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Home My WebLink About96-5562 ~G BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit ~ (813) 788-6611 (20"-- Date ~ C:::HA~sewe'conn Water Conn: -;-5562/J1 1--&1-9~ Property Owner: Job Address: Parcel 1.0. # Zoning: Description of Work Water Meter: T.I.F.'s: " FINAL C,Q, NO OCCUPANCY BEFORE C,O, Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or ~ _-" 'f~ Contract Price r ~, ~ 7~ ' City License Registration # /<;;! ~ State Certified License# t)o Permit Fee Signature Company Address Telephone# ..~ { Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Ins!. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ola 81 \>, to TIt ( f 1 UU~U-VUt:.... t:.nvelope ?..,.v_~ NEBS Inc., Groton, MA01471. To Order PHONETOLl FREE 1-800-225-6380. .... PRODUCT 6501 KINSEY CENTRAL HEAT & AIR-CONDITIONING P.O. Box 2209 7718 Fort King Highway ZEPHYRHILLS, FL 33539-2209 (813) 782-2300 BILL TO --r\ ~ e.~ ,,".Q;--eIL 4 ~I\t> e S' Co ~t"')f.,:) -+> A-RSOL.) 5 STREET .5 0 -0/ S 1r;?7A ST >c~ , E+; \ \ ~ PHO~ ~5?- 1 t'j ~ t./ TECH ICIAN '__I A.to. Cl" .....1 1,1"'''fl.-( WORK TO BE PERFORMED 7' ~ -I 5' L/ ~ /.J e. L,L) U J-' rr .r C//~ (r ~." , ....; -.) 'v IJ ...J .,) HVAC SERVICE ORDER INVOICE THIS WORK IS TO BE D C.O.D. MAKE MODEL NAME ee.c..c...G) "" SERIAL NUMBER CALL BEFORE AUTHORIZED BY ~ '/2. I QTY. MATERIALS & SERVICES UNIT PRICE I 1 I REFRIGERANT R- LBS. .. ... .. 1 I I 1 .m I... FILTERS .1..........1........ I .j .. I ... ..... > FILTERS '. BELTS 1 TOTAL MATERIALS ~~ :., ,.;":;, .,. . . RATE , I I I I I : . . MATERIALS & LABOR MAY BE CONTINUED ON OTHER SIDE TOTAL LABOR TERMS CHECKED MOTOR CHANGED MOTOR REPLACEO BELT .If..... ... . ......~ ...........71.................... ::~~::: ..... .~....~ ........ CONTACTOR ~ Ii? 7.r;. c/v ~mVSTART I 1&~jjG~ .. ~~~:~:UN 1 ..........m.....~m : -r- .~~. ......ll$'~~~ ~~!:~!E:~~TOR l . tf;;;~~ ~~;:"ro, EXP. VALVE REPLACED CAP. TUBE CLEARED CAP. TUBE REPAIRED COIL LEAK REPAIRED COPPER CONN. Dr/'1/91- PR~ISElf D A.M. D P.M. A,MQVt4T ..... I 1 I I I I AMOUNT I I I I I : I I . ENVIRqNMENTAl.. C WORKPEAFORMEO aTv. 'fYPi!IDt$"OSI'l;lpN :<.. . D RECOVERED D RECYCLED D RECLAIMED [J RETURNED [] DISPOSAL o DISMANTLED D CHANGED OUTIREPLACED TOTAL $ '.. OESqRIPTION OF WORt< PEf\FoFiMEO .. .. . 1 >1 PL ~ "bu tJ t {; . I I .. 1 1 1 1 I I . -: ..."" . . ,. ~L'rR~~(~~-";;A ?~ 7..~ f ,f' er-~ ,. rr j' ...... ~.. (4~, ~ -y-- ~4Z.WJ5~rWii'/K 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. D REGULAR D WARRANTY D SERVICE CONTRACT I hlrwe authority to order the work outlined abovB which has been satisfactorily completed. I agree that Seller relalns title to equipment/materials furnished until final payment Is made. If payment is not made as agreed, seller can remove said equlpmenVmsterials at Seller's expense. Any damage resulting from laid removal shall not be the responsibility of Seller. ~~~ ~2f/p~ vU cyew D CHARGE MAKE MODEL SEAIAL NUMBER CONDENSING UNIT LEVELED CLEANED COIL CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED l.EAK IN COPPER It REF. "" .\, CLEANED COIL LEVELED COIL ELECT. HTR. REPLACED LINK AEPLACED KlIX. REPAIRED WIRE R~PLACED CONT. 1764 D NO CHARGE ./ COND'SATE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN REPAIRED PAN DAAIN 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 THERMOCOUPl.E REPAIRED VALVE REPLACED VALVE CLEANED BURNERS DUCT REPAIRED ADJUSTED THERMOSTAT REPLACED ADJUSTED CLG TOWER CLeANEO PUMP(S) ; GREASED REPAIRED ~ ~ MATERIALS I TOTAL 1 LABOR i TRAVEL I CHARGE I TAX I I TOTAL :< S? sjC)o ~;