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HomeMy WebLinkAbout17-18194 CITY OF ZEPHYRHILLS 5335-8TH SfREET r � � (813)780-0020 1�8194 BUILDING PERMIT - � ° PERMIT INFORMATION LOCATION INFORMATION ' Permit Number: 18194 Address: 5904 16TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26 -21-0010-04900-019 Improv. Cost: 4,799.00 OWNER INFORMATION Date Issued: 3/01/2017 Name: JAAKKOLA MARKO Total Fees: 60.00 Address: 5904 16TH ST Amount Paid: 60.00 ZEPHYRHILLS, L. 33542 Date Paid: 3/01/2017 Phone: .�. ,� � ' � Work Desc: A/C CHANGEOUT 3 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 �In / l �. Ins ections Re uired • DUCTSINSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I 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 bef�re 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 NOTICE REQUIRED PROTECT CARD FROM WEATHER \ , CITY OF / / / / BUILDIN� tEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION � • • - • ADDRE55 � DAT PERMIT�, ���� �6� s� u�rz C�c�� THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. (L�(���,`tt 1�- ` JL �S � � �'� , � �C��� ���'. ��1-��-C_� �,� �t is unlawful tor any Carpenter,Contrector,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,�ath,earth 780-0020 FOR RE-INSPECTION or other material,unlil the proper inspector has had ample time to approve the installation. c OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR I U"`�J _ i 813-780.0020 City of Zephyrhills Permit Application Fax 813aeo-oo2� '-' ' '� - Building Depaetment Date Reeelved . b - ` - �.:::Phone'�Contact:forPermittln :;O/3 ��� - �d`3 , . Owner's Name � Q ���C� � '� Owner Phone Nlumbee $��- ?j3 _� Owner's Address ��8� �/PD� �j� , �e d�"'� �� �� Owner Phone!Number� Fee Slmple TItleFiolder:Plame � � - - � - Owner Phone Number Fee Simple Titleholder,Addre�s � � - JOBADDRESS ��� ` �I! �-�l�s / ��S . LOT# � suaowisiow - �aRCE�.i�* ��� ��.:��!;� � ��. � D%9� WORK PROPOSED (OB.T/UNED FROM.PROPERTYTAX NOTICE) ._:.NEW CONSTR . ADD/ALT �� SIGN° 'Q [� DEMOLISH _ . ., :INSTALL � „ REPAIR , PROPOSED?.U$E , 'Q SFR.� [] �COMM •. TYPE OF CONSTRUCTION 1'• -'Q" �r'BLOCK f ` �� �OTHER : :. [] FRAME ' .� "STEEL '[� DESCRIPTIOA!OF WORK-' � ���a. H�`C e_�� � � . . , � Ce'rr� D/l�eA��S � �'y� t�(. .1� BUILDING SIZE�'' �� � �`SQ FOOTAGEj` " , ..HEIGHT� QBUILDING $ . .., , . ..... _ , , , ., - , . VALUATION'OF'TOTAL-COySTRUCTION � - ` � QELECTRICAL $ ' . , AMP SERVICE. . °.Q � �:pROGRESS ENERGY � . - . . Q W.R.E:C. ; OPLUMBING- $ - � � �t,. „ � . QMECHANICAL . $ ' '� ' VACOiq7'ION OF;MECNANICAL INSTACLATION. � - � 90 6�� - � . . ,. ,:�,. : :, , . . , L�C,'AS �] ROOFING y0, ,� SPECIALTY�:�� . OTHER�,-... , - FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA _ ,[�YES. ,NO . .., . , .s �., . �.. ,. • ' -- . _ , ; z�-,. ,;r; _ - BUILDER SIGNATURE COMPANY.A.,,� _ .-,�-."�<�; . , . - . _ REGISTERED Y/ N .i��'�'�FEE CURREK.' ;<, YYN' - Address �� `�'� iL' _ .,::.;::.;, ��'.: :` . , _ . , , - ' . ' ,'€�'-+:t � ,;Llcense}#�' .7 ; , , EL-ECTRICIAN;. - ,. . j , '... - _ '�v MPAN� `+ � , ._ :. ; ,,: �"._ . � ._ SIGNA7URE � •:}C:O Y '. - ; ;.�=;,p;�:�.��� _ �? . .. , _ _ _ R � - �REGISTERED , Y/ N F.EE.CURREK"�;� '�* :>`Y/'N �ddress" ' ' . .,.. . - � � <,`, . . >,,;,,License.#F�'".. ,-,: �. �. LUMBER � . . • . , ,C.OMPANY" . ', :.�.:; - : '_- • ,... . IGNATURE` ;�, �' . , .. - ' -:REGIS.TERED , ,Y./�.N:s 1,:�,FEE-CURRE�:��. Y-/.N,- ,, " , . .. - � . _ - x . - 2a :`;? ' -- ' Address � , - 4': `;' , ' ,,: ;Gcense# ' . , - , . �,. " _ _ _ , .. ,�. „ �y.ji'� - F .. �i � .^ _ � � �' ... f'A. ,t. ecw�icai:�� � ,. coMPi�t�r /fi2��v'fr�`,.!9l'.�(��.C�QS�t . �`�(G� IGNATURE� ��� `� •• � j� t REGISTERED _ Y%,N ' FEE CURRE�,., -"Y/FN , ,r, .��• , . _ _... . ...,-�,.,� . .- ' Address:" .� ����' !T�E� "` `.•�/7/L�'�it��.�5'rj�'/ � License#t ���`. �� O V, . . , .. ,_ . .. .., .. . „ - . . ,. ,� _ �:, , „ ,. .. ,r,;,. •• ;,. - .. # _ , , ,. THf�R �: ._ .r, . , __ _ � � , .,. , ;COIIAPANY:. . � ,� .. GNATURE� , - , .. . .:: . . .. ... . � , a�� »:.:,�,:,, , . •, .. .... "'�a� ��REGISTERED" Y/"I�F.:..�: !FEE�CURREi1':" Y/N . _.. _ ,. � :�-., � . _, . . `s,� - . � l�ddress.. .�'s >• • yf..��.- ,,E-:3:. . -<�,+_'s�=° - ;�'t. •,.rx ,. .r.,- ..,_.. ' _ , ;,L`'icense#�� �:s' . , , , • � �-- h<>.?�.at:^'r.: !.;-y.,- rF t ._ .. .r. s�.Z .�;r.n, - .. ��s. , �::i..:,� ;:.�;f.�. - , ESIDENi1AL'�;,a,yAttagFi;(2)aPlottPlans;;(-2.)sets�of..'BnlldtngtPlans;�(1�)'s'et�of�Energy=For'rn"s;-'�R-O=W'P" V: , � , . - errrmiCfornerv�co"nstructtori. ��G ti`• �;- ;,,�f�,Minimum;Ren;(;1,O��,worl�tng�d�ys:after;'submitfal;date+��Requlrsdohsife;'ConstrucUon�Plans;.Stormwater�Planevid�SiltFence�installetl, � � ' S�anifary Fadlfties,&:;1_d,dumpster-,;Site;.,W,ork,Permit;forr:sutidiyisionsAerge;projeots;`,�;,�;s.:�-� : -�i`_ �, - � ' • - ,-:i:>., ..� ,,_.: -.:�.,.,.,� . ;,;���,,. . . - _ f.... OWIMfERC1AL Attach(3)�ooroplete�sets'of Building"Plans plus a Ufe Safe[y Page;(1)set of Energy Forms.R-O-VV Permitsfor neat'canstruction.� � . Ndinimum ten(10p evorking days after submittal date. Required onsite,ConsUuctlon Pians,Stortnwrater Plans w/Silt Fence tnstalled, - Sanitary Facilides&1 dumpster.Slte.Work Permlt for all new:proJects:-:All commerGal.requir.+�ments_must meet compliance, �� " � IGN PERMIT AttacFi�(2)"§ets of�Enginee.r.edsP,lans:,;:.;:;^-��- , , .._ , � -.. . - �_ - . � :.. .. ,:� ""PROPERTY SURVEY reyuirad_fpr all,NEW corlstructlon._ - �ections: ._,�,�.. � . ... : _ _ . FIII out applicatlon completely. Owner 8 Contractor slgn back.of appltcaUon,notarized If over�500,a Notie�ofCommencament la requlred. (AIC upgrade�ovee 57500) .,�..,.Ac-l.k:,r::,. "� . ,.,d,•�,,., , -- . . Agent(for the contracto�)or'Powe�of Attortiey(for tlie ownerj would be someone writh notarized letter from owner authorizing same ER-THE:COUN•T,ER:P.:E - ,;��€q��.'.:I�RR,'Qf:�lAPlication�Qn�y);,;'-- . - _ �.. ,. : . �- . roofs lf shingles Sewe ��,�i,ut;Sa�y�cp UA9.tad�;�(C ''�'='FHr`ic�s ,IoUSurvey/Footage) ��7���'A� ��;W�Y? .,„,,�„j:,,., r� ��':�J,�: . _ et:i�ei�Sr��s3� .;�tc1��������tc�" �i',:.:=�i.``'�'• - --.. .,........._...� . �-ir `-'" i1!�%�''tii%�...�t���e_�:�:s�.�r-' �1� s�-e; - -- ' - �' " .. � ^`Y'� ' �'= Drivewaym-Not over Cou ter If cn puhlic�oa�{wajrQ' need's;R�1�'i ;j;�.�� � � ��� �i ��a�,L.'�.:�.x; r,r sa J viv� �•�,'�1u� _;•`� � ,�t: i�:Tc< i.iTf7{�d %�,,�; _ d �.^ y r '': v.�;�' . •,F ;,:. : }� !i; ��r11�i`i rt:}i22ii^mrJJ '1��,%.i��': ii?.,i; ",Eit:';r.:�p:fa,✓: :�i;:ri;fl G5D^t�A �.�„�,�.: . �•. .;, . � i 1� .;�ze.�;t�tci�IrncrFl�;+,�.,:,,sr!,::v�,��;� J •R=,•,',.,��'�� ,. ''�,S"'�s'"2aa`�'.ye.:u'��'.,�y_.,�m,s'�: .�of�-��?;9'^u�.`'--. �v`g�ra'�'��El��� - " _ ` ' ... „ � �"°' -• . .. .M. , �r. �r, �BS�, ..a>:„�:: . '�;; NQ't1C�QF ClEED RE�.T.R1CTl0�lS:. The:under.stgned�under�tands;:th�t.thl�,5#��,r:mik;:may;,b.e.,subJect;_to"deed",�.�.. ctlons ,�.�,.�., �hich may�:tie:�mbre�'r.�sti�ctive`�fi���t`Corinty�i�griiat�oiis�.=�Tlie`�undersl�ned`°sssum��`��e`spi�na�bilitji��for coinpli�"rice�Gu�t��ariy�•'"- `�4, applicabie:.deed;read�lctlons. ::: . .. -�.:��-:.� � . � . .. .. ,�... �. .�.._.m__,___ : 4 _. .� '` :,... _ - ��...�:�. �, .i:lj:r.��:i'..�j,..JF; L t r� • ..��-.._..�................. .. . .. .«. .....w».�r. �.�� �1N�.tCl�NSED�'CON`IRACT4RS ANl�=1�ON�'RAC'�OR�I2�SPAN�18lC1TI�S:-�=-:!�°t1�-�c�wner�:°has�fiiired�;si_`ixs�iEtactor or contrac#ors.to undert�ke work; #hey may3be�ri�quleetl,{to.��b�«Ilceneed;-irt�.�ccdrdanc�.wlth�s#ate�,andq,loc�il:re ula�lons`?<<;If,the-=•=.����°:--�� , ��--.. ._ ,.. ; ,. ,. z,_.,w.,�..,.,:::..::. ,... ....G.� .9�.M.. ��� contraator�=ls�n�t��itceii�sed-"asZFrequlreit;by law; tiott'�.the�owner andcontractor��msy'be�tclted for�'�`ml�ilemeanor�utalatfon under state lav�r. if the owner or intended=�coritra�tor,�ere,,uncert,e{n,as�:to,wiiat,licensingyrequireRnents�may�eppiy�?for�`thex�-�����_��•?" intended work�ythey are_advised,:to;con#ect the tPasca County Bullding.Inspectlon Dhil�Ioti--Licenging Section at 727-847- 8009. FurtFi��ora� if the�owti�r ti�s"Filr`eiJ a conlractor'o`r contractors. h� is advlsed ta have',�the conrtractor{s},�sign��;r::;,,�E:� portions of the.�°contcactor Biock";.of...this�.application_for.whlch�they wilt.�be�r,es�ponsible:-�•:It.,you�as�:the own�'i sign�"as�`the`�"�"`�� -- _ .�,..,. ,... ,_._ .�,� - , .,.�..�.�.-- � cantractor,that�may�be an indicatloti tttat'Qi��-t��'iiot'�ropeFly!lcensed"antl�'is riot"eri'��Netl'�"v permlk�ng priuileges 1n Pasca;..# : t,,;Y.{_ Caunty. _ � . t �_..fi::..�:.,�.... ..:.,,� TRAIVSP!ORTdTION�IMPACT/U71L1'TIE$�rMI�AC'��IhNb°�tE3Akl�tCE RECOYERYfEEB:�'The�undensigned'�und�rstands thatTransport�att�n Impaat Fees:and.Recour�e:RecoV�ry.�'ess trtay;�pply=tcrtF��°.construc#lon.:o�'.new.buildings�ichange��of��,`';,=�=�.'�� use in eXisting bulldings, or��:expansi�n��of�e5il��i�%g:�bulidtngs, as specified.In P�sca County Ordinancg number 89-07 and. 8Q-47, as amended...::T1�� und�r�{gned atso:�ui�derst�nds; tI��E:�such fees,��as>ma������due;:�wlll:y�e.tdenttfted at thettlme�ofi'�.��:��'f�`�s• � . . - , . ��,- � permiNing. It i�fiirttier underetoad that Trens�`ortation impacf'�ees an�'���Resouroe.iReaavery£Fees:�musf be paid prior to rece4ving�a'cerfi�cate�-of=�occupai�icy".or�'�flnal��power:r;eleasei�`�:1�°the.project=:daes-:no��Irnrolvera;certi�cete of occupa�ney�or�='��';l���r°`" � . .... . �inaE porMer.-r�leas�;�;:ttie:fees=mu�t'�e=pald;pttoT fa;pecmit Issuat�ce. Ft�xthermare;�iE�Pasco;,County;`1NaterlS.ewer=:Impac#� ;..,.;,:�w;�� .�- .. ' .i. .. . ..1...�A�.• . . . . fees are tlue,;they�must:be;.peld�pclor ta„perr�it�issuance°:in.,accord`a.nce wit�::appllca6ile:Pasco��County�o'r"dinanc�s. • CQN�TttUG'�`tON��;tE[���t,l�lllt��C�iapfer 713t�t�r��l��t�tui�es����nd���: i€valua�an of work 1�$2�500.OQ.�:or more,�In��: ���_= certify tHat.,l, �he.:appllcar�t��have,tie.en pro�ldetl°�wlth::a��copy�.of°the��"Flortde=:C�onstructlon,�Lien-.:L:aHr—Homeowner's Pr�tectlan Gutde" prepared by,'tlie'Flo�lda Departmen#:.of Agrtculture artd Cons,umer;:.;�kffair`s. tf the appltcar�!Is.so'meone:�,=.; x :..-�� a#her than h � . -, t e"ovmer", Icertlfy�.th�at:i._tja�veaopta�ined"a��e�PX:of:the�ebave:�des,ci�it�edt�locu�ent�and;P�o�iise;in:a800d�.fatth•to . . deliver it to'.the.;"owne�`�prio�to comme�icement:`; . .. ., � , _.y � .� ._ " � _ . . . _ . �O[�TRACTCIR'SIQVYNER'�A��IDAVIT: 1. .c+�t[ty;�,f�:i�t�_all�,th�xl�rr�at�on�l��thi�appllcetlon is accurat�.anci that aii waric wlll'be done in compliance wtth all.appltcable �aws regulating construction, z�pning and:�land'-developm�nt. Applic„atlon.is herehy made;to obtalci�a.permit,,,,to..,do,�wa��and�;°Ifis#�fEs�tion as in�l�et�d:r==�1=ce`i;t�jf that no wark°or tnstslla#ton Fias'� . ,_--- r . _ . cammenced p�ior ta issuance of.a permtt`�and that�:ail wark w10 be performed�to nneet:standards-�of:all laws re�ufadng- construction, County and Clty cades, xaning regulatianst and land development regulallons=tn-ttie:Jurlsdlction:t�f�}�-af'sa.- , cer�fy that 1 u�rde�s#and#hat fhe reguiattons of a�#tter�gavernment agencies mey�apply�.,to.the:intended�work, and that tt Is my responsibllity to identity.wvhat.acttons I,mu.st,take to,be.rin,corr�pllance.�;,�Such;agencles�lnclude'but�ai�e:not limtted to: � �• - Depactment af E�vlronmental>'�Rro#e�tton�ss.='Bi�yt�ea��, V{t���nd.Are�s and I�r�ulronmentally Sensitive Lands�WateNW�stewater Treahnent. - �� ' - Sauthwes# Flottda W�ter IMlanagement��:��IsUlct:WePls, '+Gypt�,s:`�.B�y�tead��- VYe#land Areas, AI#erirtg W�tercaurses. ,;g.. ..,,r_.-, ,.;: : „_ �, ,,.,,,,; � , .. , . - Army Corps of Englneers=Seawalls��Docks,Navlgatile Waterways. , � - Depa�ment;.of.,Hes{th�_:B��Retaeblli#at�re,�.Seri+lceslEr�vttonmental:v.F�estth�l�n�:Welts;,.Ultastewater.��Trea#ment, - i Septl'c Tanks:..�.'�`._ _. � ,. . ... . ._. , . - U3 Envlronmerital Protectlon Agency_Asbeatos abatemen�. � - Faderal:Avlativ�rAuthortty,aitunyvays:�:. ` ` � . I understand.that:the;following resirictions��apply fo the use af flll:� � - Use af'fili is niit allawed in�Ftood:Zone"tt"uMess expres�ly petmt#ked. . - If #he--:fill rriaterial`Is�`#o'�'be used';��In.:flnod Zane. "A", it. Is understood that�-� drainage plan addressing � "compe�tsattRg vblume",u�IN be submltted a##Ime of:•permltttng whlch Is.Pr�Pared by a professtanal engineer� ' �� iicensed by�#he,�tate�af�Flotlda: � � � --. � ' - . If th� flll��material�.is�ta be,used tn Flcod �one "A" !n�conne��fon�wlEh�a perenitted b�jtdtr�g using stem walt consEcuction�.l.certtfy.:tii.�t.�tl��tVitl:be;t�sed only.to,filt the area�withln:th��stem�wall, � � - If fIA 'material�1s��to be usetl In any �ree, I �cettify �hat:us�e. of:such'fll! witl not �dverseRy a#Eect adjacent propertles.. tF use:�of t�ll.ls-foqnct:to.,adver��1�:.�ffect adJacerif��pr�perties►.the awn�r may be`cited for viol'ating,'. the cond�ions:�"of:the b'�ilding'perrriit��issued:u�rder tiiiar'�it�ached permit_�ppllcatlon,°for:lots�:less�than:'one (1} � acre wtiict�ere elevated`�ay fl!l,,a�_engir�eered dra3nage►ptan�S requtred. � t�i am#he AGENT FQR TH��OYIINER, i;.�rori�ise in,good;.f..aith to tnforrr��#he�owner.of�the perm��t�ng ca,nditions set fiarth tn this affid�ivlt prlor[o icomMeracing consb�uctlon. �1 unil�rstaintl that�assep�rate permlt may be regutred for etectrtcaFwork, ptumbin9,.stgns. wetl�,:pools,,att condl#1o�1_ ". � ,,. �9�:9�s,;:,ar�ott�er Ins#etl�tbtis no� spea�tc�ally inctuded�in.#he�appllcatlan. .A permit issued�hall_be con§#rued to'be�a`llcense�to'prroiceed wlth�tlie wark and�°not-as:authaNty:_to;;vlolate;�`cancel,-alter, or set aslde any�pPovlstons of th�.technlcal�code�;�nor shalt lssuance�o�a.permlt.p�ev�nt th��ulldirig.pt�clal#rom theceafter � �q�i��9$��'ectlon�af Fen;ors:in-,pt�ans;.ciinsfivctlon..ar_vloiaUons�af-any codes:�,�very.p�er�i►t��lssued�sliall��tiecame invalld unless the work authaNzed.by such perrrtlt:�s.cammenced�wlthtn si�c.;months of�peRnft lssuance, nr(f��,vvork autFtQr�zed by the perm{t Is,suspended�ar.:aba�doned-for:�;pertodkof�six#8)�montiis sfte�:tite�#Inae the�work�ds commenced.. An extenslon may be requested, 1n.;wNting;:from flie_9ullding,�3fflclal°for a perlodt�not.ta exc�d'"nliiet�i.=(�0)�:days a�d�u'vi!!"demonstrate justlfiable'cause for-the e�enslan�, !f work ceas�es:for ntnety.t90}consecutive�day.�,_the�f ob;is consfdered abandoned. - � . � , , .. _. . � � �, V�lARMIN� TO GWN��: Yl�UR..�AIUJ�tE,:TC1.,,R,E.C.�;1�tQ:A�MOT�IGE:OF.�GQMMENGEMEIl��,M�IYnRESt31:T IN'YOUR . . PAYtNG TWtCE;;FQR�IMRRQV'�.E�11tEI!I,�'��.Tt3 X;Q�ii.�>:P�tdl.?EI�TY:'.',I�-:YO.U?t�lI�TE�'i1D:`TQ'i�f8�''idlN`�INi1RI�l�:1N,.Cti;'CONSULT FLORIDA JURA��(F' <!7.�?3.� �A TT' . � } > . , , :,. , . , . , `_ K - N�, ... .� , _.. ,.. , . ... .,.. >....... — .� _ � -_„__ __---------- - ---�: _�. _� '', OWNER OR�1O8N7 ;. COM1'RAG?'O .--.-- ____ _—.._ 8ubsalbed and sworn {or afllrrr�ed� fore me thls S�bscrlbed end' to ct afltr�r» _- L_ � ` ( ed}'b�tcr8ni����� Whols/a onall .kn :me.ac:haa/have:pr!cduced ,Who.ls/are .er�onalry�Cnrnem me.;or.�laelt�ave:predi�ced. . as!d'entlflcadpn: . .. �s������� . : •, �' . h � _ t+lot�ary Pnbltc . Nofary Publla Commisa on o•` Co lsalon.hta. ,,i�pY AV��j, +i!LTiI{A.�niRri7���� �``4�Y ,,,/ . ." i.• . � .�r° `��•: Natary Public-State bT Elarida Name aI ' _ . • � �n e�$5 Jul 1 Q.2017'� Name of Notery %�, aa:� Commission�FF 03d�30 %;:�, PQ;= ommissian�FF d3423p �''�°����'�' Bonded Through National Natary Asiri: �''�°����'�, Bontled Through Nationat No►ary Assn: � ��� � PROPANE GAS � �� ' - ' : �-� � ;,��� AND AIC trvc. Service Orcler/Proposal � , J �Si'�c�e �988 8 i 3-7g2-5013 Invoice � Sales, Service & Installations WORK ORDER#�SERVICEMAN 74�54 �I�� 4441 Allen Rd. • Zephyrhills, FL 33541 TAKENT9yE TAKEN ¢���27/�7 16:5 KIM 0 ^ NOTES: ' �,�'�'�`'"���, ' DATE/TIME F�ROMISED • 02/c$/17 $8:0 , _-" . CUSTOMER#tLOCATI0IW 1��44 -- � F�HONE�# 813 334-54�9 ROUTE/SEQ NOV-NC- �' y �� ���� ' .- , • . � JAAKKOLA, MpRCO � _ JAAKI'.OLA, MARCO - RENTAL c7864 CROWNE POINT DR . � 5r3Q�4 16TH ST TENANT: -LYNETTE 813 783-543�C � SALINAS CA 939Q�8 ZEGHYRHILLS FL3354� A/H: MOD# FK4Ch1F�0�3 SER# 32�1A73�35 -- COIVD: MOD# �'37CN036D �_ SER# 35Q�i E�6��=r • RUNS, hIOT BL04J I�!G � •� DESCRIPTION OF WQRK QTY." ;,MATERIALS_&SERVICES. ' UNIT'RRICE.- �AMI - ------- --------------- ------- - -- ---------- � , ' � � 3 a�. e M -----�------- --- -- -? i 5� � i�� � � - �. o � � � � � �� , �� � � �.a,,,, � �s � � � � . , .. lj ' � C � , � � � . � ' , _ _ i ' � � , REGOMMENDATI.ONS i S � ' �r ,2 i' i „ Mpual.�Maintenance Recommended by AIi.Eguiprnent'Manufaeturers. ' � � � " • Pressures Lo HI T-Stat i •REFRIGER9NT:R-- CBS. $Perlbs. '''1_ .� _ i FILTERS x x Changed Monthly � � FILTERS x x Changed Monthly � ❑ REGULAR ❑WARRANTY Tf)3'AL,SUBAMARY Dehumidistat;Settings: Whenhere"Q�1",,WhenAwayfQfg, T-Stat�° ❑ MAINTENANCECONTRACT -• SERVICE i LIMITED WARRANIY: NI materials,parts and equipment are warranted by the manufacturers� " (V�ETH017.OF FAYMENT' _ CALL i or suppliers'written warranty only.pll labor performed by the above named company is warcanted for 30 days or as othenvise indicated in wriGng.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL � express or implied,and its agenls or technicians are not authorized to make any such warzanties on ` MATERIALS i — behalfofabovenamedcompany. � , O.I?EBIT ❑CREDIT ❑OTHER MAfNTENANCE � I have au�hority to order the work oullinetl above which has been salisfactorily compleletl.I agree Ihat Seller- - PROG. W I C � relains liqeao eQuiDmenUmalerials fumishetl unfil Mel paymanl is made.�f payment is not maae as agreetl. CLAIM# seller oan remove saitl equipmanUmalerials at Seller's expense.My damage resulting Irom said removal shall /� �� nol be the responsibility ol Sellec NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLV TO DATE COMPLETED • �-QU ON � QO � I - ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS TECH: TAX � � / i . CUSTOMER SIGNATURE pq7E �/1 LTA//(?fi t�a-u TOTAL I