HomeMy WebLinkAbout13-14501 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oo20 14501
FENCE PERMIT
Permit Number: 14501 Address: 5814 19TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07700-0051
Improv. Cost: ���� �
Date Issued: 9/03/2013 Name: WARNER, COLLEN
Total Fees: 55.00 Address: 5814 19TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2013 Phone: 727-348-7771
Work Desc: INSTALLATION 84 X4' CHAIN LINK/220 X 6' WOOD FENCE
LOWE'S HOME C NTERS IN (407)832-8085 FENCE 55.00
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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� 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
09/19/2013 08:26 FAX 8132699902 PERMITS-R-US 1�001/001
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. 315�82 ���
�Permit Numbe► �� + � ,_�— ` Rcp!;i'�8988 IT!°0.00'00
Parcel ID Number - � 4µ�
DS: 0.00
N O T I C E O F C Q M M E N C E M E N 0e/03/i3 a. �on�lla, OptiY Clerk
State of FlOrida '
CiOU�ty 0� T���i:iq�i�aiS.Wbi.^•,G'�MVe�iY'GNC:��.�,M(!�T�IEt`�•�.n�rCkW�,�.,;.��i(xl
'T}lE UNpER51GWED nere��y gives notice thaf improvemenls wiM be ade to cettain real ptoperly,and In accardence wilhh Sectlon 713.13 of the
Florida 3tewtes�the toNawM�g IMonnatlon Is provlded ln�Is CE COMAAENCEMEnfr
1,Description oi propeRy'IegaJ desCripfion):(�x�eP �„1���(5 P�S � p$�} '�.,r�� e'r �:e?_�S#6��.7��
a)Stteet(Job)Address� 5��,�,.1�._ • ' 3.w,.hL_3�._�___�.—alt...$��,�
2.General description of i�nprovements: 3�!o
. f�,�'r,,.�.,..,,.., ,�._._.....,..�,...,�,...,.,,,�.._...,.�.._,..__..�.._�,._M.,, _,��..�,..._,... „�.
3.Owner Informatlo�or L�ssae informetion if tMe Le�ee coM�ac1 for lhe lmprovemenl:
a)Name and addrass: G e�,�.,,�.e�._.IA�l�. �'�l 71► „�,;.i_I�5�'L---3�'5.,�.,�,,,�,,.
b)Neme and address o��ee simple tllteholder(N c�llerent ti++an er I�ted above) -� �_,����_�
c)Interesl i�properly: .,,.o_1a.�.eZa�.�.,,��,,.,.�,�.,,�,.,,,.,�..,.w..,
�„_,,...,.,..,...,...,._....,,,�........�..,_._..,,W_,....�.�,,.,,.�_....,.,..,.,.,,.....,,,..,,,.�,W,.._.,,..,W,.,,,._.
nlraCtor Inform�ti0n
a)Name end addrese: �p ' ' ('.e t o � ' c�a„�,F L
b)Telephone No.: �.,�,�,�,�?���_ .�..., Fax No.:(ePdo^al? ,���,$�„�5.,....
retY�t aPpNcable,e a�py of Ihe peymeM bond le etled�ed)
a)Name and address: �
b�Tel�ptton8N0-: __�.__,_.,_„____ ,.,.,.�..,.,�� S 0'NEiL,Ph D.p�CO CLERK 6 COMPTRO�I.ER • .M
c)Amount of Bond: $ '� 1 of 1 ,..�.��"�._ ��'
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6.Lentle� ' PG .,�,_,.,,,,.,,,,,_,.,,.,,,,,,
a)NlUne 8nd edd�666: ..,,,_�.�...,�,,.�,__..,.,.,»._w....,_...,,..�,,..�..,�, ---......�.,..,.�...,u__..._.,.�,�.w�.,,_.,.....,_,..._.�.�.,..,..,�,�,., _._.__..._....�........ .._.
b)Telephone No.: M'~�M
7.Perrana within the St�rte of Farida deslgnated by dwrier upon noUces a other doaameMs may be served as�provlded by�Sectlon�,��"��M����
»3.�3(�)(e)�,,Floria a Sl�tutes:
a)Name and address: _,�,����� „ �_ _
b)Telephone No„ Fex No.:(optionaQ W��M��MY�µ��"����m��
_. ,...,.,_��„_,..,_..,,,.,,,_.,,..,,,.,.,�.,........, ....._._..w ..,,.,,,.,,,,,_.�.,,.,,_._�.�.__,.,__,.�..,._..�,�.....,_..__ .,......
8.aln additian to hlmsel or herself,Qwner tleSignates of
ro rece�ve e oopy of�h��i Lleno►'s Nolice as provlded In Sectlon 71 .�3(1)(b),Fbr�da S�m�Ces. `��' _.__.�_
b)Phone Number ot Pe son or enMy dgsfgn�tetl py�wner.
9.Explration date ot notin�or commencement(the ezptrabon date may not be Defore Ihe completlon ol co�st�ction and C+na� paymem to the 'M��M��
contracta�but d!be 1 ar Mom Ihe,da�ot reoord' uMa�s a d da�e Is : 20
' �'�1NARNING���ER: wMf PA MAbE 8Y 7HE AFlER 711E E�R/1710N OF T1�E NOTICE OF G'ON�IIIENCd�AENT ARE i
C'.ONSIDERED IMPROPEf I PAYMEM'S UNDER CHAPT�R 713,PA i.S6CTION 713.13,FI„ORIDA$"fAMES,AND CAN RESULT IN YpUH
� PAYlNG T1MCE FOR iAl�'ROVFAiEM51�0 YOUR PROpERTy.A QF ppWN1Ag�C9�M'MU$7'B�REOORDED AND POSTED ON
' TFiE J� S1TE B�FORE THE FIRST iNSPEC'T1pN, 1F YOU 1 TO OBTAIN FINAMCING,•CQN.SULT WITH YOUR LEND�R t]N AN
l ATTORNEY BEFOFiE COhA6AENGNG WnRK OR RECORDING NOTICE OF COMAAENCEMENT.
Uride�e 1y of petjury,I�leclare Ihat I have tl�e loregoing no' d commencement and Ifiat ihe F stated lherein are We to the best of my
be11Qf. �
� (S"J e�or OMI�9 Nmne ub Provlde Slpialory'9 TMI9�DIMa ��
fie foreg4inp Mstrument u as acknowledped beloro me thls � dey ol t�U 7" .ZO 1�n�,
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for ,,....,,_��..�,_,_,.�. � ae
(Name et Pe►s�) flypa ef�uhoAY....a.g.oMcer.tn�stw.aUOm.y In laa)�T�.••,_••—.
}Of M19t1�9 01 p6f4f Ofl b9h9110f WIIOf1A I�fOtNR�BM W89 01f�x!!6d),
Pe�9or+ally Kno�m�� ,�.M�Pro�duced ID W�
Type o1 ID ,.�,....�_.�, L� ��_Nofary Sipna e�
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Buflding Departrnent
1'�oNi��
Date Rsceived " � Phone or�tact for Pe Ittin � ( 3 Z 6`t � (p S
Owner's Name �G��G IJ l�1�.,.°.� Owner Phone Number
Owner's Address � j � 1 S"i- Owner Phone Number � �
Fee 8lmple Titleholdsr Name Ownar Phons Number �- �
Fee Simple Titleholder address
JOB AIaDR�33 �J�( ST ZC�PA ft��1/S �L �S "� �'y � LOti� 5 '�' �
SUB[�IN.I,$I�N ��'1Y o� Le F'�p:y h�t� S PARCEL ID# � i �.��-:Ll - CZ G� p- ..I'1 O� ° C.`��S
(OBTAINEb FROM PR�PEkTY TAX NOTI6E)
WORI4;PRQAO$ED NEW CONS7R AQD/ALT [� SIGN Q Q DEMOLISW
INStALL 8 F7EPAIR
PRORASED.USE [� SFR � COMM [� OTHER
TYPE OF CON8TRUC7]ON Q BLOCK Q FRAME Q STEEL Q
DE8CRIRTK,IN OF WORK ��STI�t I �' y ` ',,J � ,,V � ��� O� � f,j•�.�
BUILDIN(i SIZE SQ FOOTA(iE� HEI(iH7 . � ��� � �, ��t k
��aTe s
QBUILDINC3 S [y� ' �` �� VALUATION OF TOTAL CONSTRUCTION
T
[�ELEC7RICAL a AMP SERVICE Q PROC3RESS ENERGY Q W.R.E.C.
QPLUMBINO a
QMECHANICAL a VALUATION OF MECMANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
G ��� �
BUILDER OMPANY I.Ow-8S No.»�, CeN��2� �oJ[.
81GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address o �o� $ Q 3 �T A�c d� �z S 78� License# L 6 S O 1
ELECTRICUIN COMPANY
81GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER � COMPANY
SIONATURE RE(31STERED Y/ N FEE CURRE� Y/N
Addroas Ucense# �
MECHANICAL � COMPANY
31�3NATURE REGISTEREO Y/ FEE CURRE� Y/N
Addresa License# �
OTHER � COMPANY
SIONATl1RE REt31STEREp Y! N FEE CURRE� Y/N
Address L(cense# � -�
RESIDENTIAL Attach(2)Plot Plans;(2)aets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcdon,
Minimum ten(10)wo�lcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Pians w/Silt Fence Instailed,
Sanitary Fadlitles&1 dumpster,Site Work Permit for subdivlsfons/large pro)ects
COMMERCIAL Attac��(3)complete sets af Buliding Pl�ns ptus a L'fe Safet�?�gs;(1?ss!of Etser�y Fcr,res.P.-O-V4'Permlt for��ew w�atructio�+.
Minimum ten(10)work(ng days after submittal date, Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed,
Sanftary Fadfldes 81 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compllance
SI(iN PERMIT Attach(2)sets of Englneered Plans.
"""PROPERTY SURVEY required for all NEW constructlon.
Directlons:
Fill out applicatfon completely.
Owner&Contractor sign back of appllcaUon,notaAzed
If over s2s00,a Noti¢e of CommencemeM is required. (AIC upgrades over:7S00)
" Agent(for the contractory or Power of Attomey(for the owner)would be someone with nota�ized letter from owner autho�izing same
OVER THE COUNTER PERMITTING (Front of ApplicaUon Only)
Reroofs if shfngles Se�wers SeMce Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if on pubiic roadways..needa ROW
NOTICE OP DEED R�STRICTIONS: The undersigned understands that this permit may be sub)ect to"deed" restri�tiQns"
whi�h rr�ay be mot� r�ic�ive tfa�n Counly regulatlons. The undersigned assumes responsibiAty for compliance wifh a,ny
appkicable deed rest�ictions.
UNLICEN�fED �AN'��TORS AND �OW'T�'RACTOR RC-S�PONSlBILITlE3: If the owner has hired a cvntractar or
con#ractors to undertake work, they may be required to be lieensed in accordance with state and�local regulatfons. If the
conteactor is not Ilcen�+ad as required by law, bbth the owner and contractor may be cited for a misdemeano� vlotation
under state law. If the�owner or intended contractor are uncertain as to what Ifcensing requirem�nts may apply for the
inte�ded work, tMey are advised to cor�tact the Pasao County Building inspection Division—Licensing Se�tion at 727-847-
8009. Furthermore, if the owner has hired a co�tractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractenBndication that he�iisaniot prop rly licensedfland isenot entled t ypermittingsprivilegesign Pascv
contractor, t#�at may be
County.
TRI�NSPOR'fAT10N IN�Wf1CTlUTILITIES IMPACT AND RE�OIiR�E�t�ECf}VERY FEES: The undersigned understands
that Transportation Impect Fees and Recourse Recovery Fees may �pply to the construction of new buildings, chann�e of
use fn eXisting buUding�,.or expar,�sion Af existing buildings, as specffied in Pasco Cotanty Ordinar�ce nu�nber 89=tI"��Ta�i��� '
€�.
90-07, as ameraded. The undersigned also understands, that such fees, as may be due, will be ident�ied at the time a
permi�ing. it is further understood that Transportation impact Fees a�d Resource Recovery Fees must be paid�p�`itir�ta
receiving-a'certi�'cate of oceupancy" or flnal power release. If the project does no�Pa9co County Water/Sewer Imp��t
final �ow+er release, the fees must be paid prior to permit-issuance. Furthermore,
fees�rs•dtleR�-they must�Q R.aid prior to permit fssuance In accord�nce with appiicable Pasco County ordinances.
CO�tg�'RUCTION LIEN I.AtV11(Chapter 713, Plo�ida St'atut�s, as��m"ended): If valuation of work is$2,500.00 or more, I
cert[fy that I, the appiicant, have bs�n provided with a copy of the "Florida Construction Lien Lav�,—Mor.�eowmer�s
Protection Guide" prepared by the Florida Department of Agriculture and Consumer AfFafrs. If the applieant is someone
other than the"owner", I eertify that I have obtained a copy of the above described document and promise in goad�ait�rto
deliver it to-the"owne�'prior to eommencement.
CONTRACTOR'SIOWNER'8 AFFIDAVIT: i certify that�II the information in this application is accurate and that al�•work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby rnqde to obtain a permit to do work and fnstallation as (ndicated. i certify that no work or installatfo� has
commenced prior to fssuance of a permit and that all work wiil be performed to meet standards of all laws reguF�ting
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that i understand that the regulations of other government agencies may apply to the inte�ided work,and 4h�f it is
my responsibili a�enttof Env�ontmental Protec lon-Cypress Bayhe�ds SW Nand Areasn nd Er�viro men I#allyt8e�s�ve
Dep
Lands, WaterlWastewater Treatment.
- SouthwesE Florida Water Manag�ment Distri�t-Wells, Cypress Ba�heads, Wetland Areas, Altering
Wateraourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
_ pspartment af Health 8 Rehabilitative Services/Environmental Heaith Ur�it-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal-A�iiation Authority-Runw�ys.
I understand that tMe following restrictions apply to the use of flll:
Use of fill is not ailowed in Flo�d Zone"V"unless expressly permitted.
if the fill material is to be used in Flood Zone "A", it is understood that a drainags plan addressing a
°compensating volume" will be subm(tted at tfine of permitting which is prepared by a professional engiReer
licensed by the S#ate of Florida.
If the fill material is to be used in Flood Zone "A" in connection wi#h a perrriitted building using stem wall
co�struetion, I certify that flll will be used only to flll the area within the stem wall.
If fili materiai is to be used in any area, I certify that use of such fll{heil�iNn�oe�may���cit d for vi�ola4i�g:
properties. If use of fill is found to adversely affect�adjace�t propertfes,
the �onditlons of the building permit issued urader tMe attached permit application, for lots less than o�re (4)
acre which are elevated by flll, an eng(neered drainage plan is required.
If I am the Aa�WT F`OR TWE�WNER� �cti nis i funderstandhthatna�sepa�ret permit tmay be riequ9ed fortielectrecal work,
this affidavit prior to commencing const
plumbing, signs, wells, pools, air conditioni�g, gas, or othe� insta11ations not specifically included in the applica�ior�:
permit issued shail be construed to be a ��ae38nor shall i suaincehof a pe mitp�event thehBu dirig tOfficeai from thereaft�r
set aside any provisions of the technical co ,
requiring a correction of errors in pians, conss c tmmen ed�atwithin sixamonths of permf p suaince o�if wo�rk autho ized by
unless the work authori�ed by such permit f
the permit is suspended or ab�r�doned fouildi�eriO�ciali fo6a period nottoh xeeedtn netyr(90) days and witl demo strate
may be requested, in w�iting, from the B 9
th�Job is considered abandoned.
just�iable cause for t#�e extensior�, If work ceases for ninety(90)consecutive days,
WA��G �O O�y�E�:�;; Y4UR FAtLURE TO RECORD A NOTICE OF COMI�AEN�EAA�NT NFAY R68`ULT IM.1l�7�IR
PAYtNG TINICE FOR IIi�PROYEMENT3 TO'YOU1R PR�PER't'Y. IF YDU IN"�E�t�TO OBT#tAl`PIt�FrAAlC�1+�� CONSULT
T , NE E.
FLORi[�A Jlif�tT°(F.S.117.b�) • �
CONTRACTOR
OWNER OR A(3ENT Subscribed and m to(or afflrrned)b fore me this
Subsaibed and swom to(or afflrmed)before me this by
_,_�_____.kf! _ o is/are personally known to tme or haslhav�a prodr�ed
Who is/are personally known to me or haslhave produced as IdenWicatlon.
as IdenBflcatlon.
Notary Public
Notary PubUc
Commission No.
Commisslon No.
ed, rinted or stamped Name of Notary typed,P�inted or stamped
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'FH� W�S7 t/2 4r LOTS 5 AN� 6, �LOGK 7�, C4'I'Y �F Z.EPHYRHrLLS,
AS SE104V�t ON THE MAP OF TF�F TOWN OF ZFPHYRffILLS, ACCORE?ING TQ
�HE MAP OF� P�AT THEKL-UF AS REGO[�OED IN PE,A� BOOK 1� PAGE �4,
OF' T�i� PUBLEC RECORDS U� PASCO COUIY�Y. FLOft1aA. . �-
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� INS'I'ALLAIIUNSTFtEEI'ADDRESS � CIIY —._+..� . '••�- " STATE , /Jp � ....
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Att�ch cogy of i.owo'�Vinyl Fonce E�tlmate Sheet and writa in contract#..
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; Fabric . .�+ �% 5 Li Panal Itam# Fab�Ec Panei _ Panel Name_. ..__. f'Icket Item#
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Height—_.._, He(ght•••------ - --.-.._ Hetght Helght _.._ Style �`'�`�^ �" `�"''
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i LQngth •• Len th Length l.ength ......__.. Hoight � .
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I Gates � '� ----4�•!�, Gates-- -•--- -- A --
�"� Gates r�atas - tength ��'"
�stfmilted 3heet � I Estimated Sheet �� �I Estimated Shest � J Ecstlmated Sheet ' Gates ��, �''"'ti'�' �`
, Attached Attached Attached �" Attached I� i
. Esllmatsd SheaR u
' --- . .. ._ .� Attached
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L.. _....' y,�'�'�f., c'}' ttiC`:)•I^i� G.�:CSCI �•rrY{+ [��,ryl;� � t'�E ��fl•. Ci:%:�-[ l.lyf.��� �.►/!1 �Pl�� I'atfl7l_T
NqTICE TO CUSTOMER Federal law requires l,owe's to provide you with the '
pamphlot RonovalQ R;gl,t.By signing this Contract,Customer aeknowlod�s
havinp recpived a copy of this pamphfAt baTore•work bagan Infonning Cuatpmer • ��.•�
of the poteMFnt rlsk of ths lead hazard exposure from r�novation activitJr to be Contract Totai �i ��� ; , �
performed in Customer's dwelliag u�it. 'applicable tax induded .�
-•-- • -
_...__....._..._......... ... _..
O RELEAS�;Customer grants to Lowo's and Lowe's emptoyeeS the rl�jht�o{ake p�otogrqphs of aU,work performed at the Premises related to this
Cantracl,and irrevocably grants to Lowe's all rlghl,tillR a�d •iritefes4 in antl to'the phofipraphs for use in aH maAcets and media,viroridwide,in perpotuity.
Customer authoMzes Lowe's to cx�pyr{g�t, usa arid publigh th� pho#ogrephs in print and/or electronically, 8nd 8gr�g (h2t�Owe'S m�y u5e SuCti
photographs fer eny lawful purpose, including,bi.rt not fimited to,marketiny� a�Jv�nlsln�, public�ty, ItlUstmtfon; traln(ng and Web content. [iy Inttlal)ng
hero,C�stamer agrees�o the forogoirtg.•--••, ...^[CuRtomer tc initial io the IeR], ' . .
Responsibillty of Buyer;1 �rStprllCr�pracs lo locate and iderrtify the property I�ne,enir.merns�na alt u�derqra,nd cablos,Nnoas end pi�ies which mtpht affect the loctitbn of
the fertr.g Iiertlund�t.Customer apreee that Cuatrxnpr fa gqkly res(wnsibfv kx'the IocaUon of tlw tanca da�Ctibad iri thfs ConlrncK:Cuate�mer will alrtA Aet�r10,Intlemn�iy
and hold harmlesg 4�we'S fo►'011 Ctaims,demands,edione.IFshil�ipx,bwsgg,c��t,ana exoenses pndud'mg,bul not limiled bo,altomays'fesa)incumed by Lewe's in conn.x;tion
witA nny Guirri,ellegsd or otherwiee,mrxf�by�nynnC aboul lhv.lucation of sald fe�oe.Customer le reaponsible for Any!�eelal wp�k OesCApe@��it1ls COnU�c.i.2.Custorn@r
apree�to pmvidP l.nwe's CM'In�cl.dlor with a fapal dascriptinn,A�py of anY ADPllcablo sitd survoy,8nd any other dotuments required hy Icx�et enA gavammRntral,�umarlt�rs tn obtair
nll rgQUl►etl pc;nriils. ,
Work is to commence upon re oaab e aKallablllty of ConVactbr and/o� avt�ila�bility.of bny special order or ey stomer�nads Good(s)whlch Is
areticipaMd to be�h1'h,�; � ��;�,r, ,�{�Ile ih date]. Estimated comQletion dab fs ��h:►�! G !'11a►�s�ry-�� fill i�d��;.
Said estimatc�i subshtntial completion dete I n6t of thC essence, A statement of any contingonci�s•that would mal�Halfy charx,�e said esfimated substantial
bf complatlon dAte is as followa:. ' " "' ...__ . '. • ..,. . , ,;:.-"���`�°• ' � � �'•'._.• .: : .. ' �.:.•` :• •. .., .
� i�,.o.• ,.,�,,.,,.,..::�;•.,,,�, � „�•.-,,.�,�:.<,_,.
� � � , . .... _.._ . ♦��(i�apPlti�(if�.Inscrt a�st�tmont of suc.t�eeiniiriqenc:ias).
This Contract provides that alt clalms by Cuetomer or I�owe's will be resotved by BINDIN(3 ARBITRATION.Cu�t�mer and Low�'s GIVE UP THE RIGF
TO GO 70 COURT to anforco thls Contract(EXCEPT fo�mattors that may bo takon to SIAALL CL41MS COUR7').Lowe's and Customer'�rights wFll h
cl�tertnined by a NEUTRAI.qaB�fRqTpR and NOT a Judga or jury. Lpwo�s a�d Customer aro entitled to a FAIR HEARING, But the arbhratia
procedures are SIMPLEIi AND MORE�If1A17ED THAN RUI.�S ApPLICABLE iN CVURT.Arbitntor dsclslons aro as�nfqrceabk as any oourt order an
sn eubjse! te VERY l.1MIT6D REVIEW QYA COURT. �OR MORC DETAILO:Ravlew the'sectian tltled ARdITRATION flOR�t'M�NT,WAIVeR C�J�JR
TRIAL AND WANER OF CLASS ACTION ADJUD��qnpN found in tho Torma and Cendldon�M t1�is Cont��ot.
b0 NOT SIGN THIS CONTRACT UNTIL COMPL�T�AND YOU HA1/�REAC�THE TERMS AND CGNDITIONS CaNTAiN�D ON ALI
PAGES OF THIS CONTRAC7'. BY SIGNiNG BELOW,YOU ARE ACKN0I,NL�DGING THAT y0U HAVE READ� UND�RSTAND
AND AGREE 70 THE TERMS AND CONDITION$S�T FORTH ON ALL PAt3E�OF TH13 CONTRACT.YOU ARE ENTII'L�D TO i
COPY OF THIS CDNTRACT AT THE TIME OF SlaNA7URE. . •
WITNFSS OUR HANp(S)AND SEAL(S)B[LOW THIS G'� � DAY OF ��ti+,��• s _� �f�
Lowe'S HOma CeRters, Inc. , r! `,�
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.:' r� �vrner . ._ . '
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