AGENDA REQUEST - sarasota.granicus.com
Transcript of AGENDA REQUEST - sarasota.granicus.com
AGENDA REQUESTAGENDA ITEM NO:
September 2, 2014
COMMISSION MEETING DATE:AGENDA HEADING:
Consent Agenda No. 1 IV.A.2.
BY Public Works Doug Jeffcoat Public Works General Manager of
Landscape, Parks and Environmental
Services Kucharski
Department HeadOriginating Department Presenter
SUBJECT:
Approval Re: Change Order No. 1 to Apollo Construction & Engineering Services for Bid No. 14-01K,
12th Street Wash Station Plumbing.
COMMISSION PRIORITIES:
Business Requirement
EXPLANATION:
This Change Order is for additional concrete removal/replacement necessary for the wash station utilized
by the garbage vehicles. The original purchase order was for $4,866.68 and this change order is for
$1,920.49, adjusting the contract price to $6,787.17. This change order exceeds 10% of the original
contract price and therefore, requires City Commission approval.
ADMINISTRATION'S RECOMMENDATION:
Motion To:
Approve Change Order No. 1 to Apollo Construction & Engineering Services for Bid No. 14-01K, 12th
Street Wash Station Plumbing, in the amount of $1,920.49 and authorize the City Manager to execute
same.
APPROVAL SUMMARY:
Completed ByDate CompletedRequired StatusApproval
Y 08/25/2014Department Head Approval APPROVEDDoug Jeffcoat
Y 08/26/2014Finance Review / Approval APPROVEDMary Tucker
Y 08/26/2014Deputy City Manager Approval APPROVEDMarlon Brown
Y 08/26/2014City Manager Approval APPROVEDMarlon Brown
Y 08/26/2014City Auditor and Clerk Approval APPROVEDPamela Nadalini
AGENDA REQUESTADDITIONAL EXPLANATION:
ADDITIONAL ADMIN RECOMMENDATION:
FUNDING SOURCE: AMOUNT:
Solid Waste Management 414-136-000-000672-000000 $1,920.49
HOUSING IMPACT (Per House): NEW CONSTRUCTION: REHABILITATION:
$ 0 $ 0
SUPPORT DEPARTMENTS:
City Auditor and Clerk - Pamela M. Nadalini Financial Administration - John Lege
City Attorney - Robert Fournier City Manager - Thomas Barwin
City Commissioners - Thomas Barwin Commission Liaisons - Marlon Brown
Purchasing - Mary Tucker
AGENDA DISPOSITION
COMMISSION ACTION:
Final Action Motion:
Second By:Motion By:
Vote:
2
Page 1 of 26
Page 2 of 26
CITY OF SARASOTA CONTRACT CHANGE ORDER NO. 1
BID No. 14-0lK Page 2 of3
PROJECT: 12th Street Wash Station Plumbing Date: 7/1012014
CONTRACTOR: Apollo Construction & Eng. Services, Inc.
CHANGE IN CONTRACT ITEMS Item Pay Item Description Unit Unit Unit Amount of Amount of
Number Decrease Unit Increase Unit Price Deletion Increase
1 Remove and replace additional Concrete
Labor Helper 47.5 hrs $25.77 1 ,224 .. 08
Journeyman 8.5 hrs $71.52 $607.92
Additional Materials 1 each $88.49 $88.49
I TOTALS: I so.oo 1 $1,92o.oo
»»>» TOTAL INCREASE THIS CHANGE ORDER $1,920.00
Page 3 of 26
CITY OF SARASOTA CONTRACT CHANGE ORDER NO. 1
BID No. 14-0lK Page3of3
PROJECT: 12th Street Wash Station Plumbing Date: 7/10/2014
CONTRACTOR: Apollo Construction & Eng. Svcs,Inc.
:::,') o}oo:o,, i}oo: ''' '''':': ::;:':: : ''': :o}: 0~:.'Q'':':,:';_::::~:;;,
Daniel E. Peck
~~~~~~~~~~E!:J;~--_Date: 7/to/Y Title ()Dord.Project~anager
Accepted By:
Title Apollo Construction & Eng. Services, Inc. Thomas G. Komprath
Approved By: -----------Date: Title Public Works Director Douglas Jeffcoat
FoUowing pre approvals are required if Adjusted Contract Price exceeds Authorized Contract Price
Date: ------Mary Tucker, Purchasing Manager
Date: ------John Lege, Finance Director
Date: ------Thomas Barwin, City Manager
C:\Documents and Settings\CJohnson\Local Settings\Temporary Internet Files\Content.IE5\GZGMQ400\12th Street 8/2512014 Wash Station Change Order[1}
Page 4 of 26
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Page 5 of 26
APOLLO construction & Engineering,services,Inc.
City of Sarasota Public Works7Utilities 1750 12th Street Sarasota, FL 34236
lnvoiee No. 12071293
TERMS: Net 30 Days
Wash Station for Garbage Trueks 1761121b Street
(see attaehed worksheet)
INVOICE
TOTAL INVOICE
Work Order #276
Purchase Order No. PD411 720 Vendor No. 018285
PO Date: 2rl14
Date: April , 2014
56.787.17
P.O. Box 5848 • Sun City Center, FL 33571-5843 www.apoD!H?!!IlWuc!i!l!.cgm Office: (813) 645-4926 • Fax (813) 645-3351
Qt2leral Coutracling Electrical Contracting Ponutant 8ton!ge SyAellls Plumbiug Medlailical ~ rue Protection Systems F.DgiDef:riDg CGC031703 EC0002376 PCC046214 CFC035730 CMC033S23 649604000189 EB0005271
Page 5 of?
Page 6 of 26
l: I ;
Construction &Engineering
CITY OF SARASOTA PLUMBIN& CONTRACT 04/04/14
.
Location I Site: 1761 12th Street - Wash Station for 6arbage Trucks
Description: Run pipe. install hose bibbs
QTY
Regular Hourly Service Rate : J'ou.rneyman Plumber 47.5
Emergency ~e for Plumber - Journeyman Plumber
Regular Hour.ly Service R4te - Helper 63.5
Emergency Rate for - Helper
Material:
Concrete On Call
Ferguson
Home Depot
Lowes PR Distributors
PR Distributors
Southern Supply
Shop Ticket
15% Markup $1,056.48
Sales Tax Environmental Fee/Fuel surcharge (see Concrete on Call) Permit
Equiptnent (Neff Rental)
6rcmd Totoi
PO# PD-411720
UOM PRZCE
HR 71.52 3,397.20
HR 78.81
HR 25.77 1,636.40
HR 32.57
224.25
389.(,3
11.98
39.32
239.29
17.04
15.09 U9.88
158.47
76.92
42.00
168.64
251.06
6.787.17
Page 6 of?
Page 7 of 26
APOLLO construction &Engineer:-ing
Estimate submitted by: Apollo Construction and Engineering Services, Inc. Tom Kamprath- (813)645-4926 Cell (813)918-3230
Date Submitted: March 12, 2014
Submitted to: Daniel Peck- [email protected],
Estimate for: Run Pipe, Install Hose Bibbs for Wash Station for Garbage Tmcks 1761 12th Street, Fleet Maintenance
City of Sarasota Bid NO: Awarded Plumbing Services Bid 14-01 K
Scope for Estimate: Cut and break concrete for new water line. Load, haul and properly dispose of the debris. The concrete may be 8" or moretbick.
Estimated Labor:
Material
TOTAL ESTIMATE
File 1207 WO 276b
Trench and install a 4" schedule 40 pvc casing. Install two access covers and boxes suitable for heavy traffic where there are changes in direction. Bacldi.ll and compact the trench.
Install a 1" schedule 80 pvc water line in the 4,, casing.
Install four hose bJ."bs on the new 1" pipe between the two wash downs bays south of the sand trap.
Install a support for the hose bibs.
Replace the concrete that was removed with similar thickness of concrete.
Permit is included.
Jomneyman 39 hours@ 71.52 = $ 2,789.28 Helper 16 hours@ 25.77 412.32
Miscellaneous Material = 1.665.08
$4,866.68
P :o. Box 5848 • Sun City Center, FL 33571-5848 www.aooiJo.coruttructiM com Office: (813) 645-4926 • Fax (813) 645-3351 Gc:nera1 ContmctiDg E.Jeclrical Cotllnlcting Pollutant Stonige Systmns Plumbing Mechanical Coo1racting Fin: ProteetiM Syslmns Jin&idecring
CO C031703 EC 0002376 PC C046214 CF C03S730 CM C03JS23 649604000189 BB 0005271
Page 8 of 26
Date:
Dept:
Address: IJ..-lh 5±. W0vir LtNG
City contact: ____,O~A,._..n........__P....;........::c ........ c"--'/C ___ _
Job No. Job Name Job Description
Employee Name Title Clytie Oeeper Foreman
IX>n 5·-tncL Carp. -JA1 lhere50J Poe riner he. lot C
Signature:
City of Sarasota FIELD REPORT
Apollo Construction & Eng. Serv. P.O. Box 5848 Sun City Center, Fl33571 (813) 645-4926 phone (813) 645-3351 fax
Materials Used
Hours Worked Rate
Page 9 of 26
Date: ~' lr'f Dept:
Address:
City Contact: --~.....J,' .... 2~&t:;L..I!o.L>~--+~.::o..e.l..l.nko:l:., ____ _
Job No. Job Name Job Description
Employee Name Title 0¥:!) l!b!Liird Plumber
c\4Ae..c~/ 0oNSiz,G~ JournlA-jmaAJ C~(J.
7 herts tJJ fo,erln-tl H<.Jp11
.Tt a rtJ ,J Sc hl41f 2 H{,tper
Signature:
City of Sarasota FIELD REPORT
Apollo Construction & Eng. Serv. P.O~ B"6x 5848 , Sun City Center, Fl33571 (813) 645-4926 phone (813) 645-3351 fax
Materials Used
Hours Worked Rate
'~ rf) 7/1 5 '-
7 (J 7/. 5)./
'7 (~ ~5# 77
7 /J ~0/ 71
Page 10 of 26
Date:
Dept:
Address:
City Contact: _Y.::;...1 ~A....:...r0 _ __:~__;ec....=-.~;k;;_. ------
Job No. Job Name Job Description
,.
Employee Name Title Dwayne Bickford
.~Cbo,g< Plumber ·p~\age
v../V\ Carp.
City of Sarasota FIELD REPORT
Apollo Construction & Eng. Serv. · P. o:· Ftox sa48 Sun City Center, Fl33571 (813) 645-4926 phone (813) 645-3351 fax
Materials Used
Hours Worked Rate
7hertSA--' fotrfnil 71<../per ~ ?tar" I)) Sch.td_/;..__....z..=--....Ltt..L..· '""-"l...,.p=-t...._r ________ _;;_t?\.:..__ _______ _
Signature:
Page 11 of 26
Date:
Dept:
Address:
Job No. Job Name Job Description
Employee Name Title Foreman
Signature:
City of Sarasota FIELD REPORT
ApQUQ Qonstru.ction & Eng. Serv. P.O. Box5848 Sun City Center, Fl33571 (813) 645-4926 phone (81'3) 645-3351 fax
Materials Used
Hours Worked Rate
.~5
Page 12 of 26
Date:
Dept:
Address: Ll 0 f. w cVk r Lt ~(._ City Contact: Do. rJ P ~C ~
Job No. Job Name Job Description
Emelo~ee Name Title Olyde Oooper FeFemaA
Don 5-lvck. Carp. 7hertSIV foerfntr f-/e_fper
Aaron Schultz Hllpe(
Signature:
City of Sarasota FIELD REPORT
ApoiJg .Ponstruction & Eng. Serv. P.O. Box5848 Suli City Center, Fl 33571 (813) 645-4926 phone (81'3) 645-3351 fax
Materials Used
Hours Worked Rate
(p, ~ (o) '1 {, 5 J...
~,5 (J ~5,77
(c;,.5 ru ~5-77
Page 13 of 26
Date: Lf--1-14
Dept:
Address:
City Contact ])q n Pe...c IL
Job No. Job Name Job Description
Em~lo~ee Name Title Olyde Gee~er FereM&A
-non SinG~ CC\rp. 7hfrtSov PberiDe( lidp!r
Signature:
City of Sarasota FIELD REPORT
ApoUQ Cc;mstru9tion & Eng. Serv. P.O. Box 5848 Sun City Center, Fl33571 (813) 645-4926 phone (81'3) 645-3351 fax
Materials Used
Hours Worked Rate
!5,._5 (;) 7/,5J... 6,6 {J ~ .!), 17
Page 14 of 26
Date:
Dept:
Address:
City Contact: -------------
Job No. Job Name Job Description
Employee Name Title Dwayne Bickford Plumber
Signature:
City of Sarasota FIELD REPORT
Apollo--Construction & Eng. Serv. P.O. Box 5848 Sun City Center, Fl 33571 (813) 645-4926 phone (813) 645-3351 fax
Materials Used
Hours Worked ( Rate
Page 15 of 26
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Page 17 of 26
CONCRETE-ON-CALL, INC
Post Office Box 2079 Palmetto, Florida 34220 Visit us at WWW.Concrete-On-Call.Com
Bill To
Apollo Construction & Engineering P.O. Box 5848 Sun City Center, FL 33571
P.O. Number Terms
Net lOth
Quantity Item Code
Rep Ship
4/5/2014
Description
Via
I SRQFY First Yard ~arasota - with Delivecy Charge 0.75 SRQA Additional Yards of Concrete - Sarasota 1.75 ENV Environmental Fee 1.75 FillER Fi!>ennes~
I FUEL Fuel Surcharge per Truck Sales Tax
I
.
Date
4/412014
ShiJ? To
$98.00 per yard, $142.00 First Yard if under 4 yards, $50.00 ~rip Charge for Pasco County, $4.00 Env 1761 12th Street Sarasota
F.O.B.
Price Each
142.00 98.00 4.00 5.00
35.00 7.000.41
'
Total
Invoice Invoice#
183323
Project
Amount
I42.00T 73.50T
7.00T 8.75T
35.00T 18.64
$284.89
Page 18 of 26
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Page 19 of 26
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3730 SUN CITY CTR.BLVD SUNCITY CENTER FL 33573 (813)633-3161
6951 00056 2B24i=: . 04/01/14 02:08 PM CASHIER SELF CHECK OUT - SCOT56
041343005796 GSFIREBLCK •A~ 6.98 160Z FIREBLOCK GREAT STUFF
032888000407 3/4 HOSE BIB <A~ Slo4" llOSEBIBB l/4TlR1N -MP:r.Xlf-2FPi-
>4N-ri4 ~ 051411261245 BAG <A> 1.92
RIGID 2-HOLE STRAP 1-1/4" PK4 051411261238 BAG <A>
RIGID 2-HOLE STRAP 1" PK4 211.54 3.08
032888089044 VACUUM BRKR <A~ 9>'~" t!eSE:BlBB \'!iGWM HAAiR <115.82 29.28
SUBTOTAL SALES TAX TOTAL
XXXXXXXXXXXX1828 DISCOVER AUTH CODE 00152R/8564680
70.62 4.95
$75.57 75.57
~111111 6951 56.28243 04/01/2014 9067
RETURN POLICY DEFINITIONS
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I~ POLICY IO DAYS POLICY EXPIRES ON
A 1 90 06/30/2014 :-THE HOME DEPOT RESERVES n£ RIGHT TO LIMIT I DENY RETURNS. PLEASE SEE THE
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Page 20 of 26
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LOll£' S HOllE CENTERS. LLC 5750 FRUITVILLE ROAD
SARASnTA. FL 34232 (941> 961-6261
- SALE -SALESH: f~ii Alll2 n TRANSH: 6228850 04-11-14
1610~ 3/t-IN QUARIER TURN HOSE 39.32 4 @ 9.83
SUBTOT~l: 39.32 AX· 2.76
INVOltf 06950 TDflll: 42.08 VISA: 42.08
VISA:XXXXXX>.XXXXX1261 IIHOUNT :42.08 AUTHCD:370672 S!ilPED REfl0:228935193506 04/11114 11:08:55
CUSlOHER CODE: saraxwatenresour STORE: 1935 TERMINAL: 06 04/11/14 11:09:04
D OF ITEMS PURCHASED: ..• 4
oo~l[flill~rmmnno . TH/,HJ( YOU FOR SHOPPING LOWE'S.
SEE REVERSE SIDE FOR RETURH PDLICY. ~;TORE HANAGER: ROB UECKER
liE HAVE THE LOftEST PRICES, GUARANTE£01 IF YOU FIND ,1. UMER PRICE, W£ Will BEAT IT BY lOZ.
SEE STORE FOR DETAILS.
•*•****••••~~~:•••·~··----··~***•*••········••****••··--* YOUR OPINIOHS COUHTI • REGISTER FOR A CHANCE TO WIN A • $5,000 LIM'S GIFT CARD! • l REG IS TRESE PI,RA TENER LA OPORTUNIDAD DE GANAR UNA • TARJETA DE RESALO DE LIM'S DE $50001 . ll
• REG !STER BY ( OHPLETIHG A GUEST SATISFACTION SURVEY • WITHIN £tHE WEEK AT: www.lowes.coa/suryey . * V 0 U R I 0 H 06950 1935 101
' • NO PUR£ HAS£ NECESSARY TO ENTER OR WIN. • VOID IIHERE PR(iff!BITED. HUST Bf 18 OR OUlER TO ENTER. • OFfiCIAL RUL£S & WINNERS AT: m.lowes.COI/survey •••••• 3 ............. , ..... *************'***•*'·---STORE: 1935 TERMINAL: 06 04/11/14 11:09:04
Page 21 of 26
PR_DlSTRIBUTORS Counter Sales· 1252 Boyd~ \~bll '-" d-7(dj
1251 Seeds Ave. · · SARASOTA, Fl34237
(941) 366-7080, Fax (941) 366·5186
TO~~ \t~SdY~~~~s~
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Page 22 of 26
PR DISTRIBUTORS 1251 S££DS AVE
SARASOTA, Fl ~4237
Sole ... illRI-
10: 76679SOO 1!4182114 1htch D: 523
VIS~
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IIPPr ~: ~- InvoiceD: 0018B irans ID: M926185781~ Amount:
'fax:
'fotal:
Customer CoPY
$11.0~ U.19
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Page 23 of 26
CUSTOMER'S ORDER NO. .. -~ . . . . .
-----~~-----
0 Bnidenton, R. 34205 606 19th Ave. W.
Ph. (941) 746-1835
Southern Supply Company
~ ....
Sarasota, R. 34230 . P;O. Box 1239
Ph. (941) 955-4.217 0 Fort Myers, FL33916
2535 Palm Ave. Ph. (239) 332-4212
_.25831 0 SL Petersburg, R. 33705
1501 Burlington Ave. No. ~ · Ph. (727) 896-5018
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DATE WRITTEN BY FILLED BY SHIPDVIA TEAMS: NE1' 30 DAYS. OUR BOOKS CLOSI?':fHE 25TH OF
'1- /-1'-1 ;11 I Ml rr./ EACH MONTH. 1*" SERVICE CHARGE PER NON11I (18% ANNUALLY) ON All PAST DuE ACCOUNTS. · .
ORDERED RECEIVED CODE DESCRIPTION UNrTPRICE EXT. AMOUNT
t j2f 13F ll LJ l ! . } 11/--z._ ·y I; ~ b/1~-. h ... .,. lt.. "-
t I ~F ll t1 \ ' . z ( p, ( ' 1 !t -'I 7 ~1 L ._, -1 -·7'1
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COMMENn J-.i~< ~ ~ l'f l~ \ SUBTOTAL
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RECEIVED IN GOOD TOTAL AMOUNT lh \: .. ORDER BY
~--". --. .. .· _.,_::-<~;:"'_::
MATERIALS RE1VRNED FOR CREDIT SUBJECT TO is% RESTOCKING CHARGE.
CUSTOMER COPY
Page 24 of 26
Date
4/4/2014
APOLLO CONSTRUCTION & ENGINEERING
Shop Material I Equipment
Material/ Equipment
-57' - #5 Rebar .701ft
40' - #3 Rebar .301ft.
2 - Double Cartridges of Ultra Bond 33.99/ea.
1207wo276
Amount
39.90
12.00
67.98
SalesTax7% 8.39
TOTAL $128.27
Page 25 of 26
r "-"" I IN'V .-& /(p
CITY OF SARASOTA BUJl,.DING,AND ZONING DEPARTMENT 15651st Sl, 2nd Floor ""Annex Bldg., sarasota, Fl6rlifa34236 Tel (941} 954-4156 (FOR ALL INSPECTIONS· 954-4126) •
BUILDING PERMIT ~
l THE BUILDING AND ZONING DIRECTOR:
e undersigned owner or agent for the owner certifies that, together will! plans ·and spBdftcallons submHied to the Building and Zonlng_~Jl!, tl!.i!l.. ... _ plication shows a true representation of the construction to be accomplished under this permit It Is understood that any dev1ations froin the onslnal docoments, less approved by the Building Director, will render the permit invalid. The permit will become Invalid after 6 months If the project Is not commenced If the work eilthorlzed by such permit Is suspended or abandoned for a period of 6 months after the work ha_s commenced.
e undersigned owner or agent for the owner further agrees to comply with all City of Sarasota Building and Zoning laws and regulations and State of )rida regulatory laws and codes pertaining to the work and agrees· at any time to make all changes required by the Building Director to conform to City d Stale ordin;mces, laws and regulation The undersigned owner, or agent for the owner, shall submit a list of all required registered b-contr.lctors _prior to their commencing work. -
ate Issued: 03/1.1/2014 Permit: ~0143078 ite Address: ; 1761 12TH ST Unit: WASH. STATION. arcel Addres!i: 1761 12TH ST Ctt!nit: enant/Leasee: _ ~~~ wner: SARASOTA CITY OF .· ~.~~:Phone: (941) 962-0663 ddress: CITY AUDITOR & CLERX SAR1\50T~ Et. 134230-l056
on tractor: ity Reg #: J'PE! Occ: BSI
;rHOMAS G KAMPRATH 201310612
Census Item: 003
Phone: s"tate Reg #:
# B~~s~: # Units:
(813) 645-45126 CFCQ35730
Stories: o
tpe Work: ALTERATIONS - RESIDENT:r.I>.L -! Typ~ ~oil$1;;ection: 1 Hour Protected: NO ;~scription of Work: CITY PROJECT: RUN PIPE, '"iifs~~HOSE BIBBS FOR WASH STATION FOR ~GE TRUCKS ~tal Construction Valuation: $4816.~0 Prepaid:
ZONING DEPARTMENT INFORMATION
.I.N. 2025-07-0001 Zoning: G Sq Footage: 0 ire Dist: .O.A.: N/A ond. Rezo~ing: N/A ousing Code: N/A
F. F. Elevation: Flood Zone: P$~ ~!I;"Vd: N/7'; Special. Exception: N/A Hist Desig: N/A Board of R&A: N/A Demolition: N/A
Commencement Notice Required
: ea.tify that r have complied with all applicable ~ederal, State and County aws and regulations pe%taining to asbestos %emoval including the completion of
:he notifi-cation form to rallabaesee_
~er/Contractor Signature
•ho on oath says that he/she is the applicant for the fo%ego1ng and :hat all above statement• are true to the beot of his/her knowledge, llld that the wo%k to be done thereon is autho%ized by the OWI>er and till be done by contract
Rffi ShelleY
03-11 ~20141TIJE) 14:48
>wner/Contractor Signature . ,,
~OTICE: The is..,.,.,:ce of the ~evelopment permit by tlie'!Jiw:tJ" larasota does nOt in any way create any right em the pan: of an Lpplicant to obtain a permit from any state or federal ageJICY and loes not create any liability an the part o~ the city of suasota for .ssuance of the permit if the applicant fails to obtain requisite LpprO>Tals or fulfill the oblicgations imposed by wate% management ustricts, state or federal agencies or undertakes actions that:e!lult in violations of state or federal law. Additionally, lOll >ther applicab~e state and, federal permits 11\Uat be obtained befoo:e :OIIIlleiloement of the developllle!lt .
~awrence P. Murphy 3uilding Official
MCD01 069506
Permit #143078
Piusbim 10003 Canst $ PumBillG MOO!! . IIISC tUSC CERTilRAIN Check# n. CHECK
4816 mo.oo
S4.50 $7.5(} $5.00 $1.64
12i2?6 $168 .. 64
$1~.611
cr 1
"WARNING TO OWNER: YOU~r-!FAILURE TO RECORD A NOTICE OF COMMENCEMENT:: MAY RESULT IN YOUR
• H •
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN,ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Page 26 of 26
THANK YOU FOR CHUU~INl:i Nl:t-t- ttt:N I AL
BRANCH: VEN
PHONE: 941-926-7368
Job Location 1750 12TH ST, SARASOTA
CUSTOMER#
13138 PHONE
813-645-4926
RENTAL RETURN
Job Number 94- APOLLO CONSTR
ORDERED BY
140555-Don Stock PURCHASE ORDER #
DON
1-'Al:il: J.
CUSTOMER MUST CALL NEFF AND OBTAIN NUMBER TO RELEASE EQUIPMENT AND IS RESPONSIBLE FOR EQUIPMENT, FUEL, TIRE REPAIRS, AND DAMAGES UNTIL PICKED UP BY NEFF.
1 COMPRESSOR 185CFM DIESEL 125.00 375.00 675.00 151544 185DPQ HR OUTl 1.00 HR INl 1.3()
1 3/4 11 X 50' 200-300PSI AIR HOSE 20.00 40.00 60.00 1 HAMMER 90LB AIR. 65.00 135.()0 290.00
005863 TEXP90S HR OUT1 20.50 HR INl 20.60 1 AIR HAMMER BITS
EL DIESEL FUEL
1 ENFE ENVIRONMENTAL
(POINT/CHISEL/SPADE
DELIVERY INSTRUCTIONS: DON 813.802.0914
EA --
***Thank you for choosing Neff Rental***
LOSS AND DAMAGE WAIVER (LOW) LOW IS NOT INSURANCE.
·.:.: .:·
3.160
By. his/her initials, Customer agrees to pay a fee of 15% of the gross rental charges hereunder In consideration of Lessor agreeing to waive certain clall'~!•. against customer for loss of or damage to said equipment, provided equipment Is used In conformity with this agreernem Including the conditions speclfiad on the reverse side of this agreement
ACCEPTS DECLINES. __ _
The equipment described !lereln Is remad pursuant to and in accordance the terms and conditions set out on the reverse egreep~ent. Customer represems that he/she has read end agrees to the same.
SIGNING FOR CUSTOMER X--------------- PRINT ~W<t .. •r;;..-----------1 TERMS & CONDITIONS ON THE OTHER SIDE
RENTAL CONTACT INFO: D
.::. :
LOW:
TAX:
TOTAL:
DEPOSIT:
NET DUE:
125.00
20.00 65.00
N/C
21.48
* * N/A "* 234.64
16.42
251.06
3.16
IF THE EQUIPMENT DOES NOT WORK f.1ULTIPLE SHIFTS OR CLEANING CHARGES PROPERLY. NOTIFY THE OFFICE AT ONCE OVEI':Tic.1E RATES f·.1A Y APPLY MAY APPLY
Terms: Payment Due Net 10