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HomeMy WebLinkAbout17-18215 CITY OF ZEPHYRHILLS 5335-8TH STREET � ��� ` (813)780-0020 1 21" 5 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 18215 Address: 5120 SUMMERHILL DR 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: SUMMERHILL Est. Value: Parcel Number: 12-26-21-0100-00000-0280 Improv. Cost: 5,500.00 OWNER INFORMATION Date Issued: 3/02/2017 Name: GRECO GREGORY& GRECO GERTRUD Total Fees: 65.00 Address: 5120 SUMMER HILL DR Amount Paid: 65.00 ZEPHYRHILLS FL 33542-8204 Date Paid: 3/02/2017 Phone: 813-782-9487 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 _ / (�L � � l l Ins ections Re� d DUCTS INSTALLED DUCTSINSULATED FINAL 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 City Codes and Ordinances. NO OCCUPANCY BEPORE C.O. NO OCCUPANCY BEFORE C.O. � � C TRACTO SI NATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�sasaoozo City of Zephyrhills Permit Application Fax-813-780-0021 Bullding Department -a - • :. Date�ece�ved - ° .�'/,`�. 78� _ SDl� - • Phone�Confact',for�P�rmlttin Own�r's Name �reco �� p. Owner Phone Nlumber � � "-/ O p���'�O � Owner's Address ��v �LL/n , �D/'' /_�_ Own�r Phone Numb�r� Fee Simple TItleFioldec Name � Owner Phone Numb�r -:�r. - - Fee Simple Tltleholder,Addresa . JOB ADOttESS ��o� j� [�i� ���,, jp , �� LOT# sueoivosiow . .. = P�ce�io# _/�.� �� 0"7l� �1D1� �Dd�l� Do2c�d . � (OBTAINED F.ROM:PROPERTY,TAX NOTICE) WORK PROPOSED ._;NEW CONSTR ADD/ALT �� SIGN' 'Q � � Q =DEMOLISH B_ INSTALL � ,f ftEPAIR � _ PROPOSED�U$E . . � Q SFR. [� COMM . � Q •OTHER ' TYPE OF CON3TRUCTION`< Q" -r'BLOCK r Q FRANIE ` ,� STEEL 'Q , •,. - DESCRIPTION OF WORK' �, �CNS, r7 C C�/Q-a1I C�°- O u � p � �� � '��+ BUILDING�SIZE,' , . - �'`' ' 'SQ�FOOTAGE ' I1ElGHT, �. , - � QBUILDING $ VALUATION-OF'TOTAL CONSTRUCTION ' ` QELECTRICAL $ " AMP SERVICE. � �.Q �PROGRE$S ENERGY [� W.R:E:C. QI?LUMBIIVG $ - . � � ,/, � � �����. � �� � � / li ,.;: L/ OMECHANICAL $ /�/� ` VALUATION O.FIMECHANICAL INSTALWTION: ' .. ��VV r �� , . ' ., , ., ,. . ... , , � � . Q�S Q ROOFING Q ,,- SPEGIALT�IC,.�] .�._.OTHER�;-, _ FINISHED FLOOR ELEVATIONS FLOOD�ONE ARE�► ,QY�S. ,NO . .., :- . . .. �,,- .. , � . , . ••�_ ,S" `r�_ r.�' :�..: _ BUILDER COMPANIF�.. ._._ �_:..G��..,�:- -=� s � .�.....-_ �.. , SIGNATURE REGISTERED Y/ N . �����F.EE CURRE� p Y/'N - .. '��37:. :cF,' . .:-'S' _��'� - .,. ..� . . ., . . Address �.: ,, . ;a .� °Llcense}#� - , . ��... ' ,.. .. , , <. -r, •r= -' ' ,� ,. . _ . ,. ., . ... : -- � ELECTRICIAN; ,. ,.. . . - �jCOMPANY;' ;�,' t���: ,a3.���.�.,-,;_.�= r:� ._ . - : ,.,; ,., �' ,:;� SIGNATURE 7 ' REGISTERED Y/ N F.EE CURREI�9� �'�:=-Y/=N_�. .�� ' , ,` i' , :�_..;_ , �` ` :i>, ', ;:`• _. , .; ,•_•. , ,. : Address� ' -. .' - • .�.;License;#� . " . . .., . , ' F;�� " , _ PLUMBEPt ` .. • ` ' C.OMPANY � ..:•�.>;: .0 .,�.•_t. --- ,, . . , SIGNATURE`;'V�� ��`� � ` � `REGI§TERED �Y../,.N;; ..,EEE:CuwtErt` ^Y�/.N.� . Address , � -. � _ � _ ' -VLfcense.#;* _ . . � .. , ,. t.. ,,,. �aecwwica: >> ,. �{-����, . ' coMPi►rnr, �:��f�2 S. `��oA-iv��-5't ����=�� SIGNATURE' `'- - _ , • � -- � FtEGISTERED : Y;/,N � FEE CURRE�,=, Y./rN"_;. _r .. _, . ... , -, , _ - Addr�sa;-4..,:�:�:�:�}�I G'� ����GS�"�. ��� � ' � � Llcense#`,.�/�-c� '6���/ �O .. _.,. ' � . ,. . . _ .-.�. . . . '_ , , . . �;�.y.��`.y., . OTHER +'�,. � . _•.t _ �• •- , . ` ;` - � �;COMPANY.;:. , , n•.. , . , , , , .. SIGNATURE� _ '�F• �" • �'' '��' °` " 'REGISTERED ' ' "Y/"f)F.:.w. �;FEE�CURRE�'�`� Y�/N. _ , . _ _ _ _ .-.. : .- - . ._,.�. ... :�... �' s.. i.�� I :+� ..� - .._.. _. . _ " . - . . . . ' . l�lddre�s :w�:. ,:,�� _ . :�:�.�.� . ' " 'License#��` � . , � , _ , . , ,. ,,;_t�. . , ._ • ._:.�:,._... > : ;. : a,,£,.. . . ..• RESIDENTIAL"-?,�AttacFi. 2 P1ot;Plans 2 ': '�; `�• '_� �;;,�< <,(_);� ;;( )set's=:o'f.:BuAilirig?Plan`s;'(.1)set'ofEnergy�Forms,��R=0=V1/'Per`init far-new construcNon, �� ` , ,.� �-�, >Minimumq�enr(�1,0)•wrorlfing;da�ys�aiter�"sabmitital'�date�:J�,equlreil onslte;:Constroctlon'Plans;��Stomiwate�'Rlans w/Silt Fence'installed, ' .. �`� , �:. � o. - �SenitaryFaclllUe,s,-&:;1<<dumpster��Slte�.W,orlriPermit,for:sutjdivi'sions/le[ge'oproJ'e,',otsM:�µ�<=��;,�tik ,;' .�, _ ' CO[VINIERCIAL Attach(3)�coiiiplete'sets°'of'Buildtng'Plans'`plus`a�Life S�a`fety Page;(1)set of Energy Forrns.R-O-W'Permtt for neW construction.- • � _ Minimum ten.(10)working days after submittal date. Requtred onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, - Sanitary Facilttles&1 dumpster.Stte Work Permit for all naw;projects:=i411 commerctal_requirements.must meet compliance �� � � SIGN PERMIT AttacFi'(2)sets of�Eng,i`nee,Fed;Pla�is:;�. ,-., �v`~ _: �..- � ;t��- . _ . .� , "- ' . , , ""PROPERTY SURVEY requlred_for all NEW�construcUon._ _ _ - Dlr`ections: _:,.;�;,+.,._,: ..__ FIII out epplicaUon completely. Owner 8 Contractor slgn back of appltcaUon,notarized If over�,2500,_a,Notice of�Commencement la requlred. (AfC upgrades over 37500) , H ;'��=:�fi�7:;',r�i�.��. , Agent(for tFie conVaictqr)or:Power"of Attoiney(for the owner)�wiould�be�somecne with notarized letter from owner authorizing same DVER�THE..COUN•T.ER_PERNNT'1�N('$"=.�'��(R�``o,�O�"f,='/�"`�,"p1�'�t�in" �"'='� �" ' �`� ° r ..�_...'— Reroofs If shingles S8W 3'ScBNICA t?pgre�es�/�I,C � FenCes Iot/Survey/Footage) •����`�-�������.+� �«����., _ _..,,._.._ .,:�ViILt{'i t4'_9ih'S. _�ttit.:SL`f..t,l,f•:U �.s"�� i4'' - ��'o;%J��'30 b3Ei� .11dbh', `��n �`�-, _ _ " ,� . � t �j :.. .c�:`r - - .. �-r � i � ' .% 'S: ��1'*ti�.;`�r e . . , ., r�� ' �t6..�1 . ..; �t-� ^. •:r•-" Drivewaya-NotoverCo tertlf�ahFP�iblic`�ro�eduvAy�::needs�0 �• °f„`r'� s a�.�'r f+t�sCt��x� �7;�?y�; _. °(/ 4�_ �i£rt�;.ii�4? � tiC?i7E:!t�Eiic"..� .`',..�t��:• v�St�F{i 7�'8 �1nii:?Et3l�TiQ� �?,° er�,`�: :o.,.� ut ra:•�'' q �t Y1Q�.`- �,,;r:7;a;w�s:�r:.:,�4?:s�uc�nl h.,,no6 ` .ft{tis�2LL,E��SR?;tar�f!�!luil??G:•bf•f$ ''=i�i�ii���', .,�ya. � f .. ..... . , a..'` �.� �r c•>'_i.s. N�T#GE�F DEED RE�TRICTIO�IS., The under�lgr�ed kunder�tar�ds,�t�t�#r#hls;��rm�t:may:be.sub�ec�;to"deed"-restr�ctlons" � ��.: r, , ,;;.. � s�.v..Wti. ��.... �,t.. which may•-.tie<more��'r.��#�ictfde.zt#�a��Caunlji��gr�latfons:Tlie`un'ders�,�ne���assumes`;�esponsi�blflty,fiSr-.compllance;with�any� '� � , appiicabie�deed'resteictlons. ' �N�.,�t� . - - _ .. ... _ �_,.,_ N ._``,'; : .. �� .f ,,. ..:�� __K-. .,;.__ ...�.... _., -:. A.R�p-.w.. .. " • ., .. � � . ` . ............ .�.,-.,...._... .-t. .> . , R o..,r......,..-.--r-...�..-a.s UNLt�IENSED��GONTRACTORS�AND Cti : • OR�RESPON�31�iE;197�5:�-��ff=�ie�rov�mer' has'�iiired'a a�rlti�ctar ar contractors to undertake work;;they.may;boir.equtr�:d:,to..iae,llcensed=�l�t;�ccc►rdance.with�sNate_•and,la.cal:regulaNans:'r�ifsthe��-� - �-�� .r-�r �'�^:-;`rt..f;r.cs.�N•;s:..,.,...n=a.:-, cbntractor�s�•ciot�ticensed�a`s��req�ilreif`�iy law. tioth�the owner aisd��coii#Facitor;�may��tie�cl#ed'for��2ifii�tleiriesnor vlolat#on under state law. if the aHrner.ar intended,�.contr;a�tor�er,"e.::uncertain as�to what Ilcensin�,requireRnents,3meyj5eppi�i�:�ir�tlne`,°:r{�°�;�-�� tntended woik, thejr are'advlseii to cor:t'tesE'�tlte:P2i�co.Couitty,Buifi!ingtiln�pectlonwQfvlslon-L•laansfng Sectton at:727-847- 8009, Furtfiermore,`ff��#he outirner�`tias�`tiirerlty aYcci'�UacfoT�"orrycorittactors� tie'Ts edvlsed to have i-the tcantcactor(s)�sign,*{J�4„,,¢,,_. portlans ot the._"cantractor_Block".of.�.this_applicationafo_r..:�rhich}.th�y:will:be��ponslble:-.�,:if yau;Yasµ�;the__.oam�c afg'n as the- contractor;that�ay be an Indication�Ehat'iie ls not.propeily�llcens`ed�antl9"s nof'en�tled to�eicmit#Ing piiitlleges in Pasca:--i .., �•a.V County. ° " ` ' . ...,� .-.,>:�.�;...<<. ... TRANSPgRTAT1�NsIMPACT/!lTILITIESi(!1(lE�AC'�„AN6-l�E��U�tCE RECClYE�Y=�FEES.`T�he�unde�slgrie�uiide�s#ands thatTranspartaQion Impact Fee�s{and.Recourse.:Racavery.Fees msy:apply��tia�#i�e,�construction:of..new.buildings;;change�icf=�?����w`�`�' use in existing buildtngs� or,:expansi�ri��of��ek�sti�i;g:�bulliNngs, as apeclfied.in P�sco County Or'dinance number 89-07 and 90-07, as amended.;::�h� undersigned also;�inderstands� ttiait��such#ees,:as�ma�;;���<.due;�w11F=�e 3deritifled at the"��time=of'�y� :��;:':: ermittln It is furtiier understood that Trsicisp�ortation Im acf�Fees and'��Resour.ce�Rec+�i►s"�Fees�musY be aid ria�to p 9• p.�. . rY� P P recelving.a•cecf�tcate._at occupa�cji"or��flrtal�.power=,�etease;° :if>the.pro�ec#:;does�:no�Invatve.a.cert�Ecaf�of occup�n"�yt�or���w�';"�"��_.; final pnwer.release;�ithe�;fees�i�i�u�t�be patd,prlo�#o;permit tss�ia�ce. �F�etk��ranar�;�iEPasco��County�lNater/Sewer:lmp�ct� :°�.��;:��� fees ars due,;.they,must.be-pald.;p�lor.�o.permlt-lssy�Eice�:tnsacc�rdance w{tl�:•appltcalite:Pasco':County�ardlnances. • C�NSTRUC'�fi�N'l:1EF!"C,A1Pi��iCti�pttair 713��1oN'ci�Statat�����nn�nd�sd�: Ifi vaiva�on of work ts�2,saa.00iar more;.:i� �;. :,«l� certify tNat .I, the,�:appllcant;:-have;.tieen pr=avlded wlth���a~-copy��.of--the..i:"Flo�lda••�ons#ructlon= Llen�:Law-Homeowner's Protectlon Cuide* pre�,ared bj±;'tl�e Flo�d� t?eperttYient:of Agricult�re and Consum�r:kffairs. tf the�ppllcarit Is,so`meone;°,,,.:�<.:.--t� ather than the"owner", I aertify�.th�t I�h�ve,opt�)neitl"a'�c�ipy,of..#he;above:�.deserlbed;�locu�ir�ent�and;priot�lsi�;ln,goodafalth�.to _ . -�:�; deliver tt`to:.ttie':°ov�r�ier.'"`pi�oc�t�commetiii�m�nE:'; - . . _ .., . _� �. ,:y+..,:,:u. . .� . CANTRACTOR'8/4WNER'S A��FIDAViT: 1.cectlty;:;ttiak.�:afl�;the�information;l��thl�appltcatlon i�accurat��nd that�all wark will'b�done in compltance.w(th all.appltcable laws regulating constructlon� xon(ng anili;;land�developm�nt. Appllcatlon Is hereby made to�ob#ain::a.permit,.to;:do:w�i°�:�and;�lhstallat#on �s indl�ete�:r�_��certlfy that na wark�or instaltation 'itias'� : commenced p�lo� ta Issu�nce of a permit`'and that�:all work wlll be pertormed�to meet-staodards-of�all laws regula�ing- aonstructlan, Cour�#y and Ctty codes, zoNng �egula#iarns� and tand developmertt r.e�it#aUons�fn tli'e Jurtsdlctlon:_'_'1-�1's6:� aertlfy that I under.stand thaQ th�regulatlons of othergovernment agencles may�apply�:ta,the:,lntended.work, and th�t It is my responslblqty to Identlfy�what.actlons!musE�take;to be�ln:.corr,tpllar�,cej�3;Suchtage�cfes-lncl�t�e°but'are.not Ilm3ted#a_• •- - Department ctf Er�rrtr.anmental>�!?i`�tec�'on=Gypress'8�yfiead�;`V�letland Areas and Enqtronmentally Sensltive Lands,WateNWastewater Treatment. . - " " "� �� - Sou#hwest Florlda W�ter Managemen�==�:�1�tstr�ct-Vllelts,�`'Cyptess:a.8ey�eail�;���Wettand' Areas, Attering Watercourses. ,� =� , ;;T,, ` , ; .. , . - � - A�my Corps of Englneers�SeawaDs;`:Do�cks�Navigaltle W�tterav�ys. : - Department, of:Health:_,&�,-;Re�ia6iltltaflve:�Servlces/Environmental�.i�eaith�Uinit Wel[si�W�stewaterz�Tre�finent; ` Septic Tarifis:���._.�> . , ,. . . ., �,. .. - - -� - US Ernrlro�mental P�#ection Agency-a0.sbestas aba�temen#:.. , - - F'ederal Av,laUon:Autho�tty=�Runways:� 1 understand.that the:following.resUlctions apply`t6 t�ie use af flll:� - �Use offiti is_not allowed in�Ftood:Zone"'V"unless expressly permttted. . - If the=fill- mate�lal�ls �fo'b'e used;�ln::flood �one. "A", It Is understoad ttiat'�a dratnage ptan addressing a "campensating volume"wiil.be submitted a#�me of,permifttng wi�ich is ptepered by a prafessionai engineer� ' Ilcenseid by'the;State of'F�oflda: � - � ��� ��= � - If th� fllfrr��iaterl�l��:is'to�:ae=.used In Flood Zone 'A" in=conn�ion�wi#Fi�a���erm�ted bultding using stem wail_.__. _ constcuctton,:l ce�ify>th.at:f�l�:wJll.6�e:�used only;#o.flll the area�wlthln�the�s#em wall: � � - !f fll! m2�te�laf�ls to �tie ased lit.any area; !�cs�tffp that .usa of:such�flll wl!l.not ac3verse�y affect adjacent ,. - properties. .If,use:.�f.fill is.#oynt�ta-�dversety;,�ffect adj�cia�it<<prc�pertie.s�.the owner may be clted for vlolating. the condl#Ioas��of�:tEie b�illdlrig��permlt lssyed�under the:j�sittached�_pecmlt.appltcatton,�for+lots�.le"ss.�thari;iine {1) acre w�iicti are elava#ed��by flIG���t.englneer�ed dr�lnage plan is roquired. - If I am the AGENT_�OR.TNE�OIAINER;:I;.promise In:,good,f.alth ta Infartn�the��awner�of��the permltting condftlnns'se#�forth In thts aNidavit`pr(or fo commeracfng c�nstruotlon. 1�unil�r�tiaiid thet a separ�te;pemtlt may be requtred far electrtca}:�vork, . plumbtng, signs, wetls,:paots,..:alr condttfoning;:ga;s,,;or�o#h�� install�#i�bns nat�speclfleatl� lnctuded�tn.the applicatlon. .A . permit Issued�hall be coristiued to be a'llcenae'�to;pr'oceed wlth"��tFie;wbrk and not�as:�uthoHty��.to,vlolate;�cancel� alter* or se#aslde�ny�provd�loi�s e1f ti��.t��h��c�l.,cad�;;nor shall tssu�nce�af�.perm3t.pr.ev��t th�a 8ulldirig�1daFfrom theeeafter � requlrin.g a cor�ectlon<af�erro�s In�.plans,,.consCructlan..or vlolatlons�of-any�codes:���very=p'�rmlt=lssued;stiall�-tieaome�lnvalid unless#he work authvrized by such perrnit:is.ca�menEedwitf�frt.si�czmon#hs of�permt#Issuance� or 1f work autttarized by the petmif is suspended�or;ebandoned�for:a;periodrof�eGc�:;1`iBj manti�s:afte�:the-tirr�e the�wo�k�ds commenced.. An ex#ensian may be requested.ln..wrlting,_:f�om.tfie�Bullding,Offlclal for a perlod�nat to�exceed':;nttiet��{9Qj��lays�ead�airlll�demonstrate �us#iflable`c�use for.�the e�t#enslon: if work ceases�for nlne#y.{90}cons.ecutive�.days,..#he)ab�ls.constdered aba�doned. a , _ . „ . _ . . -.. ., . ._. . .. WARMlNG TO QWNER; YOUt��;FA1I.URE>:T4,:l�E.CQRQ.Axi�14TIGE�=QF.�CQMME�I�E�ME�;NtAY�.RESU�T IN�YOUR - PAYtNt�TWtGE;FOR=IMPRO�EINE(��TfltYDURyP�4RERTY.;�i�-YC�.U�11V�"F`E�i1C1�R0`�B7�IKIN�F1Ni��lE1Nt�;'CONSULT T r__ D O N� O � O' - - ,. ,.. _ �—F1.ORIDA JURAfi 03 ,. _- . - - - - � , , "'ri .,, :.. . •,..: , . , i�, f ._ . .`;.'. ...�. . _ _ ♦ � . ._ . a� ��.�... . . . .... i.. . �. .:54 'i. ` -� _— _ _ •_ _ _ __"——`...._._ .� __--,__.___'_"_ '.._ f f�c.. _ ` _ _ OWNER OR AOENT : 1CONTRAGTO - G{�-Q.. _ . Subsaibed arn!�rnrom or sflirr»ed}b m #his Subscrfb�+d'and' ��ot aftitmedrb 'rrte�Nit�� --a-1 �s�n�e,r' 3 a.- - Wfio Isla ersonally kn .mo.or:haa�have,produced Who.ts/a� erson�IlyJmo :me.or:tfasThave•prodi�ced � �,�'s'td'eMifti�iion.' as tdentlRcaHan. � � � � Nof�ary Publlc _ ` � � Nakary Publlc Comm1 !on No: �� Co . tsslan.No, �1rL1flA�1.CAII�WlE1.4 ���un'���•. SYIYIA A.CAMPBELI �yq�wipp,� �,�►�r Pu�i;%. Ne�ltB Of NO , Naltte Ot NOtery typ `, IiC- I i ;. •�Nly Cprnm. pires Jn{19,20t7 _ �Mp�tlnm.Exp3res,lul 19,20i 7 � _4�'� �. Commiasion r�Ff 034230 y;;�,� ��;� Commission+k FF 034230 ��' F�r�� ������������� h+�+�;tit� BDnde�'fhrasph.Ngttonal tlot�ry Assn. • ,8cnded'thraupA Matianal Not�ry Asse: «,__._.. . _ - - - , ��� - - � � /�►� � G��' � � �� �' PROPANE CzAS ' ' � ' �, � AND AIC iNc. Service Order/Proposal A��Conditioning&Heating J/�rG2�988 ' Si i 3"782"�'J�'I 3 ��r�t�. i�'.'�;i�:�,-r''r%_:C' �`�. '.L���±'1=1r+} i Fa,:��� ,-�i�'� Sales, Service & Installations � • i��� :u'� =��`'= -.�''��.i-�� �` :r, ; �; '�' ;�F;°`�,�' � • � ti i. �.J l.: l� V'.. � . .. "'_ '1 ��i:: S'• j" 7 4441 Alaen�Rd. • Zephyrhills, FL 33541 `,'�.r�.' '_ "�3__ �., �,,._ . ,�7_ "'�'',`i ; _ '.`'�' , i�%-f � }-. i t i:�h_ .-�L_!��.1�:-._..w_1 �1- .�.�,�! J.(�-, .t.. :�r<<'� NOTES: C,��t•,,r,��r��i ,j,j f/� v;J•�- ^;_l:.--�-�.iF..°� 4.1-1i• �. _ • 4':_. _.�'t• �%t;'C,:�.;, J _) i...�ti::_ ••r• tJl_� . 5 .. _ i• .� �°I-{!.�!'�1��..:"• `�':_ .,.. -1 n:_'- ,��..+•;_s r I••� � � -3/4 � E'� . ,..,;.;c-._..�. • ., -._:; -,- - . �-'i-•li_�:•..._.�_.• ..:J •- r,.'�``: -:�(;f:_i'=� (�' yi [ r • [-'I_if_i-:"'r-.. .`.::_.i r-;'i',�, _ F;:�l.',. 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'.,� . :�" L_�. .r Ji_�i�}�_..�i c_.�-r�i7:_ i .�.j��i��`�=:: ���N�� F"�Ji_L 3F i,:��:�;�,__;::;� ��I__;�s -�..����:: �:r,�' :�r;�;:.,-;+;:- -i r� ��.-:-,. i.. .:[-,-. �' �, ` � �`, f �' , `-�'i 7 � tT'{c.�.li{pn ;� � � �e ��� � �; s� C; �� �;�`} ` � i �-+,a:.r� . . . . ............. .:.,-� ..:.........,.:.:.,......,,,..�_,,:,__,.�-..,:, - -- - - �.�. �, ....,,.�, , „ ,. .. .�,.>.. ... . ...:_. .,._.. ...... .,..:::..:. - - -��,,;--.-,.,::._ - ..,..,.. ,�,. .._.,.. :., ....,., . _ . .�. . ... .. . - - - ---. , ,�,<<.::;,�...::;..a::,.:..:,,..r .. . :� r - 'f>� ` .:� .,,.: , ,. ,; ...,.. ::_., -.�,; ..;_ <: . ._ . ; _ �.Q C h Dl.-0 DR. L'17`Y ;F�t' '=S" 1GlG��'-;i:;::v;�::=:=`�;�;;�:r-�;,,:: =fJ�7'�PR1G�` �AMDUNT. -�?�:.�>,.�,-:�.:,:,.�:.:......:, ��3E5. F',:W K-; - �c. _ ,.r:. �$.�� �t. :��. .�,, - :;,��:•- _ =�,�,,;:.�..... �......:.,..:.�. � .'.. ,.�........ .. :..:.. ...,-.".�....,... 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"�"w.:•::r,. ._.:�_., `_�: -"-.,r..,, .:.,.:__..u-::-:��.c.,,.• .._..... .:.., .. � I -�-�—+-, � Aiinua!`:Ntainf�t�ai►ce!Recor�rrieni3ed�by:;Ali':Equipri�nt:Nhai�iufacturers: • Pressures Lo HI T-Stat ''�t�1. '� �l�Cyl. �-�f ,_ . .. . : . .._ ,. ,...-� -- . -- =. . , .�_. . :. - �.:-.....: ........: -.. ... . ._ . . .... . ....... �;.- . i ' O �� r' REFRIGEBANT'R-. ' -..`'.L•'BS::; - '�, r-$_pe[Jbs:.-_i ;:�,:;:,; �Ltj/1/ _� ^ C�f t•.L:.' : . - - - - _ . ''I .- � I 1 #���3Q FILTERS x x� Changed Monthly I i -� �� FILTERS x x Changed Monthly I I 3 �� '� 1 ��0� DD .�JlS!° REGULAR ❑WARRANTY _-,� "_�-. -:. , , .:TO'f�i[:'.S.UMMARY° Dehurilidis,fat Se�ngs;;�When here'`O_N°; VI�Away 60°'�.<T- t 0°: ❑ MAINTENANCE CONTRACT SERVICE L i - - - - - CALL i LIMITED WARRANTY: All�materiais,parts and equipment are warranted by the manuhacturers' '._. : =���tEi{E'F}iOD OF='PR,� � .�'•='�`�.�'_z-• ` :.'�MEN. or suppliers'written warranty only.All labor performed by the above named company is warranted for � � -- 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i express or implied,and its agents or technicians are not authorized to make any such warranties on , MATERIALS i behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � ` • ' . PROG. W I C � I have'authority lo order the vrork outlined above which has been satisfactorily completed.I agree Ihat Seller retains title to equipmenVmaterials tumished until finei payment is matle.If payment is not made as agreed, CLAIM# � seller wn remove said equipment/materials at Seller's expense.My damage resulting irom said removal shall � ) ALLbUNP S LAN ES OVER 30 DAYS. O SEFUN S/SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE C PLETE � � \ _ I X TECH: �f T'� � � CUSTOMERSIGNATU DATE �Q-/,(i TOTAL M I� (/L/