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15-16218
Zephyrhills
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2015
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15-16218
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Last modified
1/14/2016 10:53:34 AM
Creation date
1/14/2016 10:53:33 AM
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Building Department
Company Name
ZEPHYR BREEZE
Building Department - Doc Type
Permit
Permit #
15-16218
Building Department - Name
SINAGUGLIA,KATHY
Address
6218 18TH ST LOT 49
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- Garage Door Estimate & Proposal 1515 0 <br /> � ��a�s- � . <br /> Gerege Doors,Repalrs and Openers - Pl1011@ I� � 3��'� 2 <br /> / <br /> I NAME: PHONE: DESIGN CO ANT ESTIMATE DATE: <br /> � ' u l�✓ �l3- �3�2 4�/! -CS <br /> ADDRESS: OFFlCE/CELL INSTALL ADDRESS Tracking# <br /> ��/� 8 �'� �-.: <br /> CITY STATE ZIP CUSTOMER EMAIL ADDRESS <br /> � rCCS � . J�J� aZ <br /> I/We,the wners ot e premises described above,herelnefter referted to es the"Purchasef'ofter 4o contract with Sears Garage Doors and IYs Authorized Contractors hereinafter referred to as the'Conhactor,to fumtsh,deliver,. <br /> end arrange tor(nstellallon of ell materials neceasary to improve the premises lorated at the install address above. <br /> �� � ���� �� <br /> SIZE&QUANTITY MODEL <br /> SIZE(1):� X �_G1TY: � ❑Sears 3000 �Premler 1000 �Wood Carriage House <br /> SIZE(2�: X. QTY: ❑Sears 2000 �Premier 3000 ❑ <br /> SIZE(3): X QTY: Sears 1000' ❑Premter2000 • ❑ <br /> SIZE(4): X QTY: Notes: <br /> Width Height <br />' � '� ���' • ' � � � • <br /> �PANEL DESIGN: ❑Short Panel ❑Long Panel Flush Panel ❑Ribbed Panel �(Flush and Ribbed panel available in 3000 only) <br /> COLOR: True White ❑Almond . 0 Sandtone 0 Brown` ❑Hunter Green' ❑Gray* (*3000 only) <br /> DECORATIVE NO WINDOWS Giass Type: ❑Clear ❑Obscure � <br /> INSERTS: ❑Cathedral ❑Cascade ❑Pralrie - I <br /> ❑$tockton �Sunray 0 Full Sunray 0 Waterford �Wagon Wheel ❑Moonllte(LP•Only) <br /> Premier Base Design ❑a - ❑s ❑c ❑o ❑Te�ute sy�a�e ', <br /> Top Section Design ❑sond arcn ❑Solid Square ❑Double Arch ❑Diamonds ❑�uad Arch ❑Plain ❑Ten Lite Arch <br /> Decorative Hardware ❑Traditlonal Handles(included) ❑Strap Hinges(inclu d) <br /> TRACK& ❑Std Lift(12"radlus) 0 15"radius Low Headroom(61/2"ext,9 5/8"torsion) <br /> HARDWARE: ❑Low Headroom-FrontTorsion ❑Low Headroom-Rear Torsion ❑Extenslon Spring <br /> LOCK: ❑No Lock Inslde Slide Lock(included) ❑Outside Keyed Lock(Sears Traditional) - <br /> ❑Lever Handle Keyed Lock(Sears Premier) <br /> � ' � ���' •' <br /> Craftsman Q�/: Rail Length: ❑7' ❑8'(Extension required) <br /> Chain Drive-Model 53985: ❑1/2 np <br /> Chain Drive=Model 53990: ❑3ia nP ❑Customer Furnished <br /> Belt D►'IVe-Model 53914: ❑1/2 hp. ❑Reconnect existtng opener ❑Emergency Quick Release < <br /> _ .. <br /> QTY SIZE MODEL PRICE EACH .EXT. PRICE Notes&.S ecial Conditions: <br /> f �x� ��� �if��j,1 �p� p '*Garage to be cleaned out 10'back from opening** <br /> c <br /> PAYMENT Amount$ � O�rf'�_ <br /> . - Subtotal: " ❑Check ID: ❑Cash <br /> .•,;, . � -„� ,�. ,�,� -(Please Circle One)-------- <br /> , � ,. Sal2s Tax % L�Charge: �Visa MC Amex Discover i <br /> • ... �•• �''�1"�� � <br /> Total Project Cost•� � Accounc#• <br /> Exp.dafe: Authorization code: <br /> • ' - , • e 1 � �^ <br /> � <br /> ' ' ' ' Custome ig ture Date <br /> � � � <br /> , „ �� i <br /> Customer Signature Date <br /> THIS MESSAGE APPLIES TO DOOR TO•DOOR SALES ONLY:YOU THE PURCHASER(S)MAY CANCEL THIS-TRAPJSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE <br /> THIRD BUSINESS DAY AFfER THE DATE OF THE TRANSACTION. SEE ACCO�VIPANYING NOTICE OF CANCELLATION FOR FURTHER EXPLANATION OF THIS RIGHT. <br /> white:corporate file canary:branch file pink:buyer's file blue:buyer's file <br />
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