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Home My WebLink About12-13681 CITY OF ZEPHYRHILLS 5335-8TH STREET � " (si3)�so-oozo 136 BUILDING PERMIT Permit Number: 13681/13531 Address: 7050 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: 206,520.00 Date Issued: 12/07/2012 Name: FL HOSPITAL OF ZEPHYRHILLS Totai Fees: 1,509.00 Address: 7050 GALL BLVD Amount Paid: 1,509.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/07/2012 Phone: (813)783-6189 Work Desc: EMERGENCY RM MODULAR WALL RENOVATION BORRELL ELECTRIC CO PLUMBING FEE 60.00 MECHANICAL FEE 60.00 COASTAL MECHANICAL FIRE PLAN REVIEW FEES 120.00 COASTAL MECHANICAL SERVICES LLC �,�� /: -j� ��/ �( ` _- / ,,Z.�Z 9'� 2.1�2 c G�' S'�`'"Y��cci�it��`��.(r"�;� � gS` y - '�3.y �"" ��'`� r.-ess l�� I FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTAL�ED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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� 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. "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." Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CON OR SI A E PERMIT OFFI R PERMIT RES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �� ,P. � �� . �_ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �Q(�� S�YtfG��'t Date Received: ��Z Site: 7��5d �/¢'�l ��,J Permit Type: �Q�10 L��J7��1 J�i��3 ��/-� ��/ Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. � '� � �alvin S 'tzer—P s Examiner Date Contractor and/or Homeowner (Required when comments are present) sis-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received� �� 5 �I� � � � g�3 � Phone Contact for Permittin Owner's Name � t T'b � � Z� � 5 Owner Phone Number �-�� - `77� ��((� Owner's Address �C7�J 6 G A` L,�Q� � �{ 3 < Ow�er Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �O S C��A\� �(�1� LOT# � SUBDIVISION PARCEL iD# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT �_] SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER �} �� W� S TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK R� � �� -- � � �.(�`�S '� _ ��.� � BUILDING 51ZE �— '$Q FOOTAGE� H�IGHT OBUILDING E VALUATION OF TOTAL CONSTRUCTION �`��j ��(`) c� ��r � QELECTRICAL $ + � OQO AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. OPLUMBING a �(3L�� O6 QMECHANICAL $ �� C� VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER r4 � - �'} � ��c�pC,� �v�S�'��,c7� SIGNATURE `�-�- � f\ �j CO PANY � REGISTERED Y/ N FEE CURRE� Y/N Address �, �iy� {� I.XL �= License# C V�Q < �p ELECTRICIAN �COIIAPANY ��( ��i�.L� I" �- `^�� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �j � Address 'V�� License# �jU�Z� � � � PLUMBER �� '��y COMPANY �OAS��- V��A�1 tC�.i� � SIGNATU REGISTERED Y/ N FEE CURRE� Y/N L�-�6- D,y ��ddriess . �(}� , C C Z/. /� 't c�P�� Lic�ns�� 1 lD tP 6 MECHANICAL COMPANY �`�S}'��-- ��L�`�N �G4(� �. � � SIGNATURE ��' � ��y � REGISTERED Y/ N FEE CURRE� Y/N � Address License# �"l�'T-� �(�7�- OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTtAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalied, Sanitary Facilitles 8 1 dumpster;Site Work Permit for subdivisions/large proJects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constnaction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance SIGN PERMiT Attach(2)sets of Engineered Plans. '""'PROPERTY SURVEY required for all NEW consVuction. Directlons: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a NoNce of Commencement is required. (A/C upgrades over 57500) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same OVER THE GQU.�ITER PERNJJTfI�I� r„� ,r(Front f Applicatlon Only) Reroofs if sMingles Sewers Servjce.IJpq�des A/C Fences(PIoUSurvey/F.oe�ge} -�»�-�-- - - ...w�... .,.§ � Y x t , .•�• �� Drivev�ays-Not over Counter if on publi��oad�rays..needs ROW � �� ° � • ` k...�-. i� ... w �.�,!.,+a�, �w• •A '� � r•,.�. �w.�.� . � ..u.v M.��t`+�� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictia�s" which may be more resi�ictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or cont�actors to undertake work, they may be required to be licensed in accordance with state and local �egulations. 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 Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they wili be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing bufldings, or expansion of existing buiidings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a ce�tificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, i certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify 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. CONTRACTOR'SIOWNER'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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 timited to: - Department of Environmental Protection-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 Watervvays. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Welts, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in a�y area, I certify that use of such fill will not adversely affect adjacent prope�ties. If use of flll is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the application. 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 the�eafter requiring a correction of errors in pla�s, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justi�able cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FA1 TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IM OVEME T YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO R L NDER A BEFO E RECORDING YOUR NOTICE OF COM N EMENT. FIORIDA JURAT(F.S. 117 0 ) , (1�� OWNER OR AGENT �� " CONTRACTOR Su s«Ib and swo or �I e be Is Su s and swo o(or a rmed)befo his _ r� br o Isl re p rsonally kn me or has/have Produced Who Is/�c@ perso all o e or haslhave p uc as Identlficatlon. i /�1�� as identlficaGon. �. , ` Notary Public � (� _ o ry Public Commissfon No. Commission No. SU:iAl�!L.BENNETT s Sli;�:�i l.L�E�1�TT , . ' Name of Notary typed,printed EXPIRES:august 1 t,2016 NameofNotarytyPed�Prl p ,. .,>l;�s��i.2Ut6 ,,;� 8aideaTixuriwarvPub�ctmdawri�era Bp,. . .:r Pt�.i�:. �ero+itlls r�.r�.r��. ' ' '.� .,. DEC-07-2012 10:15 From:COASTAL MECHANICAL 8137648505 To:7800021 P.1�7 ws�� Clqr af L�phnt�PMmdlAp�tlut �+��+ 1�01�111�t •1`Or1 (� r.7 Ow r .nv�.�. wiwnrw�r i�81 -41'?-Ig o �11�e�w � O A �w�/M�IM�e �� ilM��M 7NM11�� a11R/IrIMN11�11 ��I�1�y11YMd11NY1ArM �� !oA\ �O �a�rr �� 11�I/IOr �IdO pw�rwwwiww..w.�r�1 w�t r710�O�0 e INrla011f1�� OOMLf Q �1 (� [� �MOL/M �IiMLL IvAR ��U4 [� !iq 0 OdM1 0 �� .�o.aoNnwrenoN [,� euaac p aw� Q sn� p r _ .a��wa.�ra�c . -.Lm ► �o�aoa �roa��olt� �r� p"""'"10 w�au�a�oNatvu��'y�j(�:, 5��[1i �,wu� r� �� ur�a p oava�n ttMaov p wR.e.a �"�"'�° � tn* �(340t Q116�ANG1. �G �pWIM►110�vMMCqwrl�NbrN.MtioM QOn1 Q �00lRIO � f�CMLY11(� �1l1! ��11l0ltiG�ORp�Q/K � 1�OpoLdEA�IEA [�Yla NO �, ! ��. �r aada. , �atc�'r� awll�E � ..ia... A/�� < �'a�l t.k �lerirt/ ` � � 1 1.�V••I�M �L•G� �l �M11� � �1� � hl�1/II� A++••� �G6 �,w�N!�I�Z�I I �..,.......,.r.� '' ao,.,,w •tpL �d�a�.��r�►l_ �lu'�""4` ci ' ,�.r..� �' Si'�„ 'V c�erws ! � � � ' S�lA�. d1r�'G�hsMJGa�, • +�� »r�n� .re■� ra� M 1 �- �++•+� ue�.�a i�l � �� .w►.uim �...�..a w.a�r. �+� ��owit 7�ItIM. NMO�f4rlethM�W�M11MMr�NMIe(q�MKOrYilrwR114Mti�l�r�wwlrA�� IY�w�P�wriO��M i1�1��Cw111/�/�,�wMrTrns�/ORIMw�MM�O� a.rr r,rau r�+.wr:��.e�w Ma�wa�.r��,uer�aanr�.rr w►■..c.n,a.a► �ro. �e►w�nM��f��w�.MsaWr�M�n»t M�.ww(qww�wp�Mwi.Mrww,�rweMMM.ar��Ml�rww.rl�wf�Iwrll�rN1, 'M�OM�� !�RI��i�NM��IM�11tMndIM�r11MFdiMwrlla�wrMw��lr*YMaN�Mpwo� "'�►Rry�YR►�M/M 1/1�IMN/w�Mlr► �a11M� ��►�y�a�n�,�M�.ar ■w�row��wwwow�w�w�wia�wMM, Wo��w+�i1w�! �drr�r rM�r��1�wrsAWw4 Mr�rwr�wuM s��wwMNA►newMtM�r4er�el�w W�o�4pApwM ATqE001�flR�R�,. �1�A��py1 e�rdr�l.. enw■, a.!ilw Wc PrMw�.�U --r.�—•�. •.,.. 0a..i�a■Ma ar Crwr�a�ri f1p�M�w►wwa�ow � � •• .y•�� . .. .. ... ... . � M .,.,..��. ,.....�.r 1�01t00'd fll� lb�9l ZIOZl9alZt :eo�,� This InstrumentPrepared By: Name: Rodda Construction Inc 250 E.Hiphland Drive, Lakeland,FL 33813 I IIIIII IIIII IIII)I�III IIIII IIIII(IIII IIIII IIIII IIIII III 2012208822 Permit No. Tax Folio No. NOTICE OF COMMENCEMENT STATE OF Flnrida COUIVTYOF Pasco THE UNDERSI�NED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the foUowing information is provided in this Notice of Commencement 1. Description ojproperty: (legal description of property,and street address if available) Florida Hospital Zephyrhills Cath Lab Legal: 35-25-21-0010-10500-0000 7050 Gall Blvd D5Pt01000692 Ree: 10.00 ZephyrhilJs,FL 33541 12�0��12 � IT: 0.00 2. General description of improvement: Upgrade systems jor new equipment Cook, Dpty C1 e�k 3. Owned Tenant information a. Name and Address: Florida Hospital Zephyrhills, 7050 Ga[I Blvd,Zephyrhi[!s,FL 33541 b. Interest in proper[y:Owner c. Name and address ofjee simple titleholder rf other than owner): 4. Contractor: a. Name and address: Rodda Construction,Inc.,250 E.Highland Drive,Laketand,FL 33813 b. Phone number:863-669-0990 5. Surety a. Name and address:N/A PAULR S 0'NE IL,Ph D Pp5C0 CLERK & COMPTROLLER ' b Amount of bond$ 12/07/12 10:46a 1 0'1� c. Phone number: OR BK ��9� PG 6. Lender �G �� a. Name and address:N/A b. Phone number: 7. Persons within the State of Florida designated by Owner upon whvm notices or other documents may be served as provided in sectinn 713.13(I)(a)7.,Florida Statutes: a. Name and address: b. Phone numbei: 8. In addition to hi►nself,'Owner designates the followingperson(s)to receive a copy oJthe Lienor's Notice as provided in Section 713.13(1)(b).,Florida Statutes: a Name and address: Rodda Consbuction,lnc.,250 E.Highland Drive,Lakeland,F133813 b. Phone number:863-669-0990 9. Explration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specifted) i � WARNINC TO OWNER:ANYPAYM TS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSID D IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CA RESULT I Y UR PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTI'.A NOTICE OF COMMENCEMEN US BE RDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FIN N IN ,CO LT WITH YOUR LENDER OR ANATTORNEYBEFORE COMMENCINC WORK OR RECORDING YOUR NOTI F O M MENT. (Signat e of Owner or ner's Authorued Officer/Director/Partner/Manager) �.�-� C �. ��, �� 2 �� r . _ (Signatory's TitIPJOff:ce) ' � , Y � 1 ��. The foregoing instrument � cknowle�lged before me this�day of '�C '2012 b I��A`Z- _ (n a m e o f p e r s o n) a s � "' �` (t y p e o f a u t h o r i t y,...e.g.o f f u e r,t r u s t e e,a t t o r n e y i n f a c t)f o r(n a me o f par ty on behalf of om instrume t vas.execu.te¢). ,�;•� �, �`"� •'� �/� "tv,�'s SUSAN L BEM�Tr 1 c ature o Nota lSublic .,State o lorida :�' �'��'�2�4�02 f �'y, „,� � � EXPIRES:August 11,2018 , 8oided Thru No�r Pubtic UndeiwrKds (Print, Type,or Stamp Commissioned Name of Notary Public) PersonaUy Snown�OR Produced Identifuation Type of Identifccation Produced * . � sGrr � � � STATE OF FLORICA, COUNTY Q� PASCO .G� TH(S IS TL CERTIFY THAT THE FOREGOING IS A �,• �� • � TRUE ANp CORRECT COPY OF TME DOCUMENT ? •� � ON FILE OR OF PUBLIC RECORD IN THiS OFFICE � W�TNEtSr.S MY HAND �i� � �--� y " D OFFICIAL SEAL THIS �� • ..� ' � °A -�- 2 Di � '� � � � � PAU S O'NEI�FCLERK& COMPTROLLER . C �,4 •• , Y� �' "♦' # * BY�� C� DEPUTY CLERK 2012-12-07 11 :11 rodda construction 8636673778 » p 2�2 . _ _ � ' — .. R000a 6ANSTRUCTION INC. i�eW Cw�pp�i�e IA�n POWER OFATTORNEYAND AUTHORIZATION Date:December 7, ZOI Z 1, John Rodda. President of Rodda Construction,Inc. hereby name, constitute, an�l appoint the employee(s) listed below to act ns my attorne,�-in fact for the purpose ojpulling permits in my nam� The Trrx I.D. Number for Rodda Construetion is: 592932983, Florida G.G License Nunrber is: CGC061496 Signature of P�esident, John Rodda � Signature of Designated Attorney-In-Fact, Robert Major � � STATE OF FLOWDA COUIVTY OF POLK �J � Subscribed and s►vorn to before e this / day of '�- 2012. / � � , C �� ND RY PUBLIC My Commission Expires: �uTM��s.Mcc�tuM • . M�fary PubNc-Stm a Fb�IQa Mq Cwlpn.6tpbat Ju117.20fd Committbn N EE 160106 250 E. Highland Drive Lakeland, FL 33813 0:863-669-0990 f•863-667-3778 Lic.#CG-COfi1496 12/12/2012 WED 16: 22 FAX �002/002 From: 12/07/2012 09:48 #117 P.002/002 e�saeaoozo City of Zephyrhitls Permit Application F.K-e+�-reo�oo2+ BWWIng Deptt6nMl bah R�aeiwd rr 5 p,,,��,,,,,�,�„ �. g _ ��3 OwnsYs Name t �p�' ` Z�. . Owear PAom NumOOr (—g� " �� —��l(� Ow�rs Addau 705 6 G A W�3 Ownsr Phom I�hnn6�r t Fee 81mp10 Tf1l�holdtt Nam� Owe�a Phon�NumM� � � Fee SOnpte 7Rl�hold�r Addr�ss JOBAOORESS � OSCsCo�1�� (.�p LOTK � 8UBDIVISION � ^� PAR�EL IDN (0lTA1N�FROMPROPBtTYTAIf NOTC!) WORK i�ROPOSED e NEW CONSTIt� AbWALT � SIGN [� Q OEMOLI3N IN3TALl REPAIR PROppgED US£ � SF7t Q COMM �'] OTHER 7YPE OF COl187AUCTION [] BLOCK Q FpqME Q BTEEt Q • DEECWPTION�F WOpK R� n W.p��S � • F.-yV1 1 BUI�DHiO 81ZE � �+'s4 FOOTAG@�� H�IONT �� QBUIIDiNO VAE.UATlON OF TpTAt.CONS1'RUCTION� �Cv 7�, yzC QEIECTRICAI f Q p�O qMP BERVICE (� PROpRE88 ENERC�Y Q W.R.E.C. oP��,� �--� ff�(34�( L�M�C�� f �� ,,. VALUATWN OF b1EGiqNICAf.iMSTALLqT10N C��^S O �n�o [] BPeraa.rr p OT� flMISHEO FLOOR ELEVA710NS FLOODZqIdEqqEl1 �YES Np � SKiNATURE � . �� p� ��ANY Da� WtJS��WIJ �.] N�TIENED ��Y/ �qmita _,Y I N �.ss �tl ' uur.e�►t v QL'��ol��G+ ' .0 .,� . EIECTRICU1t� ' �J�PANY E70�f2'C-. C'�'�.iG � y,ln��-�"'� 2 S/,�l T�'~/`i -T U s�oru►TURE �r AEOlsrs� ! f6ea�la� p., ` ��L(Y- � ,war..: �GBV� ��e�r� 1�9�� pWMB6R . COMPANI� eoR�}p� �� IGNATI�!,�' AEOIStE�6p Y/ ifiEqlMN. V N �6-�� (�Ir dib.s �V.(��1 uanse�e �'t �G � � (�J�`w�'�-� MECIiANICAI. �pA� �bASi'A L l'i�EC1�.a:ro�GO.� r � SIGNATURE �ms�ptttv Y N ►s�qnaE� /N � Addnss Uana N .� - ��()72' OYNER C��y � EItiNATURR? I�easTElteD N �CuR�1. N Adderss llpnre�►I � R6sloEttTNU. 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