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HomeMy WebLinkAbout17-18162 � CITY OF ZEPHYRHILLS 5335-8TH STREET r.-'� - • (813)780-0020 18162 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION �ermit Number: 18162 Address: 38440 5TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: F�roposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-16700-0055 Improv. Cost: 2,895.00 OWNER INFORMATION Date Issued: 2/17/2017 Name: MOSS S ARDELL Total Fees: 50.00 Address: 38434 5TH AVE HISTORIC Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/17/2017 Phone: Work Desc: A/C CHANGE OUT 3TON CONTRACTOR S APPLICATION'FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 50.00 � , � � Ins ections R uired DUCTS INSTA LED DUCTS INSULATED��� FINAL �,' v" � � 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 property 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 performed in accordance with Ci Codes an¢I Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. - , � CONT CTOR S GN TURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � 1� J�'sasaoazo City of Zephyrhiiis Permit Application Fax 813-78p-0021 . Bullding Depa►tment ,r� � ' Da@e Recelyed " ���.Phone�Goot�ct':for,+Psrmittin '- ��1�3 �i o�— ��y+� � ,. , . . , Owner's Name �✓�J� � � P"bwni�P ane um�er �� �'" �O��.��►j� ' Owner's Address �O . � ��f�� Owner Phone.Number� �� � ��T_ � � Fee 8ttnpts'[itletiotderName - � Owner Phane Numb�r Fee Simple 1'itishotder Addr�aa JOB ADBRESS `t�� � �', � ITL L L� LOT# �� suBo�vrsio� , �.� ' ___� � ��c��..�c� �11 � f� � �l,�l� • ,. . . (OBTAINEDF.RpM.PROPERTY,TAX'NOTICE) WORK PROPQSED •_�NEW CONSTR , ADDlAI:T C�� SIGN` '[� [� DEM4�ISH ,, e: iNSTALL. REPAIR . PROPOSED.USE [�� SFR [� COMM . E� OTHER ' TYPE OF GONSTRUCTiON.� :�" `r�'BI.00K r � FRAME ° '.[�' "S'TEEL 'O , ��.. �~� DESCRIPTiON OF WO�iC` �� �'!"'C - �a (� 1 v�" f�L� OC �f}7'7) O�li� BRliL1�lNG'°StZE=' ��' �'SQ_FOOTAG�,��: ..HEIGHT"':� ...�_ .,:. QBUlLQING �� V��AT10N�tOF'7'O'1'Al GONSii`#2F1G'1'ION ' � QEl.ECTRlC�1l. $ AtUIP 5ERitlCE. . :;Q '�PRC?GRESS ENERGY Q W.R.�:C. ��.� � - [�,]RLUMBING $ � ' , : , ' _ , :.�__��- , . . QMECHANICAL' < $ w� +��� �� Vi4LUA1'IONQF�,IUIECHANICALlIVSTALI:F►TIOIV. aL0 � � ° ' QGAS [� ROOFING .,[�; ;� S.P.,ECIALI'�Y,:�_];�,..;OTJiER�, .. FtiViSHED FI.00R Et�EVAT101VS (�—� ��OOD ZONE AREA ,QYES. .NO , � ��,;::.,..�•,. � . ,.2 -- .,{., ,;,. :�.; BUILDER COMPANY". _.... .,�:1;. ` . �-�. . _ � - SIGNATURE REGI$TEREO Y/ N �"`°'FEE CURRE�.� 'Y'/'N' Address ,.:. 5; #N.:r . ,�#: ,4 r��L'iceinse;#!'� t��=y, �,,, . _ � , . � �•.. � � � .__ . ,�.�.'-_-- , .,, ,� :,;, ��� . ;� � . � . .,. . , . , , El.ECTFttClAt+t: _ . , ,,. - ��GOMPANY�: ;,_�:. ;;,:fi�� .-,.;y:, ,_;� :.; = � .. ; . , , SiGNATURE� � ��ts7�En Y/ N �eu��y{ ==Y!�N ' ,. , � ,< _. , '�> ... � - ., "�t,t�: ` ; ` :.. ;...:(,',."��- �. .� . . - � Actdre�s " " ' ` . t�,�tcsnse:#,(= = _ . :f=,. - . .. . .. . `yj _ �. � t" ;..�,� . „ _: : �. -. ; . � ,. � PLUN}BER�` ' , -, � ,, GOlM1PAfNY, r �,.F.,.,,;�,. T: ..7 ,. :< :�� :.� ,. _._., SIGNATUiZE`' '`' " - � . . '�REOiST,ERED .Y,/a IV,; �,FEE;CURREP.�� ^Y.�I.N ,. ` . . ,. ., , . �ddre�s � , _ '` " � ,�[c�nse�#� �t.: _ ,�.. ��� ... .. ,. .. "' :1:.Y� �....� i , a- .� ' / Z"1... ,ti ` •l MECHANIGAL` �� - ;������� �. GQM�ANII. � .�G. . L� �G StGNA1'URE� �..�� ' IZEGISTETtED . Y/ iV � ,FEE CURREt�:,. �Y I<�N:.. , ,,...�; ,...-:.,. - , .. ..,. .' .. � ,�m; .. . , x":�:;�,,..;.:,,. :< ... .. ;�.' . A������:- :���r; =�1��°z � - ;�—�1� �.�� � � � � � ���ss#�������� ����.:� �I � . . ... . . . . _ ., ,. - __. . . .. . : , . - a�-� ,. ostt�� �,�� .: _ - _ . _ . .,� . . , .. ::� . .:, :coM�r�+ixY� " . � `� =:��:::..: � ' , . - S1GNA'fURE�, .:- - en r�:- .'.-�. ;- ,.•, - •, , _ :Q ,p"=' . , , - . 'REGISfERED Y/`N:..� ;FEE'CURRER�• Y'/N ..�it,'''V.tr .47u, ,,� :)�-�. -.., ,. .. . . - -. ... .. ._ ',. a..r .. ,<. ' � . ' ' �1 riYiF� a"It�4•`%'• i.Ji„:z :sl• _ . ...'�� t�Vt�t4 . � �L4���$Tl'�9�� � �� � :}3" :.�':• -� ' . '. .��:„„ry .s•• 1•�-, -.'�. ... .. . .....: r _ _ , . ' 'bi � ._ . �� t r.-s.•M,<' � . 'RESIDEN°fllAl:�;,,..,;Attacti,:(2),�?(ot.Plalris;:(2)sefs_of'BuiltlErig�Plari's;'('1�}sef'of<Eneigq�Fo`rii�`s;xR=0=V1f�Pensilt#ornewrccin'stntatiori, r� b;e,;E�Minimum,.ten,(10}�wori�ing�deyys:after�svbmiFtal:datel::Requlred arisite;:GiSnstiuctlon`Pians,�8totrriwater�Plan's w%�Silt Fence installed,--' - "' � �Sanitary FacillUes 4&;,1:,dumpster•�Site°.W,orkyPermitr#oe:suti�ivislons/larg"e,�proJects�`�' ;�;��,: = `�'a'' _ .. - • "�' , }' ' " .{,i�r.G.'r q • - F.F:�: .tn:.^.�Fr' -Wr.�:" `. • �-., :7• ' :: `� . , CQMMERCtAl. Attach{3)'coiiijiletia'sets'of'Biiitding Plaiis pius a Ufe Sat'ety'Pagie;{'i)set of�Enetgy Fomis.R C?-1tV Petmlttor neuV construetton.-'�_ ' Minimum#en(10)working days after submittal da#e. Required onsite,Construction Plane,&tormwater Plans w/Silt Fence Instalted, Sanitary Fecilt�es 1i 1 dumpster.Slte Wark Pormit for all new�praj�iofs:.:All commercial.t'e!quir.ements,must meet compliance "} � .SlGN PERMlT AttaeFi{2j sats of`Eing[neer"�d;Pta�is:�,�:�v^�.,, .. �.3: t�,. .. • . . , ° ' r NNPROPER'fY SUR1/EY required for eil NEW,aanstructl'on.. ,. _ � ,e�:�. • Dlrectians: .•��:;fk+:.x:u .- -- ,_ - ,. _ Fili out appllcadon compieteiy. Owner&Contractar sign back.of applfcaGon,nat�dzed If aver�tS00,,.a,Nottcs;of�ommencemen#Is reqalrsd, {AtC npgrade�over 3T�00) , .. �R •''`.Yy��P`tti J'�,;�j�r ' .. Agent(far the`contractor)or'Power of Atkortiey(fair the owner)would be�someone with notarized lette��u±m�u a' n �sa��� �' ,. .. . OVERTFtE.CGIiNTEE��ERN11T:�fNt�SbS3�{��5�(j(�pT'���OF1�} ""-' " •� 3 i�itf ji1']HJ 47��4i.�T� :�4r.'+�ti��t� r� �S':......,r`. Reroofs if shingles Sewers�"`�j•''�O�Serii��o�'�pgrade���A'/,'G�^<,�. �nces(PIoUSurvey/Footage) r,±�;�.��?rn:s1�:9�:• ;°���^�:'+;:+�%uv� `''� ;,�'. ,`'11'. �o�=, � iN�n��;.-i::..�:E:G..:-:i7,r.lJ�-t�.:F:zUk2. ,v:,�f",fp e ,'�u. .'Ir �t t�JL'r°T��p 1�ei=�'I1�1 d`=r J � '�' ��_ry ec!'J ;,,�.�'% - , - : ' ' `rtY �#.� - - � .._ Drtvsways-Nato eFOoufitei:tfdn�pdt�ti����r�ay�`:�e �s,RQ t y* � � a��'�1'�'� ��,����iXM1: �i � ��'.Yf��kt 1 ��:7i.�{i�f:.J53� �Y1 !�4;:eZ�eu s:� ��ur�?2t1ri�rto� �;,ly���Nga":�; ,,:�;;��,.t'sv'���•i,.�:t"h5��r.ss ��,� � I :, �� ''a �^.a i i-.^t_r,; 0;2�?1�!6lL�''�C.'.�j°i,y":i1i2C9.�"�i�11?!il� v.i�r.ie� �.c.�;�a�Sty�"if�%x�=tt¢+'�x�'`��"='"+.�'k='�S�IT�`"•y�'s's,aJ(p.�if,."t: , S' �• F -� ,`,. �. y ' . � . � r .. ' � , v ..� � `',�'�4i � .a... :_'+`a,�,.'4�:"�wt�w. 410 3:. The und�csi r�ed,under�tands.th�#;this:=.p.�r=.mif�:may:be,subJect>to"deed";resUict.i.ons"sr..�..._.�;.�. NOTiCE AF D�ED RI��.T.�G� N .h.,E::9 ., f�: {.� �;�:_,,...�.,r=.:. . r ,;-;.: .- a. x `n_ t.a i.���.,.� '��. x:.'.•' +'., which may��.tie<ri�iore��ri��triative��t#���i'Corinty_:�gr�i�t�ons�.�°The`�underslgned���ssumes�r�spon�ibitiiy��for.c�ciinpliancewifii�anjr . � ` ' `:'��`f S�i� . r ��.. apPn�abi�:a�ea�re�t��tror,g: ..:�.�:::.::,:...;;�s=�.t ���p� ,-�� ..,... ....... . . � ....,. �x..._ :� �� n � __ _,.._._.: R, -..,�,.� _., �� � . .,._.� ._. .. .... « ... _.�.,�. _ RACTOR �ESPONSIBl�1TI�S:-�xlf=the-�o�mer':hasTMFilrec!"a�;c�ntt�ctor ar � . _... .�.. . . . .. �..._ : UNtICENSED•�CCjNTitACTORS�ANb C{?NT�, . v� ,�., �., tractors.to under#ake work,_ttts may�bsireqiilred.�to,�#���Iicens�tl._in.accocdance:wlth,staite�.and�local::�regulat[on.s_:��.if;the��:-. _. - cxm ,, Y,� .�..�s";x_x.,��..�,.,.:;.;:...�.,,:.p..�._.,� f,. contractof=ls�-not_Ilcensed�as��requlFeitr tiyA law,�:tioths-the ovimer and-con�racto'rX�may°�6e���ltetlstur;{�}�ml�d''emeanor xlalatlon under state law. If the awner.ar Intended>.=con�ratictor;ere��:unc�rtal� �s�to.what Ilcensing.requlre�nents;m�y��aPpfj�:�fbr�the'���-�������a �. . ,,�.;, �w��a,y� Intended woirk�tiiey are edvised'to�;i�int�ct�#h�;P.'a�co,Connty�aButtdin�;inspec#ion D�visio;,.n-�t•icen�ing Section et:T27-847- ,-,- 8009. Furtfterrnore,�{i ttte owner�`Ft�is�"Nlrei!`a�cort��ractar sit�'ccntfactors. he is advised #a have�the can�fractobr{s��;,s�B!?�:;_�a,;:.:,,�, portlons.ot_the.°contrectar._8lock"�.of>,thts,;appltcattonator.whlch..the►y,wllt,:beur.e�por�slble.rlf.-:you.-as�.Ythe,owrier�sig�I"n''as t"h'e contraotor,that�may�be an Iridlcatton�ttiat'Fie�-1s not.p�ope�l`` Ucensed �e�itl�`ts not'en�tled to peiiririlttin ri�lle es In Pas!co , Y � � � � ��..��� �.� ; �. ._ ,_. ..�. County. r. ,. . „ .... _ ..._.. ....__ .. . m... .,....,..... ,t._..,..._...� .> TRANSPORTATit1R1�iMPAGTIUTILII'iES�(MN�►C��J4P���RE��1�ttCE RECtiVERY�EES:�T�he�undersigne�'under�tands .� that Trenspar#��ian iteapactFees;s,nd:R�ca.urse.;R�cov��g/.Fee�..�iay�aRpiy��ta tfite:.construc#tan�of.new buildings,:ct�an�e��of=x2.``r.`�.:.r' �z�.:..... -c. .. use-In eiiisting buiidings, otx eicpar�sl6tr:�af=exls�in�?zlaultdl�gs, as speclft�d.in Pasc� County Or�dlna�ce number 89-�7 and , 90-07, as'amended..,,�Th� underslgned also;�understa�nds, thaitrsuch fees;�s�may�°b��due,T�wql3,=bs.td�int�ted at the�#ii�ie�ofµ�`�;-�'°l��`�: permttting. It Is furttie�unde�stnod that Trai�ig��brtattan Impecf'Fees'and Resourae:Recouery�Fees must be patd pr(or to recelving�a:"certl�cate�of oc�upa�cy"`�or fln�l�power��:ele�se:��:I��°the.pco�ect;doesfno�Involvet'a�.certfftcate of occupanay�}o"r`N�'��'���Y���� final power reiease�_.tttie�:fees�triusi�tia"p�id�,pcla�r to;permit Isst�ance. ,F��tk�ermore;�i�Pasco,County�'1AlaterJSewer�;itnpact=�->�<<a==`;� fees are due,,they,must.b�a.pald;;p�fior...#a„petfiil�Isst�ance=ln,a+ccotdance u+i3ttt�:applfc�itit�Pascc.�Countji-ori3inances. • CONSTt3U�'�t�N��:lEI�`�1dlt{�liapter 7'1S��1��'c!a�Q�ZuE+w+w,�s��ndac!): �f vatua�on of work 9s�2,500.00;or�more�,�i��.f. ;=::x:. aerllfy ttiat .I; #he :sppllcant<<:-have,:been .provldetl �wlth-�-a-copy�-.of_�.�thef;"Elor�da��'Gon�tria�tloit�-�ten•`Law Homeow�er's . . ,,�. Protectlon Quide" prepared by'ttie'�F1��1da depertmer�t�af Agrlcultnre and Cansum�cLAffalns. !f the appltcant!s someone�>,.-.. r>,�-,� �,• �., � other ihan the"awner", 1 certtfy�;th�at:l-h�v.e.:otjta�tneitl"a��'opy:of:the��b�ve:des�c'rlbed'�l�cuCrr�ent'and:.p�o�'ilse�ln:;goiril�faith�to _ �. �:t,� deliverit�#a�.tFie:�;owrier"p�ioT-tai�rrimencert�ent�`'� . � > - rt . - _. _,. _..�. . . - , . ._. _ . , _.. GONTRACTOR'BtOWNER'S AF1=1DAVfT: I.�rt�yr:�#ta�t>.�tl:th��ir�f.omtiati+qn�i��this application is accurat�.�nd that ali wark w10'be done In compllence.wlth afl.appficable�laws regulating construc#1on, zonfng ani���,land`°devefopm�nL Application„,is hereby made to.abtaln::a.permit,rto..�doA�aa,�fl�,��nd���tt�stalla#!on a� lridt�etetl:�=�t:1� ce�lfy tha# no work�or Instatlatlon 1tasF commenced�p�lor to Issuance of''a peri�lE and that�:aA v�ork wlll be perfo�med�to meet�=standanis-of<��all laws��egula�ing� aonstrruction� County and Cliy codes� z.aning regulatlans� and land development r.egulatlons=ln ttie.j.urlsdlctton:-�`I��al'so:`• certify that 1 understand#haf the regulations of ather�government agenctes may�apply:,to,�.the_.Intended..work, and th�t tt ts my responsibility#o iden#ify•whak.acttons i,must.t�ke�;b�be;tnwcorilpl,ia�ca:�;Such�agenfcies4inctude�bura�e:nat Itmitedto:_� - - Depar#ment of E�vironme�ital'Prote�on=G�rpress:`Bay}i'eed�;'Vf%�end Areas and Enyironr;rtentally Sensitive Lands�W�teNWastewater Treatment, . " '` � � - Southwest Florlda VVater Manageme'nt�����l�isfr,Ict-.Weqs;"''"Cyptess;�=Bey��ad�� �Wetlanil� Areas, Rltering Watercouraes. ,`� -,-�; :� � , _ . ' � � . � - Artny Corps af Engineers�Seawail�;'Docks�Navigable Waterways. - - De artment_of.,H.eaith�:;B:,;Re�iabifit��ve�;Seritic�s/��vitanmentai�F��afth°llnit:Welis;:'V1�a�tewater�Treatiment, £ �' ,�.....,:., x,��:- ��,- ,�..�., �� Sepllc�Tantis:..,•�, , : _ _ � - US Environmental`Protectton Agency-Asb�eatos�batemen� . > Federal�Avlet(on�Authorlty;;ftunwayss` � � � . 1 understand.that.the�:foticwirig:�rest�t'ctions apply fo ti�e use of flIL•� - -Use af ilti Is not afiowed 1naFiood;�Z.o,ne"V"untess expressiy p�rmitterd. - !f the-�1! matetlal=fs.�to'�e us�:`In .ffoad Zone. "A", it !s understoad ttiaf.a draMage pl�n addre�ssing a "compensating volume"w#!I be submltted at#Ime af��permitting whlch Is prepared by a professionel engineer ' � Ilcenaeid by'thie-,St�ti��of�Fl6tlda: • �� �� - - - If th� flll��materlal�.i"s�`to.be�us.ed�in Fload Zone "A" In�connecti�n�wlth:a��ermltted ba(Iding using stem wa!!,, „ . construction, t..certify.t��t:filt:vVili�be�used onty.#o fi0 the area withln�ttae�ste�n�wa11: � - {f f3ll ri1t�lt8Tl�If`Is'to 'be��US9d•iiY.8�y 8t�28� t �ceittfyr fhat:us�. of;such�flti witl r�ot adverseiy affect ad)acent . .. propertles.. 1�use..of;flfl ls..fonnd.to:adversaaEy:,��'�ct a�j��ent��prctpertfe��.#he owner may be citad far vi��ating. � the cond�Po�swof�the bi�lldte�g�>permlt�=lssueid�u�det tt�a�'.aitta'ctied:_�e►rmlt�-�ppltcatlon�°foi:lats:less��than:one {1) acre wFilcFi""are elevated��by flll;,��t,englneered dralnag�plan!s requtred. tf t am#he AQENT FOR�:THE�OtiAtNER,.l.promtse ln;good,.f.alth to InformFthe owner of�the perrriltting conditlons set fotth In thls affidavlt'priar fa coinnier�cln�ci9nstrucNon. t u�td�r�tani9 that,azs�parete�permtt nnay be requtred for electNcal work� . .. �k�?^i. 37Ta , plumbing..s(gns� weNs�..:paols;..al�'cond�tlonlrtg;=:g�s,:;or.atheT Inst�ll�f�'ons not�spe��t�alty inclu�ted•tn.the�application. .A - ,. ; � ,,. � t..::.,. , ,, permlt lssued�hall be construed to be e�1lcense�to`-proceed witla'thie.�work and:°not-as:�uthorlty-ta vlolate;��c:�r�cel� �Itet, ar set aslde any�provlslons of tfie t�cli`alcal c�deis;;nor shall Issu�nce�of a:p�rmlt.pr.event the Bu!ldMg O#�lda!from thecea�ter � requiring a co�reciion:-afyerron�ln,ptans.;.consfruction:.or.irlolatlons of�any�codes.��Wery�p'ermlt=�lssued s�tialFti'eac►me�lnvalld untess the wark authortzed•by such permi#��ts.commence��withln_s#X.,,mon#hs of•permtt lssuance, or iF wa�k authorized by • the permit is=suspended�or,:sbandan�d::for�;perlod;o€�six�:�)�inonf�s�:sfte�:.:tha ttrrae.the�wo�k��s commenced.. An extenslon may be requested}_In.wrltlr;ig,..:fiom,t#ie;BuHding,Oificlal'for a perlod�not.#o excee�'=ntnety�{90)�day� ai�d�will�'demanstrate Justl�able'cause for.�the extenston; !f work ceas.+e�=for nlneqr.�90j cons.�cutive:dey.�...lh,jab`ts considered aba�doned. ,.� . .,. ,. . 1i�ARMING TA OWN�R: YdUR�.FA1tURE::;TtS.,,R�ECO�tQ;A#I�ICMT�ICE�:OF:�COMMENGEMEI�T•:MAY=RESt�ILT`IN��YOUR � PAYINC�B TWlGE:t=0R�1MPRO�EMEN.�'l��.T�Y�.U_it>.p�ORERIY.�'�i�°:YD.Uat�''f'E�D+���Q��OBT�IN��FiNiAM�iN�;'CONSULT WIT Df P� O t'��:}� _p :, �t.. - - :�:- ., —_ FI.ORIbA JURA�=(F+S:;t1 .03}.,- �- . _ � , .. . �� � . „� � ..i.�;, . , , . . . . . ,. .,� , . ..�,. .....�.Lt���,.. t .. , OWN�R OR AdENT � . CONTRAGTQ "' f 3ubsalbed artti swa M(or a ed)before e Subsctlb�d and' �to(ot afllrtnedj�b" ' ��tne tht� '�—�� :Z'1`?,1 bv _ h1 L 1Y115Lft�''9 - - '"' .. -�h�� ,�., Wfio lelare ersonallyJ�owt�to.me.or:haslhaue.ptoduced . Who.islass .erson811ykttouupr. .me:.or,:ilaefisv,c:praduced �• a"s Id`endflca80ri. ' ' _,�_as IdenBRcaBon. �.; f _ �� . . r � Not�ry Aubita . �_:.� Notary Publlc C sion N ;,, '~'`'"'i""�""�'"��' Com selon.No. � s,�`�r��+�„"�":"'"—"°'�'k�1°y!-C7k�P8Ett'-'+ pa����•u, SYLVfA A.CAMPBELL � `;.�' `�_, Notary Pubilc�State of Florida ,�.�� v"�,; Name of Noia � fdame ot Notery brped,prin � � Mjr Gomm.,Expireff Ju!t 9;20t 7 . -��,�n�.�.' Commission�FF 434250 •;� r Commission�R�F�034230 � ��������" , Bbnded Yhrou gh Na tlo q a f N o t a ry A s s n. �•,�o�r�.+•° �tn��.+• Bbnded'ihrough Nation8l Notary Assn: . � � - � � � i, q " ■�*f"i17�� ' � -�' " PROPAIVE GAS Service ClyderJPra osal � � AH� AIC �Nc. n , �Si,r�e� �9813 813-782-5013 Invaice • • WORK ORDER#fSERttICEMAN 743'�� MAY Sales, Service & lnstallation5 DATEITIME TAkE�t ��/1�/i.7 �D"�; 17 � 444'f Allen Rd. • Zephyrhills, FL 33541 �pKEN BY K. a. m� ' - , DATE/TIME PRQMISED sTES. CU�fiC1MER#lLOCATION 1E588 r RHOiVE# 813-78.�-13�� RCIUTEI�EQ MAY ' � . �ASCO iUEW� GUBI.I CAT I ONS t�ASCO iVEWS GUHL I CA1"I ON8 • ,�844�d �TH AVE � 3844�J �l'H AVE ZEPHYRHILL.S FL �3�4c ZEG'HYRHILL� FL�354c NEW CU�TOMERlNEED UhiIT INF� � ' FROM A!H ` • " • � ►ME1_L.S BIJRN I hJC� • - ',',"DESGRiPT10N�OFWORK 'Q1Y: �.,;"� MATERIAL:S�&SERVICES' "� � . ' �� l�N1TFRlCE'�' :AM�UNT�•- ..r.�...�...�..�.,.��.���.,�...�.....�.���—.���.,e,.�_..��.r���� ...� ��.—.���..���.�..��..��._.��.����.��� ��._..1� .._.���L._ , ti�� �i� ' �/�alr�''."�. � ,�L �4nJ �' ,,,/„t � z ,��. ��'u/ £ T � � � � � , .�✓ G 24 � � , � � � n. . - � .�, � � �, � � . '� � , , , � a , � � - � -F2ECOMMENDAT{ON.S�. � ' .� i i Mnuai Niaiiiterianee Recc>mmended.by All.Ecjuipment Manufacturers.' � ! � i . � Pressures Lo H! T-Stat � � - - � � i � ==-REFRIGERAN7 R-;,,�: -LBS. � $per Ibs. �' � I FILTERS r x 'x Changed Month3y 1 1 , . FILTERS x x Changed Monthly _ � � , . • --a REGCJLAR ❑WARRANTY -':T07;4t$.UtXtMAftY° ;' i Dehumidistat Settings:,When here"QN", When Away 6 ° , T-Stat�°_ ❑ MAINTENANCE CONTRACT SERVICE �i LIMii'ED WARRANTY: All materials,pads and equipment are wamanted by the manufacturers' - " .METHOD OF PAYMENT - CALL i or supp�iers'written warranty only.Aii labor padormed by the above named company is warca�ted for �' TOTAL i 30 days or as otherwise indicated in writing.7he above namad company makes no other waaanties, ❑�ASH 0 CK# MATERIALS — i express or implied,and its agents or technicians are not auihorized to make any such warcan6es on behaif af above named company. • . CI DEBIT Q�CRED4T ❑OTHER MAINTENANGE � � ' � PRQG. W t C � 1 have authority to order Ihe wnrk outlinad above whtch has been satistactority compieted,i agcee that Se4er retains tiGe lo equipmenUmalerials turnishad untii finai paymeni is made.�t payment is no�made as agreed. GLAIM� � � seller can remove said equipmenVmatariais at Saiter's expense.My damage resulting Irom sald removal shall not be the responsibiGty o(Seiler.NET 30 DAYS.A 1 5f2%SERVIGE CNARGE WIIL BE ADDED MONTHLV 70 aATE COMPLETED I ALL UNPAtD BAIANCES 4VER 30 DAYS.NO REPUNDS '—"'--"—""—"'—"-f'—' � TECH: � T� � ���cr��C -Jau � CUy7pyER S7GNA7URE . DATE TOTAL � �