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Home My WebLink About00-9195 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 . 09195 . /1 fJ ~ Date I 00 Permit 5 'S ~~. ~) BUILDING 3J 8.'.9 ELECTRICAL I '-i '5 , oJ PLUMBING 450. C!: MECHANICAL Sewer Conn I 1, 'i~ o. <.;12 Water Conn: 11 o..J I 2. . .>-Q , Water Meter: 6$0. ~~ Property Owner: Job Address: Parcell.D. # T,I.F.'s: ~lJ 20 (00 Zoning: Energy Code: Descriotion of Work' .e (.8- tfl71",i *'l,&- ~-~-OD r: p. f5nLUA ~- f'./~~A~ riot. .A/lfl~ q {doc F.'P, l.l~ ~ ~ : i'3 ,,~..J NO OCCUPANCY BEFORE C.O. Radon Gas: IJ ." 5"5" Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. j- / -CO DJ'TE '2-u IOU DATE Inspector -S'1f!.... City License Registration # State Certified License# '2"7 l( Permit Fee _. Signature A../ '-'P'1 ,~ A----- Company Address - Telephone# /7 t? .}.. - D j) 1 S Valuation or Contract Price {bO _{"-I'. ~..!:J I Qy~, '" (".. \ 1-, f\t1c.r t .. " [lee ELECTRICAL 17 De '. ~,I"\.-!. .r /"'0, 1I; l\ 41 S S<:x,,-tl ~/ .1 ~. ~ BUILDING ~ Ftr. ~-2 -t!)O ~ ~ i Pre SLB 3-20-()(J) ~ S Lintel ()O 1 fC...-'5-3 D-~ FRM. . a 0 ) su. WL O'}\V I~ ~\.~~J0/Q ~ Driveway\; F~ S~ 3-2~O{) ~IC 'f~ p~ ~~~-J3__d}D.J7~ ./_ (Z.-2q-oC>~I?-"J$.-23..oP.f~) p~ ~ 0~ ($---t>CJ -V( 4- ~ v ~e1J~ REINSPECTION FEES: When extra inspection trips are n~essary due to anyone of the following reasons, a () c~a~ge.of Fi~en. and F,? 001100 Dollars ($ 25.00) sh~1 be made for each trip for each trade: 't"~ ~~y'Ov'v_<'/ h.2l-002>iL / a. Wrong Address. . /) J.. r /" I' ..-1, J k...-L d, ,/Ltc b. Condemned work resulting from faulty construction. r a-v'fA.A...~ ,uc.- & 1// (V' -. c. Repairs or corrections not made when inspection called. 7 2 / " A () /J d. Work not ready for inspection when called. / -ttJ - 6 u .<J "'--. e. Permit not P?ste~ on job site. ~ ~ RI ' + fIn "-3(,- OcJ 3JL- f. Plans not at Job site. \D-I-\;~ f) ~ ~ I ['I'o~Q.)~. ~ g. Work not accessible. Io-l \- 0 -S '...... ?~ a..1-uv--L ~vC-~.6l0-~-oO >' C[.. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. PLUMBING Ie; 20 MECHANICAL (~-I- S-J Tp. Servo Rough In ~/v !lH: Sf Meter Can Const. POle~-~-O(J)..8~ Pool Pre-Meter Cjl/ / -(2){") ~L Final SLB 3-7LCJ tJ ...&'/2-- Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final //- 8~t> 50lf /27\'( t. f, ~3P-(2) p:S /2 AUG-14-2000 11:25 AM MILBAR CONSTRUCTI.ON INC. 352 567 4454 ~$/14/00 MON 10:31 PAX "38113481 CONTRACTOR SERVICES P.01 1001 "'1\ ,.~ August 11, 2000 Milbar construction Incorporated 15911 HWV 301 North Dade City, F10rtda 33523 7671 0If8 "... Poet.I'" Fax Note To .. GAP MATlRIALI CORPORATION c ~ 1301 ~ "08d Wayne NJ 07'470-aen · r.,: ,7s.e1l1.300c ;;II PIlon. , F... Fax: 3S2-561-4454 Project: Re: Flortd. Eye Care Center ~oofer Stilus To Whom It May Concern, ThIs Is to conflrm that Mllbar Construction Incorporated of Dade Oty, florida Is a GAF Materials COrporation Master Rooflng Contractor. Mllbar construc:tlon Incorporated 15 eligible to obtain a GAF Matertals Corporation Liberty System (NeL) guarantee for up to 20 years, Provided that all current GAP MaterIals Corporation's appllcatton and speclflcMIan requirement! are met and procedures are followed. This is also to connrm that RUBEROlD@speclftcatlon [-3-1-MGPfR Is eligible tD receive a LIberty Guarantee for up to 20 years ProvtCllng that It Is InsaUe(! by a GAF Master R.oofIng Contractor and all current GAF requirements and specIfications are met and fo'rocedu" followed. ThIs Is conftrm that counterfJashlng must be provided to rover the top edge Of composition base "ashlng by a minimum of 4". watt covertng and cOLJnterftashlng, whether metal or composition matertals, are not considered part of the f'Iashing spedftcatlon and are not Included In GAJI Materials Corporation Guarantees. If you hive any further questions, ~se feel free to contact us at l..aOO-ROOF-411. Thank you for chOOSing GAFMC RootIng Systems. ~ TechnICal Services Representattve AU~-14-2000 09:32 AM MILBAR CONSTRUCTION INC. 352 Dale RUBEROIOGt Flashing Details ; (t ",., ''-''',r''''lfC, GAf Materials Cllrporation Flashing Tvpe 1.1( , InduHI Twla ZXIT. 2XI.. 2XftI3I.nd 21lRM This flilsnlllll (felllgn I!: e/iQibIelnr Ubefty UuaranteBS 'NIlh telm5 roras long as '2 Yl'.ars, Tllis f1ashlnl) design is applicable nnly fill noncombtlShhle pallIIl8lSlwaIIR. ......... --.-...----, .,..-... -.... .. GAF MliertaIlCor;intkin AsphlftlConcrete Mner , lW Mlteriills CorparallDn SIMp Roolino Asphalt ASTM 0-312 Types III 01 IV lWGlAs-175 flue SIlIIt RUBEROID ModIIIed IIae ShIef AUBEAOID ModIIIecI BI1umen rlnhlno Cement AU8ER(lU)e TOACH (0rnI1e) AUIEROIO TOACH PLUS (Granule) , ~ID TORCH FR 161111UIIl) RU8EftOlD MOP (OIlnu11) RueEROID MOP PlUS (Oranule) , RUItEROIO MOP FR (GranufI) IWIEROtD MOP 170 m , ,RUIIEAOID 20 (Smoolh) RU8EAQlD 30 (GtanuJe) . AUIIOOfO 30FR (GrIllUIe) GAF Macenals Corporation Premlum Flbered AIumIn~ ~~_... ,_ """fill.lfnll ThiS deslO" is applir.able tot in~lIl1atiM 10 II\IIICUllll)\I!1lillle IIal;!!",1 ~rllt wall SIIIf.1ces in conjllnr.linn 'NIlh ltuttF.ROJO Roofing Systems whlltl Illelal 01 olher counlelffitsniull i~ 10 be elllplOytlIf. Olleu..ion This flashing design call he IISed with v.rinus RIJBEROIO 1I11l11l1J(1l"8S, T nrcfl applied RUIlF.ROID flashino~ Inllst nnt be used ill conjunclion wilh IIIUI' aw1iAlI nUBEAOID Rooting Systems, MoPllppliM RUBERUlU lIo911in!Is mllSllnl1 1111 usetllll eonlundion with Inlch applied RUAfROID Roo/illY Sy1dIlIl1S, RI,lRF.ROID Fit 1I.J5hi11QS ,III!!:1 be installlld wilh RI/BEROID ~" Hool SVSloms, Mop illlflHI!lt AUIltROII) fL1shlng IVpes can be j,I$tllllefl in tloWlllu~ 01 RU8EAOtO Mntlififtd O~ulI1l1n fl,stling l:ernellt. Unlil, Minimum IN:illhl- 8 indies olOOllP.lhe rool slIlfacII MtIllilllUIII 'Ioiflhl 24 incites ab\lVc Ihc rnol sUlflll:C lllltllllllbn 1, All masonry sUlfaces 10 he II;R;/Ied mllsl 1m primeR Wilh ASfJI'ilIV(;OtIl'.mUl PrimOf al1llalklWlld 10 ilry thlll'OOl)ldV, ' 2, Galtls are rr.Qllllerl fill .lIl1aSllIlllJ lyflllS. The rootinV 'llomhrnne must rUlI ufllhe caRl and be eul oft ilpproximalaly ? inctles above lhe C'1I1, nA, ftm f'fy, FIIIIlInQ TWNII ZXIIT .ad 211M ~11IIIy .nop Oil. ply (IlllAHiLAS ti'75 Bas.. SIvIet 10 rhe primed surf""",I,,,,;.") SIeop Aooflnu A5flh1lll ASTM Type III or IV, SiIlflt:lp!; must be II llunimulII nt 2 inches alICllhP. felt muSI oxloM a mlnimul11 ot4 inch" tlllln the rool :m -= ~ 3B. flral Ply. fl..... TVIII IXIlM Solidly mOf) Ollt ply 01 RUBEROID Modlllld Bale Sheet fO me primed surlice IIslllg Sleep Aoofll'lJ Asphall ASTM lJ312 Type III or IV Side lapS mllst be a 11IIIli/Runt 01 2 inchll!l and the Sheet musl 8xtend a minimum ol 4 Inches onto tlte rool. CAUTION: As wllh any open llame application. gNat Clre must be e.ercls8d. Whllf8 RUIlf:ROID TORCH membrane is U$Ild, it is m.ndafory tlIat all woad fibcl, wOtld. or any olllCt' flammable lna1eflal be flInlllCtld f,om open. dlretl lIame. NIltoldl sllOuld be IIS/lll in the VICinity ollreshlv Iflll\ied SOlvent based L1tJ'tlellt& and coalinus, 3& Firal Ply. ftasll.... Type2X21ll3l Solitlly mOIl (IIlC ply 01 RU8EFtOtD ~ 10 lhe primed surlace usinG Sleep Ronfing A$\lllall, Side lapS musllle a minimum nl " inchrs and Ihe Ielf must extend a minimum 014 Inches onto the roof 4A, Sftlllll Ply (TOIl Plyl fD' .... _"1lI FIIIItiIIt IXIM .... 2XRM For 1l1r.tofl ply. sulidIy lllOP llftII ply of RUBEROIO MOP (!Jl'anuleland 2XRM to lite RUBEROID MocIJ1iell8as. Shoe! 0' GAfGlAS .t7S Base Stleet USinQ Slelll rlnolitlll Aspllah, A5TM T YflII III or IV, TIlt Steep Rooting AspNlr Sftouid be mop/lflll ilt a mioimum IOlllflllfature ol4oo' F (wIlh a laroettetnperature ol 426' F) ut 20. F ahow. the Evr. whichever ill higher. pressinQ III' seam and provid- inl) fOI 'I. .leh asphaIJ flow out 10 assure sound laps, The side lapS 01 mis sec. (lIId ply 1llllSr he a minimum 014 Inches and lhese IIIls mllsl III olfset !rom tlla laps olllle lilsl ply by a minimum 01 6lnclles or a$ plactical, ThII lop ply ITIIISf exlend 01110 Ihe mot a minimlilYl ol4 inc:hes past the Batt Sheet. 111. s.c..'1y (TOll Ply, for Ton:II A....11lI FIIIIIlIlt 20T FUI UlllloP ply, ~ilIIy lorch 0111 ply 01 R\JBEROID lORCH 10 the GAfGLAS 17S Base Sheet, Tho !\idl! l:aps of '"is second ply mIl&! be a minimum ol 4 hlClle, 3nlllhese laps milS! ha nfhe/lrom the lapS ollila flflll ply by I minimum 01 8 illCMs nr as plildical. Tltis top ply must extend onto lhe ronf II minilllllm 014 jllcl&e:; paSI 1110 GAfGLAS 175 Base SheIlt. ""hnugh not required. a coaling of FlbRlcd Aluminurn COallno or mher GAf MAtelialS COfpnratinn IlIPtlMd coal- illtJ lIIay be aflJlllnd to smooth surfaced RU8EAOID TOACH InsJII\afions oorween 1-4 weeMS ollhe f1ashlnq app\icItIon, The RUBEROID Membrlne Torch Atltlllod $llIlace mustlle CINIl. dry. and tree at any loose dust and dirt II the time 01 coating. lit IlCond Ply (TOll Ply,. Flalli1ltJ TWI !X2tI3O Fur t110 tnp ply. solidly 1II0ll one ply llf RUBEAOIO 30 01 30FR 10 fhe RU.ROID 20 uSIng Steep Rnofino Asphalt, 5_ RoofirlO Asphllf shOulet be IllOfIfI'd II . mini/nu'" 111l1l11tlature 01400' F (with a target tempelature 01425. F) or 20 I1ClfJrees above lhe EVT, whichever ,s hlghet. presSing tile sam I/ld ploviclln9 'or '/. Inch asphatlllOW OullO assllre sound lips. The ,ilia laps of this second 'Ily IIlllSI hr. a mifllRlUm ot 4 IlIcho& and llIese laps must he 0_ from lhe laps ot the tilsl ply by a minimum 01 6111Ches, This toP ply must eldenet onto fhe IOtll a ""'lImUIll fit 4 iI\Cllas "aSIIfItl RlJ8EROIO 20 sheel. Nofe: Rel):ltdless uf IlIt Sl*ltlc IVIII nf nasllino Itlstallod, aN plies must be soundly a<lhomd 10 adjacent t>II8S to rHull In a rninrmum void, nM-llridging r.onsllut:liulI, 5, Nailtll. flashing at ils fllfJllflQllISing nails lIaWlg a ,,*,ltllllln Ilnr.h fOund III 5quilrO Inlllgral metalllflil(f. Nail on 8 inch C8IlIelS 101 heigl1ls lip to 12 Inches. N;ul on 4 Inch canttls fill /teiafIIS lIP 10 241ndla, 6, Surfacos wlllrJllequlle a cOaflf\g mlLU be t:lean. dry. and IroR nf any dus1 or rlirt ,lithe lime of C(lllllng, The frequency 01 recoaling3S plrt 01 a "anOdic tllaillll!nance llellllfllll> 011 cllmatlc condilions, 7 luslilll tlltl her CUUlllarflashl so that IIlI cou"'lrtlashing ex1end5 1 mininllllll 01 4 inches below Ih. Ilai allhr. lOP of Ihe flaShino, I ~::~=~:=-~.~ ~ 'Wlw.rr. Ule IIlII ply is a SllloOlh surtacetl RUlH:.flOIO Mlmhrane, illnusl be coal~ll wirh a clllllino appluve<ll>y f.Af Malerials ColpOlatiotlll.l r_lIIe a 12 yellr UU8I1'''", Nolt: TIln IlIp ply of 1Ia$llll\O COIISIt'UdioIlS mllstlll! the sal1lll RU8EROID mem- Il,lIlte as Ill>l'CI as Ihl: IOfI ply In the IIltId 'lIth. ruOl, P.01 83 .- ,~ PASCO COUNTY, FLORIDA - Permit No. ~'" f ~ Date Permitted _ j / J ;,./ 00 Builder Name/Owner Name Q \11' ,,-,' (' ,', ,', \ ~ . - I County Parcel No. \,)'Z'. ,'L' .: \. (),;} 0 {/ U (.;',' I,) , ) I) \ \} ""~ Address/Location C; :" i.. \ \ ~ .. ...' ,- ~\'f ,1 ~( ... 1.., . Subd. Classificationffype of Use \ , ~ How Determined TRANSPORTATION IMPACT FEE CALCULATION /.. EXEMPT 0 Why? / .,. Rate $ Zone No. ....... ,~ ...~~ Prepared B~" ./ / Impact Fee Amount $ /' C,~~~d By ~/ / The above impact ,fe-e has been established pursuant to the Pasco CounwTransportation Impact Ordinance as adopted by the Board of PasSO"County Commissioners. This amount is payable PRioR to the issuance of a Certificate of Occupancy or utilization ,of the permitted structure. Sq. Ft/Unit .' RESOORCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) R:'llc ERL: 5~, OOIY ear or $O,14~/Day ERU Assign No. A~~c~~rncnl- (No, Unit~) x ($O,14~) \ (No, Day~) Asses~ment - (GSF),..x (ERU) x (O.14~) x (No, Day~) 100 TOTAL FEE $ ,. TOTAL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSliED l!NTIL THE AMOUNTS LISTED . HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. Acknowicdgement below does not imply acceptance of concurrence. hut simply receipt of a copy of this form. placing the huilding permit owner on notice of this assessment and the conditions of payment for same, Date Received By ----- ----------------------------------------------------------------------------------------------------------- OFFICE L'SE ONL Y TRANSPORTATION REC. NO, RESOURCE RECOVERY REC. NO, DATE U ~. ,'j' .. ') DATE .: ' BY BY " -j White Applicant Canary Trans/Finance Canary RR/Flnance Pink Office Green BldgJlnsp feecal:ce PC93113094/D ~~, ZEPHYRHILLS FIRE DEPARTMENT 38410 SIXTH AVE PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-9700 Business Name nLL. cy'~ CG (€I- CBI'1-k1" Owner/Mgr /Jr. ~.-A.. I=="M ~\.,...I Address I; ~O( q Gld i Bi LlLl Occupancy Load Bus. Phone Emergency Phone Date Posted Contact Person Alarm Company Phone # Type of Inspection Conducted Reinspect _ Quarterly _ Final Commercial Check ;; ~t'(;'rr.' r y' /' APPROVED _ NOT APPROVED_ Annual Other ,/ eO. OK NOT OK :7 _ Exit Signs _ _ Emergency Lights Heat Detectors 6- = Sprinkler System ../ Exits Window Size _/ _ Control Valves ~ _ Water Supply Duct Detectors _ _ Exposures OK NOT OK '7 _ Fire Extinguishers Smoke Detectors _ Alarm Systems _Hood System _ Storage Pressure Test _ Fire.Dampers 2 _Fire Walls Address posted _ _ Hydrants OK NOT OK HV AC Shutdown -- _ _ Smoke Doors --/ Elevators ./ ElectrIcal /.. - Tamper Switch ~ = Inspectors Test _ _ Smoke Separation Extension Cords -- --/ _ Tenant Separation v Smoke Evac, -- Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. Comments: j("'/'VI tJo r~..r V Ao//ol/t''''- I ~~T1'{'':'5 ;'';' )-hi./ tA. ..J.u:u~ or.:: ;:; -r~../ LA la r.Jl""'" , " I 5y:J.,ieJV1_ UJ,'( ( N~~L( 1.'.- KPy F;.r FAcy ebn;.~ 60 lle.- 'f (LVI JdJ<';V~ I ~tJ ) , Inspection Date II - 13. 0(/ Time ofInspection 0'13(.7 Re-Inspection Date Inspectors Name (!~ p~ aI ~.IJ~ Fire Department I. D,# SS'2- Owners / Mgr Name Title This building has been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the State Fire Marshals Uniform Fire Safety Rules and other local fire safety codes. Revised 08-12-99 White Copy - Fik Yellow Copy - Business ~, 1111.. FLORIDA EYE CARE LASER & CATARACT CENTERS IIII ' ' · [nsta-Sight Cataract Surgery · Oculoplastics · Retina Macula · Laser Vision Correction Stuart J. Kaufman. M.D. & Associate$, P.A. . o Stuart J. Kaufman, M.D. 0 Yogender P. Garg, M.D. Insta-Sight Cataract Specialist Retina/Macula Specialist Laser Vision Correction 0 Eric A. Fazio, 0.0. o Rene L. Zamora, M.D. Primary Eye Care Physician Oculoplastic/Glaucoma Specialist Laser Vision Correction BOARD CERTIFIED November 9, 2000 City of Zephyrhills Fire Department 38410 6th Avenue Zephyrhills, FL 33541 Re: 6329 Gall Boulevard (U.S. Hwy 301) Smoke Alarm System TO WHOM IT MAY CONCERN: Please be advised that the smoke alarm system is in the process of being installed to meet city code. sJ;lJ::rs, Stuart J. Kaufman, M.D. SJK/bc - /1 ~ tJ:- 30~' ~ ~ , ~4T,vC~ Co. ~ ~~ ~~tf " ,c) )' , i I j..I /L/ WEBSITE: WWW.FLORIDAEYECARE.COM o SUN CITY CENTER 4002 Sun City Ctr. Blvd. (SR674) Sun City Center, FL 33573 (813) 634-9289 Fax (813) 642-9082 o ZEPHYRHlLLS 38233 Daughtery Rd. Zephyrhills. FL 33540 (813) 788-7616 Fax (813) 783-2856 1-800-330-7616 o BUSHNELL South Sumter Plaza 990 N. Main St. Bushnell, FL 33513 (352) 568-0600 Fax (352) 568-0633 o LAKELAND 4240 U.S. Hwy 98 N. Lakeland, FL 33809 (863) 815-8858 o LEESBURG 2017 W, Main St. Leesburg, FL 34748 (352) 314-9500 APPLICATION FOR PElUaT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ~~ '3, JOB ADDRESS ~3~q GA-lt ~AU;~fY\~ ~UIJ PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 03 -2.(.,. -2:\. D060~OOOOO ~ OO/O(ORTATN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL o SIGN PROPOSED USE: DSGL FAMILY DWELLING ~ERCIAL o MOVE o DEMOLISH DMULTI - FAMI L Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER ~ CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF ~ORK-~ re~ GCL.v2 ~~ BUILDING SIZE -1~6)( I 30 ~f.Xpf1tJX.. SQUARE FOOTAGE \ L ,1 S~ HEIGHT \2' RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING ~CTRICAL ~ING ~CHANICAL $ f~/40Q o GAS ~FING 0 SPECIALTY TYPE OF CONSTRUCTION: ~K PERMITS REQUESTED $ I~O,14 (p ~OO VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~LORIDA POWER 0 W.R.E.C. VALUATION OF MECHANCIAL INSTALLATION o OTHER o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS JDO IS PROJECT IN FLOOD ZONE AREAD YES ~ BUILDER COMPANY R'fM~ ~~~O":>):I::.N~ ~ STATE CERT OR REGIST # eBe.---o3!:::>la<l SIGNATURB-- -c .:.-~ · CITY PROCESSING # .:l-,~ ****************************************************************** ELECTRICIAN SIGNATURE ~ 'D~ c.s....., I COMPANY ~~~ro ~\e~~<!- STATE CERT OR REGIST # ~(2.... ()\. 344", CITY PROCESSING # 9 7 ****************************************************************** PLUMBER SIGNATURECO~ W~~\ COMPAN~ N I ~ WIt l $ 1'-0'\ S STATE CERT OR REGIST # ~~ -OSZ~ 0 CITY PROCESSING # ICJ 20 * * * * ** * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :~;:;i\:'!:.:' * * **;+:!' * *IJ;P< "':.:t-.* * MECHANICAL COMPANY ~~ ~ t STATE CERT OR REGIST # ~M.. 00 l 56 Z7 SIGNATURE ~~ \..J~( \....- CITY PROCESSING # ')} ~ ***************************************************************** O~ COMPANY~vv-.f'~ &~@$ ~<:.. STATE CERT OR REGIST # ee-oO\I..o\4e> SIGNAT~ CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which mqy be ~ore restrictive than City regulations. The undersigned assumes responsibilitry for. compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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. E. CONTRACTOR' S/OWNER' 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 hereby 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed 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 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. 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 COMMENCEMENT. JOBS UNDER ~VALUE DO ~OT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". :NATURE~~a.. - ~~~ STATE OF FLORIDA I'} ~(2(o ~ FLORIDA - J1J /76 U COUNTY OF m--- COUNTY OF ,~ The foregoing in t ument wa The fOregOing".in~~ent was ~knOWledged ~~for m this of ~~fore 1-o~hJ~~"00: T ~~j1 (name of person (name of person acknowl ged) ~ho is personally ~o is personally known to me, or o who of identification) tak 7P oath LlA." U Name typed, taking ~ Angela L Helms p ~~dJ247 .... January 3, 2003 Name typed, printed or st .11 1 G"".ff.RlM.'l CO~O'UT.ON - -r .....2:4. _L i C... l. _ . _ It f-lashill!J TYIW 2X d 2XMM This lIasllln\i dCSIYlllS 01 tilledI' Guar.lnlees willi \eIIilS fOl .IS 1(1'19 as 20 veals ThiS lI;lSllinu design is ~lllllicalJle oniy 101 1I011corllhtlsllblc pilra- llclsiwalls ' 2.'-)... ~, . .--.------7--.~-----l AJlJlllcation This design is applicable IOIIllSI<lllillion to nOilcolnbl/Sllblc IlZUallol .IIIJ wail surfaces III conjunction willI RUUU10ID Roofiny Syslcms whele lIluta! or ulllet countcl1lashing is to be ell1ploycd Discussion ThIS !lashing [Josiyn call be used with variQUs RUBI:fWID IlIollllHanes. TO/ell applied RUBEROID lIaslllllgs nIl/51 flol be lIsed III cOlljundiun wlll1 mop applied RUOEROIO Rooling SystcnlS Mop applied nU0tl101D I~ashilllls IIlllS! IIllt be used in conjunction with IOlch applied RU8EROID Roolll1g Systems RUOEROID FA lIashillgs Inv~! be inSI,llled willi f1UHEIlOID rn Roof Systems Mop applied RUBEROID Flash!llg types can be 'IISI.1I1cu introVlelillYs ()f RUBEROIO Modified BitUfl1Cfl F1asl1fllY Cement limits Mininwm twiyllt - 8 inches above the roo I f'ur!ilGe Maximum Ileighl - 24 i'IGlles above the rool sUllace Inslallation , , All masul1IY surtaces tll he flas!leu must oe iJl irllcd \'/.111 ^f.phaIUCul1crele Primer anu allllWC{! 10 lIry tholoughly 2. Canis arc reljUIJed 1m all flashing types The laDling membrane nJUSl1U11 up the cant and be cut off approxirnalely 2 inches above the cant 3A Flrsl Ply, Flashlnv Type 2XTT Solidly tOlch olle r1ly of RUBEROID TORCH (Sl1Io(lth) to the priuted surtace Overlap adjacent sheets a Inlllilpulll or ,I Inches, ^ minunum of 'I. Illch of comp:>und lIow out shoulu be visilJle, The 1ll?l1lblalle must exlClIlJ at least 4 inches Ollto Ihe 100f, CAUTION: As wilh allY open flame illlplicatwll, r~IC,lt cafe 'llu:;1 be C~el(lSerJ, Where RUBERO!D TORCH membrane i, uscel, it is mandatOIY 1hal all wood film;, wom!. or any oILier lIallll!lablr '11:1t,;I I~j b~ plo:rcteu flulO open. diree; flame, No torch should lJe used ' ,<i'lity of fle:,hly applied sulvent I;Jscrj cemellts and coatings 64 -.. - .....- ,. ...... .-- . r"'l'\lI5 Iii , 2 M lid 2XMM ~:olld!y IIIOP III It; pi III HUll! .;ll1lJl1tli II HllIJll1ll1lJ MOl' (~)mo,,!h, In !IH~ ItlliIJP.ll ;,u!lacc ~ . L.oep Sp 1:1 WII,I!> illll,ll,1l1l1 ',hcels ,1 11 III 11 III um '.II 'lll1ches, lhc rne:nl>lilfle II\USl extClld ill Il;ilst ~ illelle" (Julu 111(> fOOr As an ,lll('llIilllVC, HUIJ[f\OllJ Mol!ificu Bitumel1 ndfi!liril/ CCI'lCllllr;,ly h" IIserl to ;lul,c/C 11115 filS! all!! slIlJseql.lclli ply \ Milpr.1 ,1/1 Second P1r (TOIl P1r), Flashill 2X20M n~ 2XMM 'ply, solidly mop OI1C Illy I fWIU MOP 1'IU~;! MUP FA (GI.lllule 0 the IlUUlROID 20 InelnlHalle lISIII\) ::;Ie('p Huollll(j '/\5p.a 3M ype 01 IV. The Sleep Fl,OOItIlY Asp11J11 s!lollld Ill) '1l1'I'I"JIl ,J! ,I Illillimul1l tCllllICIJlule of ,100" r (wilhOl 1.llyellclllpelillIJJl' ul '1?~,' fl.llI 20 r ,Ihovp llie EVT, wlllchever is IlIuIJf~r. Pless tlie seanl to IHOVllk lo! 'i'll1l:11 to 'I., II1cll <lS!)!!<l11 1I(\w oultu assure sOlllld 1<lIIS lite Sill,: laps of till'; ;,econfl IIII' JlIlJ~,llIp i\ 1111111111UII' ul ,; Indies Wide allll these :"11'; JlIII:,IIJ!' ollsel (nJlIl tile ;,lJlS uf Ihe r'lsl Jlty ill' a 1llllllllJlJlll u~ 6 lflc:hes 01 as pii\GIIi,JI 1 ~IIS IIII' ply ;lIl1';lllx\cml lInlo !hl' luol i\ r:1lI11'llUIIl Of .1 mOres pOl"llIlc lii',1 pi\' 1,1 HlllHHUllI '20 'I' HtJi1IJlOIO MOP (~"110lJlh) Illl'lIllJlanc Ill, Second Ply (TOJl Ply). Flashing 2Xn ['01 IIle lop ply, sulJlliy 10lLllllllr. ply 01 HUUlIHIII! r I )111,111'111'; l,t I UHCIi m (Gr ,!!lule} lu lhe KU[][lWfLil OHCH fllCllllJl aile III ,~! plv III'~ ""le 1.1\15 ullhrs :;e',ol\ll ply 11I1I51lJr. ,111linill1lJlll Of .1 Inclics Wide .llltlllll:';'! iilps 111l1S! be ,)ll:;el IrulJllhe laps uf 'he hls111ly by .11l1l11l1l1lHlIolli inr;llp'f, 1111:, t"fI ply I1llls1 e;,I!.!IId urilo lile IUO! ;1 11\111il1l1.1111 llf ,1 \lII,IICS 1',{',lllie /11'.1 plv ul HUBEf10ID 1 OIICH IIIemoiiillC Note: Rr:yaldlcss of the SII(!cifll: Iype (1111<1:;11111'1 rlJ~,I.tllt:d, ,IIlLJIIGS 1111/<;1 h~ ~uulluly arlhOlc(j III adjacent PilCh tu IC:,1i11111 .I !lltlll111l1ll1 VOid. 1IIJII,IIlliJYHIII COllstlucHon, ~,Nail tlte flashing al "s lop CU!lC USIIl!lI1.\!I:i 1i,IVIII~1 ;ll1l1lltlllun. i 11J!~It round or square illlcgralllll'lal heau Nail 011 8 Illch (;ellll~!" fllr li:;IIJIl15 UIl10 l? Iflches. Nail 0114 im:l! centers 101 !l['lyl1!:; lip 10 l.'IIIH;!If!S G Illstall Illalal or otlter counlelflasltillo su Ihat thG CUI1I1\\"f/ash:lJ\i c~tl)ntls a : '!i!lIillWIIl of 4 IlIches lwluw the IIdil~ atlhc ..~IP,_~:_~~I:jl'~I~,__ elj ~-- H,_, ...., _..._~~_~!lInI8eS A~~II!1ble" _ _ ..--'..'g....' I 1_~~~..Clll..c.!J!O~__, ,___ _ '4f{E'l91!!Jl..b8f!Y. _....RU~ER~I,.!L~~_ I 2Xn, 2XMM 20 5, 12, 10, 5 yr. 12. 10 yr, l 2X20M 'l, 12, 10, 5 yr, 12,10 yr -..-------...--.------.- .~P_.-.._-...---_.__..__.~-_.~-~ r ~ ~ t I J Note; Tlie lllp ply o! flaslling COIIS!fIJcliuIIS 1ll1l"II:l' life 5;\111'] /lUBEI10![) melll- hlanc as ,J[;l'(1 ;1:, lIiI' lOll pty III lite fll'hllJllhe 1001 6. AUG-14-2000 11:25 AM MILBAR CONSTRUCTION INC. 352 567 4454 08/14/00 NON 10;:H FAX ,T3U83481 CONTRACTOR SERVICES P.01 aJ 001 _T{ , """'" August 11, 2000 Milbar construction Incorporated 15911 HWV 301 North Dade City, Ronda 33523 Dale Po.t.lt" Fax Note Tv -- GAP MATERIALS CORPORATION :-~ CoJOe ~ 13e1 Alp. "'oed Wiyl1e NJ 0747003tlB9 . Tel: '7~e2a.300c 11III PlIon. . ".. . Fex; 3S2-561-4454 Project: Re: Flond! Eye Care Center FtoQfer Stotu5 To Whom It May Concern, This Is to a>ntlrm that Mllbar Construction Incorporated of Dade CIty, florida Is a GAF Materials Corporation Master Reotlng Contractor. Mllbar COnstruction lf1a)rporated Is eligible to obtain a GAF Materials COrporation Liberty System (NDL) guarantee for up to 20 vears, Provided that all current GN= Materials Corporation's appllCBtton and specification requlremen~ are met and procedures are followed. This is also to confirm that RUBEROlO@ spedftcatlon I-3-1-MGPfR Is eligible to receive a LIberty Guarantee for up to 20 years Provtcllng that It Is Installed by a GAF Master R.ooftng Contractor and all cummt GAF requirements and speclncatlons are met and procedu~ followed. ThIs Is conftrm that counterflashlng must be provtded to rover the top edge Of composition base flashing by a minimum of 4". Wall covertng and counterflashlng, whetner metal or composltton materials, are not considered part or the flashing spedncatlon and are not Included In GAF Materials Corporation Guarantees. If you have any further Que5t1on5, ple~se feel free to contact uS at 1~800-R()()F-411, Thank you for choosIng GAFMC RootIng Systems. ~ TechnICal ServICeS RepresentatIVe AUG-14-2000 09:32 AM MILBAR ____ ..__ ,_ _-e _. _ ---.,-----. CONSTRUCTION INC. 352 7671 0lI1l1 "'DIll RUBEROIDGt Flashing Details ; (t c... GAf Materials Cnrllflratiun Flashing Tvpe 1)( I""". Twp" ZXIT. nlM. nttI3G IlIlI2XRM This fl.tSllltlll de<\lIJn Jl: eligible 'nr lilJerty Guaranleas w~h If.rms tor as IOIl<J as 12 y~..Il'S This f1ashln!) df.sign is apt)lI~hlf. only lor nOntMlhuSllhlf. lIitrlll)aISlw$, ......... -G.\F MaaertatI' C;Ptnikin A~i~'Prim., GM Mlterials Cotporallon Sleep Roolino Alpha. ASTM 0-312 Type.~ 1II or IV lWGlAs-17581se Sheet RUBEROI) ModIfIed BIse Sllee! AUBEROIO ModIfIed Blluman f1l1hlnQ Cement RU8EROIO- TORCH 1Dr8nule) AUIlEROIO TORCH PLUS (Granule) ~BEROID TOACH FR (Brlntde) RU8EAOID MOP (Orallllle) RU8EROID MOP PlUS IOnanu/e) RUJEROIO MOP FR (Gralllllll) IWIER01D MOt' 170 FA AUBEROIO 20 (SmooIh) IlUDEROID 30 (GrIllUle) RUIEROfD 30FA (Granule) GAF MettlI1aIs Corporation Premium Flbefed ~~ r.oa~~._... "",.'iealln" 1Ius deslO" IS applicable for In"1Ilt.1tlnn to f1u"ClIllll)lI~lltlle I,arat,el and wall slIrfac:es in conjllnr.IKln wllh l'iUtlfROIO Rooting Sysrell~ whllt'lI m.liII or other r.ounterflilsjli'\I) i~ 10 he elllp~f Dtuulain Tills Itlshlngllesion CM hc IIsed wllh verl/)IIS RljBER()IU 1I~IlII)1AII8~ Torr.t, aP!llied RURf.ROID flashlno~ In"~I Ml be used in cOlllllncl1Ol1 wilh IIIUI' awliAll nUBEROIO ftoot'llfl Systems M()jlllfllllil!d AUUEIlUlU fl&9htNl~ I1111S1 nollle 1Isr.1l1n r.onlunctiull wi'hlnreh applteO RURfROID RooII/'1I Sysl~lll~ AI.IRfROtD FR Il.1shl/lO$ .lltl!:l bf! illstalled willI RIIIlEROID HI 14')01 Sv~tnms MOf) ~PfIllr.d AU!llflOIll rL1~hlng Iypes can be I/WIl"eflll1lro~ll/llJ~ III RU8EnotO M/ltlllilld lJ~u,"el1 ftllshin9 Cemelll Iltlll\, Minimum hr,ir/hl.. 8 1IIt:lleS ahov~ Ihe rool surlit~e MaxilllulllllO'!Ihl 24 Inches ahove rhe rool surliu:t InKtMUMIllI1I " All masonry sur1acr.~ 10 he fla~tled m\l$'110 primM with ASI,lIillt/(;o'Ir.HlIt: Pllmor an" a1lowcd 10 I,hy Ihoroughly 2 Callb ara r/1r,"trelllor oIIIIIaSllln9 lYllt~ The rDOlinv tllomhrane mu~1 rUlI lip Ihe canl and 1)8 r,ul oft 3pproximtlfeJy ? lIlches allOVe the ctlll IlA flfSf Ply, Flalhing Typn 2X8T Inll 20M ~Olillly IYlOp olle Vlv (IlllAHiLAS illS 88SM Sh....IO IhO primetl rollrl;M",,1 uMi"U Sleop Roo/lnll Asphalt ASTM TYlle III or IV, 5tt1lllafls must he It mlnillluflI 01 2 .nches a,", 1M 1f.1l OIuSI oxlOI1/1 a minimum 014 inCh8S flInn Iht: rool Co, II' PUIlIf&t ~ 38, Fill' ...,. fl....l.. TVPI fXRM Solidly mOil on. ply 01 RUBEROID ModIfltd BH' Sheelto 1118 primed SlIrta USing SIeell Roollno ASllhall ASTM 1.1312 Type III or IV Side taps must be a 1II1nimum 012 lnclll!!; and tile She8/ must a_lend a minimum 014 Inches ontD Ihe rool, CAunON: As wllh any open llame application. oreal care must be exerclsed, Wile.. RUBfROlD TORCH membrane is used, 11 is mandalOty ItIaI all wood liller, wood, or allY Oilier flamnllble lnalerlat be protllcted trDm op.n, dlrKt f1amo NIl lOfCIt stlOuld be USM In llle VICinity 01 Ireshly Iflll/ied solvent based ~elllel1l& and r.O.1tl"1lS 3C Firal Ply. Flasll"" T,pe 2X21/3f1 Solidly IIlOflone ply 01 RlJllEliOIO 2010 the primed surface USlllO Sleep Roollng AsIlIlaI1, Si(te L1PS must be a minimum 014 inches and IIle lell must exlenll a miOtmum DI 4 InCh.s onto the rool 4A. Seclllll Ply (T.. Pfy,lor _ A,p1lt41 Fla..... 211M 1M '.RM For 100 tnp ply, solidly mop nne ply 01 RU6EROfO MOP (!Jfanule,ancl2XRM 10 11M! AU8fROID MlIlIIlltd Base Shoet or GAfGlAS n5 Base Sheet USIllIl Steep flootin\l Asp/la/l, ASTM Type III or IV, The Sleep Roollng Asphalt SIIouid be mOflllel1 at a miOlmum tompcrature of 400' f (w_h a lar(Jl:ltf.mperaturt 01 425' F) 01 20' F ahnve IlIe EVT, whichever III htgller. pressinO llIe seam and provld. Inolor 'I.lllch asf)h~ll1nw nut tll assure sound laps. The side lapS 01 fIII5 sec- ullll ply lllU~1 ne a minimum of .. Inr.hes itIIlllllese laps mllsl be ollsti frDm Ihe lafl~ of the Ilrstply by a IftlIlImum ot 6 lnclles or as prxticll This top ply mllSt e.lend 011I0 rhe ronl a minimllm of " Inc:he.~ pnlllle lies. Sheet. ill s.cond Ply (TOll PIYllor Torell _1111I Ftulltllt 2X8T FOI 111U lOP ply, solidly lorch ona ply 01 RIIBEROlI> lOOCH to the GAfGI.AS I7S Base Sheet. n,o ~ide laps ollhls second ply mu,t he a minim urn 01 4 hlChe6 anrf llIese "'ps IIII1S' hn nllsetlrom Ihe lap$ 01 tile fk51 ply by a minimum of 8 jllch4)~ or ;)S practical T.,is top ply mllsl extend onto lhe roof a minill",1II 01. III(;he~ pastlho GAfGlAS 175 8ilse Sheet. Allhoughnol required. a coating 01 FIl)Rt~d Aluminurn COall1lll or OIlier GAl' M.ilerilb Cotprvatioo apprOYed coal. IIIg mdY lie afljlllf.lllo s/IlIlOlh surfaced RUDEROIU fORCH IMlallalIOll$ OOlwr.r.n 1-4 weeks ollhe llashlnq application The RUBfROIO Membrane T oretl ""')lion ~lllf3Ce mllst be clean, dry. llIIllree 01 lIlY lOose dust and dtrt II the lime 01 cOlIIIIO. 4C &leonl' Ply (Top PIYI. FI..1tiatI T,.a 821M For 1110 lOp ply, solidly mop one ply flt RU8EROIU 30 or 30FR IflIt1e RUBi:ROID 20 IISlng Stoep Flnolill\l ^sphall. SIeOfI Rooflllg Aspfll/l 5houlcl be RIOfIIled ..a nllnurllllll tlllllllllraklre 01400. f (\\/IIn a largetlemperatur. of 425. f) Of 20 I1c\llees ~ove the EVT, whil:hever IS IlIgI1er. presSing Ihe sellllllKl prO\lkllnO 11)1'1. Inch asphall tlOW 0111 Iflassure SOIJfld laps, The 51lll11aps of lhis I8COnd ply mllSI he lllllirMRlUOl of 4 Inchlls anet 'hese laps mllSl be O"sel Irom lhe lips 01 the IIrslllly by a minimum 01 ti Inches. Thts kIP ply musl exttnd onto the rill" a minimum 01 4 "\Ches lIastlllll RlJ8EROIO 20 sheer, HOft: Aef)arrfless 01 Ill. spetlllc type oIl1astulI(/ 1I1stallGd, ..N plies musl be ~oundly adflomrf 10 adjacent pIleS 10 resuh In 3 minimum YO/(l, nM'llfillQmg r.onslrudloll. 5. Ndl11l1e lIashing at ils fop edge USing nails ~1lI. mln/lnlllll , Inch round or squarO 1000000ral melal head. Nail on 8 inch celllers lor heights lip to 12 Inches, Na~ on 4 Inch CllfllOr51llf heiGhlS up 10 ~4 Inr.hes 6 SUllaCOs whlr.h requl'e d cOalll1g must be clean, dry, and froft 01 lIlY flus' or rlirt ;11 the lillle 01 CO(ll11l9 The Irequency 01 rar.oatin!l as part 01 a PllnOdIC ,11.,illlcnanr.e llI!pt!tlOS 011 tllm.1tlr. eondllions 7 hl~lilIllllel.other ClIIlIlIOfllashll!flso thai the cou",Afflaslllng exlends a 1II1111111U111 01 4 lIlr.llcs below 1118 nails alllle 1011 of Ihe llashlng 1'-::GuIfHlm,~~.. '--'~..,. ~~:._-~~---'-~_\MI_ 'WIlNr.tne 101' Illy .s a SIllOOlh sllffacell RUlJl:ftOIO Membrane, ,t lRusllle toal~(1 wlrh a r.oallllll dPIJI(,ved by GAf Uatella~ CurllllfallOllU.i rlll'.lIlVe a 12 year \lullraluell N.Ie: Thn lOp ply of "aSI'~'O conSlIur.llons A1IlSI be the same RU8[ROID mom. II. aile as IIS~C' a~ ilK: 11111 ply In the lleld 01 'hM f11Il1, P.01 83 City of Zephyrhills Building Department 5335 Eighth Street Zephyrhills, Florida 33540 (813) 788-6611 Wm. A. "Bill" Burgess Director of Building, Licensing, & Zoning MEMO Date: 10/26/00 To: Kevin Ryman (Ryman Construction) From: Bill Burgess (Building Department) ~. . Kaufman Project Subject: According to section 2510 (C) of the City of Zephyr hills Land Development Code a certificate of occupancy shall not be issued until all development conditions are met. This would include the access improvements at Gall Boulevard. The access improvement was one of the conditions agreed upon at site plan review. I hope this helps to clarify the city's responsibility. HP Fax Series 900 Plain Paper Fax/Copier Fax History Report for City of Zephyrhills (813)788-3293 Oct 26 2000 1 :53pm Last Fax ~ ~ ~ Oct 26 1:52pm Sent Identification Duration ~ ~ 0:44 1 OK 97886773 Result: OK - black and white fax Oct-26-00 09:44 P.01 FAX TRANSMISSION FLORIDA DEPARTMENT OF TRANSPORT AnON BROOKSVILLE MAINTENANCE I 64 I I SPRING HILL DRIVE BROOKSVILLE, FLORIDA 34604 352 797-5700 FAX: 352 797-5709 To: Fax #: Bill Burgess, Building Dept. 813 788-3293 Date: October 26, 2000 Pages: 6, including this cover sheet. From: John Kilkenny Subject: Florida Eye & Cataract Center COMMENTS: Transmitted with this message is a copy ofa letter addressed to you requesting a hold be placed on the Florida Eye Care and Cataract Center in Zephyrhills, FL. A copy of the cover page of the approved FDOT access permit, access plan drawing of work required in the right of way, and the Department's District VII Access Management Review Committee's finding on Dr. KautTnan's appeal are also being transmitted \\1th this message. Oct-26-00 09:45 P.02 ~ Florida Department of Transportation JEB Bt:SH GOVERNOR 16411 SpriooaJlill Drin""""'.,J'L_-;tU 797-51110. J.-216-T.I28 JloriU O"'--'...T....,.....m. _..iII. M__I6411 ~ _ o.ift THOMAS F. BARRV, JR. SECRETARY October 26, 2000 Bill Burgess Building Official City of Zephyrhills 5335 Eighth Street ZephyrhiUs, FL 33540 RE: Section 14050. SR 41, US 301, M.P. 6.232LT.; Access Permit No. 99-A.798-0057 Florida Eye Care & Cata.~ct Center Dear Mr. Burgess: This is to advise you that the Department of Transportation's Access Management Review Committee heard an appeal yesterday, October 25,2000, from Dr. Kaufinan regarding the median opening on US 301, north ofFt. King Hwy. The median opening was re-constructed as a directional opening, as part ofthe work by the developers of the Walgreens Store. because the Department of Transportation determined there was not sufficient sight distance and storage to justiiY a full median opening. Developers of the Walgreens also were responsible for improvements to the frontage road connecting the store to the median to the south. The engineer 0 f record for the referenced permitted work, Ed. Rogers, P.E. ",,-ill make a detennination if a safe sight distance can be accomplished according to AASHTO standards. The median could be made a fuU opening pending Mr. Rogers' analysis. According to the approved pemrit drawing, and the city's approved site development plan, the Florida Eye & Cataract Center is responsible to construct an access connection to the frontage road, and improvements to the road abutting the property up to the edge of the travel lane of US 30 I. On April 7, 2000, construction in the right of way began on both the Eye Care Center and the Walgreens Store. I met with both contractors, and determined that since the Eye Care Center's contractor, Ryman, or their sub-contractor began construction of the side drain pipe at the south connection of the frontage road, responsibility for compaction testing for the pipe back fill, placement oflime rock base and asphalt smface would be theirs. The contractor for the Walgreens, EarthTech, or their su~ntractors would be responsible for demolition of the other driveway cormections to the frontage road, construction of a new connection in front of the store, drainage improvements, sodding and resurfacing of the frontage road up to the north property line of the Eye Care Center. As far as I knew then an understanding and agreement was made at that time. www.dot.state.fl.us ~ RECVCl.EO P-'PER Oct-26-00 09:45 P.03 BiD Burgess Page 2 October 26,2000 Dr. Kaufman would not commit to completion of the work in the right of way at the meeting yesterday. Therefore I am formally requesting that a hold be placed on the certificate of occupancy for the Eye Care & Cataract Center. until work in the right of way is completed by their contractors. I am enclosing a copy of the Department's Access Management Review Committee's review finding . If you would like to di<;cuss these issues further, please call me at the BrooksviIJe Maintenance office at (352) 797-5700. :~CZlyfd( ~hnKilkenny D '~;~ntract and Permit Engineer JRK/JK Enclosure cc: Larry Boone, P.E., Maintenance Engineer, Brooksville David Olson, P.E.. access Management Engineer, District VII Ed. Rogers, P.E., Towson-Rogers Engineering, Inc. , ~ Oct-26-00 09:45 "'_--:-._~,..~c-.~ P.04 L.h\~ '-. STATE OF FLORIDA DEPARTMENT CF TilANSrORT ,\ TIO~ DRlVEW A Y CONNECTION PER.\HT FOR ALL CATEGORIES FOR-\! 8504:0.:s SYSTEMS PL\NNINC 11/9) 1'". I or } .Ul> ART:llpEAAJlTlNFO Ri"yL-\Tl ON: I I APPLICATION NUMBER: c:::c. I 1- t\ - 7 <j C _ 00c-Yi Perml! Category: 3 Access CL:lssificatlon: ~'" '"-' PROJECT: Florida Eve Cere & C~t~r~,t Cpn~pr PER.'vllTTEE; St'Uart J. Kt~l1-FIT1;:n.. M n S~ctionlMile POSt: l~'~, C:'~:)\2: / (~...,13l... L:+ Sl.1le Roal!: U.S. 301/S.R. 39 S.:::t;on/Mile Pest: S L1~e Road: S~:::sonlMjk Post: St.lle RoaL!: PER'YtlTTEE I:-'TORMATlON ~:",:.:.0_ ~ ::"'~\'" -- '~.O ~ --~ .,-\ \ ~\..,... G:l :;:;.L -0 -"';'0' -;:;. 9.0 " ~ .' Per:nittee Ncm~: Stuart J. Kaufman. M.D. Permit;ee Mailu:g AJcress: 38233 Daught~rY Read Cry, Stale, Zip: Z~J~v~hill~. FL 31~LO T eleil1101!e: ( 813) 788-7616 E::gir;eerJConsult<lm/or Project ,'vl;mager: Tovson-RoEers En2ineering. Inc. ,.... ~ E.:1giLeer r-e.siJo~5ibi;;: for CCr~~\filct;On. i.."1spe:;:~on: Ed"',,-:,in J. Rcze-cs ",,,,,"[f 5(J03~ )_f. I Mailing Address: 551L it!"! Street Ciry. Sure. Zip: Z~phV-~il1R. ~, ~1s~n \ T ;:Iephone: 813) 788-0LOO ',Mobile or FAX: Phone: r, (CIRCLE ONE) :- /~.:. ""PART3:il'ERMITAPI'ROY.~L' . The above ~pplic:l!ion has been reviewed and is hereby approved s;!bje::t !O aU PrOvisions as at~chet!. ~.:;._ ,i\ ". --,c.-.-'~..~ _.('.~"-~ ( PEIUvllT NUMBER: {Oa:~, Depanmem of Trans"on.OlllO!l BY: ~..-""'4/. ",~ Construction s!lall begin by: '2- (-OD ~nti sh~1I be cOIl:pleted no later Ihan: 5-1 - Co TITLE: David W Olson. PE District Permi!..,} A :;cess /14anagemenl Engineer " (c.<:) Special pro>'isior..s aWlC::ed YES ~ ~-, NO o Date of L;s::ance: 1r/3~r NOTE: This permit is on I:, valid for one calendar year from COlle of iSSu:J!l,:e, See fe"terSe sid~ fer Gener:!! and Specbl P,o',isio:1s Oct-26-00 09:46 PoOS --.~ ... ~ " '\. '- N '-,", " - ~, /~, " /' Vr<:, t:.J ;"f' -:50/ '- '" "-.. ~ ,~ '.. '" ",", '" " '''"'' "- , DUSTING CULVERT H!G~ ~~loaD END v.- \... 6' ~.~- / " SHe-Ui. D);~\" , - -,-- ..... / ,'" , , , /' ./ ~, /~ -,.- / ;' " ~~....._ ,r'-. ~"J : : ~:: .. ;~~,,:< -'"'-.. ~-'3 ""--.. "" " , '\ '- ''\. " ~ ~}:. ~~ r " ::> ~q~ qc, -' -i'-'-- ok J r~,~<~ -f r~ ~ '~~~ Oct-26-00 09:47 ULI'f1 01.. r-UUI UI U,..t"'AI.J.Ut'l~j tl1:J 9/~ 6278 OCT-26-00 9:20AM; P_06 FlAGE 2/4 ~ Flm-ida Department of Transportation ..... "" W.I.:IN1.F.YlIIUVr.' T..J\lIJ'A. n.JJliU40. .m,..,....I_Z.."2* JU lUSH GOVERNOR t)l,,"T.lfar~J:vr~ "'''''''Tf:'lI...r.'Y. I 12.. ~. MCkJN1.I.V DR. M_$.. '.uee TANPA..II'L JJlll-WAA (.U) .,'r....~. )(..- .IJ- '~Jl" cr.., '''4$-'17. . ..........:t"'-'.J;2t THOMAS .... BUaV,.I1l SECIlETAav October 24. 2000 SWlIIl K :mf\1'llln F10nw Eye elm;!: RF.: STA IE HIGHW ^ Y VFHICl.Il.^R ^CCF.SS CONNF.CTlON rERMlT Acc(.'Ss Clll!iS: 5 SliUe Road: U.S. 30] Secliun' 140SO.(Jfl{) Connection Cafe,ory' NA Posted Speed: 45 MPIJ Applicant: Florida Eye Clinic Prorerry OWllrT': Mr, Stuarl Kaufman tlle.tion: Wesll<idc oflJ,s. 301 Ftlmra~r nil,. ':'(luTh tlfC.R. 54 RcquC:iI(~): FilII Im:tlilm opcning i1llhc frulll..gc RwlJ [Of'en oul mUVCllu:ulS ou U,S. 301 The requ8<:t i~: Approved U Dis"ptlfovcd U C.ondilion..lll' Approvc~ C, ,"'......" ~"'- ~ " -.. ""'.0_ ~CA!"'~ .~ b~ '-'lOA> yJ" ~_""'I M'P~... .#r .... .,~ __ ....UID -~.~"wn4C"A.J. . ~ ~u_~~~ ~ ~w........~-_..~_. oe,,~~{.......... ~""""..u iOo....qO_I8A6..o =Z;~:. ~.:;:=: e";.~::;::===;;::~~~'~IIV~~' A ruling by the Access Management Review Commitll."I; (AMRC) only cklincs lhe number and type (If access pomts and ;mmciatcod t;,atun~ lhIal m;t)' b\; pc:nuined and is "ot the final ac:ti('lll in your pennie process. C(>O\mi~e approval, or (){Mr favorable rohl'll:. gener-lIly means dlllllhc prupc;rly uwncor DJ",)' ue"elup pliUJ5 L:VUIplywg ",itb \heml.ing .!l1 submillhc:m wilhin !lil! month ~ to t"~ Ot..'IY<lnmem for permit processing, Department pem,it... ller.ionnet have the duti6 of checking the vlability of the desiaQ plans iu tenns of standards compli:mce ilUld l'Onstrllclibilily aad alsu oC tiSlaing elt:tf tbe p/:m '!;lIbst3ntia.lIy comply wilh lfu! cngin\:'-'Ting \Irawings llppru\'cU lly Ihe <':ulwniucc, COluminc.: i'Ippt'Ovab 0( mliugs whi~b ar., <II vClriulu;c ,,,jlh l)cparlmcnt rules or standards a1'e not binding in the pCTTllllting pmce..s ti". lllore tI1;&n six months. Please submiT il copy of this letter with your J1l.'mIiL aPfJ]ic;Jlion, A<'~C~')S MANACF.Mf.lI.'T ltEVfEW COMMITTEE 1":::::'::~~Pl: l)i~trlC( J)e~jgn En in~r J_....OO...._I._E_~ ~ l)isttitt COllStm<<ion L:.n 41ilft GilbTOOSon. P.1=.. ~ ~ ./i..h~ ~, AssistlOI Disltict Traffic OpenriODS En:ineer fJ WWW.Qot.state..us ^WI.'C Dis:ij,rree D:tre ~ 0 ~ ~ Q /O,,",S-/Do , /' ~ Q (f) - z.s- ~ "'J" ... ~J V" .1 \J . .,..,. t :1.\ ....} ,; ..,.) _.I H: <.1 U .;rJrr.(,n\I'~.:tl (tC:l,S '~(}2 ,- . & "-1 Gordon & Associates. Archite.cts PIf{?/11 T 1'/'15 -q ,...~ FAX ~lEMORANDUM TO: COMPANY; FROM: PROJECT: DATE; Kevin Ryman FAX NO.: R\'n1JIl Consrrucrion Inc David 1m, A.rchit(~_ Florida Eye Care ~.1t..nct Cent~rs runc:: 19,2000 V PAGES SE1\'T: (813) 788-6773 A3 ROOF INSULATION R.\':,'\LUE REQUIREMENT: AttJ.ched IS <\ cc>py of the wrrespolldence from our M('chanicl( Enginei.'r rl.'6uding dw RY:L\Je used ti.1C t.'1<: roo!"Gfthis proj~(( The R. Value is 14, wrudl i$ m(>r~ t!liW m~'. /:Iv the roofinsu!Jt.;on ~.bch has rt vail,,, of 195. If Y'QU have anY'it1Cs.t.:DrI'i, pJeOlSC CaU, cc. Snurt J, Kaufm.n, ,\.1D Mike Gordon, GA 730 F.:lJ~t Fifl." A Y<:,'n.o Mouf1t D"Tll, All-flu.. 327,'57 . Tde?hl,)f"t" l~2l383,65(l5 - . ....... """"'+"" ..,. ".. M"!llbcn 01"'. "-ore... :n..n14 .t "lVtJltlQ" M"'''XXlloi Facsimik' 3521:i83-6iXl --A>d -J' ... . 06 UL 0 lJ 1 t; . H ~, \' ., ~ " .\" .,,, I "U '. ' ... .,.,_,.Oc'U." \.AOr'(10!l\rct;uccr.s - q~HCEr ,'.813,; 9360'l'99 :.';"H";'~' ~ '.'..-.:..' , ... .""':' ~AliAH;: CEG JI'i'\ 813 ~f In;; ~ ~,l'f ry~~,';::~';'; j; 1 UI~l 1'A1 .35.111 .80 "': ;'~~p~ChJ,_~O'C' ,tj " . <, i: ' ItY U4 w ~7'5'5- ,P2 ..." ' nO, Q .,..: ~ *'j2.t tlF iA~! ~.".', \.:: - , ' ., 'I 4: ..,U~ 1\ ~, . " '. ~ ~ : / i9A Gordon. &: A.uocilt~. A1dUtecu PAX MBMOIlANPUM TO. COMPANY: ~1014: PI.OJllOTI DATllr -l~~Sehu4J. P.ll.Jl.]l. PAX NO.t(IJ1I)'.I'.0199 1'11I1aJ1d 1Dd CeI, IJJc. lUck $andqo ltJorJda By. Cue aNI C.tu~t Cantu. ()cu)b&r 1,1099 l'AGBS SlINTa 1 The f'ollo-m, inform.&tioQ it requetted ,reamUna the ll-Mea UNmed for the ~ walla add. the rDO! i --- Root J.""ftJue'. l~o .. Jehr'l, P/t45C r~ II1C bet.c./( {Iii J, ~J!.. fIo.l-) Il ~ v-.lVc ASAP. ~It:.S ~..h~ Will 1.~Y&b1e, /J3. p IIyou hl.vc .oy quadoru.. pkue uU. .. ,,' , ~ ,(~ i ,.. Y- ...'1 I , ". r ~ Cv : 6 ( {' J,J" ? (;.? 'I.'" . J '0' G;>' ~ " ~ It '" , (..... \ .... '\. no lIMa JIINl......._ ~ !)or, ""'41. sa'" . . TaJe........ ~w,.)-4.IOS I I>l ~ V I - J ............ ~......4.......... ~-- f'Kafml* In;')U-4IJ10 1 I - " H...,,:HJ.;, ,; ~ . ...... 1.\ .. '\I" .. "~f~ ~ ",{ ~ "i'-J" :1~" ~_. , . :-,'"i i ~~ >a;-t" ~, 'o' . ~ ~~":' ' ;~ ,~ ,~-H-,' . 1)'\': UJ /00 HI; H FA.'. .1523836130 l.j ,",..JQQ(~ :;or'dOl1.\r'ch1t~C~~'l!"l;;~U~.);::~,~~, . .' '/"... '~:m;:,~tt~in~." .... ':'.'~:ir;. >j . ..' ,- -'--'. ,-- - , / ~---_. - -, CONSUL.TINGu ENGINEERING-GROUP ~J ~OJ P.l - 8840 N. Florida Avenue ~ Tarnpa ; Florida ~ 33604 Telephone 813/936-0796 ~ FAX 813/938-0799 ..- -. r Dole: FAX COMMUNICA TION FORM 10-1\-99 , f CEGJO~NO. ~\J~<<.~& r -AU1 -, TO: .$Al:JJI4A rJ Bl!I1.2A Q ~ uJ<< 1/ !?- "",Jv~ _(<ClIt ~ - V4 i :J FROM: RE: MESSAGE: -- :.r ~..:. I~ n J yo /:J .j.I C ~J~/j#- 1'....,-:. 2- l/.-a 4s - P2 ~4 -. I'";.-:c -4'5"C' fi--e.-:.~f- I"k~4: - 51~~~ 4~:'Z.2 d~"r -v.<..L c.iF~ =~Y !/'P.,J_ .4-/~~, ~~ .7~lv4J. :::-- " --~ t~:.. ~ : cc: I:C::_ Fax: Fax: ceo' M..ter File ~---. SHEET 1 OF 2. ^ ":1-) \}~, \ \ \~, t-\e:;V ~.,i.' ~. THORPE & CO. Nondestruaive Testing & lnspecticm ~ ef",,~ ~ 9fC1S ~ Richard Sirkman Ryman Construction Company 37325 State Road 54 West Zephyrhills, FL 33541 Attention: Mr. Richard Sirkman Subject: Structural Steel Inspection, Florida Eye and Cataract Center, Zephyrhills Florida Date: 05/30/00 File No. 00 I 109 Report No. 1 Gentlemen, As you requested our Mr. Cecil Thorpe was at the project site to inspect the erection of the structural steel. The following items were noted. The erector has completed the bar joist and structural steel frame erection. The joist welding was inspected at random and found to meet the requirements of the plans and specifications. The quality of the welding was inspected and was found to meet the requirements of the A WS D 1.1 code. The high stren&rth bolted connections were inspected and found to meet the requirements of the AISC code. The fastening of the roof deck was inspected. The deck was puddle welded with a 5/36 pattern in the field and at 6 inch centers on the perimeter as required by the plans. The quality of the welding was inspected and found to meet the requirements of the A WS D].3 code. The deck side laps were fastened with 2 screws per span as required by the drawings. Should you have any questions concerning this report please call our office. Sincerely, Thorpe & Co. ~~(~ V:.~:ciI Tho~ 1/ A WS CWI No. 84090021 1124 - 35th Avenue N.E. · St. Petersburg, FL 33704 . Ph. (727) 821-1731 · Fax i727) 825 -0204 DALE If. SPEEDY Professional Welding Consultant W,IJ". Qu.Jific.,i... ". c".'ijit.,i.. . M..".;.u ulIin: "",ul",,,'IHlJ1<<IIt1H . lkJtrUl';W 6 N.,,-Deurun;w uS';"1 WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD Type of Welder .s ~ - '" u 7?:> Name C. L. i Welding Procedure Specification No. Record Actual Values Used in Qualification Variables Processffype (5.16.2) Electrode (single or multiple) CurrenVPolarily Position (5.16.5) Weld Progression (5.16.7) .1& V'- Backing (YES or NO) (5.16.18) Material/Spec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16,4) Other 'I 0- S?s:-' :A Identification No. ~S" oS . '; ') . ~ 3:::L. Date (f; / 90 Qualification Range ,F.?,J1T l/ (;1 o. s-o I~.L lot I r- ~ >; I'-J C::.n/2 ~ f 7.Y k 6:>n/1~:J VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO.tte.S GuIded Bend Test Results (5.28.1/5.29.1) Result I Type ~~~ . Flllel Test Results (5.28.215.28.3; 5.39.3/5.39.4) Appearance ~ Fillet Size Fracture Test Root Penetration Macroetch (Describe the location, nature, and size of any crack or tearing of the specimen.) Type '2c>~ ~ ~ Result Inspected by L"?~/. ~eA Organization A-z.:;s <::-~': "?vYf~~r;r'7 J Test Number 0.L.. #-1 Date ::<. -.s-. 0 0 Film Identification Number RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification Results Number Results Remarks A/.;oi /1.,..0- A Interpreted by ~ Test Number Organization ~ Date We, the undersigned, certify that the statements in this record are correct and that the test welds were p-repared, welded, and t~sted in accordance with the retJ}l\~t~l~A1~Pf 0 of ANSI/ AWS 01.1, ( /9<; ~ ) Structural ~~C~-~ T u ~ Manufacturer or Con S EEL CORPORATION Authorized By Date DALE 1f. SPEEDY Prolesslonal Welding Consultant WI"'" Qu4lifk.,;.", c; Cn'iJtr.,;." . M.,";," Tn/;II: 'nJUJlr'AJ hup<<,i." . l.NJtrU~t;w 0- NIIN-lHuruniw Tnli", WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD Type of Welder S"e( -,A w 77:> Name / Welding Procedure Specification No. Identification No. .> ~o .0 a- . / S- '3 J Date ~/ <:> Record Actual Values Used in Qualification Variables Processrrype (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) .1& v<- Backing (YES or NO) (5.16.18) Material/Spec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other 0- S?~I/ ;4 A Qualification Range F.?-.14 T -=f t; >: /~ 6n'! ~~ f 7Y k U:.n,,~.'J Type ~~~ VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.28.115.29.1) Result I Type ~~.t;~ Flllel Test ResuU. (5.28.215.28.3; 5.39.3/5.39.4) Appearance ~ Fillet Size Fracture Test Root Penetration,.q Macroetch (Describe the location, nature, and size of any crack or tearing of the specimen.) Result ~~g:~i~ea~i~~ 1?~/~ft~t;,::;r Test Number M~ d:l J Date .;< . ~ - 0 0 Film Identification Number RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification Results Number Results Remarks .A....-- ...0( .....-vA Interpreted by AA4 Test Number Organization .A/ ~ Date We, the undersigned, certify that the statements in this record are correct and that the test welds wer8jlrepared, welded, and t~sted in accordance with the requitwiQ~ Of&~Sj9I}.l:i,P"~~Bof ANSI/ AWS 01.1, ( 19' ~ ) Structural Welding Code-Steel d 1/"\IVIt"f\ f\Mf\L.uf\Mf\11: year Manufacturer or Contract STEEL CORPO~~ Authorized By/ 60 -- E a.... .AaA_ALJ ___I'O<<CNf Date "2. /5" / _ I , DALE 11. SPEEDY Professional Welding Consultant lIlY"'" Q.."lific.,;.", do Cn'if'IC.';." . M.,,,u,1t Tnt;"l /JuluJtr,.IJIIJjIK,i." . /.kurut',;"" 0- N.,,-rHuruniw uSlinS WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD Type of Welder .s ~ -,4 w rc::> Name - ...::::r-e> ;'1..$ ""~ Welding Procedure Specification No. ~ Identification No. ~ s: '3. oS oS. C.?S., , Date ~/?o Record Actual Values Used in Qualification Variables ProcessfType (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) Backing (YES or NO) (5.16.18) MateriaUSpec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other 0- s7~'/ ~ A Qualification Range F.?~T 7- ~ >; /~ C:.n/l ~~ f 7.Y k. 6.n"t!L:J Type ~ ~ ,~ VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.28.1/5.29.1) ResuU I Type ~r;:~;~ . Result Fillet Test Results. (5.28.2/5.28.3; 5.39.3/5.39.4) Appearance .A/ A Fillet Size Fracture Test Root Penetration A/J4 Macroetch (Describe the location, nature, and size of any crack or tearing 01 the specimen.) ~~::~i~ea~i~~ ~;.~ ~f~<-~'f!.s. T';;tNu;b'er Ihv.s f". LVi.# -yrr / 000 7 I Date 2 - S--c:> C> Film Identification ResuUs Number A.-cl A/A Interpreted by XA Test Number Organization _d Date We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and t~sted in accord ncewilh the require~liAf..seJt\iQ'l~,~!;l Cq,r..D..Pl.ANSI/AWS 01.1, ( 199 K ) Structural Welding Code-Ste I If\Mt'A f\Mf\L\jAMAII:U year Manufacturer or Co tractor Authorized B Date "Z.. RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification ResuUs Number Remarks "2./sI0r:::) DALE \f. SPEEDY Prolesslonal Welding Consultant w,IJ" Q....,iji'.';.HI tf Cn'iJlr.';.H . M.,,,u,/s "It;nt huJm",,,llmp<<,i.,, . lNJIrM,.,;"" cT N.".Deurlln;w u"in, WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD Type of Wel~ s.t-;:.:, - F1 u T?:> Name ho,. . w~~ Welding Procedure Specification No. ~ I Rev fZF Identification No. SJI- 4:2- 7"7.J:o , Date ~ 90 Record Actual Values Used in Qualification Qualification Range Variables Processrrype (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) Backing (YES or NO) (5.16.18) MateriaVSpec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other /G F.?I'IT v<- 'I 0- S?~ i4 r- ~ >: I'-J 6n;'J~!.f f 7.Y k.. ~n~ ~.'J Type ~:;:~ VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.28.1/5.29.1) Result I Type ..q'~::; C-".- . Result Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) Appearance ,A/A Fillet Size /V'~ Fracture Test Root Penetration .IV'" Macroetch /V?'f (Describe the location, nature, and size of any crack or tearing of the specimen.) ~~g:~i~ea~i~~ ~:f:-<- ~~~;f::r ~-D~~ . Test Number ~ tv::Ji / Date ,;z-S - 00 dw.s c-w11IIt.. Y I-IOQ 07/ Film Identification Number /V~ /1./.4. Results RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification Results Number Remarks Interpreted by Organization ~A Test Number Date We, the undersigned, certify that the statements in this record are correct and that the test welds w~re prepared, welded, and t~sted in accordance with the req~l{Iipfi ot.S~lipl}Q"p~ ~ of ANSI/ AWS 01.1, ( J L7 Y ) Structural ~~~-~~ I~~~~~MAI~U ~ Manufacturer or Con ractor ~ STEEL CORPORATION Authorized By 00- _ ~ 1 f"1:il~, ~ Date 'Z./s / c:o DALE \I. SPEEDY Prolesslonal Welding Consultant WtIJ" Q,udijit",i"", 6- CtT,i[lt",i"" . M",,,;,,,, r",i"l hu/UJ"",IIHljI<<ll.H . LN.lrU(I;", 0- NflH.DeJ""niw UII;1I1 Type of Welder Name Welding Procedure Specification No. WELDER. WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD .s. ~ -~urz:> Identification No. S Je:> - ''7..3 y ~ 'I Date (f; / 90 Record Actual Values Used in Qualification Qualification Range Variables ProcessfType (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) Backing (YES or NO) (5.16.18) MateriaVSpec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other F.?~T II 0- 57$:'" ~ r-t;>; /~ 6n~~~ f 7.Y k... t:.=.n~<<....'J Type ~C>O+ ..c...<::.- VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.28.1/5.29.1) Result I Type ~~:~ Result Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) Appearance .IV A Fillet Size Fracture Test Root Penetration ,A./ -IJ Macroetch (Describe the location. nature, and size of any crack or tearing of the specimen.) Inspected by Organization L:)A 1<- v: S~~ AAJ.< GLtA ~ 100 07 / Test Number ,c> S ~ I Date ~-~-c:::.C:l Film Identification Results Number A/A .A ,A Interpreted by .A/A Test Number Organization A/.A Date We, the undersigned. certify that the statements in this record are correct and that the test welds were pre~ared, welded, and t~sted in accordaJwith the requireI!tJlllt."'hS~li~IA~, .J'!flIt..cqc,Q.QlANSI/ AWS 01.1, ( J 1 '9 ~ ) Structural Welding Code-Steel 11'\1V1r"1'\ I'\M1'\L\.:.1f\Mf\1 t.U year Manuf~cturer or Contr tor ~:i.OR~I~~ Authorized By __ ~ C__ ____ D~e , I . Z/~/cso RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification Results Number Remarks BALE 11. SPEEDY Prolesslonal Welding Consultant WtlJn Q...ujk.,;.", do Cn'if<e.';.. . M.,ni41t Tnt;"l 'nJuJrrl.I/"'/I<<';." . lkJrrucl;w 6- N"".DIUI'..niw Ul';"1 Type of Welder Name Welding Procedure Specification N . WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD .s ~ -,4", 7?:> ~ Identification No. :.z tC C' 77' 0 -F r 7 , Date ~/9c> Record Actual Values Used in Qualification Variables ProcesslType (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) .lG V'- Backing (YES or NO) (5.16.18) Material/Spec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other 0- '5 ?s:"I/ :A A Qualification Range F.?/4T r- ~ >; 1'-7 6,,'1 ~~ f 7.>" k... 6:>n"",.'J Type ~;:- - VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.28.1/5.29.1) Result I Type %~~>;~ . Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) Appearance ./VA Fillet Size Fracture Test Root Penetration A/A Macroetch (Describe the location, nature, and size of any crack or tearing of the specimen.) Result Inspected by Organization Rw/~'{;, S'~~dOO71 . Test Number S' ,:e ~ / Date ;:2 -.s-. .0 C> Film Identification Number RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification Results Number Results Remarks .A/~ /V'ri Interpreted by Organization ~ ~ Test Number Date We, the undersigned, certify that the statements in this record are correct and that the test welds were prLed, welded, and tested in aCCOrd%Ce with the requirements of Secti on 5, Part C. or 0 of ANSI/ AWS 01.1, ( I s. 9 ) Structural Welding Code-Stee TAMPA AMALGAMATED year Manuf~cturer or Co tractor ~L~:t:..b...CORPORATION Authorized By -?' l:" ow Date / / Z/S-/OD DALE 11. SP~EDY Professional Welding Consultant Wt/J.. Q""'i/ic.,i.". ~ Cntific.,i.. . M.,..;..II "Jtin, IHJ"Jlrlall"'JIK'i." . lkJtru~/;W 0- N.,,-D~jlrun;w UJ/i"l WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD Type of Weld~ oS ~ -,4", 7C:> Name C've . ~ Identification No. Y3 or . <t'l' <:: /9..tt: Welding Procedure Specification No. ' Date G; / 90 Record Actual Values Used in Qualification Qualification Range Variables Process/Type (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) Backing (YES or NO) (5.16.18) MateriaVSpec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other F,?;tT 'I 0- S?s:" 74 7';;>; It, C~n/l ~~ f 7.Yk u:>n,,~.'J Type ~~;t VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.28.1/5.29.1) Result I Type ~~~~r Result Fillet Test Results (5.28.2/5.28.3; 5.39.3/5.39.4) Appearance ..AI' A Fillet Size Fracture Test Root Penetration /l.;' A Macroetch (Describe the location, nature, and size of any crack or tearing of the specimen.) Inspected by ~<<-/c.. v. ..:s~ ~ Organization ~..s C"V I .:Mr: I ~ "'7 I Test Number <:> ~.5.....d- I Date ::2. S--oc:::. Film Identification Number Results RADIOGRAPHIC TEST RESULTS (5.28.4/5.39.2) Film Remarks Identification Results Number Remarks /\/p.( A../A Interpreted by ~ Organization -;C;/-! Test Number Date We, the undersigned, certify that the statements in this record are correct and that the test welds jereJJ1-pared, welded, and tested in accordance with the requirements of Section 5, Part Cor D of ANSI/AWS D1.1, ( 9 r ) Structural Welding Code-Steel TAMPA AMALGAMATED year Manufacturer or Cont actor Authorized By Date '2:. DALE 11. SPEEDY Professional Welding Consultant Wt!Jn QlUllifitll,;.nl do Cn'ifltll';." . MII'nill" Tlst;"l InJu.tri41InJp<<lill,. . lk'trufl;W tf N.,,-D~J"ul't;W uJlint Type of Welder Name Welding Procedure Speci . ation No. WELDER, WELDING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD .s ~ -/1", 7?:> Identification No. S'7 S/. ~. ~o? / Date ~ / 90 Record Actual Values Used in Qualification Qualification Range Variables Process/Type (5.16.2) Electrode (single or multiple) CurrenVPolarity Position (5.16.5) Weld Progression (5.16.7) Backing (YES or NO) (5.16.18) Material/Spec. (5.16.1) Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Me'tal (5.16.3) Spec. No. Class F-No. Gas/Flux Type (5.16.4) Other /G F.?xT v<- J:: II 0- S?~ :A LI r- t;>; /~ 6n"~ f 7.>" i!... t:.:.n~<<-.'J Type ~ VISUAL INSPECTION (5.12.6 or 5.12.7) Acceptable YES or NO~ Guided Bend Test Results (5.26.1/5.29.1) Result I Type ~~::r;t .. Result Flllel Test Results (5.26.2/5.28.3; 5.39.3/5.39.4) Appearance ~ Fillet Size Fracture Test Root Penetration A Macroetch (Describe the location, nature, and size of any crack or tearing of the specimen.) Inspected by ~~(I ~t1'dLA Organization J4~<. C~I "-Jot. X'-~"""'o<.:tO? I Test Number t3 ",-::tI- J Date .:< . ~- O.e Film Identification Number Results RADIOGRAPHIC TEST RESULTS (5.26.4/5.39.2) Film Remarks Identification Results Number Remarks ~.,.c;I A/A ~ A./A Test Number Date Interpreted by Organization We, the undersigned, certify that the statements in this record are correct and that the test welds ~repared, welded, and tested in accordance with the requirements of Section 5, ~a.rt..c.PIB of ANSI! AWS 01.1, ( <;(') Structural Welding Code-Steel TAMPA AMALGAMi\1 t. year Manufacturer o~ctor ~~ORPORATION Authorized By -- ~ C J Date / I -z. IS-/OD J&M_STEEL 813'96381::""3 1-'.l.J2 .. Musselman IIYII IteeI Corporation P.O. Drawer 3281 1711 S. 20th Street. Tampa. Florida 33601 Phone (813) 247-3141 WELDER QUALIFICATION ,REPORT WELDER NAME Robert A. Charles DATE ___ April 7, 1992 SOC I AL SECUR J TV I~O I 261-.52-5170 . WELDING PROCESS SMAW FILLER METAL AW5 E7018 PLATE OR PIPE Plate BACKING Yes BASE METAL SPECIFICATION 'A36 WELDING POSITION 3 G FILLER METAL DIAMETER 1/8 THICKNESS 1" Plate TEST CONDUCTED By S. Wilson RADIOGRAPHIC TEST RESULTS FOR ALTERNATIVE QUALIFICATIONS OF GROOVE WELDS RADIOGRAPHIC RESULTS ~ / A #1 Side Bend Passed #2 Side Bend Passed FILLET WELD TeST ReSULTS FRACTURE TesT N / A MACRO TeST N / A VISUAL ____ N / A EMARKS: Welder qualifies j horizontal, and overhead. in SMAW for flat, Unlimited thi9kness. TEST CONDUCTED IN ACCORDANCE WITH: AlMS Dl.l f1USSEU1 T El. CORPORATION~ By: . AWS #86040274 J &t'I_STEEL 8133638883 1-'.l:J.::. .. Musselman ~ 81ft) Corporation P.O. Drawer 3281 1711 S. 20th Street. Tampo. Florida 33601 Phone (813) 247-3141 WELDER QUALIFICATION REPORT WELDER I~AME ,James R. Douds DATE ____ April 7, 1992 SOC I AL SECUR ITY I~O. 265....63-6112 '-. - WELDING PROCESS SMAW FILLER METAL AWS E7018 PLATE OR PIPE Plate BACKING Yes__ BASE METAL SPECIFICATION _ A36 TEST CONDUCTED By s. Wilson WELDING POSITION 3 G FILLER METAL DIAMETER 1/8 THICKNESS 1" Plate I RADIOGRAPHIC TEST KESULTS FOR ALTERNATIVE QUALIFICATIONS OF GROOVE WELDS HAD I OGRAPH I C RESULTS ti / A #l Side Bend Passed #2 Side Bend Passed FILLET WELD TEST RESULTS FRACTURE TEST N / A MACRO TEST N / A VIS~AL _____ N / A - EMARKS: Welder qualifies ) horizontal, and overhead. in SMAW for flat, Unlimited thickness. TEST CONDUCTED IN ACCORDANCE WITH: AWS D1.1 MUSSELM ~ S EL. CORPORA T ION By: . AWe:: iHlt:.nlln")"7<1 986758 -= / ::# q 19:J o PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-79111 CITY OF ZEPHYRHILLS ZEPHYRHIllS, FLORIDA OOS37; WATER ACeT. NO. DATE 9- ~7-0i. OWNER/ RENTER " ~~~s- 6- st-- ~.fij.&, F2 ~3:!Lt/1 SERVICE ADDRESS ! ~ 3:29 ~~ 73M. - ~ WATER o MAIUNG SHUT OFF SERVICE TURN ON SERVICE 'b< INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 o SEWER o GARBAGE K,IN CITY o OUT CITY ~ No. OF UNITS _ DEPOSIT AMOUNT /'/~8~ ~ _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE VlKlRK COMPLETED BY & DATE COMPLETED ORDER T.lU<EN BY ~ ~ Retain white form in office at all times. Send pink & yellow forms to Water Service Oept " Water Service Oept to sign yellow form & return to offICe. 37325 S.R. 54 W. · Zephyrhills, Florida 33541 (813) 782-0825 · FAX (813) 788-6773 ... IRONWORKERS LOCAL 397 P.O. Box 18 Mango, Fiorida 33550 Company IRONWORKERS LOCAL 397 Specification No. 9924 Welding Process SMAW Material Specification Thickness 3/8" (if pipe: diameter & vall thickness) Filler Metal LOW HYDROGEN Weld Metal Analysis Describe Filler Metal 7018 For oxyacetylene welding - state of filler Metal is silicoon or aluminum killed Date 4/1/99 Manual YES ASTM A36 WELDING PROCEDURE Single or Multiple Pass ~TIPLE Single or Multiple Arc SI~GLE posi tion of Groove 3G 4G WELDING TECHNIpUES Joint Dimensions Accord with AT,.JS D1. 1 B-U2 Amps 80-130 Volts 19-24 Inches Per Min 6-8 Current DC Polari tY DCRP FOR INFORMATION Filler Wire Diameter 1/8 Trade Name LINCOLN Type of Backing E 6010 Forehand or Backhand UP Welder I 5 Name ROBERT CHARLES Stamp or SSN 261-52- 5170 I certify that the statements in this record are correct and that the test velds were prepared, welded and tested in accordance with the requirements AWS D1.1-94 DATE 4/1/99 SIGNATURE~~~~~~ REDUCED SECTION TENSILE TEST . Dimensions I Ultimate Ultimate Un.it Character Specimen No. W1dth Th1ckness A.rea Total Stress,psi or Failure Load,Lb. & Location e and Fi ure No. 3G FACE 3G ROOT GUIDED BEND Result PASSED PASSED TESTS T e and 4G FACE 4G ROOT Fi ure No. Result PASSED PASSED Prepared Approved by ~A<1'/t: ~ ~~~ by -r=<<-~;fr ~~~~ Date 4/1/99 ,JJ~ '" '-"''-'.. ~--,- .....--- -.....--- --- WELDER, WEWING OPERATOR OR TACK WELDER QUALIFICATION TEST RECORD A WS DJ.I STRUCTURAL WEWING CODE Type of Welder, Weldl;r Name ..-E&h~.r:LClli!.rks--IdcJltificalion No ..lB:~,L).l~ Welding Procedure Specification No---CS.~s...Q1Q Rev____----Pale Witnessed by Others LA W Project No3.Q.U..Q.:S...:D..~J 1 Record Actual Values lJsed in Qualification Qualification Range Variables ProcesslType Electrode (single or multiple) CurrentIPolarity Position Weld Progression SMAW Sini1e DeEP 60 Up Single All except T.Y.K !lr Backing (YES or NO) MateriallSpec. Base Metal Thickness: (plate) Groove Fillet Thickness: (pipe/tube) C'Jtoove Fillet Diameter: (pipe) Groove Fillet Filler Metal Spec. No . Class Diameter F-No. Gas/FIux Type Flow Rate . No A~3 Gr A With or Without N/A N/A O,12S" to 0.674" QJlJ." to Unlimited Q,;UO" N/A !Ll2.LtQ 0 674" 0,125" 10 Unlimited 6" N/A 4" and above AlL- AWS AS.I E6010/E7018 0.125" / O.J.2L..... F3 I F4 N/A N/A Max, 0,156" 1'4 or lower 'tJ.LA VISUAL INSPECTION Acceptable YES [8J or NO Guided Bend Test Rr.sulls Type Result T)'pe Result Root Passed Face rnssed Root Passed Face Passed Fillet Test Results Appearance Fracture Test Root Penetration (Describe the location, nature, and size of any crack or tearing oflhe specimen.) Inspected by Organization Fillet Size ~ tac roetch Test Number Date Film Idenlllication Number RADIOGRAPIIIC TEST RESULTS Resul~ Remarks Test Number Date Inspected by Organiz..3tion We, the undersigned, certify that the statements in this record arc COlTect and that the lest welds wer: prepared, welded, and tested in accordance with the requirem-:nts of Section 5, Part C or D of ANSI/A WS D 1.1, (~) Structural Welding Code. Steel ~ ' .- , r, V..)':>-?(/.'L;:&.~- Copeland Stee Erectors 2-.s-Q)7 Dilte Date P,O Drow." 32811711 S. 20th St,.... TaMpo. Florldo 33601 Phone (813) 247.3141 WELDER QUALIFICATION REPORT WELDER NAME -:._ C;ha;:,les _ K Farley DATE SOCIAL SeCURITY No. __232 68 3843 f "-T WeLDING PROCESS SMAW FILLER rlETAl AWS E701~. I PLATE OR PIPE Pl&~ . u BACKING Y,I---- BASE MeTAL SPECIFICATION ____A36 TEST CONDUCTED By s. Wilson ..........."'-.......-..-...... .-.-- April 7, 1992 WELDING POSITION 3 G FrLl~R METAL DIAMETER --2!8 THICKNESS 1" ~l.~. -- RADlOGRAPHJC TEST ReSULTS FOR ~~ TERNATJ VE QuALI FICA TI ONS OF \JKOOVE \tL.DS , RADIOGRAPHIC Resul T5 _.___ U I A u Side Bend Pan.d *2 Side Bend Ptl...d FILLET WeLD TEST ReSULTS FRACTURE TeST ij '- A... MACRO TEST ~ I ~ VISUAL N I A . .' .I' -- EMARKS:welder qualifiea in SHAW for flat, horizontal, and overhead. Unlimited thickneea. I i fEST CONDUCTED IN ACCORDANCE WITH: MIS 01.1 ..<II. .If a CrJlPffiATl Cli lli--:- By: ta . , ...." f t .. Musselman' 11ft II8eI Corporation P.O. Drawer 3281 1711 S. 20th Street. Tampa. Florida 33601 Phone (813) 247.3141 WELDER QUALIFICATION REPORT WELDER NAME __James R. D~ud: SOCIAL SECURfTY NO. 265~63-6112 ~.. ~... WELDING PROCESS SMAW FILLER METAL AWS E7018 PLATE OR PIPE Plate BACKING Yes____ BASE liE TAL $PECIF 1 CATION _ A36 TEST CONDUCTED By s. Wilson It1 Side Bend Passed #2 Side Bend Passed . / "REMARKS: Welder. qualifies in SMAW for flat, horizontal, and overhead. Unlimited thickness.. EST CONDUCTED IN ACCORDANCE WITH: AllIS 01.1 . DATE April 7, 1992 WELDING POSITION FILLER METAL DIAMETER T HI CKNESS 1" Plate 3 G 1/8 RADIOGRAPHIC TEST RE~ULTS FOR ALTERNATIVE QUALIFICATIONS OF GROOVE WELDS : RADIOGRAPHIC RESULTS ____ ij J A FILLET WELD TEST RESULTS FRACTURE T~ST N ~ A MACRO TEST N / A VI SUAL _ N I A By: f1USSEL I\r.TC UOC."An"'~A ! i ,-( J & M STEEL COMPANY 14028 Wokott Dr. Tampa, FL 33624 ~ I 3 -1 (, 3.- tJ ~o ~ .J T .J .f <.) I , J.& M STEEL COMPANY 14028 Wokott Dr. Tampa, FL. 33624 ~ I >-'H.. "3 -~ 3 'IPJ~ - r../&f7 ~ ~'-~ ~~1t. .- ...;l12 - (l/j~ . ~ 'v 4c i.-vU. L~. a.'., - tl't..Jl~ .,. J & M STEEL COMPANY 14028 Wok6tt Dr. . Tampa. FL. 33624 '7/17 - 3)<=)<6 ~~'.. J & M STEEL COMPAtN 14028 Wokott Or. Tamna. FL. 33624 "f-/ig - "{1? " ~~~~ ~- '-'~- ,t .- ------ - .....-. ....,............ -~~,.---_.._~--.....\-'_. ......--_.,~~~..........- -,-.-.~.-'4~ , ~ " T .c. ,) & M STEEL COMPANY 14028 W01cOtt Dr. Tampa. FL. 33624 IJ-A--$ ~I/ iZW::> 6 0 r ~ .~ () Hit. C l' /1-1 ,':>14;v '1' S" N C r;- aiA/ti.-I': Ie AT/ 0 rJ 'P4~ Lf} , J'11 ~ &.~ a fl4:::::j;i~J --' ~.,;''';:;. i HERNASCO TESTING LAHORA TORY, INC. 2 CHR 7:14 Materials Testing and Engineering I JOHN 5:13 P.O. Box 5267 Hudson, Florida 34674 (727)856-5565 (352)596-1092 FAX (727)856-0020 Report No.: 007.25686 Date of Issue 1: 3/7/2000 Issue 2: 3/28/2000 Issuo 3: 3/28/2000 Issue 4: Hold COMPREHENSIVE STRENGTH OF CONCRETE TEST CYLINDERS To: Ryman Construction CC: Ryman Construction 37325 S. R. 54 West Zephyrhills, FI. 33541 Project: Florida Eye Care & Cataract Center Location: Zephyrhills, Florida Contractor: Ryman Construction Supplier: Southdown, Inc. CONCRETE DESIGN DATA Specified Strength: 3000 p.s.i. FIELD AND LAB DATA Air Temp: N/a of Truck No. 189 Delivery Ticket No. 717792 Location of Pour: Interior Column Pads Time Co/,!crete was Sampled: 10 c.y. 1 :55 p.m. Slump: Time Concrete was Batched: 1 :25 p.m. Size of Load: 3.75 inches. Air Content: N/a percent. Molding. Field Tests, and Field Data by: Mike Deery Representing: Hernasco Testing Lab., Inc. CURING METHOD: LAB CYLINDERS WERE MADE AND CURED ACCORDING TO ASTM C-31. CYLINDERS TESTED ACCORDING TO ASTM C-39. COMPREHENSIVE STRENGTH CYLINDER DATE DATE DATE AGE (DAYS) TOTAL TEST TYPE OF SPECIMEN IDENTIFICATION MOLDED RECEIVED TESTED LOAD (LBS) STRENGTH FRACTURE SIZE SPECIMEN IN LAB IPS I) (HT. & DIA) 1 2/29/2000 2/29/2000 3/7/2000 7 84,000 3040 1 6 x 12 2 2/29/2000 2/29/2999 3/28/2000 28 113,000 4080 2 6 x 12 3 2/29/2000 2/29/2000 3/28/2000 28 111,500 4030 2 6 x 12 4 2/29/2000 2/29/2000 Hold 6 x 12 AVERAGE STRENGTH 28-DAY SPECIMENS REMARKS: LEGEND 1=CONE 2=CQNE- SI:IEAR 3=SHEAR 4=SPLlT Tested By: Mike Deery Report By: Robin Percell ....-----U"II" ~'Ihmittp.d Hernasco Testing Lat>..,. Inc. Hernasco Testing Laboratory, Inc. Materials Testing and Engineering PO Box 5267 Hudson, FL 34674 (813) 856-5565 - (Fax) 856-0020 /JOHN 5.'13 Bill to: RYMAN CONSTRUCTION, INC. 37325 S.R. 54 WEST ZEPHYRHILLS, FL 33541 Bill/or: Gall Blvd., Zephyrhills, Florida Project: FL EYE CARE & CATARACT CTR. I Invoice Number 1329 LabNo Quantity Work Performed Unit Price Extended Price Date Reponed Date Tested 25766 4 Nuclear Density $16.00 $64.00 3/24/00 3/23/00 25766A 2 Travel Time $35.00 $70.00 3/24/00 3/23/00 Summary for 'Invoice' = 1329 (2 detail records) Amount Due: I $134.00 I Plell,\e write illl'Oiee 1I11mher Oil elled. to e/l.\lIre credit for [111)'mellt... TlulIIJ. Yo II. RECEIVED ftAH 3 0 lUUU ~~OAIZEO 1'() ~AV _ Friday, March 24, 2000 Page I of I 2 eHR 7: f.I HERNASCO TESTING LABORATORY, INC. Materials Testing and Engineering p.a.Box 5267. Hudson, Florida 34674 (727) 856-5565 · (352) 596-1092 . FAX (727) 856-0020 I JOHN 5:/3 Job No: Sampled By: Date Sampled: Date Reported: 007-25766 James Christensen 3/23/2000 3/24/2000 Project: Location: Client: Material: Sampled From: Florida Eye Care & Cataract Center Gall Blvd., Zephyrhills, Florida Ryman Construction Existing Soil Compacted Soil in Column Pads FIELD DENSITY DATA LOCA nON Drive through column pads DRY DENSITY PERCENT MOISTURE PERCENT DENSITY PROCTOR USED Northwest Column Pad 109.6 5.4 97.3 112.7 Southwest Column Pad 107.2 5.1 95.1 112.7 Southeast Column Pad 110.0 5.2 97.6 112.7 Northeast Column Pad 107.4 5.0 95J 112.7 c: Ryman Construction (2) JEC/rjp ~~:p; JamesC. Tippens, P.E. # 12217 3/24/2000 27QO Bayshore Bh'd. # 561 Dunedin, Fl. 34698 2 eHR i: f.I Job No: Sampled By: Date Sampled: Date Reported: HERNASCO TESTING LABORATORY, INC. Materials Testing and Engineering P.O.Box 5267. Hudson, Florida 34674 (727) 856-5565. (352) 596-1092. FAX (727) 856-0020 007-25766 James Christensen 3/23/2000 3/24/2000 LOCA TION Drive through column pads Northwest Column Pad Southwest Column Pad Southeast Column Pad Northeast Column Pad c: Ryman Construction (2) JEC/rjp Project: Location: Client: Material: Sampled From: I JOHN 5.'13 Florida Eye Care & Cataract Center Gall Blvd., Zephyrhills, Florida Ryman Construction Existing Soil Compacted Soil in Column Pads FIELD DENSITY DATA DRY DENSITY 109.6 107.2 110.0 107.4 PERCENT MOISTURE 5.4 5.\ 5.2 5.0 /~ PERCENT DENSITY PROCTOR USED 97.3 112.7 95.1 112.7 97.6 112.7 95.3 112.7 James C. Tippens, P.E. # 12217 3/24/2000 2700 Bayshore Blvd. # 561 Dun~din, Fl. 34698 Hemasco Testing Laboratory, Inc. Materials Testing and Engineering PO Box 5267 Hudson, FL 34674 (813) 856-5565 - (Fax) 856-0020 I JOHN 5:13 Bill to: RYMAN CONSTRUCTION, INC. 37325 S. R. 54 WEST ZEPHYRHILLS, FL 33541 BilIlor: Gall Blvd., Zephyrhills, Florida Project: FL EYE CARE & CATARACT CTR. I Invoice Number 1329 LabNo Quantit}' Work Performed Ullit Price Extellded Price Date Reported D.:z/c Tested 25766 4 Nuclear Density $16,00 $64.00 3/24/00 3/23/00 25766A 2 Travel Time $35.00 $70.00 3/24/00 3/23/00 Summary for 'Invoice' = 1329 (2 detail records) Amount Due: $134.00', PICIHC writc illl'oicc IIl1mher Oil chcc/i. to C1I\IIrc crct/it/or pllJ'JIIC/If... rtUIII/i. YOII. Friday, March 24, 2000 Page 1 of I 2CHR 7'14 Job No: Sampled By: Date Sampled: Date Reported: LOCA nON Footer Bottoms: If 1/ r5 HERNASCO TESTING LABORATOR~ INC. Materials Testing and Engineering p.a.Box 5267. Hudson, Florida 34674 (727) 856-5565. (352) 596-1092. FAX (727) 856-0020 007-25681 James Christensen 3/1/2000 3/6/2000 Project: Location: Client: Material: Sampled From: I JOHN 5:/3 Florida Eye Care & Cataract Center Gall Blvd., Zephyrhills, Fl. Ryman Construction Subgrade Soil Compacted Footer Bottom PERCENT MOISTURE Northwest Comer going Northeast to Southeast to Southwest in 75' intervals 75' 150' 225' 300' 375' 450' 525' FIELD DENSITY DATA DRY DENSITY 107.2 108.9 110.1 109.4 108.5 107.2 109.0 C: Ryman Construction JEC/rjp 5.0 5.3 7.2 6.1 5.2 5.4 5.7 PERCENT DENSITY 95.1 95.5 96.6 96.0 95.2 95.1 96.7 112.7 114.0 114.0 114.0 114.0 112.7 112.7 2CHR 7:14 HERNASCO TESTING LABORATORY, INC. Materials Testing and Engineering p.a.Box 5267. Hudson, Florida 34674 (727) 856-5565 · (352) 596-1092 . FAX (727) 856-0020 /JOHN 5:/3 Job No: 007-25680 Project: Florida Eye Care & Cataract Center Sampled By: James Christensen Location: Gall Blvd., Zephyrhills, Florida Date Sampled: 2/28/2000 & 2/29/2000 Client: Ryman Construction Date Reported: 3/6/2000 Material: Subgrade Soil Sampled From: Compacted Soil in Column Pads FIELD DENSITY DATA DRY PERCENT PERCENT PROCTOR LOCA TION DENSITY MOISTURE DENSITY USED Column Line A 1 109.9 6.8 96.4 114.0 2 109.3 5.1 95.9 114.0 3 108.3 5.7 95.0 114.0 Column Line B 1 109.2 9.1 95.8 114.0 2 108.4 5.6 95.1 114.0 3 109.0 6.3 95.6 114.0 Column Line C 1 108.9 6.1 95.5 114.0 2 108.5 5.0 95.2 114.0 3 (Failure) 103.5 5.1 90.8 114.0 3 (Recheck) 109.1 9.8 95.7 114.0 Column Line D 1 108.4 5.7 95.1 114.0 2 108.8 5.2 95.4 114.0 3 108.0 5.6 95.8 112.7 4 (Failure) 102.9 5.0 91.3 112.7 4 (Recheck) 107.1 7.2 95.0 112.7 Column Line E 1 107.6 5.0 95.5 112.7 2 107.3 5.1 95.2 112.7 3 107.4 5.5 95.3 112.7 4 107.3 5.9 95.2 112.7 c: Ryman Construction JEC/rjp ~Ct.\\j~\) . ~ .\\ L\)~V ..\{ \ \.\ " ~ ,..~ ----- -raPfl' n , RYMAN CONSTRUCTION FLORIDA EYE CARE AND CATARACT CENTER SQ. FEET PRICE MAIN OR LIVING AREA 11 , 152 $ 65.00 OTHER AREA UNDER ROOF 1,200 $ 22.00 GARAGE 403 $ 22.00 VALUATION $ 760,146.00 FEE SHEET $ 2,192.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 3,328.00 CREDIT: $ - BUILDING LESS CREDIT: $ 3,328.00 ELECTRICAL: $ 338.10 PLUMBING: $ 145.00 MECHANICAL: $ 430.00 RADON: $ 127.55 TOTAL $ 4,368.65 SEWER: $ 12,460.50 WATER: $ 3,412.50 TOTAL: $ 15,873.00 1 1/2" WATER METER:l $ 650.00 l T1F'S: $ 35,177.25 99% $ 34,825.48 1% $ 351.77 TOTAL: $ 56,068.90 I CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET " . ORD. #395/RESOLUTIONS 3121372 WATER $1.75 GAL. SEWER $6.39/GAL 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 Machine-Commercial Size $ 350.00 $ 1,278.00 Washing Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 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 SINKS 50 26 $ 2,275.00 $ 8,307.00 $ 10,582.00 WATER CLOSETS 75 6 $ 787.50 $ 2,875.50 $ 3,663.00 URINALS 50 $ - $ - $ - LAVATORIES 25 6 $ 262.50 $ 958.50 $ 1,221.00 TUB/SHOWERS 50 $ - $ - $ - WASH. MACH. COMM. 560 $ - $ - $ - WASH. MACH DOM. 200 1 $ 87.50 $ 319.50 $ 407.00 DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PERlST ALL 1000 $ - $ - $ - IRRIGATION METER SUB-TOTAL $ 3,412.50 $12,460.50 $ 15,873.00 1 1/2" WATER METER $ 650.00 IRRIGATION METER IRRIGATION CONNECTION FEE GRAND TOTAL $ 16,523.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE 1/14/00 .,\~ /' f-\ V , ~c-rP~L- L d \1) \,...-\ I ~c.; ;/) f I'-~!~>T 100l{'~~J1N ~ t.;.,," ':) . (;-AL~ ~L.\fp. /Io/~ .". SQ. FEET PRICE MAIN OR LIVING AREA "1152- (05. c C OTHER AREA UNDER ROOF '.2DO Z2. DU . OTHER ~ G-Aflp. 6E- 103 22. .. BUILDING: ELECTRICAL: s5ir. fCJ PLUMBING: 1450U MECHANICAL: tf 30. ~'V 11.175"5 ~. r+ RADON: /2.1 .5-? CREDIT: rJJA S.l'l~S -= 2.<0 - ~ LAVS =- <D '. ~Wfl, it. - I L - I J .- I 'lit WVl''l/Ut. VV1IiT~ '? t~Gs.,,"n"'N MtLT* SEWER: WATER: TOT AL: J 2., 155 51 F. ~ 2.,15((, ~ T.I.F',S 35 /77.2'5 Ilo15X 27SQ_u0 'l RYMAN CONSTRUCTION FLORIDA EYE CARE AND CATARACT CENTER --' - - --.-- -- .-- -~-- -.-,_. ~ J.--- SQ. FEET PRICE MAIN OR LIVING AREA 11,152 $ 65.00 OTHER AREA tlNOER ROOF 1,200 $ 22;00 GARAGE 403 $ 22.00 VALUATION $ 780,146.00 FEE SHEET $ 2,192.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 3,328.00 CREDIT: $ - BUILDING LESS CREDIT: $ 3,328.00 ELECTRICAL: $ 338.10 PLUMBING: $ 145.00 MECHANICAL: $ 430.00 RADON: $ 127.55 TOTAL $ 4,368.65 SEWER: $ 12,460.50 WATER: $ 3,412.50 TOTAL: $ 15,873.00 1 112" WATER METER:I $ 650.00 I TI F'S: $ 35,177.25 99% $ 34,825.48 1% $ 351.77 TOTAL: $ 56,068.90 I CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #3951RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.391GAL 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 Lavatorv $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washing Machine-Commercial Size $ 350.00 $ 1,278.00 Washing Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 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 SINKS 50 26 $ 2,275.00 $ 8,307.00 $ 10,582.00 WATER CLOSETS 75 6 $ 787.50 $ 2,875.50 $ 3,663.00 URINALS 50 $ - $ - $ - LAVATORIES 25 6 $ 262.50 $ 958.50 $ 1,221.00 TUB/SHOWERS 50 $ - $ - $ - WASH. MACH. COMM. 560 $ - $ - $ - WASH. MACH DOM. 200 1 $ 87.50 $ 319.50 $ 407.00 DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - IRRIGATION METER SUB-TOTAL $ 3,412.50 $12,460.50 $ 15,873.00 1 1/2" WATER METER $ 650.00 IRRIGATION METER IRRIGATION CONNECTION FEE GRAND TOTAL $ 16,523.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE 1/14/00 IIIII~ 1111111111111111111111111111111111111111111 00010078 ."" State of FLORIDA County of Rcpt: 387195 DS: 0.00 f) 01/27/00 IIItSto Rec: IT: 6.00 0.00 Dpty Clerk NO'l'ICE OF COMMENCEMEN'l' THB UNDERSIGNED hereby gives notice that improvement will be made to c3rtain real property, and in accordance with Chapter 713, Florida Statutes, the follo\.\ring inforrilation is provided in this Not.ico of Commence'lIlelll:: 1. Oeser. ipt ion of Property: Parce J No .tl8 ..:-- i!.. ~__~_~ 1-:.._(1 () cJo ":'-CJ t:Jt1c:JtJ ---0'0/0 (Legal description of the property and street address i~ available) General Description of Improvement f\levv 0ff1l6 6VIL{)/IVb JED PITTMAN, PASCO COUNTY ClERK 01/27/00 08:40a. 1 of 1 OR BK 4301 P6 476 2 . 3\\ , ~ . 'r..L '-AT'" ~ ./ V~^ - ~r+:r; 1Ccw~", JI1\1)+11$6()c. PI} . Owner Informat\on: Name :::>,VrT , v ~ " llddress 3~)"-"'33 Ofh)6H~ fLO City ~r~,IIJ State ~&SllC> Interest in Pr.operty: Name of Fee Simple Tilfleholder: (If other th~n owner) , Address City State R.-'" N ~,;L . Contractor: Name HYMAN CONSTHIJCTJON. INC. Address 37325 S.H. 54 WEST City ZEPHYRHILLS SL"!te FL 335-11 5. Surety: Name City STArE OF-FLORIDA ------ COUNTY OF PASCO S ta te II1IS IS TO CERTIFY TRUE AND CORAEcr COpy o~~~r/HE FOREGOING IS A OR OF PUBLIC RECORD IN THISH. O~ON FILE HAND FF/CIAL SEAL T ' IT ESS MY H, AY OF Address Amount of Bond: $ 6. Lender: Name Address City CUlT COURT D?~rERK 7 . Persons within the State of Florida notices or other doculIlents may be 713.13(1)(a)(7), Florida Statutes: designated served as by OItJiler upon whom provided by Section Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.l3(1)(bl, Florida Statutes. 9. f,xp.irl:lt.ion date ot NotIce of Commencement. (the expIration date is 1 year fr?m the date of recording unless a different date is specified.) Signature of Owner: me this f;;rJ:k day of ~ Sworn to and ~00fD . 'b~&~ .0 ,6 ~it . My Commission Expires: *u: * ~~ "" ft r.-.'J'7t ~'" ~.". Ex...... M... 31, 2000 ~ OF FlO," Notclry Publ ic : (727)856-5565 HERNASCO TESTING LAHORA TORY, INC. Materials Testing and Engineering P.O. Box 5267 Hudson, Florida 34674 (352)596-1092 S' L~G 2 CHR 7.'14 I JOHN 5:13 P(((I'^I'1..tf'1195 FAX (727)856-0020 Report No.: 007.25751 Date of Issue 1: 3/28/2000 Issue 2: 4/18/2000 Issue 3: 4/18/2000 Issue 4: Hold COMPREHENSIVE STRENGTH OF CONCRETE TEST CYLINDERS To: Ryman Construction CC: Ryman Construction 37325 S.R. 54 West Zephyrhills, FI. 33541 Project: Florida Eye Care & Cataract Center Location: Gall Blvd., Zephyrhills, Florida Contractor: Ryman Construction Supplier: Southdown, Inc. CONCRETE DESIGN DATA Specified Strength: 3000 p.s.i. FIELD AND LAB DATA Air Temp: N/A of Truck No. 144 Delivery Ticket No. 724887 Location of Pour: Slab 30' North & 40' West of Southeast Corner of Building Time Concrete was Sampled: . . , . . ,t... 9:00 a.m. Time Concrete was Batched: 7:30 a.m. Size ofload: N/A c.y. Slump: 4.50 inches. Air Content: N/A percent. Molding, Field Tests, and Field Data by: Mike Deery Representing: Hernasco Testing Lab., Inc. CURING METHOD: LAB CYLINDERS WERE MADE AND CURED ACCORDING TO ASTM C-31. CYLINDERS TESTED ACCORDING TO ASTM C-39. COMPREHENSIVE STRENGTH CYLINDER DATE DATE DATE AGE (DAYS) TOTAL TEST TYPE OF SPECIMEN IDENTIFICATION MOLDED RECEIVED TESTED LOAD (LBS) STRENGTH FRACTURE SIZE SPECIMEN IN LAB (PSI) (HT. & DIA.) 1 3/21/2000 3/22/2000 3/28/2000 7 65,000 2350 3 6 x 12 2 3/21/2000 3/22/2000 4/18/2000 28 97,000 3500 3 6 x 12 3 3/21/2000 3/22/2000 4/18/2000 28 97,000 3500 2 6 x 12 4 3/21/2000 3/22/2000 Hold 6 x 12 AVERAGE STRENGTH 28-DAY SPECIMENS REMARKS: LEGEND 1=CONE 2=CONE ~ SHEAR 3~SHEAR;~' ' 4=SPlIT (727)856-5565 HERNASCO TESTING LABORATORY, INC. Materials Testing and Engineering P.O. Box 5267 Hudson, Florida 34674 (352)596-1092 SLA~ P 6/l ~It',.# q}qJ I JOHN 5:13 2 CHR 7:14 FAX (727)856-0020 Report No.: 007-25752 Date of Issue 1: 3/29/2000 Issue 2: 4/19/2000 Issue 3: 4/19/2000 Issue 4: Hold COMPREHENSIVE STRENGTH OF CONCRETE TEST CYLINDERS To: Ryman Construction CC: Ryman Construction 37325 S.R. 54 West Zephyrhills, FI. 33541 Project: Florida Eye Care & Cataract Center Location: Gall Blvd., Zephyrhills, FI. Contractor: Ryman Construction Supplier: Southdown, Inc. CONCRETE DESIGN DATA Specified Strength: 3000 p.s.i. FIELD AND LAB DATA Air Temp: N/A of Truck No. 189 Delivery Ticket No. 725459 Location of Pour: Slab - 49' North & 7' East of Southwest Corner of BUilding Time Concrete w~s Sampled: 8:50 a.m. Time Concrete was Batched: 8:20 a.m. Size of Load: 10 c.y. Slump: 4.75 inches. Air Content: Molding, Field Tests, and Field Data by: Mike Deery N/A percent. Representing: Hernasco Testing Lab., Inc. CURING METHOD: LAB CYLINDERS WERE MADE AND CURED ACCORDING TO ASTM C-31. CYLINDERS TESTED ACCORDING TO ASTM C-39. COMPREHENSIVE STRENGTH CYLINDER DATE DATE DATE AGE (DAYS) TOTAL TEST TYPE OF SPECIMEN IDENTIFICATION MOLDED RECEIVED TESTED LOAD (LBS) STRENGTH FRACTURE SIZE SPECIMEN IN LAB (PSI) (HT. & DIA.) 1 3/22/2000 3/23/2000 3/29/2000 7 71,000 2570 3 6 x 12 2 3/22/2000 3/23/2000 4/19/2000 28 104,500 3780 1 6 x 12 3 3/22/2000 3/23/2000 4/19/2000 28 104,000 3760 2 6 x 12 4 3/22/2000 3/23/2000 Hold 6 x 12 AVERAGE STRENGTH 28-DAY SPECIMENS REMARKS: LEGEND 1=CONE 2;"CONE ~ SHEAR' 3=SHEAR 4=SPLlT