)**Included
* Not Incl.uding: (Any Pre-existing Conditions, Original Electric, Flex, and Drain)
ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED, ALL WORK TO BE
COMPLETED IN WORKMANLIKE MANNER FOR THE SUM OF: $7,100.04
SEVEN THOUSAND ONE HUNDRED DOLLARS AND 00/100
ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WILL
BE EXECUTED ONLY UPON WRIT'TEN ORDER AND WILL BECOME AN EXTRA CHARGE �
OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON �
STRIKES,ACCIDENTS,DELAYS BEYOND OUR CONTROL AND ACTS OF GOD. !
Respectfully submitted, Patrick Kilgannon Expires 30 Days
Manager, All-Tech Air &Filtration, LLC ;
ACCEPTANCE OF PROPOSAL
You i ust provide all conditional approved Permit Documents and provide one business day of your choice to stay home,within i
10 days of completing work at your house for City or County Inspection.The above prices,specifications,and conditions are
satis�actory and are hereby accepted.You are authorized to do the work as specified.
Payments as follows:�7,100.00-�3.550.00 Down=$3,550.00+$150 Fir.ance Fee=$3.700.00/18=$206.00 Monthlv(18) :
Initials I Acce t Extended Warrant +$1700.00 $850 er unit I ' als I Decline Extended Warrant �
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EXCWSIONS ANp CONDI7'IONS OF SUCH POUCIE&.LIMITS SHONM MAY HAVE 6EEN REDUCFD BV PAI�CLAIMS.
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