HomeMy WebLinkAbout12-12702 CITY OF ZEPHYRHILLS
� . • 5335-8th Street �n �
' �si3��so-oo20 ��.�1 �`-�� �2702
ELECTRICAL PERMIT /��
Permit#:12702 Issued: 1/20/2012 Address: 40421 CHANCEY RD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 758.00 Total Fees: 60.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 60.00 Date Paid: 1/20/2012 Parcel Number: 18-26-22-0030-00000-0010
Name: ADT SECURITY SERVICE, INC Name: OM SHREE GANESH FLORIDA LLC
Addr: 5471 W. WATERS AVENUE, STE 1000 Address: 40421 CHANCEY RD
TAMPA, FL 33634 ZEPHYRHILLS, FL. 33542
Phone: (813)806-7000 Lic: Phone: (727)534-4095
Work Desc: INSTALL LOW VOLTAGE SECURITY SYSTEM
ELECTRICAL FEE 60.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty cons�truction c) repairs or corrections not made when inspection called d)work not ready for
inspection when cailed e) permit not posted on job site� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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 re�cord 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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
,
O�.G
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� CITY OF ZEPHYRHILLS
. ' S335-8th Street
(813)780-0020 12702
ELECTRICAL PERMIT
Permit#:12702 Issued: 1/20/2012 Address: 40421 HAN
Permit Type: ELECTRICAL MISC ZEPH HIL S L. � ' `�
Class of Work: ELECTRICAL MISC Township: a g ; (� �
Proposed Use: COMMERCIAL Lot(s): io • /`,S'e�•
Sq. Feet: Est. Value: Book: ,��
age: ' % �
Cost: 758.00 Total Fees: 60.00 Subdivision: CI Y OF ZEPHYRH � �
Amount Paid: 60.00 Date Paid: 1/20/2012 Parcel Number: 18-26-22-0010-08400- 0
Name: ADT SECURITY SERVICE, INC Name: OM SHREE GANESH FLORIDA LLC
Addr: 5471 W. WATERS AVENUE, STE 1000 Address: 40421 CHANCEY RD
TAMPA, FL 33634 ZEPHYRHILLS, FL. 33542
Phone: (813)806-7000 Lic: Phone:
Work Desc: INSTALL LOW VOLTAGE SECURITY SYSTEM
ELECTRICAL FEE 60.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspection called d) work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
�,__
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' 813-780-0020 ,
City of Zephyrhills Permit Application � <{
, Building Department ax-813-780-Q�;,�
Date Received
1 /3 Za� Z
Phone Cantact for Permittln ��3 ��� I
Owner's Name _ -� p —7 '
° 5 � ,�e� � - ;
OW�er's Address wner hone Number "7 Z �
p H �M� � S'3`� �0 9 y-
, � -----__
Owner Phone Number ��''
Fee Simple Titleholder Name �
�L._
Owner Phone Number —r--
Fee Simple T(tleholderAddress
JOB ADDRESS /� '
�� Y� l�Nl4NC6-yi �fl �' �j ----._:_ ,
SUBDIVISION � LOT' � '
� PARCEL ID# I�-Z�n"2Z- p v�� - G>c�(p �'- -
WORK PROPpSED e 0 0�7�
NEW CONSTR;� (OBTAINED FROM PROPERTY 7AX NOTICE) �"'-'—
INSTALL � REPAIRT � SIGN �
PROPOSED USE 0 ' :MOLISH I
TYPE OF CONSTRUCTION � SFR � COMM �
C� BLOCk OTHER �------_. _� ,__
C� FRAME �� STEEL �
DESCRIPTION OF —! --�'
WORK +�IST�q�� �,�W
U�.�T�-�t Secue�ry SYsre„n tN �- -----!—
---____
BUILDING SIZE ��Sr�!N_Ej��Sr►�i;5s
gr� `UOTAGE� ------._�
�-----J HEIGHT [—_� i
�BUILDING $ �
VALUATION OF TOTAL CONSTRUCTION I
�ELECTRICAL $ ^�
� 'J�� AM�SERVICE � PROGRESS ENERGY ,
�PLUMBING f i
$ � W.R.�.t,
C�MECHANICAL $ �
VALUATION�F MECHANICAL INSTALLATION
I
�GAS � ROOFING
FINISHED FLOOR ELEVATIONS � SPECIALTY C7 OTHER �
i
FLOOD ZONE AREA
�YES N0� I
BUILDER �
SIGNATURE ' ��1-hHittt+
COMPANY �'—- —�-!
REGISTERED �
Add�e55 , Y� N FEE CURRE� I
Y/! �--�
ELECTRICIAN License# C ��—;
SIGNqTURE
i
COMPANY �'— --�
Addl'eS3 REGISTERED Y/ N
FEE CURRE�
Y i t_]--- '
PLUMBER License# C — '
SIGNATURE --__
COMPANY — —�-'
----�. -
Addf2SS REGISTERED Y/ N
FEE CURRE� Y/�, -)---�.'
MECHAN�Cq� License# C --- I
SIGNATURE —___., �`
COMPANY — -----._
Add�BSS REGISTEREO Y� N
FEE CURRE�
Y�t �-- ;
OTHER � License# C—_i—�-
SIGNATU - _G5' � f�1�T S CuY21T�( — �;__
� �'T� COMPANY
Address Sc�']r U , f p REGISTERED Y N
W���5 n�r T14MP14 FL �(p� FEE CURRE� Y/i
RESIDENTIAL Attach(2)Plot Plans; License# �F' ��O 23`
Minimum ten(10)work n,g days after submittai dafe. Re �
( )set of Energy Forms;R-O-W permit for new construction, ��
COMMERCIA� S�niiary r=acilities& 1 dumpster;Site Work Permit for subdivisions/large projects
quired onsite, Construction Plans,Stormwater Pl�ns w/ .ilt Fence insta l�
Attach(3)complete sets of Building P�ans plus a Life Safet Pa e;
Minimum ten(10)workin da s y 9 (1)set of Ener
9 Y aher submittal date. Required onsite,Construction Plans,Stormwater Plans w/ .�It Fence in
SIGN PERMIT Sanitary Facilities& 1 dumpster.Site Work Permit for all new proJects.All commercial re uir
Attach(2)sets of Engineered Plans. 9Y Forms.R-O-W Permit for r� constructionl
"'"PROPERTY SURVEY required for all NEW construction. staii
q ements must meet� �mpliance
Directions; I
Fill out app�ication completely,
Owner 8 Contractor sign back of application,notarized
If over$2500,a �I-
Notice of Commencement Is required. I
�� Agent(for the contractor)or Power of Attome (aC upgrades over E7500) J
�VER THE COUNTER PERMITTING y(for the owner)would be someone with notarized letter from owner authorizin I
�eroofs if shingles Sewers (Front of App�ication Only) �
Service Upgrades aC 9' me i
Driveways-Not over Counter lf on public roadways..needs ROyy nces(Plof/Survey/Footage)
I
�
��, )TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
ich may be more restrictive than County regulations. The undersigned assumes responsibility for complia�ce with ar:y
. �licable deed restrictions.
_LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
� �tractors to undertake work, they may be required to be licensed in accordance with state and (ocal regulations. If the
: .itractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
der state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
, �nded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
�9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
, rtions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
�tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
�unty.
.ANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
�. ,t Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
� in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
mitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
;eiving a certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
al power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
�s are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
)NSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
tify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
, �tection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
� er than the "owner", I certify that 1 have obtained a copy of the above described dvcument and promise in good faith to
.iver it to the "owner" prior to commencement.
�NTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the ini:,<<r�ation in this application is accurate and that all work
; be done in compliance with all applicable laws regulating coi7struction, zoning and land development. Application is
eby made to obtain a permit to do work and installation a� indicated. I certify that � � work or installation has
nmenced prior to issuance of a permit and that all work will be perfu;�ned to meet sta�• :.yrds of all laws regulating
nstruction, County and City codes, zoning regulations, and land deve►u�;,r�ent regulat��� , in the jurisdiction. I also
.� rtify that I understand that the regulations of other government agencie5 n�ay apply to t; �ntended work, and that it is
, �responsibility to identify what actions I must take to be in compliance. Such agencies i�: ��de but are not Ilmited to:
� - Department of Environmental Protection-Cypress Bayheads, Wetl�nd Areas .3�7d Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Flo�ida Water Management Distr��t 'ells, Cyp;t- -� Ba� heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, �`���cks, Navigable IW�atE� �; ;{ealtt, Unit-Wells, Wastewater Treatment,
- Department of Health & Rehabilit � � -.
Septic Tanks.
- US Environmental Protection Agenc. i�siUS abatem�
- Federai Aviation Authority-Runways
i ziderstand that the following restrictions apply use of fill:
Use of fill is not allowed in Flood Zor, unless express�, ��rmF'���d
If the fill material is to be used i�, 'one "A", it is �;; :��rstood that a drainageofessioaalreng eer
' "compensating volume" will be subn�"ced . ne of permitti� ; which is prepared by a p
� licensed by the State of Florida.
If the fill material is to be used in Flood Z:o e "A" in connection with a permitted building using stem wa
construction, I certify that fill wilt be usc��i ��''�� �certify ehat use1t o'f such tfilrl w IIl�not adversely affect adjacent
� If fill material is to be used in any ����• a,
properties. If use of fill is found to adver�;ely .affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issu ed urider tt�e attached permit application, for lots less than one (1)
�I acre which are elevated by fill, an enginP ered drainaye �lan is required.
. am the AGENT FOR THE OWNER, I promise ir1 goodta��nd that a�separat permit may be req g condr'electr cal�work,
c ;� affidavit prior to commencing construction I i�,nders , lication. A
�, imbing, signs, wells, pools, air conditioning, g���s, " �ther installations not specifically includ���io atee apcel, alter, or
4 rmit issued shall be construed to be a license t�� p� �eed with the work and not as authority ��
�: .t aside any provisions of the technical codes, n�or sr�a�l ola�Ian<�e nf � p odesPrE enytperm t issued shall become invatl d
r' auiring a correction of errors in plans, construct ic�n oi �� ,,;�,f,�f,s Qf e�mit issuance, or if work authorized by
i ;less the work authorized by such permit is co,7i E�n��ed �'��' ,tter the time the work t�: ��ommenced. An extension
ti ; permit is suspended or abandoned for a peric�d f si.x �6� ' y g�� da s and will demonstrate
n .�y be requested, in writing, from the Building Offi� :ial i°� �9U�cu�„`�t to ex�ay d the�ob(is cons dered abandoned.
; :tifiable cause for the extension. If work ceases fc nine ty ( ) ,
a: ARNING TO OWNER: YOUR FAILURE TO R��:.OFtD ,4 NOTICE t: �OMMENCEMENT MAY RESULT IN YOUR
i' �YING TWICE FOR IMPROVEMENTS TO YOUR PRCIPERI;NG YOUtri MO CE O COMMENCEMENT.� CONSULT
4 i7H YOUR L E N O R N E Y B E F O R E R E C O R D ____
F. ORIDA JU .S. 117.0 )
�� _
� +R'�E Su�bscribed an .. ��r a bef e me this j / �
�. bscribed and s o befor me this/ / �2 __ _.�------
`' or h �`�' '�
no me o has/have produced Whr•is/ r - ��� ,,,
V��io is/ e p r __
as Iden flcation.
Notary Publlc
Notary Put�lic _. --
nimission No tiflTl�RY Fti;.LI;- ' ��"
r�� ,nmission No -- — C;_,:`.i� .c. .�. tr�J G!?�tn
��"��. ��� , ' `-_�':.,- _.
` � �/�.,C�i!.i.:!1J,:,..,;. .''_L'_it1.'U�JLj _ ,.,,., �� . . , _'u15
rak� "rP�t'�d�peA�'i? �?�,,2';?2 �'Jame of Notary tYPed.Pn << _
rY tYP '� ^r�,[;;:n ,�
, ne of Nota e o:�n�n TTi�;r ATr.n�;Tic R��;� ,;,�.o,�vc
--- ...__ _--____,,._..� �.�._
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ontrac r/Homeowner: ,,q,� � , _ �S ,
Date Received: �' ��3 �
Site: � � � ' �
Permit Type: �
�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pennit and/or plans.
� - _�-
1� �
Kalvin wi — 1 s Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
C�A/1JILUAL 1D.�D 81J-OGO-fGD7 HLI JtVUKlIY �tKV1Vt rWUt b�/b�
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� �`� ALL Wp�SHALL COMPLY WITH ALL
. PREVAILING CODF;S,FLORIDA BUILDING
, , • , CODE,NATIONA�„a�LECTRIC CODE AND
, ' � . � , ; CITY OF ZEPHY�:[��,5 O�p�JANCES
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CONTpA1T�Ll+L"J/Ua,�/ LL'L7 ACCOUNT N�D � ,NOAO LJ.J 504��
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O iwo-vraY vaiee j� i Total Monthbr S�wieO thu�ge I� �Q
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CFlood^ oTemperatv,ro ��������
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o supenbad S�h.Mukd Ope�lCbse i� ;O OlMer �
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OOhcct CennecNon Se►vkes 'Total lnsb►p�lien •
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Quantlly i Dwka O�sQlpqan : Dewlas t.eatlen
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. �'�•\�1 Estimated Inctallatfon Start Date � ��
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S�DATRE '�� LLJ��NO i � NO�J SOURCE�
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Cd�Chak aeah�ad lor. O IR�alletlen: �edc♦ Mnouirt �I I I I I 1 i I
L1.J_L�La—LJ
o,4nnual Servlen Cftargrs Colkcted: Check 11 AmourR $�
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Name of BonluCredk Urtion i O Mnually p Sam'�.Am►wlly O Quansrly G MoMhly
a�i VISA +6e MaterGrd •Dlscever �AMIX
ABA Iloutl Number e�nk AaouM N�ktlber i�►edlUDabi Coed N�� I[n�Atlon pate
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Rea+rNn9 k�M Q+arge Amount $� ��+►�Inp Sorvla+Cherge.�uneunt ��
N�nk es k a rs on bank aceeunt j C+rtllwlq9YS Neme
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I aWhoNxe ADT m deMt my br�c�ccamttar tha ameunt el�11 Rearrkip StMa tlt�IC.c !M I nn u�ing�dtl�R ord 1+�uM�or1�0 ADT e de61t n�bmk uawit for+M■nan!ef
kidl�aoed�haM:,i eay�veke A�IS wlhe�llon mh by�ADT�ndny Irnk in i all R�SeMee kidoMd abon!.I�f'�eveYr.tlr►�rllqllntlonp�ypy
wtlqre et Ita�t 10 baln.�d�hefaa Me sd�ed�Aed tleblG fl�o owl b 1Mkd obuw. 'notlf�q A�f am1�h'�i� M ket 10 hnsh� pctere the:dmddeQdebtt
sausrr�wl��Ee��NNid�n moM1N�, _.. ,..l..K no ovtl Is nikt+abrwa na�e,�d wp�6e cn.��p�h,__ _
I aiRhodae ADT bf wllhdnw tl+e�roau�s in thls xNort Tiom m�r b�ak xta�lt a pedl!anl fuough m AutamaMd Neru:('IKM"�71iee4��o ior i�e M�p�'and
�daatlied M 9rc�bna�o,fit au11p�1en will rairhi In eliea rdllhe te�r�n dnk dNiis[a�Met a
notlty ADT M of N eao�me h�famaMon a�leest 15 � watl oacd h la wddnA,MA:dwyn eeae lkst I M�o�pee 40
�9 �+1� mY d�y�p to 1he�ut ti1NMg dnM,rt�p�yn,d�t drle i�an�wuloend a hoAi4p.py�rw�e mey he aeaikd an
�he nert b�n�tl�y.DeaMne s k�n tlea�a*tr��tlm,�iurps erybe wMd�wn feom�y�oow�t w�,d�meMh us eMy r Ihe tr�m�c�,1f Nie ma.ar nme��dv�e
wAhaFawal ADT rin rotlfy rne K lee�t to drys prbr Lo�M bA.4 mNetlrd.N n ACN Cwn�abn I►fd�dla nen�Nl9ekntfu�R�A ACf�y a1�o��pt m Proeea tne
d��gNn wl 30 doq,+ad�n NSF darge+pqr�pplY.The�n d ACA�.n+*�tle�1e le ny eetbat nst mnqly whh the pi�ktens ef uS.lew.I re�n�ulhaked te�x dth�
ae�k ad a hMk kaount,ud 1 wAI nor dkpuM+hr pny�eM wltli my aedt ard car�wry a bM1k,m lag.s Ihe anant conaponds b Ne�y+�+1ed In IhG[on9�ct
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COdlS� �6L.L�I Sy�em L�4:J�S�wiae t!1�1 ��•�A ��M�� /�mark MrMgen�nt�
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SMALL BUSINESS CON'TRA[T � ������ ����
. • —•— 3081UE05
CON1�"on�L'�U � ` �o�T o t 7 ! 6 r'0o m sou�'ii°c�� ~�x
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REJBCTEP INITIAt HER@�I�MPhene z o Mome O CeU o werk
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Condltlons fer expl�nsR'ron) j FMAIL �
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O p��C��the contxt IMenn�tlon provldod py me 1 may unsubsalee w ept euc by ematOnp donoteerKeQOAbT.com er hy alling
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� appolMana�s and p►ovlde other irtFormy4ien e�mMces abouRl�e dsrm system at tho talepha+e number(s)provldpd sy me.Initlai here �
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READ,UN06lSTAND MIO AGR�E TO EAOI AMD EYERY�RM OF'AIIS aDflTR/1C7 INCWDM'16!UT NOT UM�p Tp MRA611A/NS C AND E OF�►IE `
IMroRTiWr 7ERYS ANb CONDITIOlIS.a)71�INrtTAC 1T�IM OF tlMf CoNT�ACT 15't1mEE(�YRAItS-(Q MO ALARM SYSTEM CAN MOV[DE C01Ui'LETE (�
PR0IECTION OR 6uARANiE!MarvEN'1'ION OF l0lS dt MuuRY.ppES,fWODS,ouRCU►rt�s.ROk�S,�EPICAL PROe�EMS NIQ OTHRR INaDnAS �J
AItE tMPRED1CTAtLE ANp CANMOT AtrIAYS!E OET6CTED CR rREVSr1�sY wN ALARM SrS1�NL MVMAN L�tlIOR Ib AWAYS►OSSIb�E,AND TWE
R�/OIr9E TIME OF I'OI.ICE,FNIE ANO MRo�GI FI�RiC�II.Y��tlCOMMQ tS OUT5IDE iM�OOMIOOI.Oi pD7:AQT MA1'NOT RECH�AWtM SIONALS �
IF CO�tGnoNS OR PorYER LS IHiE1ptUATiP Port ANr REASON.Q�APT RECOMMENDS TFiAT 1 W1NIJAIJ�7tsT 711E AWIM SYSTRM Ma1�liNLr
AND ANY T1AAE 1 CHANCR'IEI.RPNONE SBNICE,EY GIA.IMG 1.i0D�il.272�.�.T1115 GPMI'RACT REQ1�11165 MNM.AlMIdVAL RY AN AOT ptlTYIORI.�cD
MANAGERlEFORE AOT IIIAY�ROVID�AfiY EQ�IM�N6NT OR SpIVIC�,AND�APMtOVAL IS DEfNEA.THkN TMK COKTRACT YYMl�E�NATFD.AI/D
AP7'S ON1,Y OWGATION Wq,L eE Tp NOTIFY AAE OP suoi 761�pNAlripN�pp REpuND ANV AMOUAfff,I MIP IN AoVANCE.
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