HomeMy WebLinkAbout93-3360
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 3360;'1
;/-b--Y3
Date
BUILDING
ELECTRICAL
PLUMBING
GCH~
Sewer Conn
Water Conn:
P,"perty Owne" ~ ~
Job Address: j, - /9. '
Parcell.D. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy COd~ ~ Gas:
.4-/C C ~rfP-
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,mit Fee o:L.S', ~
Signature ~ . "'-d~
Company
Address
Telephone#
Valuation or
Contract Price
I. () 3/. o-v
.
City License Registration # /3.>-
State Certified License#
BUILDING ELECTRICAL
PLUMBING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
WINTER HAVEN-LAKE WALES
(813) 297-9048
ZEPHYRHILLS · (813) 782-1796
Efficient Systems, Inc.
Air Conditioning & Heating
3066 Winter Lake Road
Lakeland, Florida 33803
(813) 665-3755 · Fax (813) 667-0497
NAME
FL Lic. # CACA36830
Invoice
18653
TIME IN
TIME OUT
DATE INSTALLED
[J ROOM
CENTRAL
FM CONTRACT DATE
MODEL
SE RIAL
STYLE OR MANUF .
SE RIAL
STYLE OR MANUF, .
MOOEL
,..cllk <
WCo.L
~
PRICE
rLfL-
'0.';
t~;,; l .-;, '> ~~.1
CHECK LIST
COMPRESSOR
n SUCT, ----1_ PSIG
[~J DISC. ----1 _ PSIG
n VOLTS
fJ AMPS----1_RATED
[1 10 [J 30
f1 ELECTRICAL CONNECTIONS
f1 CONTRACTOR POINTS
n FAN A -.J _ RATED
CONDENSER COIL
n CLEAN
[] FIN CONDITION
[J AMBIENT
REFRIGERANT
n LEAK
11 OK.
FAN AND MOTOR
o AMPS----1_RATED
[J CONTRACTOR POINTS
n PULLEY/BELT
f1 LUBRICATION
ELECTRIC HEAT STRIPS
[l INSPECT CONNECTIONS
11 AMPS~_RATED
EVAPORATOR COIL
IJ CLEAN
1-\ AIR IN OF
[I AIR OUT OF
CONDENSATE AREA
1"1 INSPECT PAN
I-I INSPECT DRAIN
AIR FILTER
1 I CLEAN
II REPLACED
TERMS DUE UPON COMPLETION
I acknowledge that repairs have been performed in a man-
ner satisfactory to me. In the event payment is not made
as agreed. Purchaser agrees to pay all costs of collection
including a reasonable amount as attorney's fees. Interest
at the rate of 180~num will be added to all delinquent
~I~~ ~ -
AUTHORIZED SIGNATURE
OF
I certify that I have performed services indicated and in-
stalle~~ ')ted. _
# l, W.JAA'
~HNICIAN'S SIGNATURE
OUR TRAINED PERSONNEL SUGGEST
THE FOllOWING IMPROVEMENTS:
o
o
o
o
o
o
o
QUOTE $ C
Authorized signature to start work
PARTS WARRANTY
All parts as recorded are war-
ranted as per manufacturer
specifications.
LABOR GUARANTY.SERVICE
The labor charge as recorded
here relative to the equipment
serviced as noted, is
guaranteed for a period of 30
days. "No charge" warranty
work will be provided only dur-
ing normal working hours.
PREVENTIVE MAINTENANCE
-SERVICE-
No Warranty on preventive
maintenance service, unless
parts and extra services are
rendered.
A $15.00 Insufficient Check
Charge on all returned checks,
[] JOB COMPLETE
PULL TO SHOP
[] TICKET #
" RETURN WITH PART
PAID BY [] CASH IOj CK #
BALANCE DUE
OK'D BY
11 PLEASE PAY WITHIN 5 DAYS TO AVOID A
, BILLING CHARGE