HomeMy WebLinkAbout12-12763 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
�� �sis)�so-oo20 12763
BUILDING PERMIT
Permit Number: 12763 Address: 5930 13TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02000-0090
Improv. Cost: 6,500.00
Date Issued: 2/03/2012 Name: FRESINA, ANN L
Total Fees: 70.00 Address: 5930 13TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL 33542
Date Paid: 2/03/2012 Phone: 8137781119
Work Desc: REROOF SHINGLE W/ DETACHED GARAGE
�
n�
�
TAPE JOINTS ROOF I P-�
FINAL ?' " �l S'��/
REINSPECTION FEES: Reinspection fees will comply with Fforida 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of oommencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CO CT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��.s-��u-uuzu City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
D�te Rec�ived Phone Contact for Permitting _
l
Owner's Name �?S% :a Owner Phone Number 1,�- �]i. - II��
Owner's Address J� ,.3 C� �� ,5 � � i�� Owner Phone Number �
Fee Simple Titleholder Name ��//l/-r Owner Phone Number
Fee Simple Titlehoider Address � ✓
JOB ADDRESS S� c q5' :>r� LOT# / IO f/�
SUBDIVISION L l�� u T �8l��1v//�;�IS - PARCELID# I�"' ��" �v�� O✓�c�'��,2�i0£�-pt�9�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK l<-P/"t7oY" Sn �{ y��,,;/ �jp1„� �' ' �,� ylt
BUILDING SIZE � SQ FOOTAGE C� HEIGHT
OBUILDING $ .% VALUATION OF TOTAL CONSTRUCTION
� s��
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS ROOFIN Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY � f��tSr , .�`,/G,
SIGNATURE REGISTERED Y/ N FEE RRE� Y/N
/ i `/
Address �{ �'/►GB [�-�n � �,! t� '��%�t� /`� j�'��j/ License# Gi�i O`7 �
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 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 wf 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 Englneered 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 A/C Fences(Plof/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" rest�ictions"
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 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 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.c�rtificate 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'SIOWNER'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
he�eby 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-Wel�s, 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 vr�ly 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 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, 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 authoriry 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 wo�k authorized by
the permit is suspended or abandoned fo�a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building O�cial 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 job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE C RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS T UR OPERTY. IF YOU INTEND TO OBTAIN FIN , CONSULT
WITH YOUR LENDER OR AN ATTO �FO RECORDING YOUR NO CE OF C ME .
FLORIDA JURAT(F.S. 117.03 � ' ��/c.'/
.�-' .�j-'"� �"
OWNER OR AGENT� � � CONTRACTORX
Subscri ed and sworn to oc�ffl�ed)b , re e this Sub�crib and swom to(or affirmed e me this
3 Z by /�'/an �;��� —J/3�Z by /.�(Qn �B�
o is/are'ersonally known to me or has/have produced Who islare personally kn_o _wn to me or has/have produced
as idendficaHon. as identification.
, �_.
�-- . , �
� Notary Public Notary Public
Commissio o. Commission No.
NOTARY i'�" :` . +�iZIllA
Name of _ _�d,p�n gci,,o�$t ��12� Name of Notary typed,p StBrnPed � � ;oweS
= O..iT`. �5." tl ,
=,, ,=�,};,; '^; t�0,2014 _Cor:inu�sion#DD994127
sormei� , <<�.���o,�rrc %�;�Ex-+:r c MAY20,2014
AONDEPTIih�� 'inVn1'iGCO,INC.
_ - . . iaiii��tii��iii�i�u��«iiiiiii�iii����iiii���ii���
111111111111
, 2012017033 --- ---_,.__--- '
- - —�
Repl:1412878 Rec: 10.00
D5: 0.00 IT: 0.00
02/01/12 C. Cook, �PtY Clerk _ - -
j _- — -•-- ^'- ---'---COMP7ROLLER�,
Key No. Pertnit No. � . -
'• oRULR 5 0'NEIL�Ph D PpSG i CLEORf i
NOTICE OF COMMENCEMENT � 02/01/12 0Q3:19 P� 3942
THE UNDERSIGNED hereby gives notice that fmprovement wlll be made E OR BK Q��� -- - '-
to certain real property.and in accordanes with Chapter 713.Florida SWte: __. _-- --'
StaWtes,tha following infortnaUon fs provided in this Notice of ; y,�„y■�,,,,.,,,ed ro.ro�,ae�
Commencement: E......................0 ._.Z.e..�..... �._........_.......or ._.•-•--........--•..................._......
c;�y ;c P y�%f PB / p6.3'y L.��S 9/o�//
1 OescripUon of Pr Dert�t Parcal No. QfkZp vr 6/6v P,g ���y � �'Z'3/ �9�Z /
11- 2�.,_z7-a��o-ozacx�- Od O �9 j� ,
(Lapal deecrt on of the property end atroet eadreas If evailaDle)j!3� i3 f� S� -`� ���4j
,� , .;/ .e Ft• 33SyZ
2 Oenerol Dsscr�ption of Improvems�
3. Owner In(ormatlon: Na�e � e p
Address
Intereat in rope . •
Name of Fee Simple e o er o e an owner: s p
Address
4. ConVador. Name � ad �P
Address: � o. ��
Phone No.
5. Surety: Name � e p
Address �8 o dx o.
Amount o on :
6. Lender. Narne e p
Address � a.
Phone No.
7 Persons within the State of Florida deslgnated by Owner upon whom notices or other documents may be served as Nrovidad�y Section
713.13(1)(a)(7),�p��Statutes: Address City State
Name �� Fax No.
Phone o.
of
8. In addiUon to himsetf or herself,Owner designates � on a ta u s.
to receive a copy of the Llanors Notice as provide n e on .
Phone No.of person or enUty designated by owner:
g. F�cpiraUon date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is spe�ed.)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
ANOTECE OF COMMENCEMENT Iu�U3'T BE�tECORDEO iW0 P037EDAON TH4�JOB 31TE BEFORE THE�F�IRSTAINSPECT ION.F F YOU IN'TEND TO OBTAIN FINMICINGRTM
CONSULT OUR ER OR AN�TTORNEY BEFORE COMMENCING WORK OR RECOROINO YOUR NOTICE OF COMMENCEMENT.
x 5 gna"'�re o er or s o za cer re r a ner aneger gne o s Ce
�`SJgna�turo' R�q Ired by same Dslow by X'mark"'
STATE OF 1✓IOrA'O` COUNTY OF /'�SGO L/
�day of � 20��by r�L°s/7+4 _
The foregdng InsUvment was acknowledg��betore me ihis ame erson
e8 Ql,,i/�( tor '
ty e.p..o ce. e.aGomaY In ct eme party on bo � �7'-�i'�7��]�A
/ : Doug Ciowes
n re ry ' Print,TyPe , ? Xpues• 20,2014
Personally Known OR Produced Isltntif 'an v BoNDEDTHRU A't7.AIr"►'ICBONDII4(iCO.,IIQC.
Type of tdentlficetlon Frro'3uced: Y '
Veriflcatlo ursuant to Sedion 92.525,Florida Statuces:unde�penalties of pehury,1 dadare that 1 have read the foregoing and t►�at tha facts stated In It are
true to st ot edge and�bellef.
X pna o a re erson7 gn ng ove
NOC-PrB.WPD(71!/0'n
9/24/07 ug
�T�tTE C�� �-�.OR�P��. COUNTY�s� F�ASCQ
TH15 IS T�C�f�TIFY THAT THE FOR�GOiP!G IS A
TRt��E,4Nd CC?Rr�ECT GOPY 0�THE DOCUMEN7
ON rll_E OR C�= P�'BLIC RECORD IN TNIS OFFI��
��ITNES MY HAND A L��FFICIAL`:�%�±THlS
--� �aY aF ' � � G,�,�.
PA A S O'NEIL. I,.LE � COM TROLLER
� r� , � �
� C��'�°l�-iC/ L�Fi=t.,-Y CLERK
Pasco County Parcel: 11-26-21-0010-02000-0090 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, January 28, 2012
Parcel ID 11-26-21-0010-02000-0090 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
FRESINA ANN L Ag Land $0
5930 13TH ST Land $24,318
ZEPHYRHILLS FL 33542-3665
Physical Address Building $45,286
Extra Features $600
5930 13TH ST
ZEPHYRHILLS FL 33542-3666 7ustValue �70,204
Leaal Descriotion (First a �ines) Assessed (Non-School Amendment 1) $�0,2oa
See Plat for this Subdivision.�' Taxable Value ;70,204
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 9 10& 11 BLK 20
OR 6160 PG 1194&
OR 6231 PG 992&
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR2 8,400.00 �F $2.72 1.00 $22,848
�2 0100 SFR OOR2 4,200.00 � $0.35 1.00 $1,470
Additional Land Information
Acres 0.29 Tax Area 30ZH FEMA Code X Residential Code ZHLHLP2
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1972 Stories 1.0
Exterior Wall i Average Exterior Wall 2 Common Brick
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.5
� Line Description Sq. Feet Repl.Cost New
1 F� 270 $4,128
2 BA� 1,107 $48,099
3 F�,R 492 $8,560
4 � 48 $826
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1972 267 $200
2 UDU-M 1972 1 $400
Sales History
� Previous Owner MADEWELL TINA
Year Month Book/Page Type � Amount
� 2008 03 7797/0299 WD $0
2005 02 6231 /0992 � DD $0
�— 2005 �� O1 6190/0594 OH $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&bl... 2/3/2012
� . _. ..> � ,..,, -
--`'Sc,�'� _°�'j<_ �..>�:� ,�-> y° •�
� CONTRACT Hernando: (352) 686-3330
� (352) 754-8880
LAN S Comr�ercial 8� Residential Citrus: (352) 341-1400
R O O F I N G. I N C. "Home of the FREE Roof Inspection"* Pasco: (727) 816-9278
,aase Po►,�e�e�eo�Bi�a. www.alansroofinginc.com Toli Free: (800) 309-5667
Brooksville,FL 34601 Fax: (352) 754-8902
LICENSE NO.CCC046942
Please Print �� ` O�
�
,,_.f�,.�� , � �..�,�. p ��,-.� DATE /� �'�;, :-'
NAME l! j . �� PHONE �°� f�
. h�; ,/ �
ADDRESS �'��`>�'� �:� `�j� CITY � _ -,/ .si-I�`j�/f".�' ZIP?-.S `� `�`�
/R
M.HOMEJ H�OU�
OTHER MERCIAL JOB# "' �.� `"
BRAND AND DESCRIPTION � /��,,� �` -
OF PRODUCT � �/�� L..�✓� � �'� %G'�" '-'%�.' COLOR "G�l� PITCH '�7' O.L/�
�'� -? �
❑ 1. PULL A CITY " +� OR COUNTY PERMIT SQ.RENAIL WOOD � '
❑ 2. TEAR OFF -� SQ.OF OLD SHINGLES SQ.OF FLAT ROOF SQ.OF OLD TILE
❑ 3. DRY I�t 1 LAYER `+'"�- 2 LAYERS - FL/ --�" SQ.TILE `�'��
❑ 4. INSTALL "-" FT.GALV.VALLEY METAL �FT.55#SELF ADHERING UNDERLAYMENT"� Ff.METAL OVER RIDGE
❑ 5. INSTALL '��-r FT.ALUMJ '�-. FT STEEL DRIP EDGE �'% FT.PAN/ +" FT L.FLASHING � OLOR
t-o, �. ..
❑ 6. INSTALVREPLACE �-�-� OF R.V '� QTY./ �� FT OFF RIDGE VENT �� PLUGS —� COLOR
❑ 7• REPLACE � lv2 IN. �-•` 2 IN.�31N.LEAD BOOTS r 41N.�101N.GRV'S�ELEC.RISER
❑ 8• STARTER STRIPS ''�
❑ 9 LAY �?�, SQ.OF NEW FIBERGLASS SHINGLES � / f CAP FL H.R.
❑ 10. INSTALL `� SM./ � LG.DEAD VALLEY
❑ 11. INSTALL TPO 'v LAYER OF INSULATION �
❑ 12. INSTALUREPLACE "� 2 X 2"� 2 X 4 i 4 X 4 SKYLIGHTS ADOMES cM �ow e sG�ss SHING
❑ 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
❑ 14 ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL�d ' f�, ' � ''' "f t.r� �.i'�" f�! c-.�
/ - i-.
❑ 15. SPECIAL INSTRUCTIONS /_-5����L��' � ��3� ��� ���¢r.y;�jy l> �,���;,Jr��� `""`'
. , ..
/'���a'� �r j�S � ^�lG� S� �'�C :s�. � �e°a,�t �✓✓ .J.
❑ 16. ALAN'S ROOFING,INC.HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TO
CONDUCT ANY OR A�L INSPECTIONS THAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW.
i
�' ��� w�� 7 �-�. �,�,�,i/ �. / / / TOTAL DUE UPON n"
r .� � �G � ,[�/-� /
./� / ., � .L}"}_��c.�(,x Ka.'l �� W�P,�,�'/�v�S. COMPLETION � �)VC`J
a -� ^` /
n
ACCESS:Customer agrees to allow access to the propeRy and realizes that heavy equipment is being used.
Contractor shall not be liable for,wi[hout limitation,damage to driveways,sidewalks,lawns,sprinkler systems,gardens,septic systems and any other structures thereof,as a resuk oi rooftop orjob deliveries.
DAMAGE,ETC..Should customer become aware oT damage to property by CoMractor,his agents,or employees during the course of installation of the roof,said demage shall be brought to the attention ot the
CoMractor priorto the time of payment forthe roof in question.If Customer fails to notify Contractor of said damage,within 5 working days of occunence,then shall waive all rights against CoMractorconceming said
damage.Alan'sRoofing,Inc.isnotresponsibleforroofingnailspenetratingA/Clinesintheattic.
DELAYS,ETC.:Hereby acknowledges that Contractor may be subjec[to delays occasioned by inclemerrt weather,labor disputes,end material supply shortages which are beyond the control of the Corrtractor and
hereby accepts delays occasioned by one w all of these circumstances in the installatlon of his roof.Further agrees to pay CoMractor an amount to equal 10�ot the total contract price should this contract be
cancelled for any reason prior to the initiation of work on roof,but atter midnight of the third business day attersigning.
PAYMENT CONTRACT.Customer hereby agrees that tf the amounts tlue and owning hereunder are not paid when due,also shall be liable all co of cancellati nclu ' ut not limited to,reasonable
attomey's fees arxl costs,which amounts,together with all sums and owing hereunder,shall bare interest at 1'/�%per moMh.We accept erCard a isa credit c s.Ou card fea will be 2.5%attime of
payment. j t�
ACCEPTANCEPROPOSAL.Theabove ' s,specificationsandconditionsaresatlsfactoryand SALESMANSIGNATURE /
herebyaccepted.AllcoMractsares �'/ manag en p ro/val. .
CUSTOMER SIGNATURE '�` ���a��'�'?,� ,'�� DATE � z � MANAGEMENTAPPROV L
Construction Industeies Recoveiy Fund:Payment may be available from the construction industries recovery fund if you lose money on a project performed under contract,where the loss
resutts from specified violations of Florida Law by a State Licensed Contractor.For information about the Recovery Fund and filing a claim,contact the Florida CILB at the following
telephone number and address:850-487-1395,Florida Construction Industry Licensinq Board,1940 N.Monrce Street,Tallahassee,FL32399.