HomeMy WebLinkAbout17-18724 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET ��' �
(813)780-0020 .-1'8724
BUILDING PERMIT r'��
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18724 Address: 37541 MEADOW OAK WAY
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0088
Improv. Cost: 3,475.00 OWNER INFORMATION
Date Issued: 8/04/2017 Name: LANDING APARTMENTS INC
Total Fees: 55.00 Address: 38070 DAUGHTERY RD
Amount Paid: 55.00 ZEPHYRHILLS FL 33540-1375
Date Paid: 8/04/2017 Phone: 813-782-5013
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 uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION 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 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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NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�aaso-ooao City of Zephyrhills Permit Application Fax-813-780-0021
Bu{Iding DepatUment .
Date Recetved •,: Phone•Contact�for Fermiittln ' ��� 8,� — �a l
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Owner'�Nanne ���/l.d h'1 %~s -�� Owner Phone Number
Owner's Addre�s ��O�� � �l /`�7C. Ow�er Phone Number � �=
Fee Slmple 7ltleliolder Name Owner Phane Number � �
Fee Simple Tltleholder.Address •
JOB ADDItESS ��� l� � C�AK A , �''���N�''N •� LOT# ��J
susoiws�orr , � � � p�tce�.ie� �` �' �?��l l�l3: Dl�,�� OD c�'�
, (OBTAINED FROM PROPERTY,TAX NOTICE)
1NORiC PROPOSED �. NEW�CONSTR . ADDIALT � StGN' Q � ' Q DEMOLtSH�
�= INSTALI, � FtEPAIR ,
PROPt3SED�USE . Q SFR. Q �COMM �� .OTHEt2 . . . ,
TYPE OF CONSTRUCTION �] BLOCK ' '[� FRAME � � STEEL' [] _
DESCR{P110N OF WORK ���'.+ �"f� C'�}1�-/V �-o��' � -��-r» �s'�iU�S a2.. foN.
BtlllC}lNG SlZE' r�'. �"SQ�FOOTAGE ' .,HEIGHT ;�. �
�$�«�»'�'' ` �� VALUATiON=OF`TOTAI"CONSTRUCTION � � - "
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QELECTRICI� � 'Y�� � AMP SERVICE C] PROGRESS ENERGY Q W:R.E:C. .�
QPlUMBiN{�- � � _. _ , - '
QMEGNANICAL �� VALUATION OFaMECHANICAI 1NSi'ALIATl01Y _
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- [�cAs 0 �oo��rv� ,CJ SPECIA�TY � OTHEFi� �
FINISHED FLOOR ELEVATIONS r�� FI.00D ZONE AREA � QYES. rN0
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BUF[.DEit COMPANY� '
SIGN/�1TURE REGISTERED Y/ N FEE cuR�n Y/N�
Atidress Ltc�nse#" " � ��
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EE.EC7RICIAN: .'COMPANY � -� ' -
SIGNATURE � REGISTERED Y/ N �ee cu�n�' 'Y/N
Addre�s � ` , � .. L(cense#�,� �
FLUMBER ' COMP.ANY - . , .., _ `
SIGNATURE' ' , .REGISTERED Y.L--N,s ;;__',�FEE.CURREP Y./N: � ' "
Addre�s LicenS9,.# �i_. , '�:
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MECt}ANlCAL`" ,, � ` �`�YI!�..�. �,, co���.,,ar�nr �. t�l�k�' ,.:�L��`"� �=��. _ :
SIGPlATURE REGISTERED., Y,/ N. . ., ,,,. FEE CURREA. Y/N -
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OTNER `` � . - . � ';GONl,PANY - � � � + f
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SiGNATURE �. '+ , '' ^ •r' ' ' 'REGISTERED ` ' ' ` Y/ N.::: ' `.Fee cuttitE� Y'/N
Address , . - - ' , ` License# �" � ~�
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RESlDEN'i1At:w�: =Atta`ch'{2}rRtot Platfs;z{2}sets of:8ui1d1iigsPlaiis;{1}'sef af-E�sergy*Forins;R=O={74f.Perinif fior riew canstrvcUon, ., ' ' ` .
�-; �;.,:;Minimum�.ten:(:1,0)hworking;days;,aiter,;;submlttai`dat�S�Required onsite;.ConetiuoBan=Plans;�Stonnwate�plans w%'SIIt Fen`ce°installed,
�` Sanifary Fac�ltties;&�;1�,dumpster.Stte;WqrktPertnit#or�sUbdivlsionsAarge�pnojects,r,_.�.�� , � '-. ' : � '�' �- '`-�'
COMMERCIAi. Attach{3}-coinplete sets af Ball�ing Plans'pius a'Life'SafeEy Page;'{'f}set of E'nergy Fotms.R O-W Permit for neuv constructidn.
Minimum ten(10)working days after submittal date. Required onsite,Construcdan Plans,Stormwater Plans w/Silt Fence fnstallad; -
Sanitary Faailides 8 1 dumpster.Site Work Permik for all new:projects..All wmmercial requlremenks.must meet compllance �
Sl�N PERMIi' Attach{2j'sets af Er►g,i"_rseered;Plaiis.; �-:;,-- � = '
'•'"PROPERTY SURVEY required for,all NE1r'V con�sWctlon._ � - -
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FIII out applicaUon completely. •• >
Owner&Cantractor slgn back of appl(catlon,notarized
If aver�2500,a Notice af Cammencement is required: {AfC upgradss ovar�T500)
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'" Agent(for the contraotor)or'Power of Attbmey�(fci�Uie awner)would be�someone with notarized letter from owner autha�izing same
OVER THE CC}UFiTER PERMITTING ,--;(Ftont of;APPticatio.n{3nly). :, " .. - -", .,�. .. .s.,�..�
Reroofs If shingles Sewers ` Service Upgradas NC 'Fences(Plot/Survey/Footage) - � , J�� � � � .
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Qriveways-Not aver Counter if on pubtic roadways..needs ROW• � _ , .
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NQTiGE QF DEED RESTRICTIO�tSt-The undersigned,und�r�tands�;t#��t:#t�l�:p�rml#�may:beasub�eat,ta°deed"res#rlcttohs"; � . rv
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which may��be�more°r.est�tativewthal�Counfiy regr�lat(ons:�TFie`�undecsigned'�`assu'r"ries'�esponsitiif(ty.far"compitance witFi'any�"� ��
appNcable deed restrictir�ns. x.�� ,j,,.,. .. .. .:, �: • , � � - ,"-�
UNLICENSED�GONTRACTClRS .AND Ci�NTRACTGIR�RESPQNSlBIIiTfES: aif the�cwner°has°'fiirer3��a�`cant�actar or
contractors to undertake work, they may;b.e.r,.e�qu;ired.sto.;be,llcensed In accordance.with state�.and,local.regulatlan_s..��if�the••�, � �
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contractor`1s-noE�fitcenseif=�s't�equired"by I�r,��a#Ii�#he owner and eont�actornmay-�be~ctted�for a�misdemeanot vlala#ion
under state law. If the awner or Intendedsuco,ntrae,tor;ere,_uncertaln as to what Ilcensing.requirements imay�:apply�.�for�ttie`< � � ,
Intended iarofk;ttiey are sdvlsetl to ic:ontact ttie-F'asco County�uitding;tnspectRort;Qlvlslon-l.tcensing�Sectlan at 727-847-
8009. Fur#hermore, if the awner tias��Filned a cont�acfbr�or contraoFors� he�is advised ta have the contractor(s),,;sign. r
portians of the�°cantrackor Blaok" of tfiis,_appllcation..for;which they,will.,be.r.es�onsibie.. Jf�:you;-as„the.owner�'sfgn'�a's`�the"
contractor; #hat�may be an indlcation that�iie�=is'rtot�tope�y 1lceii"sed ancl`1s�tiiit enti�etf to perr�titti'ng privlleges !n Pasco �
County. • : �: :_;.�:r, � ,.
TRANSPORTAT10Na1MP�►CTlIJTI�1'1'IE$�lMPAC"1'�AN��RESt?URCE RECOVERY°FEES: The�underslgned�unders#ands
thatTrenspartatton tmpact Fees�and.Recaurse Recove.ry_.Fees may;appiy:to�the°consbvction of new_buitdings��chan�e�'of`"�""�== '-�
use In exisNng buildings,��oc�expar�si�n�rof+existi�%g:6uildings� a§ specifled.in Pasco County Or`dlnance number 89-07 and:
9o-0T, as amended�,Th� underslgned also:u�.idetstands; #h2�t'such fees,;asz�may�:�e�<due;,�►ilt;be identtfied a##hettiiiie�of`� �= '.'
permitting, It is turtHer undenstood that T��sp'brkation Impact Fees an.d�Resource.:Recovery�Fees;must be pald priar to
receFving a"cerEi�cate-of�occupancy"or�firtal��powec:r,ele�se:::.4��the,proj�a�.does�.n6t invofve,a,.csrtificate of occupancy�a��:-;`,-�°=` _;,`.
flnal power release;>�:the>';fees.mu�t�°tie paitl";p�ior tofpermit is�uance. f��thermare;�ff.Pasca,County}1NaterlSewer.=lmpact •.:::���•:��
fees are due�_they��must.,be�pald:pri�oc.to permit�lssuance�ln.accordance.wittt:appltcatile Pasci�':County ordinances, -
CONSTRUCTiON"ClEN'I:AW(Cfieptar T13� Flortd�St�tutea,ss�mende�): If vatuatton of work ls$2,500:OO;or:more,.i•� ��, ._�_
certify tfiat-I, the �appiicant,:have:•been�provided��wl#h a-copy-of�the �"Florida� Constructton� Llen :Law--Homeowner's
Pro#ectlon Gutde" prepared by.ttie�Flo�da Dep�ttment�of Agrlculture and Consttm�ar.Affairs. i##he apptican#1s sa'meane� .
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other than th�"owner", I certity�:that..l h�ve;optained�a�eopy.of.the;abova.descNbed tlociiment�and,-p,romi�"e�.in,ga:ad°.failh�to .. ,.a
deliver It to.,the,'iawne�":�priot-torcomrnencemerit:'� � _ , . - � � - , -
CON'fRACTOR'�IOVYNER'8 AFF'IDAVIT: I.cer;t�tj+>tt:iat�e11�:the�,lr�formation:ln�thi�appltcation is accurate�nd that ali work
will'be done in cam liance with all.a Itcable�laws re ulatin constructlon, zonln and��land°deyelo ment. A Ilcation.(s
P pP 9 9 8 . p PP
hereby made to obtaln .a permtt�:fa.-.do_=workw;ar�d�3nst�llatlon as 1ndt�stiad:.:...'1� ce�til'jt that na work�or Installa#lon lias
commenced p�la� to Issuance of'a pemiit�and that�.all'work wiil be pertarmed�to meet standards of all laws �egul�king-
construction, Gounty at�d City codes, zoNng regulatic�ns, and land development ceg�tilatians��1ri the Jurtsdlcfbn.- i.ai'so. _.
certify that t understand that the regulatlons of other government agencles may�apply�#o the,lntended work, and that it is
my responsibillty to identlfy�what.acttons 1 must-t�ke;to be�in:.can�plla�ca, Such:agenclea include bwt�are.natllmlted ta: � =
- Department of E�vironmental:�PFotect#oti-Gypress.`BayFtead�; Wetland Areas and Environmentaliy Sensitive
Lands, VUaterlWastewa#er Treatment.
- Sauthwest Ftorltia Wa#er Mat�agemerit::I�istrict-Wells; -Cypress.T.Bay�teads; Wetland Areas, A#ter3ng
Watercourses. ,.,, , , A ; ; �
- Army Corps vf Englneers�Seawafls;Docks,Navigatile Waterways.
- Department afi,Health:;.&,.Ret�abttitative,Services/Erncitonmental.Nealth U'rrit-Welis, VlFastewaters Treatment,
Septic`Tanks...._.�, : . ., , � � _ , -
- US Enviconmental�Rrotection Agency Asbestos abatemen�
Federal�Av.latton_Author,i,ty=Runways,:° . �� . .
1 understand that the.foUowing�restrfctlons apply to flie use of fllh• ,
- Use of 1i{i is not a0owed in'.Flood_Zone"V"un{ess expressty permitted.
- If the ffll"mate�lal�-is `to be used�in :�lood Zone. "A"� tt. �s understood �#hat a drainage plan addresstng a
"compe�sating votume"will be subnFtitted a#�ime of.permittir�g which is prepared by a professiana) engineer �
Iicensed by��he��tate of Flocida: �� � _ - -
- tf th� f111 mater#a1..3s to be�used 1n Ftood Zone "A" in�connec�fon�wlth_a�ermltted�bu11d1ng using stem wali
� cons#ructlon, I certify,that fill:wall:�be�used oniy�to.�tl the.ates within the�stem=wall:
- � !f flll material is�-to be used in .any area, ( certify that .use. of�such�flll w!I! not adversely affect adJacent �
properties. if use of fil) ls fa�nd�to adverseEy:�ffiec#ad�acent�properties�.the owner may be cited for viora#ing
the-condltPons.of the b�ailding�:permlt issued�under the`�ttached_permit_appl(catlon, for:lots:less�than.one (1)
� acre whEcti are elevated�by#�ti,a�t.engtneer�ed dralnage ptan Is required.
If I am the AGENT�FOR THE�:OVIINER, I;pnnmise In,gqod faith to inform the°owner.of��the permltting condftlo�s set forth In
this atfidad(t`prior to cvmineracing constructlan.� t understani! that aKseparate permlt may be requlred for etect�Rcal work,
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plumbtng,_s�gns, wetls,:poafs;;air conditioning,-.ga�s�'.or ot�er insfall�itions nat.spec�tcafly Included�in.the apptication. .A
permit Issued shall be aonstrued to'be=a�Itcense`�ta'proceed with�the work and not�as:authociiy.:to:vlolate;'cencel, alter, or
set as3de a�iy�provls�ons af tFie.tec#�i�fca#-code�;�nor shall lssaance��of a.permit.ptevent ttae 8ulldlrig t�tcial from thereafter
�equlring a correctton af eRors in,plens; canstructlan,or vlolations of-any codes.� �very°permit�l.ssued sliall become inval(d
unless #he work authortzed.by such perm(t>�s-co�nmenced�wtthin st�c.months of permft lssuance, or If work authorized by
#he permit is suspended>ar.aba�danedLfor.a:periad of si�r;(8)monff�s.aRer the time the�work�is commenced. An extension
may be requested� In writing,wirom.t1i�e.�Buliding,Official for a perlod-�not to exceed�nineqr-(90)'days a�d°will demonstrate
�us##�abie'cacise for�the ex#ension; If work ceas+�s:for nlnefy.(90}cons.ecutive day.s...the jab��s;consldered raba�doned.
WARNING TQ OWNER: YOUR-.�AILtJRE.�TO.�R�E.C.C1EtD,A;MQTIGE:QF��CQMMENGEME�T.MAY=RESULT�iN�YOUR
PAYING TWiCE;�OR,iMPROVEMENTS�TO.:�fOUi�:PRCt�PER1Y.��1�°YOU�iN'�E�D�`TQ��nBTA1N��FiNilfipEiNG;�.ONSULT
WIT U . D AN� TTO N F�1R��,. -O � G:; pU ' : �'� "p �` `�_ � E `
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PLORiDA JUFtA�<(F,S.1 43}. ,,,) - � , t `. -
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OWNER OR AC�ENT �� _�,,..- CONTRACTOFt �� �-
S�sbs bed nd swom M r ai�rmed}befo Sme� 3agb,scrf ed and's�m to{ot atflrm }�b' {��fM� .
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Who isla ersonalty kn .me or,has/have produced Who.is/a p.ensonallykno ttr me:oc hes/have�produced •
_ . as Id'enU�c�Upn. as Cd�r►�[Ecatloa.
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Notery Pubila . Notary Public,
Co 1sslon Na': Go rt�isslan.Na,
,.••�"""���., SYLVIAA.CAMPBELL �""��°""'� SYLVIAA,CAMPBELL
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Name of No �lnt��tl' fVame of Notary type t ,�ta "
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"•= Commlzsian�GG 112939 •• ; ommission N GG 7 F 2939
`N } oq;� My Comm.Expires 1ul 14,2021 oP: My Comm.Expires Jul 19,2021
I•'��"��*7f F��`� bti�'�.tlkp4�`��
, , BondeslthroughNatiooalNotaryAs3n. 6ondedtBroughNelionalNotaryAssn.
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' � � PROPANE GAS �ice Order Pro osal �
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��ce-�988 8'I3-782�50i3, wo F: ORDE���¢eE�AI� 78'��� ���
Sales, Servi�e & Installations DAfiE/TIME TAN.EN �7�17�17 14:5�
T�AKEh! BY JM ��
4441 Allen Rd. • Zephyrhills, FL 33541 DATE%l`I ME F�ROM I SED �-- g�1�
OTES: S/r�✓ �4��G•�5�—/9/1� .CUSTOMER#/LOCATIOf�f,� �`86�
F'HONE_# � 813-788—�:75� 0
_ �`'�b..�� /II�GP��LJ Uc�G,'2 F�HDNE:�# FAX-783-8489
S�, ����y 3��7� , F'HONEa# ei�-71a-���4 c
. COI�TACT. WTLL BTNGHAM
ROUTE/SEG? LIVD �
B I NGHAh1 REALTY I h!C • ' 'B I IqGHAt�'i REALTY I NC ����
38�7� DAUGHTERY RD � �7�41 MEADDW QAK WAY, LA�IDINGS
TEIVT: JAN I CE 81�,-71�—�34$ ,'
ZEF'HYRHILLS FL� 33�4� ZEF�HYRHILLS FL�3541
' 1. 5T TEh'IF� HF' SF'L I T - �
#s WORN OFF
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NIT DOES NOT IiEEF' UF� IN THE AFTERIVOON.
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F-=�'�'"��`i' :-;DESCRfPTION OF\,N'ORK,`�' '�s` �- :QTY", M'ATERIALS'&SERVICES � ,
�;,, ;�;�;- ,�r•: " ,:�. .,-':f_ - , �. , . ,UNIT,FRICE. AMO.UNT
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�;_ - _".F;,�� - _--RECQMMENqAI°IONS��a' : � _ ___ � � � `y
<�:<: _ - _ f f•L .'T w�L�
��ual�"Mainteoance.Recommended;b' AI'I.E�ui �'meiit;Manufectu�,�� , � � ' �
_: - - �y -- q p ,-,:..: ,�':�_-��=- � Pressures Lo��HI�T-Stat i i
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. . ,:; REFRIGERANT R -, LBS. �' - ` ., _ _ '1.,. =;� �
_ 3 per Ibs. _ I, I
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. � �� F.ILTERS x x Changed Monthly I I
, • ' FILTERS x x , Changed Monthly I I
❑ REGULAR ❑WARRANTY TOTAL SUMMARY, ,
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�Fiuinidistat,Settings;;;When here"ON"; �When Away 60° ;�..T-Stat QO°. ❑ MAINTENANCE CONTRACT SERVICE i
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IITED WARRANTY: All materials,pads and equipment are warranted by the manufacturers' �`_ METHODiOF'PAYMENT:;,,'�'_� -" CALL i
ippliers'written warranty only.NI labor performed by the above named company is warranted for - ° � ` TOTAL i
ays or as othenvise indicated in wriBng.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
ess or implied,and its agents or technicians are not authorized to make any such warzanties on
�fofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
+e authoriry lo order the work outlined above which has been satisfactorily completed.I agree lhal Seller
PROG. W / C ' �
ns litld to equipmentlmaterials fumished untii finai payment is made.II payment is not made as agreed, CLAIM# ' �
r pn remove said eqWpmenVmalerials al Sellar's wcpense.Any damage resulGng from said removal shall �
e iha responslbiliry of Seller.NET 30 DAYS.A 1 7l2%SERVICE CHARGE WIIL BE ADDED MONTHLY TO I
UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH. T� ` �
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TOMERSIGNATURE DATE ✓1[%W/(?ti ✓a-c� TOTAL � 7��