HomeMy WebLinkAbout11-12580 � CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�sis��so-oo20 12580
BUILDING PERMIT
Permit Number: 12580 Address: 39537 CHARIOT LN LT 226
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 6,500.00
Date Issued: 12/02/2011 Name: NHC-FL 115 LLC
Total Fees: 105.00 Address: 39537 CHARIOT LN LT 226
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/02/2011 Phone: (813)783-7518
Work Desc: INSTALL 12 X 13 SHED
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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 � 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� �
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-002D Gity ot Gepnyrniiis renn�� ��N���a����� �
Building Department
Date Received C�hone Contact for Permifting ��` �� "" S � /
Owner's Name
T Fr� Z • Owner Phone Number
Owner's Address 3�9537 �-�'l d Owner Phone Numher
Fee 5imple Titleholder Name pwner Phone Nurriber �
Fee Simple Titleholder Address
�-� � � Q� • LOT # oZ�
JOB ADDRESS � •
/YI �� SL(.C. OW�-�3 PARCEL ID# e�-y— e2�, `D�,I— v� ' dO�OO= DO�D
SUBDIVISION �_ (013TAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSEb ' NEW CONSTR e ADD/ALT � SIGN [� MeVE Q DEMOLISH
� INSTALL REPAIR
PROPOSED USE 0 SFR ' [� • COMM � OTHER
TYPE OF CDNSTRUCTION Q BLOCK � FRAME � STEEL 0 OTHER �
DCSCRIPTION OF WORK � I x � 3 �"��
BUILDING SIZE �a' X�� SQ fOOTAGE �S(0 HEIGHT
� BUILDING $��O D�' VALUATION OF TOTAL GONSTRUCTION
� PROGRESS ENERGY 0 W.R.E.C.
� ELECTRICAL I$ -- AMP SERVICE 0 �
� ],� l Z �A� F�EAMIT s�4�e/4��
� PLUMBING $ Y� (813) 7�8-53'9�
�i4)(1-866-8247�9�
0 MECHANICAL $ VqLUATION OF MECHANICAL INS7ALLATION � ��
. �
GAS ROOFING � SPECIALTY � OTHER `�i�
� � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QN 1
BUILDER " /��� . �� ` COMPANY "� � J ` • ZnC •
SIGNATURE /` v^" �l REGISTERED Y/ N FEE CURRENT Y! N
Address �D /S y /� � �C 2 � � License #
ELECTRICIAN • COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
• License #
Addres�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Add�ess License # �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N .
Address .License #
OTHER � COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
RESID�NTIAL Attach (2) Plot Plans; (2) sets of Buifding Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) worl<ing days after submittal date. Required onsife, Construction Pians, Stormwater Plans w/ Silt Fence fnstalled,
San(tary Facilities & 1 dumpster; Site Worlc Permit for subdivisionsllarge projects
COMMERCIAL Attacli (3) complete sets of Building Plans plUS a Life Safety I'age; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) worlcing days after submittal date. Required onsiEe, Consfruct(on Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Woric 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.
� � _,_�_, . � �
Directibns: . .
Fill out appiicatfon completely.
Owner & Contractor sign back of application, notarized
if over $2500, a Notice of Commencement is required. (AIC upgrades over $5000)
*" Agent (for the contractor) or Power of ,4ttorney (for the owner) would be someone with notariied letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only) '
Reroofs Sewers Service.Upgrades AIC Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The. undersigned understands that this permit may be subjecfi to "deed" restrictions"
which may be more restrictive fihan County regufations. The undersigned assumes responsibility for compliance with any
appiicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITICS: 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 violaEion
under state law. lf the owner or intended contracior are uncertain as to what licensing requirements may apply for the
intended work, they are advised to�contacfi the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
8009. Furthermore, if fihe owner has hired a contractor or contractors, he is advise.d to have the contractor(s) sign
portions of'the "contractor Blocic" 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 riot properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 specifiied 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 iurther understood that Transportation Impact Fees and Resource Recovery Fees musl be paid prior to
receiving a"certificate of occupancy" or final power release. If the projecfi 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 7'13, Florida Sfiatutes, 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 Consfiruction Lien Law—F-Iomeowner's
Protection Guide" prepared by the F(orida Department of Agriculture and Consumer Affairs. If the applicanfi is someone
other than the "owner", I certify that I have .obfained a copy of tlie above described document and promise in good �faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify thafi all fihe information in this a�plication is accurate and that all work
will be done in compliance with aIl applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 1 certify that no wor{c or installation has
commenced prior to issuance of a permifi 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 compiiance. Such agencies include bui are not limited to:
- Department of Environmental Protection-Cypress [3ayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWasfiewater Treatment.
- Southwest Florida Water Management Disfrict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Na�igable Waterways.
- Department of I-lealth & Rehabilitative Services/Environmental Health Unii-Wells, Wastewater Treatment,
Septic Tanks.
- US Env.ironmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:�
Use of iill is not allowed in Flood Zone "V" uniess expressly permitied.
If the fill material is io be used in Flood Zone "A", it is understood th�t a drainage plan addressing a
"compensating volume" will be submitted at fiime of permiiting which is prepared by a professional engineer
licensed by the Siate of Florida.
lf the fill material is to be used in Flood Zone "A" in connecfiion with a permitted building using stem wall
' construction, i certify that fill will be used only fio fill ihe area within the stem wall.
- If. fill material is to be used in any area, I certify that use of such �fill will nofi 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 fihe building permit issued under the attached permit application, for 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 faifih to inform the own�r oF the permiiling conditions set forth in
this affidavit prior to commencing construction. I understand that a separafie permifi may be required for electrical work,
plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the a�plication. A
permit issued shall be construed to be a license to proceed with ihe work and noi as auihority 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 nermit 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 nofi to exceed ninety (90) days and will demonstrate
the ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
WARNING TO OWNER: YOUR�E �T�RO YOUR PRO�PERTY. YOU INTEND TO OBTAINM NANCING C
PAYING TWICE FOR IMPROVE
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F:S. 117.0 ) .. , � ��
�_�� �Q�.�/,J CONTRACTO
OWNERORAGENT Subs ri andsworn�o��o�affirmedy�fore Ley��is
S� and sworn to (or af� med �efor m�; his n �g bY � C ���jt,
(7�C //� • A�by � i '��� v------ / / �
Who is/are �ersonall�n fo me or haslhave produced Who is/are personally Icnown to me or has/have produced
as identification.
as identifcation.
� Notary Public
�h Notary Public
Commission No. LIC•STATE OF FI.ORIDA
Commission No. FFLORIDA
Suzanne B r
. - .,,� -•.
�uzanne Bahr � � mi;,ion # EE044504
Name of Notary typed, printe re�
Name of Notary typed� p� ��OP EE044504 '-.,,, „= ExpiY es :� OV. 22, 2014
xp?r�:. �?t�V.22,2014 ao��riF�rxa�
BOSDED THHL'.qT�.1.�'7IC U�,SllL\G CO., INC.
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�`� '' ALL �ORK SH,�LL ���pLY WITH ALL
' PREVA�ILING CODES, FLORIDA BUILDING
� ��, �.�,� CODE,`NATION,ALELECTRICCODEAND
' � � CITY C�F ZEPHYRHILLS ORDINqNCES
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Florida Building Code Online Page 1 of 2
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� Product Approval
�' c, I� , USER: PublfC User
' Product Aooroval Menu > Product or Aooiication Search > Aoolication Li� > qpplication Detail
� ,f FL # FL163-R3
� Appltcation Type Revislon
Code Version 2007
_ �,, Appitcation Status
Approved
Comments
Archived �
Product Manufacturer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352)368-6922 Ext207
mlafevre@cws.cc
Authorized Signature Michael LaFevre
mlafevre@cws.cc
Techntcal Representative Mtchael LaFevre ##
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352)368-6922 Ext207
MLaFevre@cws.cc
Quality Assurance Representative ]efF Thompson
Address/Phone/Email 1900 SW 44th Ave.
Ocala, FL 34474
(352)368-6922 Ext221
jthompson@cws.cc
Category Windows
Subcategory Single Hung
Compiiance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professfonal Engtneer
J Evaluatlon Report - Hardcopy Received
Florida Engineer or Architect Name who Lucas A. Turner
developed the Evaluation Report
Fiorida Ltcense PE-58201
Quality Assurance Entity Keystone Certifications, Inc.
Quality Assurance Contract Expiration Date 07/21/2020
Validated By Steven M. Urich, PE
y1 Valfdation Checklist - Hardcopy Recefved
Certiflcate of Independence FL163 R3 COI Eval Reo �SH-3500 CVJS 466) odf
Referenced Standard and Year (of Standard) Standard
Year
ANSI/AAMA/101/IS2/A440-05 2005
Equfvaience of Product Standards
Certifled By
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Florida Building Code Online Page 1 of 2
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.� BCIS Home � Log In User Registration Hot Topia ! Submit Surcharge Statr 8� Facts Publicatfons FBC Staff BCIS Site Map Links Search ;
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`� �' Product Approval
� [tt USER: Public User
Product Aooroval Menu > Produd or Aooiication Search > Aoolication List > Application Detail
FL # FL161-R3
� Application Type Revfsion
Code Version 2007
Application Status Approved
��� � � Comments
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i"�, Archived )
Product Manufacturer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352)368-6922 Ext207
mlafevre@cws.cc
Authorized Signature Michael LaFevre
mlafevre@cws.cc
Technical Representative Michael LaFevre ##
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352)368-6922 Ext207
M La Fevre@cws.cc
Quality Assurance Representative Ralph Emminger ##
Address/Phone/Email 1900 SW 44th Avenue
Custom Window Systems, Inc.
Ocala, FL 34474
(352) 368-6922 Ext208
Ralph@cws.cc
Category Exterior poors
Subcategory Swinging Exterior poor Assembiies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professfonal Engineer
•� Evaluation Report - Hardcopy Received
Fiorida Engineer or Architect Name who Roberto Lomas
developed the Evaluation Report
Florida License PE-62514
Quality Assurance Entity Keystone Certifications, Inc.
quality Assurance Contract Expiration Date 07/21/2020
Validated By Steven M. Urich, PE
-`i Validation Checklist - Hardcopy Received
Certiflcate of Independence FL161 R3 COI 511038 (Eval Reo Guardian Doorl odf
Referenced Standard and Year (of Standard) Standard Year
ANSI/AAMA/WDMA 101/IS2-97 1997
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvyf4ngAXh 10... 11 /11/2010
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: � Z� ° � �
Site: �� 3 7 C �� � L�_
Permit Type: lZ � � 3
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
� z-�
Kalvin witzer — ans Examiner ate Contractor and/or Homeowner
(Required when comments are present)
. , ,� � ,P
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QAS� PERMR � I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
(8 ��'� 201118gS03
FAX 1
ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 TRACTS 69 70 75 &
76 LESS NORTH 15.00 FT OF TRACTS 69 & 70 FOR RD R/W & LESS EAST
20.00 FT OF TRACTS 69 & 76 FOR RD R/W & EAST 1/2 OF VACATED RNV
LYING WEST OF TRACTS 70 & 75 OR 6214 PG 1906
NOTICE OF COMIVI�NCEMENT
Pertnit No. Rcpt, :1401673 Rec: 10.00
DS: 0.00 IT: 0.00
?roperty Idenrification No. e1 y—,L( ... ,L/— ���j_ ��1�_�� 11 /30/ 11 K. Garc i a, Dpty C 1 erk
THB LTNDERSIGNED hereby give informs yau that the improvement wili be made to certain reai property, and in accordance with
Secrian 713.13 of the Florida Statutes, the following informarion is provi�ied in this NOTICE OF CUMMENCEMENT,
1.Descriptioa of prapert3' (legal descriptioa;) L d� e�lG ���iJ' ��/ ���
a) S�eet Addr�ss: d ySd C d �
L—
2.General description of improvements:
3.Owner Informarion � � ��
a) Name attd adctress: _ TGt.� �/y7� ,39.I',�f C?JCQ1T'dl� � Z¢.,d,t�i �,�j ,t� �'
, b) Name aad address of fe se �ie nuehoider (�f otlzer than owna) �
c} Interest in property
4.Contractor �rtformation
a) Name and address: �(,t� (� � �"� � /� �� � .�_ � �//�� /
b) Telephone No.: • � � �
S.Searety Tnformarion
Fax No. (Opt.) _ ??rG6�
a) Name aad address:
b) Amount of Bond:
c) Telephone No.: Fax Na. {Opt.)
6.Lender F D
a) Name and address: ''' �
Phone No. � m �+
7. Identiiy of person within the State of Florida desi�gnated by owner upon whom notices o* other documents may be served: ��°
s) Nanxe and address: m
b) Telephone No,; Fax No. {Opt) �� �
8.In addition to himseIf, awner designates the foltowing person to receive a copy of th� Lienor's Notice as provided in Se�tion ��' 7
�13.13(1)(b), Florida Statutes: � �
a) Nam�e and address: �
b) Telephoue No.: Fax No. (Opt) ��' °
9.Expiratiov date of Notice of Commencemeni (the expization date is one year from the date of recording un]ess a diffennt date is � o A
specified):
w '+ �
N" °�
�
WARNING TU OWNER: ANY PAYI�II,NT$ MpDE BY T�' OWNER AFI'$R TgE $XpjRATION Olr �'�' N01TCE OF(�J o
COMMENCEMENT ARE CONSIDERED IlVIpROPER PAYMENTS UNDER CgppTEg n3, PAST I, �"1TON 713.13, �
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPRO�'BM�TS TO YOUR PROPERTY. �
A NOTICE UF COMMENCEMENT MUST BE RECQRDED AND POSTED ON THE JOB $1TE BEFORE T$E FIRS'I'
Ii�1SPECTION. IF YOU INTEND TO OBTAIIV FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
CQMMENCING WORK UR itECORDING YOUR NOTiCE OF CO1VIlViENCEM.ENT.
STATE OF FLORIDA ,
GOUNTY OF PASCU
Si er qr 0 s Au O�cer/Director/PulnedManager
�'Cc.a��(. �'r� i�z
Print Natne
The fore ��i �uneat wps aclaiowledged before me this �G'�` day of //!�! r _ 20 /� by
��L as Glctat:.�' (tYPo ofauthority, e.g. offccr, hvsbee, attorney
in fact) for dd (name of party on behalf of whom insttvment was
)•
Personally Known �R Produced Identification � Notary Siguature l� e'�....
Type of Ideuti#ication Pzoduced �L �y[Q [�,G ��(����r��
. Name {print) ��_
.
Verificat3oa pursu�fnt to Section 92.525, Blorida Statutes. Uade�r penalties of perj�y, I declare that I have read the foregomg and that
the facts statcd in �it arc av,e to the best of my ]ao�owledge and belief.
, � n OT�lI 2 YPL7;i 7 (' °"
QNOH ,��" „ �,.�i�:;�� _;c�'.'rVl�
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f ,_, `'L'1.�0 � : L ��8 .,, �, r. .i;;i;,�. �
y � �'�� Oh'licL Tf32i� A �A\i�; f,! ^T• 16, 2�1`3
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_
S7A7E OF FLORIDA, COUNTY OF P�4SC0
THIS IS TO CERTI�Y THAT TFiE F'OREGOING f5 A
TRUE AND CORR�CT,�COPY OF THE'QQCUM�NT
ON FILE OR OF PUBLIC.��CORQ IN TNIS OFFICE
WITNE�,� MY HAND AN pFFI�jIAL&Eai.THIS
fr�'. DAY pF 2� �)j/�
PAULA .'NEIL, t�L RK 8� COMPTR LLER
BY �(.- DEPUTY CLERK
� r Q � Q ��� Page No. of Pages
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PROPOSAL SUBMITTED TO PHONE DA
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STREET � � r . JOB NAME
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CITY STA nd ZIP CODE ,�- JOB LOCATION � '
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ARCHITECI� DAT OF PLANS JOB PHONE
� We herebv submit specifications and estimates for
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�P �TOpIIB reby to F�nish c�a,La�l�� ,Fomplet�g �i a bove specifications, for the sum of�
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�--�` �� ��- - � dollars ($ ).
Payment to be made as fo lows:
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All material is guaranteed t� be as specified. All work to be completed in a workmanlike ,-�"'�-° ���_ _-- -� � ='�
manner according to standai d practices. Any aiteration or deviation from above specifications AUthOriZ2d �--� �-�,�--" ��,�, "" _..-s-�^"''�` �
involving extra costs will bE executed only upon written orders, and will become an extra Signatur - �''� 6`� _ -.�-�-^"�--'`_ ----- '
charge over and above th� estimate. All agreements contingent upon strikes, accidents �'`� �--�'"" "
or delays beyond our control Owner to carry fire, tornado and other necessary insurance. ,: m8y b2
Our workers are fully covered by Workman's Compensation Insurance. wifl by US if not aCCepted within _ dByS.
�CCP���IIICP O� �rO�O��II —The above pnces, specifications , O "-� '-• "
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. _ _..'�, `�~
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Date of Acce tance• — :'`��� ��'"' r � ��'
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