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HomeMy WebLinkAbout16-17885 , ; CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 17885 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17885 ' Address: 5813 CYPRESS ST . Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE � i� Lot(s): Block: Section: Square Feet: Subdivision: COLONY HEIGHTS Est. Value: Parcel Number: 12-26-21-0260-01100-0730 Improv. Cost: 5,282.00 OWNER INFORMATION Date Issued: 11/02/2016 Name: BAIR JOHN A & KATHLEEN Total Fees: 65.00 Address: 5813 CYPRESS ST Amount Paid: . 65.00 ZEPHYRHILLS FL 33542-4460 Date Paid: 11/02/2016 Phone: 813-779-3070 I Work Desc: A/C CHANGE OUT 2TON � CONTRACTOR S APPLICATION FEES CHRIS' A/C CO. � A/C CHANGEOUT 65.00 � � �� Z��-��� �� � � Ins ections Re uired � 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 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 properLy. 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. CONT CTOR GNA RE PERMIT OFFI R '' PERMIT EXP RES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ,813-780;aozo City of Zephyrhilis Permit Applicatipn Fa�c-813-78Q-0021 Building Department Q�ts R���Y�a . ... .. � ,, e..�5' '° �c�f. — �/i��� � ` - -• Ph�ne�Cont`ac!"for Peririittin" °:' ` Owoer's Name � V� ��-- r .� ,�.;1�t.G/C. O�srnar,Phone Number' CJ�� ��� ` ��� .�. ` Owner'�Addresa .S C�� c' /'�e SS S�.'' - 'Cfw'nerPhone Ptumber �� �� � � , ;. ,,,,._._ _ ` ..� ` ,.• ,. . `� ,. Fee Simple Titlehol e'r'N , �` - - �` , � o-� �� � d ame=� Owner.Phone Number , _ , . , ..,�,,�t.. ,,, . i�� . - .. . ,. _ . . . � . ° . <. � . > . Fee Simple Tltleholde,r.Acldre�s , • �-�:-, , ,,_, - . . JOB ADDPtESS �QiGr'G'c.Q..' . , LOY# � � -� : � ` SUBDIVISION � , --.."" � `PARCEL�ID# '�� 02' 02.�� '` /��(/ , 3D" - _ < ' - . ., ' ''; �(OSTAINED'EROA1�RQPERtY 7AX NOTICEj " 1filORK PROPOSED E` NEW CONS7'R ��"� "` ADD/A�CT� ��" SIGN [� �` Q��` DEMOI:ISH � - .•- A h°� INS.TALL �='s: ..REPAIR� ' ,- - ' - . ,. 8 � PRQPOSED USE � SFR � COMNi'` OTtiEfi� ` ,. 0` � � ,.s � ,. . „ ..- .:_. � ; , . ; .:.... . . .. - TYP6 OF CONSTRUCI'ION; C]"� ,'�;BL`OCK '. '�]� `F12AME � .STEEL,��; _[���,_]. ._ � DESCRiP71C1N OF WORK m . ����. ' r � �. 7� �' �'�i� a�� BUILDING�SiZE:���� .�'':.,. F `� �a p:�.. � . �-�,HEIGHT;�s T �+=.���J�' - , SQ QO'1`AGE QBUILDItVG $, �;c.�r��� �.��.m-,�.��_ � . . . , - . � '� . � , VALUATION"OF`TbTAL`COMSTRUCTION �� ,. , .. � . .. , , QEI.ECTRIGAC $ � AMP SERViCE �' PROGRESS ENERGY [� .R.E.C. � " �' - . , QP�UMBING $' ' „ . ������ . ,.. , A /��j�� ., j V�� NIECHANIGA� � $ �1tAGtlP►T'ION;OF MECIiAMICAL lIdSTALLATIO�! `���3� � QC3AS ,_, .[�� ,;Rt�QFING.,:-=0 - SPEGIA�TY�Q` Q3`HER= 3" . FIiVISHED Fl.00R ELEVATIONS FLOOD ZONE AREA QYES. NO� �`� l �� ,_ .~i9�, , .. - ., _ . . , �UIi.DER � - -- _ - _ . - - � CQMPANY'-.,�:,:., -;� . . I SIGIVATUPZE RECiISTEREb Y/ N. FeE CURRE�'' Y/.N. - . � , .,, . .,_. , .- . Addre�s -` '., . � - Llcense�#` � � " ; �.` El.EC=RICi�At�t.,.�, : . " � ;,, CCtMPAtilY ;',�" , - � � , - , _ SIGNATURE � REl31STERED Y/ N FEE GURREK. Y/N : . ��5^t,-. ' - ' * y � �ddre�� " ,.. " • _�; • • , , ,p 1' �.License;#.>�'":�i . , PLUtIRBER � , - , COMPI.UVIf� , ` �, �� , � . � _ ` . SIGNATUR� � ` . �� � 4 _ � <RECiIS7EREp'- .a�; �,'�rY;/;<Nt, � 7.v EEE:CURREt�`" '.. •Y/=N� Addr��a � - _ � , .- License#s.��. • '.� lYtECltAP11GAL' l ' ` � .,. � ;GGiMPAN1F„-' fi:'�r'��� _ ' ' . Y SI(iNATURE ' `�`„L�/7G�-'�. RECiI TERED=:• _ �IV-.,> -;FEE:CURREA: . ryW �•• - - ,,, ,�,. . �4ddre�s'_.. - `;y '#{i., �, - D .�� ; -�� . . . °: ._,., -A.. , , .. 4 �4 �.:,.�, ;.License# �_ � :�=�-: ;-�,: � �: . � � . ,_, - . ... , 07HER -- ��+:.':,3.:. ,. „ .., , . . =G0111iPElNY,. „_ . .� _ - - SIGNI�TURE. ." . . . . ::'.'Ys.'r � `�,� `5 ,REGIS7ERED_. .Y/,N.;'♦�- .:EE�'CURRE�<, _ .`,Y,LIYF-:.� , ; . . . � ....... ..:... .... ,.�-' , ,;, .,, .. - -:..r ,.r:v.� - ,,'�� .:iP. ';V" ' tt;?�t_ .�,.'` -_ .. .. � , ,. +p`.5. . .- _- `� � � . . � . Addre�s �.��� _ �:^��'1,r .f,` . �tJrcetise�#���_ ti�� � : ,: : � , , , . �-� , __. ., .. , " _ ,`:a,'e.( -/ :k �E> �.r..;i��`'a� ar:.;f.<:,ry,. ,.z=. .; . a.:t' _ _ .. pe' - f _ { _ r`d.• ' •;.. �i "�'.�i.'-.;i:t�.3_>_ __ 3 , ... RCSIDENTIAl:.��_=Attach�2�:P1ot P„lans�°�(2�'sets.ofs8t�11cl�(�tRlans,(�1 1`sef"of�Ene�}y��j�Forins�;R=O-W�Perml#;f4`t.n�w,constni�#�on,�<:,.r,� , . . ^ ..n..�. _�`' ..�_. .,.(. }.:k._._i . . ,��.I�{.,�, �. "".iy, _._"9r.�a .ir\./. �'y7il _ � - jrJ , _ ���t.���� ^,Mlnlmurins,tenF s10: worktn�rytd :after,:suti�;i�ltfsl�ilate:�R�`''n uired onslte;�Cri`nstru'gtlon=Plans;;.Sta;rmwate.'`r,"`Plans:vii%`Sllt Fence.installed,- - , ...,...:� �a. �mr�! �.a,..��:, . '�!y. , , . , -* - .r ..i,,:' _ �:Sanitary.FedlJtles,��1{,�u.mi�ster,',�Slte,lhloiie`,Perrniti:for:sutitlisrlslO�is�large'picject's�.;:�;�a���a;_�i`�'�'°�,��', _.. .. . .. __ .., _ _, _ COMWl�i2CtAtt. Attach 3 com``lete`�ets cf'Su11�in�Piatis�`tus a Life Safe��Pa e� 1 set of Ene � Fotms.R-0-W Petmit for new cc�nstniction: t ) .•'P 9 P tY 9 �{ ) t9Y Minimum ten(1q)working days'efter submlttal date. Required onstte,.Construc8on Plens,Stormwater Plans w/Silt Fence lnstalled; �� Sanitary„Fadlitles:8;7,dumpster,a3ite.Work,Pennit•for•ail;new�projec'ts:�Al!"commerdal:r�equirements_must_meetccmpitancs , .. -: . S1GN�PERMiT Attac7i-:(2)setsiif�ng"i�ie+ai?eii;Pi'ans:.,�;;��.u��;- ,.,�>-_'{�-. - �., ' „ � , _. ••"•PRQPERTY SURVEY requlred,.for;al,l NEW�cansfructlon.-- .' - -� _ , . •- , _� ` `Directl'ons: , :_�.�=��.-e _ _ , ._ __, __.. , __. ,�. ._. �. �. . � �ill:out appUcatlamcompletely. . C?waer 8�.Con�ctor slgn-back.aCappltca#tan;notadz�! If over�2500.,a;Notice.of.Cominenc�meflt l�re.qulred. (AIC upgrades ov�r 57500),_,.., . f� .. y .. ;=-=i�<;;:;�� �y� �:.. . .,...�._.,� . ,. , Agent(for Uie contractaC)41r Powe[of�Attomey(fot#he owner)would be someone=with ngtarized letter fram owner authoriz►ng same �,D.VER TiiE=COUNTER:PERMiTfINCi,c:--.:':°`(Front'of•�iPP�IcatiPn O�nty)"�- _ ...� ` . - Reroofs If sHingles Sewers Service Upgrades.A/C , ,Fences(Plot/Sunrey/Footage) -.- -- _ � , - _. � ,. _ - ` - r.,;:= - , .. ,_, >� . . , ._, . . - � 13rlvew�ys-Not aver Gauntertf'on•publlc roadways.:needs RQW� � , _ .. . , . . .,, .... . ,� .. . • ` , � � .. . � ;j.� ,. '{, . �., " 4 . _ .._ - - " dersl ned.,under�t�nds�:th�t�ihi�.-. .�rr�[t;may:.be,,sub)ect'<<to;"deed":�r.esa(ctions°�.;`.}_ . "' ' IOTiCE OF DEED RESTRICTIONS:� The�.u�1 g. ;:r. :,,,:P;-R�..;,,;J . ,,;��.,�K��� :.r ,� _ .� �__ .; , ... � . rhich may tie°more�rest�ictive:�tl�aaFl�Count�l`?��la�foris:?The=,uii�ers1gned�as�umes��resp�'n'�ibilttyfor.compilance with:any , � Icabledeeil:restric'tlons:-. _ _F�; :,�, :�r�:f, a,. ". - _ . �`=:,:T"- , . . PP( -:..., - - - =- - RS��At�D��CONTRAGTOR`RE3PONSiBlLI°i'I�$�:«-;�If:�Fie��owne��ti�s��hired;'�'�ycoritractor �or � _. . .. . .. . INLICENSED`:`CONTRAC�O_ . , .. .... 1: . . ":e.., i : , s �� �: ,.:_-.l ., iU - Y'^:.1." . . ' � ...'r''.' '" .� ndertake.work 'the.._ma ,:be;r�: uired'�to,Ge�l�ens�d:in:eccordance;with�sfate�:antl:�local;,regulations:�;�;lf-th`e��'a�:;�.:� �ontractors.to u .,�,, : :y._.,.,Y.. q � _ . . ._ .., : �z�a..� � . , . . '.,� . �ntractor;:is�not�<.Itcensed=as�=cequlre�f'`tiy law, both the own�e�and�contrector�may�ba cifed for'�� mistl,etneenor vtolatton . �nder st�te law. if-the owner or Intende��:co.ntra�tor{ere�:�:uncertaln;as:to vvhhat:Iicensing..requireRnents:.;rnay+:appiy�fo��=th'��;--=�;�-���'� � - -" Y�,n, :T ,. .. . .R'.__ . ..- }. ... _ .....-. ' e ded'arork �the" .are=advised'to>cti�ritact tFie`P�sco;��aunty,Bu(Iding`Iri�pection„pivision`='-LlcensiAg'Sectidn�.�t 727=847- : �t n , Y . . . • � �-... . �,,.:. , 009. Furthemiore;�tf�ttie=ov+rner�has-`Fil�ed����conhector o��contractors;"iie�is`advtsed��to�haves.the�contractor(s):,,sign.s,.;;.�..,.;_ ; '9:•:45�.. •t i .. ortion� of`the"contrectorBlo,ck°.:.of.tHis.appilc:atlon;:for„whichrthe.y�will::.be�te.sp.onsihie.;;.if.you;-^a��..the;oinrner�s(gn=��a�mthe� �"`' ° �� ontractor, that�tnajr-tie�an`lndicafion�fh�t he�is'=nof�.properiy�licensed"and"is��not'�entiNed�to�pernifttfng�pri�ilege�'in Pasco � , • .� '..�°;?` , _ , ? �OUflly. ` -: , ,. , ' , �__ ...,_�. . -...4 .�:.. ���:...: - � ' ,_.. , 'IZANSPORTIITION.JI6APACTIl1TILl�f'I�S�INVPAC7�AI�G�ItESOU�tCE RECOVERY�FEE3;='-Tft�'�under�igned'�understands �: ' �at Trensportatlon ivnpact Fees�and.Reco.urs�Recovery-Fees.may��eppiy::#a�;tF��constructlon„of_new�,bulldings;.:chang��.of."��'��'�'�"���'c� "� r" '..,. , _ ,� � se in exisNng-buildingsjz:qr;teicparisidn=`of-=.e�iisti`�<�Gylltlings�"as'specffted:in Pasco County O�dinance•number 89=07 and t, 0-07. as amende.d..,.��h�.undetsi�ned also:urtderstands, th�t�°�uch fees;ras��ma�r_be:°rf.ue;;:�u,fll��be ideriti�ed at the{time���of'�'.�''}= �='��4 ;� ermitting. It Is fii�lie�`understood that Traasportatlon.lmpect`Fees_and���teeource,Reco�ery��Fees::mu�f be paid prlor to '� �ce�v(ng a."certiflcate�of�occup�ncy"-�or-=flnal•m.powsrrelease:'�:If�the.proj�k;does-:not�involae"a-.certifi,cate of occupancy'or��:�==�_:-'�'=.<:-° _ ; ;... . nal power;;-retease4 the�fees_.:magt-;tie"�paid>prior:to..per,mit issuance. -F��tk�ermcre;<�ff':i�asca��:CountY:flVaterlSe.wer:�lmpact;=��.-L;�;{:-� � � - jes are due,;they�:tnust be;;pald ptior.to�permit,I�suance:InFaccoriiance�with�.appllcabte�Pasco':County-ordinances. :ONSTRUCTION`CIEIV"CAVII(Chapt�r 713;FloNda'Statutes,a�.emended): i�valuatlon of work is$2�500:0.0=or:mor.e;.1=-- � _:����;��r; ertify that I, the_:appllcant�_:�iave�„been.�.;provtdeil��with--a.copy,;;of:,ttie-�'Florida���Consfructinn�;Lten�::Lavi�Homeo�+rn�r's � �rotectlon Gulde" prepared by'.tMe`Florlda Dep�rtment�of Agrfcult�re and Consum�r:�kffairs: If the applleant Is someone.� ;: ., :_,:;a-- ther than th�"owner", I certNy,.�th�t.lwhav,e:,obfalned�a``copy:of.the;above:r�escrlpetl:�cu�ent:and;prori�ise�:tn;gootl�,faitli*to:., - „ . , - .:�_:..:., - � eliver It to�the�"ownec";prior�,to.commenaemerit:�`-�"', ���`.� �� . . ` � - _ _ :�, _' �. - _ . �ANTltACT�R'SIAW9�IIER'S AFFID`AVIT: I.,ce�tifjt�:tkiat„�IE°�the;lnf.ormatlan~In+thl��appllcatlon Is accurat���nd that sll�work ' ►ill'be done in compliance w(th all.applloable lavirs re'gulatlng constructlon� zoning and:�l�nd°„development. Appltcatlon Is ereby made to obtaln-:,a.permit,.tos,.do�wotk;;iand"Ihstallafton as Indlcafed:�:;�'F.certffy that�no work=`or Installatlon�has� ' - ommenced'prlor to'Is'suance of'a.perrn(f�and thaf.all'work wllf be performed to meet�__stand�rds.of,�all laws regulating� onstructlon, County and City codes� zoning.regulatlans, and land development cegulatlons'In�th'e;•Ju�lsd�ctlon:-r>.I�:al'so � ertlfy that I u�derstand that the regulations of other�government agencles may�app�y�to.,the.lntended�w.ork� and that it Is iy responsibllity to Identify•what.ecttons I must take;b be,ln:.conlpllance,S,uch;,agencles�lnclude but�are=not Ilmlted�.to: ��- � - Departrrienf of Et�vlronmentalx�Prritecti�n=`Cypress:•B�yhe�d�;`1Me11'�nd IA�eas and Envlronmentally Sensltlde " L�nds,�IlaterlVVastewater Treatment. ,� " '� �� � - _ - Southwest Florlda Water Managemen�:::l�istrlct 11VeIIs�=��Cypress.4'-Baylieads�;�'Wetla�d � Areas, Alter(ng ' VVatercourses. ., -. - .- , r_ � , _ _ - Army Corps of Engfneers=Seawalls;Docks, Navlgatile Vllaterways. � - D�partment,vof Health;.B�.Ret�abilltattve_Serv.lces[Ernctronmen#'aI.;.Health��Unit-V.VeI[s;:Waste.water�Treatnient; - �eptl�T`�i%ik�e _ .., .. ' .. .'-- : -,-. -_ - US Endironmental Protectlon Agency-Asbestos abatement. -- F�deral Avlatlon:AutMorl,ty�Runways: .,�-� • • , ._, _ • und�rstand that.the,.follovving�restelction.s"apply Co the�se of flll:• � - Use of fill is not allowed in Flood;Zone"V"unless expr.essly..permltted. - If the.flll: mate�lal�'I"s:"to�:be`�.used:�In..��lood-Zone. "A"�'tt'�"Is�underetood"-that a dralnage�plan addressing a "compensating volume"will be subr�ttted at#)me of permlfting whlch Is prep�red by a prof�sstona) englnee� - �� Ilcensed by.the��tate�of;Floflda: �� ; � > �- , . ' - - If th� fill_;mate'r:laf":is�-to-be�us�d In �lood �one 'A" Ins connection�wlth:a���ermitted bullding using stem wall � conatructlon, I.c�rtlfy,that�fill;w111=h���used only.to.f111.the�area:wlthln the,.:ste�n�HraIL - - , ,;. ,� _..__.: - =1f flll�mate�lal='ts�to°��tie��used Irt any erea;-`1`�c�rtlfy that .use. of such'fllf�w111.not adversely affect adjacenQ , propertles. If;use:of flll.ls.found�to adversely.�fffecf"�tdJaEent��pr�pertfes,.the owner may be'c(ted for violating � the condlltons�°uf-:iiie:�tiutlding_=pecnmiE Issued:urider th�attacfied..pemtlt--�ppllcatlon; for�.lots less-than:one (1) , acre whlch er�e elevafetl�tiy illl;:��r englneered dralnag�plan'ls"�equlred. .; I�m the AGENT.:FQR.THE�:ONlNER;�I:�promt"se�In gqod falth to�'Inform the�•owner�of:the�.p.ermltting condftlons set forth In �;; iis aifidavtt'pMorto�commenoing'�co�structlon:�'l�undersf�nd`that a sepacate perrinit may be requtred for electrlc�l wor.k„ . , ;:; lu�bing, signs�,wells�:po,ols;,,alr_.condltloning�.;gas,.or_othec Inst��tlons-nol�spec�lcally lncluded-tn.the �pplication'. .A' . , =��, y�� . . ermft issued-shall tie corishued to'lie�a�llcense�to,pr�ceed with the wortc�and;not as~authoNiy_to,vlolate;�=cancel; alte�, or . st aslde any provlstons of�the"teoFinlcal,.codeg;�nor shall Issuance�of�a.pe�mif.pcevent the Bulldlrig Of�tcl�l from thereafter , �� :qulring a correctton:af erro[s-.In„plans-;;const'uctlorl:or vlolatlons�of°any�codes:�:_Evsry-p�errillt,[ssued shall=become lnvalld � ' nless the wrorkautFio�lied':liy such perrrilt:��ls-co�imenced`v'iilfhin ,�hc,months ofzPermlt Issu�nce� or If work authorized by . ie permlt 1s suspended.or;abandoned,�for•a�::�erlod,of slx;f8),,montTis`,after the tlrne the�work��ls commerice�d. An extension iay be requested� In wrltli�g; from=the Bullding.O�lclal-for-a perlod:not fo.exceed'ninety;{90)�:�ays.-and:wlll'.demon"strate � stlflable caus�for.�the exten"siori:�lfwork:,eeaaes,for nlnety(90)cons.�cutive:day.�,..the Job�ts�consldered aba�doned.�, �, _ ''� ; _._. .�:�.�.,..,.... .-_ ��� ; . .. ' �.:::. .. ' ... { ..,;. ,' `' „�.__. �r.,..:,.:, �� . , : :.. �,. IARNING TO'OINNER:`���YOUR:.FAILWRE�.TO;,'REC:ORD;A�I!�OTIGE;:OF:�-COMMEMCEME�tTuARAY�=RE$ULT�tN��YOUR . AYIIVG'�WICE.FOR IMPROVEMEN:T�;,Tfl YOUR;PROPEI�•T1f.:,IF°YOtl�1�I�E�ID"T�i�7'�AIN��FINiA1�EyNG;-'C.ONSULT S�� , rIT OU . .... ;O. AN�= O� N �FaR .,:�ECO �:�.O . ,_ . , ,.,,a .ORIDAJURA��(F.S:11T:03 . . . - • ` -, - _ .. -- _ _.i:=... .,,; __ �_— - --. � . . '•;° .'::_ — — r�-=�� !1�ER Q6�W��::Ti- _'---� - - / C�f�7TRACTO ��. ibscrlbed an bswom ta or a(flnned)befor�m�� I� - Su"sc.�lbed''arid'�wom�to(ot'aflirmed)•b�fore;me.� A -. Y ho Islare pe�sonally known lo.me or�haslheve p►cduced o�ts/e►e . onally_' virti';to me oehaslhave;prodiiced • { as�Identlfli�Npn:� - • W ' ' . as'IdendficaUon. � � I _ ! , Notery Publlc . �bllc -• /� ':�Y:^�%�., ;1 UELINE BOGES ' � �mmisslon No: Ccmr�a n.No. �_°' �= �;;• �'a: Expires December 12,2018 ��F..�.p?�`� ime ot Motary typed,printed ar stamped Name ot Motary typed,pdnt � 1 � , . � ���.��.� �,� �� _ � > �::_ � �� 1 . '� : .. � �� H�/AC - = � � � � � � � PROPOSAL ��, -� cncosss75 �; t '12232 HlNY 301 DADE CITY (352) 521-�977 a� �� � DADE CITY, FL 33625 • ZEPHYRHILLS (813) 779-9515 �� � � NAME: ,lohn & Kathleen Bair Date: 10/24/16 SPLIT SYSTEM # PKG UNIT XX SUBDIVISIO�: HEATPUMP 0 STR.COOL X ' ADDRESS: 5813 Cypress St �, CITY: Zepyrhills z�P Co�E: 33542 CONDENSER: ��TC��4rOO�- ��� PHotvE: 813-779-3070 WORK: IR HANDLER: � CELL• RENTER: HEATER: ��AYtiTRSl�1�1:'O�r ESTIMATOR: ChC'IS g�,nf�_ AMERICAN STAfdDARD INCLUDED IN PROPOSAL � " • SEERRATING: �4 6��2�,7$ PR0�3000 THERMOSTAT/GOOD INSTANT REBATE : 900.00 PAo� °T TAL : s,z�sz.�� SEAL DUCTWORK TO CODE TONNAGE: 3 PARTS: 10�R CONNECTED TO EXISTING DUCTS AND ELECTRIC. COMPRESSOR: 10 YR u{soR: 1 YR ANCHOR CONDENSER � TAX,LABOR AND PERMIT _ - REMOVE EXISTING EQUIPMENT - DUCT COVER "�+� DUCTWORK TO ATfIC iMrH� ���-=�=-f��Ii!,�`�d`� Y�J���`�L' ""'�' �;�.. �x= =/,y�.� y��-� � ��-_��=� - �2)� �" M=�_�/�-�.�.��/�;rl--e - - - =�.;__:_/���- �- �.:�--j���-f�� - - , a ' (' - - -�d2Z � CONDENSER: � Alit HANDLER: #N/A . HEATER: #NIA � BRAND: #N/A SEER RATING: � #N/I�► , - � II�STANT REBATE: �#�I/A I HAVE THE AUTHORIN TO ORDER THE WORK OUTLINED ABOVE. 1 AGREE THAT SELI.ER �' TA L . �N/Fi RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TON NAG E: ��//� PARTS: #Id/A IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENTAND MATERIALS AT COMPRESSOR: #IV/A LABOR: #N/A SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILfTY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND MATERIAL HAS WRITfEN MANUFACTURER'S WARRANTY ONLY ^ **FROMOTI ON** ���� ' � � ; O%FOR 60 MONTF9,,.� j �AC). j OR G . , CUSTOMER SIGNATURE DATE: f IRISTANT REBATE � :�.., ��� �Z 5ZL1 ��.c�. �2 �25