HomeMy WebLinkAbout09-9990 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9990
BUILDING PERMIT
7 .. , . N+ , E, . :45° 7 t € 3 AVEr:
Permit Number: 9990 Address: 3521 PYRITE DR LOT 306
Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24 26 - 0080 - 00000 - 3060
Improv. Cost: 16,000.00 WE,. 7 fl= E .i s- tA
Date Issued: 1/14/2010 Name: STONE, JAMES & CARLEAN
Total Fees: 235.00 Address: 10750 ANGOLA RD
Amount Paid: 235.00 SWANTON, OH 43558
Date Paid: 1/14/2010 Phone: (419)508 -9649
Work Desc: CONSTRUCT A LANAI 12 X 42
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H� •W - BUILDIN 165.00 ELE T AL FEE 35.00
PLUMBING FEE 35.00
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Fe 'TER 2N1 - •U H PLUMB MI 1 ULA ISN E LIN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE -SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
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 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 property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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C NTRACTOR SIGNA PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner:
leo--el s-
Date Received: / — 6 /0
Site: 3 5 / 8
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Permit Type: / Z 1C V L,4_,14
Approved w /no comments: ❑ Approved w /the below comments:
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Denied w /the below comments: El
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This comment she shall be kept with the permit and/or plans.
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Katy' Switze Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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2010004659
Rcpt: 1282414 Ree:10.
DS: 0.00 IT: 0.0 Clerk
--
NOTICE OF COMMENCEMENT 01/12/10
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
Permit No. 01/12/10 BK 8 1 PG a 13
Property Identification No. ddtd -' dCOW — 300
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description:) E _ /� I , / 12-fr # /For/. Ah -6i 08 �� ,fir cV 1_4/ 3Cl
a) Street Address: 3Sa1 py/'t.�4 dP . 2t?�(r, pia( Fl 3354) d k ,C76 PF i71
2.General description of improvements: ✓✓
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Owner Information /
a) Name and address: e6-/'kC, SStO/I c 3S'/ A Pot- L 4tALJ ( F� �.S (�
b) Name and address of fee simple titleholder (if other than o er)
c) Interest in property
4.Contractor Information /t /,� - /�
a) Name and address: O (i " !f &)4 a t�dr
b) Telephone No.: Fax No. (Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE I COMMENCEMENT.
STATE OF FLORIDA /
COUNTY OF PASCO t1
igna o iwner or 0 er'i Authorized Officer/Director/Partner/Manager
k/' /et/A ' e /cf2-
Print Name
The foregoing instrume,nt was acknowledged before me this L.) day of �CC.!)UQtfJ�' , 20 /C) , by
C a /e
on `f r O as (74,11/-. (the of authority, e.g. officer, trustee, attorney
in fact) for AA1.fe/( (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification (/ Notary Signature C j( - t�1,a/ f
Type of Identification Produced DL- Name (print) v i4er /4/co-)11,0/5
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated ir. it are true to the best of my knowledge and belie •
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FORMS /NOC,rvsd2007 /^ O atural ' erg "gni g Above
NOTARY PUBLIC-STATE OF FLORIDA
" ,..N Stacie Hartwi ,T', : Commission #DD926164
"Commission OCT. 16, 2013
BONDED TIRO ATLANTIC BONDING CO., INC
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813-780 -0020 City of Zephyrhills Permit Application G o Fax -813- 780 -0021
Building Department
Date Received i' - Phone Con. ct for Permitting P,_.3 2H __ 3 l V
111111111111111. 111)i_1f7 _
Owner's Name % C r/tam J 4e \_ Owner Phone Number J /9 —' ' 5-0 j - 96 /f
Owner's Addr4s 3S-d -1 flyrL k 6rii , Owner Phone Number
Fee Simple Ti Name 4/ Owner Phone Number
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Fee Simple Tit holder Address ,�/
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JOB ADDRESS �.
a-/ PyrL 6 ry LOT # X3°6
SUBDIVISION ZL E a MA PARCEL ID# 02 r OWv d 3 c
_ _ -- -- (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH
n INSTALL REPAIR
PROPOSED USE I I SFR 1 1 COMM 1 1 OTHER I (
TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME 1 1 STEEL I I OTHER
DESCRIPTION OF WORK 162- ' x 7 '/ / i / C a tu
BUILDING SIZE 4 f X Vol- J SQ FOOTAGE Sd 7 C HEIGHT
CV BUILDING $ /4, 006 Q() VALUATION OF TOTAL CONSTRUCTION
I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY CO W.R.E.C.
1 1 PLUMBING $
1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 7YES El NO •
BUILDER �CLC/ � C OMPANY aorta /- Car�P�t (IY�i�
SIGNATURE f k ( / REGISTERED I Y/ N I FEE CURRENT I Y / N I
Address 3.-5 + Dr . 7.994 .CLN f • License #
✓ ✓J VMr Ccr/ea., J4.te
ELECTRICIAN e //4 1J 1S ` COMPANY 06
SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 3,s' / Py rat I2r . Ze /011- / 4 Ft License #
PLUMBER 6( 1 l 1.� \� , '� COMPANY Qum) - �4 kA Cr �'2-'
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
Address 42�,-! P b oor, , Ze D 4 r /Id II "". 1 License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address License #
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 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) 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 $5000)
** 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 (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
Driveways - Not over Counter if on public roadways..needs ROW
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 "V" 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 is 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 LEN R OR AN ATTORN BEFORE RECORDING Y e NOTICE OF CO , NCEMENT.
FLORIDA JURAT ( 7.03)
I ! " . AAA . CONTRACT 0 - - i ,..
Subscribed and OR nd . r — It or rmed _ +� r me t is
nd � ' • _ 1� •r �fiirmed o - is Subscribed a � )
Jcedlua, ILO /4 . / ar /e'c/i le 7 uAU00 oL0! � ,
Who is/5e �personaliy known to me or has/have produced Who is /are p�r�onally known to me or has /have produced
as identification. 4CJJC as identification.
A i-Y ji Notary Public �C L 7 Notary Public
Commission No. , Commission No.
NOTARY PL , ' T. ,. OF FLORIDA NOTARY PUBLIC STATE JF FLORIDA
t H
Name of Notary typed, pri; �d ; st am
artwig ��cie Hartwig
Name of Notary typed, printed p@d., Imission #DD926164 :Commission #DD926164
p OCT. 16 2013
' Expires: Expires: OCT.
BOND THRI ATLANTIC BONDING , 2013
W,INC BON DED MK ATLANTIC BONDING CO., INC.
' DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, Ca-r /o& J44� have read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one- family or two - family residence or a farm outbuilding. You may also build
or improve a commercial building, provided. your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
_building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning r— 'lations. /
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OWNER'S SIGNATURE � �i �. ,� 1A DATE 7 ‘ — / 0
ADDRESS 3S-61 /1�,�!4 T� , ..Ri7Ar
PHONE g 9 v,' 96 g
WITNESS ,— Y " mac-. 4 PERMIT #
Cc- r /eL4 cih4e
Name •
Address / i
aep4rklls F /- 33.5 -
To Whom It May Concern,
Please be advised that:
Stacie Hartwig and Sharon Reeves of Pasco Permit Service have my permission
until further written notice to act as my agent to sign and pick up permits.
Sincerely,
Si:nature
_ /
Date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn to and subscribed before me this day
of JGclluarr , ,20/12
Personally known or Produced identification ✓ ,
PUBLIC -STATE OF FLORIDA
Suzanne Bahr
4 Commission # DD601110
:xpires: NOV. 15, 2010
ATLANTIC BONDING CO., INC._
Commissioned Stamp otary S' nature
and Expiration Date
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REVIEW DATE / 2, -- 1 1)
CITY OF ZEPHYRHILLS
PLANS EXAMINER IL S
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LOT IMPROVEMENT REQUEST
To-BROA Prop,erty Evaluation Committee & Board of Directors:
• Rona- r es 677--/eaw r
Lot* /Address 6 - 46 /
Phone number where you can be reached "4/9)5D oe "7
We. request- POA. approval for the following (must include drawing for any
Construction:/ additions / remodeling / landscaping, etc.).
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Lot Owner's ' _ - Date / ° 1 /7d
Approve * (.4) AO
Denied
Property Evaluation Committee: 0 catagelae--e
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Date: /2-1/57e3q
Board of Direc rs:
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Date: i 7-161C
Remarks
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Procedure for Lot Improvement Requests
(Please refer to "Rules and Regulations')
1. All requests are to go to Chairman of the Property Evaluation Committee, for the committee
to review. There is a holder labeled "Property Evaluation & Improvements" in the library
for Lot owners _to place their compieted,forms in and these forms will be picked up from
the Library by the Property Evaluation committee.
2. Any request which is NOT filled out properly or in detail, which includes, complete plan
layout, elevations (where applicable), written details of improvement being requested, including
color, etc, and any other information pertinent to the processing of the request, will be returned
to the Lot owner for completion before being reviewed by the Committee.
3. Committee will review requests and visit the site of the request as necessary.
4. After the Committee has approved or denied the request, it will be presented to the Board of
Directors for their approval or denial.
5. There will be NO more one day approvals or last minute approvals. Request will take 7 - 14
days for appropriate review and consideration, thus giving the Committee and Board members
time to review and consider the request in a thorough manner.
6. The original request will be stamped approved or denied, and after being copied the original
will go into to the members file and the copy returned to the Lot owner by the Board of Director
liaison to the committee.
7. The committee will follow up on requests to determine that the request as presented and
approved is being adhered to.
As the owner of Lot # k.4 06 , I understand the Property Evaluation Committee and/or the
Board of Directors will enter the property to follow the external progress of the construction or
• ovement, as submitted on the Lot Improvement Request.
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fi r. Owner's Signature/ Date
4/03/06
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