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Home My WebLink About96-5510 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit lI! (813) 788-6611 - - j-_-551Q )1 BUILDING ELECTRICAL PLUMBING Date 1-/tJ-7~ Sewer Conn ::::::,~.:~eJ40>1 ~~p~~ Parcel 1.0. # Water Conn: Water Meter: T,I.F.'s: Zoning: ~nergy cOa Description of Work~ L. ~~ Radon Gas: FINAL :5- /l~ 90 NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. City License Registration # State Certified License# Inspector Permit Fee d CJ, crz;> S;gnatu,. '3:-N. /~ Company -=-- ( Address Telephone# ~z Valuation or Contract Price ~ J d..-.S --_ dl.J / fY2- BUILDING ELECTRICAL PLUMBING ,R~~~ MECHANICAL - Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Con st. 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. KINSEY CENTRAL HEAT & AIR-CONDITIONING P.O. 60)( 2209 7718 Fort King Highway ZEPHYRHIILS, FL :=n5~9 ;:>209 (813) 782-2300 BILL TO HVAC SERVICE ORDER INVOICE THIS WORK IS TO BE o C.O,D. MAKE MODEL SERIAL NUMBER NAME ~\ (' \ \ u V 1\ D~;. c..., e . I STR~~ q Qt..O 19-~tI ?::: (od) DiTE/.:s! qb ".1 I' J PROi4lSEO > ';7 N J I <., , PHONE7~p('_ t)~ 09- CITY CALL BEFORE TECHNICIAN AUTHORIZED BY WORK TO BE PERFORMED I-----~- OTY. MATERIALS & SERVICES UNIT PRICE : I I I I I I I I I I I I .... I . ... REFRIGERANT R- LBS FILTERS I I I I I I I .I I I TOTAL MATERIALS . > FILTERS 'x BELTS I I. i' ij ~ II ~ !I " II 'I II ! II I' ,I I' !I " I! I' il ~ II II II p HRS, LABOR MATERIALS & LABOR MAY BE CONTINUED ON OTHER SIDE f TERMS [J A,M, o P,M, AMOUNT I. I have aUfhoF,ty to orde the work outlined above whIch has been satisfactorily completed I agree that Seller retains tItle to e UlpmenVmatenals furnIshed untIl final payment Is made If payment is not made ~~'~;;=_. "~/~:;; -'".- .'CUSTOMER SIGNATURE ~ V DATE ENVIRONM~NTAL WORK PERFORMED QTY,TYPEIOISPOSITION,' ,. [] RECOVERED 0 RECYCLED 0 RECLAIMED [J RETURNED 0 DISPOSAL I J DISMANTLED o CHANGED OUT/REPLACED TOTAL $ DESCRIPTION OF WOFlI(PEAFOFlMEO : I I I I I I I I I I I I I I I I ,f.' ,,, .r I . r .....r :.. .../ r /..(~- I ',/';':'1 I . Y J. !, I L I I I I .'",,--,, /' / l /- (, ( (} ?" ~V 1 /_, !i 7'-'c~r / .' , ( I ...~ ," L." ,~ ,(' j-/ ~. C),:~ -< c< /,;; ,- . ~. C~~;~ . . I / ,/ L""~ l ( '~ ,...........,. .<,/ 'V" .), /-1, .../~l<~:)L'."''7":/ - . ". , ': , ,", . .. . o CHARGE t' . , . CONDENSING UNIT LEVELED CLEANED COIL CHECKED CHARGE REPAIRED LEAK IN COIL REPAIAED LEAK IN COPPEA " REF. CHECKED MOTOR CHANGED MOTOR REPLACED BELT ADJUSTED BELT REPLACED CONTACTOR REPL STAAT RELAY AEPL START. CAPACITOR REPLACED RUN CAPACITOR CLEANED OR ADJ. CONTACTOR ',-, ~7~~~EO F-lEPLACED FUSE REPLACED COMPRESSOR EVAPORATOR COIL REPLACED EXP. VALVe ADJUSTED EXP. VALVE ........... REPLACED CAP, TUBE CLEARED CAP. TUBE REPAIRED COIL LEAK REPAIREO COPPER CONN. CLEANED COIL LEVELED COIL ELECT. HTR. REPLACED LINK REPLACED KLlX. REPAIRED WIRE REPLACED CONT. 1750 [] NO CHARGE MAKE MODEL SERIAL NUMBER oM COND'SATE DRAINS ClEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN REPAIRED PAN DRAIN FURN, OR FAN COIL REPLACED BELT ADJUSTED BELT REPLACED PULLEY ADJUSTED PULLEY CLEANED BLOWER REPLACED BEARINGS OILED MOTOR OILED BEARINGS CLEANED HEAT EXCH REPLACED HEAT eXCH. CLEANED OR ADJ. PILOT REPLACED THERMOCOUPLE REPAIRED VALVE REPlACED VALVE CLEANED BURNERS DUCT REPAIRED ADJUSTEO THERMOSTAT REPlACED ADJUSTED .; CLG TOWER CLEANED PUMP(S) GREASED REPAIRED ~LTERS DCLEANED' o REPLACED LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed by the above named TOTAL company is warranted for 30 days or as MATERIALS ,_ otherwise indicated in writing. The above named TOTAL I company makes no other warranties, express LABOR I or implied, and its agents or technicians are not authorized to make any such warranties on behalf of above named company. U REGULAR U SERVICE CONTRACT o WARRANTY <2!U Clj/JflJ t:.~. TRAIltl CHARGE TAX . ! I I I I TOTAL ~/~