HomeMy WebLinkAbout11-12522 � ' CITY OF ZEPHYRHILLS
, 5335 - 8TH STREET
� (sis)�so-oo20 12522
FENCE PERMIT
Permit Number: 12522 Address: 39020 6TH AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0030-00100-0340
Improv. Cost: 2,862.00
Date Issued: 11/16/2011 Name: YEBBA, JENNIFER E
Total Fees: 45.00 Address: 39020 6TH AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/16/2011 Phone: (813)783-3798
Work Desc: INSTALLATION 141 WOOD STOCKADE 6' 1 DBLE GATE
LOWE'S HOME CENTERS IN (407)832-8085 FENCE 45.00
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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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
O IJ'/OV'UVLV v��Y vi L.cN� �y� � iin� i vi �� n► �NNii......�...� �,�„ l� e�
, , Build(ng Department � � ?j ��
�'���:�,►.)/C �
Date Recelved � i �� �' 3 �,{�l'
Phone Contact for Permittin �- �
Owner'a Name �f.�' � Owner Phone Number �"/3 � 7'8'3 " 3 �1$
Owner's Address � � C:� � Owner Phone Number �T _ �
Fee Sfmple Titleholder Name Owner Phone Number �
Fee Simple Titlehoider Address
JOB ADDRESS � / � 'Z'� V� �n �V � � �� s Ft- 3 3-sy � LOT # �
SUBDIVISION Z.G K2J,1� -S PARCEL ID# .L'Z� "Zf ' �O �Q ' D� � OO � �� `� D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN C] MOVE Q DEMOLISH
INSTALL REPAIR
PRm'POSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK � � f l I L� t STD� �fi��- FPNC�.-° G�f�iS l.
BUILDING 312E �� 3Q FOOTAGE T HElGHT
Q BUILDING $ ���. O VALUATtON OF TOTAL CONSTRUCTION
Q ELECTRICAL � � AMP SERVICE -, 0 PROGRESS ENERGY Q W.f2.E.C.
0 PLUMBING �
� MECHAN�CAL � � VALUATION OF MECHANICAL INSTALLATION
Q GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO
-2�9- S o���A
e- ev aYU� �
BUILDER �� �,/ COMPANY +G �
SIGNATURE ' Y "✓ v"� REGISTERED N FEE CURRENT Y/ N
Address C7 c'� x b 3 ��l I-rL ' 3Z$�g License # C«��'E"1 �
ELECTFtIC1AN COMPANY
SiGNA7URE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # r
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ FEE CURRENT Y I N
Address License # �
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcdon,
Mtnimum ten (10) working days after submittal date. Required onsite, Constnactlon Plans, Stormwater Plans w/ Sllt Fence installed,
Sanit�ry Facilitles & 1 dumpstc:r; Site Work Permit for subdivisions/large pro)ects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit�for new construcUon.
Minimum ten (10) woricing days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence lnstalled,
Sanitary Facilities 8 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 construcNon.
Directions: �
Fill out application completely.
Owner 8 Contractor sign back of appltcatlon, notarized
If over:2500, a Notice of Commencement is required. (A/C upgrades over a5000)
`* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (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.
UNLICENS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired � contractor or
contractors to undertake work, they may be requlred to be Iicensed fn accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contracto� may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are unce�tain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Bufiding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractvrs, 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 Fe,es may apply to the construction of new buildfngs, 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, thet such fees, as may be due, will be identified at the time of
perrrtitting. 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 prvject 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 pe�mit 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 Lisn Law—Homeowner's
Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affafrs. 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: t certify that all the information in this application is accurate and that all work
will be done in compliahce with ail applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installatPon as indicated. I certify that no work or installation has
commenced prfor to issuance of a permit and �that all work wiil 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 unde�stand that the regulations of other government agencies may apply to the intended work, and that it is
my respons(bflity to identify what actions I must take to be in compliance. Such agencies include but are not Iimited 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 Watervvays.
- Depa�tment of Health 8� Rehabilitative Services/Environmentai Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- U� Envi�onmental Protection Agency-Asbestos abatement.
Fede�ai Aviation Authority-Runways.
I understand that the following restrictio�s 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 pian addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a,professional engir�eer
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 wail. '
-� 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, fpr Iots 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, welis, pools, air conditioning, gas, or other installations not specifically ihciuded 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
requlring a correction of errors in plans, construction vr violations of any codes. Every permit issued shail become invalid
unless the work authorized by such perm(t is commenced within six months of permit issuance, pr if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is conhmenced. 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, th�job is considered abandoned.
WARNING TO OWNER: YOUR F�LILURE TO RE�ORD A NOTlCE OF COMMENCEMENT AI�AY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN I�INANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME�JCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR ACiENT . CONTRACTOR —
Subscribed and swom to (or afflrmed) before me this Subscribed and swom to (or affirmed) before me this
by ' bY
VYho is/are personally known to me or has/have produced Who Is/are personapy knovm to me or has/h i�ve p� �� ed
asidenUflcatlon.
Notary Public Notary Public
Commission No. Commission No. ' —
Name of Notary typed, p�inted or stamped Name of Notary typed, printed or stamped
._ ti, . I III�II IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII II�I IIII
. 2 011178244
Rcpti:1399475 Rec: 10.00
� DS: 0.00 IT: 0.00
�OTICE �OF CO�'IMENCEI-1�IENT 11 / 16/ 11 D. Bon i! 1 a , �pty c i erk
PRULq S 0'NEIL,Ph D Pp5C0 CLERK & COMpTROLLEI
Tax Folio No. �';1, °;� (�., ,,� I— C�t� } c:� - G't?i ���' "��3y`, 11 R 12:17 m 1 of 1
86�2 P � 3183
THE �FDERSIGNED hereby gives notice that the improvements will lie made to"real property, and in accordance with Se�tion 713.13 of
the Fiorida Statutes, the following information is provided in this N�TICE OF CONIIvIENCEMENT.
1. Description of pr�perty (tegal description): Z E,P/1 �l �/at'iC ,h J' S, �� �'� S� 1�` '✓ �i '3 `i (�� C f� � C� 5 ��� �) y! Y/
a) Street (job) Address: 3�jc � �j (, ��
2. General description of improvemehts:
3. Owner Information .
a) Name and add�ess: t�� �'vini r e.�fi y1�bb�- 3�iQ �.c� �,th ad.� ��ir,�� �s F� 335y�'
b} I�iame and add�ess of f�e simple tifle Ider (if o er tlian: owner) _
c} InUerest in property Owner _
4.. Ctmtrsctar Information
a) Na�ne and address: _Lowes Home Centers Inc. �. _O. Box .781993 Orlauda FL 32878.
b) Te}�pho�e No: _l.�0 7— SS`�i 2�- .�' Fax No: Q:� �
5. Surety Information � -
a}Nai�re aad addressi NA � '
b) Amount of Bond: NA '
c) Te�ephone No _NA
6. Leader
a> �,:�a ���5: NA
�. �a�'�'�l�ii�e No: NA ��c No:_NA ,
'�v; I���;:ti�'��son within the State of �'iaricla d�§�g�iai�;jay �rovner iip��: �hom�ri�t�e�;;or;atiier.. doeuments may be serveil� _
`?��.��e �ind �dz�ress`I�A . . • : -- - � ' : - . -
z � ,,,. ;` -� , . _.
, �;��F�[oii� No: _NA Faac No,: ,_. ��' _ ` _ . , - . ' ,.
`�=��i=��i�to t�mself, owner designates the• fo�lovv�g°�rson,tofe:�ive a�opy.o�the �i�rior'sl�lotice as pr.ovic�ed in.Sectio�=`��:13�i�� -
FIc3n+t�a��a.t�ites; , � ` ..
aj I�Ia�e a�d address:_NA � .
bJ Tele�hone No. NA . �ax No. : .' �r� . - - - -
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State_ of Fiorida
County IO.: 'Z._
�r.r KEITH B AHLHEIM p� �. � � • �,��
ap �n MY COMMIS$ION #E�E13T457 - � � -
�� EXPIRES: OCT 12, 2015 Print Name
° Ba�ded throuph tst Stite Insu�1 -
� . _ re me tt?ec ��day of �( � �✓ _ 2Q j� / �
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�h'(7C OP ff11tI70Fl b
:o � S ty, e.g. offecer, frustee, attomey iri fa )
` (riame of pazry on behalf of wh�.in m was executed
'�or��i' ��'�► pR Produced Identifioation� Notary Signature G` � —
'ype of idenrification Produced�'�� �r s- G� y� Name (Print) �,C'r AG�j �, JyLj��C, ,,,,,
Terifrearion ` p DM P J rY,
pursuant to Section 92.525, Florida Statutes. Under enalries of er'u I declare that I have read the foregoing and that the facts stated in it are Uue tp the besc of
ny knowfcdge at�8 belief:
5T0� �� � � � /_ � L � �-L /" -
� � Signature of Natur erson. ing (in line 10) Above
t��� ,
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��'q�'� C�F �'LORIDA, COUN'�('��F PA�CO -
j��c� ��'`�; ��RTl�Y THAT THE,FOR�GOING 1$�A -
TRU� ANR GORRECT COPY�¢� TNE DQCl�MEI'd� =
ON FILE OR (3F PUBLIC R��p lti THIS �FFICFz -
WITNESS MY HAND A OFFICIAL ��A� 7F�IS
� _ uAV oF -�-
PAULA S CyNE1L. CLERK & COMPTROLL R
� ''' DEPUTY CLERK
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i Gates ..._ Gates . .._ _ Gates ..... � 6atAS __ -- Length
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� �stimated Sheet � Estimated Sheet � Estlmated Sheet �� Estirtlated Sheet i � Gates .. . -_
I Attached Attached Attached Attached �' �
i Est3mated Sheet �
A ttachsd
I
i . ._ . . . . -- -• - • -•
i NOTICE TO CUST�MEit: Federal law requirss Low►q's to provido you with the ^ _ _
pamphlet Ronovate RighL By signing this ContrACt, Customer acknowladg�a �
having recoivoi! a eopy of this pamphlet bafors work began IMorming Custome�
� ef the tentla) risk of the lead hazarc� ex Contract TOtal �� f�
po posur+e from renovatlon activity to ba ��
pertormed in Customer's dwslling unit *appiicable tax Included �j' �
i
I pHOTO RELEASE: Custorr�er grants to Lowe's anc� Lowo's employees tho rlghl to tak9 photographs bf All work pertormPd at thc Premises telated fo this
� Contract, and irrevacabfy grants to Lowr�'s all right, tiUe and intorest i� and t<.t the photograpfis for use In atl markets and media, w�Mdwide, in perpetutty.
� Customer authorize;� L�wo's to copyrighl, uss and publish tha pfiotographs ir� print and/or elAr:tronically, and 'agrees that Lowp's rriay use such
? phot�<�r�ptis for any lawful putposse, induding, but• nr,t limited to, mdrlc6ting, advertisin�, public�ty, illust��tlon, tratning and Web content. By lnitialing
, hQro, Customer �yr�s to the foregoing. .�.•' „[Custom�r to initial to the leR].
� ._ �r' ' • . _ .
I Responslbility oi Buyer; 1(:UStomPr agreas lv la te iehd identify th� prr�perty linn, esaemontU :+n�J all undergrvurx! Cablea, lines snd piprg whlM mlght aft�cl thP. ��cadon of
( the fence hercundci. Cu�mmer ngrees thal C��ylomer ia wloly respan�i6�e hx the IocaUan of the fence de6crit�luJ In thia Contract. CustOmer will slso detend,'tn4emnify
i nnd FiOltl h:tmtteBe Lowa't+ fnr wll r.laitnS, d@T2►IfIB, 8?�I9(16, I�%Lltlf{lifl4, kf!t!ses, aosfn a�tid ClQ�P�ufs (includitlp, bUt nOt Iimited to attomeys' fees) Ineurrt,x! hy l.awe's in connee�ipn
witi� c+t�K �:I�im, flllaged or otherww�:, m�OR by anyone about Uie Ior+Nnn of eaid fencv; Cugtnnlet is respvnSlble•for any special �1mrk deacribed k� tltls Lonvact. 2. Custortx;r
� 9greea to providas Luwo's or Inst�llPr with a lagal descxlption, a copy ot any appllr,abte btli :,urvey, and any nllie� Oocumenw rcyui�r.d by looel and �vemmrntal airchnrii�H:*. to obte
i alI reyuirL•d permita.
I Work is to commenco upon reasonable avatlabllity of Contractor and/or avallability of any apecial order or customer madc Good(s) whlch is
' anticipated to be „ . «ille Pn date]. Estimated complEtion dats is , , (fill in date].
� Said cstimated substanti2l completion date is n�t of tha ossence, A statcment of &ny contingencleb Ihat would mait+rlally change ,wid estimated ::ubstantial
completion date is as foflows: ,_ _ „ , . , . _
, _ _. _. ... . _. � .(if appticable, inaort a statrnent of such c�ntingoncies).
� This Contract provides lhat atl claims by Customer or Lowe's wlll bo resolved by BINDINCa ARBITRATION- Cuatomer and Lowo's GIVE UP TME Rtt
� TO GO TO COURT to enforce thls Cootract (EX�Ef'T for matters that may be takan to SMALL CLAIMS COURT). Lowe's and Customer's rights wi11
� detern,tned by a NEU1'RAL ARBITRATOR and NOT a judge or yury. Lowe'9 and CustOmer ars' entitled to a FAIR FIEARING. But tiie arbitrati
i procedurPS ara SfMPLER AND M�RE LIMtTED THAN RULES APPLICABLE IN COURT. Arbltrator dacfslons a�e as snforcea6le as any cou�t order a
� ara suhJect to VERY LkMITED REVIEW BY A CpUR7 FOR MORE DE'TAILS: Roview tha soction titlad ARBITRATION AGRE�MENT, WAIVER OF JU
. ".: f- .� ;9.�, - - , �.;r,qr�,!�r - ' :^:. ?',: ^ !; ... ' �.� r.r•' :C" `. �c
. Tts».'r.; aniy a quae fa ttie'memhaC�iise ar(b' �sA�?lsles � :�I � �I
� �. � �. �.��� . ��►� :;:�:?�'
� �locum�r�L the Tenna,�ad Conditbi��:o .w � � � d on � 7i � � s _ ,dl1 „ Pi. �� -Y�' �'. . � sZ a!s>� x ., K:.:
PlEA5F..6dC!�fl>y�t.l,�.`ER1�4ANU ,�C�, ��ME RE�IQ$F:� .. ' � . .sN•' .%�% _ !0�" ��7� �� �r�'� :•�..+'. ; tAi�;'r" - :.r:
' ' 4 .> . - :.�a, ... y .'�.c:.1�. A +,�•' i .� :'. .
_ , �,.�.�, *;% � '; L!^ � .41.•
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..
� IN:+TAI a.ATION STREET AUUKBgS � CITY � �TATF 71P
" �j V �. � � _ �7 r"
AHach cvpy of Lowe's Vinyl Fence Eslimate Sheet and �write in co�tract #.
' '' .. � � �.
Pabrlc _. Pancl item # ._...._ Fabrlc Panel _.... ... _ Panef Name Picket item # _.__
Height ..._. Helght HQ[ght � Hetght ....__—__. Styls ��=}E �-G �'t..,
, r
Length Length ---• ------•--• Length _..... ._. .. l.ength ... _ .. Height — � .
Gates Gate9 Gates .. (3ates Length � ��� - ��
�stimated Sheet Estimated 5heetI I Estimated Sheet ^ Estimated Sheet � Gates ._.—
Attached I � Attached l– "' Attachad � I Attached � '
EsNmated Sheet; !
Attached � �
NOTICE TO CUS'YOMER: Federal law requires Lowe's t4 penvldo you with ths
pamphlet Renovat�e Rlght. Sy signing thls Corrtract, Customer aaknowladgas
having rseelvad a copy of this pamph�et baforo woNc began infaming Custamer Contract Total � a� �� ,r f j
of !he potential risk of the lead hazard exposure from tenovatlon aetivityr to be * ����� �`
periormsd !n Customer's dwelling unit. appllCable taX iCiGuded
�_ . __ _ . __ ,. . . .
PFIOTO RELEASE: Custortipr grants to Lowe's and Lowe's Fmployees the right to take photograpl�5 of all wOrk performed pl ll�a, Prrmises relatecf to this
Cvntraci, and ircevocably grants to Low�'s all right, title and interest i0 end t� ths photographs for use in all markets and medla, worldwide, in perpetuity
Customor authorizes Lowe's in r,ppyright, use and pubilSh tha photographs in print and/U� eleCtronically, and 8grees tt�al Lawe's Riay use such
photographs ic�r a►iy lawful purpose, incluci�ng, hut rtot Iimlted to, maricelfng, advertising, publiaty, ilkustration, training and Web content. By initialing
here, Customer agrees to the forpgoinq. ���_•� �Customer to initia{ to the left).
Respon9lbNlry of Buyer: t Cuul��mrs, ;�ryre�wa ro I' , ata d idenUry the fX�pnny Iine, eaaemer� and all undargrouna c�bles, Ilnes and n�De� which mlqht aticr,t �U�e localiun ul
thP fr.nce hereundur. Cuslotcti.r �Slrees ttrnt Cuatomer iy �okiy Te9p�nsible for the Ioi;aUon uf tltu funCe desc�hed in this Ct►mrnat. Cuxtomer will fllru� Ae�fend, i�demnify
and hold Ii�a�rtUCSf l.nwai s fnr all cleims, dert1�7AUC, 3CtiOna, IiabilitieB, losseci, wst:c and ex�e!nsr..a (indudinq, but noi limited to, altorneys' fees) ineurred by Lowe's in eonnectian
with any claim, eElegod ur olfiCrWlse, madp hy anyone abuul 1fi01pGit(On qf said fence. Custnmar is rw{wn:;iblb �r�r ;�ny 3p�al wr�rk dearrlbwY bi thlg t;�ntrnr.t. 'l.. Ciia.tnmr,r
Agrees to provi�� Lcme's or In»tniter wiNi a l�yal UescripUC�n, a�pY af any appli�UlC site 9uNey, enA eny ather doauments required by Ipaal end govemmental autharities tn o6tain
�fl n.yuired uem�it9.
Work Is to commence upon reasonable availa6ility of Contractor and/or avallabllity of arry apacial order or customor mado Good(s) which is
anticipated to be 1'Nlle In date]. Estimated Completlon date Is ",�[flll In date�.
Said estimated aubStantial completion date is not of the essence. A statemant of any contlngencies that would materially change said estimated substantial
cornpletion date is as follows�__ ,,. . .,_ , , , , .,, ,
� ,_ _. , . ,,, _(if opplicable, inserl a slelrt�ent of sucFi 4onlinc��r�4ies),
7his Contract provide6 that all claims by Customer or Lowe's will be resoNed by BINDING ARBITRATIDN. Customer and l.owe's GIVE UP THE RlGFIT
TO G4 70 COlfR7 to enforce this Contract (EXCEPT for matlers that may be taken to 8MALL CLAIMS COURT). towe's and Customer's rights wiit be
determined by a NEUTRAL ARBITRATOR and NOT a judge or jury. Lovire's arM Customar arA orftltlod to a FAIR HEARtNG. But the arbitration
proceduras are SIMP�ER AND MORE IIMiTED THAN RULES APpLICABLE IN COURT. Arbitrator decisiens are as enforeaable as any eourt ordor and
aro subject to VERY LIMIT�p REVIEW 8Y A CDUI�T. FOR MORE DETAIIS: Revlew the ssction tit{ed AR�IYI7AYION AGREEMENT, WAIVER OF JURY
TRIAL AND WAIVER OF CLASS AC710N ADJUDICATION found In the Terms and Conditlons of this Gontract.
QO NOT SiGN TH1S CONTRAC7' UNTIL COMPLE7E AND YOU HAV� �2EAD THE TERMS AND CONDITIONS CONTAINED �N ALL
l�AG�S OF THIS�CONT'RACT. BY SIGMINf'a•�BELQAI{(,.YOA�.AlZ� THAT YOU FIAVE READ, UND�RSTAND
AND AGREE 70 THE TERMB AND CONDITIONS SET FORTH �N AL�L PAGES'OF THiS C+a1�ITAAGT. YOU ARB ENTITLED. T� A
C�PY OF THIS CONTRACT AT THE TIME OF SIGNATUR�.
�,, �
WI'1'NE�B OUR H/�NU(�) AND EEAL(S) R�LQW THIS _�= c� 11AY nF J� �^�.: ��.� , , .
Lowe's Home Centers, Inc. �'� j= ,�' ;,
�G�' , .' " t-r _`'•{�, �' ' . �'. = �"' !`" . ..
, � ?• � ..r i /'� r '7 � Owner � , .
_„ ,�' 'f', f • �-!:�,�. ._ ... . � '�/ f !.. .
_ , r ,,
,. ,`- .:^ _,:N'�,, _. , . .
r
.��' - .•
c a `df A vE � Co-owner vr Wltnuss
Customer acknowledges receipt o1 a trua copy ot this conlroct which was eompiotely filled in prior to Customer's execution heraof. You, tha buyer, ma�
cancel this transactlon at any time pAor 4o midnight of the thlyd businQSS day akor the date of this transaetion. Sac the attached notice of cancellatlon
Form tor an eXplanation of this Nght.
,.,� �,., , �. G� 2004 by Lc,we�e.� Lows'a and me �nals dn:�ign
#907 �5 (Rcv 12I10) • :�L.t. �.� :• �' � ara roy�.tri�1 UsUemarka ot Lh Corporation
. . -.._ _-___,---�---... . _,_
Page 1 of 1
• .�.' .� ' .
L�t�s �t�ti'�Sb�1�ikF+iag�Ta�atlii�''
PSE Drawing Worksheet - Fencing
(Complete and Fax to Installer)
Customer : �Jl�� c�'Q.� `arC.bhc� Store: ���
Phone (home): $1 ?? 37�� Phone (cell) Phone (other):
Instatl Address: �?J`1 �Z17 l� �i1 L �,.���'� S ��
�
Directlons:
1. Walk the fence line after discussing property boundaries wiCh the tustomer - fndicate any ObSt�uctions as
you measure
2. Imagine what the fence looks like from a"bird's eye" vtew
3. Sketch the fence with these details:
• Mark where the fEnce abuts, attaches to or is built around any strutture or obstacle
• Mark where gates wilt be located as well as gate type (drive er walk gate)
• Mark best access rnute from material drop-off poirrt to construction area
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