HomeMy WebLinkAbout92-2589
BUILDING PERMIT
Permit
2589-6
f-/9-7~
;20-
~~~R~
CITY OF ZEPHYRHILLS
(813) 788-6611
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N~
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70
~V
-
Date
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
~
Sewer Conn
Water Conn:
Zoning:
~~ ()#~
~UEp .; Ef:V#
FINAl_
C.O. _
Ai 0 ~ 'iV&E friLl.
Atlt 1;V3fF010~ /JIt.F mJ4.bc pAJ PDO,l..1?IP
~~i:L ;Z59/"f~
NO OCCUPANCY BEFORE C.O. ~ ? J.I--'j~ _
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
ate Certified License#
Inspector
~?O .~ :~;~~::,:e;Yl~D ~d?<-.
Company ~_
:1 7 ~~A.-;?JaI.-~ Address
.
Telephone#
Valuation or :I /0
Contract Price , J
BUILDING
~ Breakers
Ducts Insl.
Compressor
Final
SLB ~..~lo-C4 ~
Tub Set
Water
Sewer
Final
Z-l\tL ~DtJjh '1 ~ t14L~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
~Y~'~lo-Cjd.~ ~q";;l3..q~fl~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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1. POOL SHAPE: c.l--~\ ~ -' REF. NO.
2. SIZE ... X c-').. 4l! DEPTHS: -~. TO ~
3. COPING A - ..D~, ~
4. TILE: ~ 'T - ~~.. e
5. DeCKING: \( 0 Q \ t::> ~ ,v~ -. {O ~ ~ P
6. PUMP SIZE \ "~ ~ GALLONS:' ~ 00'0
7. FILTER TYPE: I I';) t)' ~ C:..I\. 'l.\ It \ c) <:..lOCATlON' ......r'
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8. FILTER AREA IN sa. FT. ''00
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9. flOW RATE IN G.P.M.: 0
10. RAILS: N..:> LADDER: /V v
11. UNDERWATERUGHT: V ~ ~ VOLTS: l L-
12. CONDUIT & SEAL -s;:-'o <' L~ :> l-... ~
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HRS. TURNOVER: -
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GRAB: \1 tL ~
WATTS: I;);)
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13. Deco DRAIN N <:)
14. FRENCH DRAIN '1 c.~
15. SKIMMER: ,-:..1 ~ :::>
16. INLET FITTlNGS: ~ ^ 1 ~ 'l. (::) AU UNES: ~ A
17. MAIN DRAIN: 's I \ \) 1'::... <: ' s;:- ^ ~
18. AUTO CHLORINATOR: Q \.... '0 ~ w
19. TEST KIT: \ tV <...
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L,-,...., c..
20. BRUSH & POLE:
\ ro.J ~
21. UNDERWATER VAC: \ ~ <--
22. HOSE FOR VAC:
23. ELECTRIC: G;
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SIZE:
SHAPE: Q..........,~
28. SCREEN ENCLOSURE:
loO
VOLTS: \ "'-
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I ',4 ROOF:
I {'"'iJJPER GUTTER:
24. SPA HEIGHT:
- 25. LIGHT: "I ~ >
26. HEATER: N IS>
27. JETS:
WATTS: l u"O
."-:~C>..........~
29. DOORS:
30. ~<")\...... ~~
31. 5c.....r (.-e....-
32.
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CUSTOM DESIGN DISTINCTIVE POOLS
NAME 1"\ ('"' It><." ~ M.. s ::s ~ f-F Co ll. oN ~
ADDRESS I Q~ ~\u.('\h{'{)-\:&r\ f)r\ J~J
CllY ?A-=>~ ~ (' 8 __ \.-, P~ONE q ~o - O~ ~$
LOT BLK. SUB.
CUSTOMER'S SIGNATURE
* Note:
arcite is a mined product and may
have discoloration or marbling. DWN. BY r2C.., . >
DATE I/d ")/9 CHK. BY
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1. POOL SHAPE: c.......'-b\" -...... REF.NO.
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2. SIZE r;).. X' I.., x....'). ~ DEPTHS: ~
3. COPING A - J)~~ ~
4. TILE: ~ T - ~~ ~ e
5. DECKING: \( 0 Q , ~ e . V~ lO ~ ~ f
6. PUMP SIZE \ \ '~ \..f GALLONS: \ ~ 000
7. FILTER TYPE: I 0 C> ~ C:..r. 'e.\~\ c) ~clOCATlON' u-
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9. FLOW RATE IN G.P.M.:
10. RAilS: N.:> LADDER: /\/ Q
11. UNDERWATER LIGHT: 'I ~.:;, VOLTS: l L
12. CONDUIT & SEAL ~o <' L... ~ -\-
TO
HRS. TURNOVER: - ~ . \'.
GRAB: "-/ <L ~
WAITS: Ii:) 0
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14. FRENCH DRAIN '/ ~
15. SKIMMER: ;' ':\.1 c..... :::.
16. INLET FITllNGS: ~ ^ 1 '-'"^ 0.. ~ FILL UNES: ,'\,} A
17. MAIN DRAlN: 's ,\ Q f':>. ~ .~' s;::- ^ ~
18. AUTO CHLORINATOR: QA \.~ ~;::> W \ ,-.I L..,.., Co.
19. TEST KIT: \ IV <-
20. BRUSH & POLE: \ r-.,J '-
21. UNDERWATER 'lAC: ~ ~ <..-
22. HOSE FOR VAC: \ '" c::....-
23. ELECTRIC: @,)~, ~ ? ~
24. SPA HEIGHT: ~' , SIZE: (0
25. LIGHT: ,,/ ~ ~ VOLTS: \ "L."..
N IS) \.--~~
26. HEATER:
27. JETS: ..::> .....,..~ ~" '1 \.J ~ !\..~
28. SCREEN ENCLOSURE: ^ J I 14 ROOF:
/ \/ I {st,PEA GUTTER:
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SHAPE: Q ~ v-ra
WAITS: l l.)-o
30.
31.
32.
CUSTOM DESIGN DISTINCTIVE POOLS
NAME IV\ (" ,tl....,l::, ~r S =s ~ f-F C.O l t. ..v ~
ADDRESS (j)2/?:D \-\L~(\~ \\~ Or~ je
CllY ?A"':>~ ~ (' D ___ ~ / P~NE q 13 0 - o~ ~$
lOT BlK. SUB.
CUSTOMER'S SIGNATURE
arcite is a mined product and may
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CHK.BY
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FOR: DISTINCTIVE POOLS & SPAS
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1700'- A"',,>/~rl- ~rt:..
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APPLICATIOll FOR :~T
CITY OF ZIl:P.U.IKH "_T.oS
BUIUUIIG DEPAKnIEI/n'
OWNER'S JWIE ~e_~~ + D \ 0S\f\D.. CoU \ ns PIIOB
OWlIER'S ADDRESS Lo33D \-\l~~n "Dr, \Ie
JOB ADDRESS u6?;r') \-\u...(\+.\{\~n.:1) \\ ve
.LEGAL DESCRIPl'IOIII: I..OI'(S) Qlt- BI..OCK___SUBDIVISION
us
q~3 ~c,'3 ~ I
PARCEL 1. D. f
liOn PROPOSED:~lIev Construction ~tion _Alteration _Repair. _Install
_Sign
__!!love
_Deaolish
PROPOSED USE:
X Si.ng1e Faaily
I
_KIF
_<=<-ercial
_Indust.
_, of Units
-X:._Swia. Pool
_K/B
Other
_Restaurant &: Hea11:h Depa.r1:JEnt Approval
BUILDIIiG SIZE:
x
"Jiqlllare Feet.
Height
RESIDENTIAL :
. COIttIERCIAL :
ATTACH (2) PLOI' PI.ABS &: (2) SEI'S OF BUII.DDiG PLARS &: (l) SET EliERGY FORKS."''''
ATTACH (3) SETS OF BUII.DDiG PLMiS &: (1) SET ENERGY FORKS."''''
"''''COPY OF COlfl"RACT RllQm:RED.
PERIPIT'1'S REQUESTED
_BUILDIIiG
$
( O. <if";;J. o. 0 D 'waluation or Total Construction
I
_ELECTRICAL
MIP Service
Florida Power Corp.
W.R.E.C.
_ttEaIAIiICAL
$
__Valuati<Y r-...f li'lecbaaica1 Installation
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_PLUKBIIiG GAS _._.K03l'.)JtK;
SPECIALTY
TYPE OF COIiSTRUCTION: _Block _Fraae _S":eel
Other
FDIlSHED FLOOR ELEVATIOIiS:
FT.
IS P.RO.ritCT IN FLOOD ZONE I AREA?
YES HO
*********************~~~****************...*
f RUTT .DF.R
Signature
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=.:w:: or Regisr. ~~;;;;g J I
PitS City Li~ense Registration I
...............***..........*' .:it,;, . ,,,***************
~
CD!IPA~Y 6tCfc.o.) E1:!~+n~.ai.7 [1/["-.<;; o..:L.J1 L
State Cert:. or Regist. I t::::L.'Q~~.~05
City Liceqse Registration fl.
***........*v..........*..........********* * *****
~PIDlBER
Sigoat:w:e
CIJItP.
D:J. State . or Regist. I
D'ST(~<! -livE- rt'~0 S!l1J.. City I.icense Registration f
******** .......*****..........******************~**
CD!IPAIIY
State Cert. or Regist. f
City License Registration I
**********.................******~*******************
tmaIAIiICAL
Signature
Signature
CO!IPANY
Stat. CerL or Regist. t.
Cit:y LictilSe Registration i
*******...*,1"-"'..... ~,,,*-*****.***.**************
.
0'I1IF.R
AP~ICA.TION APPROVED BY
1':z.RKIT OFY!CER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS ,
The undersigned understands that this per.it ..ay be subject to "deed restrictions. which lay be lore restrictive than City
regulations. The undersigned assu.es responsibility for cOlplia~~e with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or co~tractors to undertake ~ork, they lay be ~equired 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 lay be
cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IB13)
788-6611.
Furtheraore, if the owner has hired a contractor or contractors, h~ is advised to have the contractorlsJ sign portions of the
.Contractor Sections. of this application for ~nich they will b~ responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than thr contractor, are re~pcnsible for the work. If the contractor wishes you to sign
as contractor that .ay be dn indication that he is not properly licensed and is not entitled to perlitting privileges in"the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Constructi~n Lien Law - HOleowner's Protection
Guide. prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
.owner., I certify that I have obtained a copy of the above described doculentand prolise in good faith to deliver it to the
.owner. prior to coa.enceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work Dr
installation has coalenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
, Southwest Florida Water "anaqelent Distric~ - Wells, Cypres; Bayheads, Wetland Areas, Altering Watercourses
t Aray Corps of EnQineers - Seawalls, Docks, NJvigable Waterways
, Departlent of Health ~ Rehabilitative SerYice~~nYironlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US Environaental Protection Aqency - Asbestos a~ate.ent
I also certify that, if fill laterlal IS to oe useo 10 fiood Z~~~ .~. vi "h,Etc,', i' is ~~d:rstDo~ that 3 drainage plan'
addressing a .colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or v>,lations of any code. Every'perlit issued shall becole invalid
unless the work authorized by such perait is cOltenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six aonths after the tiie the work is cOltenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection aust be logged during each six lonth period, or the project will be considered abandcned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOURPAYINS TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF Y~NO TO OOYAIN FINANCING, CONSUlT MITH YOUR LENnER OR AN ATTORNEY'REFORE RECORDING YDUR NOTICE OF
'f ~' ~ (). UN .~ NOT NEEII TO RECORD AND POST ~ ~:cr F COIll1EHC~
E: OWNER.OR AGENT SIGNATURE: CONTRACTOR
-
STATE OF FLORIDA
COUNTY OF \--\t LL$ ~o~ out:", H
The foregoing instrument was acknowledged
before me this ~':'/~ ,19.:i.2=- LrY
JEFF c..o L.-L.-l JJ S ..
who is personally known to me or who has
produced
as identification and whcI d-id/di(~ not
~t~~N~~
(S~~~~Q.f) W'(\~\>..e.~~
(Name TYP,ed',' !Brcir.t~d o;-"'Stamped}
NOTARY PU~~r~~. . . .
...~~~'
_ Commission Expires:
April 10,1994
STATE OF FLORIDA
COUNTY OF
The foregc. i ng
L,~'f ,-,'.-e me th i s
H., LLS'St::lR..our...H
instrument was acknowledged
~-/'7 ~ 19~ by
C-t-<..R.\~ RO-nlt..lCPUE..""2-
who is personally known to me or who has
prodLlced
as identification did/did not
tak an 0 t .
(S~n tLlre) n. l\ '
f\~ \ OQ AI ~Y'..J.Ql..s~~(' '? )
(Name Typ9d, F'l- i nted (>. Stamped)
NOT ARV F:I)BL Ie.
Not<; jell))!!;
811I8 Of Flortd!i <it W::rrr
My CommlsslOf"i~~-
AprI110;,~~~:._
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Florida
Power
CORPORATION
N~E
A6DRESS &;330 HuAJTlIJG 1l5tJ D(l..
CITY ~(fPJiyte#t~
~ The pool proposed for construction at the above address ~ NOT
conflict with any underground or overhead facilities of Florida
Power corporation, provided that the pool is installed in the
location shown on the attached site plan provided to us by the
pool contractor.
The pool proposed for construction at the above address ~
conflict with: OVERHEAD UNDERGROUND
facilities of Florida Power Corporation.
Arrangements have been made with us for relocation of the
facilitie8 80 as to clear the pool area shown on the attached
site plan.
~~~ORAf{t~~
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
38231 HIGHWAY 54 · ZEPHYRHILLS, FLORIDA 34248
A Florida Progress Company
Sw' . CPoot eO+1tJtarl
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'DISTINCTIVE POOLS & SPAS. INC.*
d. 121SW: Fletcher Awnue
Tampa, Florida 33612
-- (813) 963-6331
fAX: (S13) 963.6923
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;..' This form, when property signed by both parties or their agents, Constitut~ a col)tract between DPS and the Owner or General Contractor as design~ted bel~ at the price.t~m.l~.
and c.o~ditions he~i~R..rt rtth on botb.sides t is form. - .~_'. .".r, 'e' \ \ .. -., '0."(').. . 8..~. ..:<.... ~..'~ ..: ,..;.;"-~r;ir.,~
LEGALOWNE . .'( .1..\. r ~ ( ..:> ~ '0:' ' 'T .' .0 \.,,...s... PHONE ."'J 0 -,\.-I <1 ~ CS - . "Q
AUTHORIZED AGENT/GENERAL CONTRACTOR
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LE~ fvlAIUt:-fGA.DQRESS
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LEGAL DEsc~IPrio~ L a -t- '9 "-I
I'~ C' . r
BILUNG NAME AND ADDRESS
. The Owner shall secure proper permission for access of contractor's equipment if such access is across property other than owner's. Any trees,
bushes, sod,walls, fences, sprinklers, septic tanks, water or sewer lines;driveways and sidewalks or other obstructions above or below ground in
the area~. required ~r construction under this contract ~~all be removed, cared for and/or replaced by Owner, except as stated herein. -
-, .;' \ -., . . POOL CONSTRUCTION AND MECHANICAl,DETAILS ~ . ~ q~;
All construction imd mechanical details covered by this contract shall conform to standard Structural and Mechanical Specifications and/or IM:lrking Drawings, w"hich are ~ilable
on demand to the Owner. Pool structure shall be steel reinforced concrete construction. with integral bond beam. except as stated here. '. .... - .., ." -, ,,:
"LPO~!~i~~.,~ax.Wi~~ ~.~4 . .. :Min.Widt,h.'.2-.. . lB.waterSuPPIY(Byowner)C..{,/ c-f"2 ~f~~','2'>~
. Max. Length 2. '8 19. Site Conditions ~~ c:::. c.\.
\
3 Max. Depth
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Min. Depth
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20. Brush. Vacuum Head. Adj. Pole, Vacuum Hose, "'\' ~ /
Leaf Skimmer. Test Kit . . -
21. J-Box ....:i C.- TransfcJrmer I l....-...J c....
Shape
2. Elevation at Beam Top
3: Excess Fill
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f:L<-
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T n...~ . Lo..Q..' r,d-,.:):"" 23. Auto. Cleaner ..... J' F.., ..~
--r- 24. Heater - LP or Natural '. No'
--l ~ <:.- Gas Hook.up by Own~ Size
25. Auto. Chlorinato~f<,.A. \ .., .~;:. U \ ^' Ll....r-c:-
26.. Inlets --r U \:) . l...\. A \"1,....0- Q. ~ D -,. .....
27. Spa R. c> '-'" ~ Elevation' + <...." '~"
2S. Therapy Jets ~ C> ~~ t--lA.. 7 ~^ ~ 0
29. Screen Color _Roof
22. Time Clock
.!:~' -
Ood>
,:'1' 5. Pump & Motor \ \( 2.-.'-- P
,. . 6. Surface Skimmer ,\ /'o.I c..-
,(1r 7. Backwash Disposal ' t-\..:;> ~ C ~...: lc-. ..
S. Tile CG. c> ,~.-=- ~ r (jJ"' ,0 ..p ~
\ "{, Sc.L.... I. 0 ~,....S - 3%
9. Piping 1'V.c. G- .::! _
U l-.. . \---c:..
. - ,4. Filter
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10. Maretf!
11. Underwater Lighting \ "2- U c C+. l ~ CW'- ++- 30. Walls Gutter
12. Main Drain S ., p {>oo. c.. _s:;- h '0 31. Stump Removal
13. Decks k:o.o' b C.L l<. ~ L p." ..... Ilo. \. . 32. S c. r <::.. Q...rJ ..sr- e :::. -\.c..T &".
14. Grabrails 'I t! ~ Swim Out 33. c::, "A S ~ ~ \.:::. (..l.( So f \ \ \ L Po '.
15. Handrail Bench Seat 34..F.-A l ":> lL b ~ c...A " ~ L. "' ~ ..-\- l...
16. Deco Drain .- French Drain ~~l^ 35. ~ \ \. ~ +' r.>...C-C
Y ~" GFI "",'- 36 <3:. \.....~ ~ ~'Qel<. +0 ~~ ..~.. .t::>-
17. Electrical Hook Up (To Existing) --' . - - --r- ~
Contract Price ~ ~ ~.::> ...... ""E::' ~ ~ L> l- Dollars ($ l {; \ s ~ t:. -- 1
TERMS OF MYMENT: It is understood and agreed thatthetermsare cas nd payments as set ow are due on billing. It is further
understood and agreed that the shell and other progress payments and any changes for extras, changes and additions shall be paid
before the marcite is applied and pool is completed. Use of pool denotes completion and acceptance. If DPS incurs any expenses in
collection, payments or enforcing terms of this agreement, the Owner agrees to pay all such costs and expenses including reasonable
attorney's fees and court cost~;.
SCHEDULE OF BILLING; Deposit 10% Concrete Shell 50% Plumbing Installation 35% At Marcite Prep 5%
lri~rwritten on this contract including the reverse side hereof. and no verbal agreements constitute a part of it. This contract
fZ-, Date 00.~Y7~ Co. Owner
Date
ACCEPTED: Owner
SUBMITTED to DPS by
ACCEPTED: DPS by
Date
<.~/~ S /q c:.-
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TERMS ON THE REVERSE SIDE ARE PART OF THIS CONTRACT. READ CAREFULLY.
LICENSED AND BONDED
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