Loading...
HomeMy WebLinkAbout10-11290 ,/ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11290 BUILDING PERMIT Permit Number: 11290 Address: 4629 WISTERIA DR Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: WHISPERING OAKS Est. Value: Parcel Number: 15- 26 -21- 0160 - 00000 -0180 Improv. Cost: 5,500.00 Date Issued: 12/10/2010 Name: FIELDS, ROBERT & EILEEN Total Fees: 65.00 Address: 36753 GRACE AVE Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/10/2010 Phone: Work Desc: REROOF SHINGLE • , 7 1 - • 1 'SO - . 1 .5.1 1 , k 1 0 4 1 L. TAPE JOINTS ROOF IN SP FINAL Z - vt_ 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." e leg... I. 1 CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 Building Department Date Received ��(( Phone Contact for Permittin e - Owner's Name k 0M-4r Owner Phone Number Owner's Address , Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS yko9 u/ l . T 4 - LOT # 1? SUBDIVISION �/{ f /0) 0 4-0 PARCEL ID# 15 / 700 01 I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR n ADD /ALT 1 SIGN 1 I n DEMOLISH INSTALL I I REPAIR PROPOSED USE I 1 SFR n COMM 1 1 OTHER I I TYPE OF CONSTRUCTION i 1 BLOCK n FRAME ( 1 STEEL n 1 DESCRIPTION OF WORK /` � Q� /� ✓� � yI _ S/9 /0 6 BUILDING SIZE SQ FOOTAGE / HEIGHT 1 nBUILDING �' � 110. VALUATION OF TOTAL CONSTRUCTION $ 1 (ELECTRICAL $ ` AMP SERVICE [1 PROGRESS ENERGY n W.R.E.C. I (PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I (GAS ROOFING n SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N1 I Address 1 License # 1 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ Ni Address 1 License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y / N I Address I 1 License # I OTHER / • COMPANY � /� d ���`'��' SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N Po Address t" D .6p x 1 License # 11��49 o � L // 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 $7500) ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades NC Fences (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW pedwe)s.10 pa)uud 'ped/q tie)oN ;o aweN padwe)s Jo pa)uud 'pedAl tie)oN ;o aweN 'ON uo!sslww00 'ON uolsslwwo0 opgnd tieloN ollgnd AJe)oN •uopeoypuapl se •uopeoypuapl se paonpojd aney /sey JO ew o) unm0101 iileuosied aye /s4 oy/N paonpoid aneg/seq Jo aw o} wow' Alleuosiad ee /s! ouM Aq Aq s!4) aw aJo;aq (paway;e Jo) o) worms pue paquosgng sly) ew aio;aq (pawiy ;e Jo) o) worms pue pegposgng 21013■211NO3 1N30V 210 213NMO (£0•L l L •s'd) iv nr vaI2lo1d '1N3W30N31 AO 33110N 2IfOA ON1021033213210d38 A3N21011V NV 210 2130N3121l0A H11M 11fSNOO `ONIONVNII NIV180 0l aN31NI f1OA dI 'Al213d021d 21f1OA 01 S1N3W3A021d1Al12103 33IM1 ONIAVd 21f10A NI 11fS3H AVW 1N31/30N3WW00 3O 33I10N V a2100321 01 minim 21fOA :213NMO 01 ONIN2IVM 'peuopuege peiep!suoo s! qof ay) 'sAep anpnoasuo0 (06) A)aulu i01 seseao NJOM ll .uo!sua)xa ay1 Jol asneo algell1snf alejlsuowap Him pue sAep (06) A)au!u paeoxa of 1ou po!Jad e .io1 IeIouio 6u1p!Ing aqi wa1 '6up!JM u! 'palsenbai aq Aew uo!sualxa uV •paouawwoo s! *DOM a4) awp ey1 Jal}e syluow (9) ms 10 polled e iol peuopuege Jo papuadsns s! )!wJed ay) Aq pez!ioylne ) OM 1! JO 'aouenss! puled 10 syluow x!s u!41!M paouawwoo si l!WJad ions Aq pezpo4lne NJoM ail ssalun pile/al! awooaq Heys panss! llwJed bang •sapoo Aue 10 suopBlo!n Jo uollonJlsuoo 'sueld u! sJoiie 10 uopoaJoo a 6u!JInbaJ Jel;eeieq wal Rollo 6ulp!!ng ail lueneid ;pied e 10 aouenss! Heys you 'sapoo leo!uyoal ail 10 suolslnad Aue apse )es Jo 'Ja)le 'laoueo 'aleloln o; A)uoy)ne se ;ou pue NJOM ail y1!M paaoad of esueo!I a eq o) panJlsuoo eq Heys panss! mined v *uopeolldde ay} w papn!ou! Alleoyloads lou suo!lellelsu! Jay10 JO 'se6 `6uluoplpuoo ne 'stood 'slleM `su6ls '6u!gwn!d `NioM leoploa!a Jo; palnba aq Aew 1lwJad eleiedes a ley) pue)siapun I uoponulsuoo 6ulouewwoo of Jo!Jd 1!nepllle slyl u! ypol las suoplpuoo 6ullllwJed ay1 10 J8UMO ay1 Lump! of 111!81 pooh u! aslwoJd 1 '213NMO 3H1 210A 1N3OV 041 we 111 •pei!nbei s! ueld e6euleip peJeeu!6u8 ue Till Aq palenale ale yoIgM aloe (1,) au0 ueyl ssai slot Jo; 'uope0!Idde 11wJed payoelle 891 iepun panss! 1lwed 6u!pllnq ay) 10 suog!puoo 041 6upeloln X01 pap aq Aew JOUMO 011; 'saiiadoid lueoefpe page Aiasienpe 04 punol s! II!1lo asn 1l •sa!pado.id )ueoefpe pope AlasJanpe lou u!M II!1 4ons to asn 1e41 AlpOO I 'ease Aue u! pasn eq o1 s! Ie!JO1ew 11I 11 - •Iienn was 041 u!41!M ease 041 !Il101 Apo pasn aq 'um III 1 A11 }Jao I 'uopongsuoo Ilene 111019 6u!sn 6u!p fnq pa);!wJad e q4!M uolloeuuoo u! „d„ auoZ poold u! pasn eq o1 s! I ! a1ew f!1 8 91 11 - epuold l 8 1e1S eql Aq pesuao!I Jaaw6ua leuolssalad e Aq paiedaid s! LiOI9M 6ull)lwJad 10 awp 1e pall!wgns aq pine „awnlon 6ullesuadwoo„ e 6ulsseJppe ueld a6eu!eJp a ley) poolsiepun s! l! ' auoZ poor u! pasn aq o1 s! lepa18w II!1 8 94 11 - •pell!wied AlssaJdxa ssalun „n„ auoZ poold ul paM0118 tau s! !Alto asn - :11!1 to asn a4101 Aldde suo!lolJlsa.i 6u!MoIIol ail 1841 pue1siepun 1 . sAeMunli- A)u0y)ny uope!nd le1apad - .)uewalege solsagsy- Aoue6d uolloeloJd Ie1UawuaIAU3 sn - s�luel opdas 'luaw)ea�l Ja1BMalseM ' ylle Ieluawuoa!nu3 /S0O!Mas anpe111!ge m] '8 y)Ie°H to luawpedaa - •sAemialeM alge6lneN 'spoa 'slleMeas- sieau!6u310 sdioo Awed - •seSinooJaleM 6 uuellb `seeN puepaM `speagAeg sseidA3 `sham- 1o!psla 1uawa6eue!nJ aaleM epuold )saM4lnos - •)uaw;eal Jal8Ma)seM/Ja18M `spue anplsuas Alleluawua!nu3 pue SeeJV puellaM `speayAeg ssa.JdA3- uopOa)oJd leluawuonnu3 10 luawliedea - :ol pallw!I 1ou 818 1nq epnjOU! saloua6e Lions •aoue!Idwoo u! eq o1 awl lsnw 1 suolloe 1eyM Alper)! 01 A)!11q!suodsai Aw s! 1! 1841 pue 'vonn papualu! 04101 Aldde Aew saloua6e )UawUJ8no6 Jay1010 suop8ln6a1 011118 puelsJapun 1 1841 A;!1Jao ow 1 . uop3lpsunf ail u! suo!1e!n6a1 luewdolanap pue! pue 'suo11eln68i 6u!uoz `sapoo A113 pue Alunoa 'uollonJlsuoo 6u1)eIn6aJ sMel 11e to SpJepuels paw 01 pawJoped aq IHIM voM Ile 18111 pue l!w.ied 8 10 aouenss! of Jopd paouawwoo sey uo!)ellelsu! JO NJoM ou 1841 /Woo 1 •ps180lpul se uopelle)su1 pue )IoM op 01 puled 8 ulelgo 01 spew AgaJaq s! uo!1eollddy •luawdolanap pue! pue 6uluoz `uoponi)suo0 6ul1eln6e1 sMel algeo!ldde 118 4;!M aoueldwoo uI auop eq IIIM voM Ile )e4) pub a)eJn00e s! uo!)eo!Idde s!41 u! uo!)eWJolu! ay; lie imp A1!}wao 1 :11AV01dAv sanNMO /Sc21013V211NO3 •4U8W8000WWOO 01 J0!Jd „J8UMO„ ay) 04 )! Jan!lap 0141!81 poo6 u! es!woid pue )uawnOOp paquasep anoge ail 10 Adoo 8 paule)go aney 1 pip A ;!)Jao 1 ' „JeuMo„ 0111 uey) 18410 auoawos s! lueolldde 09111 •sJlelld Jawnsuoa pue einpno!J6V 10 luew)1edaa eppold ay) Aq paJedeJd „ap!n0 uopoalad s,JauMoawoH —Mel uaf uoponJlsuoa ep!Jo13„ ay) 1 Adoo 8 y11M pap!noad uoeq aney 'lueolldde 0111 '1 pip A ;!)Jao `avow 10 00 s! *IJOM 10 uopenlen 11 :(pepueuwe se 'se ;n ;e ;S 8 1 3 1 10 1A `£6L .re;de40) MVO N3I1 NOI130211SNO3 •seoueulpJo Alunoa Dosed algeolldde 41!M aouepJo00e u! aouenss! puled 01 Jo!Jd pled eq lsnw Aa41 'enp am seal pedal' JaMas /Ja1eM Alunoa Dosed 'aouenss! 11wwed of loud pled aq lsnw 5881 ail '058818.1 JeMod pup Jo AOUedn00o 10 a18o!l!1Jao 8 anlonu! ;oU swop ;0afad ay) 11 •asealaJ JaMod pug Jo „AOUedn00o 10 81801111J80„ 8 6u!nla08i o) Jo!Jd pled aq }sew seed £18A0381 aoJnosaH pue saad loedwl uo!)elJodsueil ;8p1 poolsJapun Jay}Jnl s! 11 •6u!11!wJad 1 awls ay) ;8 pa11!)u0p! aq !IIM 'anp aq Aew se 'seal ions ley; 'spuelsiepun 0sle pau61sJ8pun ail •papuawe se 'L0 pue LO -69 iagwnu aOU8U1pJQ Aluno3 Dosed u! pallloads se 's6u!p!!nq 6upslxa 10 uo!suedxa 10 `s6u!pl!nq 6ups!xa u! asn l0 96Ueyo 's6u!pI!nq Mau 10 uo!4OnJ;suoo 0141 01 Aldde Aew saad Aianooau asJnooaa pue seed loedwl uofepodsueJl 1 spue)sJapun pau6!sJapun 0141 :5333 A213A00321 3321fOS321 aNV 10VdWI S311n11l /10VdWl NOI1V1210dSNV211 •Aluno) Dosed u! s06allnud 6u!11!wJed 01 pa11!lua lou s! pub pasua011 A4Jadad 1ou s! ay 18111 uope0lpul u8 aq Aew ley) `1o4OeJluoo 041 se u61s JOUMO ail se `noA 1! •alq!suodsa.i aq II!M Aa41 y0!9M 101 uope0lldde 5!4110 „ �IOOI9 Jo4OeJluoO„ ail 10 suopJod u6ls (s)Jo)oeJ)uoo ay) aney o) paslnpe s! ay 's1ol0eJ;uo0 Jo JO1O8J1000 8 p8149 sey J8UMO 841 1! '8JoWJay1Jnd '6009 - L1V9 - LZL 18 U0!1309 6ulsueol1— uo!sln!a uo110adsu! 6ulpling A;unoa Dosed a411081uo0 0l pas!npe aye Aay1 VoM papualul 041 101 Aldde Aew sluawal!nbaJ 6u!suao!I 1eyM 01 se u!e1JaOun 818 Jo)OBJ)uo0 papualu! Jo J9UMO 84111 •Mel 8)e4s Japun uo11e1o!n Joueawapslw a col pap aq Aew Jo3OeJluo0 pue JaUMO ail 41oq 'nee! Aq pailnbal se pasueoli ;ou s! Joloe luo0 04111 - suo!leln68J pool pub a4e4s 41!nn a0uepJo00e u! pasua011 eq o1 pai!nba.i eq Aew Aay) Vonn aNe1Japun o1 sJoloeJluo0 Jo J0)0e.11000 a pally sey JOUMO ay; 11 :S311I118ISNOdS321 21013V211NO3 ONV S21013V211NO3 a3SN33I1Nl suo!1oulsa� paap algeolldde Aue LIUM aouelldwoo Jot AllliglsuodsaJ sawnsse pau6!sJapun 941 . suopeln68J A)uno3 uey) anllo!J1sei OJOW aq Aew 90!ynn „suol)OlJlsaJ paap„ ol;oafgns aq Aew puled sap pip spu8)sJapun pau6lsiapun ay1 :SNOI101211S3H 0330 d0 33110N 1 11111111111111111111111111111111111111111111111111111111111 2010173222 Rcpt:1339285 Rec: 10.00 DS: 0.00 IT: 0.00 12/06/10 S. Burns, Doty Clerk • NOTICE OF COMMENCEMENT PAULA S.O'NEIL, SCO CLERK & COMPTROLLER 12/06/10 03:11pm 1 of 1 OR BK 840 PG 370 Permit No. Property Identification No. /5-412 - - 21 - ©/D t7 9e'' - P/ge" THE UNDERSIGNED hereby gives notice that improvements 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. ae 8''3 /? /V 1. Description of property (legal description :) W///.SPFt/n/C' OA kS / / 9e7 - 'l -6 LvT /e' a) Street Address: 4.;, iMPHIATIMIIIIII .c 2. General.desoription of improvements: Pe a e/ /ioase irt ner Information 1 j I l a) Name and address: Es I e r + F l e , s i s a q t t l r11 evl 4 7y ►tt, b-) 4 f ( S 1"l • 3 3 5'V-2 b) Name and address of fee simple titleholder (if other than owner) I i 5 c) Interest in property 4. Contractor Information , nn I a) Name and address: 6j 1 n � 6A ft Q ? D. $61( / 3 G `/ a/ / & , 3 3 c� b) Telephone No.: 3 5.2. , 1 7- SD 3 J ~ Fax No. (Opt.) r , 5. Surety Information �___—_.. a) Name and address: b) Amount of Bond: ' c) Telephone No:: Fax No. (Opt.) 6. Lender , a) Name and address: --- r-- 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 OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO .1„:0 Signature of caner ohorized Officer/Director/Partner /Manager I- 01 e- e_O Print Name The foregoing instrument was acknowledged before me this lQ' r . day of , (',Q 20 10, by _ f_V, p�2 as 0W/VfL (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was exec wed). Personally Known OR Produced Identification Notary Signature & ' Type of Identification Produced PC DP-ez Name (print) Till nIL Xt L. ,d L[Cf pia 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 in it are true to the best of my knowledge and belief O"" BRENDA L BUCHANAN 0 X i 94 . r� FORMS 0; 1.� �': a Notary Public • State of Florida . _ ature of atural Perso ©fining Above _ ''i °'t = My Comm. Expires Jan 31, 2013 I :,,,,o����. Commission # DD 845603 ,,,, Bonded Through National Notary Assn. 0 STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAIOID OFFIcIIAL SEAL THIS DAY 00 )G CQrnn () /L��t PAULA S. •'N CLERK & COMPTROLLER Bl _ . 'UTY CLERK Pasco County Parcel: 15- 26 -21- 0160 - 00000 -0180 001 Page 1 of 1 Data Current as Of: II Weekly Archive - Saturday, December 04, 2010 Parcel ID 15- 26 -21- 0160 - 00000 -0180 (Card: 001 of 001) Classification 1 01 - Single Family I Mailing Address Property Value FIELDS ROBERT N & Ag Land $0 FIELDS EILEEN C Land $19,471 36753 GRACE AVE ZEPHYRHILLS FL 33542 -3024 Building $70,006 Physical Address Extra Features $1,063 A 4 2 � 11 -s" Market Value $90,540 YRHILI S FL 33542 -56 Assessed (Non School Amendment 1) $90 540 al Description (FirstLines) Taxable Value $90,540 ee Plat for this Subdivision 1" 7 WHISPERING OAKS PB14PG86LOT18 OR 8397 PG 1979 ,--- -- Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning 11 Units II Type 11 Price II Condition lI Value 1 II 0100 II SFR II 00R2 II 6,000.00 0 SF II $3.20 II 1.00 II $19,200 2 II 0100 II SFR II 00R2 II 874.00 0 a II $0.3 II 1.00 II $271 Additional Land Information Acres II 0.16 II Tax Area II 30ZH II FEMA Code 11 X IlResidential Code11 WISPLP1 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1979 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 I Line 1 Description lI Sq. Feet 11 Repl. Cost New 1 1 1 BAS I 1,356 II $76,411 120 $2,367 3 I1 G 11 500 I I $11,270 4 lI Q I1 20 II $282 Extra Features (Card: 001 of 001) Line II Description Year 11 Units I Value 1 II DWSWC 1979 11 723 1 $606 2 II DCFENCE 1990 I 420 l I $157 3 I SUNDECK 1993 II 144 I1 $300 Sales History Previous Owner GARCIA MIGUEL ESTATE OF Year 1 Month Book /Page 11 Type 11 Amount 2010 II 08 8397 / 1979 2006 I 05 7043 / 0427 I1 WD II $160,900 2001 I 11 4794 / 0765 II WD II $80,000 http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec =15 &twn= 26 &rng =21 &sbb= 0160 &... 12/10/2010 .ropo at Page No. of Pages r Gavin Roofing Quality Roofing Since 1984 N _ ° 10 7 2 ,- P.O. Box 1364 — Dade City, FL 33526 f 352- 567 -5034 Lic # RC 0046241 2 Year Leak Warranty PROPOS L SUBMITTED TO PHONE DATE )2. Y/ STREET , JOB NAME yob iv J)/c /2 /, D CITY, STATE and ZIP CODE JOB LOCATION '- ^2., / LY/yL.1 4 / Z1-- ,5 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for. � i �v � §,/ :---,, L �---� �.�= c'l�Jc•�� �6Jrd :(-- Willi n LI 0 �jr 7" t e S h l i AI -Lc; a JVE ,' � AL/ i fr2 i / A167;1?-Z. ,€a:- - e 7 6v/3- -¢-- Or 6.; A■ / 4( /4 69, / . e ae ie-Yz 4-7W , 1t Provost hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: �i�l 14 . $ yi• ),, dollars ($ �e)C: e..._ ). Payment t m ade as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Authorized <XI involving extra costs will be executed only upon written orders, and will become an extra Signature charge over and above the estimate..AII agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Note: This proposal may be l / Our workers are fully covered by Workman's Compensation Insurance. withdrawn by � if not accepted within days. „ Arreptauuu of Proposal — The above prices, specifications / //., F � ti �C' �� \ and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature