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Highland Homes Form
This site is designed for the exclusive use of Highland Homes and its related affiliates.
Ordering Entity / Company Code
(Required)
First Choice
Second Choice
Third Choice
Start date
Immediately – within 7 days
1-2 Weeks
2-4 Weeks
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Billing Address – Berman Construction LLC
6820 Marwick Lane, Suite 150 Orlando, FL 32827 27-2114260 AP@BermanCorp.com
Parcel ID Code
Code Code
Authorized by Name
(Required)
Contact Phone Number
(Required)
Contact Email
(Required)
On-Site Contact Name
(Required)
On-Site Contact Phone Number
(Required)
On-Site Contact Email
(Required)
Order Type
Rip and replace
Other- Please provide details below
Order Type
Please explain order type details.
Approximate SF of Sidewalk
Standard sidewalk pour depth is 4”, if additional depth is needed, please provide in detail section below.
Approximate LF of Curb
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Geocoder
Address
Enter the address above or drag and drop the marker on the map to adjust the address.
Map
Additional Details or Scope Notes
Photo / Documentation
Drop files here or
Select files
Max. file size: 256 MB.
Once submitted, this order will immediately go to scheduling. Any cancellations or changes may result in additional fees.
Volume and pricing are based on the information provided above; actual quantities may vary at time of service.
Please contact (407) 951-1642 or
info@baselinepg.com
with questions or updates.
