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-_ .. .=� ' _<;= ,�. ., . - - _._ -. : . -. . - - ,. :� ..- ._ _ - - - ---�,: - <br /> - - � . - , � -.._ . .�....�.��. _._. ._.,_.W...__.._..�..>.H...�..,.:., <br /> ` ' .� <br /> The design engineer certifies to the preparation of the These plans, specifications and related documents are <br /> engineering documents and agrees to fumish certified approved and accepted by the ownedowner's representative. <br /> operating permit applications upon completion of the proJecf <br /> and is authorized to represent the applicant in the engineering <br /> features including monitoring of construction. <br /> Date: 1 -1 0—0 3 Date•� <br /> Sig�ature and seal:�Engineer registered under Fiorida Statutes Si Owners Representat�ve <br /> Gardner B. Collins, PE 9702 FL � ����� ��� <br /> Typed Name and Florida registration number Typed Nam and Title of Above <br /> Phone: ( 72�i 442 8443 Fax:(72� 442 0493 Phone: (��) o��� _��Gv Fax:( ) � <br /> Address: ' Address: - i- <br /> 1 1 00 Cleveland St. Suite 900 •• ���j( 5 �-C�l � � �,� d <br /> Street Street <br /> Clearwater, FL 33755 _'�����4� ����IS �� ��Sy � <br /> City State Zip City State Zip <br /> , ; <br /> These plans for the proposed construction cited in the foregoing application are hereby approved under authority of Cliapters 381 <br /> and 514, Florida Statutes,with the following proviso(s): <br /> Construction on this project shall be commenced within one year from the date of approval of this application otherwise six (6) <br /> months approval extension shall be obtained from the Department prior to commencing construction. <br /> This approvaf is for the functional aspects of this project and is based on the information and data supplied by the applicant or his <br /> agent. There may be other local permits, requirements or regulations that must be met prior to the constntction of thls facility. <br /> Only those applications, plans and spec�cations that have been stamped with the Department's approval number are included in this <br /> approval. Any changes to these applications, plans or specifications may render this approval null and voi � <br /> _ / DEP RTMENT OF HEALTH <br /> �P�Rov��� � <br /> Approval Stamp and Dat�'�����S COUf�TV HEALTH DEPARTiVIE�Pi`ey\ � ���'2�i�-y' <br /> DOH Engineer <br /> � 2 ��� �OO Zj ` D.MICHAEL FLANERY,PE <br /> min'atratar <br /> Print Name / <br />