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HomeMy WebLinkAbout21-1333 City of Zephyrhills PERMIT NUMBER r 5335 Eighth Street ' Zephyrhills, FL 33542 BGR-001333-2021 Phone: (813)780-0020 1 Fax: 813 780-002�1 Issue Date: 01/15/2021 r Permit Type: Building General (Residential Property Number Street Address 24 26 210110 00000 2890 1 1 3125 Nubbin Ridge Lane Owner Information Permit Information Contractor Information Name: XIOMARY MARTINEZ&EMMANUEI Permit Type:Building General(Residential) Contractor: POST R US INC MARTINEZ Class of Work:Fence Address: 3125 Nubbin Ridge Ln Total Valuation:$2,370.00 ZEPHYRHILLS,FL 33540 Total Fees:$55.00 Phone: Amount Paid:$55.00 `na—P Date Paid:1/15/2021 2:04:38PM j l Project Description INSTALLATION 124 FT X 6 FT PVC FENCE Application Fees Fence Installation Fee $55.00 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 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 permit required from other governmental entities such as water management, state agencies or federal agencies. "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 add fee 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 CONTRACTOR SIGNATURE j PEf IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE1111 444 FOR OF • BILLING CONTACT CHRISTOPHER DAVIS POST R US INC 5150 HALSTEAD LN ZEPHYRHILLS, FL 33541 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002444 01/12/2021 01/12/2021 Due NONE I REFERENCE NUMBER FEE NAME TOTAL BGR-001333-2021 Fence Installation Fee $55.00 3125 Nubbin Ridge Lane Zephyrhills, FLORIDA 33540 SUB TOTAL $55.00 I REMITTANCE INFORMATION TOTAL $55.00 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 I i I i I I January 12,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 i Acme Fence A FENCE ACME 584444 1ST ST FENCE Zephyrhills, Florida 33542 "Your PVC Specialists" 813-779 17795 813-973-0826 888-779-8553 fax WWW.getfencenow.com acmefence@yahoo.com LICENSE # 11795 PROPOSAL/CONTRACT 3 3 10/22/2020 Customer Information: l Job Information: MANUEL NIEVES JOB LOCATED IN HIDDEN RIVER 3125 NUBBIN RIDGE LN 813-629-5989 Zephyrhills, Florida 33540 DREAMCYCLE95@YAHOO.COM 813-629-5989 Notes: 1241 61WHITE PVC TONGUE & GROOVE PRIVACY - 66' existln0 fanoe 1 5 FOOT WALK GATE t HILL 30' 1310.00 COST OF 66' 1 111 DOUBLE GATE shared with .oises 66' GATE POST W/ ALUMINUM I BEAMS 36' STAINLESS POWDER COATED HARDWARE 6, HOUSE ALL POST SET 31 W/ 60#S CONCRETE 10' 11. 12' BERHUDE2 LIFETIME MANUFACTURE WARRANTY LIFETIME LABOR WARRANTY + PRICE INCLUDES SPLITTING NORTH SIDE NOO & PERMIT WITH NEIGHBOR i ACME FENCE agrees to guarantee above fence to be job and adjustments for labor will be charged or free from defects in materials and workmanship for credited at the currently established rates. one year. Additional charges for any extra work not covered ACME FENCE shall advise the customer as to local in this contract that was requested by the customer zoning regulations but responsibility for complying will alsolbe added. The full amount of this with said regulations and obtaining any required contract along with any additional charges will permits shall rest with the customer. ACME FENCE become payable upon completion of all work whether will assist the customer, upon request, in or not itlhas been invoiced. determining where the fence is to be erected, but A finance charge of 1 1/2% per month (or a under no circumstance does ACME FENCE assume any minimum of $1.00), which is an annual percentage responsibility concerning property lines or in any rate of 18%, shall be applied to accounts that are way guarantee their accuracy. If property pins not paid within 10 days after completion of any cannot be located it is recommended that the work invoiced. All materials will remain the customer have the property surveyed. property of ACME FENCE until all invoices ACME FENCE will assume the responsibility for pertaining to this job are paid in full. The having underground public utilities located and customer agrees to pay all interest and any costs marked. However, ACME FENCE assumes no incurred in the collection of this debt. responsibility for unmarked sprinkler lines, or any other unmarked buried lines or objects. The customer will assume all liability for any damage caused by directing ACME FENCE to dig in the immediate vicinity of known utilities. The final billing will be based on the actual footage of fencing built and the work performed. Partial billing for materials delivered to the job site and work completed may be sent at weekly intervals. Adjustments for material used on this Approved & Accepted for Customer: Contract Amount: $ 2370.00 Customer Date Down Payment: $ 1750.00 Accepted for ACME FENCE: Balance Upon Completion: $ 620.00 Salesperson Date 'I I I . . �'�, I I � �, I ', I I' ,, I I' I I i j I I I' I � I I� '�',. I . . �', . I �� �� ,�� I I �I I � 'i i � ,, i I _ I �� I �� . . � , �� '� � I � I '� � �1 INSTR#2020203950 OR BK 1 0227 PG 230 Page 1 of 1 12/03/2020 09:39 AM Rcpt:2232960 Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller . I tuts t .tprb 2�-21�-a I-A%I10-o n,� I I'lEOF00e rtr /] aaud © lsL.. �d Pas-e-o TlEtJ!>J�19OtJ®aadl'9>�at6oelat:iopmmedvittba®Lt aat amfoamadtnoa ���� �etO�o�Y!0�llonkp�o�dd�Oistiatiaad y��7.Ip-3- L Oowwwaf wowPaedumm2fmla�dd tj jaly"p-7pif a. 33Tyo 2 6timfttesa�mdomac�t 'PVn� ��A.g, (luS i l (�I I a owwfr6ax2®artmseeid�miFao4e�am e0brfetmperm+at ` ►u o GM 33540 fcaaectfnt+q�wgc tlasdtiaa9!�Yiibotdlc I QfdAEW4 aLo+e� t C Ow sate "'°° ooneamafaTa!�aoeNa a suapt Addm c,b abi. A4madema! TdOMMIL e taoac rtm taa3lyTotepbo!!erit: ! . 7., PS i 1��]P). tW V&wmr Wm.mm mf=a aCmr dooma=ft m%r be Isvied w po4Jad br I Ad*m I arm Tilt�etMdrrdtisbaetlP� a b 0&w=b14 K f waew I ro I d_ ' bnoet�etaogdtaLl�a�[�oespoMdtd-o8udon7�.19p1�2iiatd,�brs • Tefipawtbobrrdt\amar�lq�glQdgOaac ! . a 8atamdocrollaCrOxwo errant Ae danswalbabdseOa of r wdtwMimu3blp moaiot&AvA boom jwftm2ad&daioadopw6tac a dftbqwWat M61> DTOOtttxt3t Jfll!fPA�Y1RGS101IN6Y71EOlAItBt�l{tlrq�ER71EF]�Q7A11Cl7ICFlIEIiCIriCPGFO0M6@/f i3a4iLT M r01R2 iy1VM 711 POR tt� : J► C0196 8 p Y�Bf E IRMO OEFUM @CHtO® OO B�16tAQtKOR Y�t 61 OFOOi�ONW229R T i I Uofngb mWdp aiur.Idafa+TmtlraNntl�faegipalioedes�timctaodthatMbdcdaldfn!eaafofm.bbhat CouK /�OFP1A1W sd66eL � Ora9rstaa�ar orleaens I Tde igbumttaas I ad1aSC+ CYaI i t�+a admo!,�ge:dbdaam.mrs Q3�R+d�.na.a�t!�.�affnficpiar • (pomodpodymtabol ! I POIsomPlKoeanDQ$fi�o8aadlA�d�Q� -•- 7ypodtda»mtaPeOeed rt.,DL,`' tiawtF!to0 C �n fll Y 1!1 lals00 7 JENNIFER STORK ! +r'b..•,a., Notary Public-State of',Florida ! ' p d My Carom.Expires Aug1g 7,2024 Bonded through National Notary Assr.. I i I .7- State of Flof Ida,County Of Pasco I This is to certify that the foregoing Is a true and correct copy of the document moodon file or of public record in this office. WitM!s my hand and official seal this K X-M�P-r- 2D��3 day ofDEL Nikki Alvare o les,Esq.,Clerk&Comptroller Pasco fMorlda TE OF By Deputy Clerk . ' 4 813-780-0020 City of Zephyrhills PermltlApplication Fax-813-780-0021 -Bulidlitg.Department( f Al Phone.Contagt.for-Permittln , .. " ... u.:F.;A:.':}: - - - '^, •�...eY,;'S< :dY;,, )yr .�. ._''i.:n:.y:.,'+> .,air, ,.=,-.J.• •(��; .. - , "J."";:�`' `�!�•;'� �.. G v4,. :•r%.y'r J ij{}::4i•vx�; '�!.}i;' °.Ai"�• •--.YS,,": 7t Owhoft'Na m es•r gyqp``''� {/r. ,Owne ,'; , z.: Owner' ,.t ' s' '�Y3 'rf � � •t�f 1N�:� 'OvirbeE��t3�on��.Nilteitber' •`:, • - w 4ry •,: c, � v. sz.• 1 ' b,. ::FeelS'nt"`i fi`1 "le Title otderNa'me , P Owner�„ hor'i'�.N• �'r. ,,," .Fee Sim 18';TltleholiteF`'Atli�'re ss` JOB�'A[IDRESS! 4.�t� - L:O�# e- V� A Dens oiv j. 70 P, Tr�1tiX kdT.lC {Og AiNO&to,IN PRO.�RT,±. �;' El p.'OSED'' •z >>;. �:'O , i'� - 'r3"'.it tt> s� � t<"`'.t.,ta`Y-'{ '•�t`rt�'� SCR'J " COMIy s.; !:.$.., i7li7tERri , '.: 'a'<;;ti -:• ,• _,r. .--- TYPiE:'b�.CClH$YRUC�1`ION' .. ..5✓F^- -..''t _aft;. -r::� __ •z:w'- .1 a.' _ - - - _ _ jo s jt -vYr } i1t Eoft �< � , n•t. _ -21 4ir B U I f"DI ( •AG 1 I�,�t.,S.. r�` 9 c,�r,y, k Z , »}, Zia. f:IiY S"��`-yY':.�: k• - 'h1. 'b.`�:P� .:�'H'r• _ •'.,- ri Tit'} iE .. :ii" yC•. "-i yS - 1�O 2U?sC TONsi:,'-:l0O � TC ; OVT,VA F :I Nt'- ih: - .1•. .t.x H' "\. CTftICA .}r , .: . $.w' _. ,. _ ;AM R,.I. ._ .,'i• ,:v „FtQ.GRI~SS:�tVEIZGY��' �.�. :Wn'�R;S:Cr. ECHANICAL $: VAI.UA' IOt 'QF`MEtaHA_iGi4C'1tS`tAtcAi [ GAS �. ROOFINGPEGIAtt1Y; - O'FNR';! FINISt iftb ledOR':ELE1?A7fONS !*LO D'"x(yY l A(t A .,jai; r::., 1? ba J.. e.,i. �; -BUILDER COMI�'7.AN1P;' Lag: 1IG •s : -u %� :k,}" _.... :Y A. 'SIGNATURE i ''42EGISTE E611- /xt�I+_ i ifEE(C1JRF�EK;i' '' rY,7,tJ.:.7 r _ SIGNATURE' .i.�: y{aRt:Gis7€nECr -- Y,./, x .`iFEEtCrJitREtc g' . yYYv Mn .a -Addree i L s st 1 t: - C •5 b -5••k:.;;j,. rik),.Y,w',.,°`:t- +'w �. P•LUMBEW. !{GRGY i C : iN Y F+ , !Irv., :L Lc': `• ..,.- i f; C 1 :C MP MfHAN. Af.NYR =r' IGN' RE. _... S` •Aci2lress:x - 'r - .'9:tc`�;rise#;4- •- "s�4r. HE OT ' •r.•2 - IGNAtURE" RirsTr_ �.,, ,Y'f,,.t;F kEE:CURREk r l(r'/4t�fri M1.' -�ltcldre$s'.• :,, �R" r1� r�'<.:Y"�' ,t..,�Mhn. . r ''i'tn '�'•i� :}'•'Y.`, .C, 'f, ''^R �ti S RESIDENTIAL Attacfir 'I?la1 funs '2"'se�s.of+�tidri a,)4is' yeti:bf ` iii�s. 1 e t•fi6 etv co 0" `L`ts: _ :: =k':•, ` ) rc ) `.. 1f!:: 2.-fit �►tx ¢ `'� r, Minimum•ten(10);woildng days:aftersubmittal date. r�6qu red:orjsiEe;C nstnicHori Plans;Steimvdater.'Plai vie/Sift{;1r 3n,'ce' stall f> : Sanitary Facilitles&-1•durnpster;Site:Work:Peni I fob<siilxlMi�t,�,8�1,„S'�'Barge projei s COMMERCIAL ��Attach 2-com fete ets;of.Buitdl t?ta s Tus=a:Lfe'Si fe:" i"a"i�� t. aet.of-.Erie porms.',R;'-W errnitfoC:newt tfstructCptt:` ;;"' ri ! 't py: T,.:. f,.L P �. •a:Y a r ws: t.�s:: Minimum teri(1oj'woiiiing daysftePs �i►tiaf' t .t'R61'redilisite;'.Constiiiction` fYis�;rs�£ riX►iruate;�,'.lai`s yG`/; i£seiti'c }�;tist&1tse ;: Santtarj fi lidas>8� cl irtapster:S#e Short t?eii�nitfar,;alk�n nrspmjects All eomroeri�at guise e t iiniast'<[ii t?coinj liaitce :`` SIGN'PERMIT Attach(2)setsoffrlginee1i�edFlans ""PROPERTY SURVEY-requlrod far•aII'NEW=consttuclon. Dlrectlons -' � Fill,outa plication com letel .. Owner&:CantsCtons(gri•Iiaakof app)ication,iiotarizad OMPANY If over$x500,a:Notice:af'Commencement is.re�ttlrgd.::tA/C;r<fpgfafdgs��eG$7500), Agent(for the.contractor)or Power of Attorney'(for the awner):would be someone with'.notartzed letter from owfiei aulhorliing:same: OVER.THECOUNTER PERMITTING retjut� �i Reroofs if shingles Sdwers Service`Upgrades A/C Fence's'(Plot/Sufvey/Footege) i Driveways-Not over.Counter if on publWroadways.:needs'ROW I NOTICE,OF,,DEED_RESTRICTI,ONS:. The undersigned'ur tlerstands.that•this permitmaybe subject to deep. restrictions which ",9Y.,e'..nboresresfrtcfive*,than:�ourity-zregr�lations-. The_u6dersigned.°assumes='re"sponsibilily'for-complia�nce with any_ _ 7 :UNLiCVNSED C:ON' R`AiC't0'. S"`AND' CO MT TI C`i'OR'` SPONSIS MTS~ if thew owner ties~Hired 'a contfactor or _,. cdntractgrs to andertake;yuork;ffiek�rftay�b_e ibquir d fo be licensed.imaccordance:wiftstate,and.iQcat,regul�ttions� af3th 'copiractor�ts nofilrcensed-as repaired by law, both:the:owner=and contractor ntay-be�oited fiir -misdemeanor violation un°#er'�taetavv ;tf:tF�e owner:.tir.:iiitendettcoiii raictas'are tncrt :n:as:.to whrlt.iicensn r urrerrrents-ma a I Ffs#tie.-; : intended tnrortc;they;are adviseit::ta:contact.the':Pasco Couritjr Bi�iltlii g Inspection`©;vision- L cerisi' Section at 727-447- 80t19 r Fuitiiermore='if,tlie'.;awoeti.' asis�tiieist'ia.". ntractor;i or,•.contractors,,,he.is',advised :to. have°tt#e contcaCtor,{sj'�signn porbonsaithe'"eoritractor:-Bl6rrk:' of`.tl#is�:,apliciticnfQr which they;will.#e,resporisible ..If`:y.Qu; as the:owner.sign as,the cohtractor;_that:may b'e:an;;indica#ion that he is�anot;properly Incensed:and-is'not entitled.,to permitting,priviieges 'rn Pasco • Ti ANSPORTATIC?N IMPACTtU3'It<tT1ES.IMF I1CT:AND=RESCt RGE,RECOVERY'FEitS: Tlie underii6-hed�u nderstands that=TianscirEatioriim�bcteesiftl Recourse!'tecaverEees may,apply tb=the::construction::o#new buildings;ci�rngerofi''' us e"Ari:existingBufldings oc expansion af.:existirig'bullding'; as'apecified in Pasco"CoUnfy'Ordinance%number 89=07-;and 90A7; as:amendect:;Tl#e u�nde�rsig+nadal,.si-uralOr&tangs;-halsucfYfees,.as..,mayJbs dre,,.�►�i11 be_,ieen.,tifted a#they#imejoi . permitting ;:tt:js#urEher understdod fl�af�Transportatrort.;lmpactfeesland.Ftesourca:Recovery Fees:must;be paid prior.to receiving:aVicer t fioate of tigccupancjrp tor;dial:prtrviter reiease. ff;ttr0:1projecta dtt s=no#�inirAive'a certificate of.occupancy,ror. fnai.=.power'.release.tfae fees must;:4e paid.prror to permit,issua iee urtit�rC torek;4'-Oasco.Oounty':Water/,Sewerimpact. fe fs<are°:dus-•theyrm ist�ye tiaid rior=#o,periitit iss rancteJn accordenc:OWlthf$' licable eisco Count ordinanm4� ,. COiVSxf UCT1 Nt E ft+AW�Qhapigrr'7;1i,$Jor�lda_-Oi `tes; ' m- nde��: f valuat(on of work is _ `�,g0:g0 Pr more,.l certify:thief t,=`-:thle'' pbli nt;Piave;beep pxovided;rwift aN.:coRy#':of:.#tie,w" toi da:Canstructioii-Mien:.Law-=Ftomeowner's Pete",ctran;Gorge"Mprepacect::bythe;°Florida:flepartmen#:ofi Agricittture and Consumer.Affalrs. !f this applicant;is s e e v ># a;. other than:the�exwner'.1;certrfa tt`at lfiav$-oiitarned =copy:af-tfi �alarive described dt?carnent*end prptrt�se to gootl�fal t to deliuerlf:#athe N4vvner?.pnor..:.to commencairtai a 4 K � :CONY CTt?ft' /AIM i*R'SyA 1 s • /l I'�i't'':."rt ;.t at a L t r{for at:of .i;` ' '` F t ,S , ,p_4` cte.r ...h, he-i. cri i n.'n,#his application'is#accwrateand'.thafi alF iworlc`'= ? .t ..>:,s i�.r-s.,: ,.;-•�, :•�_;- ,r: y. ..4...�. .[.i?{f?„ ..1,, .•F: .=i.Y'» .',.c.z:i..-1.2.,•i; .� .z,. will'be dane;:in com lianreitiiEh:alC•a Ilcabte lbws re`ulatii ;'corlsfriacfion"�onm''and�larddevelo"�ment `� ` lIca. o aSs' hereby•made to:.obtain-:a`permit`;t poiwrk:a 'd�a:stalla#iorY��a ancfuc2ted f ce -that no$work'or;instaat on has commenced::priorao:. ssaance>of.a<pbrmit=arid�thafi:all work-vv3il iae.pertonr►ed to=met'standards•of all-law s:regulating. con s ruio is i,'°C&Oltj�alnd tt fcotles'honing-re orations;anttL al3ci xdei loptner�t regulations`ire'file jut; r idlotl6wt 1 1s.,alib 3 certfyl:that'!':understand;that''#he:regulatlons.ofi!otiter governmeftagencias•tnayaRply to:>ttie:intended:.work; and':that ttis my.responsibi(itji_to"identify what actions'.I must take:to:tie in compllarice Sucij�agenc!es"inclddeybut are not�,ll i ee;,to: Department'of Environmental' ro oction=Cypress ayhearls'Wetland Areas and Erivironmeritally Sensitive Lands,Watkk,66#ewateG,'J'a�r� 'rtt,: .;� ;,° 5 Southwest'' `Floida: Water`:' att' eme3tit= iistrict+1Neiis" "Cypress Bayheads, WetlandAreas; Altering - Artnytdios of Engjneers Seayrratls ?ocks,-;Llavigoble..Waterinraj�rs: department of;W{ealth. ;zRetiatiili#ative:°Setvicas/ ':ailroimental 'Healthklnit=Wells, Wastewater,-Tr:.gptmr�t,.: . :Septic Tanks s;Eviroi(tmontareQ A{ sh�St4s:aba emrt'..; r.- t=edt3ral lvia#row.Authoh • unma ty. Ys_ :...«_..._. I ul derstandthatthe"faiiainiii g Ee.'strrcEiot3a.aPpt to t#ie se,of Use%offllsriot'allouuecl UiFlo'odcatie°V"Unlesae-'x resslYlpe ed. - . ff the°#ill material. rsto:>be;use :ii, i=hood Zo i4";' it .as=uncterstoadt1tafTa. drainagelanaddresaing a ".comport ing v ti rr%e K vitiit %e„submitted.at:#irne.:of.permltfing,wliicli:is.pr:epared,by professional:en sneer licensed by-the Staterof-F!dtlda -:1f the tlil mater�ai �s fta be usedn�r flop&iZone Avi in:)con° ection•with'a permitted building.using stgml tWall: constutiGnu lnjfy�tha#elf yit"fie,1 onlyofilt tlaeareiti#tiinthe_stem:wall .1.-. - If,-fill`material`is`to tbe•atsad:irt .a'ny:area,.:l ce tiiy that use;nf:;such_-fili4ill;�':not:adversely affect".ad'acent 1 ,i,prti ei1ies:;;'`)f:,u's'.e:.of:fll s'fo�n <to�a ver.3el >.a0ect'atJAC-e t; ropertles:: e.; order_ :be c ted,'for.iialatin the:conditions:ofi;`tire"build'rri 'p rrnitaseu ritfei� a�attacttett"permitwapplication�fiifiblsIdss than one (1). ., l :r... =:a >vYfid�rTa> 4tit . sbyltt. ttgni ?E~ce o?raiaagefrtlarls requited. if f<am;;the<AGE tT�1�ORV,'HE"-01 1ER :i' rs5trrts�it�.good'fdlt f �iferr»� e<ou�rner�itft a permi8i.. contli io f- ;:,- :,.... . ...:::.. R. ,...._ ..:.ry _._b.. ... ng t nsset:forth`in:.: ... this ate#davit.prlOrJo*,,t0 enc109,01oast tenon.' l undeirstand that;a'set ar ite"permi#"may be regi iied'for' le' Fi work, act• cal. plunnbing;419ns:=wells;,`pools=-'air cohiditranw� ;;has;;ar.otheir-ahsWlatioris.rlot'sj�eciff�Cally�included in..the;�application^' A pet rnl#,issued shail,b'e construed;tQ'be.a.license to proceed vuftr;tlie•work and,not'`as authority to vlotate,.cancet,:atter,.or set aside arty pmvisrions;ofthe#i chrarcal=ciotles,:nor:stlali:�ssi�ar ce;of:a permitprevent-,the•$uiiding Official fro"m-thereaftef regeirrrlg a"r rra on a,0*rijr in plans:Cdi striic#iort.or violotio.`s'of,,an'r es�4Zye. ,ermlt-:issued•shalt become;invalid° ` ...... Y P r1+:. ,., ttriisss:the.itvork authorized,by su�jijK.r��' mitis:commenced i7vithin-six:ritonths of.';permit issuance, or:l#'rivtirk'attthotized,by Y; [,;„ur.; .4.•..--J•.,,::.f t h /`2? 1:. -. et,l the eranit is srtspe'ndei oi=alaando'ned or�a period<of six,(6j':monttis'afte` #sae tiiiOer.the anrork is:commenced::An a 'ton ion. may,be �squesfed;>jn'writing :from:tl a Build;, "' .00iclal.fop; ,pe i•;, :not:#o exceed`ninet (90 .da sand will.demonst t y ) y : justifiable cause for the a ctensio 1. if work ceass s fo"r.ninety �Oj'c�a�'iisecutive days;the job is.consldered aban done&, WARNING TQ OWNER:_ YOUR= --- !'J1.LiUR:'l QtJtE,CORD.; 1.�i. T�CE..OF 4lUMiIENCEMENT.MAY RES.UI t';i Y UR G►�t�.��9Y�1��1,�T�S�T�'���R� RQ�E�T���Fs�O ;� ��` ?'� �11���,1 •AN.�I� ��S,r�1�:.'!` WbTHYOU.. ;LE�IDER`ORaAbIiO`F2�IEY�BE.di+lEt�ttECa012t)ING:4YtiO.U.R' O' :;OF��OMIfiIEN�G'ENtENT -- R '1:�'C1.URAT{f:S17;7:Q$)';. . . .�"s1`• . . :1'' �:,. ;tai..':=";' 11 •,:_;• .i,;,: ,. . . ,. -. _. . OWNER, �� r�T:' ..�,'; +CAN. ' Ca�QR• SubsC%Ibpdsjnl,� `► � oiigjY ai" wleame'�iii ?:.,..;.,. b b n` �'..-o•7:L �i, •A'. `w .-f., .:f�'r,-�.: ..+ 1:.�� 't� .b �'..•i Who ls/are'pf:-ersona[I knowmto me 6r"has/tiive rodi�:eeil Wlib'Is/ re p'erson811y kbiivnto"•me o�`ha"s/hav®,'rodu' " gyp.., ced.t'. asidentification. I: a ia'en#IBceti Notary Public Ndtary Public_-, Commission No. Name'of-Kota ed rinted:oistam stamped Name�p ry tYP ,P P f rYPt�ted of stap. tl ,.:, "• -