HomeMy WebLinkAbout16-17862 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (813)780-0020 17862 ;
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit N,umber: 17862 Address: 5927 20TH ST .
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est�. Value: Parcel Number: 11-26-21-0010-04500-0085
Improv. Cost: 4,850.00 OWNER INFORMATION
Date Vssued: 10/27/2016 Name: DONALD, PITTS
Tot�l Fees: 60.00 Address: 28432 ST JOE RD
Amo�nt Paid: 60.00 DADE CITY FL 33525
Da4e Paid: 10/27/2016 Phone: (813)469-6959
Wo k Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 60.00
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CC
Ins ections Re uired
DRY IN RqOF INSP
TAPE JOINTS ROOF INSP
FINAL I
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Wa �ning 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."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
I
�CO TRA OR SIGiVATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRO�'ECT CARD FROM WEATHER
,
813-�eo-oozo City af Zephyrhills Permit Application Fax 813-780-0021
, Buitding Department
Date Recetved : :Phane�Contact for��e��n �a t��a"'�'—��� {
Owner's Nam I 0�'�C�L Owner Phaoe Number
Owner's Addr ss �� D� � "'e V�-�� Ownar Phone Number � �
Fee Simple TI leholder Name � � � Owner Phone Number � �
� .
Fee Stmple Ti leholder Address '
J08 AbDRES �� � � � � �CI Y��LR.��i � 3� LOT# ��
suao�vrs�or� �- � " PARCEL!p� 1 �'2�Ce-a.t---�r�-�y 5�c� —c�o�S
_ - , . � (QBTAINED F,ROM PROPER7YTAX NOTICE)
WORK PROP� ED -,NEW C4NSTR AD�lALT � SIGN' 'Q �Q DEMO�ISH
� .�. INSTALL �� - REPAIR "
PROPQSED� SE Q SFR Q -COMM � OTHEF2 .
TYPE OF CO STRUCTION Q ' BI.00K " [� FRAME � STEEL. Q
DESCRiPT10 8F WORK �t/i�..� Ct,�-� �•
BUElDING St �� � SQ FOOTAGE���� ; . HEIGHT����_�
.:, �,
��U� �»C' � C" VAIlfAT10N�G1F TOTAL CONSI'F2UG1'ION `
�;�� '-
QEl CTRICAL `� ' � AMP BERViCE Q PROt"aFtESS EI�tERGY Q W.R.E.C.
QPL MSING $�'�� ��� ' � / ,
L ��,
Q ME�NANICAI. $ ` � VALUATtON OF'MECHANtCA�lNSTRLLATit?N
� (�
C]GA Q ROOFING Q _ SPECIAL'tY �] OTHER� �� 't�� i
./ ;
FINISHED FL�OR ELEVATIONS ��� FLOOD 20NE AREA QYES NO
BUttDER ,� � �j� , f��� .��-,�, COMAJ0.NY� �G. U�--�-�. `��-�7����� ��"
SIGNATURE �M� (� ��"' � REGISTERED Y/ N . FeE cuaREn Y/N'
Address Cicense# � � �
EtECTRlC ._ : , 'COMPAlZY' _ , -
SIGNATURE �" REGISTERED Y/ N FEE'CURRE�`' � Y/N
Acidress . .. License# �� ' �
PLUMBER � GOMP.ANY � : �
SIGNA7URE' `�' REGISTERED Y-/,�N,; . FEE CURRE� ' Y/N.
Address ` � License,# �� . �.
MEGHANIG'._ ' � r GOMPANY.
SIGNATURE ' � ' '" � `� REGIS7ERED ^',. Y,/ N , � FEE CURRE� Y/�N :
Addre�s - • , ,- . ` ' _ � � � ' license# C _ I
OTHER ,:' r {.�., ��-h��'l �,GQN'IPAkY ��...� ���-t 'E'�.1�tZ.t�c..E`1CS�2 c�
�,.,.r, ,.r,. ,,
$tGNA1URE �. '' ` ` ' REG1STERED ' Y J Nk.. FEE CUR E�•_ Y/N
Address �a' { � - � ,J' � - � �lcense#'1 �
�::: �
R�3lREN'i'IAt�. -°AttactiW(2)tRlotP..fan"s;.:{2}sets•of;Biitiiling�Ptari's;{1}seFof'Eriergy=Foims;��F2;0=W�Permttfarnewconstrttction,
_;_;Mini,mum�ten�(1.0}•wworicing;tSays,sftet;subm�titai date:.Reqi,tlred onsite;:Go`n'siruc8c►i�Rlans;'Stortnwater'Pians w''/Silt Fence instailed,
�Senitery�Faciltdess&,,1;;dumpste,r;�Site°Wo,r,k,Permit tor subdivislo�s/large pro)ects:.__r.` -� ' ' �
COMMERCi Attac�{3)coiesplets sets'iif Bultill'og Plaris plu`s a E..ife Safety!'agei;{1}set of Energy Fomts.R-O W Perm(##or new canstructton,
Mintmum ten(10)woricing days afker submittal date. Required onsite,CansUuctian Pians,Stortnwater Plans w/Siit Fence installed,
Sanitary Faailides&1 dumpster.Site Work Permik for all new project's.All commerGal requirements.must meek complience
SIGN PERM! Attacti"(2)se�s of�Englnesr.ed=Pians. _ "�; � �.- -
"'"PROPERTY SURVEY required for ail_NEW_canstruction.,
Dtrecttans: . . �- -
Fiil out ap�pUcadon compietely. z�` ' ; '
Owner 8 ntractor sign back of appltcaUon,notarized
If over Q0.a Notice of Commencerttent Es required. {A/G upgrades aver 57540}
"* Agent(fot the contraotor)'"or Power of Attorimey(for tFie owner)�would be sameone with notarized letter from owner authorizing same
t�VER'TFiE Ct1UNTER PSRMi7'tlNG... {Front of-ApPltcatton On1y)— , `
Reroofs if shingIles Sewens Servlce Upgrades A/C Fences(PlodSurvey/Footage)
Drivsway�s-Not aver CouMer if on pubilc roadways..rieads ROW � '
..).^.:r..
NOTICE OF DEED RESTRICTIONS: The unde�rsigned.undergtands�;th�t.;thl�;p�armif,may;be,subJect�to,"d,eed"restrictions"`,_.., ��.:�:
X : . � a..r...._:�i�
which may�tie�more��r.esaictive�th��County�regulatrons:"The undersigned assumes�°re`sponsitilllty-fo�`compliance with any����`
appilcable deed�restrictions. .,. �..,: . : _ � � �. .__ , .: .__. .,. ., ..:„,` �:' `-:. . ,,..°-.
UNLICENSED�CONTRACTORS .AND CONTRAC'FOR RESPON$IBILITIES: -Ylf°the�owner-has�htred�"a�`contractor or
contractors to undertake work,-they mey,bevre�quir;ed_to.;be�licensed irt-accordance.w(th state.andylocal.regulatlons:��IfF�the•==�-. :.,;
,,..,:� :F.=.
contractor�ts nof ltcensed�as�required.;tiy law,-�both•the owner and�conUactor°�may��be��cited�for"a�misdemeanorviolatlon
under state law. If the owner or Intended,°�contra�tor,;are;:uncertaln as�to what Ilcenaing.requiremenfs.�'may:apply���focythe����..-� � _=�`'
intended work, tNey are`advised to coritact tfie��Pasco County_Bullding'Inspection_Divislo,-n�-.Licensing 8ectton at 727-847-
.. _ ........ _. __ . .. _ ..�. . ,. . . ._. , _ ..
8009. Furthermor�, if the owner'tias��hired�a conUacEo�"or contractors. he Is advised to have hhe contractor(s),:sign_, :, ., ,.,.
§.wr.�.:r`. • .
porttons of the "contractor Block° of.fhis_appllcation.foc.whtch-they..wilL.be-r.�sponslble.-.Ifyouu,:as.the owne��'sign'as'the`'`" '" �
contractor� that may be an indtcation thaf'he'is�noY:properly'Ilcensed�and`�is�not entftied'to permitting pri�illeg�s In Pasco
;,... �a.._ �: ,
County. - - • ; , .,.� .,,. :_,.,,.
TRANSPORTATION.IMPACTIUTILITIES�rMPACY ANb RESOUItCE RECOVERY�FEES:��The unde�signed understands
that Transportatlon Impact Fees.and.Reco.urse Recove.ry,Fees,may:apply�to�tf�e;construction of new.buildings,ichange�`of`�'��'�'`= ,'��
use in exis8ng buildings; or,.expansi�n��of�ezistin,g.�buildings, as specffied.in P�scv County Ordinance number 89-07 and
90-07, as amended.,r�The undersigned also.urtderstands� that��such fe.es;°,as�may�:��e��due;zwlll�.be ident�ied at theyti(me�ofi����-•�•�'� `'t �
permitting. It Is iu�rtlier understood that Tra�spo�tatlon Impact Fees and-Resource�.Recovery�Fees'.must be paid prior to
receiving a "cerfiflcate:�of�occupancy"•orflnal�power.release;��:ff�the proJect�..does�.not.Involve:a=:certificate of occupanc�i'o�.'��'~ �`�"
final power release;the-fees mu�t'tie paid;p�1or to;permft�issuance. Fuktk�ermore;if Pasco,C,ounty;�lNater/Sewer��lmpact ., . �
fees are due,.they<:must.be;paid-prlor to permit-issuance In accordance with.�appltcatile Pasca���County-ortlinances. -
CONSTRUCTION"L'IEN�LAW�(Cliapter 713�Flor�da Statutes�as amended): If valuatlon of work Is$2,500.00r_or more, I =,. �;;�_�
certify that I, the. applicant,:-have-been proylded��with�-a-copy�of the: "_Florida-�Construction�='Llen�:Law Homeowner's
Protection Guide" prepared by�the Flo�ida Department"of Agric.ulture and Consumer,Affairs. If the applicant is someone .:•„ -�. :-;,
otherthanthe"owner", Icertiiy�that_,I�have.ob.tatned�a�copy;of:#he;abpve.descrlbed�focu�ent,and�:ptomise;tn,good'faith�to . .�.,
deliver It to.the.'ownec":p�ior-_to�commencement:•' � ' '� � � ' � : .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify.�:that>all�thg�lnformation:;in thi�applicatlon is accurate and that all work
will'be done in compliance with all.appitcable�laws regulating construction, zoning and:land`devetopment. Application is
hereby made to obta(n .a permit;-Co :do:worlc.;and•�Ihstallation as Indlcated:--���I• certffjr that no work':or Installatton�fias
commenced P�lor to issuance of'a pemiif"and that.ail work wlll be perFo�ed�to meet.standards-of all laws �egula�ing�
construction, County and City codes, zoNng regulatiQns, and land development regulaUons�In the.Jurtsdiction.'-� I��al'so'. .
certify that I understand that the regulatlons of othe�govemment agencies may�apply�to the Intended_work, and that it (s
my responsibility to identify�what.acttons I must take:to be,in:.conlpllance,.,.S.u�h agencles-include but=are..not limited to: � �
- Department of Etivlronmental�Protection=Cypress°BayFiead�,`Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment. �
- Southwesf Florlda Water Management�cDlstrict-VVelis; '�Cypress.�Bay�eads;� Wetland� Areas, Altering
VVatercourses. r - - � � - � � �
- Army Corps of Engineers-Seawalls, Docks�Navigatile Waterways. �
- Department of Health;:,&. Ret�abllltative„Servtces/Er�vitonmenfal.-Health Unit Welis, Wastewater=Treatment, �
Septia Tanks..` � -- -� - - -- -
- US Environmental Protection Agency-Asbestos abatement. , .
Federal Avlatlon_Authority,=Runways.�
I understand.that the.following:�estrictl`ons apply'to the use of flll:
- Use of flll is not allowed in'Flood,Zone"V"unless expressly permitted.
- if the fill materlaf�is to b.e usetl='In.:Flood Zone "A", It. is understood that a dra(nage plan addresstng a
°compensating volume"wiil be submitted at time of.permittJng wliich is prepared by a professfon�l engineer .
Iicensed by.the�tate of Flotida: � � "
- If ihe fill materiai-.ts to:be used in Flood Zone 'A" In�connection�with�a �ermitted building using stem wall
' const�uction, I certify that fill:wall:be used only_to#111 the area wlthin�the�stem��nrall: �
- � � If flll materlal Is to be used-in any area, 1 �certify tfiat .use of such flil wlll not adversely affect ad)acent
properties, If use of flll is found;to adversely..affect ad)aeent�pra�perties�.the owner may be cited for violating
the condl#lons.of the b�ilding:permit is'sued�`under the.attacFied permit appltcation;�for lots.less�than.one (1)
acre which are elevated�by flll, �rr engineered drainage plan is requlred. �
If I am the AGENT FOR THE OWNER, I�promise in good fatth to fnform the•owner of�the�permitting condtt{ons set forth In
this affidavtt�prior to commenoing constructlon. I undersfand that a�:separat� permit may be requlred for elecMcal work, . s
plumbing,..signs, wells, pools;. alr conditioning,-.gas�-or otMec Install�tlons not.spec�ically included�in.the�applicatbn. .A .
permit issued shall be constcued to b`e a�license�•to proceed with ttie work anai not•as:authoriiy to,vtolate,-�`cancel; alter, ar
set aside any'provis(ons of ihe technlcal.codes;�nor shall issuance�of a.permlt.prevent the Bulldlrig Oificial from thereafter
requlring a correction af errors in-plans; constiuctlon or vlolatlons of-any codes. Eve.ry�p'ermit issued sfiall tiecome invalid
unless the work authorized.by such permlt:�s-coFnmenced•withln six mnnths of�permit Issuance, or if vvork authorized by
the permit is suspended�or.abandoned;for.a;period;of�six E8)moMfas:eftec the time the�work�is commenced. An extension
may be requested, in wrlting,.from the�Bullding,Officfal for a pertod.�not.to exceed'ninety�(90)"-days a�d-viiill'demonstrate
justlfiable cause for.the extension�. If work ceas�s:for nineqr.(90)cons.ecutive days:..th�Job;is constdered aba�doned.
WARNING TO OWNER: YOUR..FAILURE�TO„RECORD,A;.NOTICE:OF.•COMMENCEMEMT:MAY�RESULT IN�`YOUR
PAYING TWICE•FOR:IMPROVEINENTS�T�:YOUF�;P1tOPERTY:�l�°YO.U;IiV�'�END:T�'��BTAIN�FINisc1�E1NG;'CONSULT
-WITH Yf1UR-LEf�1DER OR AM��TOR �Y�EFOR��ECOR�Nf��,OUfi'NDTIC�'(����IVIMENC�EI�I�NT' "
FLORIDA JURA�•(F.S:t17.03) .. �- ' � _� _` - -—�---
OWNER OR AOENT . C�NTRACTOR �
Subsaibed and svwm to(or aflirmed)before me this Subscribed and'swom•to(ot aflirtnedpbefote me�ftits
by •by . ,
Who Islare personally knovm to.me or�has/have.produced Who(s/are p.etsanally knoum•ta�.me_or haslhave:produced •
as Identlfldatlqn. as IdenBflcation.
Notery Public . Notary Public
Commisslon No: Commisslon No. __—
Name ot Notary typed,printed ar stamped Name oi Notery typed,pdnted or atamped
.
. . .. . . . _ .. ��
' - V 11�III11{Illlllillll{IIIIIINIIIIIIiII{1�1111111�11111111111
2016169
Key No_ Permit(Vo. _ -
Rept:1811270 Ree: 10.00
NOTlCE OF•CO3VIMENCEMENT �5° 0•�0 xs° 0'��
10f2?/2016 K. D. K. , Dpty Clerk
TH�UND�RSiGisiED hereby gives natice that improvemerd will he. -
Matl t0 CBfh�i1F1;and iri acziariianc�with Chapten 713.Fiofida State PRULR 5.0`NEIL,Ah.D PASG4 CLERK & G4MPTRO�LER
� ' 10/27/2016 09:42am 1 f 1
Stati�es,the following ir�formation is provided in this:tVotice.aif �R BK C�,�,4� PG �3g
Ca mericemer�
1. �escrip#ion af Property: Parce{Na::. `�� � r��- (�.O !Q -- a y 5 o.o ` b 6 SS
� {[.egal description of tl�e praperty�and street address's#avatlable)
2. G erai Descriptio ..of:lmpro emenr .
3. wner ictformation:Name: a...l
�ddress: _���_`�- � O*`� ...�:� .City�,,�r h t..l i� . Stafe .Zip
3 terest in P�operty: . . .-
! ame and Addr.ess�oYEee�Simple:Ti��tiolder(if ot�er than owner): �
4. Contractor. Name: �'LC�RC30FING L�G• -
. . .. .
..
bddress: PO..BOX 1-7.45`. � City .DADE CITY . �� State�FL.Zip.33526�
.�hone,No. 352=473-4073 " � . .. Fax�Na. 352-473-�073 � ,
5. �Surety.�lame _.. . . :Amount of Bond:$�.
A�a�: . city . . s��t� . z��. .
lione�fio. Faz,No.
6. �ender. Name: . .. . . . . . . . .
c�dress: Gity Stafe+ZiP
hone.No. Fax No�. ... .
7_ ersans witFiinthe 5tat�e of Fiorida iiesignated hy Owrigs upon�whorn notices ar otlier clocurrieiits�may�be
eroed as provided by Sectiori 7�13.13�'f}(a)�(T} Fioritla:.Stafufes. , -
"Name: � "
( ddress: City . State- . Zip
Rhone-No. � . .. . � Fax�No. .. . .
8. tri additi4n to fiitnsskf tir herse#f,C)wrner designates . . . . . o#
,
�'o receive�a copy ofthe Leinor's Notice as.praviderl�in,Section 713.�i3(.1:),(b),�F'lorida Statutes.
9.�xpiratson da#�af Notice of Commencement{fhe:.e�iration.date is'I year�f�ecc�rding unless a di#Ferent
date is specified_)
W lHG.TO OWTl�ANY PiRYME1�1'Y5 MAD6 BY THS OWNER:AfT�RTHE�XP!!tA`IIOAI OF THE A10710E'OF.COAAMEMCEAAEIVT.ARE
C NSiDERED'SNtF"ROPEtt PAYMEfi1;t5 tlNDEEt.GNAPI'�7�l3,PAR1'1,SEC�7l3.'13:Fi.ORIDI►.STA7'f3t'ES�,AlUD C1tN RkSUl7 ilwi 1'OtlR
P YIN�'TWICE FOR'IMPROVEMEN'i'$TO YOUR PROPERTY.,A N0410E�OF COII�EEAICEMEN'f MUST BE�itECORDED AND"POS'TED.ON 7HE
J B SlTE BEFORE 7HE FlR$T 1NSPECTION,IF YOq'INTEND'Td OBTAlA1 FlNANCINC3,COMSU�'t IfIfITH YOUR'LENDER OR ATl A7TORN'EY
8 FORE.COMG�ENC4[+tti Wt1t2t4�OR REC4RD1tit�YOtlR 2dQT10E OF COtNMEt�tG�1SENT.
(� � 9,�.� (���-�
X���fi..�`�S- -� � C.l �..`r.t�bl::�J �l.cr_J-rti52ti� .
gnahua"af Otivifer.or O:vner's Auttioi�OfTsc'srlDirec#oifParitssrlMartager� . . . Signatot�s=TitielOffice
""SlgnaWre Re4�ited by s8rtie•6etpw bY'X"'htark"�' f�
te flf { 4(�Y 1 Gflunty oi `1�4.�C�`�
e forgoing instrumertt w�s admowtedged.before me Uiis a��day of�,:ZOf�P by.�Yl �,("� � ���`�.
�
' (Printed`.name of person admowledging)
a for
of authority e:. ,'trus attorriey tn fa�t) (Name of pariy on belmif oFwho:i
;��:•�,+ KRISTA�CREWS
_ �
ersonall f�kno�+xn .OR Producedddentification .... . .. Typ$oT Sta •,a ',�� �(res February 17,2020
!I �:e�;!y°2``` e�atntit�v�n,.�r�.mnaasm�a
ype of tderttifit�tion Prottuced:.. . � �
eNfleaUon pursuant to Sec6on 9ti5?S,Flo�ida S�::under Penattlees,M perjury,!declarei thatl have read the foraejoing and�that tho taats'
sY,stnd 1n it.are:true tu:the he3t of my'Imanviedge and:belief. � "
I ,
STATE OF FLORIDA,COUN`rY OF PAS�B �����j��lb1s �V��� ��
� THIS IS TO CERTIFY THAT TWE FOREGOING IS�A ' ��8r • � �rjo o • • ° ��
TRUE
AND CORRECT COPY 4F THE DOCUMENT �� G
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �� ,♦ �j • s��
WITNE�MY HAND AN FF I L SEAL THIS � " � • � ` •
�DAY OF � 'r"'t.u"t' S"r a � � � tn Go�1ve ,�usr . �"
:= �'•:. �
2�/ � .
PAULA S. ' EIL,CLERK&COMPTROLLER ' , � � ' �
� " ,,p �� •
BY r �EPUTY CLERK �� � ay � IgB� �
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��ce: 3�2�37-�7� Ce61: 3�2-65�-7�0�
' PROROSAI SUBWIfTTEDTO WO�iKED�O 8E PERFORMEO A�
IVarnes � 1 � l—� '� s �eet
S�et � � �
� CiY� .f Sia�te Z�
�ate �'ip o�rr�r of�o�
Pt�,1�6� � '��6�att l�9tane Riumb�r Fa=c
lP��h�r�by p�to fcae�sh af!th��terials and pe�#orm�ii the Ia�P nec�ss��f�or the oomplet�on of:
E]Remov�exisdng sl�ingle ro�f �Repiace 6ad fascia boarals at$ ��; � '� per f�t
�Re�v� 'ng buiR-up raof �lns#aH feet of rid�verrt�
�3,Dry-in " O 1S[b. �3�Ib. ❑lnstali modi�d tiiGmen(granula#ed)tofch down faofing
��nshail ga{vanized vail�y metal biack.white or other cotor
�1 Install i�ad boats O Install 25 yr.fungus r+�sistant 3-tab shingles
�Insi�ll n exhaust venis �install�yr.fungus tesfstarrt dirte�nsi�nal shingEes
�Insf2ttl drip edge� coior 0 Shingie manufacturer color
I, �tnstall flasP�ing as needed ❑Insisll TFO,whi�e rubbarazed roofing membrane
Reptecg �at$ -���`�� ger sh�t �Other: � � �i o Ms� �,� rJ� b V
sh
; —�
Fiepair m�ten truss�es at� � �v foo � �.1�1�'��L., �� S� ��
. �
I �Wood�+ork��s an addi6o�ai charg�,see pricing abov�
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14i{mat�rial�c,�sara�4e3ed�a i�as specifted;artd the above�arork is to be perPorme�is accor�anc�with the drawirtgs and speci�i�a-
tions suk ' ed 9or above work and completed in a substarttial wor�na�nlike mani�arfor th�sum of$
+roith p�y�rne ts to be made as follow�. ��yme�l$du� �1'9 fU9� �c6 c�m !�0�9.ue�l'���th�PW't�et��o'4'�'IaatG�l��e
� �p+�t a�rds ac�d,adc�tioe�al 28°10 cfiarge.
Ariy altemt�o+�o davi�uon Nam above�ttans�mohrtrsg mma costa w�l
he e�att�d upan wr0ten or�rs.�+d�becnme an e�ra cha►ge aver and
� above the te.All agreemeMs�t ug�s�ss.acciderrts w d�eys Off'IC@r/A erlt
beyond an Oarner ta certy ftre.�ared oUfer n�aN�T�►►�e 9
upon�re�workms�comF,�ne�aonena�+�cy+r�rar►eeeneewe IVote: This proposal may be withdrawn k�y us if not accapt�d
work ta 6e take�out by Rootiru9 Contraclor.
WIt111f1 CI��S.
Ctient gn+es permassion to drive on drir�eway to del"roer materiais.
ACCEPT�1lCE OF P1�OPOS�►L
The abov prices,spec�cations and conditions are satisfac4ory and are hereby accepted.You are authorized#o do�he work as
speciiied.l have read the�k of this ProposaVCoirtract,v�hiah corrtains Fiorida Statues �-713.37.Payment w9il be imade as
ouilined .
,q�t� Signature �
Date � � , � Signature
� �
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