HomeMy WebLinkAbout94-4145
BUILDING PERMIT
Permit NJ?
CITY OF ZEPHYRHILLS
(813) 788-6611
414513
Date
7-7-71
;236, (}7J
BUILDING
<3 {) - tJ1)
ELECTRICAL
,;2.S'- 07J
PLUMBING
So.-vv
MECHANICAL
Sewer Conn
t::.3J;.tJi]
/7<,'. rJ7J
~ -
Pmperty owne'~~~ t~1A
Job Address: '/6. ~
Parcell.D. # [?-;J6-d/-O Z' - DLJCJCJO-OOd.-O
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy C~:_ Radon ,:
Description of wo~ ~/A /V-~~ ;"'1-</ 1()~ A /6l cLb( .L
/ /
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar~e with CIty Codes and Ordinances.
DATE
C.O. --L~-/-9Y
DATE
Inspector
P~rmit Fe~
SIgnature ~
Company
Address
Telephone#
Valuation or
Contract Price & ~ ~ 60. tJz)
\ c-~_Q
\
City License Registration # 711 'I
State Certified License#
,xlLJ (?A.o.
BUILDING
~;/~<~g,~h-J
ELECTRICAL~
11 C'7?~~-C{
V
PLUMBING?
'& -2-9.Q..,
~/}1r ~
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. 9-\lnr~4 (B~
Insul. CL
WL
C; ~ \\-,'\(b-q~ ~
Driveway
Tp. Servo SLB
Rough In q-Ib... C?~ Tub Set
Meter Can Water
Breakers
Ducts Insl.
Compressor
Final
Const. Pole
Pool
Pre-Meter
Final II....l{).; q 4 e\ art-
Sewer ~
Final / j - JD .;Gy4 f)
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
GUDE
BROTHERS
CONSTRUCTION
COMMERCIAL & RESIDENTIAL BUILDERS · PRE-ENGINEERED STEEL BUILDINGS
CBC039049. CBC023188
12349 Curley Street. P.O. Box 1400 . San Antonio, FL 33576 . 904-588-2750
4519 SE 38th Place. P.O. Box 71212 . Ocala, FL 34471 . 904-694-6103
June 28, 1994
Mr. Roy Burnside
City of Zephyrhills
5335 Eighth Street
Zephyrhills, Florida 33540
Re: Permitting for Zephyrhills Senior Center Renovations
Dear Roy:
I am submitting the drawings you require in order to permit the above referenced
project.
According to Florida Statutes Chapter 471.003 (2) (Al), engineered drawings are
not required if the new work is less than $50,000.00. The costs for these items
are as follows: HVAC $22,000, Electric $7,500, Plumbing $2,000.
I have included schematics for these items for your use. Please let me know if
you require further information.
Sincerely,
\\t~U'
Michael J. Gude
Vice President
\ (---9-
MJG/ta
TABLE A - WORKSHF.F.T
CITY OF ZEPHYRIIIT.'-~ CONNECTION FEES
ORD. #395 & RESOLUTION #312 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.. 25 479,,25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350,00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
.
,.
FIXTURE G.P.D. f~ WATER SEWER TOTAL PER FIXTURE
Sinks 50
Water Closets 75 I /3. (, 2A ~79. ~.y !olD, 50
-
Urinals 50
Lavatories 25 / 13,7f' 159,7j' ~C> ~, ;:;c
TubS/Showers 50
Washing Machine 200
Washing Machine 50
Dishwasher 400
Sinks-3 Comprt 100
Car Wash-pi st. 1,000
/ 1-<(:) cf) //J 3-9', 00 ]l~,DO
"
GRANl> TOTAL
--er-
g /1 ( QO
WATER METER
... -....1""--.
- -
.-.---.--....
/'1H't
AMERICAN
NSTlTUTE
o F
ARC HIT E C. T S
AlA Document AJ07
Abbreviated Form of Agreement
Between Owner and Contractor
For CONSTRUCTION PROJECTS OF LIA,ffTED SCOPE Wbe1"e
tbe Basis of Paymentfs a STIPULATED SUlvl
1987 EDITION
THIS DOCW'IlENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH
AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COAfPLETION OR MODIFICATION,
ThiS document Includes abbreviated G~n~raJ Conditions and should not be llsed with mh~r general c:ondltl()n~.
It has been approved and endorseel by The Associated General Contr:Jctors of America.
AQREEMENT
made as of the 1st
Nineteen Hundred and NINETY - FOUR
day of
JUNE
in the year of
BETWEEN the Owner:
(Name and adrJre,~s)
COMMUNITY AGING AND RETIREMENT SERVICES. INC.
ATTN.: CHARLES SOBEL/CFO PH.813/862-9291
7505 ROTTINGHAM RD.
PORT RICHEY. FL 34668
and the Contractor;
(Name and &lcidr(!s.~)
GUDE BROTHERS CONSTRUCTION
ATTN.: MICHAEL J. GUDE/VICE-PRES. PH.90L~/588-2750
12349 CURLEY ST.
SAN ANTONIO. FL 33576
The PrOject is:
(Nrlmc! (.Ind loctltfon)
ZEPHYRHILLS SENIOR CENTER RENOVATION
4645 AIRPORT RD.
ZEPHYRHILLS. FL 33541
The Architect is:
(Nnm(' emf' addro'u)
N/A
The Owner and Contractor agree as set forth below,
C(lpyright 1~~6, ,1951, 1958, 1961, 1963, 1966, 1974, 1978, @1987 by The AmerIcan In/llltute of ArchHcCI~. 17~5 New Y(lrk
^Yc:n~It:, ~.\,<.~ V< a~hl!lllt~n, D,C. 2,0006. Repro{lll(~t1()n of the malerllll hl!rein Of sllhslaml:tl quotation of Irs prnvlslon.~ WllhtllH
Wrlllel\ r>crlll',~slon of the ....'A vt()J,lh.'~ lhe ~'opyrl~ht 1:lws or the United Sl:lles :Illtl will he ,~L1hlect to IC~:lll'r(Jse('1I1I011,
AlA DOCUMENT 1\107. A5RRI!VIA Till) OWNER-CONTRACTOR AGRllI!MI!NT. NINTH EDITION. AlA ~ . ~ 19R7
1'Im .~MERICAN INSTITlJ'rIl OF ARCHITECTS. 17~5 NllW YORK AVENlJE. N,W., WA!iIIlNOTON, D,C. 200(16 A107-1987 1
/
ARTICLE 1
THE WORK OF THIS CONTRACT
1.1 The Contractor shjl.\1 execute the entire Work descrlbed In the: Contract Documenrs, except to the extent specJfic:.llly indicated
in the: Contract Documents to be the responslbJliry of others. or as follows:
ARTICLE 2
DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION
2.1 The dare of commencC:!'ncntls the date from which the Contract 'rIme of Paragraph 2,2 Is mea.~ured, ami shall be the dale of this
Agreement, as first written above, unless a djfferent d:He Is sl;l.ted below or provIsion is made fm the date to be fixed In a notice to pro-
ceed Issued by the Owner.
(1IIsltI'/ Ihi' d'll~ of (ontml!tlCuml'tll. 1/ It d4,{fl'TS fmm tbL' "'lie of tbi.i AlirI'0HL't1l or, 1/I1/>plfe'ohlv. stalu lilt/lIb;> tk21~ Ll'i/J /Je p.wd ill " 'WU''l! III J11T1l,'WII,)
~.2 The Contractor shall achieve Substantial Completion of th~ entire Work not later than
(Imel'llb, (.alrrldar datt or 11I111l~r elf mllffllklr tla}'$ ~flvr IIJ!! dale 0/ (()lIlmrrlclmll!'/1l. A/sa lfI.ttrl an~' fPqlllr/lllletll,i/or lIurller Substall/lal ClIlIlpMlullllj't:el'W/" por-
I/om Ilf /bo Wor.\!, If lIor slllllld IIISIlU!hlJ~ in thu G'lmll'tJL'tlJllcUml/llls.) .
ONE HUNDRED (100) DAYS AFTER THE DATE OF THIS AGREEMENT.
. subject to adJustments of this COntr:act Time as provided in the COlltr~Ct Documents.
(/Iuert pl'tll'fS/IJ//S, f! tllly./or Ifqu/dm,'(( duillfIHP., re/I1/OIk lolaf/llrtJ trJ <'OlIlpMf/ un 11m...)
ARnell: 3
CONTRACT SUM
3.1 The Owner shall pay the COnlraCIOr in current funds for the COntractor's performance of the Contract the Contl"..lct Sum of
-----SIXTY FOUR THOUSAND, SIX HUNDRED AND SIXTY.............................D~~ffi
(S64, 660.00***** ), Ilubjcct l() additions and deuuctionll :18 providc:d In the Cl)J~tC"ol<.:t
Documents.
AlA DOcUMINT A107. A8BR/iVIATED OWNEft.CONTRACTOII AGREeMEN1'. NINTH EDITION. AlA- . @1987
l'Hl! AMERICAN INSTITUTI!. 01' ARCHITBCl'S. J 735 NI!W Y()RK AVENUE, N,W., WASHINGTON. D.C. zooo6
A107.1987 2
ARTIQ.E 21
OTHER CONDITIONS OR PROVISIONS
This Agreement entered Into as of the day and year first written above.
(Signature)
C~~Q~, (~L~
-----
CONTRACTOR
~'\J\~~~
OWNER
(Signalllre)
\ (~~
\
CHARLES SOBEL/CHTFF FTNA~r.TAI n~~TrER
(Prlntl!cd name an,' t(tle)
MTCHAEL J. GlmELYTr.F-PRF~
(Printed Ilame and tit/e)
AlA OOCUMENT "107. ABBREVIATED OWNER.CONTR.,CTOR AGREI!MENT' NINTH RDlTION' 'd.~1I> . @19117
TflF. AMI!RICMoJ INS't'l'rtlTE OF ARCHITP.CTS, 1735 NllW YORK AVl!Nlm, N.W., WASHINGTON, DC, zooo/i
10/87
11 A107.1987
BID SPECIFICATIONS
NAME:
ZEPHYRHILLS SENIOR CENTER
JOB LOCATION:
4645 AIRPORT ROAD, ZEPHYRHILLS
SCOPE OF WORK: Contractor will examine site and include with their bid any
additional monies that may be necessary to comply with the intent of these
specifications. Work that may be requested not associated with these
specifications is not included.
1. Replacement of existing Alc units.
2. Installation of new package Alc unit and associated duct system.
3. Installation of Lightning Protection System, per Standards of
Lightning Protection Institute.
4. Electrical Installation of additional lighting and convenience
outlets, connection of new Alc system, modificaL...i.Qn_gf__F;i._~~_AJ~.!Jr!
System, provision and installation of surge protector.
5. Replacement of existing gravel roof.
6. Install concrete ramp at side entrance.
7. Replacement of existing recessed ceiling fixtures with surface mount
fluorescent lighting.
8. Enlarging of women's bathroom from two to three stalls, re-tile
flooring, and install ale ducts.
9. Re-tile men's bathroom and install Alc ducts.
10. (OPTIONAL - SEPARATE BID) Install automatic double glass door in
front entry.
ITEM #1:
Existing Trane Package Alc units shall be removed from roof at this
contractor's expense. New Trane units, of equivalent specifications, will be
re-installed on roof curbs, at this contractor's expense, and connected to duct
system. Electrical connections including connections to fire alar.m system,
other than ther.mostats, will be connected by electrical contractor. Air
diffusers will be removed from duct system and replaced or re-painted at
contractor's expense. Duct smoke detectors will__:Q~~9videc:L3;UH:LinBtalle.dJn
r~.lJ air of each sys~~!ll_ilnc;:l c_onneC:J:;~<<::t__to__-s~it-'"down system or fire detection.
.p~~rs ~J__b_fL.CQPli~c:;ted_dto .f4r~__?!-1.?!-rIrI sys.tem by certified -installer.
Washable metal or electrostatic air filters will be provided-and installed in
each return air. A one year warranty will be provided to include repair or
replacement of any parts due to defects in material or workmanship, at no
charge to the customer. In addition, compressors will be warranted by
manufacturer an additional four years and include replacement of compressor
only, material and labor to make change will not be included.
>B NAME: ZEPHYRHILLS SENIOR CENTER
" OB LOCATION: 4645 AIRPORT ROAD, ZEPHYRHILLS PAGE TWO
.~ '"
J
ITEM #2:
This item includes design and installation of A/C system to kitchen and rest
rooms, after changes to ceiling and partitions.
A Trane package A/C system including curb, associated heat strips, fresh air
intake, fire/smoke detector, thermostat, and duct system including supply and
return air diffusers, will be provided and installed in place by A/C
contractor. Installation of roof curb will be coordinated with roof contractor
to assure no water damage due to rain. A/C contractor will provide, for local
permitting, drawings of this complete installation stamped as approved by
registered PE. In addition, this contractor will provide load calculations,
based on 4th edition of the Manual N, along with duct system design and type to
comply with Florida energy code. All work will be done in a workmanlike manner
and coordinated with other trades to assure neat and functional installation in
a timely manner. Fire and smoke detector will be installed in place and
connected to shut down system in event of fire. Detector will be connected to
fire alarm system by certified installer. Electrical work other than
lo-voltage control will be done by others. Any expenses normally associated
with inspections will be paid by A/C contractor.
ITEM #3:
Basic lightning protection consisting of strike diversion from people and
buildings to air terminals, down conductors and ground system along with
service and roof top equipment transient surge protection is prudent practice
for this area of Florida.
A lightning protection system consisting of air terminals, conductors, bonds
and ground system, and basic transient protection for category "A" and "B"
shall be designed and installed by a LPI certified designer/inspector. Ground
system shall be certified to be 5 ohm or less using acceptable Biddle test
equipment. A report will be provided to owner on completion. Transient
protectors will be provided and installed under Electrical Contractor scope of
work in accordance with these specifications.
ITEM #4:
Electrical Contractor will provide branch circuit and associated equipment to
connect new A/C system. Electrical branch circuits will be disconnected from
old A/C units and then re-connected to new A/C units. A certified Fire Alarm
technician will provide conduit and conductors from smoke detectors on all A/C
units and make connection to fire alarm control panel. Lights and convenience
outlets in area where partitions will be moved will be provided in accordance
with accepted code/standards for lighting and receptacles.
Transient surge arrestors will be provided and installed on selected circuits
and panels in accordance with Lightning Protection Specifications. Any device
that requires transient protection will require a copper ground conductor be
installed to panel or sub-panel that branch circuit originates. Electrical
Contractor will verify existence of these conductors. Any expenses normally
required for inspections will be paid by Electrical Contractor.
ZEPHYRHILLS SENIOR CENTER
4645 AIRPORT ROAD, ZEPHYRHILLS
PAGE THREE
ITEM #5:
complete tear orr and haul away or existing gravel roor, approximately 80
(eighty) squares. Install new 1" (one inch) perlite insulation, to be covered
with 75 lb. (seventy-rive pound) base sheet and 3-ply riberglass. Mop down
system with I-coat Fibered emulsion and 1-rinal coat Aluminum Silver coating.
All gravel stop to be replaced with new 26 GA Galvanized drip edge. Install
new lead boots on roor. All AIC units and rans to be rerlashed. Cut out
existing plaster. Install new L rlashing, nail on new wire lathe and plaster
walls over rlashing to match existing texture.
ITEM #6:
Pour concrete around existing slab at side entrance to create a ramp into the
building. Concrete will be poured from existing elevation out in two
directions approximately 6' (six feet) to create a grade or no more than 1"
(one inch) in 12" (twelve inches) of travel.
ITEM #7:
Front foyer will have existing recessed ceiling fixtures removed and 4 (four)
new surface mount, rour (4) - 40 watt bulb fluorescent rixtures installed. Any
drywall ceiling repair's from removal to be included.
ITEM #8:
The enlarging of the Women's Bathroom to three (3) stalls, the new stall to be
set up for handicapped access. The bathroom will be enlarged by extending the
common wall between the men's and women's bathrooms to intersect the extension
of the wall perpendicular to it, running toward the front door. These walls to
be of frame and one-half (112") inch drywall. The new stall walls will match
the existing as close as possible. They will be adjacent to the existing
sinks. The new door location will be in the existing wall racing the hall.
The concrete floor will be opened to tie in the plumbing, repoured with
concrete and the entire floor retiled with eight (8") standard ceramic tile and
grout. The walls on the inside of the bath and the new external walls will be
painted to match. Air conditioning ducts will be run to both baths and any
necessary drops to enclose this duct work will be included. Cold air returns
are to be cut into the bathroom door.
ITEM #9:
The Men's Bathroom floor will be retiled with eight (8") inch standard ceramic
tile and grout. Air conditioning duct will be run to this bathroom also, and
if any drops are necessary to enclose this ductwork, they are to be included.
Cold air returns are to be cut into the bathroom door.
ITEM #10: OPTIONAL - SEPARATE FROM BID
Install automatic double glass doors in front entry.
~.-
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APPLICATIOII FOR PERIIIT
CIlY OF ZEPIIYJUIILLS
BUILDDIG DEPAImIEIn'
OWNER'S IWfE CAR E-~
0WlIER' S ADDRESS -, S 0 S R-o ~ Y\ ~ \...A-vv\.
J
JOB ADDRESS 4 h 4 S- Jh it Po tt-1 /l..t')
f~
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LEGAL DESCRIPI'IOlI: I.OI'(S)
~SUBDIVISIOB
PARCEL I..D.'
.-
\ 3 - 2 (, - Z I - 00 ~ C - 60 GOO - OG 20
WRIt PROPOSFJ):_Sev Coost::roct:ion --.J\ddit.ion ~Alteration ---.Jlepair _Install
S.
- 19D.
_Hove
_De801ish
PROPOSED USE:
Si.Dg1e Faaily
_KIF
_' of Unit:s
_K/8
.:x..-eo-ercial
_Indust.. _Swill. Pool
Other
--Restaurant: &: Health Deparment: Approval
BUILDDG SIZE:
x
~e Feet:,
Height
RESIDEITIAL: ATrAaJ (2) PI.OI' PlAIlIS &: (2) SEIS OF BUllDDIC PIAIIS &: (1) SEt' EllERGY FORKS. u
COttKERCIAL: ATrAaJ (3) SETS OF BUllDIBC PLUlS &: (1) SEI' EIIERGY PORIIS.**
**COPl' OF COlITRAcr REQlBIRIID.
PERlPIITS REOUESTED
.2S-BUllDDiG
~CAL
..i....JmawnCAL
-LPwmIBG
$.
N4
Va1uat:ion of To1:al Coast:nJct:ion
AKP Service
V Florida Power Corp.
W.R.E.C.
$.
Valuat:ion of 1lecbanica1 IDst:allat:ion
GAS
)( BOOFDIG
SPECIALTY
TYPE OF COIlSTRUCI'IOll: ----"lock _Fraae _St:ee1
Other
FIlIISHF.D FLOOR ELEVATIOIIS:
Fr.
IS PKOJEcr D FLOOD ZOJIE AREA'
YES 110
******************************************
aD'I'RACIOR SItCJ'IOII
BIJTTDv.R ~
S ignat:ure
\ C:~ ll--
aIlIPAIIY (,~)k ~Lo~ CX'\~\
Stat.e Cert:. or Regist:.' (' ..fl,C--D3>qO~ ~
City License Regist:rat:ion , f..I.ltJ.
\******************************************
ELECTRICIAH aJIIPMY ..j (jJ. AJ ~ ,c..A.A J d.5D III E: L tell', c.
Cl./J ,c.....;- / State Cert:. or Regist. I dc:cc:l 1:.//
SiPl1at:ur~ tJ .-1\ ~ City License Regist:rat:ion' ~
******************************************
Signat:ure
CDlPAlIY
~ State Cert:. or Regist:. t
~~ City License Regist:rat:ion I
********* ***************************
(
aJIIPAIIY ~ C /:/'/1/ if 5
State Cert:. or Regist. I
City License Regist:rat:ion I
*********************************
PLlIIBER
Signaf:ure
.d1
KEaIAlIICAL
Signat:ure
aJIIPARY C'"\ t ~ '( 0 0 p\ t..J ('"\
b . State Cert. or Regist. , CCCCk3 ~'~:F-';I
!::f '-- ~) City License Regist:ration I 104
. ,. .. ******************.******..-****.*********
OT'IIF.R
CONDITIONS OF PERMIT AFFIDAVIT
-A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~s that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be
cited for a lisde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the owner has bired a contractor or contractors, he is advised to have the contractorCs) sign portions of the
"Contractor Sections" of this application for wbich tbey will be responsible. If you, as the owner sign as tbe contractor,
you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor tbat lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to I.et standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environlental Requlation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways
I BeJartlent of Health 1 Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, tr
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the pertit is
suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six lonth period, or the proiect will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDKKENCE~NT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COftKENCEKENT".
~\~
SIGNATURE: CONTRACTOR \
Qv~(-+~
SIGNATURE: OIlHER OR AGENT-
C I-\A-(u.....) -SoaeL-
C'tll~ F ff""JC-'Nn~
Of'Fl(~i<'-
STATE OF FLORIDA
COUKTY OF
The foregoing
before me this
n~rument was acknowledged
.j VN(/;?-c> , 19.:tt- by
~i/i"h(~ r Ci~ /
who 1S persona I Y known ~ ~ ~ ~
STATE OF Fl~DA
COUNTY OF SC 0
The foregc.in. g . inst~entwa.,~.~owledged
before me..thi~ AL llf\€"'.j .1~.. , by
,
or whct has
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