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Home My WebLink About95-5360 BUILDING PERMIT CITY OF ZEPHYRHILlS Permit ]I! (813) 788-6611 1-536011 - - - Date //-6.-7..5' BUILDING E~RICAl PLUMBING ~A~ Sewe, Conn ~ " ~ /Jwater Conn: PmpertyOwne, - ~bfl!:e.-/lI~r=J' W.I~:Mele" Job Address: __ ___ T.I.F.s. Parcell.D. # Zoning: Energy Code: Description of Work '--/1.LA-} ~ ('" - Radon Gas: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee~Jc~ # Signature Company Address Telephone# Valuation or _ ~./ lL- Contract Price -7- L1- City License Registration # / K-~ State Certified License# BUILDING ELECTRICAL PLUMBING .4';:" J"l ~ MECHANICAL - Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL Wl SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor ,- ~ Final /I-)-~::> 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. KINSEY CENTRAL HEAT & AIR-CONDITIONING P.O. Box 2209 7718 Fort King Highway ZEPHYRHILLS, FL 33539.2209 (813) 782-2300 BILL TO ~~h l v... L : JI, rV\ ~ 'I;i\ e.... ( Co STRE,r ~ 1 q . <; a u..,-I/ A tJ .Eo CIT'I" I I , ;2p",,-,,... h'. \\5 PH<:J ~ &.. 70 1/.3 \In ~ , CALL BEFORE TECHNICIAN AUTHORIZED BY WORK TO BE PERFORMED QTY. MATERIAl.58. SERVICES UNIT PRICE : REFRIGERANT R. ....... LBS. I . I I I I I ..... I I ...... I I I ....... I I I I I I I I , > FILTERS I FILTERS , , BELTS TOTAL MATERIALS HRS. LABOR RATE I I I I I I I TOTAL LABOR MATERIALS & LABOR MAY BE: CONTINUED ON OTHER SIDE TERMS () DATE ,o-3~1_S PROMISED D A.M. n PM. I AMOUNT : t I I I I I I r I I I I I ,J// IV . ..... AD!YSTED ( , I BEL. I() /( {-.J !{'iil ~~~~~gR ......--.--.....,,.;,.....,,.....,.... REPL. START RELAY REPL. START CAPACITOR !;;.. (' <at::. (<fl.'<).. (~Uei" :j~~~~fT~RRUN ,...., I , -- c "t) CLEANED OR 4 /'//;5 ,..roC:' If -j- / . s. ~~~A~~EN:ACTOR WIRING AMOUNT . I I I I I I I I I HVAC SERVICE ORDER INVOICE THIS WORK IS TO BE o C.O.D. MAKE MODEL SERIAL NUMBER ENVIRONMENTAL CHECK LIST . . WOF\K PEF\FORMED OTY. D RECOVERED [1 RECYCLED r I RECLAIMED [] RETURNED r-I DISPOSAL LJ DISMANTLELJ 1:1 CHANGED OUT/REPLACED TOTAL $ TYPE/DISPOSITIQN . DESCRIPTION OF WORK PERFORMED J ..,.. (1 /) t. 7{Yr.;) lIref/.;r (-Dr/' t'E.~ t- ,) -;? ';' r-~ ~rl I). 5-, y-(J<.:v Ce'j"" ;:"/~f>/..';I r 1>0. (u . , L-tJ~ L"'O ",T<? j/: ;}, .....,.-vo' /' "'~, {'_ . // (-O~Cl .L. ~,~) I I I I I I I I I . ov ;2. 75{)- RECOMMENDATIONS o CHARGE MAKE MODEL SERIAL NUMBER 1.:)44 [J NO CHARGE CONDENSING UNIT WORK PERFORMED COND'SATE DRAINS LEVELED CLEANED COil CHECKED CHARGE I=tEPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER .---.--- 1/ HEf CHECKED MOTOR CHANGED MOTOR REPLACED BELT HE PLACED FUSE I~EPLACED COMPRESSOR EVAPORATOR COIL liEPLACED EXP. VALVE ,),OJUSTED EXP. VALVE 11EPLACED CAP. TUBE CLEARED CAP. TUBE liEPAIAED COil lEAK FIEPA1RED COPPER CONN CLEANED COIL f! r /" ( -" .//.1.,....7....,...... (' l' '" &I 'I (;?~ ,A../ e "7' ((J' (J LEVELED COIL .. /0 c {'t..' ( J / ,J I,; "...' - ... ......." r. . . ELECT. HTR. I'i) f' C' ~).(,O/f I, (;I.;. ! "EPLACED liNK l HE PLACED KUX ; It/ ~.. . [~- ;: ( ~/&l) f (t ,) I LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' 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, express or implied, and its agents or technicians are not authorized to make any such warranties on behalf of above named company. I have authority to order the work outlined above which has been satisfactorily completed. I agree thai Seller retains title to equipment/materials furnished until final payment is made. If payment is not made as agreed. seller can remove said equipment/materials at Seller's expense. Any damage resulting from said removal shall not be the responsibility 01 Seller. CUSTOMER SIGNATURE DATE [] REGULAR LJ SERVICE CONTRACT LJ WARRANTY 9"U qjff<<; HEPAIHi::D WIRE f~EPLACED CONT FILTERS TOTAL MATERIALS TOTAL LABOR TRAVEL CHARGE TAX TOTAL I I CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN - REPAIAED PAN DRAIN ---- FURN. OR FAN COIL _~ __.~_u_~___ .~_u REI-'L ACI::O I.:3H r AOJUSI ED BEL' REPLACED PULLEY ADJUSTED PULLEY CLEANED BLOWER REPLACED BEAAINGS OILED M01QR OILED BEARINGS CLEANED HEAT EXCH REPLACED HEAT EXCH CLEANED OR ADJ_ PILOT REPLACED THERMOCOUPLE REPAIRED VALVE REPLACED VALVE CLEANED BURNERS DUCT REPAIRED ADJUSTED THERMOSTAT -f------- - HEPLACED ADJUSTED CLG TOWER CLEANED _ ___. ._.__L. PUMP(S) GREASED REPAIRED i Cl_EANl:D i J REPLACED TOTAL SUMMARY I I I I : I I I I I I I