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18-19614
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18-19614
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Last modified
2/7/2019 9:12:14 AM
Creation date
2/7/2019 9:12:14 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-19614
Building Department - Name
GOLDNER,DANIEL
Address
5642 12TH ST
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- CHECK LIST- - . AMOUIff SUPERIOR <br /> ❑ COMPRESSOR HEATING & COOLING MGT., INC. 144530 <br /> ❑SUCTION PSI ry❑HEAD tl ``' PINELLAS 571-4299-HILLSBOROUGH 854-3449 <br /> ❑VOLTS AMPS _ <br /> ElrR ELEcICALcoNNEc'mis ZEPH. 783-7509 POLK 688-1823 DA E /'e <br /> ❑CONTACTS TIGHT&CLEAN CORPORATE OFFICE 1-800-640-8634 DATE ORDERED / <br /> ❑OIL LEVEL&CONDITION <br /> [I CONDENSER COIL �j/ E <br /> ❑CLEAN COIL&CHECK FIN COND. "��"� � � NAME DATE SCHEDULED <br /> ❑ENT 'F LVG 'F . i/Vi <br /> ❑ REFRIGERANT '1[� sTREEr b DIVE <br /> ❑LEAK ❑ CHARGE - _ -,�•t:��,;,+,=�-.. .r:.^;<-:, _-,�// - - ;/ T <br /> El AND MOTOR Rt CITY' ST E ZIP wK PHONE <br /> ❑VOLTS AMPS <br /> ❑ELECTRICAL CONNECTIONS KE MODEL SERIAL NUMBER ❑WARRANTY <br /> ❑CONTACTS TIGHT&CLEAN ❑CONTRACT <br /> ❑FAN PULLEYS(ADJUST BELT) ❑SERVICE CONTRACT <br /> ❑CHECK,WB BEARINGS&MOTOR ❑ L <br /> ❑ EVAPORATOR COIL JOB ❑RES.Es. ❑cwo+• <br /> ❑CLEAN COIL&CHECK FIN .•.. :':' ,i'.:: " ,�; e;�3;:'. .:. `_. LOCATION <br /> ✓ ❑ <br /> ❑ENTDB_—'FI LVGDB_-F - K <br /> ❑ENT WB._.'F LVGWB__'F ! late l;it'•i <br /> ❑CONDENSATE AREAS <br /> ❑INSPECT&CLEAN DRAIN PAN IF[I INSPECT&CLEAN DRAIN STATE CERTIFICATION # CAC 1817972 <br /> ❑AIR FILTERS <br /> ❑CLEANED ❑REPLACED ;'r.'�I'. '•fii -'Y <br /> FILTER SIZE . <br /> ❑HEATING ASSY. <br /> , <br /> ❑BURNER&HEAT EXCHANGER `" - " ' •,v"" �" <br /> ❑FUEL SUPPLY&PRESSURE r I _ /�./ ••`� `"a'I{_ -. <br /> ❑PILOTASSEMBLY <br /> ❑FLAME ADJUSTMENT <br /> ❑PRIMARY RELAY&FLUE <br /> ❑FAN&LIMIT SWITCH OPER. <br /> ❑BLOWER ASSEMBLY TOTAL PARTS <br /> ❑RV VALVE <br /> ❑STRIP HEAT C WRITE OR CODE AMOUNT - <br /> ❑DEFROST CYCLE PARTS WARRANTY A <br /> ❑ ELECTRICAL COMP'TS. AB P> n'wom :81!.rtwnbd•�?x' ,.! ✓ ❑ Check✓ box to authorize Superior Heating Cooling gmt.,Inc to <br /> ❑RELAYS ❑CONTACTORS ' ' S Continue to call me for my regular air conditioning needs. <br /> ❑OVERLOAD❑PRESS SWITCH GUARANTY HRS. OVERTIME <br /> CH Us labor recorded eharp eortbd Mrs nM tM(r•to� F TECH Ala .✓'�� REGULAR � <br /> El .gldpmnt wrwo n nobd,b glolsnbsA lar■paaW of o _ q1 HR �+R.= R ® MR. <br /> ❑O.K. ❑REPLACE 30dri& IIIneF H. a TECH REGULAR i HRS. OVERTIME , <br /> ❑RELOCATE Ws do not,of O•L•••,par"aNM parts Um OWN in e #2 S.® MR.= E e MR.. <br /> TRAVELTIME supply.H"Im bw bse0lss messsary AIM to oMr ti TOTAL TECHNICIA CERT.N <br /> tNlsclhs part,they aB(M ehry�d•�P•1 1Mw o N <br /> TIME ry mmAiawtees $ SIGNATUR f OIIAINri• <br /> ARRIVED ENVIRO.NIMENT: -r .C.HECI-. .,L14T • '• • • �B• <br /> TIME CHM TYPE SYSTEM g CHANGED ❑ ❑ I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO TOTAL <br /> DEPARTED CODE Q.OUT(OR ORDER AS OUTLINED ABOVE.IT IS AGREED THATTHE SELLER WILL <br /> R REFRIG. OTY REPLACED)? YES No <br /> TRAVEL U RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL <br /> TIME E ,O I OIS- ❑ ❑ FINAL&COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT TRIP <br /> RECOVERED? OTY. P MANTLED? MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHTTO REMOVE CHARGE <br /> MILEAGE M YES NO SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY <br /> R N REFRIGERANT DISPOSAL DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX <br /> ENDING © RECYCLED? [71OTY. - T O <br /> I 6 <br /> ®START- OUR PERSONNEL <br /> RECLAIMED? QTY. FIECOYMEND: <br /> m <br /> 9g ' 5� <br /> TOTAMILES R TRETURNED TO <br /> HIS SYSTEM? <br /> STEM? YE OTY. $ • ;•J <br /> YES NO O <br /> X /HR.= AO DISPOSAL AUTHORIZED SI ATUR7E • <br /> N GWN�R,S INmALS. OVE Ofl flED WO HAS BEEN DAND A NOWLEDGE RECEIPT OF MY COPY DATE H-WC <br /> X /MI•= NON USEABLE CITY ACCEPTED DECLINED <br /> TRIP @@ TYES NO <br /> CHARGE.P G DISPOSAL (�J <br />
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