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HomeMy WebLinkAbout17-18177 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 18177 '�`� � BUILDING PERMIT PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 18177 Address: 7336 HIGHLAND LP Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: OAK RUN Est. Value: Parcel Number: 34-25-21-0100-00000-0010 Improv. Cost: 7,435.00 OWNER INFORMATION Date Issued: 2/22/2017 Name: KIRKER, STEVEN Total Fees: 75.00 Address: 7336 HIGHLAND LP �►mount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/22/2017 Phone: (813)312-3186 Work Desc: A/C CHANGE OUT 3TON PKG CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00 � F � / � � l � - Ins ections Re �red DUCTSINSTALLED DUCTSINSULATED FINAL REINSPECTION PEES: (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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR IVOTICE REQUIRED PROTECT CARD FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 Bullding Department , � � - Date Reae�ved ' , , �t� � � ' �� � , � e: Phone�Confact'for Permlttin � � Owner's Name le � Owrner Phone Number � r�3'—� , , 3� 8 . Owner'sAddre�s •��3� . / � f�E'i � ' OwnerPhone.Number • Fee Simple TItleNolder-Name � Owner Phone�Numb�r � � ;,r , .. . Fee Simple Titleholder Addresa JOB ADDRESS � L �� /��� / �/ d �G� f[ �}/GG.� ` LOT�R sueowisio� ���fC . , PaRce�.io,� �3� �5' :�.I d/1SD D D��L� i ' � . (OBTAIPIED EROM PROPERTY,TAX NOTICE) , WORK PROPOSED .* NEW CONSTR ADD/ALT Q� SIGN` °Q � Q �DEMOLISH _ , . .:e: INSTALL, ,.,•REPAIR - PROPOSED..US� , _ . -• :Q SFR []. COMM . � � OTHER . � TYPE OF CONSTRUCTION �' �Q" r'BLOCK t � FRAME � STEEL' 'Q � , .,_. � �. , DESCRIP710N OF WORK' � C��S o � /C � �gm d �� �'� � �UILDING=SIZE� � � - � �'SQ�FOOTAGE�� � , , HEIGHT�.� ' QBUILDING � VALUATION'"OF'TOTAL COySTRUCTIi�N . , ' � Q ELECTRIGAL $ ' AMP SERVICE. � Q "PROGRESS ENERGY Q W.R.E:C. QPLUMBING- .$ ' - � ' QMECHANICAL'' � $ �"� 'VALOATION OF�MECHANICAL INSTALLATION: . ���5� �� : , .. , ; . : . . Q�S � ROOFING� ,Q; ;, SPEGIAL'tY;.�],�;_,;;OTHER,_.; , • FINISHED�LOOR ELEVATIONS FLOOD ZONE AREA QY�S. ,NO -.. , , .. •�.,; . . .. . . , .r..,F�: Fi. ;�1. _ ' BUILDBR COMPi4NY:. � . �.°, - , u . , - . ' SIGNATURE REGISTERED Y/ N ' �:'F.EE CURREt�=` '" Y•/'N' � , .� ,'r:_, . . �. . - . , � Address ;�,°:.::. � ..•�<<��z . -.�License"#' �+; ' .. ., , . . . ,_ x. �,; .S: ,.: _ ` t , . .., LV_ .. . -� ._. _ . - , ' ELECTRICIAN, ,_ , - � 5-'COMPANY � -- ;'- .`•�` _ " . - ._ -� SIGNATURE� � REGISTERED � Y/ N �E�CURRE�=� `7�>:Y/�N°• -' - - Address', . .. ' .,, ' � ,. 's" . ;_"- . , , : ` - .;` ';;%^,.; .:Lfcense�#�; . ,; �., . . r. �. . � �: :•';r' ��,� -.s:�:�_ - � • �•• , �C.� �.h _ .. - . ' • • . _ . , PLUMBER.' ` .C.OMPAN;Y, _ - � ,. �_..;� :r.. ,_.<:r�;t•,:.--; �,« __�.., , SIGNATUftE� � �� " - . - . �; 'REGIST,ERED . .Y:/>.N;c ;-rFEe:CUR�n.•� .- �Y�/.N,. _ Address . , ., ' - -� ,License#,� � `-� � . -. , - � . „ , ' :,;:,- :.; , �.. - MECHANICAl:` ' _. ` ' � COMPANIC ��"�1Z5, _f' tl�.'`, , J• �" CG7-!V�'. SIGNATURE� �� �� ��G��" � ' ' ��isrEREo . Y l,N -_ ��CuaREn:. YJ�N . '.L;•; -..t' " .. - -�tM� - ..._ . :"t.i��'c.i'�„ :� �r.:a - _ � Addresa�� .._ /- -�e° - . -. y _ . .. �� - - _:u��se#`�H��� �9`��' _ , . . .. , . ..... . . ..... ... _ ._.... .. � __ - _ - _.J. , . , , .. . . _ ..,. , _ . _ �: OTHER -• � - .. �. .,. .. , ,, ,.� -;�. . - >;� - . �• . ' - ' . ,. ` ` CONiPANY" _-:;�,, „� SIGNATURE�: ..._- " _ " -- ;, -• ,�,. T•, ,_ .. , , ,F *., S^D^<' " � "�:: REGISTERED� Y/ N:..�., 'FEE CURRE���, YY N .. s. ;Ps „ -. . ., : .�. -.. . . . , . . _ . _ .. . . . _ - - -- - � .. - - � ���688 °,:��° »,�G^ _ ;.y�i".f`• ..b:. . � :'i .. '�4V':1' , , : . - ' -i. • , � , -. - �'L1Q811Se#'�`' L. ^ � ,.. .., .e\. � 1h'"f✓.'�.:_.�')�. )`•�n::.�<...5 -�:... ,.:Ss� _.-'�-.: ��.. .- �,-' . . �RESIDENTIAL,�: �Attach?(2)aP1o.t�;Pians;;:(2)sefs-:of8uilding'Plari§;'(1)sef-of�Energy�Fortns;°�R=aW�Per''mit`for new�construcyon,: � -' _ �;Mtntmum en. 10�wor141n fd�j �aiter�'submittal%date�� x:r. - • � - � -'Sr- a'"°,-. +.'S� -'- "��:;; ... , "�, ) ... 8�. Y,s` Required - - on:� � talled,. .w - "tisite�Cona 'eB" Plans�•Sto'miviia er-Rlans wi%SII�F nce ins w_. ..�. ,„r�:,a` � o , tru , t t e , - „,:,.e,y.�... . :.�,. ._. Santtary' FadllUes,8�:;1t;dwrr�pster�„�Site•.,W.orfc.iPertnit;fqr,subdivislons/large�projectss��.:!:1.��.� _;�:`-i�;v , _ _, ��° • CO[NMERCIAL Attach(3)�vompleCe�sets`of�Building'Plans''plus`a Gfe SefefjTPage;�(1)set of Energy Forms.R-O-1N Permityfor neW construation.• � Minimum ten(10)working days after submittal date. Requtred onsite,ConstrucHon Plans,Stormwater Plans w/SIIt Fence installed, Sanitary Facilitles 8 1 dumpster.Sfte Work Permit for all new+proji�cts'rAll commercial requlrements_must meet compllance �° _ SIGN PERMIT Attacfi'(2)"sets of"En`g,i`neerediPlaps:,,,::,::�-,.. ,...•;$::'-„�.,��. ,.- -- -. -- •"'PROPERI'Y SURVEY requlrec�_for all NEW_constructlon�,._.. _. - Dlfec:tions: -r'�-' S;:- . . :� FIII out applicatlon completely. Owner 8 Contractor slgn back.of appltcaUon,notarized If over�2500,�,Notice of.Commencement la r�qulred. (AlC upgredes over$7500) _ :i'ti�+-7�,��,:`:;'`�,� " /�qent(for the contrdcto�)�or'Poti've`r of Attor?iey"(for the owner�w�be someone wlth notarized letter from ownar authorizing same , DVER•THE.COUNTER.PERMITT(�G`'�'•"�krontp�p i�}�on=0ta,ty,) - � �����^-M>' `� �'-^-._:��--�-- _ � Reroofs if shingles Sev�ers '�'�Serv,ice U�g,ra�,es4;A/C;';f;'�7en'e�1.f(Plot/Survey/Footage) .�a�q"���:� �.;,!''���� , a - 1 t�i'. 'li S��itf. .all .Y y �A1F'�� 9��'7 _., - � �i� _ _ GGiltil�i�C�ti➢f7�� 9'!i;u�i;.7�: „�' y' j�. . _........_...�...::�:..` . ....__ =; rC°;�,;2�t;s-�..•'�.'. � _ r� - a _. „� ,., . ;_ ,... .ne"eds' O.W,.:= r� ' 2? ; L z��7��w� �:;�nu; t•t Drlvewaya-Not over Counter if on'publlc'roaiiuyays; R �' � � J�� u _ 4 - 1° _ ��, w,� .. , � 4� , , �: ; ,,r � ni.rt�;."J'1; '� :t"r,1ni;.�.�r, � , 31 ,���. •iT �'r:l:`�.�': ,,I�r.''`' . � ' ` ' , . �g ,i , �.� '_ '_ ,:-jx:.`rrzQ4.,`.�;e"'-�`"a�'�` �12Z.-'.�(�r,;.�''r��.f��;�.�3S,i.:%'`"'' '�� ' /� �i ��" , �<.�;^�r. a. .. �i3'aS`��"��H'":'=K��"'' . W:3'- •.n'""�y._ti9 . . , - . , .-. - � ' .. - .... � _�p�.r`:�.a:.,�m.�;� NOTiCE OF DEED RE$.T.RI�410�IS:. The undersi ned;unders�tan s h �. "�' g d u# �f thi��p�r:mitt.may,kbe.,subJe.c,t;to."deed."::restrlctloit`s.,,._ „c�,_ - - :r=-, ni..�:�a.r - �nR.,.�;�;: �s:,`yi`.�.�r�..:� ` �:o:r`a^:,"':;G - - �"}'��i� .�;:i-`i... ..:... --..•'..- ' . .,: ,...�� _ �-.., . .�. r.��_.:`>:;_v:,�,,.1,:: - ' which may'be-more��r�s�r=ictive��th�Fl;Cou�ty�:nag�latfons::�Ttie'.unde�lgned�-s�ssumes`resptin9i�tiilily:for"cofnpli�nce-:i�uith>any``� applicabledeed=restrictlons. _ _;-.:7•.,.:;;.:::;_w.;`•.�-,,;�:.. .• _ • _ _ - --_ _ ,..„. w.. ..F_. �_:w_ ` �;���:=>>. ^ _,_�� �JfVLICENSED��CONTRACT�RS�-ANb CON�R�!►CTOR�RESPON�IBl�IT1ES:°•=-1f�the°�ouvner�has�`hlretl`�a`�c�ntractor or contractors.to undertake work; ttrey.may�bsicequl�ed:to,ti��itcensed;ln:;acco,rdance;with state�.and,�lo,c�l=yregulations_:��°�'Iffi:the�>�Y� ����-:a �.� �.,..f.`�. ...7 contractor is-not`�Ilcensed�a���requlFed`tiy lew,;tiotft-the•owner�arid'<.confr`acto���nisy be'ctted`for"�i�}mi�demeanor vlolation under state law. If the ovvner or Intended}:c.ontr,a.titor�are,;;�ncertaln as:to what Itcensing.tequire�nents��m�yl�applyr�fGr�tine`��%�t°=;,,���� JrF, i� t.�*^*..... .-. �: L;. fntended work, tFi'ey a�e advised`to'contactµtl�e<Pasco�County Bulldln��,lnspection:Dlvlslon--l:icens�ing Sectton at 727-847- _.. r �._.... .:__... ........,_ . �. .n4..... . � _Y _ .� ,:�the contractor(s)�µsignf;3:�-��;-�e� r---'• 8009. Furthermore, If the own�r'Fias�'Filred'�a�c6n"traoto�"o�contractors, he is advised to have , ,,,,,, portlons of the, conttactoc.Block'.of.,,this.;appllr.ationPfor.whlch.,they.:will,;_b.e��esponsible....If..you�.as;the owne�'af�qn"as the contractor; that�may�be an Indtcation'thet"fie�-1's�not:prope�ly�licensed�antl�'is�`nof"eri�8ed'to�pemiftt(ng pti�illeges in Pasco County. ' .. �� , t ��.,• :. �:.�, .�7,`i.:..^.'?s.��,:': :.:'il:ir TRANSPORTATION..IMPACTIUTILI'TIES��fI�I�AIC'1��ANf��ItE�OUaCE RECOVERYfEES:`�The�underel�ne�understands that Trans rtation Impact Fees:and.Reco.urse.Recovery.Fees_may;appiy�td tf�e;consbvction�of.ne�nr..bulidings„3change iof'�4�`-���`�"a Po ._ . use In exls8ng buildings;o���ezpansi�ir�of�esiistin;g:'ibulldtngs� as specifled.in Pasco County Ordir�ance number 89-07 �nd 90-07, as amended.<;,Th� und,ersigned alsa�urtderstands, tFia�t'�such fees;,as��may��bb��due;,wlll;�be.identffied at the�tifie�ofrYr� ='u=�"'�` !'.. - ' h., 5...:�.., Z"n'i..�e�.'-� permitting. It is further�nderefood that Tra�s�ortatton Impacf�Fees an���Resou�ae:�Reco�ery1�Fees:,must be paid prior to � recelding�a 'cerfiflcate-of.occupa�cy"-or°flnal�.power=�elease:`:If��ths.proJectr;does;no�involve�:a�certfftcate of occupanay�or��'�=''•fz�'F��`` flnal powec:release,;�>#lie=:fees�mu�it:�tie paid-;pclo�,to;permit issu�nce. f�tthermore;�if:Pascv,�County�lNater/Sewer:lmpact�-:-��w��=:��� -, ;,��.�:. .:.-,� .: ,.tiy...�,.. � fees are due,:.they:mu�t:berpald;p�lor�o,;permit;l'ssuance°:in..accoidance wit�r�:appllca6Fe:�Pasco��County�ordinances. - CONSTRUCTION'LIEN��LAYV(Cli�pter 713� Elortida St�tute:�as am�nd�d): If valuaHon of work is 52,500.00�or�more;:�l��-�.� �.�;�; cerNfy tHat I, the�:applicant;�=haxe.,.been .provided with a�-copyr=,of4hei:"Flo�ida-�ConstrtiEtion:-Lfen�`Law—Homeovvne�'s Protectlon Guide" prepared by,�tFie Flor�da Depertment:.of Agric.utture and Cons�m�sr=kifairs. If the appllcant is.someone :,.,_-�.:,.�� other than the'owner", I certify�;th�t;;i:have.,opta�ined"a��eopy,of;#he�iabvv�:��deacNbed:�lAcu�ent-and=.ptor�ii�e;:in�good�:faith�.to . , •. r., deliver it to'.the�'ownec'"�:p�ior�to�cammen�ment` ' ` � � .' � ' � " : - , . � .: �ONTRACTOR'SlOWNER'�AFFIDAVIT: I.ceit�fjr,;that,all�,thetinf.ormatloitr,l�-thia applfcatlon is accurat�.and that all work will'be done in compliance-wlth all.appiicable I�vus regulating constructlon, zoning and::land�`developm�nt. Appl(cation.is � hereby made..;.to obtain:a.permit,�to��do�worfk_,,and:�liiatallation as iridf�eted�r-,=�l� cenify that no work•sor tnstallatton fias�' - commenced�p�io� to Issuance of.a permiE�and that':all work will be pertormed�to meet.:standards-of�all laws regulaNng- constructlon, County and City codes� zoning regulatians� and land development r.egulaUoris�in-tFie)urisdiction:��'i��al'so. certify that I understand that the regulations of ather�government agencies may�apply.::to.the.�intended work� and that It ts � my responslbiNty to Identifjr•what.acttons Lmu�t�take;to;be,;in�compilance:,rSuch;agen�cles°include but=�are:not Ilmlted.to: - ., ��,�,,, .7., .�...�:i; .. - Department of Env(ronmental��Protection'=Gypress:'Beyh`eeds�; Wetiand Areas and Environmentally Sensitive Lands,WatedWastewater Treatment. ..., � � � � � ' � - Southwest FloNda Water Management�-;�isfcict,.Welis;='�CypTess•� BayMead��=�Wetland Areas� Altering Wate��V�ses. �',- , ..;? :.i •;,.:.�Y.:yr ,; �.r.;, . • ,. , � - Army Corps of Engineers�,Seawalls;'Docks, Navigatile Weterways. . - Departrtment of 7Health.s;,8,,.,Re1�atillltative.,:,Ser;vlceslEnvironmen#al�F�ealth��Untt:Welf.s;:�VlFastewater�Trea�tment;� Septl'c Tanks::_� ..�r,.. . . -_ ... ._.`� . ;. `��'' r- _ . . ._ . . - US Envlronmental�Protec�on Agency-Asbestos abatement� _ - Federal Avlattvq::Autho,Mty,��Runuvays;�_ ' I understand.that:the,:foltowing:.'restrlctlons apply to the use of flIL•• � - �Use offlll Is not allowed 1niFlood�iZone"1/"unless exp[essly permltted. - IF the�:All meterlal�`Is�to�'�b.e used�`In :Flood Zone. "A"� (t Is understood that=a drainage plan addres$tng a "compe�sating volume".wlll.b� submltted at#tme of:permitting w�lch ts prepared by a professtonal englneer�" ` Ilcensed'by'�he_�tate�of'Flotlda: - ~• � - - If ih� flll���meterial�l"s�to be�.used tn Flood Zone 'A" In>connection•wlth:a���ermltted bnildlrlg using stem wall., _. construction, I-certify;th:at fill�:vklll_�e>used only.to_fill the area�wlthln:the�stem�wall: - IF flll mateMal-Is�to be used��ln .any .area; I��certlfy that .us� of•,such flll wlll not adversely aifect ad)acent , propertles.. If use�of f�ll Is.found_to advers�ly:.�fi�ct adJa�ent�;praipertles�.the owner may be ctted for artbl�ttnA. - the condwons�.of:the bullding�;perrrilt-Issried�u�rder tfia���ittacFied;perm(t:appllcatlon��for:lots�.less�than:one (1) acre wFilcFi ere elevated��tiy f111,a�t.engtneered dralnag�plan Is requlred. , . •. If I am the AGENT FOR.Tli�•:OWNER, I�promise,ln.good,falth to Inform'#he�owner of�the permltting condlttons set forth tn thls aifidavit prlor to commer�cing,constructlon. �1 understand thet�a seperate�permlt may be requlred for elecMcal:work, . . plumbing,,signs� wells,..pools,-alr.cond(tloning;:gas,�..or.other Install�tt�ns not�spec�teally lncluded�tn.the applicatlon. .A . permlt Issued�hall be constiued to'b'e a°Ilcenses to�proceed wltb'tNe,viio�k and��not-as:authoNty,b.vlolate;��cancel, aller, or set aslde any'provlslons of tfie.technlcal.cades;;nor shall fssuance�of a.permtt.prevent the Bulldlrig Of�ictalfrom thereafter � requlrin.g a cor�ecllon�:af:errora In-•plans;-constructlon..or vlolaUons of-any codes: :�very�pgrmtt'Issued'sfiell=beaome�invalld unless the work authoNzed:by such permlt:�ts-commenEed�wlthln sf�c�months of�pennit Issuance, or If work autho�lzed by the pernnit Is.suspended�or,abandoned;:for�a;perlod;of:�sUr#8)�inontiis:aRe�;the H�e�the�work�ls commenaed._ An extenslon may be requested, In..wri�ing,�:from tfie;Bullding,Offlclal°for a perlod:not.to�exceed"nlnet�r=(AO)�days a�id�wlll�demonstrate justl�able'cause for.�the extenslon�. If work ceas�es,for nlnety.(90)cons.ecutive:day.e...the Job�ls consldered aba�doned., � WARNING TO OWN�R: YOUR;.FAILIJRE,.TC1.,R�E�.OltQ;A.M.OT�#GE:OF:�COMMEM�EME#T�:NFAY;RESULT IN:�YOUR " PAYING TWICE;FOR-IMPRO�IEMEN,��nTflAXOUEt�>:PRORER7Y:���1�°.YO.U.�IN�TEKIDt�TOrbB�/��N�F1Ni�Ct�E1Nf;'CONSULT --WITH YOUR LENDER�OR AfibATTOR(�EY�EF6'�'R��R�GORmINf'�Y�tJ�Q'L�CE'dF�'Cd11e��N����:' ,• �. , FLORIDA JURA�-(F.S:;1. :03}�. , � . . -• .. • -- � _ - -- - .-- - _-.— .�-- - — _._._.- _ . OWNER OR AOEPIT , � COM'RAGTO •���- •L���JlP� ' S.bscribed d swc,p�o r aRlrtned)before me thls Stibscrlbed and' � (ot aflirm )b�o te me`fFilb� �.�02/- / b s rn� L I S - �- � � .�...F�'lr5 er' . Wlio la/are rsonally n lo.me.or:haalhave,produc�d Who.ts/are rsonelly.kn �to;m.e:or.fteslhave.�pradiiced- • - "as Id`entlflcatlpn. " as IdentlflcaQon. ,. , � ` - Plot�ry Publlc - _���' Notary Publlc Com saton No: C r�Isalon�No. , ,,,;�?;;"P��:,, SYLVIA A.CAMPBE��. �+°� w`�: Notary publfc-State oi Florida b..� Name of Nolery _.,�rl ' Fs � a Name ot Notary lype " r omm. xpires Jul 19,2017 ;N� ��; y omm.Expire5 Jul f 9,2017 '•,��FOF F`o,.�.' Commission�FF 034230 '•9, �.� Commission�fF 034230� ''�������"' Bbnded Through National Notary Assn. ' f,��vt���•' ��- ����`' Bonded Through Natiori2l Notary Assn: .. t ` � '1{Y � Y � 1 � PROPANE GAS Service Order/Pro osal � � _ AND AIC [rvc. n S�Ge�988 s 13•7s2-5o i 3 Invoice l�Jt7F'tl! 0�4`.)E-�'c�;�i S'c.r`a.`J IrEh14-lh! 74�ti�7� F"EL� Sales, Service & Installations • ��`���F��l�� -3��'F:�'� "'`!'��`'';i `� �'��J� 4441 Allen Rd. • Ze h rhills, FL 33541 � �`�`E� � � A� �`' p Y L�;=;TE�'rzt�lr� l=�F�to�i:[�C:�? t���.�L�c��i i.�.,,�2� NOTES: t^�1n� Q i�� � I� �j��� ��r�� .�<<: r!ic;'i G�E�1�krL.L7CFt-�:(��i �C�;•i i� ,� �i� P��5�1 ��t 1 `i �,L�; . ���-�t�«�{F� e:�:i--�R����-��.��, �t � �20U?c:'��E_.G? r E�?.:,._,�•-t•�. t • F!IR�tE�,g �Tr�JE ;i:tF?I:Et�9 ;�TL=l1� rT.��;E, F3ICFlLWhI� L�Q�' �''�::;3�, I-(1'GHLA���� i_.��GF' �s�1�; R�Ji�I ��i ' 7_LF'E-IY�H:[L.L� �'L �3G41 1 E�'Ff4't?l�i±L_i._� FL�.��ti�'L Lo �t "i�I}''si='�T�i� HF' L_•�':3�,�c'8�Z►�tc: F�li-i�' � 4'•I�r'Xti��Q��1 �.�i.ti�'��'�9 i�-I�L�S� �i�Cr=7�IT41=QR Sf�,_� -EST �N itil�t�f UN:E7 �FTER �Phi _ ..- _.._ : ._ :, »,. ,;. , .,.,. . . . .. . . _. - - - -_- _ _ _ _ _�:":DES.CRIFTION:OF�.VNORK.; _ '- �� - --.=tQTY,��` �, �MATERIALS"&�SERVICES; �_,` , , : UNil'PRICE ��=AMOUNT��` --_._._._._._..____.._._._._-----_.___._._—.---•--._..._.______ _.... __.. ._____._.._._.-•--•----_-•-.----•--•-•--•--._.. ._.___i_. _._.__i_ /� �� �ir �P"S .2 ��G'o�Z -� TDN o`iZ�� �'L J.v � l� � � J� ,K GGfJ• � t�,'C . ,�`'i c.�? � i i i i ,/�! r/S ,� �O � �/� � I t i N`is�[`.(� Ai/Z A r.�/..:� ,f h��I.�4, ,v f�.�n.�' i .. ,�'f' v'�2o2� G i'l�v� ��d �J 2�j�v �ia�L � � ,D v� �' %o- .��v r o-.S • � � : 2 oa ,✓�� S � ��� � s ��G z � ��'��"�� ' �UC B� � O J����J � �'LV£ /��`'/� i /c�C�pO C�oG' 0 2c ,5 ��l� ��Lfv�.z�'�s ' ' ��194�ao - - ` _ -- , � -�;RECOMRBENDATIONS`,'� •= - - , - � � - - - - = i i Annual�Maintenance.Recomr.iended=by;All•E� u'ipment Menufactu�rers:_�=�= � � � �` G � - - -- - q. - - - Pressures Lo HI T-Stat �G S� o�-�a�1�,.�} i ?`d�-{ i " ,, •( - -- . .: �;.�: . - ' " �����y" I� r }(�� >. - -_ , ,. : i: i �..�LS. � "��` I�% O e J t1 SisC�� = REFRIGERANTR-,` ' � LBS.-_='�. • ...5 Perlbs..—- ,� _.' . :j> . I r ,����eM„ �;��j, ��' f� ��Ir �,�v� FILTERS x x ChangedMonthiy I I n�� FILTERS x x Changed Monthiy I I 5�„� � � �J�v.� '�O �G.0� �n \f(`�Er L�(�l O REGULAR ❑WARRANTY � . �'TgTAL:SUMMAFtX��;=�''-`r_-, ' ;Dehuriiidistat,_Settings:-When here"ON"..;When Away 60° ,.T-Stat 80°- ❑ MAINTENANCE CONTRACT SERVICE , i LIMITED WARRANTY: NI materials,parts and equipment are warranted by the manufacturers' °-: - METHOD�OF PAYMENT-_- CALL i or suppliers'written warranty only.All labor perfortned by the above named crompany is warranted for ' � ` 30 days or as othenvise indicated in writing,The above named wmpany makes no other warrantles, ❑CASH ❑CK# MATERIALS �i � e�ress or implied,and its agents or technicians are not authorized to make any such warranties on behalfofabovenamedcompany. , ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � � PROG. W I C � 1 have authorily to,orderthe work oullined above which has been satlsfactonly compleletl.I agree lhat Seller refains title to equipmenVmaterials lumished until final payment is matle.If payment is not made as agreed, CLAIM# i� � seller can remove said equipmenVmaterials at Seller's expense.My damage resulGng from said removal shall r ' ] 7 � 0 L rot be�he responsibiliry of Seller.NET 30 DAYS.A 1 1!2%SERVICE CFIARGE WILL BE ADDED MONTHLY TO . �(�y/J C N'� ��J'G" 1 ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED TECH: T� � i ��g� �/ ,,,,,,j ��J TOTAL 7�7j � C STOMERSIGNATURE DATE ✓1l���//U/L ✓Q�.I