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Home My WebLink About17-18618 i " CITY OF ZEPHYRHILLS � : 5335-8TH STREET (813)780-0020 18618 BUILDING PERMIT PERMIT INFORMATION • _ LOCATION INFORMATION Permit Number: 18618 - Address: 37708 OAK RUN CIRCLE � Permit Type: MECHANICAL ZEPHYRHILLS, FL. , Class of Work: A/C CHANGEOUT Township: Range: Book: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: I Square Feet: Subdivision: OAK RUN , Est. Value: Parcel Number: 34-25-21-0000-00300-0100 ' Improv. Cost: 3,195.00 OWNER INFORMATION � Date Issued: 6/29/2017 Name: OAK RUN PROPERTIES INC Total Fees: 55.00 Address: 38070 DAUGHTERY RD Amount Paid: 55.00 ZEPHYRHILLS, FL. 33540-1375 � Date Paid: 6/29/2017 Phone: Work Desc: A/C CHANGEOUT 2 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00 � E �r � � � I � I Ins ections Re uired ' DUCTS INSTAL ED ' DUCTSINSULATED FINAL rI_ 7 f..-/�1 � 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 j 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. I "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 and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I ; �� i CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i � CITY OF ZEPHYRHILLS ' S335-8TH STREET °� • (si3)�so-oo20 18 1'$ BUILDING PERMIT � PERMIT INFORMATION " - LOC INF RMATION Permit Number: 18618 Address: 377 � OA N CIRC /�,�,,, Permit Type: MECHANICAL ZEPHYR , FL. �l�'' Class of Work: A/C CHANGEOUT Township: Ran Book: � Proposed Use: NOT APPLICABLE Lot(s): Block:. Section: ,; Square Feet: Subdivision: OAK RUN Est. Value: Parcel Number: 34-25-21-0000-00300-0100 � Improv. Cost: 3,195.00 OWNER INFORMATION Date Issued: 6/29/2017 Name: OAK RUN PROPERTIES INC Total Fees: 55.00 Address: 7..3(i�Att—�t�Q =��;C7(,� 7�,��f� Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/29/2017 Phone: (8��,�.. '�-,T� �'�j�3-7��i�- �?� Work Desc: A/C CHANGEOUT 2 TON CONTRACTOR S APPLICATION FEES ' BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00 �i i � i � i I � � Ins ections Re uired D CT I STALLED DUCTSINSULATED � FINAL t I 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 property. If you intend to obtain financing,consult with your lender or an attorney � before recording your notice of commencement." I, 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. � � "` A �%w//� � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER — � 813-�eo-ooao City of Zephyrhills Permit Application Fax 813-780-OQ21 � �' • Butlding Department ��: . �/��1� - Date Receiyed =Phane�Contac#�for=Par�ittia tS �t�c�.. — �J' �l Owner's Name � /' ' Ownar Phone Number b r�" ��O—c�� Owner's Address ��7�. Owner Phone Num6er � �� Fee 5lmple 71tleholder.Name �Owner Phone Nuriiber �i Y-1 � _ , , � Fee Simple Tltleholder,Address i Jd8 ADDRESS � � � �� GL/� I LOT# �� I sugoNwstoH ,� ��J-K�l�1t� � � PARCEL�D# �� v�� o�f �D�D d��DG� �/l�f.� k , , (OBTAINED FROM PROPERTYTAX NOTICE) WORK PFt4POSED _.HEW�CON5TR ADD/ALT [�]" SIGN Q [� pEMOLiSH �:e, INSTALL � REPAIR • � � PROPQSED?ttSE Q SFR. Q �C{�MM C� �OTHER ; TYPE OF CON$TRUC170N Q� ' 'BI.00K " [� FRAAAE [� ,STEEC '�] s pESCRIP'f�ON OF WQRK L� ' �%�� `" 19'LGr'¢ � ,�7'7'ry � �� . . I BtlIi.D1NG SlZE �� `SQ F001'AGE��; _ ,.HEIGHT��_____� ' �$�i��' � VALUATIO(V:tJF T'OTAI GONS'i'RUCi'fON" � ` � , • � , i QEI.ECTRtGA! _ � ' ' � AMP SERVICE Q PROGRESS EM1tERGY Q W.R.E.C. � QPLUMBIN�� . _.. ` � � � � ` QMECFti4NiGAL $� j��i"�� VAIUATiON OF MECMANtCAL INSTAL�AT!!?iV ! QGAB Q ROOF{NG _Q SPECIA�TY, � OTHER � FINISHED FLOOR ELEVATIQNS �� F1.00D ZONE AREA QYES NO . „ I , , BUIIDER COMPAI�IY� . � SfGNATURE REGIS7ERED Y/ N FEE CURRE� Y'/N� I � Address ' • • Cicense# � �� i , ,. , ( E�ECTRICIAN� ,.: � - ' =COMPANY � SIGNATURE� � REGISTERED Y/ N F�cuRr�n�' ' =Y/N � ,: �] Address - - ` , , . License:# �. - S 1 Pl.UMBER ` " � COMPAt�It . ,. . SIGNATURE�'i � ,REGI$TERED,. Y_/,N.t - FEE CURRE� Y�/N. ; Address � � • . 'oense,#��. � ` ; I 1 MECHA�dICAL _ �� `�G/XL`�„� GOM,PANY !'��y� �11I� ��Gj- � SI(3NATURE REGISTERED., Y,,/ N � FEECURRE�• Y%N •• ' . , ,. ;;t, Address�'' _-;�''��"1 /P ; '�f�'JLLS ` ' �icense#`�� l�r� �- OTtfER '-' . , , � , - ` `' �GONIPANY . ... .. . SIGNATURE" "f�'. • � ``�'' •• � • ` ' ' ` �� " REGISTERED` Y/ N,..: � FEE CURF2E� Y/N, Addesss� . , ,<. ;v� � ,f :i 'f` ' �{� ' ` ' � llcense# (`._ ' � �� ,.. ._.�n,. .. . _�. .�y.;.,: ..z,,,,.:.,.ti . RESIDEN7IA!�t: -:Attactt'{2},Rtot;P,latis;:(2)sets�_of=Bulliling�!'!an's;={'1}set oF Energy"�aiiils;,R=O=W Perinit f6r new constructton, , -< ;;�:•Mlnimum;ten;(10);workinglday,s�after;subrinittai date`.;Requlred onsite;rConstnicBon=Flans;�8tormwater Plans w/Sllt'Fence_Installed, ""'+��Sanifary Facii(tles,8�y1�,dumpster•4SIte WorlcfPermit foc'su6divislonsllarge;p►6Jects;=:,,_-; .;'� " �� •� � - ` COMMERCIAL. Attach{3}cbinplet�setsof'8ullilirig Plaos plus a'l:ite Sat�ii}r`Page;{'1}set of Energy Fotms.i2-Q-W Petmit#or new canstruc�#on. Minimum ken(10)worldng days after submlttal date. Requtred onsite,ConsUucNan Plans,Stormwater Plans w/Sllt Fence installed, Sanitary Facilitles&1 dumpster.Site Work Permit tor all new:proJects:.All commercial�equtrements must mest compllanee ' Sl�N PERMIT Attacti{2)sets of'Eiiglne�red;P...lans:, :� :;�. . , �-�� ' ' ••"PROPERTY SURVEY reyulrred for all,NEW�constructlon.. Dlreations: . ... . . ' FIII out applicatlon completely. Uwner&Conlractor stgn back of appllcallon,notarized � , , if over 3�'500,a Nottce af Commencement Is required. {A►G upgrades over�T500} , '• Age�t(for the�oontra�cto�)or'PoWer df Attomey(to�tFie owner)would be svmeone writh notarized letter from er;a11tho zir�,s�me w��..,.. � . ' .+F. .au.� a. '�.•i:4�Y�J+�,�,kka' > , .F ' �.,'a �3 T ' "` : y � ...�s.�:s..: DVERTttECOUNTER.PERtIAfiTftN�,`;";``(FS�`,biit'of-Applicatl�,�:t�n��y - �• . ta�`:�'�'•,." r�t�..;,=: ,:,>�r,,, � �' ' ,.a 1 t , . �itn'° t� �?�,1!;1� ;�: ��;Ry., -;�1e` '1_; � �"'=�� Reroofs If shingles Sewers._''' Service'UpgFades A/C •�Fences(PIoUSurvey/Footage) , '', 'i,�1. . ,- -� , „.. :n-;ir, ..;r;'c' ,,,�.� �, _,. �,�:,.. +,. ( ��;�' . _ .... r! r:.�'•:..�._ ,�. .. � ,-w '" ` -...".t.�`� . .. ; fC`•c " .,,.... � ,' t �.Y _ �, y .,,. Driveways-Not over�Coi�nte�if on'pubiic�roadways:.needs ROW,_ � � "i' '``'. ' {Y`, $ . , ��k+f xl':��_ . � � � ,f�,��;,, ,ti�". i ,: �L .0 7.� ,.� �., , , ,•:;2:,y�s.r:'�r��a�tti+r,.,: ..:,;�,.,,, "'�'.;';"',,,, '. �, !,i"�?� , 6 �-;yk?�"dE�C `ti+ea a.-' .. -=�Zr=-=->-..S `{:� . . . . . � ,.,�t, 4i`-`�;•�'��E`,�s'+�:��;ao-;:,:imv-..-. .. �` . :, ��-� .. � NOT1C@ OF DEED RESTltIC'�IONS: The.undecsigned:under�tands��th�t,thls:p�rmlf may.,b,e;subject to"deed".1�e511'ICt10hS°_�..�,f.,�...�`.. which may,tie�-more�-r.est�ictive:th��'County��fegulatCons.•�The"undersigned�assumes=re�ponsibfltty`.forAcoinpliance'w)th a'ny ��' �� appiicable_deed restrictions. ,.. � .;, :... . .. �< _. .. . ... ..... . .... ... ...+ �<-=.-.�_ _. ; .. UNUCENSED CONTRACTORS AND CON�RACTOR RESPONSIBILITIES:= -�If-the��owner-has��hired�a�contractar or contractors to unde�take work, they.may:be:reiqulred_to��bezlicensed ln_accordance:with;state�.and.•local,�r.egulation.s.:�-1f�the• -'-�-•�� contractor is�not Iicensed:'as�requlred.°tiy'lew, both�the owner.and'�cont�actor-may tie�°clted��forYa-�misdemeanor violation under state law. If the owner or Interided.�contractor;are,;unce�taln as to what ilcensing;requiremen#s;;may:�apply-��for:the`��=��'•��`� intended work,they are advised fo coritact ttie'.Pasco Counry;Bullding Inspection Dlvislon-Licensing Section at 727-84T- 8008. Furttiermore, �If the owrier'Fias��hlred'a cont�actor o�'con4ractors, he is advised to have'the contractor(s),,sign , portions of the °contractor Block" of this�appllcation-foc,which..they:wilL be.tesp.onslble.e:�if;=you;-as.the oininer sign'as'tiie" � "� contractor, that�inay be an indlcation that��Fie is not.propeHy�Ncensed-and�is nof entftled'to permitting prii�ileges in Pasco County. ' � , . : .�,...�.:°:>.;. �'�.:.: � - - - - �,-.. ..u___ ._� TRANSPORTATION.IMPACTlU71LITIES=tMPAC'��ANb RESOURCE RECOVERY�FEES: 'T�he undersigned understands thatTransportation Impact Fees�and.Reco.u�e Recovery.Fees may?apply�,to�the;constructton;of.new.bulidings,�change�`of�t°�'��`�� ''' use In exisNng bulldings, or=�ezpansibrr�of_�exlstin,g��buildings, as specifled.in P�sco County Ordinance number 89-07 and 90-07, as amended.:.The undetsigned also;understands, that:�such fees;�.as�may:be��due;;�.wfll:�tie idenfified at the"time=•of-��` -�" �`' � ;.,... permitting. it Is iii"rther understood that Transportatlon impact Fees and;Resoucce;Reco�ery�Fees must be pald prior to receiving�a="certificate..of occupancy" or�flnal�power;,release.' :If�the.proJ�ct:.does::not tnvolve:a�.certiflcate of o�cupancy�o�N��2j`�'��`� I y fees are due,_the :must be=pald:. rior t perrinit>;issuanee=in.accordance.viritFi ermore;�ff:Pasco,County"Water/Sewec�;lmpact �_ :��•:°��: ' final ower release;-,,e:fees��mu�t be aid;prlor to.. ermit issuance. F��tk� ' y p; �applicatile Pasco��•County�ortlinances. I CONSTRUCTION'LIEM�d.AW'(Cliapter 713� FIoP1da St�tutes�as amended): If valuadon of work is$2,500.00;,or=more, 1- -�:� =;ii. certify tFiat I, the.�applicant;-have�been-proyided �with=-a copy,of the�"Florida� ConstrucNon� Lien.:Lav�Homeowner's , Protection Guide" prepared by the�Flo"rida Departmenf of Agriculture and Consumer,Atfairs. if the applicant is someone-�r. ; ,. ..,; other tha�the"owne�", I certffy_that:,l;have;ob.ta)ned-a°copy;of the;above..descrlbed docu"ment:and';promise:tn;gvod':faith to. . ,, deliver it to.the"ownec"'p�ior<to>commericement�" ' " ' " �" '� � , "� � - ., �� CONTRACTOR'SIOWNER'S AFFIDAVIT: i.�ert�y:tn:at.;�u�th�:informatiqn:la�this applicatlon is accurate and that all work ,..., will'be done in compltance with all.applicable laws regulating constructlon� zontng and��land�deyelopment. Appltcatlon is hereby made to obtain .a.pecmtt�:Co,do��wo�ic:,.and :Installation �s ind[�ated:�--..�I. certffy that no work°or installation has commenced �p�(or to Issuance of'a permiE~antl that.all work will be performed to meet.standards-of all laws �egulaking- constructlon, County and City codes, zoning regulatians� and land development cegulations�in the�jurtsd(ct(on:- I��al'so; certify that I understand that the regulations of other gov�rnment agencies may�apply;to the_intended_work, and that it is my responsibility to identlfy•what,actlons 1 must•take:to be.in:.conlpliar�ce..Such:agencles include but�are.not Iimited to: �- - De artment of E�v(ronmentai�Protection=�� ` "� ` p Cypress.Bayhead�; 1Netiand Areas �nd Envtronmentally Sensitive Lands,WateNWastewater Treahnent. � . - Southwest Florida Water Management :I�tstdct Vllells; Cypress.r�Bayheads;� Wetland Areas� Altering Watercourses. - , . - Army Corps of Engineers-Seawalls,`Docks, lVavigable Watetways. - Department of_Health,'&. Rehabllitative.Seniices/Envtronmental Health Unit Well.s, Wasteviraater Treafinent, Septia Tanks:... _- • . ' , - US Environmental Protectfon Agency-Asbestos abatement. Federel Aviatlon-Authority,=Runways;� ' I understand.that the.folloinr�ng,restrictions apply to tfie use of flIL•• - Use offlll is not allowed in:Flood�Zone"V"unless expressly permitted. - - If.the �II- material is to b.e used;�in.�Flood Zone. "A", It. is understood�that a drainage plan addressing a °compensating volume" will be submitted at time of permitting v►rF�(ch is prepared by a professional engineer � � Iicensed by#he State of Florida: , - - , - - If th� flll material�is to be used In Flood Zone 'A" Int connection�with�a permitted building using stem wall construction, I certify..that ftll�:�rall:be used only.to.fill the area within the�stem�wall: - If fill material is to be used in any area;"I �certify that .use. of such flll will not adversely affect adJacent properties. If use�of flll,Is found�to adverseEy:�ffect ad)acent��properties,.the owner may be cited for viol'a0ng ' the condi#lons_of the building�.permit issued�under the attached permlt appltcatbn, for lots�.less�lhan.one (1) acre wHtcfi are elevated�tiy f111;a�t englneered drainage plan is required. . If i am the AGENT FOR THE OWNER, I;.promise In good.faith to inform�the owner of the-permitting condit(ons set forth In thts afiidavit�pr�or 4o commer�cing construction. I understand thet a-aeparate,permit may be required for elecMcal'work, , �,..�,>_ plumbing,.signs, wells,..poots;, air condtttoning,-.gas,-.or otMe� install�tloris nol.spec�flcally included�in.the�application. .A - permit Issued shall be constcued to be°a�license'-to proceed with tt►e wiork and not•as:authoHty-to,violate;cancel. alter, or set aside any provtsions of.tfie technical.codes,�,:nor shall issuance�of a.permit.prevent the Bulldtrig O#fic(al from thereafter requiring a correction af errors In..plans; construction oc violat(ons of-any codes. Every�p�etmit=lssued"sFiall become invalid unless the work author(zed.by such perm(t:is.commenced•withln sGc:months of�permft issuance, or If work authorized by the permit is suspended or:abacadoned:for-a:period.of�six;f�)•monfFis.aRer the time the�wowk�is corrimenced. An extension may be requested� In writlrig�;,_f�o.m the�ullding,Offlclal for a peNod.�not to exceed=ninety(90)�d'ays and�-wilf demonstrate justifiable�cause for:the extension� If work ceases:for ninety.(90)cons.ecutive�day.s...the job;is considered abaadoned. - WARNING TO OWNER: YOUR.FAILURE�T�,.R�E.C.ORD:A::NOTIGE�.:OF.�COMMEMCEMEMT�MAY�RESULT IN YOUR � PAYING TWICE:FOR IMPROV�IIAENTS�TO:Y�UR<PRQPER-TY:°�IF°YO.U;11�b'�END'T�'��TAIN��FINAI�EING;�ON�ULT WIT • U . D O. API°i4� O OR�i,-E�O f7 : ;� .; . z :,: � E � - . ,.,. ' ..:�: ,.. . .. . :,:,_..�,. : . ;..._. . ., .:: .... _ FLORIDA JURA7:(F�S:i 7.0 - _ ,�• — - ,__- --------- -- - - _" . OWNER OR AdENT , - -- CONTRACTO . �"""'"t� - - - ---- -- - _~�-I ubs b and to(o rt�1ed),pefore me Is $ub�B�ri ed and' (ot afllrtryed)� �fot�e me'tfit� � ( by L. /4) i' (o dS� �2 L d�{SP�t �' Who Is/a ersonally known to me or has/have produced Who IsJare p. rsoneliyk�own• me;orheslhave�produced • as Id'entlflcatl4�. � as identlflcadon. ` u' Notsry Public . Notary Public I Com Commission No. I `,o4'R ui�e a . - i •` r P '• ,,O,�y p��r� SYLVIA A.CAMPBEIL ��; Notary Public-State of Florida Neme �V �,� @B��F �- Notar Public-St te of Florida i s�• o;� Commission FF 034230 Name of Notary type Qd ed or;�tam�ppdomm Expires Jul 19,2017 I ''� ��' Commission #FF 034230 �':;FOFF`°P`� Bonded Through National Notary Assn. '�•<��4°= � '"""'" -�,��t��`'� 9orded Through National Notary Assn. � �� i �'y�/�� 7. . s ' � ��` ' ' PROPANE GAS � Service Order/Pro osal � � AND AIC wc. _ n ��e �988 813-782�5013 �_ Invoice ' 4�IQRK .ORDER#/SERVICEMAN 78141 ORF' Sales, Service & Installations pA�'E/TIME TAKEN � ��/�3/17 10:�.� � I 4441 Allen Rd. • Zephyrhills, FL 33541 T�R�£�v� av KIM ¢�� DATE/TIME PROMISED NOTES: CUSTOMER#/LOCATION � ��88^c PHONE# � �� 813-788-c759 0 pHOME�# �..�. � FAX-783-8489 ' PHONE3# • 81,��713-�'374 C ' ��►'�(� ��'o�J�-�,I� DD�D--f�D�QG� °' �OUTECSE(� ORP'L L�INGHAM I �l a� • I , BIhIGHAM REALTY INC - PINGHAM REALTY IIVC 38Q�7Q� DAUGHTERY RD 377Q�8 OAN. RUN C I R ' , ZEi�HYRHILLS FL. 33�4^c ZERHYRHILLS FL.:,3�41 •' NEW CUST RlEED #S _ ThIT; NORMA • WILL MAINT MAN 813-71?-c6`34 BLOWING WARM AIR. WANTS UNIT REP� A�AP' , - - >;':,:�,;;:,:, _ - - - - -, ;�. , ,. - � � f�='�=��::'- "DE� , :.G2TY-�':s°""�MATERIALS'8�`SERVICES. � UNIl'.PRICE .AMOIJNT_-� `` ;� ..r_,;:�.. SCRIPTION.OFVVQRK� , , . , i :, , r..._y .. .. , „ 4. " _ . . .M1. . • .-.. Ft„:c�"t". =`h"`:'�.:';`.'> . ...� ., . _ ,_ , _ - - r. � , � � �� .��'��.��' �� , / i �. i7C Q� J/ � . ��.�1. .�� I _ � �l� t � i i � �� ' �� c � /9SJd � � � � . T,,,.-+' � � �b I . . i i i i • � i i . _ i i ; ' • i i i i i i �-- " '��, _�� :i;��_REGOMME�NDATIONS�'_` - `'` ' _- � i � �-r` ``+-" �`" - � - i i ;��°::,',' '.,l° , . .. , .., i i Anirival'Maintenarice'Recommended'py All:Eguipment Manufa"_ �-ers: ;..; � k_�:;::..;.�.�-.::-�,:�, _-,...,...,. .�,;:_ .�� +,_... .,. ,-�... . Pressures Lo HI ' T-Stat i i , , REFRIGERANT�R- LBS. `_ 5 per Ibs. � ` I I i I . � � � w , � ' FILTERS x x Changed Monthly I I I I - , ^ � FILTERS x x Changed Monthly � ,� � I ❑�REGULAR ❑WARRANTY � � TOTAL"SUNIMARY. �"ehu,r�iidistat�Settmgs:;;When here"O�1", ;When Away§Q°/s,:T-Stat 80°: ❑ MAINTENANCE CONTRACT SERVICE i _IMITED�WARRAN'fY: NI materials,parts and equipment are warranted by the manufacturers' " `,_ METHOD OF PAY,MENT CALL i ' r suppliers'written wartanty only.All labor perfortned by the above named company is warranted for - � �' � - TOTAL i A�days or as othenvise indicated in writing.The above named company makes no other warranGes, ❑CASH ❑CK# MATERIALS i apress or implied,and its agents or technicians are not authorized to make any such warranties on - -i ehalfoFaboveoamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i , have eulhority to order lha work ou0inatl ebove which has been satlsfactorily completetl.I agree Ihat Saller PROG. W I C etains•title to equlpmenUmalerials lumishad until flnal payment is made.If payment is not made as agreed, CLAIM# � ` eller can remove said�equipmenVmaterials at Seller's expense.My damage resulGng from said removal shall ot be the responsibilily of Seller.NET 30 DAYS.A 7 tYt°k SERVICE CHARGE WILL BE ADDED MONTHLY TO I iLLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED TECH: T��'� � , i ' �/—��,,�� ,// i :USTOMERSIGNATURE DATE ✓1!%W/G7'L ✓aa TOTAL �