Laserfiche WebLink
UC#CBC1,262853 <br /> Installation Agreement and Details Uc #CCC1.330607 <br /> EAUILDINGSOL <br /> lN# 4.7.2001583 <br /> 2XII <br /> __ Estimated Install Date Phone: (813) 321-3269 <br /> 3914 US HWY 301 N.Ste 200 <br /> Tampa,FL 33619 " 2zQC;, <br /> Customer Information: � L 1 , • n,�n n <br /> Dater 3 1a(:�ao Insured Name: � la��cIYTOQO�' ��.XJf1lCrtJ <br /> Telephone Number: J cx lob Address: e= ��� <br /> Exterior Work: - interior Work/Notes: <br /> Shingle Type: <br /> Shingle Color: ��rs7-i� I {?1/ <br /> Drip Edge Color: f�/f <br /> Ridge Vent Type: <br /> Flat Roof: YES j <br /> Flat Roof$: <br /> Note:We do.not re-attach satellite dishes on the roof;Vile recommend.that you move the <br /> KEEP cLf DISPOS o i5 /N.A. dish to anew location.Your provider has special tools to calibrate the dish once it is removed. <br /> Roof Det JIs:(The insurance estimate defines the total scope of work to be completed) <br /> L'/25 30 50 year of greater shingle manufacturer warranty y' /*UPGRADE*new ridge ventilation system <br /> I/ 5 year"NO.LEAK:workmanship warranty *UPGRADE*Re-nail of roof decking <br /> New plumbing vent pipes./lead boots X *UPGRADE*secondary water barrier <br /> Counter Flashing/Steph Flashing[Valley metal per claim V/Permit and Trash haul off included <br /> Additional Terms/Financing: Install and Payment: <br /> First Check: $ tO Deductible: $ <br /> Depreciation: $ Upgrade: $ <br /> 3 Discounts: $ <br /> Due at Completion: <br /> TOTAL AGREEMENT: $ <br /> —S I understand that mydeductible'payment is due upon comple n o'my roof,unless <br /> otherwise noted.Additional wood costs are-my responsibility.We reserve the.right <br /> to adjust the total agreement as necessary based on wood usage,etc.Any <br /> supplemental funds released are'to be:paid to Dynasty Building Solutt <br /> Financing interest rate of_5S <br /> (Initial) <br /> 4 <br /> -7,0 S >( Uilt! . J ,3 .'2 Z040 <br /> Dynasty Building Solutions;LLC.Agent:Print Date Cu torner' ririt Date, <br /> W l 5—Z .1020 <br /> Dynasty Building Solutions, C Agent:Sign Date Cu o r Sign atu Date <br /> Many insurance checks are made payable to.multiple parties.It.is your responsibility as the policyholder and homeowner to make sure the check is <br /> properly endorsed prior to your installation.if endorsement at a local branch is not possible,a Dy , Building Solutions representative should <br /> complete a mortgage affidavit and gather the details about how to proceed with endorsement <br /> Updated 4119 <br />