HomeMy WebLinkAbout10-10485 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10485
BUILDING PERMIT
Permit Number: 10485 Address: 5039 1ST ST
Permit Type: WELL MONITORING ZEPHYRHILLS, FL.
Class of Work: WELL MONITORING Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10 26 - *21- 0010 - 12800 -009
Improv. Cost: 0.4U
Date Issued: 6/03/2010 Name: MIRA ENTERPRISES
Total Fees: --2 5553 BRADDOCK DR
Amount Paid: " C 3
ZEPHYRHILLS, FL 33541
Date Paid: Phone:
Work Desc: MONITORING WELL MW -13R) DEPTH OF 35 FT - REPLACEMENT- FEE WAIVED
1 .M P'ILLI `V. N
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tgi'Y
L `I AL -.I1 7117424,
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
6 44g-- rir '4 ft,
CONTRACT SIGNATURE PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
MAY /04/2009/MON 03:43 PM ZEPHY'RHILLS BUILDING FAX No, 813 - 780 - 0021 P. 001 /001
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
RIGHT -OF -WAY USE PERMIT
DATE: 5°_1F10 l ! v_ AI 4 • PERMIT J 6 L46
No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building
Department. My application' for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete
scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this permit Is to be •
kept readily available at the site of the work at all times. ,
Sit'
PARCEL ID #: 10 - 26) ^ 21 - �I o _ 12000 - 0090 CITY ROAD � _ t
LOCATION (Legal Description): See ac
Permission Is hereby granted to N 5 5 of fiado 6 'is" 4 ( 0 "m '
For the construction and maintenance of: •
. One "i-io ,rfe .� G,, e /1 6i1'IW : '3, ') A5 • a 0491 o .
5 1- , /1-, . e(4) 6t C�n /. S
. -de-7`, .
Subject to the following conditions: '
1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant.
2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official, who
will be notified at least one day prior to commencement of construction.
3. All materials and equipment shall be subject to inspection by the City Building official.
4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsiblllty
• from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such safety measures,
including placing and display of caution signs, as it may deem necessary In conduct of construction and maintenance work hereunder. It Is the
responsibility of the permlttee to ? ???
5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the,City Building Official.
8, AIL underground crossing installations shall be laid at such depth as may be specified by the City Building Official.
7. The sketch covering the details of this .Installation shall be made a part of this permit. This permit i5 granted with the understanding that the
applicant has notified all other utility users In the area covered by the permit and takes full responsibility for any damage incurred by prior
installations as a result of his operations in order that they may safe guard their Interests.
8. it is expressly stipulated that this permit Is a license for permissive use only and that the placing of facilities upon public property pursuant to this
permit shall not operate to create or to vest any property right in said holder. .
5. Whenever the City decides to further exploit the City Rights of Way, any or all said poles, wires, pipes, cables, or other facilities and
appurtenances authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the
City Building Offlclat at the expense of the holder of this permit.
• 10. The holder shall save and keep the City harmless from any and all damages, claims, or Injuries that may occur by reason of the construction,
maintenance, and operation of said facility..
11. The holder shall complete the requested work within days or this permit shall become null and void. In the event the work requested Is
not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the holder of the permit
for all costs incurred In completed said work.
12. The holder shall post a cash or surety bond with the City Manager In the sum of $ dollars to guarantee performance of the
obligations herein, and to guarantee maintenance of the right -of -way described herein for a period of one (1) year following completion of the
requested Installation. In the event a surety bond is posted, the surety bond shall be made payable to the City and shall obligate the surety tc
hold the City harmless in the event the holder of this permit should fall to meet any of its obligations hereunder. The bond shall also indemnify
the City for all court costs and reasonable attorneys fees in the event.Iegal action is required to collect on said bond.
SUBMITTED BY: Q�
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(PfiRM ITTEE) / � ��SS de)c �orsU �f• •
•
•
Signature &Title � -. / '"O,J
`mot Sc.' #S. r
Address /1/ ii(e /Se La,�r a Si E /-1 4 / .3,310/`/
REVIEWED BY
CITY OF ZEPHYRHILLS
a •
Utilities Supervisor –7 • �" Date �/ " 3 // ` • .
Fublic Works t � = — —' Date, t. 4 '(t '' NO OPCIO CUTS
•
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C4�r A. \ s
CITY OF.ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020 7572
BUILDING PERMIT
Permit Number: 7572 Address: 5039 1S ST
Permit Type: WELL MONITORING ZEPHYRHILLS, FL.
Class of Work: WELL MONITORING Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26=21-0010-12800-009
Improv. Cost:
Date Issued: Name: MIRA ENTERPRISES
Total Fees: Address: 5553 BRADDOCK DR
Amount Paid: ZEPHYRHILLS, FL 33541
Date Paid: Phone:
Work Desc: MONITORING WELL MW -85 ALONG 1ST ST -FEE WAVIED •
, .
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G
(J O fa
- Sasa.,& Qt i 3
•
• •j
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) wont not ready for
Inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 flnandng, consult with your lender or an attorney
before recording your notice of commencement."
CONTRACTOR SIGNATURE
PERMIT OFFI !rR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
•
Jacqueline Boges
To: Shane LeBlanc; Nathan Coleman; David Henderson; Rick Moore
Subject: row signature needed
Greetings Gentlemen,
I placed in Shane box a ROW for signature for a well monitoring on 1 street from Handex Consulting & Remediation .
Signatures are needed and returned for City manager and Building official signatures.
Thank you
Jackie Boges
Code Support Specialist
ext. 35
1
;
HANDEX CONSULTING
& REMEDIATION, LLC
May 10, 2010
City of Zephyrhills
Building Department
5335 8 Street
Zephyrhills, Florida 33542
Phone: 813- 780 -0020
RE: Right -of -Way Use Permit Request
FDEP Facility: Amoco # 171
Address: 37959 State Road 54, Zephyrhills, Florida
FDEP Facility ID #:51/8519737
FDEP Work Order #: 2010- 91- W89434
HCR Project #: 117949.017
To Whom It May Concern:
The Florida Department of Environmental Protection (FDEP) has approved the
installation, under the supervision of Handex Consulting & Remediation — Southeast
LLC (HCR), of one monitoring well at the above referenced facility. Due to the location
of this proposed monitoring well being in a Right -of -way (ROW) in the easement
between Maine -ly New England Restaurant and 1 St., the installation of this well will
require a City of Zephyrhills ROW Use Permit. This permit application along with the
legal description of the location has been included as Attachment A.
The proposed monitoring well (designated MW -13R) will serve as a replacement well to
existing monitoring well MW -13. The existing well was constructed to a depth of twenty -
nine (29) feet below land surface (ft bls) and serves as a monitoring point for the
collection of groundwater samples for laboratory analysis. The integrity of the well has
degraded since installation of the well in 2001 and is no longer of use. The existing well
MW -13 will be drilled out and the replacement well MW -13R is going to be installed in
the same location. A site plan indicating the well location and the approximate location
of the ROW along 1 St is included in Attachment B.
The well installation will be performed via hollow -stem auger drill rig and MW -13R will
be constructed to a total depth of 35 ft bls with a screened interval of 15 to 35 ft bls.
The well construction details of proposed monitoring well MW -13R have also been
included in Attachment B. The newly installed well will be capped with a locking well
plug, graded to surface level and set beneath a concrete 2 X 2 ft well pad with a steel
manhole complete with a bolt -down cover.
111 Kelsey Lane, Suite E Tampa, Florida 33619 P: 813 -626 -4646 F: 813 - 626 -1898 www.handex.com
•
• Mr. Harold Ogelby — City of Zephyrhills Building Dept.
ROW Use Permit Request
Page 2
On May 5, 2010, HCR contacted Sunshine State One CaII of Florida (SSOC) for the
notification of all utility providers in the area and was issued SSOC ticket number
125001859 for the location of any underground utility lines present in the area. Upon
the City of Zephyrhills' review and issuance of the ROW permit, HCR will again contact
SSOC to re- notify the utility providers and update any underground utility location
markings (if necessary) before beginning work at the site. In the event that any utility
provider in the area does not respond to the request, HCR will contact them directly to
ensure the proper pre - drilling utility mark -out procedure has been followed. The
documentation of the SSOC utility notification including a list of the utility providers in
the area that have been notified has been included as Attachment C.
All proper precautions will be taken in order to establish a safe work area during the
activities. A perimeter will be established designating the work area utilizing traffic
cones and caution tape, and men working signs will be displayed to indicate the
presence of workers in the area. Copies of the Maintenance of Traffic (MOT)
certificates held by the HCR Health and Safety Officer are included as Attachment D.
All appropriate personal protection equipment will be donned by all personnel involved
in the site activities.
Custom Drilling Services Inc of Mulberry, Florida has been selected as the licensed
drilling company to perform the well installation under the supervision of HCR
personnel. The state contractor's license held by Custom Drilling and the tax ID
information for both HCR and Custom Drilling have been included as Attachment E.
If you have any questions concerning the proposed well installation activities or require
any additional information for the permit application, please do not hesitate to contact
the undersigned (813) 626 -4646, Extension 1129.
Sincerely,
HANDEX CONSULTING & REMEDIATION — SOUTHEAST LLC
- remy He :
Project Scientist
HANDEX CONSULTING & REMEDIATION, LLC
Page 2
ATTACHMENT A
RIGHT -OF -WAY USE PERMIT APPLICATION
ATTACHMENT D
MOT CERTIFICATIONS
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ATTACHMENT E
CONTRACTOR'S LICENSE / TAX ID
S outhwest Florida 2379 Broad Street, Brooksville, Florida 34604 -6899
r � (352) 796 -7211 or 1- 800 - 423 -1476 (FL only)
Water Management District
TDD only 1-800-231-6103 (FL only)
On the Internet at: WaterMatters.org
Alt Brood Bartow Servlco Office Levant* Service Office Sarasota Service Office Tampa Service Office
urwo "' na y 170 Century Boulevard Suite 226 6750 Frultville Road 7601 Highway 301 North
Bartow, Florida 33830-7700 3600 West Sovereign Path Sarasota, Florida 34240 -9711 Tampa, Florida 33637-6759
(863) 5341448 or Lecanto, Florida 34461 -8070 (941) 377-3722 or (813) 985 -7481 or
1- 800492 -7862 (FL only) (352) 527 -8131 1 -800- 320 -3503 (FL only) 1 - 836 - 0797 (FL only)
Todd Pressman MICHAEL D. JOHNSON
Chair, Pinellas 100 IUD ELLIS ROAD
Ronald E. Oakley
Vice Chair, Pasco MULBERRY FL 33860
Hugh M. 9ramilne
Secretary, Hillsborough
Sallie Parks
Treasurer, Pinellas
Bryan w Keswick Thursday, July 02, 2009
DeSoto
Jemdfer E. Cloashey Dear MICHAEL D. JOHNSON,
Hillsborough
"II Comb°' The Southwest Florida Water Management District is pleased to send your State of Florida Water
Polk Well Contractor's License. Below you will find your wallet -sized card.
Patricia M. Glass
Manatee
Albert O. Io rger If you have any questions, please contact Well Construction at
Sarasota (352) 796 -7211, extension 4495.
Maritra Rovim-Forino
Hillsborough
H. Paul Senft, Jr.
Polk Sincerely,
Douglas B. Tharp
Sumter
Judith C. Whitehead
Hernando
Well Construction Regulation
David L Moore Regulation Performance Management Department
Executive Director
William S. Sneaky Cc: Contractor file
General Counsel
STATE OF FLORIDA
SO J S�' FLoirp;k TER
t CEMENT D1S r
%�DERT THAT
a - WVIICHAEL D. iO SON .:
HAS BEA, N.CENSED AS A yA g yi/ L
CONTRAbif:,) I_N THE STATE F
LICENSE NUi1§Bl?,,1i5 <• 7 :9Z7
EXPIRATION DATE: 07/31/2011
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r 1. t nt �}��S f' A �
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* 1CCdUNT Nb 82 >, x
4 CLA A { EXPIRES,. 9/30/2 ( gi n
DO NAME rz `1
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t S M�IThf,(WAYN E D �,� -. � A
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, BUSINESS NAME AND MAILING # ADD R ESS , COD ACT T YPE
a i 4 x ,4 230000 i LTDEN LICE CONSTRUG77
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'�- `'CUSTO D�iILLING SERVICES IN "`" � ~ �
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090.010: GE ,, ; gr- CTS 5,2:
x 4000 1
',sit Yom` i =' STS i ''' `
kSS 111 KELSEY L'N A a ,; . ,',,..
I1ION TAMPA 33049
A
NAME NEW1"S, • a !i MIS
> NG I-IA A :a ` ° � f3 L C. /4' #'10NI SE LLC 'Adockitters - 3 , 0941 ,,:,3:3i.3,,,,,!.,4,'•,..,,,, � 1 .. ?4 $4 4 -
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PAI 27 - 6 .
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hwJDAaRtvuoE•roott 2,EP3AGE 813 - 6,3814. t 0 1 1 +
l THIS BECOMES A TAX R T YA . IDATED.
�. PROFESSION, OR OCCIIi+ATIQ'N;BPECFIEDREREON. . <. „ %.1
2009-2010 HILL SS TAX RECEIPT EXPIRES 9 , s
S • ' bb'' C OUN TY B USIN .
,
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0.. 0, Q E 6 RENL ,i 0"Yi,t,
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STAINES'S T k 1' 1 +.5
LOCATION TA • 9
; . E N�zl‘xYNS
G HAN e o f . ji c & R ENIEDIATION SE LLC
. E
u
BUS INESS , ■ C I T DO BEIDEN, T Ax COLLECTOR > ID 7 6
'$ HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813- 535.5200 �7/1 V`7 *' 58.00 K C •
BUSINESS, PROFESSION, OR OCCUPATION SPECIFIED HEREON THIS BECOMES A TAX RECEIPT WHEN VALIDATED.
'ir
2009 - 2010 HILLSBOROUGH COUNTY B USINESS TAX RECEIPT EXPIRES 9 - 2010 Foy° ,
I FACILITIES OR MACHINES 0 I ROOMS 0 I SEATS 0 I EMPLOYEES RENEWAL �„
1 169399. .
OCC. CODE BUSINESS TYPE
` " WASTE TAX
SURCHARGE
280.052 PUBLIC - VI - E ON TAL CO ULT T 22.00
M 1 0
BUSINESS 111 KELSEY LN E
LOCATION TAMPA 33619
NAME HANDEX CONSULTING AND REMEDIATION
MAILING SOUTHEAST LLC
ADDRESS 111 KELSEY LN SUITE E
TAMPA FL- 33619 -0009
B USINESS TAX RECEIPT DOUG LDEN, OLL Ofi PA - 27094 6
' •HASHEREBY PAID A PRMLEGE TAX TO ENGAGE 813435 -5280 07/17/2009 *** 22.00 .- , .
IN BUSINESS. PROFESSION, OR OCCUPATION SPECIFIED HEREON THIS BECOMES A TAX RECEIPT WHEN VALIDATED.
Pasco County Property Appraiser - Legal Description for: 10- 26 -21- 0010 - 12800 -0090 Page 1 of 1
•
•
Welcome : Records Search : Parcel Details : Legal Description
Legal Description
10- 26 -21- 0010 - 12800 -0090
Assessed in Section 10 , Township 26 South, Range 21 East
of Pasco County, Florida
ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 A PART OF NORTH
1/2 OF TRACTS 127 & 128 LYING WEST & NORTH OF HARD SURFACED RD
AS NOW ESTABLISHED & DESC AS COM AT SE COR SEC 10 TH NOODEG
04'25 "W 330.11 FT TH S89DEG 59'35 "W 191.50 FT FOR POB TH S89DEG
59'35 "W 487.32 FT TH N74DEG 28'35 "E 400.30 FT TH N80DEG 09'35 "E 90.83
FT TH S59DEG 36'25 "E 92.74 FT TH S41 DEG 59'35 "W 102.05 FT TO POB
LESS THAT PART OF ABOVE DESCRIBED LAND WHICH LIES WEST OF
NELY LINE OF LOT 2 BLOCK B EXTENDED OF ZEPHYR OASIS PB 3 PG 71
OR 5288 PG 1751 & OR 5288 PG 1754
Please be advised that our legal descriptions are for assessment
purposes only, and are not intended for use in legal conveyances.
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 11:49:04 AM
The Local Time Is: 5/5/2010 10:59:50 AM
http : / /appraiser.pascogov. com/search/legal. aspx ?parcel= 2126100010128000090 &cache =... 05/05/2010
ATTACHMENT B
FIGURES
ATTACHMENT C
UTILITY NOTIFICATION DOCUMENTATION
Hess, Jeremy
From: irth_host @callsunshine.com
Sent: Friday, May 07, 2010 4:07 PM
To: Hess, Jeremy
Subject: Response to Sunshine State One Call ticket 125001859
The following facility operators have responded for this locate request:
Ticket 125001859
FL : PASCO County, ZEPHYRHILLS City
5039 1ST ST
BRIGHT HOUSE NETWORKS- EAST PASCO
- No Conflict - utility is outside of the requested work site
CITY OF ZEPHYRHILLS
- Marked
PROGRESS ENERGY - ST PETERSBURG
- Clear No Facilities
VERIZON FLORIDA INC
- Marked
WITHLACOOCHEE RIVER ELECTRIC COOPERATIVE
- Clear No Facilities
The most up -to -date response status can always be gathered at
http: / /www2 .callsunshine.com /irthinternet/ , or by calling 1- 800 - 852 -8057.
1
Response Status Page 1 of 1
irth
nternet U S
Copyright 2005 AGT
International, Inc.
All rights reserved.
711; caaC
HomeOwner View Response
Ticket ID: 1125001859 Phone Number: 181362646461129
Search 1
Ticket Information
Did Site Data Excavator Data
Company Name: HANDEX
Ticket ID: 125001859 CONSULTING & REMEDIATION SE
LLC
Street Name: 1ST ST
Contact: JEREMY HESS
Place: ZEPHYRHILLS Phone Number: (813) 626 -4646 x1129
County: PASCO
Street: 111 KELSEY LN
State: FL City, State:
Zip: 33619
View Ticket Text
1
Ticket Status: OPEN
Service Area Name Response
BRIGHT HOUSE NETWORKS- EAST PASCO (5) - No Conflict - utility is outside of the
requested work site
CITY OF ZEPHYRHILLS (1) - Marked
PROGRESS ENERGY - ST PETERSBURG (4) - Clear No Facilities
VERIZON FLORIDA INC (1) - Marked
WITHLACOOCHEE RIVER ELECTRIC
COOPERATIVE (4) - Clear No Facilities
http : / /www2. c allsunshine. com/irthintemet/ PositiveResponse /HomeOwner/HomeOwnerV ... 05/10/2010
•
Hess, Jeremy
From: firth host @callsunshine.com
Sent: Wednesday, May 05, 2010 9:51 AM
To: Hess, Jeremy
Subject: SSOCOF CONFRM 2010/05/05 #00001 125001859 -000 NORM NEW
CONFRM 00001 CALL SUNSHINE 05/05/10 09:50:49ET 125001859 -000 STREET Ticket : 125001859
Rev:000 Taken: 05/05/10 09:46ET
State: FL Cnty: PASCO GeoPlace: ZEPHYRHILLS
CallerPlace: ZEPHYRHILLS
Subdivision:
Address : 5039
Street : 1ST ST
Cross 1 : SR 54
Within 1/4 mile: Y
Locat: LOCATE FRONT R /O /W ALONG 1ST ST AT 5039 1ST ST
Remarks : * ** LOOKUP BY ADDRESS * **
Grids : 2813A8211C 2813A8211D
Work date: 05/10/10 Time: 08:00ET Hrs notc: 070 Category: 3 Duration: 01 DAY Due Date :
05/07/10 Time: 23:59ET Exp Date : 06/04/10 Time: 23:59ET Work type: WELL INSTALLATION
Boring: N White - lined: N
Ug /Oh /Both: U Machinery: Y Depth: 35FT Permits: Y PENDING Done for : FDEP
Company : HANDEX CONSULTING & REMEDIATION SE LLC Type: CONT
Co addr : 111 KELSEY LN
Co addr2: SUITE E
City : TAMPA State: FL Zip: 33619
Caller : JEREMY HESS Phone: 813- 626 -4646 Ext: 1129
Contact : JEREMY HESS Phone: 813 - 626 -4646 Ext: 1129
BestTime: 8 -5
Mobile : 727 - 254 -3063
Fax : 813- 626 -1898
Email : JHESS @HANDEXMAIL.COM
Submitted: 05/05/10 09:46ET Oper: PAT Chan: 20
Mbrs : BE1783 CZ1084 FPC314 GT1722 CU1714
1
Hess, Jeremy
From: irth_host @callsunshine.com
Sent: Wednesday, May 05, 2010 9:52 AM
To: Hess, Jeremy
Subject: SSOCOF CONFRM 2010/05/05 #00001 125001859 -001 NORM 2NDR
CONFRM 00001 CALL SUNSHINE 05/05/10 09:52:25ET 125001859 -001 REXMIT NOSHOW STREET Ticket
: 125001859 Rev:001 Taken: 05/05/10 09:50ET Old Tkt: 125001859 Taken: 05/05/10 09:46ET
Oper: PAT
State: FL Cnty: PASCO GeoPlace: ZEPHYRHILLS
CallerPlace: ZEPHYRHILLS
Subdivision:
Address : 5039
Street : 1ST ST
Cross 1 : SR 54
Within 1/4 mile: Y
Locat: LOCATE FRONT R /O /W ALONG 1ST ST AT 5039 1ST ST
Remarks : 2ND NOTICE REQUESTED BY JERMEY HESS TO ADD WITHLACOOCHEE RIVER ELECTRIC
* WRE845 WAS MANUALLY ADDED TO THIS TICKET, PLEASE CHECK YOUR DATABASE
* WRE845 WAS NOT ON THE ORIGINAL VERSION OF THIS TICKET
* ** LOOKUP BY ADDRESS * **
Grids : 2813A8211C 2813A8211D
Work date: 05/10/10 Time: 08:00ET Hrs notc: 070 Category: 3 Duration: 01 DAY Due Date :
05/07/10 Time: 23:59ET Exp Date : 06/04/10 Time: 23:59ET Work type: WELL INSTALLATION
Boring: N White - lined: N
Ug /Oh /Both: U Machinery: Y Depth: 35FT Permits: Y PENDING Done for : FDEP
Company : HANDEX CONSULTING & REMEDIATION SE LLC Type: CONT
Co addr : 111 KELSEY LN
Co addr2: SUITE E
City : TAMPA State: FL Zip: 33619
Caller : JEREMY HESS Phone: 813 - 626 -4646 Ext: 1129
Contact : JEREMY HESS Phone: 813- 626 -4646 Ext: 1129
BestTime: 8 -5
Mobile : 727 - 254 -3063
Fax : 813- 626 -1898
Email : JHESS @HANDEXMAIL.COM
Submitted: 05/05/10 09:50ET Oper: PAT Chan: 20
Mbrs : BE1783 CZ1084 FPC314 GT1722 WRE845 CU1714 LS1104
1
Page 1 of 2
Ticket : 125001859 Rev:001 Taken: 05/05/10 09:50ET
Old Tkt: 125001859 Taken: 05/05/10 09:46ET Oper: PAT
State: FL Cnty: PASCO GeoPlace: ZEPHYRHILLS
CallerPlace: ZEPHYRHILLS
Subdivision:
Address : 5039
Street : 1ST ST
Cross 1 : SR 54
Within 1/4 mile: Y
Locat: LOCATE FRONT R /O /W ALONG 1ST ST AT 5039 1ST ST
Remarks : 2ND NOTICE REQUESTED BY JERMEY HESS TO ADD WITHLACOOCHEE RIVER
ELECTRIC
* WRE845 WAS MANUALLY ADDED TO THIS TICKET, PLEASE CHECK YOUR DATABASE
* WRE845 WAS NOT ON THE ORIGINAL VERSION OF THIS TICKET
* ** LOOKUP BY ADDRESS * **
Grids : 2813A8211C 2813A8211D
Work date: 05/10/10 Time: 08:00ET Hrs notc: 070 Category: 3 Duration: 01 DAY
Due Date : 05/07/10 Time: 23:59ET Exp Date : 06/04/10 Time: 23:59ET
Work type: WELL INSTALLATION Boring: N White - lined: N
Ug /Oh /Both: U Machinery: Y Depth: 35FT Permits: Y PENDING
Done for : FDEP
Company : HANDEX CONSULTING & REMEDIATION SE LLC Type: CONT
Co addr : 111 KELSEY LN
Co addr2: SUITE E
City : TAMPA State: FL Zip: 33619
Caller : JEREMY HESS Phone: 813 - 626 -4646 Ext: 1129
Contact : JEREMY HESS Phone: 813 - 626 -4646 Ext: 1129
BestTime: 8 -5
Mobile : 727 - 254 -3063
Fax : 813 - 626 -1898
Email : JHESS @HANDEXMAIL.COM
Submitted: 05/05/10 09:50ET Oper: PAT Chan: 20
Mbrs : BE1783 CZ1084 FPC314 GT1722 WRE845 CU1714 LS1104
Service Area Contact Phone Number Utility Type
Day: 7275317656
BE1783 BRIGHT HOUSE NETWORKS- MATT MASI - ELM Alt: CABLE,FIBER
EAST PASCO LOCATING
Emerg:
Day: 8137146311
CZ1084 CITY OF ZEPHYRHILLS CITY OF Alt: WATER AND
ZEPHYRHILLS SEWER
Emerg:
PROGRESS ENERGY - ST CENTRAL LOCATING Day: 8007789140
FPC314 PETERSBURG SERVICE ** Alt: ELECTRIC
http : / /www2. c al lsunshine. com /irthinternet /Me s sageText /MessageText. asp ?NoticelD =SU... 05/05/2010
Page 2 of 2
Emerg:
Day: 3369926100
GT1722 VERIZON FLORIDA INC Dispatch Office Alt:
Emerg:
Day: 8007789140
WRE845 WITHLACOOCHEE RIVER CENTRAL LOCATING Alt: ELECTRIC
ELECTRIC COOPERATIVE SERVICE **
Emerg:
http: / /www2.callsunshine. com /irthinternet/ MessageText /MessageText.asp ?NoticelD =SU... 05/05/2010
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NOV-12-2010 11:58 From:8634259620 Pa9e:1'2
p . t ( 0 cr5-S
CUSTOM DRILLING SERVICES, INC.
ALABAMA • MAR WA • GEORGIA • SOUTH CAROLINA
VAX TRANSMISSION
1)AIL: 11/12 /2010
TO: Jackie
FAX NO: 813 -780 -0021
FROM: Casey Andrews
SUBJECT: Well corn
NOTES:
If you have any que stions. please contact Casco Andrews (863) 425 -9600.
THIS FAX TRANSMISSION CONSISTS OF: 2 PAGES INCLUDING TIIE COVER PAGE. 11
THERE ARE ANY PROBLEMS WITH THE TRANSMISSION, PLEASF. CAIN, CUSTOM DRILLING
SERVICES, INC. AT (863) 425 -9600.
THIS MESSAGE IS IN FENDED ONLY FOR 'I HE USE Of THE INDIVIDUAL OR ENTITY TO WHICH I'l 1S ADDRESSED AND MAY CONTAIN
1NFORMATION TI FAT 15 PRTV11.F GRfl, CONPIDENTIAL 6, NP 1?XEM,PT 1 ?ROM DISCI.OSIIRF IJNI)rR APPI.IC'ART.r. LAW.
If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the inlr.'ndcd recipient. you
arc hereby notified that any dissemination. distribution or copying of the communication is strictly prohibited. It'you have received this communication
in error. please notify as immediately by telephone and return the original message to US at the address listed below vin Cite US Nodal Scrvnx.
Thant. You.
100 Kid Ellis Road • Mulberry, FL 33860 • Tb1. 863- 425 -96(X) • Fax 1463.425 -962t) • 7bll Free ROO- 532.5(X)K