HomeMy WebLinkAbout17-18647 CITY OF ZEPHYRHILLS
, ` � 5335-8TH STREEf
(813)780-0020 18647
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18647 Address: 37546 NEW HORIZONS BLVD LOT 67
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0670
Improv. Cost: 5,126.00 OWNER INFORMATION
Date Issued: 7/11/2017 Name: BENFIELD, JOHN & CHRISTINE
Total Fees: 65.00 Address: 37546 NEW HORIZONS BLVD LOT 67
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/11/2017 Phone: (813)782-7842
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
\
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSU TE
� FINAL � i
.
REIIVSPECTION FE'ES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local 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 properly. 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
t31a-lSv-tIO2G City of Zephyrhills Permit Applicatian Fax 813aso-aa2� �;
BuUding Department . ,
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Date Recelved . ., phone�Contact for<Permittln �l'�j ��� — Q�� i.
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Owner'a Name �'/� 1 uG � � Owner Phons�Number ���J"' �`
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Owner's Address Jr'¢' �(at✓ �'"/ ;2 �U Owner Phone Number -� � �
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Fee Slmple Titleltolder Name � � •Own�r Phone Number •� � r
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Fee Slmple Tittehotder Address ;.
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�oa,aoo��ss 3 a 4�P Et,�� vrl�y (U , �.or# . �� ;.
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susa�vis�oH I��-Na G t�71�.5� PARCE�.tD� � � ��-'�'- �i����0 LB�dt� ��;7p r
(08TAINED F,ROM PROPERTY,TAX�NOTICE)
WQRK PROPOSEp :NEW GONSYR' ADD/AlT �' 31GN' Q � Q DEMOLISH
?�. INS"CALI REPi0.{R . .
PROPO5EDrUSE - ` Q SFR� Q -COMM C] OTHER
S'YPE OF COWSTRUCTtON < `Q� • BIOCK " Q �FRAME , � 5i'EEl Q �
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DESCRIPTtON OF WORK �E`'�—'` s �� G ffr9-�I E' -- p�-�- �! �',a�r1 �{'��,,�'j �'t�,d ; ,
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BUILDING"SlZE�' "SQ FqOTAGE ` _ _ �HEIGHT,T � � I
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QBUILDING �� VALt1ATlON OF�"tOTAL COI+IS'1'E2UGTi�'?N" � '
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CJELECTRICAL �� AMP SERVICE [.� PROGRESS ENERGY .[� W.R,E.G. '
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�JPLOMBING $ �- i I
MECHANICAL $� VACOATION OF MECHANICAL INSTALLATIOM �
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QGAS Q ROOFING ;Q SPECIALTY C�] OTMER '
FIt�11SHE0 FIOOR E�EVATIONS ���� FLOOD ZQNE AREA QYES. NO ;
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DUILDER COMP'ANY"
81t3NATllRE R�GIS7EREo Y I N -'FE6 GURREh ' Y/N •
Address ' -- ' Llcense#'( 1
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ELECTRICIAN.. COMPANY • �
StGNATURE � REGISTEREd Y 1 N F��cuRR���� � ' �Y 1 N �
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Address , llcense#.[' � �
PLUMBER ' � COMPANY �•
81GNATUR6� ` ' REGISTEEtED,. � Y.1�N- rFEE Gi�RR�A Y-1 N �
Address 1.lcense.# ;� � -
MECHANICAL" ' � � .�-y� � COMPqNY. �l'2 5 �y7,11�- 7�` L�' �+
3lC3FlA'NRE . ! G�'�-� U / lrL�A-.�/J'�'�J�,", � ttE�fs�.Reo Y.1 N ." �E cut��tEt� Y.l N
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Address'� f � � t � � " . '� � I.icense# ��-��-.r t�-c� �'c��'__ '-��
07HER . � ;COMPANY._� _ ,
StGFtATURE _•,,.: : : .:: ' - . ' '` RE�tsiEii�o YI N-:: " �cti��E Y7N
Address, � . _ - � � � , Cicerise#'� � �
RESIDENTiA1;,,4: ::AfteCF1''(2j,;P-.,lot�Plan`s;:.(2)sets=ofaBullding�Pla"ris;�(i)'sef of=Energy%Forinsi;R=t�IN�Permif fo,r`.new canstrucdon, �.
�. -Mtnimum�ten(1D)�uiro eq t•:
-'} �� 1:�_.,.,_�� .��„..�.�,__:.ri...ric(ng.id8tys;after suEiialital'date.�<R uitsd onstte,:ConslivcScn�Plan�;�S#oimwater P1ans�wJ Stl#Fence Instailed,
`'�� SaniteryFacil(ties:8�=r1,,dumps,ter,•Site,�WorlcyP+�rmttfiar,subdivis;ionsAaige�proJscts; ;"':."� �" �
COMMERCIAL Atmch(3)�eor"riplete"�ets'of`6uildfng Plans plus a Ltfe`Safety Page;(1)set of Energj►Fcrtns.R-O-W Permit for new construcUon.
Mlnimum ten(10)working days after submlttai date. Requirad onsite,Construc8on Ptans,Stormwater Ptans wl Silt Fencs instailed,
Sanitary Facili8es 81 dumpster.Site Work Permit for all new.project's:All commerciai requlrements:must meet campllence �
31GN PERMIT Attac#�"(2)'sets of�Engiiieere.d,:Plans.G �.-�� ���., ,., .: -
••••PROPER7Y SURVEY requlred for all,NEW con�G'ucttoa.. �
Directlons: � .-�- � • . '
FI{I out appSication completely.
Owner&Cantrector slgn back of applicatlan,notarized �
If over 5250Q a Natice of Gommeecement la required. (AIC upgrades over$7500)
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'" Agent{for ttie�contracta'r)'or`Powe"r of�Attbriiey(for the cdmer)would be someone wlth notarized letter frorr�owner authorizMg same
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QVER THE COUNTERrPBRMITIING - - �(Front�of-ApplicaUon Only)-� •- � � ,,.+;,; ,.,; , .-�`"`"�4��="��'`�r=��n-::�� .
Reroofs tf shingles Sewers Senrice Upgrades AlC FeRcas{PiotlSurveylFoata9e) � . , ', �; �<,.:i'.iY•= ,,,r��,,,:, �fi
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'•�Fn S ,k�_. 1 rt. � ::Y:.' f!•„ � '.1 .��:/�7. >:��t T
Driveways-Nct over Counter if an public raadways?:need's ROW:,,;,•.. �,,,,a�,. .`"'�_ : � �- �,� -fj
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MO'i���O�DEEI�RE�TR�C'P�ONS: The a�d,��sig�a�at ande�ta��ds�th�t��hla�p�rni�t•.m�yxbe,subj�ct�"deed"restr•1ctt�,tis" . ., -.:. �
..�.1 -' -r. :: i..r.. ...,:5,_. . ...�y��.,�r.:icY�=:'K.4:...�`."". Y +�.,. .. .:'�. '.SP,ir":,:�'r:�-.,�..�;.,,,,. „ '
which may�be��more`�est�rdc4lv�:Qha�County��t`s�ulations:�TFie�under"�lgne:d''as�umea re��onsib011ty'�or compila�ice'tirith""�ny
appl#cable:deed:rest�lction�. �W=. � . � . � � . : �
UWLtCENSED�GaNTRACTOttS ��Nd GfJN�R.�lCTO►1� RE3POR��f�0L11'1�'S: ff'�tta� c�wn�r has°���ired a�:e�ntractor or
contractors to undert�ke work, they may;b,e�:.r.e,qulr;ed..ta:.be�licsn�ed In:,accordance.wlth state.and�lacal regulations:.,^If'�the• � �
co�trac#af ts nat �Icen�ec9-as`recjtalred'tiy Isw� 6othr#he �v�er acid=c�nE�ctori�i�siay`tie�°ctted�far�a=��tils�lemesnor vta�ation
under state I�w. If the aw►ner or Intend�d;°;contraa�tor;ie�re�uncertalro as t�what'Itcensing;requlreznents;may��e�pply':�,far�'4he°< � �
intended vvorlc,they are ac9i�fsed to coritact the Pasco County Ba�liding;f��pectton�DCvlsl�oia-l:Icensing SecQl�n at 727-8�7-
8�09. Furthermore, if the awner tias"`hlred�� contractor cir coritractoes, he ts advisad ta hsve �the c�ntrecta,c(s);,.sign
"..,.-,�, ��,,..
porRi�ns of th� "cont�ct�r �lock" of thls,.applEcation_.fo.r.:whi�h.they wrlla b�.r.esp.onslble.- If=ya�u; asw#he av+mer"'sign�'as`the"� �
contractor, that may°be an in�ication tha#fie�is not.prop�riy O�cens�t� ��d''Is`not enfitl�t� to permitting priult�gea In Pasca ry .,
County. '
'ff�,NSPORTA7'lUA1-l94�P�4�TAQ��'S�lT���>!'�PAC'��Ai���ltE��t�RCE R�CQVERY�F�E�; T�ae under�tgned u'rzders#ands
ihafYr�n�portation Impact Fees and.Reccaiouts�Recovery.F�es may�app�y:fo:ti�e,con�buction�of new.bui{d6ngg,hchan�e=�clfy'� � ' '°'
' use in exisN�g bulldings� or_,expar�'si��rtofaexi�ti�i�:buildings, �s �pecifled.In Pascv Caunty Or'dinance numb�r 89-07 and
� 9o-OT, as amended,,�Th�unders4gned aiso;u�derstands; th�it�s�ch fee�,���s�na�betdue;,=w110:�be tder�ftfied at the�time`-of��` .� �
� permit�ing. It Is funher understood that Tra�sp�ortatlon impaat Fees and`^Resowr.ce.:Recouery�Fees..mu'�Y be peid prla�to
recelving-a:'cerEEE4cate.�st'�occupancy°'�or tin�l-�pawer;�elea�e: :I�Ehe.pro�c�_does}riot 6avofve<a�certi�tcate of o�upancy.=o�;;.,-�,_..-..
finai power rele�se; thia°:fees mu$t be"paid:pclor to.pecmit i�suance, F��#�iermare,�If.�ascQ,County;WaterlSewer.�;tmpact � �
, . . _
fees are due,..they.,must..be:paid�-prlar�o.permit:lssu�ince��rr.accorelance v�rltl��appllaable.P�sco'�Count��o�dlnances, �
C�NSTRt�CTtOAt'�9EN'LAV4t'(Cti�pt�r 7�3� �I�rMd��#€�tttt����r��ncl�dj: �v�lua�on�t'work 3s�2,500.Oq..or more..t ;.
cerkify that I, 4he appliaant;�have.b�en .p�vided-with=a-aapy of'the "Florida• �onstrvcttan� Lien:.L�u►�—Homeowne�'s
Protectfon �u�de" prep�red by t#ie Ffo�d� Depa�finent'of Agciculture and Cansum�ac:Af[arlrs. 1#the appttcan#Is samean� . .
,..:,
oth�r ihan 4he"ow�er�, i cerlify..that�l.have,Qb.ta.inedsa'capy;o#.the�abov�..al�s.crlped�docurt�ent�and_.p,romise�.in,gaod;faith,to �
deliver it ta.th�:"owner�:p�lor'todcori�menc�iment:' � .
�OMTI�ACT�R'SJO�t{►idEf3'�A�f1�AViT. {.ce,it6�y�that,.�li..t�e,iriformafion.9�•th#��ppltcallon is acc�r�t�,�nd that�li work
�rill'b� done in compliance with all.appltc2�bl� laws regul�ting constructlore, zoning and��land�development. Applica#lan Is
hereby m�de-Qo obtaEn.�.petm�#,,Ce►�do-u�ork:�:and Ins�ialtatlon as indfcat+�d:�> -�'1�cenlfy that n� wo��C=:or inst�lla#�oi► fias
commenced pr(or to Issuance ot'� permit�and khat�.all work will be� perEa�rr�ed to m�et standards-of ali laws regulating-
G4f1$IT'tJCtI011� County and City codes, �oning regulatians} a�nd land dev�lopmerit regula�tons in the j�arisdlct#�n: !��Iso
ee�ti�r that t u�dersfand Qhat the regui�tions of ather governm�nt ��encl�s may�appiy�#o the in$end�d wotk, and that It 1s
my responsibility to Identlfy.whaQ.�ctions I�r►ust•tak�:to b��in:.c�mpll�nc�._ Such:.a�enci��lnclude bufi�are.not limited ta:
- D�p�r#m�nt �f E�tvlronmee�tal='Protectton=�ypte�a`Bayliead�� tiiietfand Are�s �nd Enviranmentalty Serisitive
Land�,Water/Was#ewater Tre�tment.
- Southwe�t Ftorlda Wa�ter M�nagemenk .�P�trEct We11s, C:Ypress.`+Bayheads;- Wet#and Areas, A1Eer�ng
Watercourses. .
- Army Corps nf Engineers-Seawalls�C�ocks,Navigable Waterwrays.
- l3epa�tmen# of.Heaath:'8� .Ret�abllita#iv�:Senrlc�slEnv3ro�m��ta1-N�alth tl�it Wells;�W��t�water-?reatment,
Septic Tanks:. .
- US Envlr�nment�#Protec4lon Ag�ncy-Asbes#��abatement,
Federat Aviation_Auiirori�, !.-Runways. .
�, t understand that the fopowing.:restric'tlons apply�to the use of flll:•
- Use of�itl ts no#aliawed ln'�lood;Zone"V"unless�xpressly p�rmitted. _
- If the flll materlal is ta b.e u��ii':;In.�Flood Zon�. "A", Ik. is tender�tood that � drainage pl�r� addresstng �
' "c�mpensatl�g volur�e"w1l1 b� subr�ltt�d at�im��f-perm�ting w�lch is prep�red by a praf�ssion�i engin�er�
Ilcensed by the 5tete of�fiotlda: � ,
- !f th� fl!! materfal�ts to b� u�ed In Fl�od �one "A" In>cann�c�fon�wlth�a permftted buitd4�g using stem wal#
' aonstnuction, i c�rtifiy#hat f�i:virltl=b.e used oniy to..fitl the are�within�the��#em�waii. .
- If flll materlal Is to be used in any aree�, I �certffy that .use. mf such flll will nmt adve�s�ly a6fect ad�acent
propartle�, #f a��e of fiA� Os#ott�d fa adv�rse�y,.affect adJa�c�t��pr�per#les,.tha�wner m�y be cited for uio�ating,
the condi#Pans..of the bt�lltling:p�rml# issued�under the.��ch�d.�iermft eppltcatian, for:lots.less:than.one (1)
acre whfch ar�s eteva#ed•tiy tlli,��englneered dr�fnage plara Is r�qu#red.
if i am the 1�GENT,FOR.TH�CiWNEt�, #;.promiae in good falth to laform the owner of-#h�permifting corodftlons set forth in
this �Hidavik'prtor to corrrmencing constructicsn. "d under�tae�d 4hat�a�separate petmlt may be requl��d for etect�ical'work,
plumbing, signs, wetls, po�ls;_atr conditloNng.-.g�ts, -c�r otiq�� In�#all��laris na�,spec�lcatly Included�1n.the�applicatian. .A
permit Issued §hall be constcued Qo b`e`a°Ilcense`�to`-praa�aed wlth tNe work end nat�as.authodty:to,vlol�4e��cancel, alter, or
set aside�ny provist�ns of t�e.t��hnlcal.cr�de�;�nor shali f�su�nc��og a.petmtt.pr.event 4he Build€rig t?#ft�lal from thereafter
r�quiring a�orrectlon nf errars irn.p{a�ns;�consfructton.or violstians of any codes. �ve•ry�p�rmtt[ssued shall become invalid
unless the work authortzed.by such permlt��s-co�nmenced•withtn s�c month� of permit issuancej or 16 wark authorized by
the permit-is suspendecf�ar.�bar�donad--foe.a:peH�d�of�siyc;�)�rr�onths.a�terthe�#tme the�wctk��s cartirrren�ed. Ara extensian
may be r�qu�sted� tn writing,..from tHe.�Buiiding,C3►fficia) for a pertod:�not--to exceed=ninet�r-(90j"d�ys and�wlll demonstrate
Justlftabie c�use for.�the ext�nslo�: tf u+rcrk c�ases:for nlnety.{90}con�ecutive�day.s...th`�ob�ts.constdered abandoned. �
{NARNIMf; TO OWNEtt: YOU�;�AIUJRE•,Tt3.�.REC:A�tQ.�►..�IDTICE�:O�f•COMM�NG�ME�T�,MAY�ftESUL'T�IN`YC1UR
�1�Y1�IG TWICE:�QR iMPRt1VEMENT$�.T�:.Y�Ui�P��ERTY: �I�=1tA.U{I�'�E�1E�'�TC�'���TAIN�F1�►t�EtNC;�ONSU�.T
WIT A TTO M C�R�+.�, O G:, :OU a: : �� �= W • -
Pl.oRIS7A JtiRA�4P�i. 03?` � .• ,. ._„ .„ ._. .„ .. �,. _ . _,_ _ `..._. � ...
ONINElt OR AQI�fdT �3 �z����P..�L2 ,, CON7°R14CT0 �
Sy�satbed and swa or�tflrt�edj befor me th{s Subscribed'snd's �ta{�P affltmed)' efata ttie'ttii� '
'1�rt-1'1 �vrE�'trsr.� L 1�:1 rs�,.2t e�� - .
dVho is/at� onall .me or:haslhave produced Who:le/are .ersoneliy�Cno • me,orhas/have•produced •
' as Identlflca8on. a�tdenUftcaUan. �
.
Hotety Publtc . � � Notary Publtc
Comml� lo �x "'��`r��
�LL r�I�ston.Ma.
,tyt»��r�-����;'�'��� - _
•��"'"�`k"A%'�. otar Pubiic-State at Florida
N�me oC ` ._r�ed�rrs Idama at Nolary e�.�f�or ata '
�: Commissipn�ff 03A230 �,� `�;,,, Nata�y Publ�c-State oS Florid�
h NatWnai Not�ry�s��• • . My Comm.Expires Jui 19,2D17
,�%�,;;;;d`'`, Bonded throup �,� ;
;� i
�;� Commissian#FF 034230
y,��rfY'`, goaded through National Natar Assn.
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� y �.� M .� � �-�C� � U I� ['� ��M ���� � �� '
�A � PROPANE C�AS
� �I AND AIC �tvc, Service �rder,/Pro�asal
� S�r�e 1988 , 813-�82-�0�3 Invaice
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' .t�{L'J�1'•.. l+"r?r�ER•t�',"�:�f�l�'.::ICE:i;t}:�r.# i'��wL�� .��iJL
Sales, Service & Installations ,F,����, ,-i����� -�r�TJ�r� , ,�r.r�-,�..r�;.-; +���:�;,
� 4441 Al1en.Rd. • Zephyrhilis, FL 33541 T���;�_�; ���tr � �::�;Y� s�„�,
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r DESCRIPTf�N OPIIVORK . C.�7Y.. -t�iATER1AL5&�:SERVICES . , tV1T�PRIGE;.,�AMO�INT.
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!t'. �U�l�.. . ✓(v�� 1 t.'���f C. !."�r 41 ri'a,:{•.� �'REERIGERANT R= I:BS. . .$per Ibs, - � �
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��( ry�.� �-, ,' �"' ` FILTERS x x � Changed Month{y � �
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0 REGULAR ❑WARRANTY TOTALSUMMRRY ::-__, �
;�De}%uriiidisfat"Settings:;When here"ON",.When Away 6�, T-Stat 80°, ❑ MAINTENANCE CONTRACT SERVICE � i
LlMITED WARRANTY: All matedals,parts and equipment are warranted by the manufacturers' METHOD OF FAYMENT CALL " i
ar suppiiers'written warranty oniy,fUi Iabor performed by the above named company is warranted for
� 3Q days or as athernise iodicated in writing.The above named company makes no oiher warranGes, C3 GASH ❑CK# MATE ALS i
express or implied,and its agents pr technicians are not authorized to make any such wartanties on i
behatfofabovenamedcampany. C}DE81T 0 CREDIT O OTtiEF2 MA(NTEIJANCE i
I have authprity to order tAe work outiioed abave which has heee satistactoriiy compteted.i agres tttat Seiter PROG. W / C
I ret�lns titla lo equipmanGmatedels fumishud until final payment is made.If payment is nat mado as agreed, O(„A�M# �
sefler can remeve said equlpmenVmaterlals at Se!!er's expense.Any damage resulting fram seld rem4val shall -�
I not De the responsibtliry of Seiler.NET 30 DAYS.A 7 1M%SERVtCE CHARGE WtLI 6E ADDED MONTHLY TO t�„�t (r?�f(,,���h-Ty
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED _�
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CUSTOMER SIGNATURE DATE J1`2'�f�%/ril4� ✓QGG
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