HomeMy WebLinkAbout17-18813 CITY OF ZEPHYRHILLS �
� i 5335-8TH STREET
�sis)�so-aozo 18 13
FENCE PERMIT
PERMIT INFORMATION . - - LOCATION INFORMATION
Permit Number: 18813 Address: 38615 LANSING AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-1200
Improv. Cost: 12,500.00 OWNER INFORMATION
Date Issued: 8/28/2017 Name: SLEEPY HOLLOW MOBILE EST INC
Total Fees: 40.00 Address: 38615 LANSING
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
� Date Paid: 8/28/2017 Phone:
Work Desc: INSTALL 532 X 6 PVC FENCE
CONTRACTOR S APPLICATION FEES
PASCO FENCE COMPANY INC (813)788-5642 FENCE 40.00
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- - Ins ections Re uired
FINAL
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
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813aso-ooao City of Zephyrhills Permit Application Fax 813-78Q-0021
, t Building Dapartment
Date Received . -:: Phone�Caetact far PermEt#in �I � . c�' � - ��a �
Owner's Name 5L� �fi DL�C1�✓ Owner Phone Number
owner's Addre�s 3 �'lo lJ� �/✓�'�r 7 .��b' " Gwnsr Phone Numbsr �- � ,
Fee Simple Tldehalder Name �� � Owner Phane Number � ��
Fee Simple Tltlehald�r Addres� •
JOB ADDRE3S -��� l,J/ G /�'S'r,.-�� C/� LOT# ��
SUBD1ViS10N �_ �� PARCEL ID# 'v Z~ 2-l' v1l " b,�lo U - O C�O p U-�Zo cs
. (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED- t NEW CONS7R ADDlALfi ��` SIGN' Q Q DEMOLISH
INSTALL 8 -, REPi41R ,
PROPOSED:USE Q SFR Q �COMM [� OTHER , .
TYPE OF CQiNSTRUCTION C]' �'BLOCK " [� FRAME �� STEEC [,�
ti ,,/
DESCRIPTIdN OF WORK• � t ,G-�/7�/ � �(�G� �C/+�Gt'� '� ,,�L%�' �
BUIi.DtNG SlZE � �'SQ'FOQTAGE� 3 � . HEIGHT C'� �
`-"'�-�«���C`' ' � VALUATION fJF TOTAL CONSTRUCTION �"
� •,�",�o. a o •
QE�ECTRIGAI $ AMP SERVICE Q FROGRESS ENEFtGY [� W.R.E.C.
.�_� �
[�]PLt1MBtNG ^'� �
QMECFiANtCAL $�������. ` ' � VALUATtQN OF:M�CHANtGA�INSTALU.lT10N ��I��� ���
Q�5 Q RQOFING Q SFECIA�'rY � OTHER•
FINISHED FLOOR ELEVATIONS ��� FLOOD zONE AREA [�YES r NO
BUI�.DER G1 11 COMPANIf'" !��� �r •y�G-`���'� �u /�'C'
SIGNATURE � •^� '"L REGI&TERED Y/ N 'FeE Cua�n Y/N
Address ' Lfconse#'� �
E�ECTRlCIAN: ,, , - :=COMPAPIY " ` - � `-
SIGNATURE � REGISTERED Y/ N FEE CURRE�- -�'`Y/N�
r = , [��"'"
Address � ' , , , License,#.�• . �, . �
P[.UMBER ' � COMRANY , 'L ..
SIGNATURE�' - � � , REf31S.TERED Y./�.N, . ,��:Fee cul�n Y•/N -•'_
Address ` Licerise,# �� y �.
MECFflRAIFCAL` � }, . � . " � , ' , . -
- 'C.OMPANY
SiGNA7URE� ' ' " ' �`" � �� REGISTERED � �',.Y,.I N . �,. FEECURREP: YI�N �
r. , , . .
Address: _ , _ � ,. , . : :�_ .. � . . . ` Cicens,e#��� � ,
OTtiER "� -, -_ � ° - - � ` '',`GOMAANY � � ,, „
SIGNATURE' �_. ��'.,. . � . ,. .. r,.-�,+,�.. ,>::a.� ; �
''�"'`REGI3TERED ' " Y/ N;.. `•FEE CURRE� Y/N
Address ,: .. .- . .. : ., . Llcense# �� '_'_' �".Y, .
,,-.._ ._... t, 4 .� .- ., : ,:. . . x
REStRENT1AL'..::'��Attach•(Z):;Rtot�Pian's;�;(2)sefsiofi{Buildingi Ptans;{1)set oE:'Energyr:€oirn's:'R=O=W Perinit far new coi�shvation,, . _ . . ' -
-_,� ;,}f_,Minimumeten�(�:10);woriiing�days-after;submlttal'd'ate.i'Required onsite;:Constiucticri�Plans`,'8tormwater�Plans,w%SI�IYFenceinstalled, � '
Sanitary Facilides&1 durnpster-SiteUVpr,k�.P,ermit;for,su6cltvislons/large�projects;;.;._:..��:�.. , • �. f�. �, , _ •
COMMERGlRl. A##ecfs{3}c�rimptete sefs"af 8ultdlog Plans'plus a'Ufe Safeiy Page,`{1}se#of Energy Forms.R-O-W Permit for ney+i�cai►strvc�tion.,-. � =- .
Minimum ten(10)worktng day.s after submittal date. Requfred-onsite,CanstrucHan Pians,Stormwater Plans w/Silt Fence installed,
k,. .,i
Sanitary Facilides&1.dumpster.Site Work Permit for all new,projects:.Atl comrnerciat requlrements�must mest aompilance��� � ` � " �
.SIGN PERMIT Attacti{2)sefs"a`f Eiigirieerisd%i?latis:;;�>�i���; -,. , _ _ .- � , - � . � ., �,�,,�. �
...» ._._.._..__� ._.�...,.__..,,,..��9,,._._...�..,....,.,� EW ccnstructian..., ., _ .. ` - - -
, • .. _..., .._. .,. ; . . .. _ ... `
lY SURVEY r uired forap N ;f]:,, , , .
� Dtrectlaris: . ..� � . . . __ , , �_ _. , . ,
FIII out applicaUon wmpletely.
Qwner&Canhactar_stgn back of appitcatlon,natarized
If over t+2S00,a NoNce+df Commancement 1�reguired. (A/C upgrades ovec 57500)
. : ��
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" Agent(for tFie contractor)`or'Powe�of Attor'riey'(fbr tFie'owne�j would tie someone with notarized letter from owner authodzing same
DVER'fFtE"CGtlNT.ER;PERM!'i'TfNt's._.. ....(Frontof=APPlication-Oniy)�.._, ., , ">`.' r . , . . - _ . . ,...., .
Reroofs if shtngles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
_._,,..., ,. .�,.�__ _. ._... _. ._ _. .�, _ _ _,; . , -. . : .Q.a. , .
Drivewaya-Not over Counter if on publla roedways:.rieed's ROW � � � � '
_._. � � .__I' �t
. . : .
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NOTICE O�DEED REST.RICTIONS: The unde�rslgaed,under�tands�,;Eh�#ftF�l�}P�rmlt,:may he;subjeat,to.�deed".,restric#ioiis°�..�w,,..:.._..,�.
which may bie�more'.r.estfictiveXth���-Counly�regulatfons:��"The underslgned'=assumeszresprin"sitiility='for compllance�w►ith`a�y ' `, �� .�'
appllcabfe deed restrlcttons. � :. ...::,- :.: �;:_ �, � - _ _, . ; �: _.�- � ..
UNLICENSED�CClNTRACTORS ,AND CONTRACTOR R@�PON�IBI�1T1@S: xif°ftie owner`has���hired��a�`aontractor or
conttactors io undertake work�.they may:b;e:�reqirlred:�to.;�be:�llaensed-In accordance.with state.and�local:regulatlon_s.:��if�th`e���<' ��'-�
cantractor=ls-not ttcensed�as��requlced�tiy leVir,.bottrthe'owner and��co�ntsactor=inay�bei3�clted�fcr�a�iinisdemear�or vlolation
under state law. If the awner ar intended>,,,contra!�tor:,:are:iunce�taln as�to what Ilcenaing:require�nents�mey=�apply��:for.�the�'• �-�- ��� '
intended work.they are aclvlsed to contacYttie,Pasco�:Coun#y Buiicli'tig`lnspecttoii Dfiitsfon�-l:Icensfng�Sectian at 727-847-
8009. �urthermore, tf the oviiner tias titi�iiii�a iaan�acto�"or coritractors, he ris advtsed to have the aantracta�(s),,sign ,
portions of the:°contracta�_Black° of this.applicatlan..for:which.ihey,will..be xesp.onsible.- .If::you;=as.:#he owne�'`sign''as'the� � �
- � � -�..�__w�
contraatot� that-tnay�be an indicatian that'he is tiot.prope�y Ilcense� and�ls�not erit�tletl`to permitting privileges !n Pasco
County. .. . ; ,,.w�::.�. . _ .
TRANSPORTATIQN.IMPAGTlUTIi:{TIES CME�AC'�ANb ItESaU1tCE RECOVERYfEES:�The unde�slgried-understands
that Transportation tmpact Fees and.Reco.utse.Recovery„Fees may�..�pplyt�tv tfie;cons#ructlon;of new.buildin.gs,:�change�of'� ` r=� "'�
use•in exi's`ting buqdings; or.aexpartisi�n>of�existi�i;g`.�u1l�ings, as specifled.in Pasco Cvunty Ordlnance number 89-07 and,
90-07, as amended.,,.,The undersigned aiso�understands, tFia�t�such fees;-as�may:be�=d�e;;.will:�.�e identified at the�time�of:: �T� .
permitting. It Is fuYtFier unders'tood that Transp�ortatlon Impacf Fees and Resour."4e.�RecoVeryAFees,.musY be pald prfar to
rece�ving-a Yce�EiffcaEe=of-oc�upancy"or�fMal•power�;celease:��:4��the,pto�ect<:does:rio�lovotveaa�cert#�cate of occuparicy<flT-�`"�: .: .,
final powec release,�the�;#ees�rriu�t�be paldspclor,to,permit issuan'ce. F��t�termare;'if Pasco;County"1NaterlSewec��lmpact� �• .. . �
fees ars du�,.thep:must.�be�patd�:prlor�o perniilt�lssti�nce:inKa�cocdance wlkti'appHaatite.Pasco'.Countjr;orrlinances. -
CONSTRUCTtON'L"iEN'I.AYV(Ciiapter 713� Etorfida$tatutes�aa amendedj: ifi'vaiva�on of work is$2,500.00.•or more�_i �� :�:.�
certify that I, the..appiicant;-have:been-provideil �wlth=�a=�copy-of-.the_�".Florida�°Constructton Llerr:Law--Homeowner's
Protectla� Guide° prepared by�tne Floi�da Qepartmen#;of Agrlcul#ure and Cansumer.;Affairs. 3f the apptican#is sameone ._ : .
. ��.�. ,
other than#he"owner", I aert(fji.that_I:�hav_e.,abtainetlya�copy.of..the�;abQye�;rlers.crlCieddocut�entand:pr�i�iisi�;in,goad`:faith�-to. , ,.
deliver it to:,ttis.:'owne�'::prto��to�cammencerrien�:�'° . , � .,..� � . .. . � _..; . -._ --
CONTR�CTOR'S10WNER'S AFFIDAVIT: I.cei#t�y:.th�t;ali.the�informaticm:;ln�thl�appltaatlon is accurate and that all work
;,,,,,
wA!'be done in complte�nce with a11.appHcable laws regulating Gonstruction, zoning and�land��development. Appllcatton (s
hereby made to obtain.a permit�;to:dv:work�;and;tnstaila#lan as {ndl�eted:-����:1. ce�tify'tttat no work�:or installation has
commenced pHot to I'ssuance`of,a permtt"and that`.all work wlll be pertarmed�#o meet-standards-of�all laws regulating-
cortstruction, Gounty and City codes, zoning r$gulatlons� and land developmerit r.egalatlons'�fn"tiie jurlsdtctlart.� �1=.�1'so� �
certify that I understand:that the �egulattons of other�gavernment agencles may•apply�#a the_intended,work, and that it is
my responsibi#ity to fdentlfy�what,actlons I must kake:#o be,ln:.cotrfpllanae; $uch agencies lnciude-but-are:not limited ta: -.
- Department of E�vironmental>�Pro�tec#ion=Cypr�ss.'Bayhead�; Vlletland Areas and E�vtronmentatiy Sensitive
l.ands,WaterMlastewater Treatment.
..
- Southwest Flarida Water Management.C?is#r�ct-Wells� CYRress. Bsy�eads;- Wetiand` Areas, Attaring
Watercourses. `
- Army Corps af Englneers-Seawa!!s*Clocks,hlavlgatile Watetways.
- Department of Heaith;:& .Rei�abllltattve,ServiceslEnvironmentai�Heaith Unit VVeli.s�.Wastev�ater��Treatment, �
Septic Tanks..� � . , � , :
- US Envlronmental Protectlan Agency-Asbestos abatement. -�
Federal Avlatlon�Authority=ftunways.�� _
t understand that the,foilointing�rssUlctions apply#v the use of f#i!:
- Use of flli is not ailawed in'F1oud-Zone"V"uniess expressly permitted.
- If the �A mate�iai- ls to�`b.e usetl_.In :Flood Zone. "A", It. is understood that a dralnage plan addressing a
"compensating voiume"will be submttted at#ime of:petmifting whlch Is prepared by a prafessional engineer
Iicensed by'#tie State qf'�Morida: � � � �
- tf th� f�ll materla#-:Ia to:ba used In Flood �one 'A" in>connection�w1th�a{�ermitted 6uiCcting ctsittg stem wall
' construction� (certifiy:that,flll.wall:b.e;used only.to fill the ar�a wlthin:the�stem�ralL• ,
- If fill materlal Is to be tised�ln any area, ( �ceKify tfia# uss af'such flll will not adversefy affect ad}acent .
praperties. If use of filt is found_to adverse�y:�ffect adja�erat�-propertles,.th�owner may be ci#ed for vlolating
� the cond�ions of the buildtng:.permit Issued�under tfie:altacFied.,permit applicatlon,.for:lats�less than.one (1)
acre wtiEch"are elevatei!'!iy flll,�r.t englneer�d dralnagc�ptan i�requlred. ..
If i am the AGENT FOR.THE OYYNER;,I�.pmmise in good faith to fnform the owner of�the permitting conditlans set forth in
thls afFldavtt`p�fo�to�corrimer�cing construetlon. i uridersfand thafia�separate petmit may be requ[red for etectrtce# work, �
plumbing,._signs, we0s,:poots; air.conditioning, .g�ts,.or othe� install�itions not�spec�icatly lncluded�in the application. A
permft Issued shall be cortstcued to'ae'�a'license'-ko�proceed with tt�e:work and not::as:authoN#y::to.vlolate;.:cancel� alier, or
set aside sitp pravtstons of tF�e te�nlcal-.cade�;�nor shalt tssusnce�af a.permlt.proven#the 8ulldlrig t�tflclal from thereafter
requiring a coRection,Qf..errors,in•plans; constructian or violatlons of�any codes. .Every�p�ermik=lssued�sFiall�become invalid
uniess the work authorfae�.by such permit��is-carnmenced�wtthln s�Cc.,months of penntt tssuance, or if work authorized by
the permit is suspended�or:abandoned-for.a';periad,of sbc E�)�mnnfiis after the;tirt�e the�wcrk�ds commen�ed. An extenslon
may be requested, In writing;,:from.'ttie,Building,Offictal for a peNod.not.to�exceed-ninety�(90)'days a�d�-viilll`�demonstrate
justi�able'cause for.�the extensior� If woxk ceas��for ninefy�{90)cons.+acutive:day.s,_the job�is consfdeted aba�dotted.
WARNING TO OWNfR: YOUl�.-FAtL.URE TO.R�Ct)RD_A,�lOT�ICE�:O�.-GOMMEMGEME�!'T<MAY-RESU�:T IN YC1►UR '
PaY1NG TwICE;�oR IMPROVEMENTS�.T�O;YOUR:PRC�PER-.TY.��IF°YO.tJ�li�'�END�TO-��TA1N�-PIN�AcpEYNG;�CONSULT
W!T U D O AN�►TFO N O.��.� -OR�1 f�; OU ' �, C '� .:� •.� E T• �
�:.._--., -�_=_... _�:�_-�_-== �,._�_.�>__,�.__,�_,.--.�__ _.___ _�_._._ _ ---- - .__ -
FtQRlpA JUi4A�(F,��1.1�.03}--- —._ __� �.: _�_.__ ., ..: " , / r ��
OWNEF!OR AO�NT CONTRACTG ��/
Subsaibed and awom#o{ar aiflrmed)bafare me Urts Subscttbed and`avuam=ta{at afflnnedrb' re me'ttii�
by �by - '
V1►ho Islare pe[sonaliy known ta.me.or has/have produced Who:ls/are p.ersonallyknown•to•nte:or haslhave�produced •
' as td'entl8ce�a�. . � as ldeni�ica#ton.
Notery Public . Notary Publlc
Commisslon Na: Com�Gsslon_No,
Name of(�totary typed�Printed or stamped Name of Notary typed,pdnted or stamped
_ I
,�S S�S�S�r, /'/✓ S�c i �v ,�v c��-� �T,�3'�a1/►J S'i���� z� S�s �✓�/ � /���G� a� ��-�T
��=�.���� v �v v�,—� 5'�C���j holl6%� /�'�o,/'1L� �s:�}-T� S
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Pertnil No. Parcel ID No
NOTICE OF COMMENCEMEN
State of ���/C�/,q!7" County of !/T�C O
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 773,Florida Stalutes,
the following infortnation is provided in this Notice of Cammencement: 7
1 Description of Property Parcel Identification No. d�—ot� —��� �������G(� � �G(J Q
Street Address:�O (o J_\ L/�/VS'/N� �Q(/F', �������s � �_
2. General Description of Improvement �r, i Ll ��JTC�"l'� �V e- /" �' �✓�—(`�
3. Ovmer Information or Lessee infortnation if the Lessee contracted for the improvement:
��C�y ,�/ollae�l ,m�Q•��! �s�rr� .� ��s���.,��,z� ��o�°�,z,4�, ��
Name �
3,�'�/_s' c;��s,� �' A�/,� z �P��y 2,�.'/l � FL
Address City State ��
Interest in Property:
Name of Fee Simple TiUeholder: ��
(If dif(erent from Owner listed above) r+—
J�
�+�
Address City State w_
;. 4. ContractorTo i� LJ i i.To� G1S'C� �c,s�C� �v i,..�c � �_
�2�l�me(/"LUi''] �S ✓' ���/-�`!�f�����` �- i (�O�
�. _ •`�
�"� Address � (r� 7 (�p i '/ City State =
Contractors Telephone No. 6� J '�d"D � ��'�` � � �
5. Surety:
Name �
Address City State �
Amount of Bond: $ Telephane No..
6. Lender' � �
Name —
Address Ciry State �
Lenders Telephone No.
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
SeGion 713.13(1)(a)(7),Florida Statutes: _
,�,
Name ' m p�
Ou�/1 O
� • 'O
Address City State N �
(11 B..
Telephone Number of Designated Person: N��
8. In addition to himseH,the owner designetes a{_ ���
to receive a copy of the Lienors Notice as provided in Seciion 713.13(1)(b),Florida Statutes. � �
Telephone Number of Person or Entiry Designated by Owner: 3 W
9. E�iration date of Notice of Commencement(the e�iration date may not be before the compledon of construction and final payment to the �1 ra
cantraUor,but will be one year from the date of recording unless a different date is specified): '� .��
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STAMES, AND CAN ����
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE ���.,�
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT .0 p B
� WITH YOUR LENDER OR AN AlTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I deGare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best � m
of my knowledge and belief. (p
�
STATE OF FLORIDA /�. / � �
COUNTY OF PASCO LCf
Signature of er or L s e,or Owners or Lessee s Authorized
Officer/Dir or/Partner/ nager
• � G �
Signatory s TiHe/Office
The faregoing instrument was acknowledged bef e me this��f�ay of kS�20�Z by W����" � �r���
as �l n2. �S 1��'f (type ot authoriry,e.g.,officer,trustee,attomey in fact)tor 11111,1"'I//
D O m� r 1 � ,Q (name of party on behalf of whom insWment was e ecuted).\\\��\\����E MOS//���//
Personaliy Known OR Produced Identification❑ Notary Signature 4�!—Cxe�v� � !��� `� ��;��y���N•��� /////
Type of IdentificaBon Produced Name(Prinq_Ji1��QN E vu/�s�(.�� ` �,V�Q,y Q8, ���•,� �
� •� ? � Fv'' ..
PAULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEF �* ' ►•� :*�
08/25/2017 01:37 m 1 Cofr�1 �y�,z �o��s ; s
OR BK 9��� P� �dL3 %�9��?eOodeatan' '`�`,y'����
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_ � PROPOSAL N0.
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SHEET N0.
PROPOSAL SUBMITTED T0: WORKTO BE PERFORMED AT: DATE�,��`Z�
NAME � . ADDRESS
�[. ���� �o/l a �.I /1'J d G3;��r .�J� �
ADDRESS
�O �U �� L�0✓c�/ ` � �UL'
DATE OF PLANS
2�" i-� ��`I �� �.
PHONE N0. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
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Ail material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specificatinns submitted for above work and
completed in a substantial workmanlike manner for the sum o C dC if/o v.� /� F�/��//���� �D�� C���
Dollars ($��r�7'""�� d ° )with payments to be made as follows.
Any alterallon or deviation from above specifications involving extra costs ���
wiil be executed only upon written order,and will becrome an entra charge Respectfuily
over and above the estimate. All agreements contingent upon strikes, submitted
accidents,or delays beyond our control.
Per
Note—this proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,spec'rfications,and conditions are satisfactory and are hereby accepted. You are authorizetl to do the work as specified. Payments will be made as
outlined above.
Signature ,
_ i
Date Signature
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