HomeMy WebLinkAbout12-13192 CITY OF ZEPHYRHILLS
• � 5335-8TH SIREET -
(813)780-0020 13192
BUILDING PERMIT
Permit Number: 13192 Address: 3818 ROYAL TROON WAY
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 13,164.00
Date Issued: 6/22/2012 Name: NHC-F1115 LLC- RAY SCHMIDT
Total Fees: 157.50 Address: 6991 E. CAMELBACK
Amount Paid: 157.50 SCOTTSDALE AZ 85251
Date Paid: 6/22/2012 Phone: (407)484-9096
Work Desc: CARPORT/SHED W/CONCRETE 12 X 47
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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� plans not at job site g)work not acxessible.
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 performed in ac�cordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� ��`f �u�
CON RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-7so-oozo City o1��epnyrniiis r�rr►u�HNN���a����� .
� Building Departmenf
Date Receivecl - -�� Phone ContacE for Permifting lJ lJ ���__ ��
'� - trrrty-►-t
Owner's Name �Cv l M�C� • Owner Phone NumBer `'f 0�� �g�� ��Q�2
Owner's Address • Owner Phone Number[
Fee Simple Ti4lehoicler Name 5�-�t� Owner Ahone Nutriber
Fee Simpie TitleholderAddress Sar+^� . ,
JOB ADDRESS ��1� ��- Tr o o�,n �� �p�r�1� • 3��� LOT# � 7
SUBDIVISION • 1'� e5T G ��-kS PARCEL 1�# a�{—��a —a I � DC?�O—p�/00— �0/�
' (0[3TAINED FROM AROPERTY TAX NOTICE)
WORK PROPOSED ' NEW CONSTR ADD/ALT 0 SIGN 0 MOVE � DEMOLISH
e. INSTALL � R�PAIR
PROPOSED U5E 0 SFR ' 0 • COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK 0 FRAME ' � STEEL 0 OTHER
D[SCRIPTION OF WORK .�(�-►"�O f�� S h�pC� �F- �anG�-G"�� . ' �
BUILDING SIZE �a X y 7 SQ�OOTAGE S�� HEfGHT ��� F'L�N
' � BUILDING $ �3' %� QO VALUATfON OFTOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SERVIC� 0 PROGRESS ENE W.R.E.C.
-� .
0 PLUMBING � "f�r', 1�'�? � �� ���R�ABT�����4��
t81�)788-53��€
MECHANICAL ��� 47��.�
L� $ VALUATION OF MECHANICAL INSTALLA
0 GAS � ROOFING 0 SPECIALTY 0 OTHER �1� 3` ` Z
f=1NISHED FLOOR ELEVATIONS �LOOD ZONE AREA �YES �NO
BUILDER ��ec.c, �S� —.� ' I� �S COMPANY Sl.t_n �fia.`�"e- ��l.��tnuvri.
SIGNATURE l REGISTERED Y/ N FEE CURRENT Y/N
Acidress . License�
CLECTRICIAN �l�r, _,(I/ Q� � COMPANY � V
SIGNATURE ����'������ REGISTERED N FEE CURRENT Y/N
Addres$ License# I
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRLNT Y/N
Address License# [
MECHANICAL COM►'ANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N ' .
Address .License# [
OTHER � COMPANY '
SIGNA'PURC RCGISTGRED Y/ N FEE CURRENT Y/N
Address , License# r
RESID�NT(AL Attach(2)Plof Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permlt for new construction,
Minimum ten(10)worl<ing days after submittal date. Required onsife,Construction Plans;Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&9 dumps�er;Site Worl<PermiE for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safefy f'age;(1)set of Energy Forms.R-O-W Permlt for new construction.
Minimum ten(10)worlcing days after submittal date. Required onsiEe,Consfruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilifies&1 dumpster.Site Woric Permit for all new projects.All commercial requirements must meet compUance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""**PROPERTY SURVEY required for all NEW construction. .
��������;i-ri-i-i-n-1-FI-H-f-H-fi-1-f-1-�-H-1-1-H-li-f-1-I-1-1-I-I-f-1-1-1-1-H-I-W-FI-1-I-1-f-H-H-f-1-I-1-I-1-I-(-f-1-f-H-I-l-1-l-i-I-F-MI-H-l-f-l-1-H-1-f-H-H-FI-H-H-I-1-1-1-1-1-1-1-1-1-1-1-H��,,,•�•�••�••• • ,
Directions:
Fill out application completely. �
Owner&Contractor sign back of application,notarized " ,
If over$2500,a Notice of Commencement is required. (A1C upc�rades over$5000)
* Agenk(for the contractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same
)VER THE COUNTER PERMITTING (Front of Applicafion Only) .
Reroofs Sewers Service Upgrades A/C 1=ences(Plot/Sutvey/Footage)
�riveways-Not over Counter if on public roadways.:needs ROW
NOTI
CC OF DEGD RCSTRICTIONS: The�undersigned u h�und�signed lassumes�spons bilby for�mpl a'nce w th any
which may be more restrictive than County regulations.
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRAe�T�o �E�ep�edSiBaocoGdance wifih s ate and loc,ale egulationrsc IFrthe
contractors 1:o undertake work, they may blaw, both tl�e owner and coniractor may be cited �(or a misdemeanor violation
contractor is nofi licensed as required by I fior the
under stafie law. If ihe owner or intencled ��e��sc�o County Bu'ading5lnspelctionl Div sl og rea cens ng{S ct on ap727-8�7-
intended work, ihey are advisecl to•conta
8009. (=urthermore, if ihe owner has hired � �ontfor which iheyrwi I�be respons ble e�lftyo'uaas the ownter sign asSthe
portions of'the "contracior Blocic of fihis applicati rivileges in Pasco
contractor, that may be an indication that he is riot properly licensed and is nofi eniitled to �ermilting p
County.
ecove Fees may app�Y to the construction o�f new buiidings, change of
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RCSOUI�CE RCCOVCRY FECS: The undersigned unders an s
that Transportation Impact Fees and Recourse R , rY
will be identified at the iime of
use in existing buildings, or expansion of existing tand�sglh L suph feles�,�as�may be duey Ordinance number 89-0 an
90-07, as amended. The undersigned also under ,
Il is �Further understood that Transportation lmpact Fees �nd Resource Recovery Fees must be paid prior o
permitting. �� or final power release. If the project does not involve a certificafie of occupancy or
receiving a certificate of occupancy licable Pasco Counl ordinances.
final ower release, the fees must be paid prior io pe mn�ccordanceFw th appore, if Pasco County Water/Sewer impac
p musi be paid prior to permit issuanc
500.00 or more, l
fees are due, they {�r 7�13� F�orida Statutes, as amend�d): If valuation o�F work is $2,
CONSTRUCTION L1GN LAW (Chap of the "Florida Consfiruc�ion Lien Law—Homeowner's
licant, have been provided with a copy licant is someone
certify ihat I, the aPP�red by the Florida Departm�nt of Agriculture and Consumer At-fairs. if the app'
Protection Guide" prep of ti�e above described document and promise in good faith to
other ihan the"owner", I certify that I hav�.obfiained a copy
deliver it to the"owner" prior to commencement.
lication is
CONTRACTOR'SIOWNER'S AF1=IDAVIT: I certify teau;�t�n1econst ucfilion, zoning ap`d lalnd developmentn APnat on loas
will be done in compliance with all �ppiicable faws r g J
hereb made to obtain a permit to do work �ndt�all work wi 1 be performed'toem�eetisfiandards of all laws regulating
y ermit and ih
commenced prior to issuance of a p � to the intended work, and fihat it is
con
struction, County and City codes, zoning regulatio vernment age�ncies m y apP gulations in the jurisdiction. I a so
certify ihai I understand that ihe regul�tions of other go W�tland Areas and Environmentally Sensitive
s onsibility to identify whafi actions I must talte fio be r S°�ayheads,Such agencies includ� but are not limited o:
my re p
Departmenfi of�Environmental Protection yp
Lands, Water/Wasiewater Tre�tment. ress Bayheacls, Wetland Areas, Altering
_ Southwesi Florida Water Managemenf District-Wells, Cyp
Wafiercourses.
Army Corps a�Engineers-Seawalls, Docks, Navigable Wa erways.
_ e artmenfi o�f I-lealth & Rehabilitative ServiceslEnvironmental Health Unifi-Wells, Wastewater Treatment,
D p
Septic Tanks. Asbestos abatement.
US Env.ironmental Protection Agency-
Federai Aviation Authoriiy-Runwaisto the use o�f fil[:�
I undersfiand that the�ollowing restrictions a�p y ermitted. lan addressing a
Use of fill is not allowed in Flood Zone"V" unless expressiy� rofessional engineer
_ If the fill material is to be us submii ed afizme oApermitting whi V�is� preparedrby ag� p
"compensating volume will be stem wall
licensed by the State of Florida. „ „ . ermitted building using
_ If the fill material !S �h a f i l l w i ll�b e u sl e d o n i y to fill�ihe a ea w'i h n ii eltsfi�m wall.
construcfiion, I certify area I certify ihai: use oi` suc h �f i l l w i l l n o fi a d v e r s e l y a�FFect adjacent
I f f i l l m aterial is to be used in �nY ��f-�e c fi a d jacent properties, the owner may be cited fior violating
p r o p e rties. If.use of�ill is fiound fio a dverse ly lication, for lo ts less t h a n o n e ('I)
the conditions of the building permi t is s u e d u n d e r t he attached permit app�
lan is required.
acre which are elevated by fill, Q�iS g�n good aa ih to n orm the owner of the p
ermitting conditions set forth in
If I am the AGENT FOR ThIE OWNGR, I p arate permit may Ue required for eleclicati n�rA
this affidavit prior to commencing construction. I understand that a sep •
plumbing, signs, wells, p
ools, air conditioning, gas, or other installations nofi specifically included in ihe app
ce of a permii prevenf the Ruilding Otficial�from the inval d
all be construed to be a license to proceed witn� the work and not as authority to.violate, cance�a er, or
permit issued sh ermit issued shall beco
set aside any provisions of the technical codes, nor shall �ssua
requiring a correction of errors in plans, construction or violations oF any codes. ��e Worlc is commenced. An extension
ized b such permit is commenced within six m er tl e�m�e rmit issuance, or iF work authorized a e
unless the work author Y eriod of six(6) monihs gp days and will demon
the permit is suspended or ab i�om fihe.Buildp g 'OFficial For a period nofi to exceed ihe job(is considered abandoned.
may be requested, in writing, consecutive day ,
justifiable cause for fhe extension. If worlc ceases�(or nin�tY A NOTtCC OF COMMENCEMCNT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR.1=AILURC TO RECORD OUR NOTICE OF COMMENCEMENT.
PAYING TWICG FOR IMP
ROVEMENTS TO YOUR PROPERTY• I�YOIJ 11VTEND TO OBTAIN 1=1NANCING, CONSUL
WITH YOUR LENDE oOR AN ATTORNEY f3EFORE RECORDING � �/
f-'LORIDA JURAT(r ' r/����� CONTRACTOR ���C ��
C�.�/�G�`' �5` ,� Subscribed and sworn to,foraifirmec�p�for �q 15 �
OWNER OR AGENT �fo�e e this /6�� bY (�C.F c�e fr
5ubscr�a�dbYWOrn�y(�q�e.%eed�tt{-4��✓�g � Who is— /�r— e p onally I<nown to me or has�saden fication.
Who is/are personally I<nown to m�s�d ntf�{ioP�oducea
y���%�`�z---- Notary Publia
Notary Public
Commission N TAftY PL'Rl:l-S:ATE F
Commission No. juzanne Bahi'
NOTARY 1�CBLIGSTATE OF FLORIDA e� Printed or s4ampe�, :Comm�s�ion#EE044504
Suzanne BahT N�me of Notary typ 'cX�;re, �OV 22,2014
� missior#EE044504 "°•., .,�'� F, , �,,.;,,�;�;�o,wc
Name of Notary iyPed,printec�,, `,:�r�,. �;OV.22,2014 so*��Er
soh'��rxar.sr �.�r:_�3o`�?�c co,rnc.
`�'''`"'"rtMMIT SERVIC�
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2012103985 IIIII IIII IIII
Permit No.
Parcel ID No �-y—� �� QI�U�— Uv���—��',�
/ NOTICE OF COMMENCEMENT
State of ��/zQ��
County of ���eQ
THE UNDERSIGNED hereby gives notice that improvement will be made ta certain real property,and in accordance with Chapter 713,Florida Sta
the following information is provided in this Notice of Commenc e}�t:
�• Description of Property: Parcel Identification No. �7` ol� /j�Q �� /tutes,
Street Address: c.j��� /20(�lc.� �—r� C� ��� �/�J� •9.Q/dd_J�
2• General Description of Improvement ���� �! `����
ar� J' �- Ctf�cr.i.�
3• Owner Information or Lessee infortnation if the Lessee contracted for the improvement:
�co�� c�m��i�
Name
Address � lf f-/ ?��
�
Interest in Property: ��ty —�--
State
Name of Fee Simple Titleholder•
(If different from Owner listed above)
Address
4• Contractor:� cf �,� ��� , City
,,_ ,IV�me rO� /,J� State
��_5'� J`_� tr�
Address �, � „„^��J
Contractor's Telephone No.: C �f f 1
State
5• Surety: Rcpt:1443034 Rec: 10.00
Name DS: 0.00 IT: 0.00
Address G� �7 "`�� Q�� 06/20/12 E. Munguia, Dp4.y Clerk
Amount of Bond: THAT PART OF EAST 80.00 FT OF NW1/4 & THAT PART OF WEST 1/2 OF
NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EASl"AND State
g• �ender: LYING WEST OF MAJESTIC OAKS COMMUNIIY-pFiASE ONE AS PER PB 35
Name PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W& MAJESTIC OAKS
Address COMMUNITY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL& LOTS 19
Lender's Telephoi THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87
State
�• Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided b
Section 713.13(1)(a)(7),Florida Statutes:
Y
Name
Address
Telephone Number of Designated Person: ��ry
State
8• In addition to himself,the owner designates
to receive a copy of the Lienor's Notice as provided in Sec6on 713.13(1)(b tatutes.
Telephone Number of Person or Entity Designated by Owner:
9• Explratlon date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXp�RqTION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1 SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT �N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE J08 SITE BEFORE TH�FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN(',�CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEA�ENT.
Under penalty of pery'ury,I declare that I t�read the fo�ang notice of commencement and that the facts stated therein are true to tho best
of my knQ yy d ,yTF OF FLO
lQ017!��7�'�`'�
STATE OF FLORID��' SY�7Ct� Iz�rtWlg
COUNTY OF PASC ,�"�=��=���`'ion#BD926164
`�:°,.��z�e� �Ji.T.16,2Q13
Bohti�1ar e;._.�: _�:e�::lii�:c co.,u�c Signatur of Owner or Lessee,or Owners or Lessee�$q��ip�
OfficeN irectoNPartner/Manager
�dJ'���.��
Signatorys TiUelOffice
The foregoing instrument was acknowledged before me this�� ('
as O�I�r day of=_,20��-by �'!�✓ UC`J/{!/��
_! J� �tYPe of authority,e.g„o�cer,trustee,attomey in fact)for
(name of pa on behalf of m instr �ent was executed).
Personally Knpwn 0 g�Produced Identification�. �
Notary Signature f`
Type of Identification Produced �L �
Name(Print) Q !.
PHULA S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
06�z0��2 �7�4 P�°342
OR BK �
wpdata/bcslnoticecommencement�c053048
., :: { ..
`` �1�Q��$C�'
STATE OF FLORID/�„� �, pREGflI�•��%�,
THIS IS TO CERTIFY THA i HE.F_
TRUEANQ CORRECT COPY�OF'�HE'�CUMENT�
ON FILE OR OF PIfBL��RE(�RD7N Tk�1 ����W;
WITNESS,JVVIY HAND A D10FFICIA�rSF�I.��.
�DAY OF fl T'�OLL
PAULA S O' �C� •
p pUTY CtERK
BY �j,:: =r,
.�.,_,....,._....,.�» �.m.� ,.
Pasco County Parcel: 24-26-21-0000-00100-0090 001
' Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, June 16, 2012
Parcel ID 24-26-21-0000-00100-0090 (Card: 001 of 002)
Classification 28 - Rental MH/RV Park
Mailing Address Property Value
NHC-FL115 LLC Ag Land
6991 E CAMELBACK RD STE B-310 ��
SCOTTSDALE AZ 85251-2493 Land $1,382,463
Phvsical Address - See Ali 334 addresses (First Building ��
Shown) Extra Features $3,759
3916 ROYAL TROON WAY
ZEPHYRHILLS FL 33542-8420 �ust Value $1,386,222
Assessed (Non-School Amendment
L@Oal D@SCPIDt1011 (First 4 Lines) 1) $1,386,222
THAT PART OF EAST 80.00 FT OF
NW1/4&THAT PART OF WEST 1/2 Taxable Value �1,386,222
OF NE1/4 OF SEC 24 LYING NORTH
OF ZEPHYRHILLS BYPASS EAST
Land Detail (Card: 001 of 002)
Line Use Description Zonin V�� T
�C������ YPe Price Condltion Value
� 0220 RV PARK OOC2 165.00 UT $7,700.00 1.00 $1,270,500
C� 0100 SFR OPUD 16.00 ,A� $6,960.00 1.00 $111,360
0100 SFR OPUD 2.87 AC $210.00 1.00 $603
Additional Land Information
Acres 36.43 Tax 30ZH ��e a Residential Code RRVPCL4 Commercial Code RRVPCL4
Area � �
Building Information (Card: 001 of 002)
Unimproved Parcel 00 - Unimproved
Extra Features (Card: 001 of 002)
Line Description Year
� 1 � PV F F Units � Value
--�5 2005 2,100 $3,759
Sales Flistory
Previous Owner MAJESTIC OAKS RESORT LLC
Year Month Book/Page T
2006 y� Amount
O1 6825/0087 Wp $0
2004 03 5776/0191
WD $0
2002 09 5065/0631
WD $0
http:��www.appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=26&rng=21&sbb=0... 6/18/2012
Pasco County Property Appraiser- Physical Address List for: 24-26-21-0000-00100-0090 Page 1 of 1
W I om : Records Search : P�rcel Details : Physical Addresses
Physical Address List for Parcel: 24-26-21-0000-00100-0090
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Displaying Records 226 to
250 of 334 View in groups of: 10 25 50 100 500
Street Number Street Na e ♦
3847 ni
QUAKER RIDGE ST
3851 QUAKER RIDGE ST
3901 QUAKER RIDGE ST
3905 QUAKER RIDGE ST
3909 QUAKER RIDGE ST
3913 QUAKER RIDGE ST
3917 QUAKER RIDGE ST
3921 QUAKER RIDGE ST
3925 QUAKER RIDGE ST
3929 QUAKER RIDGE ST
3935 QUAKER RIDGE ST
�3818 � ROYAL TROON WAY
3819 ROYAL TROON WAY
3822 ROYAL TROON WAY
3823 ROYAL TROON WAY
3826 ROYAL TROON WAY
3827 ROYAL TROON WAY
3830 ROYAL TROON WAY
3831 ROYAL TROON WAY
3834 ROYAL TROON WAY
3835 ROYAL TROON WAY
3838 ROYAL TROON WAY
3839 ROYAL TROON WAY
3841 ROYAL TROON WAY
3842 ROYAL TROON WAY
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Pasco County Property Appraiser
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The Local Time Is: 6/18/2012 1:26:47 PM
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___.�.:��'�2reby to f�u�rnish mat�r�l�'T�1`labor�cor{� lete in��ance�with above sp�fications, for the�SU of:
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` �. , ,,� s �.,_, �� ; 1 \. , ..ya..�
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Payment to`Fie made�s-fotfows--" _,.. - ti_ dollars($ �_���.`��' --.�,
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All material is guaranteed to be as specified. All work to be completed in a workmaNike .�'"_l=J�-- �.� � - � J��Y �
manner according to standard practices.Any alteration or deviation from above specificatwns AUthoriZed r="-��� :�..�---_''`—
involving exira costs will be executed only upon written orders, and will become an extra 9 1'��.�----�1��� ��
Si nature a..--------"
charge over and above the estimate. All agreements contingent upon strikes, accidents L"-""`'
or delays beyond our control Owner to carry fire, tornado and other necessary insurance.
� Our workers are fully covered by Workman's Compensation Insurance. Note:This proposal may be
withdrawn by us if not accepted within
days.
�rrP�Ts�II�rP Q� �r0�0S�I� —The above prices, specifications -• , �' `
and conditions are satisfactory and are hereby accepted You are authorized Si nature -(� ,�--,n...•-r �� ��^J /� '/ �
g i> �i,: y4;ti cZ',�-.s..,`�".F'
to do the work as specified Payment will be made as out6ned above. -
.'1
Date of Acceptance�
� Signature
:�
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
,
� Contrac�QrL�meowner: + 4 �' "
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Date Received: �^L����
� 7
Site: � �r� � ,( �
�5 8���1�' c 1��91 r'�ca.y
Permit Type: � . �. � j� /� / (�� ����_ _
�.L,f`��/'(�9� � �1�7��,�,�.� Uz--._
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Approved w/no comments. Approved w/the below comments; ❑ Derued�,�,�tl�e below comments: ❑
'This comme sheet sh be kept with the permit and/or plans.
ti ��� �
Kalvin�Switz lans Examiner Date
Contractor and/or Homeowner
(Required when comments aze present)
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