HomeMy WebLinkAbout17-19029 CITY OF ZEPHYRHILLS -
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5335-8TH STREET �
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FENCE PERMIT ,
- PERMI� IRIFORMATION � - LOCATION INFORMATION
Permit Number: 19029 Address: 5940 DOGWOOD ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book: I
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0260-01800-1290
Improv. Cost: 5,968.00 OWNER INFORMATION
Date Issued: 11/07/2017 Name: ZEPHYR CHRISTIAN CHURCH INC
Total Fees: 55.00 Address: 5940 DOGWOOD ST ( MH)
�►mount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/07/2017 Phone: (812)946-2934
Work Desc: INSTALLATION 332 X 6 CHAINLINK FENCE
CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC (407)832-8085 FENCE 55.00
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Ins ections Re u ed
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 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.
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 properly. 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
t�u�ltling Departinent
Date fteceivE�dl � �
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sIGN�ATURE; _ _� �__ REfisiSTERPD Y! N r F1=E GURRE�� Y/�
A��dress !__ ._ y ._____ ._ �� Licenso# �__._ __�.�
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i1GN�4TURE: �� ��_� � ftEGISTERED Y I 1ti1 F�E CURREi� � Y i i�
11�idrese C__�.��_�. �_______�� L.icense# C^.. �- _._..�
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2ESIUIENTlAI. Att<ach{1)Plof Plans;{2}sets of Buiidfng P{ans;{9)set of Energy f=orms;F2-Q-W Permit for new consfiruction,
iulfnimum ken(14)work(nc�days.iftQr submlttal dafe, Requlred onsitE:,t�anstruction Pians,Stormwater Plans w!S!!t f?ence InstaAed„
- -----;3anitary�Facilfties&1-dumpster;Slts Work F?srmlt for-subd4vlsionsll��rg+�-�roiects ____- _____,___.__�.__�_ _�,__
� :ONit�tERC111L Att��ch(3)complete sets of 8uild(ng Pl�ns plus a Lifa Safety Page;{�i};;et of Energy F'arms.R-O-W Permit for new cbnstructlon.
Miiiimum ten(10}workinc�days��fter:stjbmitta!date. Requlred onsite�,t:onstructlon P1ans,Stormwater Pians wi Sifk Fence installed,
,iar�lt��ry Facilftles 8�1 dumpster.SIQe Work f�ermit forall n�w prajects,Afi commercial r�qul�•ements rriust meet�ompl(ance
�iGN P�ERMil' lltfe�ctr(2}sets of t_ngfneared Pl��ns.
**"�PFt01�ERTY SURVEY requir�d for�11 NEW cons#ruc#fon
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�irecl.hans:
F�il!out appli<.aticm oomE>letely.
C)�aner 8�Contr��ctor�igrt back of appficatian,nc�tarizr�d
!�t�over$;�540,a Not�ce of Comnnencement is required. {A!C upgrades aver:67500}
Ftcfent(fnv kht;cc�ntrat,tor}or}�owor of Attomey(for the owner)would be sc�meone with notarized letter�Frorn awner authorizing same
�VER.'fHE Ct)U��T►:f�P�iR11AITTlNG {I=ront of Appltcatlon Only}
f�roofs,if shingies St3wers Service Upgr�des !�/C FenCes(Plt�tl8urveyll�ootage)
Clrivewa��s-hlot o��flr Counter tf on pubfia roadways„rineds Ftf3W
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NC)1'IGE: OIF DE�[) RE:STFtIC1�lONS: Tfie; undersigneci understands that this permil rnay be subjoct to "d�3isd�' restric;tions"
whicru m�y be more r�stric;tive than Ccaunty r�gulations, 'T'lie undersigned assurness responsibility for compliaric�� vvith any
applic;able deed restric:tfons. �
UNLI�CE�VSED CUNTRA(�TORS �N[) C�z)�TRAC70R FtESPONSIBILITIES: If tf�e owner has hired �a c:��ritric;tor or
contr��ctors to undertal<e work, ihey may !7e required to be Iicenseci in accordancE; with state and local rec�ulai:ion�. 19 the
contr��ctc�r is not Ifcensed as r'equired by law, both thE; owner �nd contractor m�iy be cfted for 1 misdeme;ar�or viol�tion
under� stato law, if the ovvner or interid��c� contractor ��re; uncertain as to what lic;ensing requirements rri��y���pE�ly for• the
intencied work, fhey are acivise;d to corit�cf the Pasco (�ounty Building Inspectivn M�ivision—Licen:,ing Sec;fic�nI at 72�-ti47-
8009. F�urthermore, if th� ovvner ha;s hired a contract��r or contractors, he (s acivised tc� havn the c��nt lactor(s) sign
portlons of the "contr<<ctor Block" of thiis <�pplication for vvhich they will be r•esporisible. If you, as the o�vne�r sigri ;�s the
contr��ctor, that m�y be an indfcation I;h�at he is not prop�rly lic�3nsed anci i;s not E:ntikled to permitting pri�vil�g�,s iri �'�asco
County. j
TF�AI�JSPORTATI(JN iMP�CTlUTILITVES IM9'ACT AND RESOIJRC� R�C�VERY FEES; The undersignisdr linder:�t�inds
that 1"ransportation ImpacQ FeE;s and Fte�c�aur��e Recove;ry f=ees may apply to thE: c;on�truction of rrew buil��ings�, change of
use iii existing buildings, ��r expansiori of existing buil��ings, as specified in Pa;�co County Ordin�nce numb'E�i• l39-07 and
90-07', �s �3mended. The undersignec� s�lso �anderstands, that such fees, as m��y be due, will be identifi��rJ at tlie time of
permutting. It (s furthe;r urider;�tood th�t T'ransportatiori Impact Fee�s and Resourc;e f�ecovery Fe�s musi: he; ��aid pric�r to
rE;aei�rinc� a "certlficat� of��ccupancy" or f6nal power rele�ase, If the: project doe;s not involve a certificate c�f oc;cupanc;y or
finai ��ower release, the fE3es inust be p�ld prior to permit issuance. Furtherm��r�a, ii� Pascc� County Wate;r/S���n�er Impact
fe�;s ��re due, they must bE� paid prior to pE,rmit issuanc� in accordance with appiicabli� Pasco County ordin��n�r.�.s,
CUN'5T'I�UCTION LIE'N LR�W (ChaptE:r 7'13, Florida Statutes, as amended): �f valuatfon c�f work is $2,'i(l0;00 or mare, I
I certifi� that I, the ap��licant, F�ave bEen �rovided wil:h a copy af the NFlorida Construction Lien La�n��---Hc�meowrier's
Protoctic�n Guide" prepar�d by the FlGrici�� D�partmenl: of Agriculture anci Gonsurner Affairs. If the applic�ar�t is sorn�:one
other th��n the "owner", I certif,y tha4 I have3 obtained a ropy of the �bove c9e,scribed �c�cument and promis�m in c�ood faith to
deliv�;r it to the "owner° prior tc� comm�ncE�me�nt. i
Cc�N'TR��TOR'SIONJNER'S AFF9DAVd1': I certify that all the information in this a����lication is accurate and 1:h�t a91 work
' will be done in compliance wikh all applicablc� laws rec�ulating con;�truction, zoning and land devE:lopmerit. F�p��lic;ation is
hErel:�y made to obteiin �i permit to da work and fn.�t�dlation as indic�ted, I ce:r�ify that no work or fnstallatian has
comrnenced prior to issu�ance� of a perrnit and that all �vc�rk will be peri�ormed t� meet standards of all I��ws reg�al��ting
consi;ruction, County and City codes, zo�ning regulations, and land devel�pment r�agulations in the juri.�dic�fian. I also
certify that I understand tf�at the regulatic�ns �f otfier government ��genci�:s may ��pply to the intended w��rk,! �ind �that it is
m,y rF�sp�nsibility to fd�ntify what actions I must take to bE; In compliance. Such �c�encles include l�ut are nc�t lirnited to:
- Department af Erivironmontal f'rotection-Cypress �ayheads, 1Netl�arid f�reas and Environm�;ntally Sensitive
Land�, Water(Wa:�tewater TrE;atrnent. �
- Southwest Florida WatPr Managemenl District-Wells, (�ypress E3�yheads, Wetland E�retis, Altc:ring
Watercourses. �
- Army Corps of Engineers••Se��w�lls, Docks, N�ivigable Waterways. �
- QepartmEnt c�f H�alth & Refiak►ilitative Services/E:nvironment�l He��ith Unit-Wells, Wastevv�ater 1-re:atment,
Septic Tanks. � • ` ',
- US Environm��ntal Protection Agdsncy-Asbesl:os abatement, i
Federal A,viatlon f�uthority-Runways. �
I undorstarid that the 1'ollowing restrictions apply to the use of fill:� !
' - Use of fill is not allowed in Flaod Zone "V" unl�ss exprE�ssly permitted. ! j
If the flll mal;erial is to be �.ised in Flood Zone "A", It is urrder��tc�od that � drainage pl�n ;�i�clr�ssing a
"compen:�ating valume" will t�e :aubmftted a� time of permitting whi��h is prepared by a profe:ssional E;ngineer
Iicensed by the State of Fiorida. �
If the �II mat��rial fs to bQ �a;�ed in Flood Z��rie "A" in conn�cl:ion with a permitted building tasing sten� wall
e used onl� to fill fhe area within the st�m wali. �
construction, I certify that fill�vill b �
- If fill material ls to be used in any area, I certif,y tfiat us� of such fill will not adverselv s�ffe:ct ;�clj�cent
. �� ad acenk ro erties, the owner rnay be �it��d for v(olating
propertie;�. if use; of fill Is fc�iand to adver.,ely affect J p P
the condition;� of the buildinc� pE�rmit IssuE;d under the attaclied perrnit �application, for lots I�:ss lh;an ane (1)
acre which are elE;vated by fill, an engineered drainago plan is requfre�d. , ;
If I ain tl�e AG�NI' F�JR 1fHE OWNEI�t, I pramise in g��od faith to inform fihe ownE�r of the permitting concliCio�ri:� set i�orth in
this ��fficlavit prlor to c,ommencing construation. I understand that a separate permit may be required fc�r �I«ctriaal work, ,
plumbing, signs, wells, pools, air conditioning, gas, crr other installations not ;�pecifically included in th� a��plic�ation, A
pE;rmit i:�sued shall bE; constr�aed to b� �� IicEnse to proceE:d wfth the work and not as authority to vlolate, canc��l, altc�r, or
se;t aside any provisic�ns c�f th�technical codes, nor shall issuance of a permit prevent the Buildlrig Qfficial f�c�m tf�erEafter
requirinc,� a correction of error� in plans, c;on�truction or��i�lations of any codes. �very permit (ssued sh�all b;Fi;c�me irivalid
unle�,s the work �uthorize:d by such perrnit is commenced withfn uix months oi` permit issuance, or if wc�rk I��uthori:zE,d by
the Fnermit is suspended c►r ak�andoned far a period of six (6) munths after the time the work is commenc��ci,; liri extension
may be requested, iri writing, from if Work oc�fa eO orinirety (0)rconsecutive d��ys, ti,�job�S��a�sidee d kialyd�e�''trate
justifiabla cause for the exten�ion , �
WAF��NING TO aWNER: YOUR FAILVJiI�tE TO RECOI�i� A IdOYICE UF COMMENCEMENT WIAY Ri;::3lJl„1' IIV YOUR
F�AYIN(� TWICE FOFt IMIPRCIVEMEI�T� 'TCB YOUft PRI�IPERT'Y. IF YOU INTi:�JC) 'TO O�TAIN FINANQ��IVC;, Ct�t�::4ULT
WI_Pl�_YO.UR L�NDER O�t=QW-A-TI'ORNE"Y �EFORE-R��ORf?ING YCtJF�NO�ICE-OF-C�MIVI€'s�10EM9=1�fT'=�----`""
FI.OF�IDA JURAT(F.S, 117.03)
CONTFtACTOR_.._„_ _ _ •---�-•--
oWNIHR�JR AGENT�`_ �;ubscrlbed and sworn to(or affirmed)before ma thls I
Subsc;ribed and sworn to(or affirmecl)before me this _ , __
�bY�...— —by-- �
Who fs/are personally known to me c�r haslhavH produced Who Is/are personally known lo m�3 or hasas Iden�tiflc tion. ,
as Identlflcatlon, _ — --
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____�Natary Public
Notary Public -- '
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(�ommission No.�._ _ ___ Commission No. __ •---'------�-
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Nam��of Notary�typed�Pr�nted or stamped Name of Notary typed,printed or stamped � i �
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v�ma n�o. �,o r� f'.�-�t.�o -Z 1- C:��.�L�- t'_�t.�'[�`1 Z�-i tJ
7Y077CE OF COMMENCEM � .
S�a6e of Florida �y� ��Cc..s C t,�
'tt�tR+�E'R�'.sIGNCD h�bY�rfWio�ltat asfpsosne�netYw�4 be made Co o�ain sea!propeity.arK!"at axordanr.�w3ls Cts�er 7'S3.�Sr�s,
tlte Ediovi�4 6t6onnatiary"s p�rov�ded"oi tlies Fiotice ofi Gomcnenr�rtrerrG
L Desaipflo�n of Praperty: Pa�reet k�No. ' 1 }''�t—``�-
se�«n� ��'1��--t i� `�a 4 c ���i S�f—�T�h yT�--�z I 1� C.. �3 5"�-!�
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3. Erdarmatian or Ce�ee: rtna6w�iF the Lessee conttaded fartha impravemsit
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�d g�X g�,� C?rGando FL 32$78 3 °'
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7. Aerso�s wii:�rl the Sfate of Florida desi9� bY the owner�wn wt�am r�es w Wfier doctt+netys may be served as pmvided bY -
Sestian 713.13{1)(a}(7).Piaida;Sbcsme� •
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_ Lo neceitie a oopy ottha�fie�tofs Notiae as providesi in Sedion 713.�3{1Hb).Fbrida�Des. i ',_t. a
Teie�tnr+e i+�anber af Passan ar Entr�Y�9��bY� I���v
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9. E�ort date of Naece ot`C�ammenoemer�t(the r�iration daCe may nut he behue tl�e campla5on ol ao�tructia�and f�al pa�to the 3 0
c7onoraceor.6ac wal be«+e year from the aSate etteCnrd'�r+g�s diifa+ert da�"s speQ6eay. � ry
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VYARNNG TO OVVI�ER: ANY PAYIY�AITS AAACIE BY 7HE CIWNER RE[ER TtiE EXPIRATiON OF THE N0310E t?F CO�tGE�I�3,FT �
RRE CONStt)E32ED 7WIPRt3PER PAYfh�NTS UhSY�R CFIAtrTER 7t3, PART 1. SEC710N 7i3.13, Ft4R1DA STATIJTES. AND CAN �'�� �
RESIAT IN YOUw2 PAYING 'iV!!!CE POR lW��f�O�u�E:�MS TO Y4UR PROPERTY_ A:l40TTCE OF CON!#�fEN�;F.kSENT MUST HE ;sv,�,�y,
RE�D lti�POS'1FD�Tt�THE.iOB SiTE 8�Ft1i�E TFE Pii�ST iNSPECitt1N. IF YOL7 lNTEW)TO OSTAIN filAlAldClNG.CONSULT ` ,
VYITM YOUR LENUER OR AN A"ITORNEY BEFOI�CA�JPIG WQRK OR RECQRUiNG YOUR NOT1C�OF CONB�[ENCEklENT_ }~r+o
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CouNi Y OF P d"'' *co MY COMMlSSION��51 s�cae as l�,or �s«tessee s Rtlp�Ott�
DO�iRES:MAR 17,201$ �'�����
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was aclt[tu+rledged befa[e me tlti5 �� day a{�y�l�try .
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��,`�`�;< .'� � ��o�,, STAT�C!� Fl.QRI�A,COUV�TY�F P��G�
� � '� •° THIS IS TO CEF�TIFY THAT THE FOREGOING IS A
�„� ' �' �� t .�� ', '� TRUE AND CQRRECT C�PY O�TNE DOCUMENT
, ��Y:y�����` " ON FlLE OR aF PUBLIC RECORD IN TMS OFFiCE
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t;.�'"� �,� ' PAUL.A�J'l��ll..,C �RK&CO�liQTROLLER ;
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;, L�A�/ ' �OWF'8 C�oN�TRACT017 UCEN56 MUMBEA G�SN : 6+v+x � tx RE�6�
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L; INSI'ALCxTtON STi2EET nDOREB£� GTY �STATE 21p
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'. ._.. ..—.�j,r,;r..ss.+--mi��e� . . i , .. ""R'iIIhi+a'�'�+r"S�ItC:�a+Rs'�'rs�"'"""":"r.'.'"�" ' . .. '. .
Ln�:�.,;�C Fvii1 ►r75T, ���.L.,.t" �,l' (' I�jGI✓c�v!l��c� �HW�n �in r'rt�. f{'Jh�lt�h (.u�V;�. .
¢A�a,n t;� �M, L.0 G'1�5 �,11�) .�4M1C.� �✓�v"�'�" � '7�� �►1 t-G� ,�t/'�� �� f ���� �����
C�i.�J'C[i �L/1!� J� f%L l►�'1 1'� �°1...�j}� q I'UI1Y1� i.t�.�?'S TV ��1�IC �F�` �� j+'.�Y1�e TU /i�'L 1'� �
NOTPCE TO�U9�TOM�R-PRIC� AL•CllLATIONS:[n arder ko prqperiy parfornl the installatian o4 certain Goais,the�Cantract Pdce may inelude more
Good,s than actuf�lly w�ll be installed based on the measur8d squ�iGo tootage of!hp Pro eci Area.As a rp$u!!,thc:patt!��s agree that the iump-surit Price
statecl in fhis Cpntract is caiCulated uppn both the vAlue at esUmatud Gaods required to�Ifill lha Go�ttract(In�clUdi��g wastej,wh3ch may BXceed the aatua( '
squaf��footage of tiie Projeci;Area,and the labor wMoh may be estimated based on the amaunt ot Goads rec#ulred to tul�ll the Contract(Ineluding waste).
By slgning this CctintraCt beiow,CUstomer aqkitowiedge&reCeipt af thie notice and agrees and UnderslandS that the Pri mcludes theae casts which may
nat be�reCund&d once the inst9!latian Services ar$perfarmed,
F10TIt;E TO CUS'�OM�R; Fn�darat Iaw requires.Lawe's t0 provida you with 4hQ �
pampt,iet Renav��te RTghl.B��signing ti�is Cantrt�ct,Cusfvmer acknpwledges � �.� �
�avin��recetvad��copy at this paenphlE:t befor�a woric be�an infarming Customar Canfract 'T�Of21I• ?
of the patentia!rlek of tha!$.td hazard�3xposure fram renovatip�n activity ta be *�pp(icable taxes InCIUdeC� ( ! � �
pertor,mad in CustqmePs dw�allltt�unil. �
NOTE: If rptted wond is discoveret�during installatiott a�dditio�ai charges wiii appty:You witl t�e given a quote and a change ord�r
must be complt�ted and sugned by the custmMar for any additianal charges.____�_.Cus�tomer mu'st initiat. �
`A�,�wnrk or matariallnoc apecifie�d is not lns:luded!n!h!s oontract,Any ohanges or additions wi!!be at�n additianal oR�arge for fhe;nzrt�Ret and labor.
NOTl+CE TO O11VN�R: , ACCC1t�a1N� 1"� FLORIDA'S CONSTRUCTK�N Lt�N U4W �SE�TIaN� ?13.p0,�1-7fi3,37, �L.ORIaI�
STATU'CES , TiHOSE WF�t�{N�R�C aN YOUR F'RdP�f�TY C1R PRdV1DE NIATERiALS A D S�RI�li��S AND ARE NOT PAtb!N
F�ULL NAV�A IRIGH7 TO ENI=UR�E 7�IEIR CLAIM FOR PAYMENT AGAlNST Y041R PR4P�RTY.'['HIS Gl.AlM IS KN4WN AS A
CON�►TRUCTit�N LIEN, 1F Y4(UR CON�`RAGTQR flR A SUBCQNTRAGT�R FI#IL,S T0� PAY St1BCONTRAC70RS, .
.�"UB-;�UBCONYF,tACTORS, C114 h�AT�R�AL SUPPUEEtS, TN{}�E PEC?Rt,E WHCD ARL� �DWfcD MQN�Y MAY L4QK TO YQUR
PROP'ERTY�OR PAYM�NT,�Y��f!F YOU ifAV�ALREADY PAID VOUR;CQN'tRACTt�171N FU�IF YQU�Alt,i'Q PAYYQUR
�ON7'RACTQR,Y{}UR Gt�NTRAC'�OR MAY ALSt�HAVE A�I,I�N ON YOUR PRQPERTY.TNl�M ',tJS IF A LIEN!S FILECI YQl1R
PROi�ERTY CO�ULD gE�i0Lt3 ACAitd�T YOUR W(LL TO PAY FOR LABI�Rt MA7'ERlALS, CDR OTHER S�RVIG�S IHAT YOUft
Gt3N1`RACTQR t�R A SUi3�tDNT�tACTUR MAY HAVE FAILEL170 PAY. UQ PRC�7'ECT YOl1ftS�l.�,YOU SH�UlD STIPf1l,AT�
IN THIS CbNTRACT?HAT��CQl�E ANY PAYMENT!S MAD�,YQUR CbNTRa,C7'OR.!S R�6�UiR�t TO FRt�V@E Y4U WtTH�
N(RIT7'EN R�LE:ASE QF !_fEl� FR�M ANY AERSON �1R GOMPANY THA'T HAS Pf�aVtDED TCt Y U A"NOTiC�TO QWNER:'
l=1.QRlQA'S CQIVSTRUC'fION LIEN LAW iS COMPL�,X,AND 11'iS RE�OMIVIENpEG�THAT Y{3l1 CC1Nl�ULTAN ATTQRNEY.
PHOTO RELEASE:C,ustomer graAts to Lawe's a�d Lpwe's employee�•and ir�Qependanl�COritractars the right!a t�ke photographs of the Premises where
�nstalfalion SErvIC66 �II bQ perfprmetf�nd al!work pertormad aR the Prert�l5ea related t4 thfs Goqttact,and Irrevacably grA�Cs to Lawa's at1 right,title and
IntQreat in�ntl td ihe�hotograph;s far uae in all m2�rkets and�ttedia,warldwlcle,ln pefpetuity.Gus2omer authOrizes LoWe'S to copyright,use and pubtish the
photographs in print and/or eleclronicslly,and.agrees that Lowe's may use such photograph&fot sny tawfu!purpase,inctudin ,tsut nat limlted to,maricetinp,
sdvertlsiilg, pubqClty,illustratlbn, training and Wab contenl.By lnitialin�het'�,Customgr agrees tp ihe toreg4ing. [C:ustomer ta initia�to the�eftj.
War ��s to ea en po rnasonablo�vallability of Contractor andlor any spccia!ac�r or c4�Stamer d4 Good(��)which is atttieipated ta�e
..�1�'�'�;� � �Q � �fill in vake].Estimated completlan date Is�STh__.�1�,.�Y2��`�`_,�....jfi�i in dat&j. '
Sald estimated 5ubsta�tla(comp�etfort date is not flf'fhe essence.A statement of any cont��g9ncies that would matoriai)y ctr�ang&said esi(mated sub'staniial
completion date is ar(4llows:_„_ • __,_,_" �
..— ��...�. � - - -_ (if appllc�b)e, insQrt�stat�ment 4f such cantinpenciss).
Thi�Contraal,provide�that all�IairII:;hY�$tomu�ax�nu+�"a wi11 be rssalkad by J3tN�ld�l�AE2�St1'E�i'ctQN.Cuaytoma at�ct{.ainre's C'FiVE UP 7t{E•RiG1i1"
TO GO T().'COUI2'f tci Qnt4r�Ge•this G`�C+tltract(EXl��P7 for mditers tMat m�ay be.Wk@n to��MALL'CL61tM$Ct}URt'j.LO e°s atld Custamst's right�wil)bn
determined by a NE4,TftAL AR$lTRATdt4t and NOT 8 judge qr jury. �awB's and Cn�tomar.pr�e anliti�:d to a FA�R HEARtNG. But the aFbiiraflon
procadure�s ara$fMP4ER ANb H10RE L1MQT�D THAN RllLES APPLiCABLE tN COI�R7'.mrb'strator cieCisions art�as er�fc►rt6abte as any Court ordBT and
are,�ubjec,t w VERY LIMl7�Q REeVlEW 8Y A COURT.FQR MOR�C1ETAf�3; F2eview the sactibn titled ARE4iTRIlT18tJ`�C,RE�MENT,WAIVEFt OF JURY
TRI�t,AN�D YvAlYER c]:�CLA38 ACTfON�DJUDlCA7tON Eound in the Terms and Condi9Eons of thts Gont��act.
DO NOT SICyN THl;S;COkTR�,CT IJNTlf.COMR�.�7'E ANp Y(JU�iiAV� READ TH4�i'�F2MS AND CONi31TtONl3 CONTAiNED ON Ai..�
aersca nc Tu�c �.n�.�rr+..,,. ....,.�.._...._ -�- --- ••• �
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� , LeYs euild Samething Together
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;� PSE a'rawing Worksheet - F=encin� ;
� (Compl�te and F�x to Installer) i
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Custc�me���,k.�} �,.q —` — d . i
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PhonEa;(home):�f 3- g y�- �°P 3�' Phone (celf): $I3")Y� •- ��O� phone (other :
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InstallAddress: �� �r�� �4 �•wpq�l S� . � � Y�,�ffS
_ �— F'� 3 � S�z_
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riirect:ibns: -�....�, _�--�"` �'—' I '
1, W;al�k the fenc� line after discussing property boundaries with the tustomer� indica�e any obstructions al§ �
you Imeasurc ,
2, Imaginc what the fence looks likeifrom a "bird's eye" view �
3. Skc:�ch the fence with these detai�s; i
% Mark vvh�re the fence �buts, attaches to or is built ar�und any structure or ob tacle �
'+ Mark where ga�tes will be located as wcl) as gate type (drive or walk gate)
Mark best access route from material drop-off pc�int to constructi�n �rea �
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