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HomeMy WebLinkAboutInstallation AgreementINSTALLATION AGR( ;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 CON' ,T# AMK7079 DATE- k%- \7 SOURCE PRODUCT V-ct7t'"by;£S PHONE # 7( ��) *ikFi/Gllg OWNER: Mr. t- \,CAA cO L--!'iS & Mrs. PA-r LAST NAME Qti\EN2-A- Address36 C3ot z City 901KS o . LVC-Ir- Zip Lot # Community sL- r or4,F- CountyLy E_ HOME -st— Own Rent LAND Own Rent R/P # Address (out of Florida): City State Zip Phone #L_) AMS, Inc. CAMS") proposes to furnish all materials and labor for the job(s) specified below: 2. 3 1`RETh4 y4L••MI I�Jv �r�Sv1�A^�-F� L,I i n oc:>1= oVFSL r-,A\t-J 1-IONA'';i e4.t'i` L3krj 4. 5. �+�lGLv Sl^S Cq Ew - n Lv 1^31 t�l b -d— 6. • F L—ft -SH \N % 'TD p? cvl�1 l rv't d q o N 7. ti7r�fALSC\/ar �cLo��- ai---C7-�J�rZ� 8. 9. 10. 13, Q1-�1's Sr fqt. r, tr.l taC3�-tert_� fc��t� r©t2vS1FA L--i_. 14. 15. 16. 17 * Please contact your local AMS office for your approximate installation date. * CONTRACT AMOUNT$ Mvr-%Va1;!b AtJ.'S:'DQL:LARS$)$ -%-,�2MS'Cro CONTRACT DOES NOT COVER DAMAGE OR CONDITIONS THAT MAY EXIST AND ARE NOT CC Sales Tax $ 3 • ®3 VISIBLE, INCLUDING, BUT NOT LIMITED TO, STRUCTURAL E WALLS, CEILINGS, ` URETHANE COVERINGS AND TARP COVERED ROOFS. (Initial; B CK Nt lk)i b TOTAL $ 37� • �3 ELIMINATE GAS VENT (initial) 0 GAS BURNING UNIT HAS OR WILL BE REMOVED BY CUSTOMER (initial) CASH Deposit Amt $ �a C>c7 00 AMS REQUIRES A 30% DEPOSIT, WITH THIS AGREEMENT AND BALANCE DUE ON COMPLETION. Balance Due on Completion $7� 03 IF AMS IS UNABLE TO OBTAIN A PERMIT DUE TO ANY REASON BEYOND ITS CONTROL, THE PERMIT AND. ENGINEERING. COST WILL BE DEDUCTED FROM YOUR DEPOSIT. TOTAL CONTRACT AMOUNT INCLUDES ALL ADVERTISED DISCOUNTS. AMS will furnish all materials and labor required to complete the above job and t/We 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 C ET Y F THIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALED OR SIGNED BY ME DURING CON OT ON E BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE'S This Agreement shall be binding upon the Buyer's written acceptance hereof in the space provided below or upon the 14S'�c 19 on suc 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 OFANY CASH DOWN PAYMENT. N CE TQ BUYER: THE TERMS AND CONDITIONS ON THE BACK HEREOFARE,PART OF THIS AGREEMENT. (INIT.) X EVERYTHING PROMISED AS PART OF THIS CONTRACT IS COVERED IN THE ABOVE. ACCEPTED AND AGREE . e BUYERS SIGNATURE X - C Date,O -k-s- 1-1 BUYERS SIGNATURE X Date BYAMS REPRESENTATIVE South , "'It Southwest Florida bivision Florida Division Licensed&Insured 941 S.W. 8th Street 2331 Laurel Lane, CCC042787 Pompano Beach, FL 33069 N.Ft. Myers,FL 33917 CGCO33977 1-800-226-6677 1-800-522-31 34 CUSTOMER Z?- 2k E-r4 7-A CONT. NO. lit MVs 'l o'?g PG. -�J—of�_ Address: 3� 6oL-q-- CD2\'J1F-- Phone # 3�AL� - 9t\.'4, Date O • <Z� City: pac-L r s-r - �-� c-�'>r State F L- Zip 3`f9 5 -e�. Lot # Park- - - ---------- --- F } E i" i ' i ...iv.,..... i i 3 i 4 S pct A Li 1 Fit► N%r 16 -t-, µ !� ; p 1 3 E ` CyV £ I i a F 4•^• f F ( s E I i 3 i i �Inl .......... ... .. ......... 44�— ¢...... x , E i z £ s s £s s e T E i .' .cu avr E ; k:aws: �� ,rowwwown'« �oawa�xwc.coro:wawmae Center Cap HI. A -2'/r" A A -21/2" C ROLLS TO ORDER Height B . -S - B - $ X 4t-4 fl r—Urethane \ C 8" C - 8" , „ kQl-- S7 X 1-kL-,,, c� Ft. Ft. „ Pan Size X Vents ' Gutters Lin. Ft. D.S. Plumb B - �B - „X Spec. Lunber Ft. Kan ` C 8" C - 818it X Sp. Buildup 1" Sht. 2" Sht. Heat Ft. Ft- EVERYTHINGPR MISEDASPARTOFTHISCONTRACTISCOVEREDINTHEABOVE. CUSTOMER Signature +rl� C Date \ C7� `�^ yj Florida �y� M Product Approval .USER: Public User �p�f�r�[tqq &AF+7d'�x�tlll Product Approval Menu > Product or Application Search > AppOattion List Search Criteria Refine Search Code Version 2014 FL# 5739 Application Type ALL Product Manufacturer ALL Category ALL Subcategory ALL Application Status ALL Compliance Method ALL Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL Product Model, Number or Name ALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure ALL Other ALL FL* Type Manufacturer Validated By Status FL5739-113 Revision Elixir Industries Category: Roofing Subcategory: Metal Roofing Thomas C. Williams, P.E. (386) 427-8431 Approved History -Approved by DBPR. Approvals by DBPR stall ae reviewed and rdtinea oy the PUC: and/or cne L ommssron R necessary. The State of Florida is an AA/EEO employer. Copyright 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 mail. 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 B 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 hg _. Product Approval Accepts: rM 0 IR-0 R M IBM secu ritym i-rR ics- 1 of 1 10/10/2017, 8:58 PM