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10-10512
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10-10512
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Last modified
2/1/2011 2:34:44 PM
Creation date
2/1/2011 2:34:43 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10512
Building Department - Name
NEAR,STACY GLENN
Address
5733 19TH ST
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Pill iu1U111 <br /> Proposal Date 5 Job # /OD Sal 9...)0 Sears Home Improvement Products, Inc. <br /> Customer Nam?" ! P.O. Box 5 <br /> 72 1924 Flo rida 22290 <br /> ntral Parkway Ce <br /> C �j <br /> Customer's Horne Phone/ Customer's Work Phone Longwood, FL 32752 <br /> 8(3, N$cg Q ). Lj' 3 7Ert- , £r9G Home Improvement Products <br /> Phone (800) 469-4663 <br /> Street Address ESTIMATE AND PROPOSAL Contractor License/Registration Number <br /> S7 33 i s7--- Heating & Cooling FL (Gen.Contr.#CGC012538: <br /> City State Zip Code HVAC # CMC1249510) <br /> 7.4e/P4 yr L, Pf -1 3 3Szr Is installation w <br /> ity limits? <br /> Installation Address County pA ❑ Yes ago <br /> Billing Address (if different from above) City State 'Zip Code Project Consultant Name Lic No. (if applicable) <br /> 'rc� /. d o YGCi <br /> Description of the Project and Description of the Significant Mate' Is to be Used and Equipment to be installed <br /> SYSTEM INFORMATION; Equipment Brand: _rP 1 1 eC_____ IB Alit System ❑ P ee ❑ Dual Fuel -410A <br /> SEER (up to) 1 Cooling BTU: J ie c KW: 5 ❑ Straight Cool e[ Ti at Pump ❑ R -22 <br /> INSTALLATION TYPE: ❑ N acement ❑ Conversion FURNACE FUEL; ❑ Gas ❑ Oil ❑ LP Gas ❑ Electric <br /> f� Remove and discard old system AFUE (up to) Heating BTU: <br /> EQUIPMENT SPECIFICATIONS: ELLEM� <br /> Existing New M EL # OF NEW COMPONENT [CONNECT TO EXISTING ELECTRICAL <br /> ❑ Cs7r RNACE/FAN COIL V/Yt 00 ❑ INSTALL NEW AMP MAIN PANEL <br /> ❑ Ld' CONDENSER UNIT ❑ NEW DISCONNECT ❑ FURNACE ❑ CONDENSER <br /> ❑ ❑ EVAPORATOR COIL ❑ NEW GFI OUTLET ❑ ATTIC LIGHT & RECEPTACLE <br /> ❑ ❑ PACKAGE UNIT Other: <br /> ❑ ❑ THERMOSTAT <br /> ❑ 121/- HUMIDIFIER IT��T�LEZ - l� FtE -USE EXISTING DUCT SYSTEM <br /> ❑ ❑ AIR CLEANER ■ /Sego / ❑ INSTALL NEW DUCT SYSTEM WITH # NEW RUNS <br /> ❑ ❑ UV LIGHT ❑ REBUILD PLENUM ❑ Supply ❑ Return <br /> ❑ ❑ EVAP COOLER ❑ NEW TRUNK LINE(S) ❑ Supply ❑ Return <br /> MISCELLANEO S ❑ NEW RETURN GRILL(S) X X <br /> ❑ LINE SET - P - 45 - 4 ❑ PAD 1'95 r t'el" " ❑ REPLACE REGISTER(S)# <br /> ❑ ❑ DRAIN LINE ❑ CONDENSATE PUMP ❑ DUCT CLEANING <br /> ❑ ❑ AUXILIARY DRAIN PAN ❑ Other Other: <br /> FLUE VENTING AND /OR CHIMNEY; ❑ Use existing vent or chimney ❑ Install new chimney liner Size: <br /> ❑ PVC Vent Pipe for High- Efficiency Furnace ❑ Horizontal ❑ Vertical ❑ Type -B Vent Pipe ❑ Stainless Steel Vent Pipe <br /> ❑ 1 Pipe Installation ❑ 2 Pipe Installation ❑ Combustion Air ❑ Existing ❑ Modify <br /> SPECIAL INSTRUCTIONS: e r s U ! I/ Sc✓ <br /> t'1'4 9 pct, , f '/G ti,,, I 9 11 / r A 7., Az // r � ,.9---/A‘._ _ (//7 ✓% <br /> Oa r S vas 4 T y "g, — /1 e_ - cj-o.e R/ ) l'i e di 7 <br /> All of the above check boxes have been reviewed and explained to me. Customer(s)initials St/ <br /> APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately (Approximate Start <br /> Date) and will be substantially completed by approximately (Approximate Completion Date). These dates are subject to change <br /> at the time the contract is accepted by Sears Home Improvement Products, Inc. ( "Sears ") or at any other time by mutual written agreement. Customer <br /> understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to This date to schedule the actual start date. <br /> ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ( "AGMs ") that would be disturbed in the <br /> performance of the installation work. If upon further inspection by the contractor or others it is learned that AGMs have to be disturbed to pertorm work, <br /> then Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to <br /> arrange for necessary asbestos abatement within thirty (30) days, Sears may cancel this contract upon written notice to Customer. <br /> Customer(s) initials S G✓ <br /> PLEASE NOTE that Sears is not responsible for correcting any existing code violations or pre - existing conditions of any ductwork. piping, electrical <br /> supplies or equipment not being replaced at this time. If additional work is required, it will be the Customer's responsibility. Any additional charges will <br /> be quoted and approved prior to the start of any additional work. Customer(s) initials S/✓ <br /> THE CONTRACT PRICE INCLUDES: • A copy of the terms and conditions of the Master Protection <br /> Year Master Protection Agreement ❑ Agreement or Repair Protection Agreement (as applicable) have been <br /> -Year Repair Protection Agreement ❑ provided to Customer. Customer(s) initials S 4/ <br /> The TOTAL PRICE including all labor. material, taxes and any applicable discount is $ to Q( Contract Price $ �,pG3 <br /> State Sales Tax ( %) $ <br /> Local Sales Tax ( %) $ <br /> Customer Payment is due prior to Sears' placement of Special Order for products. Total Amount Due S 063 <br /> The form and method by which the Customer(s) will pay is described in a separate Cash/Credit Card Payment Addendum made a part of and incorporated <br /> into this contract by reference. <br /> Customer(s) initials fur—) <br /> NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY <br /> (FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER) AFTER THE DATE OF THIS <br /> TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. <br /> Additional provisions of this contract are stated on the pages following. <br /> 611t-Fl. 9 0 '4/0tl Customer(s) initials /14./ <br /> I <br />
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