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-7 . r - <br /> '' <br /> ,W <br /> W. <br /> .. Date: c 0 t <br /> Name: d'It e o <br /> Jobsite Address: "Z Sales Rep: M6 <br /> City, State, Zip: <br /> Subdivision:. Cross Street: <br /> Contact Phone: <br /> n , <br /> YES NO 4 <br /> MULTIPLE FENCE STYLESAl <br /> ❑ <br /> SEPTIC <br /> DRAINFIELD............ ..❑ <br /> POOL.............................. <br /> SCREENED........ <br /> TREES/BUSHES.............❑ <br /> ROOTS............................. <br /> ❑ r :. ..: _. _ ... ._. ... <br /> SETBACKS.................. .. <br /> WALLMOUNTS................ ❑ �. . ... . .. _ - .._. <br /> CORNER LOT....................❑ <br /> CROSS ST.NOTED......... <br /> BUILDINGS....................: I l <br /> SHEDS_.......................... ❑ <br /> COLUMNS.......................0 <br /> EXISTING FENCE..............❑ _ - . <br /> TEAR DOWN...................❑ 01 <br /> Wood❑ <br /> Aluminum❑ - <br /> PVC <br /> v. .�... �... , _......._.... <br /> SLOPE..............................❑ f <br /> Fence❑ �` � f <br /> Gate ❑ . <br /> ...f1 -, .::._...r. .1"J <br /> SINGLE ..................... <br /> Ka,? _. . <br /> - . ... <br /> SWING DIRECTION..:........❑ <br /> �. <br /> t . . <br /> SLOPE.................... . . ..� o ._ . ... .� . ..._.. . . . f .,_ <br /> DROP ROD LOCATION...... -- <br /> �.. .__ <br /> POST LOCATION............. qAA.. L J <br /> f <br /> ty C <br /> POOL PUMP.....................❑ <br /> } ELECTRIC METER.. . ..,. , : ... : .._APPROVALS <br /> ....�......� MATERIALS: '' . <br /> c -dirt #tt" t <br /> PRIVATE UTILITIES..........❑ <br /> PERMIT REQUIRED............ <br /> ❑ :.:.... ; ;::.. .:...,. �;.,__. ,... ., w .,:; :'�:. <br /> NOC REQ'D(0VER52,500)..,p NOTES: A z .' <br /> HOA OR POA y <br /> ................... <br /> ❑DANIELLE <br /> ❑HOMEOWNER <br /> ❑Begin without Approval _ x x:x i > ———— �+ <br /> ❑Wait-for Approval - AC <br /> Existing Sprinker Screened - Utility Water Woll Electric Pool <br /> , Fence Head Bushes Trees Poo! Concrete Drainfield Slope Unit I <br /> Pool Box Spicket Mount Meter Pump <br /> )hereby acknowledge that the above layout is approved for installation.Purchaser agrees to uncover and mark all underground lines and piping,including but not limited to property pins,conduit,private electrical,television,or <br /> data lines,water piping,septic piping or systems,and sprinkler systems.Purchaser agrees to pay Company the additional sum of Three Hundred and Fifty and no/100 Dollars(S350.00)for its mobilization costs in the event that <br /> Purchaser changes any of the following: <br /> 1.Changes to the Layout at time ofinstallation where installers would need to leave premises and return. <br /> 2.Upon arrival of installation crew,job site is not ready for installation; <br /> 3.Upon arrival of installation crew,home owner has not obtained permissions and concessions on address referenced above. <br /> 4.installation is cancelled or postponed due to any of the above mentioned items or the client has not obtained homeowners association approval prior to installation resulting in installation interruption. <br /> S.Fee is in addition to the cancellation terms and conditions. <br /> Customer will be invoiced for additional footage or items reque d that were not part of the original contract. Purchaser is not liable for installation delays due to Acts of God. <br /> Home Owner or Authorized Representafive Date )c V <br /> Phone: 863.425.31 82 813.681.6181 L.. . .. ;.'.... . :< . •..,�,. ..:: ..:�.. . . .,.,- .. . <br /> ocation&Mailing Address: 4855 S.R. 60 W. Mulberry, FL 33864 <br /> Toll Free: 800.255.6794 1 Fax: 863.425.5676 www.daniellefence.com l <br />