HomeMy WebLinkAbout21-3313City of Zephyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003313-20II
Issue Date: 12/06/2021
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.
!I 111111RIMITS1 VICIP111 11111 1 =07710=
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.
CONTRACTOR- S16NATURE PEfIT OFFICE()
.)MIT EXPIRES " MONTHS WITHOUT APPROVED INSPECTION
T.Ty,
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
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Owner's Name
Owner Phone Number
Owner's Address
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Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (2.bp �VQ., TfzL I_ LOT #
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SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX
WORK PROPOSED
NEW CONSTR
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ADD/ALT
SIGN DEMOLISH
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INSTALL
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REPAIR
PROPOSED USE
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COMM
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OTHER
TYPE OF CONSTRUCTION
BLOCK
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FRAME
STEEL
11
DESCRIPTION OF WORK Jotbil 0� 4-W 111 72
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BUILDING SIZE SQ FOOTAGE HEIGHT
X IE X X X IU X IE X _X IE It X X 1E X It X IE 1E IL X t 1E XIE X IU X VIE It It X 1E X IE X X 1E X X -X It X X X X IL X X X X X X X X X W X X X X X X X
=BUILDING I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE O PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
---------- — ------ III# ------------
BUILDER v COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address 1% LC*6 15lu License #7y) r
EUECTRO14N CoOM&
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
'JCddress License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address I License #
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MECHANICAL COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN
Address I License#
OTHER ---� COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions' which may be more restrictive
than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and
contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy' or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant,
have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other than the `owner". I certify that I have obtained a copy of the above described
document and promise in good faith to deliver it to the "owner' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with
all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as
indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "W unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
abandoned.
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Who islTre known to me or has/have produced Who is/are erson 'knovdn to me or has`/havtf`produced
as identification, as identification.
Public
Celeatirre Thornt,
infMY31,41041Rlon Hh
Expire 11/16/2024
Public
Personally KnownX_
Or Produced Identification
Type of Identification
November 30, 2021
City of Zephyrhills
Building Department
5335 8"' Street
Zephyrlulls, Florida 33542
To Whom it May Concern:
I would like to authorize the following people to apply for and pick-up Danielle Fence
Building Permits (this letter supercedes all previous Letters).
Thom Simon
Kevin Heflin
Doug Hall
Trish Standard
Sue Helms
David Mattair
Bruce Reviere
Doug Burlett
Paul Miller Quinton Polisena
David Jerles Todd Weihmeir
Phil Reyes Jocelyn Zellers
Todd Weiluneir Catherine McCarthy
This authorization will remain in effect unless revoked by the undersigned in writing. If
you have any questions or concerns, please call our office at 813-681-6181.
Thank you,
Mar ower
STATE OF FLORIDA
COUNTY OF POLK od
The foregoing instrument was acknowledged before me this day of
20 1 by
Mom- ia.fo, r
R
N ry Public State of FlCelesti ThorntonMy Commission HH 024596Expires 11/16/2024
Print, Type or Stamp name of Notary
Sales Rep: Michael Gomez I Opportunity#: 118886 1 Date: 9/10/2021 1:23:31 PM
Name: Thomas Smith
Jobsite Address: 7254 Steer Blade Dr City, State, Zip: Zephyrhills, FL 33541
Billing Address (City, State, Zip): 7254 Steer Blade Dr, Zephyrhills, FL 33541
Primary Email: thomas.jordan,smith@gmail.com Secondary Email: thomasjordan.smith@gmaii.com
Primary Phone: 240-687-3134 Work Phone:
Mobile Phone: Secondary Mobile Phone:
Subdivision: SILVERADO RANCH Cross Street: Silverado Ranch Blvd
Contact: Phone: 240-687-3134
awL #1
CONCRETE
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Materials: 179'OF 72" WHITE LAKELAND RESIDENTIAL PVC FENCE
91
1, 112 72" X 64" WHITE LAKELAND WALK GATE I
A = COMMUNITY 72" PVC FENCE
I lueeby acknoviledge that the above layout is apopuived fix entelection. I'videvar ogres to uncom and mink all waunlyound lines and piping, miltifing W nit Implied to lecitanty pins, conduit, menite electrical, tel an data Imps, wolev piping, wpk piping of Wines, and
spo"r sirslems. fumbiscr agmes to pay Gimpany the additional sum of Thom Reached and fifty and w/I 00 Dollars ($350.00) fin its mobilization cost in the ovent that Pwdmw diangis any of the following:
I. Changes to the Layout at fin of installation whem notallips would need to leave promises and folum, 4. Installation is cancelled in posuponed due to any of the above mentioned items at the cheat has net obtained hoomicavians association approved pow
2. Upon amW of jastailmiami crew, job site is not remly he msniktaxe; to installation aisulfing in installation eitiompoom,
3. Upw canval of unstallopon new, henna Mao has net obtained peonism met commsions on patchass fulacenced dove, 5, fee is in oadflum to to camellopon toms and coadmons.
GnIones will he invoiced by additional footage a, am guested that were net point of the engine] comtrod. Funhaw is not liable lot astallatuni (Ways due to Acts of GmL
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BGM LAKELAND O
VINYL COLOR OPTIONS: I
White
X-
*Upon signing Product Information Page, customer is aware of actual color of the fence and
accepts the color provided by Danielle Fence.
Available in 48", 60" and 72" Height
(Measurements listed are to the top of post)
Fence is constructed from the following materials:
2" x 7" ribbed heavy wall bottom rail
1112" x 51/2" ribbed top rail
Thirteen, %" x 7" vertical ribbed tongue & groove
pickets per section
One, I " x 11/2" u-channel
5" x 5" x . 135" posts on 96" centers
Posts installed 36" in ground
Proudly Made in the USA
10 year prorated warranty*
* 5" traditional post caps
* Aluminum reinforced gate hinge post
* 48" or shorter heights do not meet pool code
* 48" x 50" gates or smaller are all .280" posts with no
insert
Example: 72" Fence
• Rail to Rail is 69"
• Plus 2" to the top of the post
. +/- 2" of spacing at the bottom of the fence
rom
0
(Customer Signature)
*See contract for terms & conditions, Visit www.daniellefence.com to view warranty details,
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MCI'
BOUNDARY & AS—BUILIF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 9, BLOCK 15, SILVERADO RANCH SUBDIVISION PHASE 10A
AS RECORDED IN PLAT BOOK 80, PAGE(S) 107-112, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ADDRESS:
7254, STEER BLADE DRIVE
ZEPHYRHILLS, FLORIDA 33541
FOR THE BENEFIT AND
EXCLUSIVE USE OF:
THOMAS JORDAN SMITH AND CESARINA SMITH
CHI TITLE OF FLORIDA, INC.
DHI TITLE INSURANCE COMPANY
NAVY FEDERAL CREDIT UNION
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NOTES:
1, ALL DIRECTIONS AND DISTANCES HAVE BEEN FIELD VERIFIED,
INCONSISTENCIES HAVE BEEN NOTED ON THE SURVEY, IF ANY.
SET NAI
2, PROPERTY CORNERS SHOWN HEREON WERE SET/FOUND ON LEGEND: to #030LS AND DISC
08-12-21, UNLESS OTHERWISE SHOWN, CENTERUNE FOUND NAIL AND DISC
WAY LINE I�s La pw
NIGHT OF
ORAINA0E FLOW FOUND 1/2SON ROD AND GAP
3, THE SURVEYOR HAS NOT A131TRAIII 11 LAND SHOWN HEREON EXISTING ELEVATION 0 LO 17013
FOR EASEMENTS, RIGHT OF WAY, RESTRICTIONS OF RECORD WHICH A/C AIR CONIMPONER (P) PER PLAT
MAY AFFECT THE TITLE OR USE OF THE LAND. PC POINT OF CURVATURE
mCONCRETE PCC POINT OF COMPOUND CURVE
POE PERMANENT CONTROL POINT
4, NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED, COW CONCRETE BLOCK WALL P1 POINT OF INTERSECTION
CNA CORNER NOT ACCESSIBLE PK PARKER KALON
CP CONCRETE PAD Poc POINT ON CURVE
5.
BUILDING TIES SHOWN HEREON ARE NOT TO BE USED TO Cs CONCRETE SLAB POL POINT ON LONERECONSTRUCT THE BOUNDARY LINES. PRC PONT OF REVERSE CURVATURE
MIA,& CONCRETE
MANAGEMENT AGENCY PROM PERMANENT REFERENCE MONUMENT
FlR.M. FLOW INSURANCE RATE MAP PSM PROFESSIONAL SURVEYOR AND MAPPER
6 ELEVATIONS ARE BASED ON PASCO COUNTY BENCHMARK P to IDENTIFICATION PT POW OF TANCENCY
678 ,ELEVATION 99.82' NAVE 1988 DATUM, Le umsm "NESS SO. FL SQUARE FEET
Ls LICENSED SURVEYOR S/W SIDEWALK
OWE DRAINAGE & UTILITY EASEMENT TYP mcAL
7. TREES SHOWN HEREON WERE IDENTIFIED AND POSITIONED BY THE POE PRIVATE DRAINAGE EASEMENT UP URUTY PAD
CLIENT AFTER THE COMPLETION OF THE LANDSCAPING, AND NOT BY PUC PUBLIC UnUTY EASEMENT L. LICHT PDX
THE SURVEYOR AT THE TIME THAT THIS FINAL SURVEY WAS RAW NORTH AMERICAN VERTICAL DATUM ED EUCTRIC Box
WS WATER SERVICE ELP ELECTRIC LIGHT PEDESTAL
PERFORMED IN THE FIELD ON 08-12-2t TvB TELEVISION sox
I HAVE EXAMINED THE F I R.M.AP NO 12101002W,
DATED SEPTIMM 26, iDI'MO FOUND THE SUBJECT PROPERTY
APPEARS TO ME IN ZONE *X`. AREAS DETERMINED To at ouTsDDE THE
0-2X ANNUAL CHANCE FLODOPLAIN, THE SURVEYOR MAKES NO
GUARANTEES AS TO THE ABOVE INFORMATION, PLEASE CONTACT THE
LOCAL F.LM,k AGENT FOR VERIFICATION,
REARING BASIS:
BEARINGS 940AN HEREON ARE BASED ON THE NORTHEASTERLY LINE
OFLOT 9 BLOCK 15 WHO 53514'42"E, PER PLAT,
SC,L, 1' - .30 FEET
APPROVED BY: —9—
JOB Na 200117 LOT 9, BLOCK 11
DRAW BY, RMB
I HEREBY knTI%THAT THIS SURVEY, SUBJECT TO THE
SURVEYOR S Olt CONTAINED HEREON MEETS THE
APPLICABLE 'MINIMUM TECHNICAL STANDARDS' SET
FORTH BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS IN CHAPTER 54-17, FLORIDA
ADMINISTRATIVE CODE PURSUANT TO CHAPTER *72.027.
FLORIDA STATUTES
0`1911"y 119-0 I'l I.— W.
A5AIeokman
Ni A E—:— FR I
U FR V E--Tr- I N
M ARRING INC. TIE
201, .1
FIRM
CERRFICARON OF AUTHORIZATION NUMBS LB#6393 JAMES W. BOLEMAN PSM# 6485 DATE
3191 MAGUIRE BOULEVARD, SUITE 200 THIS BOUNDARY & AS -BUILT SURVEY IS NOT VAUD
QRLANGO. FLORIDA 32803 WITHOUT THE AUTHENTIC ELECTRONIC SIGNATURE AND
WWW' 40 -7979 OF A FLORIDA
AMERRCA%A 426 THE AUTHENTIC ELECTRONIC SEAL FRED,
VEYINGANDMAPPING,GN UCENSED SURVEYOR AND MA
Sales Rep: Michael Gomez I Opportunity #: 118886 Date: 9/10/2021
Name: Thomas Smith
Jobsite Address: 7254 Steer Blade Dr
City, State, Zip: Zephyrhills, FL 33541
Billing Address (Cit , State, Zip): 7254 Steer Blade Dr, Zephyrhills, FL 33541
Primary Email: thomas.jordan.smith@gmaii.com Secondary Email:
Primary Phone: 240-687-3134 Work Phone:
Mobile Phone: Secondary Mobile Phone:
UNSUREProject Description: F1 Fence E] Kitchen E] Pavers [:] Pergola [:] Other
$ d l d ■
2 72" X 64" WHITE LAKELAND WALK GATE
G MMLV €4
! T 'Deposit 1200.00
BALANCE DUE DOES NOT INCLUDE ANY DEBIT/CREDtT CARD FEES THAT MAY BE CHARGED
Notes:A.. •
VC FENCE
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ACCORDING TO FLORIDA S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUS -CONTRACTORS OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE
OTHER LEGALLY REQUIRED PAYMENTS. THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACT IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY
ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE
FAILED TO PAY TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT 15 MADE, YOUR CONTRACTOR 15 REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY
THAT HAS PROVIDED TO YOU A'NOTICE TO OWNER.' FLORIDAS CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT, WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY,
hereby propose to furnish labor and materials completely in accordance with the above specifications for the sum of:
it price (includes tax) $5410.61 (ALL DEBIT/CREDIT CARD TRANSACTIONS WILL BE CHARGED AN ADDITIONAL 3% PROCESSING
FEE ON THE TOTAL VALUE OF CONTRACT)
i permit Is required, permit fees and a $35 service fee will be added to contracted price listed above.
Danielle Fence authorized representative
ACCEPTANCE OF PROPOSAL/CONTRACT
The above prices, specifications and conditions are
Home Owner or Authorized Representative:
Name (printed) a:
ACCEPTED. See back for contract terms and conditions.
R. -