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HomeMy WebLinkAbout01-0535 BUILDING PERMI1N2 05'35 LleJ,f- , ')715. o~ BUILDING [;,;I(.:!: ~ , 'S'" ',' ,---1", ll~ , V --, - ELECTRICAL CITY OF ZEPHYRHILLS (813) 788~6611 L-RL1. 'It- -. ,;00- C",:.,J 51;~ .- PLUMBING Permit L;... ~(.I.' ~ . - , "'~"i} ~ ~I,) . - MECHANICAL Date ? ~( I U 1 - r ~ A /. I Property Owner: f;ci:> t ~4 ~(.(J 11/1<li.~1<-4 Job Address: 7D5",-, (.("ll (?j vel ' Parcell.D. # S S-" :1 '5" 1 / - '. -.f () 0-)-,,)0 ~ C~h k~ J..-.,{ i:~ Sewer Conn Iv ; )14, ~ Water Conn: j, 's ,)0 ,)~ Water Meter: ~ ~ .-~ '71 j , ,Z T.I.F.'s: ::, I "_ D' ) OCil> #' :u f1g '}. rp/l Zoning: Descriotion of Work Radon Gas: . 1 r ~ 1 '" ,"'l NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# Permit Fee Signature Company Addres~ Telephone# HJ6 Valuation or Contract Price l. 5?{. [,c.v. t~ I ., . .:32'.2 / ;;;t. {- -vl f'cY[ , L~. /" r '_ ;j r' (,.., , .\ ,~ . A Pi, !!'Ie. ELECTRICAL I') 1.. ~"'fl~/ (11L:-(L r PLUMBINGS ;~ .s i~t''''r.l/ ~ (C ~ MECHANICAL)) L -, r' BUILDING :",1I-f '-1 Ftr. Tp. Servo ~l;.B rJ. Pre SLB 10 -.3 -0/ S,e _ Hb'l6'h~n/:f-ir.:c~ Mi.. /fjO n-t~~ ~/l--~-.~bA Lf JfJlJ Lintel Meter Can Water :P1fCT.F~iII.i.I-'7-0i hI( J '. FRM. ./ ;,}~ /4-0.:2.. R.i.-It If'JoConst. Pole Sewer Insul. CL Pool Final/~-.:2.."o'.l Rtf I'" () WL Pre-MetEY' 11 Final /Cj -2JI-f)-;J.. ,a '1, J/Ji> "? ~:.--{ ;) - 0... s:. ... ;).../Ub Driveway P4r/,;,.,fflt< .3 -S- -0;1... t2t.'j /levI/1=' aE'"I~/AJ:;.- - /O{.:J/O I ~ f3 ~'J tLr./;:/ ~,~_ :2-2~""'D ~ jh'Oj #& I'" cP-dS-t);:L, I/,T(.) ,....-..REiN~PEC.,.ION FEES: Wnen extra inspection trips are necessary due to anyone of the following reasons, a ...fh~!, oj, Twenty Five and 00/100 Dollars ($25.00) shall b.; ma~e.fo~ach trip for each trade: r~ r~ 3~S~O;;' ~Lt 11:1'0 ~ ~~ ~_ 'V-/!>-2 /~~/'€'~,Y 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. Breakers Ducts Insl. Compressor Final v7-:L& -~.2 Rty /-1:;-0 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. !-j-:J4-0d {~tewJoo - ~LY ~ - 3~(J:Z r ~~ ~yy\L t>>m/tx; - !!:ro; pc y REVISION NO.9 SEPTEMBER 21,2001 DIAGNOSTICS ADDITION - PHASE II & III EAST PASCO MEDICAL CENTER ZEPHYRHILLS, FLORIDA ESa PROJECT NO. 99087.00 STANLEY D. LINDSEY AND ASSOCIATES, LTD. 1801 WEST END AVENUE, SUITE 400 NASHVILLE, TN 37203 This Revision forms a part of the Contract Documents and modifies the original Bidding Documents, dated April 13, 2001, as outlined here in addition to being shown on the drawings as Delta 9, dated September 21, 2001: CHANGES TO THE DRAWINGS SHEET S1.01 - FOUNDATION PLAN 1. Modify plan to show slab depressions and details at MRI suite as shown on sketch SSK-4 dated September 21, 2001, Delta No.9. 2. Modify plan to remove note about slab in MRI suite. SHEET S2.02 - SECTIONS AND DETAILS 1. Modify detail 1/S2.01 to include slab-on-grade information in MRI suite as shown on sketch SSK-5 dated September 21, 2001, Delta No.9. 2. Add detail 5/52.02 for step in slab at 12" thick MRI slabs as shown on sketch SSK-6 dated September 21, 2001, Delta No.9. 3. Add detail 7/52.02 for step in slab-on-grade as shown on sketch SSK-7 dated September 21, 2001, Delta No.9. END OF REVISION o{/ ~ \0'\ '" \.-v .1\ SLAB EDGE CONDITION SIMILAR TO 11/S2.01 TYP. '----1 I I I I i]~l I I I I L____-.J F9.0 ,/~ ~~~v1t~ S STANLEY D. LINDSEY ~ AND ASSOCIATES LTD. u I: STRUCTURAL ENGINEERS T N ASH V IL L E . TEN N E SSE E U Project Number 100127.10 HE OF'F'ICES 1104 ATLAloIT A. .JACKSON. LEXINGTOIo4 LOUISVILLE. MEMPHIS. TAMPA AloIO OALAloIOO Project EAST PASCO MEDICAL CENTER Diagnostics Shell Addition Phase II & Phase III ZEPHYRHILLS, FLORIDA Project No. Date 100127.10 &21101 Reference Sheet Sheet No. S1.01 Location Architect Earl Swensson Architects, Inc. SSK-4 11 I:~:~~I ~ N 9 4000psi SLAB REINF. wi . ~IWF 6x6-W2.9xW2.9 LOW MOISTURE GRANULAR FILL COL. BASE PL. AND ANCH. BY VENDOR DWG'S. EXIST. EDGE OF SLAB SEE 11/S2.01 #4@12" 4-#4 . SHIELDING PLATE BY VENDOR DRAWINGS #4@18" EACH WAY TOP & BOTTOM CENTERED IN WALL 2x4 KEY 4'-0" /:: "''>. "",,\:; SECTION AT M.R.!. PIT -1l~\v~\~ 5 STANLEY D. LINDSEY ~ AND ASSOCIATES LTD. u I::: STRUCTURAL ENGINEERS T N ASH V IL L E. TEN N E SSE E U Project Number 100127.10 R OFFICES III ATLAIlT A. .JACKSOIl. LEXIIlGTOIl E LOUISVILLE. ...E...PHIS. T.....PA >>40 ORL>>400 Project EAST PASCO MEDICAL CENTER Diagnostics Shell Addition Phase II & Phase III Project No. 100127.10 Date 9IW1 Location ZEPHYRHILLS, FLORIDA Reference Sheet Sheet No. S2.02 Architect SSK-5 Earl Swensson Architects, Inc. 6'-0" NOTE: SEE 1/S2.01 FOR SLAB INFORMATION NOT SHOWN *4~12"c/ c 24" ~ 2-*4 CONT. z <( --.I 0.... W W (/) . 2x4 KEY SECTION @ DEPRESSED MRI SLAB /r/ }..11 -1 y~\V'~ 5 STANLEY D. LINDSEY ~ AND ASSOCIATES LTD. u c: STRUCTURAL ENGINEERS T N ASH V IL L E. TEN N E SSE E U Project Number 100127.10 RE OF'F'ICES IN ATLNolTA, .JACKSO.... LEXINGTON LOUISVII..LE. ...E",PHIS. T.....PA NolO ORL"""OO Project EAST PASCO MEDICAL CENTER Project No. Date Diagnostics Shell Addition 1 00127.1 0 "'" A ....1 Phase II & Phase III ;:y",...v Location Reference Sheet Sheet No. ZEPHYRHILLS, FLORIDA S2.02 Architect SSK-6 Earl Swensson Architects, Inc. Z W<( W ---l U10.... 0_ 1-- -co Co"- I- C'\l WWF .4~12" MAX. CONT. (2 -MINJ dz w<( U1---l 0.... I- TYP. DEPRESSED SLAB ON GRADE DETAIL 5 STANLEY D. LINDSEY ~ AND ASSOCIATES LTD. u I: STRUCTURAL ENGINEERS T N ASH V IL L E . TEN N E SSE E U Project Number 100127.10 RE OF'F'ICES 11-4 ATL>>4T A. .JACKS01-4. LEXI1-40T01-4 LOUISVILLE. ...E",PHIS. T......PA >>40 ORLAlolOO 24" .4~12~ CONT. 2x4 KEY WI WATERSTOP · dLl-k Project EAST PASCO MEDICAL CENTER Diagnostics Shell Addition Phase II & Phase III Location ZEPHYRHILLS, FLORIDA Architect Earl Swensson Architects, Inc. Project No. 100127.10 ~// \, \ 11\1/"- Date 912401 Reference Sheet Sheet No. S2.02 SSK-7 REVISION NO.9 SEPTEMBER 21.2001 DIAGNOSTICS ADDITION - PHASE II & III EAST PASCO MEDICAL CENTER ZEPHYRHILLS. FLORIDA ESa PROJECT NO. 99087.00 STANLEY D. LINDSEY AND ASSOCIATES. LTD. 1801 WEST END AVENUE. SUITE 400 NASHVILLE. TN 37203 This Revision forms a part of the Contract Documents and modifies the original Bidding Documents, dated April 13, 2001, as outlined here in addition to being shown on the drawings as Delta 9, dated September 21, 2001: CHANGES TO THE DRAWINGS SHEET S1.01 - FOUNDATION PLAN 1. Modify plan to show slab depressions and details at MRI suite as shown on sketch SSK-4 dated September 21, 2001, Delta No.9. 2. Modify plan to remove note about slab in MRI suite. SHEET S2.02 - SECTIONS AND DETAILS 1. Modify detail 1/S2.01 to include slab-an-grade information in MRI suite as shown on sketch SSK-5 dated September 21, 2001, Delta No.9. 2. Add detail 5/S2.02 for step in slab at 12" thick MRI slabs as shown on sketch SSK-6 dated September 21, 2001, Delta No.9. 3. Add detail 7/S2.02 for step in slab-an-grade as shown on sketch SSK-7 dated September 21, 2001, Delta No.9. END OF REVISION f/ ~l~~\~ SLAB EDGE CONDITION SIMILAR TO 11/S2.01 TYP. r----i I I I :1:1 I I I I I L____.J F9.0 ~! 5 STANLEY D. LINDSEY ~ AND ASSOCIATES LTD. u C STRUCTURAL ENGINEERS T N ASH V IL L E . TEN N E 5 SEE U Project Number 100127.10 HE OFFICES 'N ATLANTA. .JACK SO"," LEXINGTON LOUISVILLE. ~E~PHIS. T.....PA AND ORLANDO Project EAST PASCO MEDICAL CENTER Diagnostics Shell Addition Phase II & Phase III ZEPHYRHILLS, FLORIDA Project No. Date 100127.10 &21101 Reference Sheet Sheet No. S1.01 Location Architect Earl Swensson Architects, Inc. SSK-4 &c__~c-=---~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED . PLANS REVIEW FEE ) OWNER'S NAME East Pasco Medical Center, Inc. PHONE (813) 788-2411 JOB ADDRESS 7050 Gall Boulevard, Zephyrhills, Florida 33541 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # See Attached (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [J SIGN IX! ADDITION :KlALTERATION [JREPAIR [J INSTALL [JMOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING f] COMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Diagnostic BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED rn BUILDING $ VALUATION OF TOTAL CONSTRUCTION rn ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. rn PLUMBING rn MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS o ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME rn STEEL [J OTHER . , fi..' / 'b 1. tvu '/1 ~ fJ-.r FINISHED FLOOR ELEVATIONS IS PROJECT [J NO SIGNATURE ~ COMPANY Poolp- ~onRtructjon Co.. Inc. STATE CERT OR REGIST # CG C027876 CITY PROCESSING,' BUILDER ELECTlUCI / VSIGNA~- ********************************* * * ~r. /-1(... uPt)/t 17= :;2c;) PLUMBER COMPANY /lP~ BR1:R/~ STATE CERT OR REGIST # // CITY PROCE~SI #/~ oK {;)~ 4' ... -: -, I ) ~ **************************************** * * ~**~rt*I~)***** HARPER MECHANICAL CORPORATION COMPANY ,: ~/!' l'//,.. STATE CERT OR REGIST # CFC033860 .A,~' /"''.>/1ff(;.. / , r~ CITY PROCES~ING . ~g " ) , · ~T, .Ut!. iJPf)I1T~1-~! * * ***-~ *****.**** ****** ************ ****** ****** '* .* * ************* . ~//., COMPANY R MECHANICAL CORPORATION ./J/f,/l . "'..'. _ ..,/..4'...., . $' ):/:..'1.......... ./:: STATE CERT OR REGIST # CMC042548 rf/L"/'~7/~/" /'/{tfC!};';l CITY PR~CESS # EO 6;; .(..~. tJ/'.bAff 'i"~D) **************************************** * ,** ************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL SIGNATURE OTHER SIGNATURE ***************************************************************** , ",{. CONDITIONS OF PERI-lIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility 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 Aqency-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 $2,,'~INI~ V~f D~NOT NEED TO RECORD AND POST A "NO~TICE OF C~~NT". l...._ " /~ ._~~/ ~ ,pfGNA URElt W~ R OR AGENT SIGNA RE: C TRACTOR STATE OF FLO~DA. COUNTY OF f <;- ..s e...t,.l--- The foregoin? ins~::.~ment w'(:{!,ck~owledge~ . 'I': Before me thlS --'..;:L day of ,{"ifI{.}sf; ~,,::2.iV,c by ~ ./(name of person acknowledged) ~ho is personally known to me, or STATE OF i!~LORIDA \> Ic COUNTY OF J e /11 ~ 'rz /) e... The foregoing ins~r~ent wa~ acknowledged Before ~e this I"'~ Of:')'1(')1'-l- ,-Ha2Qvt) by ~p,R'.r --r;- +OOb_ ~ (name of person acknowledged) ~ho is personally known to me, or of identification) take an oat Dwho has produced (type of identification) id not take an oath Signature of p r taking cknowledgment ~r'/}!lo-iJi~LJbe~~ Name typed, .. . ~t!.d omertB rry .* My CommiS8io.~ <<<:<5114088 ... Explrl!!" ~t'!p. HI. ~OOO "'.. ~.., .,,,( Of ,..fI>'I.' Poole Const. 7050 Gall Blvd. Diagnostic Addition Build-Out SQ. FEET PRICE MAIN OR LIVING: 21 ,280 $ 75.00 OTHER AREA UNDER ROOF: $ 20.00 OTHER: $ 20.00 VALUATION $ 1,596,000.00 FEE SHEET $ 3,862.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 5,793.00 CREDIT: $ - BUILDING LESS CREDIT: $ 5,793.00 ELECTRICAL: $ 1,304.14 EPMC PLUMBING: $ 325.00 CREDIT MECHANICAL: $ 500.00 RADON: $ - TOTAL $ 7,922.14 SEWER: $ 10,224.00 WATER: $ 2,800.00 IRRIGATION: $ - TOTAL: $ 13,024.00 I I I WATER METER:I IRRIGATION METER $ - I SUB-TOTAL $ 20,946.141 : I 8IF'8'1 $ 97.5% $ 2.5% $ T IF'S: $ 58,711.52 99% $ 58,124.40 1% $ 587.12 TOTAL: $ 79,657.66 ( 'TOTAL LESS PERMIT FEES: I $ 71,735.521 TIllS InstI'uwent Pl'cpuI'cd lJy: Nome: AddI'ess: 1111I111111111I111111I"11I "'" 11111 ""I 111/1111I1 1111111I 2001096579 . PeI'wit No. Rcpt: 513483 OS: 0.00 07/17/01 Rec: 10.50 IT: 0.00 Dpty Cle,.k NOTICE OF COMMENCEMENT JEO PITTMANi PASCO COUNTY CLERK 07/17/01 1 :29am 1 of 2 OR BK 4667 PG 1998 STATE OF Florida COUNTY OF Pasco TilE UNDERSIGNED herby gives notice that improvement will be Dlade to certain real property. and in accordance with Chapter 713. Florida Statues. the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of propeI'ty. ~nd street address if available) Legal Description Attached 2. General description of improvemen t: East Pasco Medl.cal Center Geriatric Psychiatric Renovation 3. Owner information Don Welch, CFO a. Name and address: East Pasco Medical Center, Inc. 7050 Gail Boulevard, Zephyrhills, FL 33~41 b. Interest in property: c. Name and address of fee simple titleholder (if other than owner): lJ. ContI'actor: (name and address) 5. Surety a. Name and address: N/A Poole Construction Co., Inc. P. O. Box 279 - 106 S. Palm Avenue Howey-in-the-Hills, Fiorida 34737 b. Amount of bond $-1UA G. Lender: (name and address) 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7. Florida Statutes: (name and address) 8. In addition to himself. Owner designates the following person(s) to receive It copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: (name and address) 9. ration date of notice of Commencement (the expir3tion date is 1 year from dateff recording unless a different date is specified) / . Rl.chard Byfl.eld (Print Owner's Name) BOULevard, Zephyrhills, FL 33541 The foregoing instrument was acknowledged befoI'e me this ell / \ 'I. / 0 \ by "'Q\t...~,..~ \)"\.~\~ \0\ ~erSOnallY known ~who ProdU::- ~~ as identification and who did not take an oath. '""J State of Florida County of \ C).....~ c... 0 Commission /I C c '1g- 0 a.3 7 ~\..~~~~~Ol-.. My Commission Expires: /).-{- ;;2...0".5 (Notary) All Information Must Be Typed or Printed Legibly to Comply With Recording Requirements .....~.~.. /~OOi)""-'~~ :.: ..*: ;-''' : : ~Ritt":- JUNE M. HERNDON MY COMMISSION # CC 980237 EXPIRES: February 1, 2005 ij~na.a tnlll Notl" PUOIMl UnclItwmetl OR BK 4667 PG 1999 2 of 2 Legal Description ZEPHYRHILLS COLONY CO LANDS PB 1 PG SS FOLL DESC PROP LYING W OF DAIRY RD RIW AS NOW LOCATED TRS 105,106,119,120 & 122 & TR 103 EXC W 187 FT OF E 267 FT OF N 172 FT AND E 100 FT OF TR 104 ALL EXC US HWY 301 RIW ALL AKA COM NW COR TR 105 FOR POB TH ALG N LN TR 105 S89DG 56' 33" E 543.35 FT TO PT 100 FT W OF NE COR TR 105 TH NOODG 09' 03" 901.24 FT TO N LN TR 104 100 FT W OF NE COR TR 104 TH ALG N L TRS 104 & 103 S 89DG 55' 34" E 480.69 FT TH SooDG 10' 45" W 172.90 FT TH S89DG55' 24"E 172.01 FT TO WLNDAlRYRD RlWAS NOW LOCATED TH ALG W LN RlQ SOODG 10' 45" W 1137.22 FT TO S LN TR 122 SElNG N LN DAUGHTER RD RIW TH ALG N LN RIW N89DG 59' 30" W 552.04 FT. TO SE COR TR 122 TH N OODG 09' 03" E 316.21 FT TO SE COR TR 120TNN89DG56' 31"W645.18FTTOE LNUSHWY301 RIW TH ALG E LN RIW NOOnG 18' 30" E 562.80 FT TO POB LESS THAT PT TR 122 L YlNG 30 FT N OFSOUTH LINE SEC STATE 0, COUNTY OF ;':j., ~:";CCl THIS is TO CEH i'~'/ THAT THE FOREGOING IS A THlJE AND CORREC1 ;~i)f'" iJF THE DOCUMENT ON FILE o . PUBliC REeO'l1) I:"'.. (FiiS 0FF'?lNESS MY HA M- - OFFICI'il (-j,_ (118 DAY OF '2-2.fZJ.../ Q , iJi CiRCUIT COURT ..:.z.'d4L- DEPUTY CLERK 4