HomeMy WebLinkAbout04-3098
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CITY OF ZEPHYRHILLS
5335 ' 8TH STREET
(813)780-0020
BUILDING PERMIT
3098
Permit Number: 3098
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 5,450.00
Date Issued: 5/20/2004
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 5/20/2004
Work Desc: RE-ROOF
Address: 38651 NORTH AVE
ZEPHYRHILLS. FL.
Township: Range: Book:,
Lot(s): Block: Sectiom
Subdivision: CITY OF ZEP.HYRHILLS
Parcel Number:
! Name: HAROLD & DOROTHY PIKE
Address: 38651 NORTH AVE
ZEPHYRHILLS. FL. 33542
Phone:
.--.--....-- _.._-~-_._._-~-
-REINSPECTIONFEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"Warning to owner:Vour failure to recorda notice of commencement may result inyour-paYlng twice fo~
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement. II
________m_ Complete Plans, Specifications and Fee Must Accompany-Application.
___m_~Lwork sh~I!~~p~rfol"'!1~~_in accord~mce with.city Codes ~~c:t9rdinan~~s.__u_ _____
NO OCCUPANCY BEFORE C.O.
------------- --------.---- --------- - -.-..-------.....-.-..-.-- --.._----------------- ---------- -----
Y~'f~C~~RE . ~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PElWIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
MCI 332.1
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME Ha fO lei
JOB ADDRESS 38(05"1
.
Ake
North Avenue.
~ Dorolhy P, /<e.
Zephyr hills,
FL-
PHONE g/3 7JS-J831
33 S-Lj z...
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 02 ~ Z/ DOI./O OoBoo 0010
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
PROPOSED
Os I GN
USE:~GL FAMILY
o COMl'1ERCIAL
o MOVE
o DEMOLI SI!
C ROOFING ~
DWELLING
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
S~le
a nc/ PI a+ Re - ('oof.
Shin9/e: 1'/00
SQUARE FOOTAGE Flo..f : Iu,oo
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
574~D'
PERMITS REQUESTED
~
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL $
o GAS ~OOFING 0 SPECIALTY
VALUA'rION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o S'fEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
SIGNATURE
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
*****************************************************************
SIGNATURE
w~
COMPANY MILBAR CONSTRUCI'ION, INC.
STATE CERT OR REGIST # CCC 051562
CITY PROCESSING # 218
OTHER
*****************************************************************
CONDITIONS OF PERMIT Af'I!'IIJAVI'l'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's COllstruction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and pronlise in good faith to deliver
it to the "owner" prior to commencement.
E. 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 wi.ll be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is corrunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
rnonth period, or the project will be considered abandoned.
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 OMMENCEMENT. JOBS UNDER
$2,500 IN VALUE NOT NEED TO RECORD AND POST A "NOTICE OF CO CEMENT".
SIGNATURE: CONTRACTOR DAVID R. ABLA
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of 19_
by DAVID R. ABLA
(name of person acknowledged)
~ who is personally known to me, or
PASCO
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this day of 19
by DAVID R:-A13IJ\
(name of person acknowledged)
~ho is personally known to me, or
PASCO
Dwho has produced
(type of identificati~n)
and whoD dir7~did not take an oath.
($1(5%1
'i.gnature of i '5fWf.!,:f\~t~~M acknowledgement
,~~~~(~ ~~t~~I::~~liii-~;:~C ~;t(~t':? (); ~:~~1::~~~):' nn
Dwho has produced
(type of identification)
~i at take an oath
~~~sR.~otr~ng acknowledgment
Notary Public. State Of Florida
M Commi" -: 1',
Name typed, CplJT1i1n1oo(:h@.:.e~1~llIttnped
.Iped, pr' fi<tI:1E!d'orstamp,e~
NOTICE OJi' COMMENCEMENT
MeI #33l1
Permit No.
Parcel LD/FOLIO # CJ 2 '0 d-.Q:, ~ ,:J-I - eO ~o . ()(j ~O').. C/O lO
~~~~~~~~lW/ 1/1//11I1111/11 ///1/111// 1/1/1 1////11/
State of Florida
County of pASccc)
Rcpt : 784077 Rec: 6.00
OS: 0.00 IT: 0.00
05/19/04 ___ Dpty Clerk
THE UNDERSIGNED hereby give notice that the :hnprovement will
be made to certain real property in accordance with Chapter 713, Florida
Statues, the following information is provided in this notice of
comn lencement.
~~~1~~~IM~N4~2P4ASCO COUNTY CLERK
. pm 1 of 1
OR BK 5862 PG 597
38~ol Nor~IIe.. Z~phyrhill~
l.Description of property (legal dt:scriptioll of property and address if available) ~.ec: , ~ li-E=i1 i= '-
Section 2- . rlbwnship 2'~. Ranqe 2/ E Dill< P/tr-k PB .3 PG 1f:~ LD-I.C, /23 L/-/J
2.General description of improvements . RooF RInck 13 Dp..t;;,c. 11<\ Corn SF {'()R
Df .s "'/ 1J" 0 f S,E '/J/ Tfj Norl-h 2/J. {)f} F t
rH weST /(P2-. DO Pi:.. Fot<.
?d'. I .
..:. ) lJf:.~ i (] RT I-\. ILL
3.0wner infonnation 'T'\
a)Name and address VOf' T ,
b) Interest in property DU.'tC~
c)Name and address of fee simple titleholder (if other then owner) /U,I A
Rontractor (name and address) MIl.BAR CONSTRUCTION. INC.
15911 U.S. 3~1, DADE CITY, FL 33523
5.Surety
a)Name and address ALL STATE:; O'Ll',t,lcRS 'R:'L-ICV
b)Amowlt of bond
6.Lender (name and address)
7.Person within the State of Florida designated by owner upon who notices or other documents may be served as
provided by Section 713.13( 1 )(a)(7), Florida Statues.
Name and address ~~A-IYIE AS 4"Bot.> ~
8.In addition to him or herself, owner designates AJ J R
of to rec~ive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statues.
9.Expiration date of notice of conunencemcnt (the expiration date is one year
from the date of recording unless a different date is specified).
STATE OF FLORIDA
COUNTY OF :P A seD
CMNER I S SIGNA'lURE
PRINTED NAME & 'rI'l'LE
:9-:-Q)j~~ ? Cl f~ ~
Y1 iKF
~L-1> F~ KE- pc;/-
~ot.2ft, by /):V!..DTIl- y:L Pi KE
as identification.
/ .
. // .1/
....:......./ /r.::/L.~ y :??~1-xd.~
:\to."Y PlIs. tJ
~o ." :t, SEUM ~1'NEl:i
.. ~ . MY COMMISSION' DO x.~j~
"=' .. EXPIRES: October 24 2007
of" ".f> 8 4 .
f'~, .. In I~ 'Ri. b 8"1 Nbllry ~'IWlCIlS
. L /11
The following instrument was acknowledged before me this...LL-day of 7/f.-.z~f
~hois personally kn~~!}7to me or who produced tJ
After recording, return to:
Name MILBAR C "Ji'~STi-IUCTION. INC,
Address 15911 U.S. 301
City Dade City, FL 33523
Notary Si~nature
Name(print)
Title or rank
Serial number, if any
t I ,"l'
U.S. 'ntec Certified
Platinum Installer
#5204
~
Jroposnl---
1
of
3
Pages
~,
"I
~------~-~-~--
_ ...----Member of the Florida
! Roofing and Sheet Metal
Association
i
i
1
MilBar Construction Inc.
Roofing. Concrete. Commercial' Residenlial
15911 US Hwy. 301 North. Dade City, Florida 33523 Oc
352/567-6047 · 800/562-2393 · FAX: 352/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
! PROPOSAL SUBMITTED TO
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
I __ u______~_______ ~Ef>.H.YJUULL.~~L
i 1- We hereby submit specifications and estimates for:
l
SHINGLE AND FLAT RE-ROOF
Ii
,I A.
SHINGLE ROOFING
1. Tear off and haul avay the existing one-layer shingle roofing system; clean up
work area daily.
2. Provide and install new 15 lb. saturated felt paper.
3. Provide and install new TAI1KO -Elite Glass-Seal AR- 25-year 3-tab algae-resistant
fiberglass shingles; Owner to select shingle color from TAI1KO's standard
colors. Shingles have a 25-year limited warranty from TAI1KO.
4. Replace all damaged flashings (valley, vent, or any wall flashing).
5. Provide and install new lead boots for the plumbing vents.
6. Provide and install new pre-finished aluminum eavedrip (white or brown).
7.
MilBar Construction, Inc. to provide 5-year warranty on workmanship; ex-
clusions: storm damage, work or damage done by others, tree damage, and/or
structural damage to roof deck.
/
8. FLAT ROOFING
1. Tear off and dispose of the old one-layer roofing system.
~e Jropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
SEE PAGE TWO.
dollars ($
),
Payment to be made as follows:
Invoiced amounts not paid in accordance with the payment terms shall be considered delin- Authorized
quent and bear Interest at the rate of one and one-half percent per month. Owner agrees to Signature
pay all costs incurred, such as attorney fees, collector faes, court costs, etc" for collection
of delinquent invoices Including interest. Owner to carry fire, tornado and other necessary Note: This proposal may be 30 I
insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within ~ days, /)
_.._..------.~.-~~--~---~-.----------.--~---- __ J' __"' __~_____________':/
J\.c.c.et.thtut.e .of Jr.op.osul - The above prices, specifications ~v1 7'/l!t7\. ' ---~l-"]
'"' oo,Jlllo", ot. '011,1.01", ." "ot.b, .oo.pl.'. Yo, .r. .","..,,., 8I"a'" 'I .'"'11_ .7:. - -.
to do the work as specified, Payment will be mliPe a$ outline above, . ,
fJ -r; :1
Date of Acceptance: t!- \' Signature ))
/?<J
'- J 1 Page No. 2 of 3
-. =.:=:.=:C::::::-~===.=.C=C:~==---=::='-::::..=:====---=:===== r opo sa ==:~===.=::-=.=-.=-:=c:::==--==--=-=:::==-=-___ -- . __ _____.
Member of the Florida ~ State Certified
Roofing and Sheet Metal Builder #CBC023221
Association ~~ State Certified
Li.L MilBar Construction, Inc. Roofer#CCC051562
u.s. Intec Certified Roofing' Concrete' Commercial' Residential State Registered
Platinum Installer
#5204 15911 US Hwy,301 North 0 Dade City, Florida 33523 c::>c RO~6~r:e~7~~~=~15
352/567-6047 · 800/562-2393 · FAX: 352/567-4454 Roof Consultant #0149
Pages -
PROPOSAL SUBMITTED TO
PHONE
DATE
! PIKE HAROLD
STREET
813/715-1839
JOB.NAME
04/26/04
! 38651 NORTH AVENUE
CITY, STATE and ZIP CODE
PIKE RESIDENCE
JOB LOCATION
ZEPHYRHILLS FL 33542
ARCHITECT DATE OF PLANS
38651 NORTH AVENUE
JOB PHONE
-------------__~_________ _______ ~~_ __ZEPHY~HII..J.~L____
We herebysubmiispedficaiionsal1dE!stimaies-for:------~------ ---------- ---------~--------
:i
I'
2.
Provide and mechanically fasten a Firestone H8 fiberglass base sheet over the
plywood deck prior to the installation of the Firestone roofing membrane.
3. Provide and install a new Firestone APP-180 white granule-surface roofing
membrane which is a torch-applied fully-adhered modified bitumen roof system that
is heat welded at the seams to form one sheet; and offers a Firestone's 12-year
"Modified Bitumen Membrane Limited Product Warranty."
4. All metal and concrete surfaces will be primed with an asphalt base primer prior
to installation of the Firestone roofing membrane.
5. Provide and install new 26 gauge galvanized metal eavedrip around the
perimeter of the roof as needed.
C. GENERAL CONDITIONS
1.
WOOD REPAIR. Any rotten or damaged wood deck, fascia, trim, etc. replacement or
re-nailing of the existing roof deck will be completed on a cost-plus basis above
and beyond the contract price.
II
Ii
2. Owner to provide access for delivery trucks to allow roof loading/unloading
for the entire roof area.
Ii
3.
MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Insurance ($2,000,000 limit) and re-roofing permit.
___ I
-----)ie Jropose hereby to furnish material and labor - co~plete in accordance with above specifications, for the sum of: -I
SEE PAGE TWO. I!I'"
dollars ($ ),
Payment to be made as follows:
,
,
"
Invoiced amounts not paid in accordance with the payment terms shall be considered delin-
quent and bear interest at the rate of one and one-half percent per month. Owner agrees to
pay all costs incurred, such as attorney fees, collector fees, court costs, etc., for collection
of delinquent invoices including interest. Owner to carry fire, tornado and other necessary
insurance. Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
/l/L-
Note: This proposal may be 30
__ by ",;1 ",,=':"fh~~
S;g~~~ ~
days. I'
J\UfptaUtf of Jropofial -The above prices, specifications
and conditions are satisfactory and hereby accepted, You are authorized
to do the work as spec' ied. Payment will be made as uUined ove,
Date of Acceptance:
Signature
!1
I'
,I
:1
Member of the Florida
Roofing and Sheet Metal
Association
t@
Jrnpnsal =:--~
Page No. 3 of 3 Pages
----=:::~--=-=~==--~=-------:._-~ -:::=-=_-~-=~--=:-~~.
State Certified ~
Builder #CBC023221 . .1/
State Certified I
Roofer #CCC051562 I
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
- ------------------------ -_._._---.._---_._-------~---
--"-------~_.. - ----,-_._--------, ------------------------ --------
I:
I PROPOSAL SUBMITTED TO
I I PIKli:J HAfcOl.[1
STREET
U.S, Intec Certified
Platinum Installer
#5204
MilBar Construction, Inc.
Roofing' Concrete' Commercial' Residential
15911 US Hwy, 301 North. Dade City, Florida 33523 c::>c
352/567-6047 · 800/562-2393 · FAX: 352/567-4454
PHONE
DATE
8131715-1839
JOB NAME
04/26/04
I 38651 NORTH AVENUE
CITY, STATE and ZIP CODE
PIKE RESIDENCE
JOB LOCATION
ZEPHYRHILLS FL 33542
ARCHITECT
38651 NORTH AVENUE
JOB PHONE
ZEPHYRHILLS, FL
~_.._._---_._------_._----
We herebisubmit specifications -an(Iestlmatesfor:
l
Ii
D. GENERAL CONDITIONS
"
I'
1.
~~~.>-
\ 0:'1 ..)
\P 2.
II
,
ShinQle Up-Grade. Provide and install new TAI1KO "Heritage 30 AR" 30-year
laminated dimensional algae-resistant fiberglass shingles in lieu of TAI1KO
"Elite Glass-Seal AR" 25-year 3-tab fiberglass shingles.
ADD $225.00 to the contract price.
RidQe Vent. Provide and cut-in 40 l.f. of new pre-finished aluminum ridge vent.
ADD $120.00 to the contract price.
3. l1etal RoofinQ. Remove the existing roofing system. Provide and install a new
26 gauge galvanized 5-V crimp metal roofing system.
ADD $4,500.00 to the contract price.
4.
i '\.'Q..~. ......
"\ "?"\j.-'.....\
f ~\f\:> J'
5.
'I
!I
~y;.,- ~
~cr;\~~
Flat Roof OverhanQ Areas. Provide labor and materials to remove the existing
overhang at gable ends and flat roofs as directed by Owner to make flush with
new stucco finish on walls as directed by owner on a cost-plus basis above and
beyond the contract price. To be billed on a cost-plus basis above and beyond
the contract price. (Labor=$62.50 per manhour; l1aterials=I1CI's cost plus 27X.)
Flat Roof Areas "Aw & "Bw (As Per Attached Drawing). Provide labor and materials
to install new 2wx4" PT (on Roof Areas "A" and RBR) ripped to match existing
slope of roof area RCR. To be billed on a cost-plus basis above and
beyond the contract price. (Labor=$62.50 per manhour; l1aterials=I1CI's cost plus
27X. )
----....-.-.-.---..-...----.-....--...-----...--.---.---------."--
~t Wropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
FIVE THOUSAND FOUR HUNDRED FIFTY AND 00/100--------------____________ 5,450.00
dollars ($ ).
Pa~ment to be made as foljQ}Xs:
DUe UPON COI1PLeTION.
Invoiced amounts not paid in accordance with the payment terms shall be considered delin- Authorized I
quent and bear interest at the rate of one and one-half percent per month. Owner agrees to Signature
pay all Costs incurred, such as attorney fees, collector fees, court costs, etc., for collection I
of delinquent invoices including interest. Owner to carry fire, tornado and other necessary Note: This proposal may be 30 1['
insura~_c~~~_:o:~~s::~u~c~ve~ecl bY~Or~an's Co~!ensat~~sura:e~ __ __:~~~a~n ~: if n~t_acce~~_w~~n____ _ ~~_ _ _ _ _ _ _ day~, j;
~~~e-~,i;~~e -~(J~~p~-;a{~ Th::ove -p~~c:::ecif~:Ii:~-:-sl.gnr-atu-r-e7T - n'1QJ--~'\-.J~'i-~-::" - .. ~'ll,
and conditions are satisfactory and hereby accepted, You are authorized ~ ~ _ ~ c/----
to do the work as specified, Payment will be rnade as ou ined ab ve, J.II
Date of Acceptance: ~ P N e.&. Signature .
ii
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