HomeMy WebLinkAboutInstallation AgreementINSTALLATION AGS MENT AMS. INC'
Southeast Southwest
Florida Division Florida Division
941 S.W. 8th Street 2331 Laurel Lane,
Pompano Beach, FL 33069 N.Ft. Myers,FL 33917
1-800-226-6677 1-800-522-3134
www.AMSOFFLA.com • CG C1505972 • CC C1328662 • CC C042787
OWNER: Mr.
CO.N , ^T# AMK7076
DATEI0- %'I-1'7 SOURCE
PRODUCT
PHONE #, 3t'l\ - 3a-4.\
E-MAIL
& Mrs. t\1 6 Es4\R H= LAST NAME
Por-`tom
AddressVISX) S'J0DA0 r1.\yrji 00-City 3 c-t+- Zip 3 'iS'7 Lot # 6.�-,_ Community "%<jF- 4`nA-1D1Q,
L-k des, ooba.
County. HOME i Own Rent LAND _6,- Own Rent R/P #
Address (out of Florida): City State Zip Phone #Lj
AMS, Inc. ("AMS") proposes to furnish all materials and labor for the job(s) specified below:
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* Please contact your local AMS office for your approximate installation date.
CONTRACT AMOUNT $ �\ �Tt-kl is lacl b SEA �.J )-1vr�2�/J �"��ti't•'C04C (U.S. DOLLARS $) $ S�y-s t�
E CONTRACT DOES NOT COVER DAMAGE OR CONDITIONS THAT MAY EXIST AND ARE NOT CC' Sales Tax $ ------
VISIBLE, INCLUDING, BUT NOT LIMITED TO, STRUCTURAL DEFECTS, WALLS, CEILINGS,
URETHANE COVERINGS AND TARP COVERED ROOFS. (lnitlal) CK # l`13 1 TOTAL $7
ELIMINATE GAS VENT (initial)
(_] GAS BURNING UNIT HAS OR WILL BE REMOVED BY CUSTOMER (Initial) CASH Deposit Amt $ ;kot7®� —o
AMS REQUIRES A 30% DEPOSIT, WITH THIS AGREEMENT
AND BALANCE DUE ON COMPLETION. Balance Due on.Completion $ 3 i LkS-- w
IF AMS IS UNABLE TO OBTAIN A PERMIT DUE TO ANY REASON BEYOND ITS CONTROL, THE PERMIT AND ENGINEERING COST WILL BE DEDUCTEDFROM YOUR DEPOSIT.
TOTAL CONTRACT AMOUNT INCLUDES ALL ADVERTISED DISCOUNTS. AMS will furnish all materials and labor required fo complete the above job and Ifft agree to pay the
full amount specified in accordance with all terms of this Agreement
THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE COPY OF
THIS AGREEMENTAND OF EVERY OTHER DOCUMENT INITIALED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS, AND AGREES TO BE
BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSVSIDE.
This Agreement shall be binding upon the Buyer's written acceptance hereof in the space provided below or upon the AMS's commencing performance. Upon such
acceptance or commencement of performance, this Agreement shall constitute the entire contract and be binding upon the parties hereto, there being no covenants,
promises, warranties or agreement, written or oral, express or implied, except as herein set forth or as created by applicable law.
BUYERS RIGHT TO CANCEL
THIS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY PROVIDING
WRITTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAM, OR BY MAIL. THIS NOTICE MUST INDICATE THAT YOU DO NOT WANT THE
GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS
AGREEMENT. IF YOU CANCEL THIS AGREEMENT, THE SELLER MAY NOT KEEPALL OR PART OF ANY CASH DOWN PAYMENT.
NOTI TO BUYER: THE TERMS AND CONDITIONS ON THE BACK HEREOF ARE PART OF THIS AGREEMENT.
(INIT.) X X EVERYTHING PROMISED AS PART OF THIS CONTRACT IS COVERED IN THE ABOVE.
BUYERS SIGNATURE X `iAA I A10, " V! �S_ Datew^
BUYERS SIGNATURE X Date BY AMS REPRESENTATIVE
Souther Southwest
�� Florida Dii on Florida Division
Licensed & Insured 941 S.W. 8th Street 2331 Laurel Lane,
CCC042787 Pompano Beach, FL 33069 N.Ft. Myers,FL 33917
CGC033977 1-800-226-6677 1-800-522-3134
CUSTOMER a'F iJ 18 iN 'P`O E- CONT NO. PG. 1 of 1
Address: %2—S ? S>'X,4 C�- cqr-4 C- O� Phone # 3+-\ Date o • k')r k'"-)
City: si State Zip -ayg s7 Lot # Park LA N-J 0,
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ROLLS TO ORDER Center Cap HI. A -21h" A A -2'/z" C
Height " �8 b �B -
_ r� "X Urethane \ C _ 8-- C 8"
�e7 X a.l V -%a Ft. Ft.
Pan Size
X ❑ �Vents
A -2'/z" 8 A -21/4" D
' Gutters Lin. Ft. D.S. Plumb_-
„X Spec. Lunber Ft Kit Fan C - B" C - 8"_
�—
X Sp, Buildup 1" Sht. 2" —Sht. Heat �� Ft. Ft.
EVERYTHI GPROMISED ASPARTOFTHIS CONTRACT ISCOVERED INTHEABOVE.
-USTOMER Signature Date 1�
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&� Product Approval USER: Public User
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Manufacturer
Validated By
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FL5739-R3
Revision
Elixir Industries
Category: Roofing
Subcategory: Metal Roofing
Thomas C. Williams, P.E.
(386) 427-8431
Approved
History
-Approves oy unrre. Approvals oy unree snag pe rewewep ano rawwo oy cne rut. anp/or v:e t ommsswn a necessary.
Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida Is an AA/EEO employer. Copvdpht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic
mall to this entity. Instead, contact the office by phone or by traditional mad. If you have any questions, please contact 850.487.1395. *Pursuant to Section
455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have
one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a
personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter
455, F.S., please click h€re_.
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