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MC-13-9241 Inspection Worksheet Miami Shores Village i 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 190468 Scheduled Inspection Date: May 07, 2014 Inspector: Perez, JanPlerre Owner: RAUSCHER, STEVEN Job Address: 78 NE 98 Street Miami Shores, FL Project: <NONE> Contractor: SOLAR BEAR SERVICES aunamg uepartment comments AC CHANGE OUT Permit Number: MC -5 -13 -924 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (623)523 -7138 Parcel Number 1132060130900 Phone: (305)863 -1830 INSPECTOR COMMENTS False J 7 Zf I; May 06, 2014 For Inspections please call: (305)762 -4949 Page 2 of 34 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 06, 2014 For Inspections please call: (305)762 -4949 Page 2 of 34 t' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20. Permit Types MECHANICAL MAY O 1209 J06� Permit No. Master Permit No. nC City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //77,3Q4&- 0 13 -iW Is the Budding Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: D I& - &,/ (U B 62S Phone # xS — - X33 - ie Address: loi2i )VU) 116 044 r -A/'q city: .42 -Y / Qualifier Name: A- - State Certification or Registration #: FL Zip: 3.3 / -74 Contact Phone#: • �QS �°� 3 - ��3d Email Address: DESIGNER: Architect/Engineer: I Mond #: Value of Work for this Permit: $ *73M d' � Square/Linear Footage of Work: Type of Work: DAddress DAlteration ialNew �Repair/Replace Description of Work: ov Submittal Fee $ Permit Fee $ "Z 5 `�'� CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ DDemolitio a Double Fee $ Structural Review $ TOTAL FEE NOW DUE $�. • T � t F Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNIENCEMENT 'MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 30 h day of —&E LL—, , 20 13,, by ::5* ae a Rau 5 -{ who is personally known to me or who has produced Dt Iura (S L i cer As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY The foregoing instrument was acknowjOged before me this �Qf day of Ali 20 a, by l p l M s t to - , who is personally known to me or who has produced .� as identification and who did take an oath. =RAUL MYCOMMEMM941V 8WJ3' MAR 28, 2 M6 Bondei tet Shta Nam �P Examiner Structural Review Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06110/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: / S -W, .0- } ' Miami Shores village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel. (305) 795 2204 : (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA Fix PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. 1 Job Address (where the work Is being done): L f�ih �- I . �ti o S 6 R 3 3) City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES NO ❑ ARHI Sheet Attached: YES /NO ❑ Contract Attached: YES, . 1. Minimum Circuit Ampacity (W►ire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): U ® 19 0 3. Voltage of Circuit (2081240/480): 4. Size Disconnecting Means: Contractor's Company Name: 'S 6) A. t Phone: State Certificate or Registration N. e0 b 61 -71S Certificate of Competency N. Signature A4j Date: (Quaftes signature only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER (AA nd AHU or PKG. UNIT MODEL # 4 ).1vil C-6-4-0`1W14 - COND. UNIT MODEL # 3 e Q g s @ u q KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / I PKG UNIT I 1 EERISEER 1577 YES NO REPLACING DUCTS V0 NO YES NO REPLACING THERMOSTAT G S NO YES NO NEW 4 °CONCRETE SLAB NO YES NO NEW ROOF STAND fq 0 YES YES NO NEW RETURN PLENUM BOX C NO 1. Minimum Circuit Ampacity (W►ire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): U ® 19 0 3. Voltage of Circuit (2081240/480): 4. Size Disconnecting Means: Contractor's Company Name: 'S 6) A. t Phone: State Certificate or Registration N. e0 b 61 -71S Certificate of Competency N. Signature A4j Date: (Quaftes signature only) Miami Shores Village Building Department 10050 N.E2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF. CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSU RACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION c BUSINESS NAME: BUSINESS ADDRESS: I olas w 1 �h G'�E' lao CITY STATE t' ZIP CODE 33 / % i BUSINESS PHONE: t 3 c 1 8&6 3 - / ff,3 0 FAX NUMBER 3,1 E(o3 /- 495- CELL PHONE ( - - _ QUALIFIER'S NAME: Ark. QUALIFIER'S LIC NUMBER: Cft 6- /9/7/35/ E -MAIL ADDRESS (IF APPLICABLE): 4 L ILA Created on 3119109 BY MLDV f RV 3209 MLDV Town of Medley LOCAL BUSINESS TAX RECEIPT 201301.613 2012 -2013 man W= W=v I&C 10125, W lid. MW to NWLZr FL 33178 Jon= WE sows W U.6 MY, #10 NWLVT A $3179 Is hereby MWds Lowl Businew Tax Recelpt for Tom of Medley, valid throLigh September 30 of tax year 119Wd.above for the occupation of A/C CONTRACTOR. The hwarm of this Tgix Receipt or acceptance by ft appk*nt ln:w-way cOnfem any 09M to violate ubtlon of this Stede, County, or MvIe'v,91dinanceorreg WymunIcIpaRy. 6E 9 STORAGE. DRY USE. SIDE STORAGE. NO LIVING ON THE PREMISES. jftj&:Zocaa Business Tax Receipt must beoxhIbited conspicuously at your place of business. A cmm Mv TOM CLERK ANIL WATT O Mo WA 11C# 6 i i 8 8 9 filam �DRPJ►R �. � :4i� �8II9l9: AND x '8R08RS gIol . ODLATION � •au►.�:i�'adt �sy. "�Q�,,��. � �.aoa�a�oAd+s�,� C, C', ACO-'� ©� CERTIFICATE OF LIABILITY INSURANCE 4/29//2201°13"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT., If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Sterling Risk Advisors Inc. 1640 Powers Ferry Rd Bldg 28 Marietta GA 30067 Salina Felger PHONE (678)424 -6500 FAX (678) 424 -6501 . sfelger @sterlingriskadvisors.cam INSU S AFFORDING COVERAGE NAIL # INSURERA Auto Owners Insurance INSURED ELITE HVAC LLC, DBA: Solar Bear Services 10125 Northwest 116 Way Suite 10 Miami FL 33178 INSuRERB:Summit Consulting/Bridgefield /23/2013 INSURERC: EACH OCCURRENCE INSURER D: PREMISES N INSURER E: MED EXP (Any are fin) INSURER F: PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER -13 -14 COI REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village POLICY N MB POLICY EFF AUTHORIZED REPRESENTATIVE LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS4MADE ® OCCUR 483 -84 -195 /23/2013 /23/2014 EACH OCCURRENCE $ 1,000,000 PREMISES N $ 300,000 MED EXP (Any are fin) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC El PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUK ED SCHEEDDULED NON -OWNED HIRED AUTOS AUTOS 49- 414257 -00 /04/2013 /04/2014 COMBINED SINGLE UMIT 11000,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per acddent) $ PROPERTY DA AGE accloom $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I Rgy,=Ns $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/DKECUTNENIA OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes desaibe udder DESCRIPTION OF OPERATIONS below 0830 -52321 /23/2013 /23/2014 y I WC STATU 0& EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B nwre specs Is required) f'1:*TIFICATP 14nl nPR CANCFLLATION ACORD 25 (2010105) INS025 r9ntnrn ni V 78SS -2070 AL;VK 7 C;Okr 7KA I IVIV. An rfgnix reserves. Thw Annon rmma anal Innn ara raniatarM marls of AnnRn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE VWTH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Paul Baker /SALIVA ACORD 25 (2010105) INS025 r9ntnrn ni V 78SS -2070 AL;VK 7 C;Okr 7KA I IVIV. An rfgnix reserves. Thw Annon rmma anal Innn ara raniatarM marls of AnnRn This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. AHRI Certified Reference Number: 3969211 Date: 5/1/2013 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: C1 47 -230* Indoor Unit Model Number: CB 7UH - 230 * +TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade /Brand name: XC14 SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unity Air- Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AH 1- sponsored, Independent, third party testing: Cooling Capacity (Btuh): 46500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 FootNote 11 - The AHRI 210 /240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. - - * Ratings followed by an asterisk (ry indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an Involuntary rerate. ©2013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130119114780486880 I 1 3 1 ff DesignStar Load Calculatior The New DWw of Cvnftn- . . ... ..... .............................. . ...... ........ ........ . . . . . . . . . . . . . . . . .,Window U-value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5 ... . .............. Window SHGF .... . ...... 0.85 ...................... .... ................................... .................. . ...................... . .. . . . ....................... . .............. . Moisture grains ............. ............................. ..... . ........... .................................................... . ... ............... 58 . . . ...... ... . .. . ....................... . . ... . ....................... . . . Duct loss % ................... ...... . ...... ......... . .. 10 ,,Duct gain % ....... .... .10 . . . ..................... ............................ . ... .. . ........... . ......................... . ... ................ . . ....... . . .......... . ............ Cooling infiltraction (ACH) .... ... ....... ........... ....... ... ................................. ......... . . . .............. .......... . ........... ....... ....... . . ........... . 0.6 ............... Heating infiltration (ACH) Winter ventilation ........ .. 0 0 Outdoor Keating Cooling Dry bulb ( °F) 50 :............. _ ...... ...... ................................ ........ ............... ._ 95 .......... ............ ............................... .......... .... .. .............. ............... ........... ....................... _._.............................. _ .... ................... .......... .. .............................. ...... Daily range iii+�tt� rte ft_ 50% �Iaisture d; ffereet�e.. ': 58 Iwr�odr l eatirtig moiing �R1 ft4 - "C S°�.. Zi' T�%-i -i� Sx':a#�T`'Y�r'i'. fi. .�, she -et �^A• Design tem 'Oeraturi8� dif e.ence(I11 20 : 20 Floor nil[, -.. gym_ Y Loss ng Wall Awea Btuh % of load' Wall. 2461 11.9 Floor. 5492 26.6 ta 3. axkw „i:E�a.m3..y, -iuy . u.. rC ..::............. �.._.....:........ w.... .........::..a.....�.:.�....... WI nflW5J� r.......z...� �r #fi'ci �n lib ��4 1 N�7 Healing Loads 20,617 TUlhr <r 3 vs, v { Floor nil[, -.. gym_ Y Loss ng Wall Wall Btuh lW + Windows Late11� II II IIY OMVI1 3704 )ad 920 8113" �. .. ...._. _ .._Ab.Z.kuiA' y 0:'8 8 : `�� "< '5 SHR 4.50TO, M_...__ ............ ........ ___....__.._ ...... _.____ . Cooling Loads 48,612 BTU /hr Sensible People Load -•, Load Mal System ensible Y:. y'v 4 S 9 � 4 Fire 0 • M. - M., • • AED Graph 30000 20000 V R 0 J 10000 o..-- - - - - -- - - - - -- ---- T- - -�_.. - -_ .. Sam 9am loam 11am 12pm ipm 2pm 3pm. 4pm 5pm 6pm 7pm 8pm — Hourly Loads — Average swing derived,values mer. C3$i i;itrar�s 50% Winter. Outdoor. 50 °F Winter Indoor 70 °F Sensible Coiling 40,499 Btuh Latent Cooling 8,113 Btuh Req.ui reel Cool i ri g Airflow 1,841 CF M, Sensible Heating .... ........... ...._.................... ............................... 20,617 Btuh _. _... ..... ...._,.........._........_..... ... ........ .. ...... ,................ ..........,.................... ......................... ...... ....... ...................................... ....._.................._...................... Required Heating Airflow::. 268 CFNt All talcubtions are,,, [x se upon ::approved >[ivat';industry :standards and procedures, and comply with all - local, state aTtdfedera[ code •Fes[t�irem�nts.'Aill:cotrputed results are Estimates. Product provided by;Energy Design S�isteins axrd +Idea "free ,`< lft 11 I-t U77 5699 cl -7 SOP 70 AVSolarjofl� ■ Cooling ■ Heating ■ Air Quality Installation Address. 10125 NW 116 Way, Suite 10, Miami, FL 33178 Phone 305 -863 -1830 FAX 305- 863 -1885 www.So/arBearFL.com FL Reg. CAC 1817134 Contract /Proposal (Sty, state, zips W1 &M , J L / 39 —s Phone: �3 -. �f-�-3 2! S r E-mail: Equipment to be Installed: Date: InstallatiQrM start date::: Brand of Equipment: Permit Fee (City /County): Comfort Consultar►t Additional services: F t Cleaning ual Service Agreement Seen of work: System 1 2 3 Disconnect box �❑ ❑ System 1 2 3 New return plenum �❑ ❑ High voltage wiring A/C or Heat Pump Insulate ductwork ❑ ❑ ❑ Air Handler d 7U U Old equipment removal Cl ❑ ❑ Coil er ❑ ❑ New supply ducts ❑ Additional services: F t Cleaning ual Service Agreement Seen of work: System 1 2 3 Disconnect box �❑ ❑ System 1 2 3 New return plenum �❑ ❑ High voltage wiring ❑ ❑ ❑ Insulate ductwork ❑ ❑ ❑ Low voltage wiring 000 Old equipment removal Cl ❑ ❑ New outdoor pad er ❑ ❑ New supply ducts ❑ Vibration pad W ❑ ❑ New return ducts ❑ Line set VE3 ❑ New registers /grilles of ❑ ❑ Refrigerant filter dryer t& ❑ ❑ New condensate piping &❑ ❑ Recover refrigerant ❑ ❑ ❑ Condensate pump (sft. switch) ❑ '3 Mastic seal plenums Pf [3 Drain pan with overflow switch ®❑ 13 New supply plenum PJ ❑ ❑ filter rack 01❑ ❑ Mastic and seal supply /return 4 feet Lf 00, FPL Completed ❑ ❑ ❑ Load Calculation ❑ ❑ ❑ Payment terms. Credit Card Tvpe Name on CC SI tyc-+4 Lr gAV S Credit Card # 3l ),-i V JUS2,1 )'L" Exp. Date D 1-1 Check # Notes: /Federal TAX credit $ 3U I Total NET out of pocket expense after all rebates, discounts and tax credits Sale Price Discounts /Coupons FPL Rebates Total Investment )14Y rW, G� C $ 83 $ 43 38, 30 All material Is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner /owners to carry all necessary insurance. our worker's are covered by Workman's Compensation Insurance. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Any payment not made as spec! bd shall be subject to 18% annual interest plus billing charges, court costs and attorney fees. Price subject to change if not accepted within 15 days. X - moany authorized signature Customer signature Date of acceptai:ce /L )ecx etik 1/0e rfn c n3 s hAb 10Aeu M 3. SWQYIJV 's it livia df,1 avrK at G.-,Al ` l/ nun l {✓ M l C tt A p-/ % 4 4 &1- -k1. � �✓e h Y V /aC k 4AL, tr n vrl ip mc! .+ v vn U! it r* t r t ,V i if C 4 t �k- 1 $lJe Compressor - yrs. I' of fep m /h l*i ; / rQ U r t t�i2e�r .� vD Coil / Yom• Pa its Yrs Labor yrs. VSTU 3�ul 01GQ� wul �r �,✓ lK.� Zoning � Water Heater yrs Y YY� U I Extended Warranty yrs. Other yrs. Payment terms. Credit Card Tvpe Name on CC SI tyc-+4 Lr gAV S Credit Card # 3l ),-i V JUS2,1 )'L" Exp. Date D 1-1 Check # Notes: /Federal TAX credit $ 3U I Total NET out of pocket expense after all rebates, discounts and tax credits Sale Price Discounts /Coupons FPL Rebates Total Investment )14Y rW, G� C $ 83 $ 43 38, 30 All material Is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner /owners to carry all necessary insurance. our worker's are covered by Workman's Compensation Insurance. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Any payment not made as spec! bd shall be subject to 18% annual interest plus billing charges, court costs and attorney fees. Price subject to change if not accepted within 15 days. X - moany authorized signature Customer signature Date of acceptai:ce