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HomeMy WebLinkAbout16-17537 �,. CITY OF ZEPHYRHILLS 5335-8TH STREET - - _ (813)78o-oozo /I 537 � ° BUILDING PERMIT � r' PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 17537 Address: 37631 NEUKOM AVE LOT 152 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-1520 Improv. Cost: 3,895.00 OWNER INFORMATION Date Issued: 7/01/2016 Name: DEARSTYNE WILLIAM Total Fees: 55.00 Address: 37631 NEUKOM AVE Amount Paid: 55.00 ZEPHYRHILLS FL 33541-9305 Date Paid: 7/01/2016 Phone: 813-788-1073 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00 � Ins ections Re uired DUCTSINSTA LED DUCTSINSULAT • FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the Iocal government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement 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." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � � � ONTRA OR SIGNATURE � PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�saeo-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 Bullding Departrnent Date Recelved • . 2�2 _ ��� ` � 'Phone Contact,for'•Permtttiri' l 3 Owner's Name ��1e$�� � /�� � Owner Phone Number ���� /�� ��./� � � _ i Owner's Address ,�/�� �� �� OwnerPhone-Numb�r '� Fee Slmple Titleholder?Name��� ' � ' Owner Phone Number ' , � :,, , - . . . . __ , }; , Fee Simple Titlaholder Address - . � •� JO�ADDRESS ��Lp�� G j,7')') IJ� , LOT# � SUBDIVISION ��A�N D dr/Zb�S ' . . PARCEGID# ' 3�' � o�� -Li � �� � �b�����:.7o2CJ . " . ` � ` � �' '(OBTAINED FROlA PROPERTYTA7('NOTICE) WORK PROPOSED . NEW CONSTR . ADD/ALT �Q SIGN Q � " Q;",� �DEMOUSH� • � B � INSTALL :�' �REPAIR' PROPOSEDsUSE� Q� 'SFR Q 'COMM,� Q OTHER "" ' � _ TYPE OF CONSTRUCTION_� � -Q ' `.,BLOCK�' '�Q, ,�. 'FRAMEr Q STEEL Q, , , �. DESCRIPTIOPI OF WORK ` �eS� � G� G��}- � �,- � � �D� �j� _ � @UILDING�SIZE� • SQ FOOTAGE .. , :,HEIGHT�..... - . ' , OBUILDING , $ , -7���;a.::;.. -,,r��_ .' . . •, . - , . . , . , VALUATION`a�TOTAL'CONSTRUCTION � , .. ,. -_ QELECTRICAL $ - AMP SERVICE �[� PROGRESS ENERGY []. W.R.E.C. QPLUMBING. $ - � � - �MECHANICAL � $ ���� � � VALUAI'ION.OF MECHANICAL,INSTAL•LATION ' Q�S .Q ROOFING ,Q SPECIALTY Q OTHER ' FINISHED FLOOR ELEVATIOIVS FLOOD,ZONE AREA [�]YES. NO . � BUILDEFY COMPANY � 31GNATURE REGISTERED Y/ N ' �E CURREn'_ , Y/.N__ : . Addre�s ' - ` � � Ucense#: ' i , . � ELECTRICIAN :. ,s '`' COMPi4NY : ` SIGNATURE � "' REGISTERED Y/ N F�cuR�n Y/N � � , , - Address • , . `L-icense#� • = � ' PLUWIBER , ' � , : COMP,ANY� .;';;� �::. . . . : . SIGNAYURE `: _ . , ,REGIS.TERED;.. ,�: �..Y'/<.N �. .. FEE'.Cuw�en. - `Y/`N:'" :..... ,. Addre$s � ., ,, � , :.License#< ; . _ � �. ,, i . , , ,, ., . � � .,., ,�i . ;�::..., ._.:. � MECHANICAL� ' �y'��,,,, � ,�...,,,; . : :, ;.COM.P.�NIf�; >,. ... . :�fR S l'd �f!-1J2 '�`'!G�L/�!G SIGWATURE � �'°' (/""''�"`-' � REGI$TERED, , ;:.;Y.,/ N'�.,;� FEE'CURRE� =Y:/�N'�: �.� • Address' '��I7'7I_� :I�LA� �Q� � .Z J�/LL5 , ,_.L•icense# ��'0�3�'T� • OTHER __" .: - .': , � ..COIyAPANII� , - SiGNATURE. _, - - , � , _ - , .. . . :. , -;. � �REGISTERED, Y/.N:.� . ;F��:�uR��, �YJ.-NI-. , _ , .. Addr�ss.., , . - t.''^s;�: ` - � _ , . , ., � • °License#� . , . ,. RESIDENTIAI;....-,�Attach�(-2)3Plot;Plan§;�(•2);sets:of;B'ullding"Rlans;`.(1;sefof�Ene�` �Fomis;R=0-1NyPerriii't:for'newcon"stnictlon �. �� ) . r9Y . . _ �.. . , .�_.-:,-:�::�.,;.:...,.. .__�..;, , ,;,;Mlnimum�.tem(10);v�iorking�,days;after,;"s`utimittal�dafe:Y=Requlred ohslterConstrucd"on?Plans;�StoRnwater�Plans w%'Sllt Fence Instelled,. - �SanitaryFadlitles8��l,�dum�ster,Sife;y,.Ilork;PerjmJF�r;subdivislotis�ergeprojects:.`:�`:s:;ya��='�'� '� � - ` ' °� �- •� COMMERCIAL Attech(3j°co'mplete`"sets of'Bulldirig`Plans plus a Life Safely�Page;(1)set of Energy Forms.R-0=W Permit for new oon'afructton. Minimum ten(10)working day+g after submittal date. Requ(red onsite,„Constructlon Plans,Stormwater Plans w/SOt Fence Installed, Sanitary,Faciiides 8�1,dumpster...Site,.Work-Pe[mlt,for all�newipiojecCs:i411'`commercial.requirements•must meet compllanca � . SIGNrPERN1IT Atfacii`(2)"set`s of Eagineered Plaps:�;�,;,w�r� . " "'"PROPERT3!.SUR1/EY required•fgr�all�NEW consWcUon:;.,. - � _ _ _ - _ - Dlrections: :�?„,: . -_ , ; _ � . _ .-. • Flll.out applicatlon completely. Owner 8 Contractor sign.back�of applicatlon,notarized If'ov�r 52500„a:Notice,of:Commencement is requlred. (AIC upgrades over�7500) _ � . •. .tr`�`a i:"`9u:;-r., ,_ .,_.:. _ -,'. Agent(for the contraictor)`'Or:Power of Atfortiey(for ttie�owner)would be�someone with.notarized letter from owner authorizing same DVER'THE`COUN.T,ER:P.ERMIT-TING.- -•-•-'(Front:of�Application Only) � _ � - Reroofs if shingles Sewers Service Upgredes.,A/C Fenqes(PIoUSurvey/Footage) ___ .... ;_;;�:-. - � � .__ << .. , '� DNveways-Not over Counter if on pwblic roadways.:needs ROW � . -, ._._,_, k . ... .. ��,:.+;-�� - . , Igned�undergtan,ds��tl�t;tt,�is;;��rrntf.may..�be•:subject to:�de,ed"_resalctions"r,,;.,�;�,::�� �T10E OF DEED,RESTRICTIONS:�The unders " .�- ,.,.> ,,�. . ,.�= as � �„:: . � V t, iich may-.tie°more�;r,estFlcflVe•�thal�G�unqi�re8dlatf6r�§:�"�The:�ln�ersigned'�a3sumeg:res�sonsiblliry;#or cor�ipliaoce with.any- �-` ` �' �pNcable deed�resMctions: � :r:ts.�;:;�:;,� •�.a.,;, _ _ ' - - - - -- _ _ `._ °':;'r. .. . . � VLICENSED-:'C�NTRAC�'.ORS��-AND .CONTRACTOR��RESP�wSI�ILIT1�5`:� �=1f;�he`�owner"has��ht�ed.T�`aconhactor�or � � . � ' `,, _ u:iced;;to�;G�.11 - � �,.. _ , . • ntractors�toundertakework titey_raney;be;r_:erq.,: cens`ed;In;,accocdance:with.state.;and,�[ocalregulati.ons:.�>If�:tli��ry=>-�=`��•= , I:f.L'�i>.•Rri::.:....[..ui...__'-.a... �i= '.�.. .. '.. �. ..-. �ntracto�:;ls;not�,;licensed�°as�-requlredgtiy,:lew;:tioth�tMe owner arid�conUactorymay�tie��cited?for°•�yrriisderr�eanor�violatlon � ; �der state law. If the,owneror intend'e�>,contra�tor�.ere,,.uncertaih as'to_what��licensing.,requtrements�;may�'appty'�fo����tlie=r.�����=;��'� ended`work,:tMey are ativlseii'to"contact-tFie';Pasco��ounty;Bullcltng:InepectTon"DIiil,slon;:-Lfcensing.�SectOorrat 727=847- � 09. Furthermore;-If�the owner�has"�hlr�d�a�'co�ihactor or`contractors;``lie`ls��� �� � � '' " - � -�advlsed to iiave;.lhe ,contracbr(s),,stgn _ � t .s„.,t._R,,.,,��,; ; �rtlons of`the.°contrector Block".:of..thla appllcation_�for.�whlch_they-wlll.;be�r.esponslb�le. =1f:you;>as:;the'�owti�'r'sign��as`ttie�' �"-��� ;' , ntractor, tliet-�riiay 6e-an Indicatlon-th�t�he�ts_'notr'.prope�ly Ifcensed�and"Is''noY'entltled�to°pemiiEting prlulleges`In Pasco. _ .? , �unty. �.. ' . ' .� �. -� - - ... :-�. �. '. `'._ �� � � ;; : tANSPORTA170N�IMPACT/UTILITI�S�I�IRAG'1'A1�6-1�ESOFJ�CE R�COYERY fEES: The understgned`understands . ��� 1 �t Transportatfon Impact Fees�and.Reco.urse Recov.e.ry.Fee�may�;epply:,#a tf�e constr.uc8on�.o�new:bulldings;,�change'°'of`'�''''���'��'"�'� `;; � ......, ..... - - , e In exisNng bulldings;�qr_�expa�slbn��of:}exlsti"�%g;�bylltNngs;-as speclfled:In Pasco County Ordlnance numbe�89-07 and '�' i �-07,�as amended.,,.�,,'Fh�:underslgned elso:understa�ds, tn�ic°°such fees;�as:�nay�:be,�due;t.wBF�be Identtfied at the=time�of� =���� ��• '' � �rmltting. It Is fu�tfier undecstoad that Tre�isportatlon.Impact"Fees and�Reaourcre:Rec�i►.ery�'Fees hmu:sf be pald.prlor to �' { �elving a;"certi�cate=of:occupancy"=or-flnal>power,release.=:I���the.prvJAcf;;does:riestlnvolve:�a=.certffl.caCe of occupancy-o�`-����`-"'�- : al power,,�r:etease�the;fees�:rriu�t�'be pald<:prlor:to;_permit Issii�nce. �F�xtk�er.more;;•ff-Pasco;�County�llVater/Sewer£Impact:���-.:;_�:��. = � ' 3s are due;-they�must be:pald prlor to;;permit'�Iss4ance in.arcordance wlth.appllcable.Pasco�,.County=ordlnances. ; )IVSTRUCTION"L'IEN1LAlf4�"(Cfieptar 713�Flortda Statutes,ae amended): tf valuatlon of work ls$2,500:OOaor�more;�1-- �L- .��._. rtify that I, the..appllcant,_.have.,been:�.provldetl-wlth--a-copy.�,of��the�_"Flor(da•�Constructlon.°Lten��:Law--Homeowner's , otectlon Gulde" prepared by'tFie�Flo�lda°Depe�tiner�t�of Agr(c.Wture and Gonsum�ar�Affairs: If the applfcant Is solneone; :--=;z- .i�.`:. �er than the'owner"� I certffy.th�t=l:have:.obfailried�a'�copy,of,the°above:descrlbetl�docurt�ent-ahd;ptomise�;in;gQod;falth��to.:. - .. , �liver It to�the;'owne�'�prioF��toFcom7nencemer'it:` - . � ` � . , � . . " ., = '� ,`, . - �NTRACTOR'SIOWNER'S A�FIDAVIT: I.,cer':ti[jrw�t�i�t�all,hhe�.:lnf.oematlon�:l��.thlsiappllcatlon ts accurat�:and that�Il iniork II'be done in compliance wlth.all.appllcable'laws�regulatlng�const'uctlon� zoning and�.land:devefopment. Appllcatlon Is �reby made to abtaln .a�.permit:to;,do;,,wo�lr.�and�lhstellatlon as Indlcated:���;.'I: ce'r�ffy`that no'work=:or Installatlon'''Fias �mmenced'prlor to'Issuance of�a pemitt and that.alfwork wlll be pertormed�to meet-.standgrds_of all laws regulating� �nstructlon, County and City codes, zoning regulatlans� and land development�cegtalattons�ln�tfie�;ju�lsd(ctlon:�:. -I�:al'so� _ ;rtlfy that I u�derstand that the re8ulatlons of other�government agencles may�apply'.to__the_lntended work� and that it is . y responslbllity.to Identlfy•what.acttons I must�take.;M be�ln:.con'Ipllance:,Such;agencles~Include but�are:not Ilmlted:to: � . - Department of Envlronmental�'Rrote�ett�n=G�press�Bayheed�� tNeNand+A�eas and Envlronmentally�Sensltive Lands,WaterlWastewater Treatment. ."�� -� � � � - �outhwest Florlda Water Managemen�:�..:I�iSUlctWells, �Cypress.�Bey.n`e�ads;•'=`Netland� Areas� Altering � . Watercourses. � ;' - Army Corps of Engtneers-Seawalls;Docks� Navlgatile Waterways. ., - Department„of .Health,,$,;ReMabilitative SenitceslEnvtr.onmen#af�:�HealtFi.�Unft-Welf.s;,.lNaste.water�=Treatment, ' �e�tic Tanks:'- :-- �- - � . � . , . - US Envlronmental Protectlon Agency-Asbestos abatement:,. � Federal Avlatlon:Aulho�lty=Rumvays: � , � inderstand that the_following;restrlctlons�apply fo�the t�se of flll:• - Use of fill Is not allo�nred 1n:Flood::Zone"V"unless expresely„permltted. - If-the flll�mate�lal'�Is'`�Yo tie.��useil:�:ln.::flood .Zone. "A", It:'Is understood�that a dralnage'plan addresstng a "compensating volume" wlll be submltted at�ime of�permltt)ng virt�lch ts prepared by a profess(onal englneer� - Ilcensed by<.�he:;�tateof:Flqrlda: . �- .. - - If ihe flll mate�laf_i�-ta:be�used�tn �lood'Zone 'A" in�connection�wlth.�a��permltted bullding us(ng .stem wall � constructlon,,l,certify that.fill�v�all:be�used only.to..fill the�area..wlthln�the�:stem wall. . - If�fllf-materlal�'1s`°to-`=be��used'In' any area;�l'�certlfy that .use. of such`flll w111 not adversely affect ad)acent propertles. If use�of flll,ls found to advereel�r.,�fifect"'adJaeent��pra�pertles,.the owner may be ctted for violaling : _ ,,:, ..._ ., ... ..,: .. . the cond�lons'�of�ttie ti�illding�3permtt Issued�under the:~attacfied_pe_rmlt_�pplicatlon,�for�:lots less ihan.one (1) : acrs whlch�ere�elevafetl�6y;illt,��r englneered dralnage plan�ls requlred. • _ , I am the AGENT..FOR.THE�OVIINER;`I;.p,r"timise�in good falth to-lnform the owner�of:the.pecmltting.condftlons,set forth In s aHldavtt prtorto commeiacing��constructlori: 'i�understand`that a�seperate permlt may be requlred for el�ctrlcal work, , `:':� , imbing, slgns� wells,�pools;._alr cond(tloNng,,.gas,;or�othe�.Insta�l�'Nons not�spec�fical�y Included�in.the appllcatlon. .A - x.; - �,-. � �,; ,.. �rmlt Issued`shall b`e�conshu`ed,to`be�a'Ilcense:to:,proceed wlth`'t�fte',work and no.t.�as�authoNty to:;vlolate;��cancel;�alter, or f., t aslde any provlsfons�ofi'1he:4ecliiilcal:andes;�nor sh�ll Issuance�of a.permlf.prevent the Bulldlrig O#ilclal from thereafter , . qulring�correctlon_af errors,in�,plans-;constructlon,or vlolaUons-of�anycodes:. �very-pgrrnit:�lssued�sh�ll become lnvalid � �less the worli�autho�zed;by such"pe�mlt.�ls-commenced�w1tF�In_atx.:months�of�permlt I�suance, or If work authorized by � `; 3 permlt is suspended.ar.abandoned•far,-a:#�eriod,of:�}slx��)�monffis;�.after ttie tl�e the�work�as commen�e�. An extenslon "-;'� �y be requested� In�v+r�lting;:hom'ffie�Bullding Officlal for•a perlodunot�to.-exceed��nlnety;{80):_�ays and wll�`demonstrate �,'? stlflable cause'for.�the exfension� If work.ceases,for nlnety(90)cons.�cutive:day.s...the Job�ts�con�ldered aba�doned. : . �_', - :�... . - . ..��� _ . , , .. ARNING TO bWMER: -YQUR.FAILIJRE'TCl:.R�E.C:ORQ`;A:NOTICE;OFsCOMM..EMEEMENT�MAY=RE$t1LT<IN•YOUR. . '�,� sYlMG-'�VIIICI��EQ1�-11VaP�Aj/,EMEN���.TO:,Y0U1t;:P1�OPERTY.>�I�°YO.U�I�F'�1D"�T���JB�IkIN��FINAI�EING;�ONSULT IT OU . _D .:O. ANl17T� w . R i.f�0 �� G:, ,O ^ � : .:�G � �� <:-: ~- -- - - -_. -_ ---_--- ---- - �RIDA JURA�•(F , 03� � . � : , '�.:° . i1NER OR AOEN , C.dNTRACTO.�- �scrlbed and swom t r aNirmed) efore me ihls ` Su6ecrltied'and' •lo(ot'aflirtned)�befot+��me�,tlilS: ., ' • b ' � o Islare personally .�ovm to.me or•haalhave produced Who:ls/a. ersonal _ owrr•to me or:liaslhave:produced • as:ldaneflcaifpn: - - � as'Identlflcatlon. . . Notery Publlc . ��� � ' Notary Publlc nmisslon No: ' Com slon.td . �=oi�::Y.°Ye�c� JACQUELINE BOGES ' ne of Notary lyped,printed or stamped Name oi Notery type ," ,o: ecember 12,2018 II �'.F pd�°:`�� Banded Thru Troy Fein Insurance 800.385-1019 .y � ,�.�L.%`:`—� (.J ` .Z \ �:f c � �1 ` � i � � � PROPAI�IE GAS � � � o . AND AIC tNc. Service Order/Proposal Air Conditioning 8 Heating ���e�988 813-782�50�3 �lC�R1-: Q��.}�'F;a��'�ERti1:�t:EM�tha �,>;'���7 �EF� Sales, Service & Installations ,. �'��T�'-�-:��`�;= ���''.��`� '�`�.'�r�i`J '��'°���' 4441 Allen Rd. • Zephyrhills, FL 33541 �'��`E�'` ¢`' " r`` '`° �`��� , ur-��-���r:ir�w= �_��s_�i���F�� NOTES: ;� ci.+�;,-r�r���.=<;.;.:��t��c:F���a:�ir� ,,���,�� , � �'(�1 C7 P�1 F'°�` ?:L 3 !F�:i--'i.�i�?=5 ��lI;TE�'��G! ���='�'�'�a�_��;� i_ ....�'"'�z.>w..;._.. , i,i— � � T I".}�f-�f��=�74`(�I�g l•�l:t LL_:L FT��4 �r_�t F"iS T 4 r�4,_� ttJ-C L1—.�.!�C+'] .�l(.:,��;-J. i�IEL�F;�vl�i �av� :,7E���� i��t!i-;Dt=i R�'E ='�xlak�ti`�iI? 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'i.:;.=.�:..:.: ....�. . . . _ . _�_,.._.-,_,,:�,,,c_.-.,=.;-.:...,.�DESCRIPT O.`OF�WORK<v:•:�r,,.-:�r':.-�-;..:;--•�;,.-.:G2T,Y::.-:Y-;�..MATEF�IALS�8�SER�/10ES:.���:'�:.::��';`.:::'�;':..>;_;':UNIT;FRICE ;%_�AMOUNT - :�. , _ _ 1 N,. s� .., K� .�.. _»,., _ , . ,.:- ,..,,-�. .- ,.. .:-�-_. _ _ - _.�. _� .;:.: .. .. , . , .. _ ..� ., , ._.,. ..:: ,...., _ . ,. , ,....... ,,.,. , . . . . .:,.:<..a --._____._.._._.._.__._.__.____ .____._.___._._._.._...__.._._._.__._____.._._____._.__ ______.._..__.__.----._._._---.__._..___._._.._._______ ..____. _._._..___. �._-- r-- -� � `�i9�i �� _ � � �f � � � —� ,n I I v � �� I I `�lrf�-�J 1-,�� � �.:� � � -- ��_�'r--� � '^ � � � � ` , - �/� � � {H P r4 �� i �� i � !•-- `�:_+ + . �� T� i t ' x � [�\ � � V � e`� `.�•`-1 �.� \i � i ' . �� �d i 1 .� ` � , I I I I Y � - - - - ` :RECOMMENDA'LIONS'��:`� - ' _ � � - , _ - �. - f rt/ LV /!� - t2 T G - � £ � � -Annual:Maintenance:Recommended,:"by-:AII;Equipment ManufaetUrers:z��.: __ � � - = - - - Pressures_Lo HI T-Stat i i . . ._ ._ .. ., . ._ . ., : . . - - - - - - - -__ _ --_ _ _ _ : __ - ___ -- __- �i.,; i - --REFRIGERANT;R=j _ - ��LB$;�- _ - _-,$:Per Itis. - -:I I - - - _ - -- - ,�` -- - , FILTERS x x Changed Monthly I I , FILTERS x x Changed Monthly � � � ❑ REGULAR ❑WARRANTY - �_ '-==TOTALSUMMARY ', - .pehurriidistat Settings;�When here"ON'`; When Away 6�;='T-Stat 80°' ❑ MAINTENANCE CONTRACT �SERVICE� i LIMITED WARRANTY: All materials, arts and e ui ment are warranted�b the manufacturers'� % -_= - ' '�'` CALL i P Q P Y '... ,�;_�,=-"':METHOD;:OE PAYMENT"`_� :°:=--=-= or suppliers'written warranty only.All labor performed by lhe above named company is warranted for '"�'"-" ` ` -'` " " TOTAL i 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have authonty to order lhe work outlined above which'has been satisfadonly completed.I agree Ihat Seller PROG. W I C � retains title to equipmenVmaterials tumished until final payment(s made.If�payment is not made as agreed, C��M# � �^• seller can remave said equipmenVmaterials at Selier's expense.My damage resulGng from said removal shali � d �if� `I��J�� ALL UNPAID B�ALANCES OVER 30 DAYS.NOYR FUN S/SERVICE CHARGE WILL 8E ADDED MONTHLY TO DATE COMPLETED � � � `''� � J�� � ,% � ��` .. TECH: T� I . ,� , / � i .�.���.,. � 'V���• � i / �i � .� �.. �'"� � �° ,�" ' G/—���� ��J TOTAL � B `�� CUS MERSI NATURE DATE � 'y7,'7 �Ir ✓/E�al//?fi ✓Q7.I t .�.� r