HomeMy WebLinkAbout17-18666 CITY OF ZEPHYRHILLS
5335-8TH STREET
�� (813)780-0020 18666
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BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18666 Address: 37721 OAK RUN CIRCLE
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: OAK RUN
Est. Value: Parcel Number: 34-25-21-0000-00300-0100
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 7/17/2017 Name: OAK RUN PROPERTIES INC
Total Fees: 55.00 Address: 38070 DAUGHTERY RD
Amount Paid: 55.00 ZEPHYRHILLS FL 33540-1375
Date Paid: 7/17/2017 Phone: 813-788-2759
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES �
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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Ins ections Re uire
DUCTSI STALL D
DUCTSINSULATED
FINAL
REINSPECiION FEES: (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 properly 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
CONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,�-r��-v�r�o City of Zephyrhills Permit Application Fax-s�a-�so-oaa� .
_���' „� Building bepartment . ;
Date Recelved .. Phone•Contaict forP��mittin t�f J Ga � — Jr'�'l� ,
Owner'a Name _�( � Owner Phone Number (J����O O ""' � ?
Owner's Address � � jC� � Owner Phone Number �� fi �
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Fee Simpie T1Neholder Name Owner Phone Nnmber { � �;
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Fea Slrnpte Tttt�holde�Address !
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JOS ADpRESS ��/�� tr�/�� �1�. � !
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su�o�vis�aN _��i�'� ��- aa�c��.�o� � a��/`��OGI- d0�00 - D�dd :.
(OB,TAINED'EROM PROPERTY,TAX N0710E)
WqRK PROPOSED E NEW'CONSTR' � ADD/AL�' �' SIGN Q ° Q DEMOUSN
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PROPOSED+USE � Q SFR� Q �COMM C� OTMER �
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7YPS OF CONSTi2t7CT10A! �Q� , B�OCK " �] FRAME C� Si'EEl Q
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DESCRtPTtON G1E WORK S� � �j ,: D LL c� LT Ll7Y� � /Gf7�
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BUlLDlNG SlZE � � �"SQ FOOTAGE��: liElGHT,A�_�� t
QBUILDING �$—� VA�UATtOlV`OF"i't?TAL�CONSTRUGTIt}N" � ,
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QELECTRICAL $ ' AMP SERVICE [� PROGRESS ENERGY .Q W.R.E,C. �
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OPLUMBING �>� ' - {
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QMECHANICAL $��,p� VALUATION OF MECHANICAL INSTALLATION 4 I
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QGAS [� ROOFING ,Q SPECIALTY C�] OTMER �
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FINISNED f�00R E�EVATIONS ���� FLOOD ZONE AREA QYES. NC? �
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� BUILDER COMPANY� !
( SEGNATURE REGISIERED Y t N . ' -��cuRa�n Y 1 N �
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Address � - � �
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El.ECTRICIAN� ; 'CQMPANY � ' I
SlGNATURE " REGtS4ERED Y! N ��su��t:�• 'Y J N i
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Address - - l.icense# (_ � , � �
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PL.UMBER ` COMPANY _ , `
SIG[�ATUR£° � , _R��ts7��tEo. _ - Y 1;N. ; l�e cut�t� Y l N
Addreas' ` .
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MECHANICAL` ���,n� � - � COMPANY ��>J�1�� ��' G' ���
SlCit+lATURE - �-� � F3E�is�iEo� Y.l N �EE GURREt�._ Yd-N
Address �A ��''�/ `l�� I�Fr:.i ' , � Y Ur.ense#�C-����G'T,�' i
OTHER " � � �:COMPANY
SlGNATURE '°;: : `', '''�-. `� • `" REGISTEREo` Y l iti! .: _FEE GllRREI� Y I N
Address/ ° � � ' • � Llcerise# � . �-
, ..�, .� .,, ��;�. �: �,,,.._<,,:.. ... ,,. . .
RE3IDEN'I'IAL;,� °;Attach"^(2)„P1ot�Plaes;.:(2)seks:of;Building�Plans;'(1)'sefof-Energy�Farm's;�R=Q=W?Permitfor�newccnstrucUon,, � -
:_;�$3 Min4mum,.ten;(t;t,0);,woriiing�day,s;afteesubin�Etaf'date:�;Requir'ea dnsite;:Canstiuctloit�Ptans;�Stonnwater'Plans�wl 31lt Fence instslled,
�' � Saniis�ry Factlities�&�1xi dumpster�Stte�Work�P�ermlt fur,su6diWslonsAarge:praject"s_��w..;'._'. " '' � �
COMMERCIAL Attach(3)�eomptefe�e1s`of Buildfng Plans'plus"a'Ufe S'afety Pege;�(1)set of Energy Forms.R-O-W Permiffor new construicUon.
Mlnimum ten{1 Q}wocking days after subml#tal date. #tequirad anslte,Canstruct[on Ptans,3tormwater Plans+,v!Siit Fence tnstatled, - " -
_ Sanil�ry Facitities&1 dumpster.Site Work Permit for ali new:pr6jects.All aammercial requirements,:must meet compl�ance �� �
31GN PERMIT Attach(2)`sets of'Eng�;nee�e.dcPlans:� :.. � �' ;• �::,' •
*"'PROPER7Y St1RVEY requlred_for all PIEW c:onsbvctIon..
DlrecHons: � .., , ,. �
Fill out applEcaUan cpmpletely.
Owner 8 Canhactor sign back of appllcaUon,nohadzed �
If over 52500,a Notice of Commancement la requlred. (A!C upgr�des aver 57500)
t* �'t.:ii'j•�rn�—.�r.'.' .
Pgent(for ttie canttat:tor}or"Pdvuer of Pittomey(for ttie awner)wouti!be someone with notarized tetter from owner authorizing same
OVER THE COUNTER,PERMITIING --- (Front�of•AppllcaUon Only)� - �
Reroafs Ifshingtes Sewers,r ::r_.-Ser.vlce�Upgrades AIG - '�Fences{PlotlSunreylFootage) , . .
Drtvewaya-Not over Counter if,on publio raadways�.needs ROW� " I
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NC?TICE QF QEEQ RES"�RICTIt?NS: The ut�derslgned.:ander:�tanads�:ttt�t�#l�ls���rrnit�:m,ay�b�►sub�ect���:�deed_„resU�Ectlor�,'s. . _ w. .
which mayrbearoiare°ri�st��ctl�e�tliac�'�Coui�ty�regalaflon�:�Ttie`�under�igne,d�'`�ssuines=°responalblilty�`for"compliarice witiii'any�� `�
appAcable deed restrictlons. ;W : :�.� _ . �. �:. . _ ,
UNE.tCENSFD=�CONTItACTt��S�AN� GON�RAC'�fJR•RESPONSI81Ci`I'��5: -°�€=�e�-awner has~'hlred•-`�`;contirKc#or or
contractors to undertake work, ttiey may.bfe;required_�to.be��lcenaed�in:.a�c�ordance.wlth.state�.and�local,:,r+�gulatlons:.��Fif�the����= � °�
. �..::.. ...... :�.-
contractor Is-not�llcensed�-as'�requi�ed,`tiy faiiv,.:both��the owner ariii�+i�nt�ai�tcT-�•may�l��°clted'far��°�i�lgdemeanor u1ol�flon
under state law. if the owner or intended;,ccntr;actvr;�ace.,uncertaln as to wrha�Iicen�ir�g.requirements:�mey-s��aplyr,for}the�w •� E�
intended wiork�they are adviseil to coritac#t1ie.Pasco County Bu1liding�lnspi�ctCon#DCv�slo�ir-t:icensing Seotion et 727-847-
8009. Fur#hermore� if the awner t�as'htred�a coiiti�ecfar ot= contractors. Fie ts advised ta have�the cantractcr{s};ds19n .
�,.��.e5 ,' �.ti i �. �: ,.y.
portlans of the�"contrector 81ock° of tMie,�applicatlon.:fo.r.:whioh.they v�rlll..b�_�r.esp.onslble.-.,�If�yau;>as�:the.owriier'�ign�"as�t�e''' �-� �
contraator; that�r»ay°be an indfc�tlon that'tie�is not':�rvperly licensec!ant�'Is�riot eri�#teii to pemil�ing pririlleges in Pasco
Couniy. . .�:;��:;. �f .
TRANSPORTAT10N=1MPACTIUTIL{TIES�rMP/kC`C AN�?�RES�OURCE RECOVERY�FEES;��'he underslgnea unders#ands
that Transpar#ation lmpact�ees�and.Reco.ucse.Recovery.Fees rriay�:aPPty��fo:the_construc#ton,of new_bu�dings��chan�e��af°;,�-.` �:� ;4
use In existing buiidings, or.�expar�sldrr�of��eiiiaN�%g�:bulldtngs, as specified.In Pasco Caunly O�dinance number 89-0? and
9o-OT, as amended,,_Th�und,ecsi�ned also=u�derstands; tliat:-snch fees;y�s��may�#�e•�dr�e;:�nrlil��be IdentiRed st the�timi�`a#�'° -.�� „
permitting. it Is further understood that Tra�§p'artatian impact'"Fees and��esou�ae:;Reco�sry�Fees��mus#be paid prlar to
recetving_a.'cerElflcate=af ocaupanay'"-orflnaF;pcwer;�eleass: :I�Ehe.proJ�ct.does�.r�ot I�vofve<a�certlficate of occupancy�orr::":-'.; `
flnet power.�release;.�the=:fees mt��t i�e-patd,pr�or to,per,mit Iss4�ance. F��#hermare,-�Pascea;�County�:VNaterl5ewer.,�;impact - :
.,,
fees are due,_.lhey�;musk.be;pald:,p�lorto.p..ermit�IssU�nca::in.accorrlance witt"r.�appltcatile:Pasco=�County�o'r`dinances. •
GQNSTRUCTICIN�C1EN'�.AVIt(Glieptet 713� �lort��Statt�tea,as am��de�: i�v$tuatlon of work!s$2�50Q.O�;ar more,.:l�- . _ .,
cer#ify that I, �he applicant,�ha�e.:been :proqided��with•a-copy�of;the �"Flor(da-��onstnictton� Llen.:Law—Hameowne�'s
Protectton Gulde" prepared by tt�e Floi�da Qep�rfine�t of Agrlculture and Consumer:AfFalrs. if the appt{cant is sameone< <
other than#he"ovmer*, i aertiify.that„I;h�ve,Qbtalned`a�c'oPY:otthe:abava,de�c�t��e:d`doair�ent�and.,p,romise:ln;g�od;;faith.to .
deliver it to.the:"awner."-'p�ior'-to�coinrr�encemetits�` � � � .. �
CQNTRACTQR'SIOWNER'S AFfIDAVIT: i.ce�ty:;t�aat,.�11..the,inf�rmation.:f�•thta applicetton i�accurate end that all work
will'be done in campliance with all.app8cable laws regulating constructlan, zoning and:�land�development. Applicatian is
hereby made ta obtaln.a.pecmit;,#o_cfo.�wof,ky.and=lhstallatton as Indl�eted�;..�l.�c�Ftify #h�# no work�or tnstattat�oi� t�as
cammencad p�tar to issuance of"a p�rmiE and that�.ali work wlll be perFormed�to. meet standerds•of all laws �egula�ing�
construction, Caunty and Clty codes� zoNng regulatians� and land developmertt r.egulaUons�ln the Jisclsdtction:� i•ai'so
cettify tha# 1 uc�dersfend#hat the regulatlons of othet�gavemment agencies may•appiy�ta the intended wark� and that it is
my responsibility to Identify•what.actlons I must-take:to,bedn:.c�anlplla�ce._S.uch.agencles include but�are.not Omfked ta:
- Department af E�viranmen#ai�Prot�ction=Cypr''ees.�Bayheads�; �ile�and Areas and Envtronmentally Sensitive
Lands,WetedWastewater Treatment. �
��-
- Sauthwrest Florlda Water Managemenk .:Dfstrlct 1Nells; Gyptess. 8ay�teads;� Wettand' Areas, Alter�ng
Waterc:ourses. , � .
- Army Corps of Englneers�Seawalls, Docks,Navl�atile Waterways.
- Dep��tment of..Healt�;.".&: Ret�abllttafiv.e.:ServtceslErnr�ic�nmea#�1-F�+aatth Unit We1ts, W�stewater�Tregtment,
Septic Tanks:. �
- US Envlronmental Protectfon Agency-Asbeatos aba#eme.n#.
Federat AvlatCon_Auihority;:RurCways.�
I understand that the:foMlowang..rest�lotlons apply'to the use of flU:•
� Use o#iiil is not aliawed 1n;Floods�one"V"unless expressly pert�lf#ed.
- if the fill material is M b.e used:`In.�Flood Zone. "A", It. is unders�aod that a drainage plan addresstng a
"campe�tsating volume"will be submitted at#ime of�pecfitftlr�g�vhlch �s preFered by a proiessfanal englneer
Hcensed by�#he�tate of��ioNda: , -
- .If ih� flll materlal�.is'to .be�used in Flood Zone "A° !n�connec#lon�with-a �ermttted bullding using stem wait
canstnuctian� 1 c:�rtifiy tha#fill:�lt:b.e used onty.to�itl the area wi�in:the�s#em�va1i. �
- If flll material Is tb be used in .any area� I �certify that .use. �f�such flll will �ot adversely affect adJacent,
propertles. if use of flH fs foynd�.to advers�ly.a#fect adjaE�rat�prr�per#ies�.the owner may be clted for�rioCating,
the cond�lons_of the b�ifdtng�;permit Is"sued�under tha'at�ached.�ermit epppcatlon��far:lots�less than:one (1)
acre which are elevated�tiy f1!!,��englnser�ed dralnag�plan!s requlred.
tf i am the:AGENT.FOR THE:�Yl�NER; 1,�titiim�se In good fai#h#o inform�the awner ofi#he pennitting condltlons set for#h in
this affidavtt prlor to commeracing construcHon. t understand thet�a�separaQe�permlt may be required for electrlcaP wark.
plumbing� signs� wetts,,poals,,atr condlttoning�_.gas,-vor ot1�e� !ns#�II�tlons nat,spec�l�alty included�In.#he�applicatian. .A -
permit Issued shatl be canstrued to�i'e`a°itcense'to��proceed wlth tlie rwork end not�as:s�uthorily:to,vlolate��cancel, alter, or
set aside any provlslons of the.technical-,code�; nor shall Issuance�af a.permlt.pr.event the Bulldlrig.Q#�1cla!fr_um thereafter �
requ#ring a carrection of errors-in�•plens;-i�nshuction.or.vtatatlons of-any codes. �arery.�p�ermit-iss�ed stiatl�become invalid
unlesa the work a�uthorized.by such permlt:�s.coranmenced•wlthln sGc,,m�nths of�pennit Issuance. or (f work autho�ized by
4he permit�is suspended or:s6ar�do�ed�f,or.a-;perlod,o�=si���8)'rt�onf�is�eftet th�tinte�the�wa�tc��s carrimenced. An extension
may be requested� in wciting,:_from thie.�BuUding.Officlal for a peNod.�not.to exceiad`�ninety{90)�days and-will demonstrate
�ustl�able cause for.�the extensioni If work cease�:lor ninety.t9Q}cons.ecutive�day.�,..the job�ts.consldered aba�doned.
WARNING TO C�YYNER; YO,UR..�AiI.IJRE=-TQa:R�E,C.�IttQ,A,MOTICE:O�:•COMMEMGFMEI�tT�.MAY:RESULT-IN�`YOUR
PAYING'iW10E;,i�OR=tMRRaVEMEN.'�'S•T��Y�}�1�P��ERTY:=�I�=:YO.U;I��Dt'�Q���B��A1N�FINAt�E�NG;°CtiNSUlT
WIT A TT�1 . Ex�, Q=� �9U .t £.°,."' , -
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FLORIDA JURA�:(F.�1_�.03 .. : <�::: .. -_ :.. �:,�.. ..._ . ....::...... .. .... ..
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OWNER OR AQEIST"` CdPI'i'RAGTQ �_ — �(CCl�- -— - - ---
subscrided and awam r eflinned)be ore me thla 'bsaibed'and' (o�'afflrmedj'b�hita tne�ftit�
— J�'1�5 �.f'� ` G;,-.
Wf�o Is/�re er�onally known. me or haafiave producad Who.ls/are onally kno. 'tn:me�oc haalhave�produced •
ae Id"entl8�stlpri. as ldentlHcaRlan.
�('�r�� ��- NoCaty Pub1tC . Natary Pubttc
� .
Commlaslon No:` Comr�bsslon No.
"'iri�"" SYLVIAA.CAMPBELL
Name a/Notary typed, 11t p�d A.CAMPBELL Name of Nolery typed, g i�p ary u ic-State of Florida
;�'*" .c�; Notary Public-State of Fiorida _•s Commisslon#GG i 12939
_`+ •` tommission S GG i i 293g ';"q,� �,';' My tomm,Expires 1u)19,2021
-;y,F+ ��oY; MyComm.EzpiresJu119,2021 �°;F`��, Uondedlhr�uyhNallonnlNotaryA�sa�
� �''��F���" 8ondedth�oU hNalionalNotatyAssn.
a•!+� � �� . V/l�Vr" �( ��/� [ ��� �
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PROPArvE Ga►s ,_Service Order/Proposal
�. AI�ID AIC ttvc.
, �Si�ce�988 g i 3-7g2,•50;i 3 . Invoice _
Sales, Service & Installations , -�lOR1�. ORDER#�SERViCEMAI� 78776 ORF�
4441 Allen Rd. • Zephyrhills, FL 33541' DAT�/TIME TAKEl�{ ►�7�1��17 1�:3�
,,L TAIiEN AY SC 04
NOTES: ��tG7 �� � � DATE/TIME F'ROMISED �7/11/17 1�:��►
CUSTOMER#/LOCATION Qi�9�4
� ��_ F'HONE# 81�-788-�759 Q
� � F'HONE�# . . FAX-78�-84A9
� .� RHONE3# 813-713-�974 C
GONTACT WILL BINGHAM
ti� . ROUTE/SFG! ORF�
� 4-
BINGHAM REALTY IIV PINGHAI� REALTY INC ,
�8�7►� DAUGHTERY RD 37721 OAIi RUN GIR '
, TENANT: I�IRANDA 8E3-51�-E118�
ZEF�HYRHILLS FL ,.?,�54� ZEF�HYRHILLS FL3��41
COIVD; AA 1 PJ��4-A, �6'3.�.�EQ�63c7
' CARRIER-A/H: FA4AIVF0c4���APAA
��°�., �� �� ,�/ ��d 663 dI� 6�G�� s# �i��a�i E.:r` .
W I LL MA I NT MA�I 813-713-`E,�4
-�*UN I T FRO ZE UF'*# R I CHARD 8E3-510-E�118
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- •��. ,<°-,� .,�-:� .DESCRIP..'1'ION=OF�WORK,: `'_ " ,� � QTY: .� _-,MATERIAL-5�8�_SERVICES: � ..UNIT'RRI,CE .';_AMOUNT�
bt,J d� .••-a -�' � / e � �,� � �
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� ^RECOMMENDATIONS •
- - � � i i
"-,;::>�� :�'�`• i i
.Annual;MainEenarice�Recommended byAll E�uip"ment�!lan��,ctu�s.; ,
r n.t u�- ��'�'�-, Pressures Lo �HI T-Stat i i
- - . . M,�; REFRIGERANTR-',�/�''LBS.- � $.Perltis.. '°: �jy�_ ��. � �
" �J
• �.
• • � � FILTERS x x Changed Monthly I I
� FILTERS x x , Changed Monthly ,�I I
', ❑ REGULAR ❑WARRANTY -�TOTAL$UMMARY��'. `
;,Detitirtmid'istat-Settings;';When here"ON";_;When Away 60°a, T-Stat 80° ❑ MAINTENANCE CONTRACT
.F":�.',:r.. - SERVICE. �
LIMITED WARRANTI': All materials,parts and equipment are warranted by the manufacturers' ` METHOD�OF PAYMENT , ' - CALL i
or suppliers'written warranty only.All labor perfortned by the above named company is wartanted for � � � TOTAL i
� 30 days or as othenvise indipted in writillg.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
behalfofabovenamedwmpany. ❑DEBIT ❑CREDIT ❑OTHER �
MAINTENANCE
I have authority to order tha work outlined above whlch has been satisfactorily completed.I agree thal Seller
PROG. W/ C �
retains title to equipmenUmaterials fumished until final payment is matle.If payment is not made as agreed, C��M# � �
seller can remove satd equipmenUmaterials at Seller's expense.My damage resulting from said removal shall
nol be Ihe responsiblliry of Selter.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY 70 �
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
TECH: '�� �
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CUSTOMEFtSIGNATURE DATE ✓�� ✓o,u TOTAL �