HomeMy WebLinkAbout91-1398
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1398B
Type of Permit
~E~~ ME~L
Properfy Owners ~ame: "r:Lh./h ~~ A~~~
Job Address: ~ Y'Y 9 - /0 _f'
Date .3 -;.2..1- 7/
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Oescripfion of Work / ~j ~ "'" -< #7
Energy Code Readout:
~4 7-/5'=1 / A~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: S ..9~v. C/l:)
Fee: 20 r 01)
SIGNAT~~o-1J}
COMPANY
uJr
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
... ADDRESS
OCCUPATIONAL LICENSE' 59'''Y uy ~ TELEPHONE.
C~~G~ ~L~
Ftr. SLB Tp.Serv.
Pre SLB Tub Set Rough In
Lintel Water Meter Can
FRM. Sewer Const. Pole
Insul.CL Final Pool
WL Pre-Meter
Final
MEC~AL
"
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
SEAlRS
)bur tnOIJeVs worth
and a WhciIe lot more.
BY
A Se.... Authorized Cont...ctor
3502-D RIga Boulevard
Tampa, FL 33619
(813) 626-2040
Toll Free 1-800-767-
Name ~~aVlk-enbak'~
Address 0 ~
SIDING
vWRf/
Home Improvement Ucense . HCOlI02154
Certified General Contractor Ucense . CGC033962
No.: 2Jd/q;j
Job. No7
City
Bus.
Zip '335 4tJ
l/we, the owners 01 the premises described below, hereinafter referred to as "Purchaser" offer to contract with AMRE(A SEARS AUTHORIZED CONTRAC-
lOR), hereinafter referred to as "Cont?" to furnish, to deliver and arrange for Installation 01 all materials necessary to Impl'O\l8the premises located at
iA-A
(street)
(City)
(Slate)
(Zip)
according to the following specifications:
Work not to be done:
LU~ls I
VDOl/"3, UJ; VI dOWSe
,
The CASH PRICE for all L,ab,9r & Matarial (including any applicable discounts) is $
18rms: Cash b Credn~ (Subject to the approval of the Credit Sales Department)
II this Is a cash transaction, the purchase price shall be paid as follows: ;q 510
Cash Down Payment $ So 0)3// '3 q.. .$ / S 0'0 Oc.. . Balance Payable $
1:50-
II this Is a credit transaction, the agreement for credit Is contained in a separate document which Is incorporated herein by reference and made a part thereof,
l/we the undersigned are hereby authorizing AMRE (A SEARS AUTHORIZED CONTRACTOR) to verily and review my/our credn record wnh an indepen-
dent credit reporting agency and release them from allliabilny incurred from inadvertent omissions or errors.
Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this
Contract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND ARE PART OF THIS ~TRACT. 0,
IN WITNESS WHEREOF Purchaserjs) have hereunto signed their name(s) this ) 3 day of , f I f,~ 19--L1- and
acknowledges receipt 01 a true copy 01 this Contract. (PROVISIONS ARE STATED ON REVERSE)
UNLESS OTHERWISE SPECIFIED, IT IS UNDERS'TOmltfW>T~~ER IS READY FOR THIS WORK 10 BEGIN. THE PURCHASE PRICE QUOTED
ABOVE Will BE HONORED ONLY UNTil .::5 _ I .::> ~ '
, c1ATE
THIS MESSAGE APPLIES 10 DOOR-TO-DOOR SALES ONLY. You the Purchaser(s) may cancel this transaction
at any time prior to midnight of the third business day after the date of this transaction. See accompanying notice
of cancellation form for an explanation of this right.
=#=
~~BMITTED '><f t2-tflh Ii 1nvY:n -3 64 ~
., Rep~t~
Signature affixed below also acts as receipt that Purchaserjs) received
separate cancellation forms, f
SIGNED )-t.~ ft. ~~6113 CfJ
Purchaser Date
ACCEPTED
BY
Authorized Signature
For AMRE.
'AMRE is a servicemark of American Remodeling, Inc,
Date
SIGNED
Purchaser
Date
Co-DO rev. 7/88