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MC-7-245Scheduled Inspection Date: October 07, 2010 Inspector: Perez, JanPierre Owner: BEARD, JIMMIE Job Address: 534 NE 102 Street Project: <NONE> October 06, 2010 Miami Shores, FL 33138- Contractor: FLORIDA STATE A/C Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Inspection Number: INSP - 152042 Permit Number: MC -2 -07 -245 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number 305/757 -2400 Parcel Number 1132060171050 Phone: 305 - 238 -6362 AIR HANDER CHANGE OUT r() Passed W Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 39817. my no access, no one home. 10/17/07 jp Page 30 of 31 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL 1 (0 Owner's Name (Fee Simple Titleholder) • � r 2(J Phone # Owner's Address 5 3 ` \ fl E (U �C . Cit 3 "_�tr t g State ( Zip Tenant/Lessee Name fl'' (II V 5 Q mu v 1( 9 Email D Job Address (where the work is being done) (f- /(..) � / L y�� $,[ �-�'1 City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name re I 0 / 377{ -7 A/c-- Phone # 3 ag Z. & 3 h Z Contractor's Address /3 S' as 5 cti, 1 LA 2 4 City L'v\ State F l Zip Qualifier Name A k(0 T C k k7r . N-; 5 Phone # . . 3 °� 4 State Certificate or Registration No. C'_A-C.7 , S i / Z 4- Certificate of Competency No. Contact Phone E -mail Architect /Engineer's Name (if applicable) Value of Work For this Permit $ ' X , 0) Square / Linear Footage Of Work: Type of Work: DAddiition ❑Alteration QNew ❑ Repair/Replace ❑ Demolition Describe Work: L � kfi-rt Submittal Fee $ ******** * * * * * * * * * * * * *** * * * * * * * * * *** * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Notary $ Scanning $ Radon $ Double Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Fee $ Training /Education Fee $ County Miami -Dade NO Violation date: DPBR $ Phone # Phone # CCF $ Structural Review. $ Total Fee Now Due $ \ 03 lircim1W13n Ail OCT 0 62010 BY: . Permit No. ao 7 - fJ Master Permit No. 9 0 4� 44� q9y 736 Z Zip Flood Zone CO /CC $ Technology Fee $ Bond $ See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Own ' o Agent The foregoing instrument w. s acknowledged before me this (0 day of I`; , 20 0, ( 1/2- A who is�personally known tome or=:Who has produced As identification and wlicl i yi i i4 l t / ke an oath. \ \\ /1 y� •, 2< ` s — My Commission Expires: '�, .....• 'l����. NOTARY PUBLIC: Sign: Print: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Plans Examiner Engineer Signature day of J Contractor The foregoing instrument was acknowledged before me this CO 20(0, by ft'3 C e or who has produced as identification and who did take an oath. NOTARY PUBLIC: who is personall Sign: r , 14,(1, ls:�i.... +... .w........�. MARTHA ISASEL MARTINEZ Print: Tel _ I v,i. Lx My Cana `Expixres 3(012 1, ;�° Florida Notary ASSii.,ir+c Zoning Clerk checked THE POLICIES REQUIREMENT, THE INSURANCE OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 I Fit IIVJUrsCU ,vuncv' ..... •..— • - -- - TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER T AFFORDED BY THE POL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. MAY HAVE BEEN BY PAID CLAIMS. AGGREGATE R ADM. LIMITS SHOWN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY DATE (MM/DD/YY) EXPIRATION DATE (MMlODIYY) LIMITS LTR 1NSR6 LT A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 3094122238 01/28/2010 / / / / / / 01/28/2012. / / / EACH OCCURRENCE $ 1, 000 , 000 DAMAGE TO RENTED (Ea occurrence) $ 100 , 000 X / PREMISES one $ 5 , 000 ( CLAIMS MADE X OCCUR MED EXP (Any Person) & ADV INJURY $ 1,000,000 / PERSONAL GENERAL AGGREGATE $ 2,000,000 - COMP /OP AGG $ 2 , 000 , 000 GEN'L — X1 AGGREGATE LIMIT APPLIES PER: / PRODUCTS " —' JECOT LOC A AUTOMOBILE POLICY I I I I LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 3094122238 01/28/2010 / / / / / / 01/28/2011 / / / / / / COMBINED SINGLE LIMIT (Ea accident) • $ 100, 000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO / / / / AUTO ONLY - EA ACCIDENT $ —" A ACC OTHE OT THAN AGG '$ EXCESS/UMBRELLA LIABILITY / . / / / / / / EACH OCCURRENCE $ $ 1 OCCUR ( 1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE 1 OTR- $ WORKERS EMPLOYERS' ANY OFFICER/MEMBER If yes, PROPRIETOR/PARTNER/EXECUTIVE describe RETENTION COMPENSATION AND LIABILITY EXCLUDED? under / / / / / / / / INC STATU- I TORY LIMITS 1 ER EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER / / / / / / / / DESCRIPTION OF OPERATIONSILOCAT IONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/05/2010 PRODUCER (305) 270 -1424 Pan Am Assurance Agency, Inc 9100 Sunset Drive Miami FL 33173 -3433 INSURED FLORIDA STATE AIR CONDITIONING & REFRIGERATION, INC 13825 SW 142 AVE MIAMI FL 33186- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ALLTERTHE THIS COVERAGE BY THE POLICIES OR S BELOW. INSURERS AFFORDING COVERAGE INSURER A: NORTH POINTE CASUALTY INS INSURER B: INSURER C: INSURER D: INSURER E: NAIC 39462 COVERAGES CERTIFICATE HOLDER ACORD 25 (2001(08) INS025 (0108). ELECTRONIC LASER FOR IOD INDICATED. NOTWITHSTANDING ANY CANCELLATION ( ) City of Miami Shores Village 150 NE 2nd Ave Miami Shores FL 33138- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSU INSURER WILL ENDEAVOR TO MAIL FICATE HOLDER NAMED TO THE LEFT, BUT TION OR LIABILITY OF ANY KIND UPON THE DAYS WRITTEN NOTICE TO THE FAILURE TO 00 SO SHALL IMPOSE NO INSURER, ITS AGENTS OR REPRESENTA c AUTHORIZED REPRESENTATIVE v M5, INC. - (800)327-0545 ACORD CORPORATION 1988 Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Miami Shores Village 151� Building Department . " �r 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Owner's Name (Fee Simple Titleholder) Tea 1 O(ti40 Phone # 41Z "' 7O3 Owner's Address `` 1,3 0 GTiiF Cit ackyt 1 State l fl Tenant/Lessee Name Phone # Job Address (where the work is being done) J 3 NE k2- 51 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO 1S Contractor's Company Name f i ci t J ia Contractor's Address 13 2_5 ; i42 p j2 Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ti $V sC Type of Work: ❑Addition ] ❑Alteration ))� [New Describe Work: )(iv hefty iv l , / �vlot1 f 607 Zip 3341 Bond $ Code Enforcement $ Double Fee $ Permit No. AC 1 -2.45 aster Permit No. Mechanical Roofing Phone# `I -L31-6362_ City State ri Zip 33 i gC Qualifier Name 0 Phone # 6 - 33/4 /( S �1 State Certificate or Registration No. C A (f 05 i � 1 Certificate of Competency No. Square / Linear Footage Of Work: ❑ Rep ❑ Demolition Submittal Fee $ Permit Fee $ U CCF $ ' ° / CO /CC Notary $ Training/Education Fee $ 40 Technology Fee $ a .4W Zoning $ Sd Review. $ Total Fee Now Due $ 10 T10 See Reverse side —+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning FOLIO / PARCEL # Type of Work: Describe Work: Miami Shores Village BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Is Building Historically Designated YES NO Lf� State Certificate or Registration No. C t i O 5 7 1 2 - 1 1 Value of Work For this Permit $ 40D L Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RRCET "T Permit No. MC:+2,245 FFR Master Permit No. Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) ) t;;( z) Phone # Owner s Address , Z, ��l�i f� �'F �> j ,✓ r f tate Zip �' "; Tenant/Lessee Name Phone # Job Address (where the work is being done) l .5341 A/C: J -. City Miami Shores Village County Miami -Dade Zip Contractor's Company Name , i a 6 2;0A- .S` 76 A- Phone # 'SO $ 13 b a Contractor's Address LID 2..E S "3 fr� 2.- 1 T �. E CityV -L J A--. State r (• Zip 3 3 1 Qualifier Name 3 �� - L t' t S Phone #3 5 3 G ❑Addition ❑Alteration ❑New ❑ Repa Roofing Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: eplace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees*******,***** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ pond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lenge s Name.(if applicable) *Mortgage Lender's Address City 0 State Signature Sign: Print: (Revised 02/08/06) er or Agent The foregoing instrument was acknowledged before me this day of Z-_ jZ , 206 , by o is personally known to me e oll who has produced APPLICATION APPROVED BY: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * State Zip As identification and who did take an oath. er . Marta Isabel Martinez NOTARY PUBItt e by Commission mime o, or Expires July 27 2007 Application is hereby made to obtain a permit to do the work and as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature NOTARY PUBLIC: Zip Contractor The foregoing instrument was acknowledged before me this day of ' L — Z , 20 0Y/ , by C w o is personall -to- -ni mho has produced as identification and who did take an oath. Sign: 'v'✓- Print: O em C -1- \Nt C tAA/d My Commission Expires: -- - O k************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE UNIT FEE ITEM BATH TUB SWITCH OUTLETS SPACE HEATERS ' I2i' DISHWASHER LIGHT OUTLETS CENTRAL HEATING 3 'Z DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION _ CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING r ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL 1 Name .jib. Street 54 Ai H 102_ fir - City, State & Zip_g, , „SPicies #1 Brand c4PCY'r■ Thermostat #2 Brand Thermostat #3 Brand Thermostat Thermostats & IAQ Products Manual Thermostat Digital Thermostat Programmable Thermostat Throwaway Filter SpaceGard Air Cleaner Electronic Air Cleaner Second Wind Air Purifier Aprilaire Humidifier # Unit Mounting _ New Concrete Pad New Pump -ups ain Pan & Float Switch ergency Overflow Drain Line New "P" Trap New Condensate Pump _ Vibration Absorption Pads New Sheetmetal Rainhood Electrical New 200 amp Breaker Service New Outdoor Disconnect Wiring From Disconnect to Unit _ Ground Fault Protection New Thermostat Wi e Additions /Other Authorized Signature Authorized Signature Ph:305 -75 5 •.• 305-23b-63 j 2 ; • ; D) FRIGERATION CO., INC. Fax: 305 - 238 -6273 • • 13825 S.W. 142 Ave. Mia • •• • • • • • . ••. • . •. • • . • • • • F OR. Outdoor Unit °Heater Outdoor Unit Heater Outdoor Unit Heater Pl1one{h ©ma) Ph8 ' epQoflc 8111 • • Return & Supply Registers _ Sidewall Return _ Floor Return Ceiling Return Floor Registers _ Sidewall Registers Ceiling Registers IRLORTA STATE AIR CONDITIONING • . ••. Ductwork Sheetmetal Rectangular Duct Sheetmetal Round Pipe Insulated Flexible Supply Branch Lines Wrapped Sheetmetal Duct Insulate Existing Duct Add New Supply Registers Add New Return Grille(s) Change Retum Grille To Tape & Seal Ductwork Air Leaks _ Add Dampers Air Balance System _ Gas Piping To Unit _ Metal Flue Venting PVC Flue Venting Power Venter FEB 13,2007 ate —, - =- Job # Job Location We submit the following specifications and recommendations in the installation of heating and air conditioning products and related equipment for the above dwellin EQUIPMENT Indoor Unit SEER 13.1 vap.Coil AFUE Indoor Unit SEER Evap.Coil AFUE Indoor Unit SEER Evap.Coil AFUE INSTALLATION The equipment and ductwork will be installed in a workmanlike manner consistent with highest standards in the trade. The system includes all materials, control and power wiring, and refrigeration and condensate piping, where applicable. Weatherization sq. ft. Attic Insulation To R- sq. ft. Floor Insulation To R- _ Ground Cover Storm Windows: Caulk/Glaze windows: _ Door Thresholds: Door Weatherstripping: Refrigerant Lines _ Reclaim Refrigerant & Return for Recycle Repair Rubatex Insulation Joints Install New Refrigerant Lines Use Existing Refrigerant Lines w/ New Filter Dryer Warranties Yr. Parts & Labor Yr. Compressor Yr. Condenser Coil Yr. Heat Exchanger Yr. Thermostat E..1 Qty Q. Qty Q. F a entto No this X E RMS AND xes complete in a± r ove peci cations: a total installe EPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be outlined above. I agree to the terms as stated on the reverse side of this agreement. "BUYER'S RIGHT TO CANCEL: YOU THE BUYER, MAY CANCEL THIS TRANSACTION WITHOUT PENALTY OR OBLIGA- TION ANY TIME PRIOR TO,MIDNIGHT OF/ 1 THIRD BUSINESS DAY AFTER DATE OF THIS TRANSACTION a.. Date of Acceptance Date of Acceptance ... • • • ... • • • .. .. • • • .. .. • • • ... • • • • • • • • • .... ...... • • :••T.FRMS•Off. PAYMENT Accounts remaining unpaid 30 days after invoice 1 f) e,;uj j eit to carrrir g iharges equal to 1-1/2% per month until paid. In event an account is not paid within 60 days and is tufned over t8 an adomey tor collection, the customer agrees to pay attorney's fees equal to 1/3 of the account plus any court charges. It is agreed that the s will retain title to any equipment or material that may be furnished until final a ent is made, and if s �Ntle i n isn t eed, the Seller shall have the right to remove same and pYm � �t� .4��' g the Seller will be held harmless for any damage: EiallAig leiu kal thereof. HANDWRITTEN WAIVER TEXT hereby waive (Your name here) my right ofrecission and want to have my furnace/ air conditioner installed today /tomorrow because of the current weather condition. Dated: Write the above text here in your handwriting