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16-17623
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2016
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16-17623
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Last modified
7/17/2017 2:19:42 PM
Creation date
7/17/2017 2:19:41 PM
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Building Department
Building Department - Doc Type
Permit
Building Department - Name
BUSBY,LEROY & JOYCE
Address
5908 FOREST LN
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r�IIIiIIII IIO III o��Lo�tion:T,�PA <br /> Proposa�Pate o�/15/zo16 Job Number 20711163 Sears Home Improvement Products,Inc. <br /> Custome Name �/���� <br /> ,��� /" P.O.Box 522290 <br /> JOYCE BUSBY C 1024 Florida Central Parkway <br /> Customer`s Home Phone Customer's Woric Phone LongWood,FL 32750-7579 <br /> (813) 395-8193 Home Improvement Products PhOne(800)469-4663 <br /> Street Ad'ress ESTIAl9ATE AIdD PROPOSAL Contractor License/Registration Number <br /> 5908 �FOREST LN FL(CGC012538,CMC1249510) <br />' c;ty � s,�,e Zp Code Heating �Cooling <br /> ZEPHYRHILLS FL 33542 Is installation within aty limits? <br /> Install�tion Address Count�Asco (Yes/No): YEs <br />� Billing Address(if difierent from above) City State Zip Code roject Consuftant Name 8 License No.(if applicable) <br />' DAVID BRAZEN <br /> Description of the.Pro'ect and Descri tion of the Si nificant Materials to be Used and E uipment to be installed <br /> SYSTER�INFORMATION: Equipment Bran�ENMORE (Split SystemlPackage/Dual Fuel/Straight CooUHeat Pump/Fumace): <br /> SEER:�S•20 CoolingBTU:z8800.00 �: HP AIR HANDLER �R-410A <br /> E UIPMENT SPECIFICATIONS: FURNACE FUEL: (Gas/OiI/LP Gas/Electric): <br /> Existin New MODEL#OF NEW COMPONENT AFUE(up to): Heating BTU: <br /> ❑ � FURNACE/FAN COIL FXM4X3000AL ELECTRICAL: <br /> � � CONDENSER UNIT NXH530GK'� ❑ CONNECTTO EXISTING ELECTRICAL <br /> ❑ ❑ EVAPORATOR COIL ❑ INSTALL NEW AMP MAIN PANEL <br /> ❑ ❑ PACKAGE UNIT ❑ NEW DISCONNECT ❑ FURNACE ❑ CONDENSER <br /> ❑ � THERMOSTAT 1F95EZ-0671SE ❑ NEW GFI OUTLET ❑ATTIC LIGHT 8�RECEPTACLE <br /> ❑ ❑ HUMIDIFIER Other. <br /> ❑ ❑ AIR CLEANER DUCT WORK: <br /> ❑ ❑ UV LIGHT � RE-USE EXISTING DUCT SYSTEM � <br /> ❑ ❑ EVAP COOLER ❑ INSTALL NEW DUCT SYSTEM WITH#t NEW RUNS <br /> MISCELLANEOUS: � REBUILD PLENUM (Supply/Retum): <br /> ❑ ❑ LINE SET ' ❑� PAD "x " ❑ NEW TRUNK LINE(S) (Supply/Retum): <br /> ❑ ❑ DRAIN LINE ' ❑ CONDENSATE PUMP � NEW RETURiV GRILL(S) X X <br /> ❑ ❑ AUXILIARY DRAIN PAN ❑ Other ❑ EXISTING RETURN GRILL SIZE <br /> IfdSU TION: ❑ REPLACE REGISTER(S}# <br /> � ❑ (Batt/Blown): R-Value ❑ DUCT CLEANING <br /> Other. <br /> FLUE 1iEPlTI G AND10R CHtMINEY: ❑ Use existing vent or chimney ❑ Install new chimney liner Size: <br /> ❑ C Vent Pipe for High-Efficiency Fumace ❑ Horizontal ❑Ve�ical ❑Type-B Vent Pipe ❑ Stainless Steel Vent Pipe <br /> ❑ 1�Pipe Installation �2 Pipe Installation ❑ Combustion Air ❑ Existing ❑ Modify <br /> SPECI L IPIISTRUCTIONS:KENMORE 2.5 REPLACEMENT <br /> All of�he above check boxes and "Special Instructions"section have been reviewed and Customer{s)initials � �f�-- <br /> explair{ed to me. <br /> SHl-F (Dig.) Rev 6/16/2016 <br /> Page i of 3 <br />
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