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HomeMy WebLinkAbout13-14029 CITY OF ZEPHYRHILLS ' � 5335-8TH STREET (sis)�so-oo20 14029 DRIVEWAY PERMIT , ,. � � .�, :t��y w�=r":�' „ "„> ���t" �,,. „`���� �,'a�? ��,�i` .. Permit Number: 14029 Address: 1 4 ��,�. �>' Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: ;,`�.��� � ;... � ,, ��,�°�,;�;°;,.� �<;, Date Issued: 3/28/2013 � �� Name: CITY OF ZEPHYRHILLS Total Fees: 00 ,�j,��tii Address: 5335 8TH ST Amount Paid: 00 ZEPHYRHILLS FL 33542 Date Paid: 3/28/2013 Phone: Work Desc: DRIVEWAY FOR LIFT STATION #14 35 X 14-FEE WAIVED-PO#19538 ,,,,;;,',i wd'.. ���'-,.^"i'�$�a-':-„-''v''�� ��� _•ae r�,.. °�"#,�+}�;'�e� a"Pk4;�r �-,:r� +'•'"-,,-:,x.-. ..-.,��,-3r�`,'-`r' ,. MORRIS &ASSOCIATES INC DRIVEWAY 30.00 ,; , � � �� ���- '_-�.',_*�, ue �,x." y�+rh.'m�d 4 �_I�'�,� '_;��d�:: a;,R� 9� "�'d�` � x `d '4-:�r, � ^�'s z; �d+ ��Y k= �i ',�����p, I .-,r�. .,._; 4'i`��:`�,�s��.��' �.V �i_ �,r�'9, µ�a�l,w�i`� 4i�.-..4r, � v.,�,;, FINAL 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 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." NTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER M, ' . PERMIT APPLICATION � ' DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY All information must be filled-in completely City of Zephyrhills 5335 8"'Street, Zephyrhilis, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 �ate o��pli�oiil: , ���i.ror��tairiuecfiy) . ��`� . - � �.�1�_ , �.' . ' , �: PR07ECT )OB SITE: PROPERTY OWNER Address: u Name: � � — ,� Unit#: Address: ,4�r,� � nit: Parcel Identification Number: Ci State Zi ' 2� ,�� =� Phone: ��, ax: CONTRACTOR: Company�"iI���2.�.5 f A��n� _ Name. DA v,,� S�c � r !� _Contractor's License #: ("�% - O.,�b 7�l'7 E-Mail• Phone.3Sa. 3ay��0 3 � Cell:����-Z��� Fax• ARCHITECT/ENGINEER: Name:,I* Firm Name: Address: Citv' State• Zip. State ucense #. Phone: Cell: Fax: A�rintion of Proiect TYPE OF DRIVEWAY �LENGTH OF DRNEWAY CULVERTS NEEDED _�Ij�SIDEMZ4L DRNEWAY �WIDTH OF DRNEWAY ( )REINFORCED CONCRETE ��COMMERCIAL DRIVEWAY EXCAVATION ( )CORRUGATED MAIERIAL PUBLIC ACCESS DRNEWAY �DE�pTH LINEAR FEET ( )BOX CULVERT CONSTRUCTION MATE��L c��CUT R�OUI ED O OTHER(DCPLAIN) ASPHALT YES L�b _�EONCRETE HEADWALL OUI DT YES � NOTIC�TO APPL - NT: If actual work exceeds scope of this description,additional permits or drawings will be required. UTILITY LOCATIANC aFn��TaFn• CALL BEFORE YOU DIG: 1.800.432.4770 Page i of 3 PERINIT pPPLICd1TION UTIL,ITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN TNIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. ��.��� � � � � \ \ � ��\ f-�.i � � � �� J \� � �.1 F� I� � 5TA• !+� 0 � � l� � �v J r � � �, 's � c - � � � � . � v AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing information is aaurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all approved construdion documents,and issuance of this permit is verification that I will notify the property owner of Florida Lien Law req.,F.S. 713. The issuance of this permit dces not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design Standards(if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.fl.us/public works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDEMIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhills is not responsible for mainbenance or repairs of driveways. Driveways shall not alter/ ir�terfere with existing sbormwater treatment and/or conveyance. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure Statement. (please initial) _ o ���� �,� � T � �-�=_- �-;�- � 3 Applicant Print Name Applicant Signature Date Permit Technician Signature (or) Notary Signature Date Applicant is( ) personally known to me or produced as identification. (type of identification) Page 2 of 3 PERMIT,APPLICATION OFFICE USE ONLY PUBLIC W�RKS USE ONLY Concrete (min. 6'� Y N � �-r�o iNC�.vc� w.u�.�_ ,,��T��u p Asphalt Base(min. 6'� Y N Asphalt(min. 1�/z'� Y N Length (min. 19� Y N Width (10'min—20'max) Y N Existing sidewalk. Y N New sidewalk. Y N ADA compliant. Y N � Expansion material required. Y N ST,� T � T '� p�, Contiguous parking pad. y Triangular flare(3'W x 7'L) Y N Visibility triangle o.k.? Y N Side set back(3'min. R.O.W.) Y N Plan Review Fee Additional descM of work as deAned b Publlc Works D1r+ecb�r and or nee: Permit application approved by: Date: q �p� t 3 Page 3 of 3 w � . � � � . �. .,, � , , ,..r � �;�� ��. ,� � A za�.'� , .. ti": ' . > >- � .���� -�.. � a'�' ' - . � . . � . �. ' �.�.�,.�e. , .az «,.n .. .� . . 3 � ' � 1 ,. �� � '' a M , . �� 'h=4d C� , sr P�`1 � "� � �i+f , ' . . I'��.�` k ,.� � ,..o ✓dG ''. �� .� ���� ��� ���rs�t'� �� V+iC" F y�,'�.t�"�� `� r �i � ' ,' ". 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T �f: � � � l� � k. fi t � �"��. � ; � �� �y� • �u � �� �� , ��„�, ��� ,� .� `� � :;� � r�y � a " � z } " . � �� ' _, " `,. �� � , w �� 4, , .. f r . _ 4 � �� � �� �.. _..»,. . -.3}�P - . . �::< � ,� »....,..«.»:.:-,K ._. .. ,...„, z, , .. . , �....�' r b:._.. ..... -.:,v,. ,ti� , . _..._. ... .:._._........._.___ ._ e � � . . � .. �f,�� � � � 2. * � ;�� � � , .�' � � � . . `. � � .� . ; �_ % � _....,�,,. � � }� . � � � , t �� ��� � �� ��. > �n ��� „ � � . , �� ' � � * �� � � � `^ . �� � � »: � ��' t� 4*r':i �� ,z.,` . CITY OF ZEPHYRHILLS UTILITIES DEPARTMENT Pursuant to Rurchase Order 19538 and 19539, issued to Morris and Associates, inc. on February 1, 2013 a determination had been made by the City that there is a need for the performance of or rendering of services by Morris and Associates, Inc. of a certain "Task Order" under the purview of said Contract. The issuance of this Task Order hereby authQrizes Morris and Associates, Inc.to perForm or render the particular services of work described as foliows: TASK ORDER NUMBER: L513-03 and I.S13-03 Change Order No. 1 Morris and Associates, Inc. shall perform tasks as more specif�cally detailed in the attached "Proposals" dated December 18, 2012 by Morris and Associates, Inc. Compensation to Morris and Associates, Inc. for rendering all of the identified services and products shall not exceed 19 448.75 under this Task Order and 7 741.25 under Change Order No. 1 unless authorized in writing by the City of Zephyrhills in accordance with the stipulations set forth in Bid 11-11-07. Furthermore, compensation for the tasks shal[ not exceed the amount set forth as follows unless authorized in writing by the City of Zephyrhilis in accordance with the stipulations set forth in Bid 11-11-07: ,,:y.a':,, _� .r _ x;;�e:-��.: .. ,:L'i,ft.; �.. _ ��; : -_ -, -,�._ -�..:�.:_ �,,, - �r::�°;�� �°�;,s:° a:t. - , ��location:...., ' ��'`�;'-�; .;.;,,..�<.� ,.;Amo.�int� `�, _� ' � '>, _ �,�, �,:.:�,;,�;..��,� ,.fr ,, "��'w;�' ^}�� �y � ,^:�',_Fe� _ ' _�*,. , �.y�,�r`',��,(� " :.kr . �7:r..r��,y�_r;;�; � ��::::, ,'[;yi�!� 'y%'�'' `fi,`' yJ'.�` ';3'�` :�G'i� �'lS��q.''.�.:�+�..it..-`it�:�U:'ir:•f,q;stii��C�L.;:iF:M: Sx, lY•��r1 5:, �Statior�..f.9� rti'" — •�i' :T1?A.3 ?t,v�'4�;��,;�`.��3;rri��y��;' ��b _ ;w+.r..,��, .�3��:�, v4s�r::� :-"�_ ,#�� •i. ,��:.,�.; ,t«. ,E �ui��.�. ,� •a`>�t'=`;, �3. ��kse�'-;c' "��r:: � �'� ,.�w'"t. r� .r� — .,r�...�. t-�i' T,:.r�7:rs��t,r.�'r.. .lF�r; �,"iva�, �s�; .;''t�:• �•,.}'s�r �c..:.::�£;�'r;i.;F ''.:;F:.�. '••,�;i :e-, 'Y: - '�i _r:� �TS;,.i.. _ . �r�?y.- "•,`� . .R, ... r,� ,�.,,.y,�.:. �='s. _ �'�"'�"� .,F�dN I ��_�'f 4F%. fhFs =ti:'�r., .i'�u'9.,�t }`7K�2 y. t..�...t�� S�4` �Sa: �� i�.r4.:�iu. � t`:�I. ;�P,+f;.:a ",., .�ia�r.�.wT'if 7 t k .4��:.� '��F, ���. y�tii�4.. �..., S:^.�'_`:s:, ..{.�_:.4fr .t t��,: � rl'.r'^.S�'�'i�JS;e.��kA}T.qYv;�?l.:.i:1a^�«fx <i7.�;,�.e.v�t '�*a. �.-L _ 9'r�`'r'w..:' ..w,�_-v,4: Y.'�,'::e�.a. pr.w . _,.z..., w.....�,_. ,....... . .. .. _ ,.,: � . . . 30 37219 Geiger Road $19,448.75 30 Change Order No. 1 $7,741.25 `�,���I''ease-�,i nirotce�;ea'cli�p,u rcl�ia�se$:o ride rs.sepa cately: __ .� 3:=::a. .�.:�_.t•su=�..1..._r:W...r.1._' _.1. Bv� ~g -� �9 I3 avfd E. Henderson Date Director of Utilities - ,. . PURCHASE ORDER �i'��r �f Z eph�rrhills _ No. 00019538 L'F i. 1�'l. VENDOR: SHIP TO: BILL TO: Morris&Associates Inc. Wastewater Plant City of Zephyrhills Commercial Business Finance 39825 Alston Avenue 5335 8th St. PO Box 1209 Winter Pazk,FL 32790- Zephyrhills,FL 33542- Zephyrhills,FL 33542 VENDOR NO. VENDOR PHONE NUMBER TERMS DATE REQUIRED DELIVERY DATE Morris&A ( ) - � 0 02/Ol/2013 SHIPPING INSTRUCTIONS (none) ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNiT PRICE AMOUNT 1 U.00 Sanitary Sewer Manhole and 041-3500-535-6322 19,448.7500 19,448.75 LS Rehabilitation. Task Order#LS 13-03 for LS#30 Rehabilitation. Not to exceed total cost of PO. IMPORTANT: OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE This onier is given upon the representution and guarnnty of the manufnclurer or seller U�at.no breach of any State or Federal Law or Regulation has occumed in connection with the manufacturing,pracessing,branding,labeling or uansportulion of the me�handise herEin raentioned. If such breach occurs or is charged by any legally consiituted State or Fedetal authority,the buyer shult be enlided lo rescind the order und return the unused merchandise und shalt also be held htumless by the manufacwier or seller against nny penalty incurred and/or lhe cost of defense of any proceeding designed to penaliu the buyer therefor. Page.Z Purchase Order No. 00019538 ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT SLBTOTAL: I9,448.75 TAX: 0.00 S}iIPPING: 0.00 TOTAL: 19,448.75 TAXABLE: No CONFIRMING: No ���t�+�►*,.w,—.^ AUTHORIZED SIGNATURE SPECIAL IIVSTRUCTIONS: IMPORTANT: OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE This order is given upon the repiesentaiion und guaranty of�he munufacturer or ssller thnt no bceach of any State or Federal law or Regutation hns occuned in connecdon with the manufacturing,processing,branding,labeling or trensportation of the merchandise herein cncndoned. If such breuch occurs or is charged by any legally constitutod Stute or Federal authority,ihe buyer shall be entiNed to rescind the ordet and relurn thc unused machandise and shall a�so be held harmless by the manufacturer or seller pguinst any pennity incurred and/or the cost of defense of any proceeding deslgnett to penalize tl�e buyer tl�ecefor. PURCHASE ORDER �it� �f Fephyrhills ;=:' ��� No. 00019539 � r VEiVDOR: SHII'TO: BILL TO: Morris &Associates Inc. Wastewater Plant City of Zephyrhil[s Commercial Business Finance 39825 Alston Avenue 5335 8th St. PO Box 1209 'Winter Park,FL 32790- Zephyrhills,FL 33542- Zephyrhills,FL 33542 VENDOR NO. VENDOR PHONE NUMl3ER TERMS DATE REQUIRED DELIVERY DA'1'� Morris&A ( ) - 0 0?J01/2013 SHIPPING INSTRUCITONS (none} ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT 1 0.00 Sanitary Sewer Manhole and 041-3500-535-6322 7,741.250Q 7,741.25 Lift 5tation Rehabilitation. Task Order#LS#13-03, Change Order#Ol,for LS 30 Rehabilitation. Not to exceed total cost of PO. IMPORTANT: OUR ORDER NUMBER MUST APPEAR ON EVSRY INVOICE AND PACKAGE This order is Bven upon the�reseatation and gueranry of the manufacturer or seller that no breach of uny State or Federnl Law or Regulation has occumed in ' connection with�he manufacturing,processing,brnnding,labeling or transportation of lhe merchandise herein mentioned. ff such breach occurs or is charged by any legully constitutcd Stete or Federal authority,the buyer shall be entitlecl to rescind the order and cetum the uaused merchandise and shall also be hetd hannless by the manufacturor or seper aguinst any penalty incurrai and/or the cost of defense of any pmceeding designed to penalize the buycr therefor. Page:2 Purchase Order No. 00019539 ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNI,T PRICE AMOUNI' S U8'I'OTAL: 7,741.25 TAX: 0.00 SHIPPING: 0.00 TOTAL: 7,741.25 TAXABI.E: No CONFIRMING: No f����--�-^• AUTHORIZED SIGNATURE SPECIAL INSTRUCTION5: IMPORTANT: OUR ORDER NUMBER MUST APPEA[t ON EVERY INVOICE AND PACKAGE This ardcr is given upon the representntion and guarenty of Ihe munufacwrer ar seller that no breech of Any Stule or F'edera[Law or Regulation has occur�ed in connecflon wilh the menufacturing,pmoessing,branding,lnbeling or trnnsportadon of the mcrchpndisc herein mentioned. If sucb breach occurs or is charged by Any legally constituted State or Federal aulhority,the buyer ahall be entitled to rescind the otYkr and retum the unused merchandise and shall also be held b:umless by the manufacturer or seller against any penalty inc�med and/or the cost of defense of nny proceeding designed to penalize the buyer thcrcfor. MO RR.I S & ASSOCIATES INC. 800 Citrus Avenue 352-324-4037 Fax 352-324-3120 Howey in the Hills, Florida 34737 Cell 352-603-0034 ImorrisCa�morrisassoc.inc.com Website: Morrisassocinc.com December 18, 2012 Mr. David Henderson Director of Utilities City of Zephyrhills Todd Hiscock Wastewater Manager 5335 8T" Street Zephyrhills, Florida 33542 Re: Sanitary Sewer Manhole & Lift station Wefinrell Rehabilitation Bid # 11-11-07 Lift Station # 30 Good Morning Dave & Todd: Please find attached the proposal for the change order items necessary for rehabilitation of Lift station # 30 per the site visit. Unit of Unit Total Item # Description Quantity Measure Price Price Construct P Trap 1 EA 750.00 750.00 Upper Guide Rail Brackets 2 EA 275.00 550.00 Guide Rails 2 EA 600.00 1,200.00 Remove & Replace 4" Pump Bases 2 EA 620.00 1,240.00 Install 4" Concrete Driveway Concrete & Form Board by Owner 1455 SF 2.75 4,001.25 TOTAL CHANGE ORDER 7,741.25 SCOPE OF WORK: 1. Set Up & Maintain Bypass Pumping 2. Clean Wetwell 3. Install Sewer Plugs 4. Seal all Infiltration Leaks 5. Point Repair Walls as Necessary 6. Coat Interior Walls of Wetwell & Valve Vaults with '/2" Pure Fused Calcium Aluminate Mortar 7. Set Up & Maintain Traffic Control 8. Perform Work as per the Above Proposal If you have any question please do not hesitate to contact me. Sincerely, �/. ii'�.�� Larry B. Morris President CERTIFIED GENERAL INFRASTRUCTURE,UTILITY&DIRECTIONAL DRILLING SPECIALISTS CERTIFIED UNDERGROUND CONTRACTOR CGC 056787 CONSULTANTS ESTIMATORS MANAGERS CONSTRUCTORS UTILITY CONTRACTOR CUC 43116