Install Material List

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Install Material List

Type of Job?
- Install Heat Pump
- Install Mini Split
- Duct Replacement
- Duct Modification
- Other
Crawford?
- Yes
Is an electrician needed?
Crane?
- Yes
Is a crane needed?
Customer*
Address
Salesman
Insert Link to ACQuotePro Proposal
AHRI#
Date of Install
MM slash DD slash YYYY
Serial # of Unit Being Removed
How will the customer be paying?
- Financing (completed and approved)
- Financing (customer still needs to apply)
- Credit Card
- Check
- Cash
Financing Plan?
- Plan 3017 – Mint Ad (2% pymt/9.90% APR/65 mos)
- Plan 3671 – $10,000+ purchase (1.32% pymt/9.99 APR/10 years)
- Plan 1019 – 12 mo 0% interest (non promo)
- Special Limited Time 12 mo 0% interest
Additional info: (discount for cash, WF terms, etc)
Beaches Energy Form?
- Yes
JEA Account #

For JEA Rebate
Permit Required?
- Yes
Equipment – Need to Order

Enter the applicable model number for each piece of equipment needed
Job Description
Airhandler Model
AHU Stand/Box?
Location of AHU
Condenser
Pad
Location of Condeser (description)
Heat Strips
Filter box
Dehumidifier
Special Stat
AHU Breaker
CU Breaker
Float Switch
Drain Pan
Filters
Duct Modifications or Duct Replacement
Grilles Needed:
Boots Needed:
Taps Needed:
Flex Needed:
Slim Duct:

Please provide Johnstone part #
Slim Duct
Thermostats

Enter quantity as needed
Pro5000 Tstat
pro8000 THM001
nest THM025
Use Existing Tstat
Wrap

Enter quantity as needed
Bubble DMT042
Duct DMT005
Copper

Enter quantity as needed
1/2" CPR002
3/8" CPR001
5/8" CPR003
3/4" CRP004
7/8" CPR005
Armaflex

Enter quantity as needed
5/8" ARM002
3/4" ARM003
7/8" ARM004
1-1/8" ARM005
Miscellaneous items:
1×3 DMT017
1.5" DBRD DMT004
PANDUIT DMT006
PVC Pipe PVC008
Fil-a-foam DMT034
leafguard LFG005
canstock
1" DBRD DMT003
hng strap DMT008
mastic DMT001
caulk DMT077
Plywood
2x4s
Please list any additional items to be ordered
File Upload
Accepted file types: pdf, xlsx, xls, doc, docx, csv, jpg, jpeg, png, gif, heic, Max. file size: 50 MB.
File Upload
Accepted file types: pdf, xlsx, xls, doc, docx, csv, jpg, jpeg, png, gif, heic, Max. file size: 50 MB.
File Upload
Accepted file types: pdf, xlsx, xls, doc, docx, csv, jpg, jpeg, png, gif, heic, Max. file size: 50 MB.
File Upload
Accepted file types: pdf, xlsx, xls, doc, docx, csv, jpg, jpeg, png, gif, heic, Max. file size: 50 MB.
Additional Notes