HomeMy WebLinkAbout14-14973 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�$o-oozo 14973
BUILDING PERMIT
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Permit�Number: 14973 � Address:�37434 DERBYSHIRE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-1110
Improv. Cost: 7,100.00 � �°�4 g�; , .
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Date Issued: 2/14/2014 Name: PAGE, BRIAN
Total Fees: 75.00 Address: 37434 DERBYSHIRE DR
Amount Paid: 75.00 ZEPHYRHILLS, FL
Date Paid: 2/14/2014 Phone: (813)780-9280
Work Desc: RE-ROOF WITH SHINGLES
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TAPE JOINT OOF INSP
FINAL_ �j- �-
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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 t) 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."
Compl e Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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02/14/14 E. Munguia, Dpty Clerk
�'�• Permit No.
��+E�C�� �AULA S.0'NEIL,Ph.D,ppSCO CLERK & COMPTROLLER
' 02/14/14 �91�,� 1 0 61
�u� yives noriee a�Im wia be made '
�u��y'�m�ama�o�on�a0°°�Q�a�wed"�y,�s �m AOfwa s�ace; OR BK PG 33
commencert�ent:
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7. Persor►s M6tl�in the Siate M Fiorida designated by Owner upon w►»m rmtioes or other doqpnerets
�=�(1xax71�ARorida StahRes: n+aY be served as provided DY Section
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Phone N0.01 person or er�tily d�nated bY p�ne+: ' • es.
9. E�hation da�oi Noboe of CommencemeM(tM e�i►atlon daEe is 1 yeav from the date of rocor�rp uNess a 6ffer�ent date is spec;fied.)
WARMNG TO OIMIER•ANY PAYI�ENTS 1AADE 8Y THE ONM�i AFTER TNE EXPIRATION OF 7HE NOTIGE OF
PA1�1T5 UNDER diAPTER 71 PART t SEC 713.13.FLORIDJI STAT�,AND CAN qESUIT N 1�UR PAYWG 71N�yp�TO�YMN�i PR�OPEERTY.
A N017CE OF COAM�BdCEA�ENT�BE�EQOAOED AND P08TED GN TME JOB SITE 9EfOHE TME flRST INBPECTION. IF 1rOU MEND TO OBTIUN FNAMCWG.
T WRH Y+OUR LENDER OR AN ATTORNEY BEFORF COYAIENC9JC3 WOf�C OR�COROINf3 V011t NOTif�OF COWAB�C9�ENT.
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as Owner �Y�_ �v° �bY— Q/J ��`iQ
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ai3aao-ooso City of Zephyrhilis Permit Application Fara»-�aaoozi
Building D�Dartn+em
Date Reeeived
T T-� Phon�Canta�i Lor Parmilfl
Qrmers Name � �� i � Umer Phone Number � ' � �
Owner's Address � !`� r �r1.. r• Owner Phone Nunher
Fee Simple Titlehdder Name Owner pf�one Numb�r
Fee Simple Titlehdder Address
JOB ADDRESS �'"� �J LOT� I I
suao�visioN -Q � Or Pa���o�e 1�-�0- - ZU-- " ' 1 f�
(OBTNAIE�FACY PROlB2TV TAY NOTIt� ••
VVORK PROPOSED � NEW[ONSTR AOD/A�T Q SIGN Q Q pEMp��SH
INSTALL 8 REPAIR
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BIOCK � FRAME � STEEL O
OESCRIPTION OF WORK c�.. �
BUILDING SRE SO FOOTAGE[�� HEIGHT
�BUILDWG $ ^�
r� y J � VALUATION OF TOTAL CONSTRUCTION
w
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.RE.C. �'
�PLUMBING $ — ��
I ' �
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �
�
OC"� Q ROOFING � gpECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
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BUILDER CONPANY �
SIGNATURE r�c,is�r�o Y/ N �cua�n V/N
Mdress
License At
ELECTRICUW CONP/WY
SIGNATURE
r�c�a�o Y J N ��� Y/N
Address License# —�
PLUMBER C�P� �
SIGNANRE
�c�s��o Y/ N �E cuRt�n Y/N
Addreu
Lice�e#
MECHANICAL COMPANY �
SIGNATURE REGts7ERED V! N
�cukaEn Y/N
Addras
License#
OTHER C0111PANY �
SIGNA7LRE �
REGlSTERED (L�Jl N J FEE CURRE� /N
/�dress � r l�'� License#�(,7�����
IIIIIIIt1111 � 111 � 1111111t1111111111111111111111 � 1111111111111111111
RESIDENTIAL Attach(2)Plot Plans:(2)sets of BuiWing Plans�(1)set d Energy Forms�R-o-W Pelmit for new construdian,
Mmimum ten(10)waking days aryer Sub�ttal�te. Requmed a�sRe,conswaion pa„s,S[ortnwater Wans w/Sit Fence installed,
Sanifary Fac�li�es&1 dumpster,Si[e Work Pertnit far sub�visions/large proje�
COMMERCIAL Atta�h(3)ra��te sets of Building Plans plus a Life Safety Page;(1)set of Ene�gy Forms.R-O-W P�ni[for new consWction.
Minimum ten(10)w°'kin9 deYs aRer submittal date. Requied onsit� Cmstruction Flans.Stormwater Plans w/Si[Fence i�stalled,
Sarotary Facilities&1 dumpster_Site Waic Permi�/er eq�er�,pr�j� qd�m������must meet compliance
SIGN PERIII�T Attach(2)sds of Erxaneered plans_
""PROPERTY SURVEY�eqwred for aB NEW construaUon_
Directiw�s:
FiY out appli�tipi completeh,.
Owner&Contractor sign pack a{�pp�.,ation,notarized
If over 52500,a Notice of Cam�eM Is requlred. (1UC uP9rades over i7500)
•• Agent(for the contractor)or Power ot Attomey(for M�e owner)would pe someone,,�h notyr����g fr����ang same
OVER THE COUNTER PERMf17ryrG (FroM d A�plicatipi p�dy�
.°.eroofs ff shingles Sewers gervic�Up�ades A/C Fences(PI�/Survey�Faot�ge�
DNveways-Not over Countg ff on p�Wi���yyey� �s ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that ihis permu may be subject to'dead'resvictions'
which may be more restrictive than Counry regulations. The unde►signed assumes responsibility for compliance with any
applicable deed restrictions.
UNIICENSED CONTRACTORS ANO CONTRACTpR (tESppNS�g�LITIE.,e: tf the owner has hired a contractor o�
conUactors to undertake wak,they may be required to be licensed in acxordance with state and local regulaUons. If the
conVactor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vidation
under state Iaw. If the owner or intended contracxor are uncertain as to what licensing requirEments may apply for the
intended work,they are advised to oontact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, rf the owner has hired a contractor w cbntractas, t�e is advised to have the contractor(s) sign
portions of the"contraUpr Block°of this application fw which they wi11 be resppnsible. If you,as the owner sign as the
contrador,that may be an indication that he is not properly licensed and is not entided to pertnitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTIL171Eg INPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to ihe construction of new b�ildings,change of
use in existi�g buildings, or expansion of existing buildings,as spgcified in Pasco County prdinence 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 turther understood that Transportation�mpad Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy'or final power release. If the project does not invdve a certificate of occupancy or
final power release, the fees must be paid priar to permit issuance. Furthermore, 'rf Pasco Counry Water/Sewer Impad
fees are due,they must be paid prior to pertnit assuance in aocordance with app�ipble pasoo C�unry ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida gtatutss,as an�e�ded): If valuation of work is 52,500.00 or more,I
certify that I, the applirant, have been provided with a copy of the "Florida Construction Lien Law--Fiorneowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If tl�e applicant is someone
other than the"owner",I certiy that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne►"prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that alt the iniormation in this application is accurate and that all wark
will be done in compliance with all applicable laws regulating construdion,zoning and land development. Application is
hereby made to obtain a permit to do worlc and ins1a11aGon as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work wi11 be perfarmed to meet standa►ds of all laws regulating
construction, Counry and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to idenMy what actions 1 must take to be in compliance. Such agencies indude but ate not limited to:
- Department of Environmental Protection-Gypress gayheads, Wetland Areas and Environmentatly Sensitive
Lands,Water/Wastewater Treatment,
- Southv�st Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Aitering
Wateroourses.
- Army Corps of Engineers-Seayva0s,pocks,Navigable Waterways.
- Department of Heakh $ Rehabilitative ServiceslEnvironmental HeaRh Urmt-Wells, Wastewater Treavnent,
Septic Tanks.
- US Environmental Protection Agency-psbestos abatement.
- Federal Aviation Authority-Runways.
!understand tliat the following testrictions apply to the use of fill:
- Use of fiN is not allowed in Flood Zone"V'unless expressly permitted,
- If the fill material is to be used in Flood 2one "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 2one"A"in connection with a permitted building using stem wall
construction,t certify that fill will be used only to filt the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such filf will not adversely alfetx adjacent
properties• If use of fill is found to adversely affect adjace�t properties,the owner may be ated for vidating
the conditions of the building permit iss�ed under the attached permit application, for tots less than one(1)
acre which are elevated by fill,an engineered drainage ptan is►equired.
If I am the AGENT FOR THE OWNER,I promise in good faith to infam the owner of the pertnitting conditipns 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 induded in U�e application. A
permit issued shall be consWed 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 issuanca of a pertnit prevent the Building pl'ficia�irom thereafter
reQuiring a carecti�af errors in plans,construction or vidations of any oodes, Every pemrit issuad shall become invalid
unless the work authorized by such permit is commenced withm six months of pertnit issuance,or A wp*autho►ized by
the permit is suspe�ded or abandon�for a period of six(6)months aRer the Gme the work is canmenced, q�extension
may be requested, in writing,from the 8uilding OfBcial(or 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 Tp RECORD A NOTICE OF COMMENCEIIENT MAY RESULT IN YOUR
PAYING T1MCE F IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCMIG,CONSULT
NATH YOUR OR AN ATT EY F RECO !NG Y OT OF
FLORIOA JURAT( .S.117. ) NT.
ONMER OR AG CONTR/►CTOk
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L7iSt�i3�lYy'Y
FLr? FL10124-RS
Application Type Revision
Code Version 2010
Application Status Approved
Comments
ArChived
Product Manufacturer GAF
Address/Phone/Emafl 1361 Aips Road
Wayne,N]07470
(973)872-4421
lindareith@trinityerd.com
Authorized Signature Beth McSorley
I i nd areith@tri n ityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg 11-1
Wayne, NJ 07479
(973)872-4421
BMcSorley@gaf.com
Quality Assurance Representative
Address/Phone/Emaii
Category Roofing
Subcategory Asphal[Shingles
Compiiance Method Evaluation Report!rom a Florida Registered Architec[or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florfda Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Fiorida License PE-59166
Quality Assurance Entity Underwriters Laboratories Inc.
Quality Assurance Contract Expiration Date OS/17/2012
Validated By John W. KnezeviCh, PE
Validation Checklist-Hardcopy Received
Certificate of Independence �'1')124 °5 �OI 'rinitv ERD fi-Nieminen.�df
Referenced Standard and Year(of Standard) $tandard Year
ASTM D3161 {Class F) 2006
ASTM D3462 Z���
ASTM D7158(Class H) 2007
TAS 107 1995
Equivalence of Product Standards
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Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/12/2011
Date Validated 12/15/2011
Date Pending FBC Approval 12/21/2011
Date Approved 01/31/2012
• __
_..__ _ ....... __ ____ _.
__ _
Summary of Products
'FL# Model,Number or Name Description
10124.1 GAF Asphalt Roof Shingles h1p��dlae a phalt sh n lesb, laminated,5-tab and
Limits of Use Installation Instructions
! Approved for use in HVHZ: No FL1Q124 FS II er121211FINA� GAF Asohalt
' Approved for use outside HVH2:Yes hin i FL 4- . f
' Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:N/A Created by Independent Third Party: Yes
Other:Refer to ER, Sedion 5. Evaluation Reports
�LIG124 RS AF 2r121?11FINAL <;AI' P.snhalt
5hin Ies FL1Q124-R�. df
Created b Inde endent Third Part : Yes
$ack Ne�[
Contact Us::�940 North Mnn oe Street T�� h ee FL 3Z399
The State of Florida is an AArEEO employer.�^^°��^�'�^�7-2010 State of Fbnda.��Privacv Statement::e«a°°�blitv Statemmt::Refi���Statemznt
Untler FbriOa law,e-mail addresses are pubhc records.If you do not want your e-mail adCress releasetl in resDonse to a puDlic-recorOS request,tlo not
send ele�lronic mail to t�is r.ntity-instead,contac[the office by phone er by traditionnma1crler�dboa tateafl usuestions regarGinq DBPR's ADn web
a<cessibility,Dlease contact our Web Master at wP - -
Prod.+ee Appreval Accepts: ,
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FL�? FL10124-RS
Appiication Type Revision
Code version 2010
Application Status Approved
i:ommerr�
Archived
Product Manufadurer GAF
Address/Phone/Email 1361 Aips Road
Wayne, N]07470
(973)872-4421
li ndareith@trin ityerd.com
Authorized Signature Beth McSorley
li ndareith@trin ityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg 11-1
Wayne, NJ 07470
(973}872-4421
BMcSorley@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Fiorida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida Ucense PE-59166
Quality Assurance Entity Underwriters Laboraiories Inc.
Quality Assurance Contract Expiration Date OS/17/2012
Valiaated By John W. Knezevich, PE
validation Checklist-Hardcopy Received
Certificate of Independence �'i:1174 �5 �CI Trinitv ERD�I-Nieminen.odf
Referenced Standard and Year(of Standard) $Wndard Year
ASTM D3161 {Class F) 2006
ASTM D3462 Z���
ASTM D7158(Class H) 2007
TAS 107 1995
Equivalence of Produd Standards
�: 'flosidabuildin�.orgipr%pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD... 2/1!2012
, ._ e:��a E�uilding Code Online Page 2 of?
C2rtified By
Sections from*.he Code
Product Approval Method Method 1 Option D
Date Submitted 12J12/2011
Date Validated 12/15/2011
Date Pending FBC Approval 12/21/2011
Date ADProved 01/31/2012
. _. __..
_____....._
_......._ _ ... ...,...,.. _.. _
Summary of Products
'FL# Model,Number or Name Description
10124.1 GAF Asphalt Roof Shingles h�p��Idae asphalt shin ��b, laminated, 5-tab and
limits of Use Installation Instructions
Approved for use in HVH2:No FL10124 FS I1 er121211FINAL GAF Asphalt
' Approved for use outside HVH2:Yes hin i FL 4- . f
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:N/A Created by Independent Third Party: Yes
Other:Refer to ER,Section 5. Evaluation Reports
FL1G12a PS AF 2r122`lllf-1NAL GAF ASl�hal:
5hin les F�10124-R5. Af
Created b Inde endent Third Pa : Yes
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Conta[t Uc::1940�orth MonrOe Streee Tdllanac n fL}Z399
The State of Pionda�s an AAiEEO employer.� -'^ht 2007-2030 State ot Florlda.::Prvacv Statement::A�,essibl¢v Statement::aPf,inO Statemanc
Uotler Florida law,e-mail ad�resses are public records.If you do not want your e-mail adCress released in response to a OuDlic-recofGS request,do not
send P,IP.[YrOniC mail to thi5 Pntity.InStead,[On[act t�e offke by phone nr by tfa�i[i0ndl R1d11.lf y0u hdve d0y que5ti0�5 reg�r0ing OBPR'S ADA weG
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Produe!Approval Aeeepts: ,
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��"�'''' P.G�.BOX 10553
� E7�'RESS � �. x
BROOKSVtLLE, FL.34603
��x.�'� 1/►SJ4 � T27-848-6645
m 352-799-00 '
MEMB�� CCC1327265 Date: � -�a'`�
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, w �����. �i�� `��:�, '�.���: �%�. _� �_.°�c City, �ta��. �:�g�
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° ' " '' ''°_ Phc�n�
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�����,,:,�� ����d -------- - — Galva�aized i/alley t/ --
����� p�cr�e ���ra Angle Flashir�� .-.--�
�,�� T,�� ���y-,,�, ,,�;r� Aluminum Drip --�-
��"�� �hingle � Galvanized Drip %,✓�;
30 Lb. Felt - Plumbing Boots: 4" ----'" 3"
�eed'�v'Stick' � 2„ 1 1/2° �
9G L�. F�oBI Roofirg �- . GRV Ver�t -
TP� o i Range V'er�t --i
��� '� Ridge Vent ----�
�e:^���'Ad�hesive � End PBugs ��
���-��,�;�� ����� ����� a����°'2x6 fiascia�p�r Ti. Truss tails 2x4 � a''per ft. Re-nait Ply�nrood ;,�
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All w6��c�repair is ext�a. �3y signing this proposal you are giving me permission to change and charge for
�y �act wood tr�at is requirec� k�y law. Warkmanship is guazanteed for a period of S' years. Pnce
�r�.;��a��s�11 taa�es and permit ::es. Paices are subject to change without notice.Any leg eal es pertaining to
:hi� �<�ntrac�or for the collec�ion thereof shall be paid in full by contractee. Homeowner must provide
�:;:,��s t�driveway or yard to the roof.
`.�IP �,:�,:���se here�y to fua��as}��-naterial and labur-complete in accordance with above specifications, for the
su� �}.-�___�. ,?�-'_� `'� . Payrr�ent to be made as follows: In full upon job completion.A 3% charge will
�e applied for use of credit caYd,
AIl material to be specified.Any alteration or deviation from the above specifications involving extra costs
will be executed only upon�rritten orders; and will become an extra charge over and above the estimate.
�ii arrangements �ontingent �a�on strikes, accidents or delays beyond our control. Our workers are fully
�overvd by v�rorke�s com ' atiqn insur�e �
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:�'i,llh�3'11ZBd S1�I18tll1'C . � "i �� Note:This proposal may be wilhdrawn by us rf not accepted wrthin �'� days.
���:,�;�a�:��Ye.: ��'�'�oposal-- �e above prices, specifications and conditions are satisfactory and are hereby
��-�?��f��i. �ou are authorizing to do the work as specified. Payment will be made as outlined above, and,
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_�_� :-�����.�na1 terr�s and co�ad�tions on page 2 are part of this contract.
, � �
y g�:;� w.�: -��y:.�.�. ��--/�___��_ Date of Acceptance: l��//C�/�y
�/ -�^�T Page 1 of�