HomeMy WebLinkAbout17-18471 CITY OF ZEPHYRHILLS
�, - 5335-8TH STREET -
(813)780-0020 , 18471
BUILDING PERMIT . l
" PERMIT INFORMATION -- - LOCATION INFORMATION '
Permit Number: 18471 Address: 4540 BLOSSOM BLVD �'
Permit Type: MECHANICAL ZEPHYRHILLS, FL. �'
Class of Work: A/C CHANGEOUT Township: Range: �ook:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-017E-00600-OODO
Improv. Cost: 3,789.00 OWNER INFORMATION
Date Issued: 5/10/2017 Name: RINEY, BETTY
Total Fees: 95.00 Address: 4540 BLOSSOM BLVD
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/10/2017 Phone:
Work Desc: A/C CHANGE OUT 2 TON W/ELECTRIC
CONTRACTOR S APPLICATION FEES
SEINCA AIR CONDITION INC A/C CHANGEOUT 55.00
SENICA AIR CONDITION INC ELECTRICAL FEE 40.00
;
Ins ections ired
DUCT I STALLED
DUCTSINSULATED
FINAL '/f...
�������7 .
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.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be 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
improvements 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIG TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, 8�s-rao-oo2o Gity of Zephyrhills Permit Application Fax-$13-780-Q021
Buitding Department
Date Received Phone Contact for Permitting --
► r..�.�.i..�_�...�..
_______. _ ..� w. _�_�..�._�_.� _ _��_
Owner's Name 1� Owner Phone Number �fJ ' ��' � f�
Owner's Address � Q ���m Owner Phone Number � �
Fee Simple Titlehoider Name �— � Owner Phone Number �.+ �
Fee Simple Titleholder Address
JOB ADDRESS �s/f I��SO�YI �v /I/ /"U ��� LOT# [,�
suBnivisioN l�c'��! 2 D/oSs'o/h/�f�f v � pa�,ce�ia# /J� �- j• l�l7L�'r D fl��O• o t`1,�
ON (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSEd e N�NOPubStRB ADDtAl.T � SIGN 0 0 DEMt}Z1SH
INSTALL REPAIR
PROPOSED USE � SFR Q CdM11+i � OTHER
TYPE OF CQNSTRUCTION Q BLOCK � FRAME 0 STEEL �
DESCRIPTION OF WORiC l I /CI �K j �G:�� ��T////�O p� � js�����
' �o C�ON �-�(O Gu�/t�.
BUIL.DlNG SIZE �—_� SG2 FdOTAGE HEtGHT ��� ��m �d�J�,�jt/F�
r
OBUILDING �� VALUATION OF TOTAL CONSTRUGTION
�ELECTRICAL $�Q � AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
...�
OPLUMBING � /��f�' / r
..... . � i 1
�MECHANICAL $�7��� � VALUATION OF MECHANICAL IN5TALLATION �:�,
.�7
�GAS 0 RQOFING Q SPECIALTY � OTHER
FINISHED F�OOR E�EVATIOiJS F�0C3D ZONE AREA �YES NC}
BUILDER � � COMPANY
SlGNATURE REGISTERED YI N �EECURRfh YIAI
Address License# �` �
ELECTRICIAN COMPANY IC�/¢ l/� I� ���N .L��
SIGNATURE _� REGISTERED Y/ N FEE GURRE� Y/N
Address ��D � � /�� License# E�/3oc�5�3 �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� Y/N
Address License# �i �
MECHANICAI. i��/'��//"v iGt//�'/����� COMPANY �/�I�� IJ� r�� l�RJ/I�l �,IV .
SIGNATURE G �/ REGISTERED Y/ N FEECURREP Y/N
Address /t7(? � /! License# /7L: / /
OTHEf2 - COMPAi�2Y
SiGNATURE REGISTERED Y/ N FEECURRE� Y/N
�Address l�icense# �� ` �
IIII ► 1MIIIMIIIf1111I1M111111111111111111 .11111111111I111111111111111
RESlDENTIAL Attach{2)Plot Plans,{2}sets of Building Plans;{1}set of Energy-Farms;R-C7-W Permit for new constrt�ction,
Minimum ten(10}working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w!Sift Fence instaQed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
GOMMERCtAL Attach{2)compiete sets of Building Ptans pius a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction.
Minimum ten(i d}working days after snbmittal date. Required onsite,Construction Pians,Starmwater Plans w/Siit Fence insta(Ied,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance �
SlGN PERMlT Attach{2)sets of Engineered Plans.
"**PRdPERTY SURVEY required far a(t NEW construction.
Directions:
Filt out application completety
Owner&Contractar sign back of application,nofarized
!f over$2500,a Notice of Commencement is required. (A/C upgrades aver$7500j
" Agent(for the contractor}ar Power of Attorney(for the owner}woutd be someone with notarized letter from owner authorizing same •
OVER THE CQUNTER PERMITTING � (copy of contract required)
Reraafs if,shing(es, , Sewers Service lJpgrades A1C Fences{PlotlSurveytFoatage}
` -� - �- ... . ��-� � •-
Driveways-Not oye'�.Cqunter if on publfc r,oadway5..needs ROW , . - � "' - _..._.__.- _. -
� . �. f - .
� .� . i. . � �' _ .. . ' . .. . 1� _��.
' .. ..�,.... ...-- ..us._,.a-• h,-f-_n._-_ .l•_ � }.... .'!i�, ,_ , _Jy
' �-. ...�.. .,n,...i�w ... �. .,n.n.. . v -a rr.�.�y
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" '
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed'as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division=Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Co unty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, cfiange of
use in existing buildings, or expansion of existing builiiings, as"specified in Pasco-County O�dinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood tFrat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy,of the abo've described document and promise in good faith to
deliver it to the"owner"prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
_ will be done in�`compliance with all applicable laws regulating construction, zoning and land development., Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use�of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
propertie.s. If use of fill is found to adversely affect adjacent properties, the owner may be,cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
• acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this afFdavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work aufhorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days,and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING 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.
FLORIDA JURAT(F.S. 117.03,�
- �/ ?_. � �
OWNER OR AGENT b'NC� CONTRACTOR L�l�'"�
Subscribed an b�worn r affi�ed�,be,f�r�me this /� Subscribed and bvorn to(or affirmed)before me this ,)—�—/f --
� ��`Tr .
V ho;slare personallv knnwn to me o�Fias sve produced J Wf�o is/a�e personallv k'nown to me or has/have produced
as identification. as identification.
d�" ~ \ ����Notary Public Ci`a-` ���� Notary Public
Com ' 'on o. /�� 3� �� Commission No. f � /� �o
e .cJ �a�tl �ie/� �v o•cJ
Name of Notary typed,printed or stamped Name of Notary typed,prin ed or stamped
;�:':y�•., PATRICIA ANDER50N .��'Py% PATRiCIA ANDERSON
"��� ��'= MY COMMISSION#FF 934900
=���'=_ My CANMIS510N fl FF 934900 ';� *` EXPIFE 3,2020
" .`- 3,2020 :,•.�,g; S:January
ri. r'�,- EXPIRES:January `•','�," gonded ThN Notary PubGe Undenvriters �
'' �:'� BondedThNNolaryPubfxUnderwriters Q��fl���
��R6�tt'
AI'�R COND1'�ION�ING �
Hernando Pasco Citrus Hillsborough Pinellas
(352) 686-6166 (727) 856-0058 (352) 795-9685 (813) 995-0505 �(727) 799-1300
Statewide (800) 897-2335
May 9, 2017
City of Zephyrhills
Zephyrhills, FL
Please accept this letter as authorization for Mark Sittig (Drivers License #S320-547-
56-349-0) to act as my agent for Senica Air Conditioning, Inc.
If any additional information is needed or if there are any questions, please contact
my office at 727-856-0058.
Regards,
r�i��
�
Mark Nelson
License#CAC1815564 �
, State of Florida
County of Pasco
Sworn to and subscribed before me this 9th da of Ma 2017
Y Y �
by Mark Nelson, who is ersonall known to me.
P Y
�+'P'� PATAICIAANDEASON
' "°�� �'= MY COMMISSION ik FF 934900
"' '� 2020
` �y;:�t,,:�; EXPIRES:January 3,
^ .. •P.• i Undervrtiters
'�'R„od��°•• BondedThruNotaryPu6fc
I� � � �22�-
� Notary Public Print Name or Seal
�
16640 .Slutd�y�fi� ,�oad 1�03 .S�`�fuky, 1�!
,S�ni�r y�fiP�, �P,onida 34610 L��¢ta8�ive�, �Qaaida 34429
,Sta.te .C�ice�e #(,��(�1�1v�564
A 1►R C O N D 17'10111�I�N�t�. �
� Hernando Pasco Citrus Hillsborough Pinellas
(352) 686-6166 (727) 856-0058 (352) 795-9685 (813) 995-0505 (727) 799-1300
Statewide (800) 897-2335
May 9, 2017
City of Zephyrhills
Zephyrhills, FL
Please accept this letter as authorization for Mark Sittig (Drivers License #S320-547-
56-349-0) to act as my agent for Senica Air Conditioning, Inc.
If any additional information is needed or if there are any questions, please contact
my office at 727-856-0058.
Regards,
�w������
Michael R Boren
License #EC13005943 �
State of Florida
County of Pasco
Sworn to and subscribed before me this 9th day of May 2017,
by Michael R Boren, who is personally known to me.
•'l�:*:°r%'•.. PATAIClAMlDERSON
'''�� �'" MY COMMISSION�FF 934900
���,�a= EXPIRES:January 3,2020
/� � � e/� ^'�4��ft'`'�� Bonded Thru Notary Public Undervmters
GL i�Q%GL.GQ/
Notary Public ' Print Name or Seal
16640 ,S�iadcy�f� ,�aad 1803 ,S��fuuy. 1�1
.S�nwrry`�fiP,�. �P.anida 34610 Lnc,��a2 ��uen, �P.a�rida 3442�!
.Sta.te 1'icec�e #(�r�(,f1�15vr64
�: s���c� a�cR ������6�r��€��, ��e. I�VAC
, 1C�640 SHADY HILLS RD �=,_����� ' =-`-�.-.`�'��VICE ORDER
SPRING HILL, FLORIDA34610 � I { `- -
Sl"ATE LIC. #CAC1815564 . '
1-800-897-2335 • www.senicaair.com . � '"'� I1�VOICE
t�ERf�Q[�DO (352) 686-6Z66 ��� �-�� I ` -` 310 S 5 S
PASCO(7271 856-0058 • -=
BILL TO
rHis woaK is To ae
❑C.O.D. ❑CHAAGE ❑ NO CHARGE
. MAHE MAKE
MOOEL MODEL
SFAIAL NUMBER SERIAL NUMBER
NAME \ n
�
sraE� °A� E�MRONMENTAL CHECK LIST WORK PERFORMED
L � r
� � PROMISED WORK PEAFORMm �TY. TYPFJDISPOSfiION CONDENSING UNIT COND'SATE DRAINS
' � l _ .
N CALL BEFORE� � RECOVEFlED LEVELED CMq pq�q�N
� _2 _ � ❑ ann.
❑ P.M. ❑ Recrc�o c��coi� aeaaam
r.wN oanu+
HNICIAN TH IZED BY ❑ RECLAIMED CHECKED ' CIFNJED
CHl+RGE PAN DRAIN
❑ RERIRN� REPAIRED RFPAIRFD
WORKTO BE PERFORMED _ LEAKIN COIL P!W ORAIN
O oisPosr� R��R� FURN.OR FAN COIL
LEAK IN GOPPER
❑DISMANTIFD I pEF. REPLACED BELT
❑CHANGm OUT/REPLACED TOTAL 5 CHECKED
.....r.c.:....,.-;..,':.ci: °:,:�:;•:,;�:.ry.:pc.:-_ `i:. ..'.':.:.'.'.:.'12...,.... . .
. . .. �� .::.,. ..._. ...... ....... . .. ... .. ....,;.,__......, ... . ,... MOTOR
;"::� ... .., ...-., �... .. . :. . .. .... . , -_ . .. , .�,.:.:.a-. C .
:�Tl;':�::.�;:. ;[A/�TEF31AtS;8�:SER1110ES;'.;;'� 'iJNIT:PRICE ., �:AMOUt�lT`, ' �•:��ESGfiIR�Qt�:DFVi�DFtKPERFOFif�AEq �
_ .. .. , -
,�..,:.,:.�. :.:.,., ;. , ... .; ;. ;.. :.,:.:..��..,.._
.,,, . `� MOTORED P�U'LLE1'�
.:,�': : .,•.;:.... .. ... .::... ............. . ..:.:.:.....• . .. '� � ED
RE LAC STED
REFRIGERANT R- LBS. �/� j'�� /�� BEL7 PULL.EY
`Y• v �.� n��us�o c�w�
BELT BLOWER
� I J vl � � � C�ACTOR BFARINGS
i REPL START. OILED MOTOR
RELAY
^J� REPL STAFiT. OILED BEARINGS
, � CAPnCROR
RFPV+Cm RUN CLEANED
CAPACROR HEATIXCH.
CLEPNFDOR REPLACED
� � �r�(� ^ ADJ.CONTACTOR HEAT IXCK
/� ,�-C.X�l REPAIRED CLElWEDOR
WIRING ADJ.PILOT
� 'L CD I'�� 2 � �. REPLACEDFUSE 7HFpMOCOUPLE
� � D REPLACED REPAIRED -
COMPRESSOR �N�VE
� RFPLACED
/� EVAPORATOR COIL ��y�
0;s�� _ w�l�a �o � ;2�� '�I'_' • REPLACED e��s
P VALVE
��(L., � na�usreo DUCT
�'/
REPLACED REPPJRm
. 1 CAP.TUBE
FILTERS x x ��� noJusTED
aEaaaEo THERMOSTAT
> FILTERS x x COILLEAK
� , ..... . FFPAIRED REPLACED
BE�TS • _.'fiECOM11A�1!IDi4TI�NS'--'�: - c�nrieocoi� ADJUSTED .
TOTAL MATERIALS ��coi�
ELECT.HTR. CLG TOWER
HRS. LABOR RATE AMOUNT RFPIACED L1NK �'�^"m
aeaueeo Kux
REPAIREDWIRE PUMP(S)
REPLACED COM. GRFISED
_, REPAIRFD
FILTERS ❑c�weo �a�uceo
w��awsnueorar.wree TOTAL LABOR LIMITED WARRANTY: All materials, parts
fANfINUEDON07HER51DE and equipment are warranted by the TOTAL SUMMARY
TERMS manufacturers' or suppliers' written warranty
� only.All labor performed by the above named TOTAL ;�
company is warranted for 30 days or as MATERIALS �� �, ;
otherwise indicated in writing.The above named TOTAL
company makes no other warranties, express LABOR
or implied, and its agents or technicians are I�
I have authori to order the work outlined a6ove which has been satisfactorily completed.I agree lhal not authorized to make an such warranties I 1 �
Seller retains�le to equipmenVmalerials(umished unlil final paymenl Is made.II payment is not made y / �� � �� � �
as agreetl,Seller can remove sald equipmenVmaterials at Seller's expense.Any damage resulting from on behalf of above named company. TRAVEL
said removal shall not be the responsibili�y ol Seller. ,
❑ REGULAR ❑ WARRANIY CHARGE
❑ SERVICE CONTRACT . T�
CUSTOMERSIGNATURE OATE � �/��� �o-u TO-TAL ^��A } ! C'V
�.1 1
:.�::�� _'�� -� � -�C�HAN°GE.�O�t1T`.:RE°P�AG���tV.�E=�di=:�.PROT°O�Gt��L�.:�- -- � - � __--
� � . :, . �- � f - f �
Sales Rep: `� Invoice#: -� �� �V [nstall Dafe:
� EXISTING EQUiPNtEN�' ��f�..�
�
Custarner Name: ` � PER.M�T `["I�PE_; � N�e�h�� E G��`"tc�
��
Phone#: /'� � Z-3 � _�� Wire size. f�� ��(-� �_��,�
. , <.
Address Line 1: � � �� ��}�C,�n. ���. KVit size:
Address Line 2: ,, Breaker size: ��O („�� ,
City and Zip �j'..�P������1 � � � '�ZMake S� Model: , � �/�i'J?�� �
� . .
Subdivision Ton�n,a.g�� �• � •
NEW EQUIPMENT: Ver�ica( -l�orizon�a(Package � � �`�
.�:. _ - - � -'==L - "='= _ - - = •''1- - _..t- �+:',•��1:�_:-_::. �,a' ,_��,,:'r�
:s_ - . _r - �:.�:,�i�:»� "_t:=��::::�:��n - -- _ _ - -
_ - . .t r - =`��_ -- �=z��_`-^-:=r s•�-=" - - -'rc.• — `i�-s::
�-.•r'`==. _ :�','' - -=r -"�'`.;^�:;-,h.+.-!._. z?._-- �
- -�.� � {� _ i>fy.. � - �F7r�i:Y� � _ _ �Y _ _ �.y�'ti_:ri.
-- _ _ � _ �y .J.f
�t � '
-,),.ta�.:r`':=.,:�..i�:'
' _•.!'.;
.�� '
-7. ' �S� _ ' ' -- ' '_
�:E� :u" �.e,n.fi�, .�S�I ::i�t'(�fJD;E�C��:�#-`.. �<E� .:KV.V-:_,
i: .r:ra �E= _�..�•::- - - E R;;�a�=�T.rv::=;:;:�:� .,.:.:.-
�:: t_q.-,:.:�E?- -.�-. .s�:.:;;:= - <-.s.: L,z_;.�'�.: - - — ��.x-':=:'�„� _.c,---- - -
�, �-- � � �.. i � � �2. ��'C� � • �
� _ .
�-.�t� /`�'�Z'�t'3��2.�C �- •
BREAKER S[ZE `,�,�c.,,C�, ('� � �
� .
WIRE SIZE- -
Ex�ras
DESCFZ.IPTION OF EXTRA WOR.K(QUAHTITIES, LENGTH,SIZE, ETC); �;� �� �...�;�
C~.�n..1/>
I confirm thaf aIl items pulled end/or bbtained by myself and/or helper are correct for the job per the contract
agreemen�. � .
_
Ins�aller Signature � Da�e ,
Manager/Supervisar Signature . Date
Revised 1 q.29.13
..>: �
a- - � .
, �
5/2/2017
INSTALL DATE
To:
RINEY 813-230-7.978 -
4540 BLOSSOM BLV
ZEPHYRHILLS 33542
..
Salesperson Cell Email
- ,__-_------------------._ _ -------------------•----------.___...-------- .._.._-_._-_-__-----.�__------- -----___-----------------•
'Greg Lewandowski ;352-279-6417 'gregl@senicaair.com '
Qty Description 60 AMP GE Unit Price Line Total
_.__.__..__._..._--._...__.;.�.�.__..�---�•---__...-_._------------___`�-------------------_.._...----_.�.-----_-------..�-----�_._.___-__.;
' 1 PAYNE 2 TON 15:5 SEER COMFORT STRAIGHT 410A - I �
i. ' � �
.-------------- =--._..__.-�_____._�--------._..__.���----------------___.---------- .=---------�.�---------------�
; 1 'FLUSH DRAIN LINE j � '
, � , ;
,.----______-----..___;.�,�__.V.._...------__—_-----------•- --------- ----------}---,__.__.__. _.._�. _r
� 1 ,HONEYWELLPROGRAMABLETHERMOSTAT � ' �
� ;
�_..---.__._-------'----- ----.._____- -----�._.__.----,.�---- ---------�-----__.___��_�_..---------
1 �FLUSH COPPER LINES �
�------ ..-..--��--------_._.._____-.-----,..�..._.--=----------_�._..__..��_i___ �_-i-_._�--_-__.__.-�
; 2 :FLOATSWITCH � '
___.----------_�__- --------_._._i .
�_.�_-------•----�_ .._._ -----__._.______----------- , .
: � iHANG KIT ' ;
. � �
;___----_.----------.._�_.�------.�..--_------.___-- �---------------------_-----.._..,--____.___._.�_
, --Y----1-`-� �RETURN PLENUMAIR PLENUM�`,-------L-----�^____-._---- "--_�____r
,- --. � �
; 1 ;MASTIC SEAL JOINTS AT PLENUM - -"'---, -----;-�_y.._"-- -'--;
;-----------�---------_--____.--__._---- -�--__...__--------------__--_._.. _ _ .._
� 1 :COUNTY PERMIT '
�,_._...�---•-----_.._�_._�._.._-------------------_.__._..v_-.- -----._.._----______-._i..__._._.__� _.—.,._,_.____.____;
' � 1
�---_....__.� �5 KW HEAT._._ .._-----------__._._.-.______.—__�.__._-------Y--- -� --------
! 1 ~�HURRICANE SLAB ; I~ �
' ------._.._ �i__ —i---�--;._._.___._ ____, .
_. __.---..__ .�_,___.�,—____.---__._.._._�_—�_—__.��__�.
� 1 'W(RE RUN FOR COND.UNIT 1 �
, -_.�____._._.._.�_,.�____�_._----
j Y T V �1 YEAR LABOR 10 YEAR PARTS 10 YEAR COMP. �^`_ __�� i `�_j '__�
^'._ ^�:ADD$250.00 5 YEAR LABOR ADD$650.00 10 YEAR LABOR_.�_ � �Wv_�; , � �_�
' �,REMOVE OLD SYSTEM RE INSTALL NEW INDOOR AND OUTDOOR UNITS i i
�---------------------' _._._._---� - -------�_.f.._.�.� ,
------ ----- --_.._Y�------..�___�_..��___ _._!_
�BOTH MECHANICAL AND ELECETRIC PERMITS
�__�
' , ,
I -.
,---....__._.__.�..._-�---..�-..----_..___._�..._ _.-- --------_.____�._--------___.__._.�_.-_.____,._.___._.._.w�____._.;
�
� ; � t i
� ,.
� � ` ---
, ;
�-----------._.;..._-----__-____---------..^._^+.----.._._------_._.—____—___ _..�__-- --;
� -------.-�--.--_.___._..__.._�_�,__.._____ __ � t
� ________---------------- --- -- ' ---------3
Payment Details: due upon receipt Subtotal� � $3,789.00 j �
. ;
Signature below constitutes acceptance of proposal;as indicated above. Payment is considered i-•--- ------------ �
� past due at 30 days and is subject to-a.1.5%interest charge compounded monthly. If past due SERVICE� A ` �� �
I
amount is turned over to coLlections, tfie above named company is responsible for any fees DEPOSIT� ^_ ($200.00�
associated with coltection of debt including,but not limited to attorney's fees and court costs. TOTAL� $ 3,589.00 ;
We further agree that any court related matters are heCd in Hernando County, Florida. '-�-�------�'
This bid is valid for 30 days from date indicated above. If not accepted within 30 days, the bid is
subject to any applicable price increases. Scope of work must be completed within six(6) �
months of rough installation or subject to,applicable price increases.
To accept this quotation,sign here,date and return: - �
Thank you for your business!
16640 Shady Hills Road,Spring Hill,FL 34610 Phone:727-856-0058 Fax:727-379-9268 Web:www.senicaair.com
' 1803 SE Highw�qy 19,Crystal River,FL 34429 Phone:352-795-9685 Fax:352-795-7045 Web:www.senicaair.com