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Permit 125 Donner Rd
�r S `�'l j, CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034273 Date 11/16/06 Property Address . . . . . . 125 DONNER RD Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DOVE, SR. , JAFORD OCEAN STATE HEAT & AIR 125 DONNER ROAD 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 79. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/15/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79. 00 79. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WTTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. z ALAN C. JENSE Attorney at Law 935 North Third Street Post Office Box 50457 Jacksonville Beach,Florida 32240-0457 Telephone(904)246-2500 Facsimile (904)246-9960 E-Mail: AJensenLawoaol.com MEMORANDUM TO: Sonya Doerr, City Planner COMPANY: City of Atlantic Beach FROM: Alan C. Jensen, City Attorney RE: Mary Dove, 125 Donner Road DATE: November 7, 2001 I reviewed the Notice to Owner and Claim of Lien in the above case. The Claim of Lien is no longer valid and has been extinguished as a matter of law if suit was not filed on the Claim of Lien within one year after it was recorded. The Claim of Lien reflects a recording date of February 21, 1995. I enclose a copy of Florida Statute §713.22(1), which sets forth the time period of one year within which to file suit to enforce a lien. Any title insurance company will be aware of the statutory requirements in this regard. I can only assume that the lienor, Performance General Contractors of Florida, Inc., filed the Claim of Lien, had it recorded, and then did not follow through with filing suit within the one year period. It has also been more than six years since the Claim of Lien was recorded, so the statute of limitations would have run on any other action that could be filed as well. If you need any further information or assistance in this regard, please do not hesitate to contact me. :sky CONSTRUCTION LIENS § 713.22 Ch. 713 public record where lienors failed to begin ac- order within 20 days after service of complaint, tions to enforce liens within one year of date on could not be subject to subsequent review by which they were filed, so that liens expired by trial court on grounds of excusable neglect and operation of law. Sunshine Builders v. Tavlor, due diligence. Krasne-Gold Coast Joint Ven- App. 4 Dist., 456 So.2d 506(1984). ture By and Through Krasne Hollywood, Inc. v. Mechanics' lien action was not commenced Allied Drywall, Inc., App. 4 Dist., 573 So.2d 194 by filing of mortgagee's complaint; thus, in (1991). absence of mechanics' lienholder bringing ac- In light of fact that injunctive relief provided tion within one year of recording of lien to for under nonfinal order, which granted partial perfect it against record fee holder, lien was summary judgment based on determination that discharged and was not superior to mortgage. contract barred plaintiff plumbing contractor's Diversified Mortg. Investors v. Benjamin, App. 3 lien claims and which required contractor to Dist., 345 So.2d 392 (1977). remove the liens previously filed, was unneces- If subcontractor did not bring action to en- sary, injunctive aspects of the order were insuf- force its improper claim of lien against property ficient to support interlocutory review under of owner, who had obtained payment bond from rule governing interlocutory appeals from or- general contractor, within time prescribed by ders granting injunctions. J. Batt, Inc. v. Well- law, owner could rely on passage of time to ington Const. and Realty, Inc., App. 4 Dist., 379 remove cloud of improperly filed claim of lien. So.2d 461 (1980). Resnick Developers South, Inc. v. Clerici, Inc., App. 4 Dist., 340 So.2d 1194(1976). Where mechanic's lien foreclosure action Failure to commence an action within one against owner is dismissed because of a pay- year after filing of a claim of lien would not only ment bond exemption, order is a final and ap- bar enforcement of a mechanic's lien, but work pealable judgment. Goldberger v. United a discharge thereof. Trushin v. Brown, App. 3 plumbing & Heating, Inc., App. 4 Dist., 358 Dist., 132 So.2d 357(1961). So.2d 860(1978). 8. Mandamus 10. Dismissal Mandamus was appropriate remedy to test Circuit court erred in denying plaintiff's mo- correctness of trial court's ruling that 20-day tion to dismiss defendant's motion to discharge period within which to seek enforcement under construction foreclosure lien, where plaintiff this section was not jurisdictional. Federated had properly responded to the motion to dis- Stores Realty, Inc. v. Bornstein, App. 4 Dist., charge by filing motion to dismiss advising cir- 392 So.2d 573 (1980). cuit court as to pendency of county court fore- closure action. Nachon Enterprises Inc. v. 9. Appealable orders Alexdex Corp., App. 3 Dist., 615 So.2d 245 Anv order discharging mechanic's lien, for (1993), review granted 626 So.2d 203, approved I lienor's failure to file response to show cause in part and remanded 641 So.2d 858. 713.22. Duration of lien (1) No lien provided by this part shall continue for a longer period than 1 vear after the claim of lien has been recorded, unless within that time an action to enforce the lien is commenced in a court of competent jurisdiction. The continuation of the lien effected by the commencement of the action shall not be good against creditors or subsequent purchasers for a valuable consideration and without notice, unless a notice of lis pendens is recorded. j (2) An owner or the owner's agent or attorney may elect to shorten the time prescribed in subsection (1) within which to commence an action to enforce any claim of lien or claim against a bond or other security under s. 713.23 or s. 713.24 by recording in the clerk's office a notice in substantially the following form: 279 i I (i I A WARNI OWNER: UNDER FLORIDA LAW, YOUR FAILURE T MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE. TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM US EVERY TIME YOU PAY YOUR CONTRACTOR. Natir-e tir (Owner Date: NOVEMBER 29,1994 To: MARY DOVE (fWmer) Address: 125 DONNER ROAD ATLANTIC BEACH, FLORIDA The undersigned hereby informs you that he has furnished, or is furnishing services or materials as follows: RENOVATED INTERIOR AND EXTERIOR, INSTALLED NEW AIR CONDITIONING, NEW PLUMBING,NEW CABINETS,NEW WINDOWS, AND COATS OF PAINT AT 125 DONNER ROAD. for the improvement of the real property identified as: (Describe real property sufficiently for identification, including street and number if known) 125 DONNER ROAD ATLANTIC BEACH,FLORIDA under an order given by PERFORMANCE GENERAL CONTRACTORS OF FLORIDA,INC. Florida wlxescn a serving o s nonce an restricts your right to a payments un your contract m accordance withsection 713.06,Florida Statutes. Ythere is a PAYMENT BOND,then this notice will advise you that we intend to look to the applicable payment bond for payment of the foregoing items. Within ten(10)days of receipt of this notice,you are required by Florida Statutes Section 713 23,and 255.05 to furnish notice of the existence of such payment bond and a copy of said bond. PLEASE NOTE: THIS NOTICE IS NOT A LIEN, CLOUD,NOR ENCUMBRANCE UPON TITLE TO YOUR PROPERTY,NOR IS IT A MATTER OF PUBLIC RECORD. This notice is a standard business procedure of the undersigned firm,and does not adversely reflect upon the credit-worthiness or other reputation of any person named herein. Request for Sworn Statement of Account must be addressed to: IMPORTANT INFORMATION FOR YOUR PROTECTION Under Florida's laws,those who work on your property or provide materials and are not paid have a right to enforce their claim fo payment against.your py. This claim is known as a construction lien. 1f your oontractnrr to pay subooatradors or material s Hera or nee��►►eds to make other legally reeqquired paymarts the people who are owed money may took to your property for paymerrt EVEN IF Y6U HAVE PAID YOUR CONTRACTOR IN FULL. PROTECT YOURSELF: RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those suppl g a Notice to Owner have been paid. LEARN more about the Construction Lien Law,Cha ?13,Part I,Florida Statute�and tha meanigg of this nota li If an attorney or the Florida Department of Agriculture and Consumer Services,Division oFCansurner Servroes. Copies to: City of Atlantic Beach Performance General Contwtors of Florida.Inc i r'sN .ienor's Siguature Address: 5933 Green Hill Lane RECEIVEDX01 a . : nvrl!y 23:33 It 9743544995 Htnnesot4 Title 01 .t A+rr>,r UvvirraaTrrvta�/ragevd.:r«r�rw c"Pl r"90 Soak 41037ANW.- SHOW)wMYNOWO at 6o3y I 67,E -678 — 47e AAkr r: f1Jl GREENIIIIJ,1AVEtfl.��R.cgo„S03J033 .7ACJLTONYIU-&FI-axi 7A J2211 Malls hwell O.N. ThAs IMOMWPMftep"d VLEk tlMl MO, pjft AEC. 1 i.fb AAbrAa: IINMtaMr alw/.M�rM r.�M/a�w MM am"App"Aw aw 0"~F"W Mra Opair of IxDVA4 Jf DVVAL tn W tart,tlnr .ahnl�rrd NrNay blk,ps,.oe ap arrd who wm.rw 0"1"and&cgs •4orbeIIIfAwlkworlMhtMV(rhraYrn/o rlkAa+IwnM )' ' • rlYorrsddrrar4 r� '� 1J 1df �MfiNW,Ld<r I•lQl[1�,f11 11 4.wrltA.Wtrt ated Ihtl(Mr�aaaraidwlce a.l�h a owalaAet rNh 71JDonnveRltOD IdUM 'rrM"w.IZQ1t1!!d i IN++.rlSartltbsd Ohba f7afMWO 0 raaaralo6ew4tlnR a/` (Drseribr tylelol/yfrbNcolydinarrMb�rparnKll) 7. R6JWYATx'DIMZhtpRANDt�TRRIOR,INST•4LLEAKEW,t/RG�DND17YtJMNC,NEti'P�.UJy91NC,NE1!' cA.B)AETS,NEW W7NDOJfvAAI O CUNT, OfPA1Nl'i!rizs DONNE!!.gaii& an I1r jaJa»jrrs dr+wlarated pnopr.,y br D_rIYN� - C—o,Scar c/,,ZQ$ A (AtKxl6tnrdP�DPr+'r!'r�++�i1',/�MaNtflta�/a�ivtl�njunrtawlewrbrr.+jknor� 1)SLK)NIVf'RIMAb Aa&%77CNSA CNr PLONAA *-wd by - fUlrYbOf2 ojo eatd W-of 0 TM TRO Lad=El rXT 11M D ANI 2 ug no :Rs _ (5rMUR )0/ I►:bk:b a4ra+r narr`Mr rwwP'A�s-�1/l:�- _,. ...�._and jwmiahrd rhr jrnl njd►e Hrru an BdPTXAlB ,,,;!7►,j�,,and dir Gw ojilu Ikwu oq 1VPau tlr l k jj_,and ffAhr lire u etamed ;y7 OM AWbf IrWY w-4h dw owwr)attar du brow aerwd hk aackw ia orerron &Q;zUM a- 1 ,U—b} U�bldXl 044 P1K4MI,w4 Aw Af I/rxwsfIwJ4wp4u Ojthr 001kc on sbt sw+rwctw wt I by opal on fhr awk"trector am _. 19"T by •.+� r r �!r • MIdiAM„aMFA STAYN CM' I rnr tr�tjj of ons;etay�ff,"a C.a egfordv#1-a dbarlsrd to ad"ingrrr 00t*wY ..�{(.�'1��. 1 _ Poasoatat j-a,Mr NORM 10 IorrtM vhtrM Ow i1ae[ praiM (-- b & r., gr r"ewsrddymac.andat oath war nut Mr !✓aar prnordly RWM—to At. EJ al W O'BACatlon:, •r�.. rrr.,Iawc ,wta.tbcway�sf gfr..,.wUra. 4A-IN an• tr ..... yrt. ..ably � QUrt Nfl(NANDE� My Coera. eapirsa J.rra $0.1"a fOnu�H0.CC 389143 ,. WAIVER OF MECHANICS, MATERIAL, AND/OR LABOR LIENS ']'he undersigned persons who performed labor upon or who furnished labor or materials used in this construction, alteration or repair of the improvements situated at J.�Syo,vnl�2 Ko�a�-- Legally described as : AR_�--moo a�- - - f1TcgivT.IC? ,f3c'tieff_t FL.. -- I:ach fin-IIImScI1'audt not one for the olhcr ackuo%%lcd ges pa��mctd in full for his labor hcrlbrnicd or materials fin-nishcd in connection with these in]juovements and/or i Il?REBY WAIVES,RI?I.F,ASI?S,AND Rt;1,IN(1l1ISIIE;S ALI,RIGHT I,"lite or claim of course to tic filed or claimed:uty lien upon the above described real estate under any o! the laws of the State\\here sold property is located. WOMIMATERIAI.S INIAVII)I IAI./('O SI(iNATI IRF. 1013 AMOI INT I)ATE WAIVI?R $ SIGNED Signers-Please Note: Description in "worl✓inalerialc"column should he specifte and complete,using more than. one line where necessary d 1i e cp r) r. j k j �j \J�N GENERAL CONTRACTORS CERTIFICATE The undersigned hereby certifies that he is the Ocueral Contractor lit char fie of tic construction,situation of- repair r repair w' rk above referred to and that the foregoing list of signatures includes all of persons who perlbrmed labor or fu t' / labor n tcrials upon this job and further certifies that said work was completed on the day of/� 19� 1J G genera ontr or STATE OF � 'tl� COUNTY OF Ott this=_ vQL day,ol, C_��— 19 _ before me personally appeared Fl os f Opo 7p1`;_t„_jI_to town to be the person described in and wlio executed the foregoing instrument and ac know e g d the executed the sante as free act and decd,and ibr the purposes and consideration therein expressed IN WI(NESS WI II:REOV I have hcreunlo set my hand and notarial seal tic sante a_y and year las above written. My Commission expires ( Notary Public in and lift t''fi LINDA L STRICKUWD---- '----��_1 —— --- --- -. ::: My COMMISSION/CC 249590 ----- DOM:Det:ember 1.19M �`� SOUdu live wtuy hft tlndtewtU" JENSEN & HOULD ATPDRNEYs AT LAW 708 NORTH THIRD STREET POST OFFICE BOX 50457 JACKSONVILLE BEACH,FLORIDA 32240-0457 Alan C.Jensen Telephone(904)246-2500 Stephen A. Hould Fax(904)246-9960 January 23 , 1995 John S. Winkler, Esq. 2515 Oak Street Jacksonville, FL 32202 RE: Performance General Contractors v. City of Atlantic Beach Dear Mr. Winkler: I am the City Attorney for Atlantic Beach and have reviewed a copy of your December 29, 1994, letter to the City of Atlantic Beach. I met with various officials from the City on January 6, 1995, and contacted your office immediately thereafter indicating that a response would be forthcoming. I have now received additional information and documentation and am able to respond to your letter. Your letter states that the City breached a contract, but the contract is between your client and the homeowner, Mary Dove. Obviously, the City cannot breach a contract to which it is not a party. Next, you reference a breach of paragraph 9 of the agreement which, in my opinion, applies to complaints of the one year warranty as set forth in paragraph 8 of the agreement and would not be applicable as cla-imed in your letter. Likewise, this claimed breach or the claimed " . . .unilateral repudiation of the contract by the City. . . " is impossible since the City is not a party to the contract. I understand that your client has received notice from the property owner of termination of the agreement as provided in paragraph 7 thereof. I also understand from representatives of the City that many items of work required to be done by your client were not completed, were done very poorly and not in a workmanlike manner, and in fact much of the work on the property had to be redone in order to satisfactorily complete the project. Obviously, there is additional expense to the homeowner as a result of your client' s substandard work. Furthermore, I understand from the City that many other provisions set forth in the agreement signed by your client were not met, including the time of completion. John S. Winkler, Esq. January 23 , 1995 Page 2 I further understand it is the homeowner' s position that your client utterly failed to properly perform under the terms and conditions of the agreement, the homeowner suffered damages as a result thereof, and the homeowner desires that no further funds be paid to Performance General Contractors. The City must oversee payment of any funds as administrator of the Rehabilitation Loan Program and cannot pay for work which was not done, was improperly done, or was done with substandard materials and workmanship. The City will therefore not authorize any further payment to your client. If you have any questions or if I can provide any further information or documentation to you, please do not hesitate to contact me. I would suggest your attention to the above matters prior to initiating any action against the City of Atlantic Beach. Very truly yours, AALA*�. JSEN ACJ/sky cc: Mr. Kim D. Leinbach, City Manager Mr. Don C. Ford, Building Inspector Mr. George Worley II, Community Development Director JOHN S. WINKLER, P.A. ATTORNEY AND COUNSELOR Al" LAW 2515 OAK STREET JAGHSONVILLE, .FLORIDA 32204-4503 (904) 394.9916 JOHN S.WINKLER, LL.M. (TAXATION) MAILING AOOWESS )FLORIDA AND NORTH CAROLINA) POST OFFICE BOX 4951 JACKSONVILLE, FL 32201-4951 December 29 , 1994 Mr. James Worley, Administrator 800 Seminole Road Atlantic Beach, Florida 32233 Dear Mr. Worley: As you are aware, you recently breached the Homeowner- Contractor Agreement between the City of Atlantic Beach and Pc-,rfor:nance General Contractors of Florida, Inc. for property .mpro�ements to 125 Donner. Road. Despite the completion of all work required your building inspector denied Performance the opportunity to address or correct any alleged deficiencies or defects under the warranty provisions of the agreement. As a consequence the unreasonable refu,:al of the building inspector to approve work performed or allow corrections has caused a breach of paragraph 9 of the agreement ( "Arbitration") . The employment of other contractors without giving Performance the opportunity to arbitrate the dispute is a unilateral repudiation of the contract by the City and has resulted in damages beyond the contract amount. however, as a sign of good faith and in recognition that the City's actions are responsive to motivations which remain behind the scenes, Performance is willing to forego any action for Firl(l iti ana l danaaes r.rov:ided full payment of the contract amount remaining due of $8, 41.2 . 00 is tendered at once. Please iet me know your response by January 9, 1995. Very truly yours, John S. Winkler JSWilao WNTRACTOR PAYMENT REQUEST owner: Payment #1 - 40% Complete_______ Address I mt�T�y' ,, r #2 - 80% Complete - . #3 - 1004 Complete__,___. r ctor: ,� .2ce ��? ✓'<"-� Amount Requested: Si c� Cont $ ,� ��� � -------------------- -------------------------------------------- ------------- ----------------------- Contractor: ---------- Contractor: an inspection to receive payment #,,,,______„_ I certify that I have REQUEST FOR C -- -irk to justify HECK '— „>aed Date ----- Payee me Address City Contracto State ., Amount$ ;7 � �---__ --- --------• Zip Code Account No, 3__ � Or Charge To ��, 3�1i� :tor owns i :tor Description on �' in- tor. 1 be REQUESTED gY.' APPROVED BY: APPROVED BY: Owner' t �/ APPROVED BY: Owner' Form No.CFR 2 DEPARTMENT HEAD ^ - FINANCE DIRECTOR ----- --------- CITY MANAGER Inspector: I hereby certify that I exercised ire to determine that the work performed at the above address meets specifications and was completed in a satisfactory manner; however, neither the undersigned nor Jacksonville HUD is in any wqy responsible for the acts or omissions of the contractor, any subcontractor, or any of the contractor's' agents or employees, or any other person performing work under the construction agreement. The contractor has provided a release of all liens, if any, in connection with this contract and has provided. the proper- ty owner with a copy of each warranty or guarantee due the property owner from the contractor for work performed. I hereby certify that all work is completed as indicated on the contractor' s payment request and recojWend payment to the contractor in a amount of $ 7117 Specialist: % 4 1 17:1 Date. 22 l`S -------------------------- -------------------------------------------- At loot completion: I certify that the property complies with the Minimum CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD A= EACH,FLORIDA I WE REFERENCE -TY O PURCHAS DER NET NUMBER PE DATE NUMBER GROSS DISCOUNT 03/23/1995 125 DONNER ROAD 110-0000--515.34-00 4,797. i GENEF�A= QWtWTOF6=DEBIT IVIOADO 13IR CONTRACT • VOID AFTER SIX MONTHS 634 CITY OF 0061,13" d _ SW SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5455 IDENTIFICATION"NUMBER DATE CHECK NUMBER NET AMOUNT ; 13055 03/24/199 6113 TWR THOUSAND SEVEN HUNDRED NINETY--►EVEN AND 14/100911vS PAY JACKSONVILLE,FL TO THE ORDER OF " "PERFORMANCE GENERAL CONTRACTOR 5933 OREEM HILL LANE JACKSONVILLE FL, 32211 s ATURE . - AUTHORIZED SIGNATURE, 110006113118 x:06 30000171: 2 10 1 20 5 42 711' — CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD NTIC PEACH,FLORIDA AG REFERENCE7y INVOI E PURCHASEORDER NET , NUMBER � DATE NUMBER GROSS DISCOUNT 13/ 1/1995 HUD REHAB DOVE 110-0000-515.34-00 1,155.00 ` = I C= =DEBIT ME =CONTRACT VOID AFTER SIX MONTHS CITY 006059 s 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 322335455 IDENTIFICATION NUMBER DATE CHECK NUMBER ;` NETAMOUNi '. 1315 03/21/1 6059 ti* *441.155.00 CIE THOUSAND ONE HUNDRED FIFTY FIVE-,AND 00/100 DOL OF JAC LLE,N.A. JACKSONVILLE.Fl. .. PAY TO THE ORDER OF PERF GENL CONTR & CMA ELECTRIC 5933 QREEM'HILL LANE JACKS014V ILLE FL 32211 OARED s, ATURE �7 '.AU7HORIZED,SIGNATl1RE u10.0 GO 5911' 1:06300004 ?1: 2 10 31 20 5 7 2 711' _ CITY OF ATLANTIC BEACH 1" 800 SEMINOLE ROAD,,,,,,, ATLANTIC BEACH,FLORIDA EFERENCE,-s TyINVOICE PURCHASEORDER AMOUNT _� NET NUTABE 3 PE DATE NUMBER GROSS �- DISCOUNT i ROA) c) . '•v". ;�.•''��.;!hl_ t„;.1 fi TP f%JOKE C=CREDIT MEMO D= DEBIT MEMO X-CONTRACT VOID AFTER SIX MONTHS 00157 9 63-4 CITY Of ` 630 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5455 - ,.'-GN NUTABER DATE CHECK NUMBER NET AMOUNT 1355 11/3/91 1572 TH(.)USANJ FOUR HUNDkED TWELVE & NO/100 DOLLARS ---- i BANK OF JACKSONVILLE, OF JACKSONVILLE,N.A. JACKSONVILLE,FL -c,E PER FOMANCE GENBAL CONTRACTOR ORCEPCF 5933 GREEN HILL LANE JACKSONVILLE, FL 32211 NON-NEGOTIABLE_ _ AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE 0900 1572"s +:0 6 30000 4 ?1: 210 120 5 ? 2 '10' �,,ONTRACTOR PAYMENT REQUEST owner: gtv C,V'E_ Payment #1 - 404 Complete � Address: ./Q-5 Dp.A)X)bz- #2 - 80% Complete f9Tz_, nlT,z'C 13&w(,.t:1. FL. #3 - 100t Complete =� Contractor: Amount Requested: $/�,e!24.00 Fcv�.c1t ----------------------------------------------------------------------- Contractor: I hereby request an inspection to receive payment # rrygz_ for the amount of $ D -66 . I certify that I have satisfactorily completed the necessary work to justify this request and that all bilis incurred for labor used and materials furnished in making said repairs and im- provements have been paid in full to this date. Attached is a description of the work completed and the amount of payment requested by wor i e . Contractor's Signat v ---------------------- ----------------------- ----------------- owner: I/We hereby agree that the work stated by the contractor has been completed and approve payment to the contractor in accordance with the contract and contingent upon in- spection and concurrence by the Rehabilitation Inspector. It is understood that the actual amount disbursed will be based on the findings of that inspection. Owner's Signature: Date: Owner' s Signature: Date: ----------------------------------------------------------------------- Inspector: I hereby certify that I exercised reasonable care to determine that the work performed at the above address meets specifications and was completed in a satisfactory manner; however, neither the undersigned nor Jacksonville HUD is in any w#y responsible for the acts or omissions of the contractor, any subcontractor, or any of the contractor's' agents or employees, or any. other person performing work under the construction agreement. The contractor has provided a release of all liens, if any, in connection with this contract and has provided the proper- ty owner with a copy of each warranty or guarantee due the property owner from the contractor for work performed. I hereby certify that all work is completed as indicated on the contractor's payment request and recommend payment to the contractor in the amount of S . Specialist: Date: ----------------------------------------------------------------------- At 100% completion: I certify that the property complies with the Minimum CWGZ ORDER No. Date of Contract Date _ Owner Name: f 7l A 9 y 1)n Ue— Property Address: /,�I 5 b_Drn r) k T(24- Contractor (24Contractor Name: �Gd,r-Qkmx?t) Contractor Address: 5-f33 —K Description of Work Change: CATEGORY: + No. - 10"1 6 Ccee7e=604 _5e1eV; - Td /5a. ©•a� Rey"0deL K 40_149rD " 13ArxeooA4 3 rneRF7S - SYzc- 7onono � 7aN R�.w��ee_ �n-r=RE ,r,F'ouse A1aTNs- 7-o E'csb� ���jrT.LDnaL r��ym/3nG i�ti� �K_ 00.0 Suri Changes and work affected hereby, are subject to all contract stipulations and covenants. This Change Order is made a part of the contract dated first above, parties have hereunto set their signatures: $ e7�F• 0 O Contract Price + or - $ 5 450 00 Change .:z D CJ Total Owner Approval: Date: Contractor Approval: / ` ate. , Sr. Rehab Specialist App val: /. Date: Program .Administrator Approval: Date: Source of Funds: $ $ $ Contingency Owner Contract Copy: Owner, Contractor, Loan file, Technical file Financial Institution (if contract price changed) RLP-155 Rev. 12/F R BECK D �. EQUEET FQ ;5 code 4' s ✓ 1 De'aGt'oO" Clay Y + mss,�,s''.,�`' 1 ,y�• _ Form N° GFR a f f x CITY OF ATLANTIC BEACH SOD SEMINOLE ROAD ,.. pe.) AT TICS,BEACH,FLORIDA REFERENCE Ty INVOER PURCHASEORDER N NET R NUM6EPK E DATE NUMBER GROSS DISCOUNT f - � y`1 ('- INICE C=CREbID=DEBIT MEM X=CONTRACT VOID AFTER SIX MONTHS CITY OF 0050`x'2 63-4 630 1 �dtlar«�ac4-�leuda 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5455 IDENTIFICATION NUMBER DATE CHECK NUMBER NET AMOUNT : /11/ 11/159 4 "J03112 L -IGHT THOUSAND POUS F,IUSTf1•.AIGELVENP Jo/3-0o 4ry IASAA6.6BANK OF JACKSONVILLE,N.A. PA:a JACKSONVILLE,FL TO THE CRDeR OF h'i:=.I�P 0PMt-'tN(A GENN;RAL. C ONTRAi::` X' %f '.',y;3•:i GI":k:aSA, 111:L,.1... L..Fr•NE —_____._1N0N-111EG0T1A@M____ AUTHORIZED SIGNATURE / AUTHORIZED SIGNATURE 6900 SO 3 2R' i:0 6 30000 4 7o: 2 i0 1 20 5 7 2 7u' TO: MEMORANDUM Jeri Benjamin, Finance Department FROM; RE: e Geor8 Worley,Commun0y, Development f, Check Nr anther DATE: 005032 to performance Genera) t'o December 8 1994 rftctors to the subsequent decision ot'time which has expired referenced c to terminate red since the above check w, this years hack. Co lehoo of the job and raconklWor•I request that `'� a (trll• CDBG pro Thank you for yo,�ass•rated punts Wou void the above tstance. ill be clvtirt Cd�aeilct VOID AFTER SIX MONTHS 005032 634 CITY OF-fT 630 NO SEMINOLE ROAD ATLANTIC 9EACH.FLORIDA 3223""S OENTIFICATION NUMBER DATE CHECK NUMBER NET AMOUNT 13 5 11 11 1994 5032 04.L.'?.00 EIGHT THOUSAND FOUR HU )RED TWE:LVE__�ND 00%100 DOL,IYA"SANK OF JACKSONVILLE,N.A. R^+ JACKSONVILLE,FL 70—HE ..� OA,r.E R OF PERFORMANCE GENERAL CONTRACTOR 5933 GREEM HILL. LANE � JACKSONVILLE FL 32211 — — - --INATUR...____ THORIZED GNATURE a AUTHORIZED SIGNATURE 11'00 50 3 2a' 1:06 300004?i: 2101, 205 ? ?11' _ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD AT TIC BEACH,FLORIDA REFERENCE TY,�� NY PURCHASE ORDER NET NUMBER 'E DATE NUMBER GROSS DISCOUNT 1.1/03/1994 125 DONNER RD 110-0000-••515*34---00 1.1 41 . f -'C= -DEBIT MEM =CONTRACT- -- -- ^-------- VOID AFTER SIX MONTHS 005032 63-4 CITY OF 630 M 900 SEMWOLE ROAD ATLANTIC BEACH,FLORIDA M33,8455 DENTIFICATION NUMBER DATE CHECK NUMBER NET AMOUNT 13 _5 11111/199 503:.' EIGHT THOUSAND FOUR HUNDRED TWELVE AND 00/100 DOLj&*"SANK OF JACKSONVILLE,N.A. JACKSONVILLE,FL PAY TO THE _ ' _- OFOEROF PERFORMANCE GENERAL CONTRACTOR 5933 GREEM HILL_ LANE JACKSONVILLE FL 32211 TH0RIZE GGNATUAE �yp "r AUTHORIZED SIGNATURE N6005032111" 1:06 300004 71: 2 LO L 20 5 7 ?u' 1' . 1141 i�to � '�'�' v - . �• .r I y, , YA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 11 BEACH,FLORIDA REFERENCE Tye INVOICE PURCHASE ORDER AMOUNT NET NUMBER E DATE NUMBER G OS DISCOUNT -'5 ,.j.,.. ' HTILMAN I10- 00(.>Q»'51::;. SAF 00 X13.011 . lRECIRMANCE GENERAI r• "' _ •I =INVOICE C=CREDIT MEMO D=DEBIT MEMO X= TRACT — f VOID AFTER SIX MONTHS CITY OF 004642 63-4 630 900 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32I33-5455 IDENTIFICATION NUMBER DATE CHECK NUMBER NET AMOUNT 135 10/12/1994 4642 TWENTY FOUR THOUSAND EIGHT HUNDRED THIRTY 1-1"1631-1"1' AN14AR 4,,4po I OF JACKSONVILLE,N.A. PAY JACKSONVILLE,Fl TO THE ORDER OF PERFORMANCE GENERAL CONTRACTOR 5933 GREEM HILL LANE: JACKSONVILLE FL 32211 40.1 THORIZED SIGNATURE y^. • <x P4 d.Y 000464 2u' 1:06 300004 71: 2 101 20 5 ? 1? AUTHORIZED SIGNATURE11' S i • a p Y� �x ,,I ' rip, 3 W CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA INVOICE PURCHASEORDER _AMOUNT __ NET `NUM&E - - RE DATE ( NUMBER GROSS DISCOUNT — i ROAR QC� u.IrTRACr��; i%:'DICE C=CREDIT MEMO D=DEBIT MEMO X=CONTRACT VOID AFTER SIX MONTHS CITY OF 0015 7 2 63-4 630 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233.5455 C ONNuMBER DATE CHECK NUMBER NETAMOUNT 1355 11/3/94 1572 x,11.,. J THE�;13tiivU FOUR HUhiDkEt� T4iEL'Vt Ft �d0/lU0 DOLLARS --- ._ BARNETT BANK OF JACKSONVILLE,N.A. PLPFORIIANCE GENERAL CONTRACTOR JACKSONVILLE,FL -� j93 3 GREEN HILL LANE JAC ,"ONVILLE, FL 32211 NON-NEGOTIABLE _ AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE 0'00 l 5 ? 29' 1:0 6 30000 4 ?1: 2 10 120 5 ? 2 ?u' CITY OF ATLANTIC BEACH �- 800 SEMINOLE ROAD AT TI¢BEACH,FLORIDA REFERENCE Ty INVOICE~ PURCHASE ORDER N NU".18ER1 PE DATE NUMBER GROSS DISCOUNT NET Y.if7�if''��':.I'� feri j..{..�... '!:U v L kA9 Uq i C='CREDl MEW- VOID DEBIT MEM }4"AL3 CiT -- ---- --- ----- - --4 VOID AFTER SIX MONTHS WAIVER OF MECHANICS, MATERIAL, AND/OR LABOR LIENS The undersigned persons who performed labor upon or who furnished labor or materials used in this construction, alteration or repair of the improvements situated at 125 DO AlAkk K.0 A A Legally described as --RTS v7Id� 6ewe# Fl-- Each for 11111 Iscl Fa and not one for the other ack I IoN%Ic I yes pa N'I I lent in Bill liar his s I'l bor performed or materials I'tirn islied in connection with these improvements and/orI IFRF lol"llcol-claim ol,course lol)cFiled ol-claimed;civ lice llpoll Clic above described real estate lilldcr ally of 111claws of, the State"here sold property is located. WORK/MATFRIA1,S INI)IVII)I 1AI,/CO SIGNATI JRF, 1013 AMOI JNT I)ATE, WAIVF.R SIGNEA) Signers-Please Note: I)escription in "worklmateria1v column should he specific and complete,using more than. one line where necessary(2 Y-1 cai �v rx e-c" 12CL t,4 1Yt- GENERAL CONTRACTORS CERTIFICATE The 111ldcrsi lied licl-cl)N ccrtifics that he is Ific Ociieral Contractor in charge ol'the construction,situation 0I' repair iyrk above i-S"erred to and that the foregohig list of I si natures includes all of the persons who performed labor on I'll ii�IlVlab) rials upon this job and Fill iliercertirles that said work was completed on the day ,ol 6-en--er--a-[--'o—ntr-- or -- STATE' OF COUNTY OF On s-zla daN of,111' L- nillal)l)eii-c(I I 199,5 I)efoi-eiiicl)ersoiiaI ?�PI 0S ro'o ' \—to c 'nown o be the person described in and who executed the foregoing instninictit -a—ii(T—ackfi—o"T21 the executed file same as Gee acland(Iced,and for the purposes and IN Wl I'NFISS W'I IFIREOF I have loci-clilitosci illy hand and notarial scat (h,:same y and year las above written. My Commission expires Notary Public iii and for ColktitN .......... LINDA L.SiTRICKLAND MY COMMISSION#GO 249530 as MONS:December 1,1M wdlt71em Nowy RM wwftm BARRETT ROWANCONSTRUCTION CO, P.O. Box 3:31309 ATLANTIC, BEACH, FL, 32233 904 249-8127 3:'.. r x - - - n y r:- _.y c: _*-: 0 _�_f"_ _ >:-' c.t_I I'-i y _r .a 1*- .`e-•-s- SSE:'" — -- r 3` •7.S Supp — yy-- - 275 i A SES . . j per, montin F:16- per anr.t:tf:, Total ,a6`e.Et will ' to all accounts not paid within �,0 day=. after our terms of: FLUE UPON RECEIPT. ........_.............._....................._.._.._..__.. .... .. ARRET" " & ROWAN CONSTRUCTION O. P.O. Box 331309- -IC BEACH, Fl_, 32233 33 904 240--8127 , �x iitl ;; ompson Electric Co. u. 1"1 .1 + e • P.O. BOX 330150 ATLANTIC BEACH ' RDRIDA 32233-0150 TELEPHONE 248-5801 ,I � ' i � r I"1'•r'r;y i•+-:�} P'.It..ltlil::1 F='Y' a F„)t 1:,:ica 1.•� 1, r r"1�,i.:+7.;..ri•3 IJ%:l tFig (?:I. 1, ( / -•) t A 4 i �f I1. r F:::"r'"r +::::r:11 i;: ..r.i.,•,I 1+—J—T rai.I d 1#�„ if ° � 1 �+ 4'J I:::,. f:1., r,i;..tnil-ev LA e G ' r _......__._........__._..__..._._............_._ .... ........_................................._._.__._....__......_........_.................._.....__.._.._...._........ fl , �• ` - �i,..I_,:,Il. Tr] F..1.? (��� r J:? h,1E: W f'::r.l :E.r- r'(1E=. rhl FrtI"��i i +alWi I r r - A f` r G1 Phuh=AI:"r.=:RS .r I\.I f Flh•II: I_ r 1 t, 1 C1 11 ir'F-1+::::Ei: f"'f 1F: L': L...r::C: f'r'11:,. r:(lr..l! D Im: 'EF:: Il k r, + , yr_r ' I Irtir::r�G ,.r. t:iiFti <_,.+:Fi :, r' ., t::; I � + � � ,.1: G.. ..,' "r+:+r.._a 1. „ � „ „ .,._ i�"� ,] i3 i„ f'F::I : Ah'ah'.I1.1r1:i .. . . . Ci i j }tg it j , I 1111 ' � I � A (l� dp,11� 11 a 1 j ompson Electric Co. ' .T. N V 0 IC L' S I i P.O. BOX 330150 # .. .. .#. .. .. .. .. . '14 E , ATLANTIC BEACH r+ 1 I I FLORIDA 32233-0150 �I TELEPHONE 249-5601 # Ifl` r ] -::e Number - t1(_1.;::83 , I. —' J r tri!` i Ifwe-A�"e Date: t_>1. 1.3 :� t s � F :aqe: 1. ,1.d � II , , r,,.,:..,_,... 1. ,.. 6 I 1. 5 U(_)hahaL L., 1.3,..1..haEl:=..f. � E�'. C7. h.It..�rril�!:'-�r• . . e I -7 7 I � NE:':i: _S ......._.__...._................_....................._..._...................... ;41!.... ..._......._..._.......__._.._.....__............. .... � ' I RE� k-D Fi Fl D F R E f-1 l'::: :.F. ..f t::a 91"E D (011 i iso: F'�A 1(1IdT I N(3. E:` f..)WAVEE FIAT) DET-111 F I._ .0- iF::I:) ] hl ��.T.fi I 1•. E:0 ,V 1 �1 } ,P l: HA I'.I_:i E::: to•t; the � ,::t l:�� ,w,f 1 I"c,t�i J. . . . r-,n tE3;. E.E:: tll.IhJt.!h1 :i:1. 1. 1:1 ra . j: ,::tSt ClUe I::}JAI .AriCt -: , n B � wy J a I�;txE;t � if iIS K DATE 5911 orach olvd.3t UT3lvers,jty )9Ck50RVII IP. Fltvida 3220 f, I' NUMBER . 41'j l 3995020 i`II it It 1 TERMS: 1 „ 1 DATE CMAIRGQ s D CREDITS BALANCE ; t — -- --- ---- BALANCE FORWARD s 1L L 1 1 i h u 3 l d — -------------------- PAY LAST AMOUNT Y f + �t,U IN THIS COLUMN f DUPLICATE � PRODUCT 96.3 Inc..Gmton.Mau.01471.To Order PHONE TOLL FREE 1-800-225-6380 } It s Pe Y,7��~nee- 6�zei?.__ 1 /1- xl - ..... P G C 047450658 P. 01 Bwommancs GENERAL CONTRACTORS Of r1o.l+..ens CAC041951 CCC056t88 July 11, 1994 City of Atlantic Beach Attention: Mr. James Worley 800 Seminole Road Atlantic Beach, Florida 32233 Dear Mr. Worley: Please be advised that Performance General Contractors of Florida, Inc. will accept the substitute bid offered by Custom Construction by Harris for property located at 64 Jackson Road. Custom Construction withdrew its bid. The total price of contract is $18,220.00. Thank you. jince"rely, osrow Taymouri, 5933 611fiCAt NUL 1.AN6 JACItIONYiL1i.F1.32211 PROW (804)744-7171 FAX(804)745-0656 u1, in 13=33 S 90435.14905 Mtnt.esote Title tl _ a A•r.or •..Mrn/4.+rw.»Liwrd��lr++ awarorurr Book 8037 P1 676 /1 JYaiwrr SHOSMW rA rMOVAl M t 8037 PI 67A — 678 oAem: lin GREEN Ill/j.IANP f1 w j 1 AKI,,W 3 h JACLTONi?U.E n.OR1pAJ22J1 wrtm 11x111 P.N. ACLfix t 011 m4f rhos Amwme-M twp.-4 Ar. KW twy, rt Arc. 16.0 AAkrm. 1 ,fbh/f .wtiaA } DUVAL } 6r/pry aw,drr•rwdrn/pwrd Aasay bJle./teas or and ..ho wr 1,&D—A & lw D—Aand•ays Aar J►t 4(d►t/Mwor,►rrrlll(�►oi�9l'^r W�or 1wnl rrlp•raddreM4 »� �i�NJf/ uNE _AdCKS .,. LLF l7.0)tlD Jill] f(.rw/i A•ANuJ oMd/�d Iw aeowdorld blab�oon/rfad•►kh lj�DONNtRROD Ay].1/JI'1CpIG1� � jkna►l4►flliltd r!J•lvr' QarMan 0 Molrt/a6 awtuNnd%' (Dta•rfbr�al brieoted nio/rrla4 irporakl/) 1. Rst*"VAfLDimrNORANDCXrAR10K/NSTALLEDNEWA/RCMMlrlONING,NER'PLUJ►1B/NG,NEW GDJIVA'T3',IVEM'Ni?NDO,VSo AND CUA TS OaFPAINT AT/1i DOMvEIt R(JNA • m&%e fWkwhs dtaer&l mat p pray h__D((V-�(j- Coww y.St"of-rAQAl PA---- -- (Dsacttbe nal priofrnyaW. Ockndy for hkooico&w.Aatlwdlnd&Intl0*4OWN for r.6eAr+0w11) U$DOMWR ROAD ATZAN7/CBMCllr YLOA/AA w.nedby u�Rr1ln.Vy� ofeaolaJMAlwrof 'tt ��rrr-Fa+r><,o�cumtic,�THu nREn�,y�nrenrry UR/?O,(,d do�.+r ri JILIj� l0f .1 rllk>;&m rmAw mpld i A n s M ,oed f«n•4brd dk fail ofrbr'rara on SEPTdAIe_ ly_!!,�{_•end/hr Jam of ria lk�wt a1 NOVEMBER and(tf dm Grw tr cf mal by ow mm bl'rmV owwrr)Am dw bemr meed A6 owtA r to o..nrr va__. N0121�BER 1 P.0_by ari pf•e,owdl dw Ar fklwrmrwd twkl of At llo/ke on 11rs fo•imwtw ars Il.w+ .1 P lly and ow ske sokomovelor. ow 19 by i -go out in Z091 a w s t lby ty r�i 1t/y a aw rAa c1a) brfo.s�wr.an ojJicrr d4 y avthorlrrd io aJnlnp►rr "v rMMr. 000/�'0'y p� DUVAL 1 ptnono! pyran la ow wwrvvm acrt rrta,r r r nbo naa .vnirw,w�o or yr ort ns rwrrwrd IMr awr.a+d•w oath wit na lokrn. 1Cb�ei ont y Sold ptnow p)I✓ort pena•a11y rTiewN wt. /srtwrr r lwv�icd dr fsNo»iMA h>�4r�nll finllon: Miwrnrrao./nd .W p.AoC.,W 4f^--W A.D. Jr t A •• WOW* QUE HMNANDMU i My Com. rrpiltl lin• 10. 1941 • W%lk Na u 33104 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATCTTFS. ON PUBLIC ENTITY CRIIAES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADAUNISTER OATHS. 1. This sworn statement is submitted to /1�- r, F, 1 f�V— 14, C 11'7cner;;� Tint nam of the public entity] [print individual's name and title] for [print name of entity submitting sworn statement] whose business address is 5 o i 3,3 and (if applicable) its Federal Employer Identification Number (FEIN) is5 l3 `Y 75g? (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: ,) 2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(8), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of the United States,including,but not limited to,any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understand that"convicted"or"conviction"as defined in Paragraph 287.133(1)(b),Florida Statute&means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: I. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement,shall be a prima facie case that one person controls another person. A person who knowingly caters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. S. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida,Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person"includes those officers,directors,executives,partners,shareholders, employees,members, and agents who are active in management of an entity. G. Based on information and belief,the statement which I have marked below is true in relation to the entity submitting this sworn statement. [indicate which statement applies.] Neither the entity submitting this sworn statement, nor any of its officers, directors, executives,. partners,shareholders,employees,members,or agents who an active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one-or more of its officers, directors, executives, partners,shareholders,employees,members,or agents who aro attire in the management of the entity,or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to Daly 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors; executives, partners,shareholders,employees,members,or agents who are acture in the management of the entity,or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,1989. Howem,there has been a subsequent proceeding before a Heating Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Office'determined that it was not inAhe public interest to place the entity submitting this sworn statement on the convicted vendor list. [attach a copy of the final order] I UNDERSTAND THAT THE SUBMISSION OF TBIS FORM TO THE CONTRACnNG OFFICER FOR THE • PUBLIC EN11TY IDFNTM IN PARAGRAPH 1(ONE)ABOVE IS FOR THAT PUBLIC ENT=ONLY AND, THAT TJHS FORM IS VALID THROUGH DSCEWER 31 OF 788 CALUMM YFAR IN WHICH IT IS FILED. I ALSO UNDERSE41ND THAT I AM SMUD SD TO WORM TER PUBLIC ENITIY PRIOR TO EMZRMG INTO A CONTRACT IN ERCEW OF THE TffitffiOLD AMOUNT PROVIDED IN=nON 287.017,FWgEpA STdMM FOR CATEGORY TWO OF ANY CHANGE IN THE UMRMATiON CONTAIMM IN THIS PORAL • v Sworn to and subscribed before me this day of 19 Personally (mown OR Produced identification_ Notary Public-State o V lA e i My co 'on expires (IVe of identification) (Printed typed or stamped commissioned name of notary public) ��77JJllll�PYlJllll)�J77lJ7lJ1lI»Jlll�l771711)l7lll2� yy �QpY ode Kenneth C.Boggs y Notary Public,State of Florida v a Conunission No.CC 312380 lc y 'FeF e-° My Commission Expires 10%3/97 '+• Bonded 7hroarh Fla.Notary Service&Bonding C--" V I Form PUR 7068 (Rev. 06111N2) JUL 07 '94 15.31 CUSTOM CONSTRUCTION P. 1/1 custom Construction by Harris P. 0. Box 40126 General Offices: fi4JkJWA.lj0j.4tM)M • Jacksonville, Florida 32203 0 (904) 3535623 To : City of Atlantic Beach, Florida 800 Seminole Road Atlantic Beach, Florida 32233-5445 From: Custom Construction By Harris Date: July 1, 1994 RE: Invitation to,lB.id "Rehabilation of Housing Units Bid # 9293-28 Based on the bid totals supplied to our firm on July 1, 1994 and information concerning the three (3) bid packages, we are the only qualified bidder for this job. Our total bid of $61, 570.00 is only $3, 189.00 higher than the collective low bidder, who:,ifailed to meet your requirements as requested. in the bid package. Our bid is $12, 385.00 lower than Balfe on the total job. If it is the intent of the city of Atlantic Beach to wave the rules to other bidders , please consider this our request to withdraw our bid. lY. Robert L. Harris , Sr. cc: Frank Decker, Attorney at Law tl jai 4e, ( Nua h� bQ srm�ll� STYLES SMITH PLUMBING, INC. JOf1PF10N( — 1927 7 524 Patricia Lane JACKSONVILLE BEACH, FLORIDA 32250 ---------- 9-23.-94__ JOR NAME/LOCATION (904) 241-41 - O Kelvin Brooks _ �o I'I IC)NI .-- - - 125 Donner Rd. 1111111 11 IAII N 11, Atlantic Bch. F1 . 32233 DESCRIPTION { AMOUNT Installed 40 gallon water heater and ran pipe to water service. 3001.00 ` I - A Service Charge of 11/2 B I I r AMOUNT � TOTAL MAI F RIAL month, 18�` l�'4',. will be �dd�� RA f_ tQ all cvudUe aC000r-t5._ ISO TOTAL LABOR 't ab 1 ail iegal ad �77ATr COMI 1 F TF I At li l TAX PAY THIS AMOUNT-0- 'Thank ►`Thank`You ----— -- ----- i-_ SIGNATURE(I herr)y.l(:knowlodlla tire satisfactory - �, completion of work.) 't gRFORMANCE CRNCRAL CONTRACTORS Of ffaww one CGC041851 CCC056S99 CHANCE ORDER #1 August 15, 1994 M, jamcs Worly Seryki ole Road \:lantic Beach, Fl 32233 RE: Mary Dove 125 Donner Road increase existing 100 amp service to 150 amp service to provide adequate electricity for n -w centra! air conditioning and heating system. Total Price... .. ................. ........$400.00 593311R98N LOLL LANS JACKSONVILLE,PL 32211 PHONE [904)7447171 PAX[904)745-0658 RRFORNAMCC GENERAL CONTRACTORS Of ria.,Inc CHANCE ORDER #1 September 26, 1994 Mr. James Worly 800 Seminole Road Atlantic Beach Fl, 32233 Mary Dove 125 Donner Road 1. Increase existing 100 amp service to 150 amp service to provide adequate electricity for new central air and heating system. Total Price...................................$400.00 5933 GREEN HILL LANE JACKSONVILLE,FL 32211 PHONE (904)744-7171 FAX(9041745-0658 CRFORNAMCC OCNCRAL CONTRACTORS of r►wida.fag CHANCE ORDER #2 September 26, 1994 Mr. James Worly 800 Seminole Road Atlantic Beach Fl, 32233 Mary Dove 125 Donner Road 1. Modify bathroom to accommodate for handicap entry and 90 degree change in the position of bathtub. 2. Remove and replace damaged rafters, flooring, and sub-flooring in the bathroom and kitchen. 3. Remove and reframe one window to accommodate for relocation of stove. 4. Remove and replace formica paneling around bathtub walls. 5. Install and finish sheet rock on all newly framed walls. 6. Install pocket door in the bathtub. 7. Install vinyl flooring in the bathroom and kitchen. Total Price...................................$1,750.00 5933 GREEN HILL LMNE JACKSONVILLE,FL 32211 PHONE (904)7447171 PAX(904)745-0658 BRFORMANCE OCNBRAL CONTRACTORS Of r�a.,lao CHANGE ORDER #3 September 26, 1994 Mr. James Worly 800 Seminole Road Atlantic Beach Fl, 32233 Mary Dove 125 Donner Road 1. Increase air conditioning size by 1 ton from 2 ton to 3 ton.. Total Price...................................$750.00 5933 GREEN MLL LANE JACKSONVILLE,n 32211 PHONE (904)7447171 PAX(904)745-0658 CNFORMANCE GCNCRAL CONTRAC'T'ORS 0!flodda,Ina CHANGE ORDER #4 September 26, 1994 Mr. James Worly 800 Seminole Road Atlantic Beach Fl, 32233 Mary Dove 125 Donner Road 1. Rewire entire house according to code. Total Price...................................$1,450.00 5933 GREEN MW.LANE JACKSONVILLE,F6 32211 PHONE (904)744-7171 FAX(904)745-0658 CRFORMANCC 06NCRAh CONTRACTORS of Florida.lite CHANCE ORDER #55 September 26, 1994 Mr. Tames Worly 800 Seminole Road Atlantic Beach Fl, 32233 Mary Dove 125 Donner Road 1. Relocate washer in the utility room. 2. Install drain and supply water for the washing machine. 3. Modify plumbing and drain in the bathroom to accommodate relocation of bathtub. Total Price...................................$800.00 5933 GREEN MLL LANE JACKSONVILLE,n 32211 PHONE (904)7447171 FAR[9041745-0658 125 Donner Road 1 . Replace siding (full sheets) around kitchen window, bath window. 2 . Caulk all windows , doors before painting. 3 . Trim around windows should overlap siding . 4. Water lines in bathroom not sized to allow enough pressure for all fixtures . 5 . All plumbing fixtures must be installed by a licensed plumber . 6. Water lines at water heater should be strapped to the wall . 7 . Move telephone jack into wall . 8 . Finish sheetrock behing water closet . 9. Hang paneling in bathroom. 10 . Install electric outlet in kitchen wall between refrigerator and sink. Must be GFI outlet . 11 . Windows must match. They should all be aluminum finish or white finish. This list is not all inclusive. Job is not completed according to contract . EXHIBIT 2-94 A2 Mary Dove 125 Donner Road Atlantic Beach, Fl 32233 The following work should be bid: Upgrade electrical wiring and provide additional receptacle outlets to meet minimum code requirements for each room. All work must comply with Electrical Specification Number 27 . Provide and install fill insulation in attic spaces per Specification Number 26. Repair and/or replace all faulty plumbing piping and fixtures according to specification Number 28 . Install hard wired Smoke Alarm. Weather proof all windows and doors and replace screens as needed, in compliance with Specifications 10, 23 , and 24 . In Living room, replace outlets as needed, replace windows. In kitchen, rewire room and replace outlets, replace flooring, walls, and ceiling, replace cabinets and counters, repair gas stove. In bathroom, rewire room and replace electrical outlets, replace plumbing piping and fixtures, replace window, flooring walls and ceiling. In Front bedroom, rept--e1-e�cal outlets and light fixtures, repair o replace windo , replace door, repair closet. -- In Back bedroom, replace electrical outlets and light fixtures, repair or ace windows.�� In Dining room, replace electrical outlets and light fixtures, replace windows, repair flooring and replace carpet. - " �. Back porch, install vinyl windows and weather proof. Paint interior of house according to Specifications 16 and 17. Seal and paint exterior of building according to Specification 17. Replace framing, siding and trim where needed. Repair or replace porch and railings. Install a/c and heating system. 2 Replace water heater r Replace or repair plumbing system. Increase electrical service to minimum 100 amps or as needed to handle HVAC system. Treat entire building for insect infestation. Note: Homeowner has the right to choose all colors and patterns of new materials and paints. All items will be agreed upon prior to commencement of work. Any unforseen damage or deterioration needing correction must be brought to the attention of the City and any additional work must be authorized by Change Order approved by the City. � 11irr:.,,fl c ►. �s X994 �' Ul 125 Donner Road 1 . Replace siding (full sheets) around kitchen window , bath window. Hole at top of kitchen window next to soffit . 0 il - If- 2-2- 2 . /- i22 . Caulk all windows , doors before painting . Trim at northeast corner, northwest corner. N)-7 CLf Ito Tf- 3 . Trim around windows should overlap siding . (ok) 4 . Water lines in bathroom not sized to allow enough pressure for all fixtures . (ok) 5 . All plumbing fixtures must be installed by a licensed plumber . (ok) Electric connection at waterheater . 61-)' 6 . Water lines at water heater should be strapped to the wall . (ok) 7 . Move telephone jack into wall . (ok) 8 . Finish sheetrock behind water closet . Finished - poor quality. ©k 11 -22_ 9 . Hang paneling in bathroom. Finished - poor quality . 10 . Install electric outlet in kitchen wall between refrigerator and sink. Must be GFI outlet . - Not Done j('(T 11 . Windows must match. They should all be aluminum finish or white finish. - Not Done ((-[T This list is not all inclusive. Job is not completed according to contract . 11-18-94 1 . Light in middle bedroom not working . 2 . Light missing in dining room. 3 . Paint trim around baseboards/*indows . 4 . Light sand/2nd coat varnish. 5 . $135 . 00 paint - Sammy will give Doves check 6, Darryl Smith - plumber - (120 . 00) 7 Main St . Plumbing. Did repairs for Sammy . 8 . Strip between kitchen/dining floor needs vinyl threshold strip. 9 , Insulation in register in middle bedroom. Register not working. 10 . Spout in bathtub missing . - 11 . Tile board around bathtub is not trimmed out to properly seal around tub/window paint / paint trim. 12 . Toilet paper holder and towel rack missing . 13 . Sink back splash/countertop not attached. 14. Windows at kitchen and bath should be the same color as other windows . SHARON MCPHERSON P02 4 P�R�B�RMCB ORNERAL November 28, 1994 City of Atlantic Beach Via Facsimile and U.S. Mail 800 Seminole Road Atlantic Beach, Florida 32233 RE: Renovation at 125 Donner Road Dear Mr. Worley: I am writing this letter in response to numerous problems we have been experiencing during renovation ofMs.Mary Dove residence at 125 Donner Road. I would like to take this opportunity to extend my apology to Ms Mary Dove and your office for not been able to meet the project deadline. I would like to reiterate that Performance General Contractors of Florida,Inc. was initially the low bidder on two of the projects. However, we were asked to undertake the third project voluntarily since the low bidder was not willing to honor his bid. This has been the contributing reason behind the delays of Ms.Dove renovation. Although your office has been very helpful and forthcoming to assist us to meet the project goals, the work order issued for each project has a part of the bid package are very general and requires a great deal of explanation to clarify the scope of the work. At every stage of this project,we scheduled several appointments with Ms. Dove to explain the work order to her and plan for renovation. She disagreed with the work order and requested additional renovation of her house. To resolve this problem, I called your office and explained Ms. Dove's position. It was agreed that we meet at Ms. Dove house to get a clear understanding of the scope of the work. Upon adjournment of the meeting, Mr. Worley asked me to submit additional change orders to cover all the legitimate concern of Ms. Dove. Several sub-contractors such as cabinet manufacturers,air conditioning, plumbing, and electrician had to meet with Ms. Dove and obtained her approval prior to commencement. On each occasion, I was told by Ms.Dove that she would prefer to hive her own sub-contractors. Furthermore, she insisted that her son be hired for the duration of the project so he could help with the renovation. All of these concerns and intervention by Ms. Dove were explained to you on numerous occasions. You have made the proper consultation and advised me accordingly. All of the employers and subcontractors who worked in Ms. Dove's house had proper and adequate experience and required licenses to perform such work. Ms. Dove and her son had made numerous derogatory continents to individuals involved in this project and openly expressed their intention that they would not let this project to be finalized by the City of Atlantic Beach. In fact,Ms. Dove had made the comment "Do you know if 5933� ff"l.Ali4 4.32211 llgll! [8141744-1171 FA11 AM74549N k JHAKON MCPHERSON P03 elephant can fly?", and in response, her son would laugh. Ms Dove would continue "If that is true, so can Sammy pass an inspections." My employees can testify to these derogatory remarks. On Tuesday, November 22, 1994, final inspection was scheduled for 1:30 p.m. The inspector, Mr. Ford had previously met with us at Ms.Dave's house and tried to summarize the remaining unfinished work. He had prepared a list of items to be completed prior to final inspection. I arrived at Ms. Dove at 2:1 S p.m. As I was approaching her driveway,she was leaving for work. Couple of minutes later, she came back and started to cry. I could hear her complaining that her purse and keys were lost. As she was looking for them, she started crying more violently and accusing my employees of stealing her purse and she was tired of this situation. At this time, Mr. Ford asked me to leave the premise and Performance General Contractors of Florida, Inc was relinquished of all its responsibilities. Mr. Robert Weiss, city inspector, was overseeing this inspection and told me that "the work was shoddy and he has a special relationship with Ms. Dove." Mr. Weiss remarks was unnecessary and insulting,tone of his voice was not acceptable. I tried to explain to Mr. Weiss that the one comer of rotted wood which was painted over mistakenly was unintentional and apologized on behalf of the employee. The cost of that particular repair did not exceed $10.00, and there was no reason for us trying to cover it up. In conclusion, I would like to commend your office for all your assistance in resolving this matter. I feel confident that once you have considered all the cxrcumstanoes surrounding Ms. Dove renovation project appropriate decision will be made to resolve this matter in the spirit of compromise and mutual respect. I am awaiting your decision and the release of the remaining funds. If you have any further questions, please let me know. Sincerely, Khosrow Taymouri c `Lc i }�r { ,r �s s 3� i 'r ��i 1 � 1 { i I �i r. PRE-CONSTRUCTION CONFERENCE REPORT READ CAREFULLY BEFORE SIGNING I (WE) THE UNDERSIGNED HAVE ON THIS DATE AT _At_z�mJ1-c PARTICIPATED IN A PRE-.CONSTRUCTION CONFERENCE PRIOR TO THE SIGNING OF A CONTRACT FOR THE REHABILITATION OF MY (OUR) PROPERTY. WE ACKNOWLEDGE THAT WE UNDERSTAND THE TERMS OF THE CONTRACT, THE EXPLANATION OF THE WORK TO BE PERFORMED BY THE CONTRACTOR, THE ROLE OF THE CONTRACT ADMINISTRATOR OF THE REHABILITATION LOAN PROGRAM, AND OUR RESPONSIBILITIES DURING THE CONSTRUCT- ION PHASE. I (WE) HAVE BEEN GIVEN AN ADEQUATE EXPLANATION TO OUR QUESTIONS, IF ANY, AND ARE AWARE THAT ASSISTANCE WILL BE PROVIDED BY THE STAFF OF THE REHABIL- ITATION LOAN PROGRAM IF REQUESTED. WE FURTHER UNDERSTAND AND ACKNOWLEDGE THAT THE REHABILITATION LOAN PROGRAM ASSUMES NO RESPONSIBILITIES FOR THE WORK PERFORMED AND DOES NOT WARRANT ANY WORK PERFORMED. -20/14v Ignature o roperty Owner Date Signature of Property nert�a`ee -----------------------------------------------m---------------------------- 1, -------I, THE UNDERSIGNED, HEREBY CERTIFY THAT THE PRE-CONSTRUCTION CONFERENCE WAS HELD ON THIS DATE BETWEEN THE HOMEOWNER(S) , REHABILITATION LOAN PROGRAM CONTRACT ADMIN- ISTRATOR AND MYSELF, I UNDERSTAND THE PROCEDURES TO BE FOLLOWED FOR CHANGE ORDERS AND REQUESTS FOR PAYMENT. I UNDERSTAND AND AGREE THAT THE WORK PERFORMED MUST MEET THE STANDARDS OF PERFORMANCE REQUIRED BY THE REHABILITATION LOAN PROGRAM AND ESTABLISHED BY THE REHAB STANDARD PERFOR ("UAL. ture o ontract 'r t a to -- -------------------------------------------------..r----------------------- I, w ----------------w-- I, THE UNDERSIGNED, HEREBY CERTIFY THAT I PARTICIPATED IN A PRE-CONSTRUCTION CON- FERENCE THIS DATE AND THAT I HAVE COMPLIED WITH ALL OF THE PROVISIONS OF THE REHABILITATION LOAN PROGRAM PROCEDURAL MEMORANDUM #49. REHABILITATION LOAN PROGRAM RESPONSIBILITIES OF HOMEOWNER AFTER CONTRACT IS SIGNED Until Work Begins e Start planning ahead. Plan adequate storage space for the coritractor tools, equipment and materials. Make arrangements for the contractor 1 get into your property if you will not be home during the day. To avoid mutual confusion, one member of the family should be delegated the spokesman to discuss problems or questions that may come up. if all household members work or will not be home during the constructior, consider designating an agent suoh as a close friend or neighbor or reia tive not living with you to supervise the contractor's work. You ar responsible to make sure the contractor does the work exactly as he state he would do in your contract. Prepare your property and furnishings for the rehabilitation - use thi period to send your drapes to the dry cleaners - wash your curtains There will probably be dust and dirt from the work - protect your furnish. ings and clothes - put all. breakable and valuable items away so they won'- be broken or misplaced. When the Work Begins Keep your copy of the work description handy and refer to it often. Check with your Case Manager if there is anything you do not understand. Remember you are responsible for ensuring that the contractor does the work correctly as bid. Assistance will be provided if required but the work must be acceptable to you. Try to stay out of the construction area, especially children; this will help prevent injuries and allow the workmen room to work. Try to keep a good relationship between your family and the contractor - again, delegate someone to be the spokesman for the family. Stop problems before they start - if something isn't going the way you feel it should, or if you don't understand it, speak to the contractor at once and get an acceptable explanation or correction before it progresses too far. If the contractor cannot give you an acceptable explanation, stop the work and call the Case Manager for assistance. Expect the unexpected - in most cases changes and improvements will be new and exciting to you and will give you much pleasure; however, unforeseen problems may be uncovered duting the course of the work which may require a change to the contract. Be prepared if this should happen - discuss ' changes with the contractor and get a good explanation of the change required and why. Try to visualize what the change will look like. Be flexible. All changes to . the contract must be approved by. you and your Case Manager and must be in writing. Your contractor is responsible for supervision of his workers. If he cannot be present, make sure that he tells you who to talk toIif you have a problem or questions. Win cooperation from the workmen with good basic hum �n relations. A word of appreciation - unexpected pot of coffee or even a ._..iJ.a.. 40.we1 1 4•.4�.ad5 1 4 La 4-*%,m^- --- - - - HOMEOWNER - CONTRACTOR AGREEMENT Property Improvements To: -_� - �y��-t - -------- ,�qr n (Address) Owner (s) ---------------------------------- (Name) ----------- (Legal Description) 1. SOLD HARMLESS. Contractor shall agree to defend, indemnify, and hold harmless the Owner, City of Atlantic Beach, Florida from liability and claim for damages because of bodily injury, death, property damage, sickness, disease of loss and expense arising from Contractor s performance under this agreement to install or construct home improvements to be paid out of the proceeds of the Owner' s rehabilitation loan. Contractor is acting in the capacity of an independent Contractor with respect to the Owner. 2. LIEN WAIVERS. Contractor agrees to protect, defend and indemnify, Owner from any claims for unpaid work, labor or materials with respect to Contractor's performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work completed arising out of Contractor's performance, or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. 3. SCOPE OF WORK. Contractor acknowledges that he has prepared the Contractor' s Proposal (Part II of this Agreement) and that such proposal ig accurate and consistent as to the name of the Contractor will undertake, and the price. Contractor acknowledges the performance requirements established in the General Specifications of the Rehabilitation Standard Performance Manual effective June 1, 1982 and warrants that all work undertaken will conform to said specifications . 4 . CONTRACT AMOUNT AND PAYMENT SCHEDULE. The City of Atlantic Beach shall pay the Contractor for the performance of the rehabilitation work, subject to additions and deductions by approved Change Order, the contract sum of ---------------- �Z ------------------------- ($- -- -) . Payments will be scheduled as follows, subject to the Owner' s acceptance of the work to be done: Upon completion of 40% of the work, a progress payment of 30% will be made. Upon completion of 80% of the work, an additional payment of 30% of the contract price will be made. Upon completion of .100% of the work, the remaining funds will be disbursed. 5. TIME OF COMMENCEMENT AND COMPLETION. Owner shall provide written authorization to Contractor to commence work. Contractor agrees to start work ten (10) calendar days after the receipt of the written Notice to Proceed. If-the Contractor fails to commence work within ten (10) days of the Owner's notification to commence, Owner shall have the right to terminate this Agreement. Such notice of termination shall be in writing. a executed Change Order. No extra costs will be paid to the Contractor when he has neglected to properly evaluate_ the extent of the rehabilitation work. Under no circumstances will the contingency fund, if any, be authorized for work other than totally unforeseen circumstances arising after the commencement of the work. 7. TERMINATION OF AGREEMENT. If the Contractor defaults or neglects to carry out the work as specified under the paragraph "Scope of Work" or fails to perform any provision of the Contractor documents, the Owner may, after fifteen (15) calendar days written notice, terminate this contract and , select a substitute Contractor. If the expenses of finishing the work exceeds the unpaid balance on this contract, the Contractor shall pay the difference to the Owner. If the Owner fails to perform any applicable provisions of the Contract, the Contractor may, after fifteen (15) calendar days, terminate the contract and recover from, the Owner payment for all work satisfactorily completed including reasonable profit and damages. 8. WARRANTY. For good and valuable consideration, the Contractor hereby agrees to provide a full one--year warranty to the Owner, which shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall extend to subsequent Owners of the property to be rehabilitated. - The warranty shall provide that improvements, hardware and fixtures of whatever kind or nature installed or constructed on said property by the Contractor are of good quality, and free from defects in workmanship or materials or deficiencies subject -.,to the warranty contained in this paragraph. Contractor and Owner agree, however, that the warranty set forth in this paragraph shall apply only to such deficiencies and defects as to which the Owner or subsequent Owners shall have given written notice to the Contractor, at its principal place of business, within one (1) year from the date of Contractor's final payment. The Contractor further warrants that failure by the Contractor to respond to valid complaints by the Owner, or subsequent Owners, that causes additional damages to the property are also subject to the warranty contained in this paragraph. 9. ARBITRATION. If a dispute arises as to the validity of a complaint not satisfied under the warranty clause of this contract, a panel of three (3) independent professionals shall be chosen by the City of Atlantic Beach to arbitrate the dispute. The panelists shall be ' chosen on a rotating basis. The finding of the panel shall be irrevocably final, conclusive, and binding on the Homeowner and the Contractor. 10. SUB-CONTRACTORS. Contractor agrees that all warranties contained herein shall apply to all work performed under the Contract, including that performed by any sub-contractor. 11. ACKNOWLEDGMENT. The above warranties are in addition to, and not in limitation of, any and all other rights and remedies to which the Owner, or subsequent Owners, may be entitled, at law or in equity, and shall survive the conveyance of title, delivery of possession of the property, or other final settlements make by the Owner and shall be binding on the undersigned notwithstanding any provision to the contrary contained in any instrument heretofore or hereafter executed by the Owner. 12 . INTEREST OF CERTAIN FEDERAL OFFICIALS. No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be admitted to any share or part of this Agreement or to any benefit to atise from the same. 12b.BONIIS, COMMISSION,OR FEE. The Borrower will no pay any bonus, commission, or fee for the purpose of obtaining"; the Government's approval of his application for this loan, or any other approval or concurrence required by the Government or its desianee r� n��,ri�• - �L_ Homeowner-Contractor Agreement cont'd or employee of the Public Body who exercises such functions o: responsibilities, shall have any interest, direct or indirect, ii the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in par' ' with the proceeds of this loan. 12d. INTEREST OF OTHER LOCAL PUBLIC OFFICIALS. No member of the govern- ing body of the locality in which the property to be rehabilitates is situated, and no other public official of the locality who exer- cises any 'functions or responsibilities in connection with the administration of the loan shall have any interest, direct or indi- rect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 13. CIVIL RIGHTS. The Grantee agrees to abide by the spirit and intent of the Civil Rights Act of 1964, as amended, and the Civil Rights Act of 1968, as amended, and the anti-discrimination provisions of Chapter 120 of the City Ordinance Code, in that its operation under this contract is free of discrimination against its employees, persons, or groups of persons on the basis or race, color, sex or national origin. 14. EQUAL EMPLOYMENT OPPORTUNITY. The Grantee agrees to abide by the Equal Employment Opportunity Clause for Contracts subject to Execu- tive Order Number. 11246, as described in Attachment 1, attached hereto and made a part thereof. 15. LEAD BASE PAINT HAZARD ACT. The Grantee agrees that no lead based paints or substances containing lead shall be used in any part of this project. Treatment necessary to eliminate immediate hazards shall, as a minimum, consist of the following: a. All surface conditions identified as immediate hazards shall be thoroughly cleaned (washed, sanded, scraped, wire brushed or otherwise cleaned) so as to remove all cracking; scaling, peeling, chipping and loose paint on applicable surfaces. Such surfaces that have been so treated shall then be repainted with two (2 ) coats of a suitable non-leaded paint. b. Where the paint film integrity of the applicable • surface cannot be maintained, the paint shall be completely removed or the surface covered with a suitable material such as gypsum wail board, plywood or plaster, before any repainting is . undertaken. Na ontractor Name( of Owner(s) g u of Cbhtracovl' t Signature Owner Date ATTACHMENT EQUAL EMPLOYMENT OPPORTUNITY-MkUSE FOR CONTRACTS SUBJECT TO EXECUTIVE ORDER 11246 During the performance of this contract, the contractor agrees as follows 1. The contractor will not discriminate against any employee o: applicant for employment because of race, color, religion, sex, or nation- al origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to the following: employ- ment, upgrading, demotion, or transfer; recruitment or recruitment adver- tising; layoff, or termination; rates of pay or other forms of compensa- tion; and selection for training, including apprenticeship. The contrac- tor agrees to post in conspicuous places, available to* employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. 2. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all quali- fied applicants will receive consideration for employment without regard to race, color, religion, sex or national origin. 3. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency con- tracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The contractor will comply with all provisions of Executive Order No. 11246 of September '24, 1965, and of the rules, r''tgulations, and rele- vant orders of the Secretary of Labor. ATTACHMENT 1 Page -2- 6. In the event of the contractor's noncomp-fiance with the nondis- crimination clauses of this contract or with any of such rules, regula- tions, or orders, this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further 'Gbvernmemt contracts in accordance with, procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No. 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 7. The contractor will include the provisions of Paragraph ( 1 ) through (7) in every sub-contract or purchase order unless exempted by rules, regulations, or orders of the Secretary of labot issued pursuant to Section 204 of Executive Order No. 11246 of September 24,. 1965, so that such provisions will be binding upon each sub-contractor or vendor. The contractor will take such action with respect to any sub-contract or purchase order as the contracting agency may direct as a means of enforc- ing such provisions including sanctions for noncompliance; provided, however, that in the event the contractor becomes involved in, or is threatened With, litigation with a sub-contractor or vendor as a result of such direction by the contracting agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States. The offerer's or bidder's attention is called to the "Equal Opportu- nity Clause" and the "Standard Federal Equal' Employment Opportunity Con- struction Contract Specifications" set forth herein. The goals and timetables for minority and female participation, ex- pressed in percentage terms for the contractor's aggregate work force in each trade on all construction work in the covered area, are as follows: 1. The goals for minority participation are 21.84 for each trade. 2. The goals for female participation are 6.9% for Parr +- -l-- PHGE. 004 vv ► i uv •'r. uv • 1 � I PROCEED ORDER DATE: -52� This is to .authorize you to proceed with work :specified in our contract dated V'J' 22. - __9 for improvement work on the property located at . The amount specif ied in the Rehab- ilitation Agreement is $ Z4 �7 y%. Please proceed in accordance with the Contract. You are to commence work no.later than u. 1:3��j��7, r All work shall be completed according to the Stork Write-Up, plans, Change Orders, Addenda and Specifications within-Sixty ($0) calendar days after start- , � ing construction. Nasi(s) oof Ovaer(s) (ovair,s S , tare) (Owner I s Signature) ADDRESS: (Local ublic Agency epresentative) Copy: RLP-143 MORTGAGE NOTE Atlantic Beach, Florida For value received, the undersigned ( jointly and severally, if more than one ) , promise to pay to the order of the City of Atlantic Beach, a municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233 , the principal sum of LlIZ-.11 and 00/100 Dollars ( $ 7!V,410 ) being payable fn lawful money of the United States of America at 800 Seminole Road, Atlantic Beach, Florida 32233 or at such other address as the holder from time to time may specify by written notice to the maker. Said principal sum shall bear no interest and shall be reduced in amount at the rate of 1/10th per year until reduced to a zero balance at the end of 10 years. Any unforgiven balance shall become immediately due and payable if the maker transfers title to or moves from the premises securing this note within the 10 year period. In the event of the death of the maker of this note, this note shall remain in effect and the principal sum reduced at the above rate of 1/10th per year only if a member of the makers immediate family takes up residence in the subject home, under any other circumstances the note shall become immediately due and payable. This note is to be construed and enforced according to the laws of the State of Florida, and is secured by mortgage on real estate of even date herewith. If default be made in the payment of any of said sums or in the performance of any agreements contained herein, then, at the option of the holder of the same , the principal sum then remaining unpaid shall immediately become due and collectible without notice , time being of the essence of this contract, and said principal sum shall bear interest at the highest rate allowed by applicable law, from such time until paid. Each maker and endorser waives presentment, protest, notice of protest and notice of dishonor and agrees to pay all costs , including a reasonable attorney' s fee, whether suit be brought or not, if counsel shall after maturity of this note or default hereunder or under said mortgage, be employed to collect this note or t rot t e curity thereof. ( seal ) Nazy df aker ( seal ) Makers Address ' d, STATE OF FLORIDA DOCUMENTARY STAMPS IN THF. AMOITMT nV i6F.",Li ', 1994 125 Donner Road Dui I d i g acid Zol-11VI(I 0 1 . Replace siding (full sheets) around kitchen window, bath window. Iq D L Kr- '-O (ODO "' 7- 'rO J-6 rle 2 . Caulk all windows, doors before painting. -rKIki & /(J . 'C' LZ Ae— C VZAr � 3 . Trim around windows should overlap siding . 4. Water lines in bathroom not sized to allow enough pressure for all fixtures . 0 ,L4. — 5. All plumbing fixtures must be installed by a licensed p1 umber. � �. 7— E e C C , C 611 P - 0 c,.o A 2,6/z- 6. Water lines at water heater should be strapped to the wall . t) K, 7 . Move telephone jack into wall . 8 . Finish sheetrock behind water closet . r(OJ(�&F—P — 1000a 9POA147Y 9. Hang panel ing in bathroom. - F 1Aj( s ri ZF ' '> - — #opipec cpu4e ( ry 10 . Install electric outlet in kitchen wall between refrigerator and sink. Must be GFI outlet . A167- >0 AJ&- 11 . Windows must match. They should all be aluminum finish or white finish. A)07roti - This list is not all inclusive. Job is not completed according to contract . (4 r t10 ff 7- /q S-( OU as //J 0 PA t 1A)7 7-P-U4t tt 4 0 0 A-) D 6 rS 0 4-11 00 kj-." Ad D C06r VA(ZAJ I S(4- t 0 F— ::')o Vr- (n4/V//V �O /70V "1)o&, -5Tf'Z ( to 7-&,'tE 4-- 4) 11c 7-- t 05 IMEMORANDTIM To-. Don Ford, Building Official FROM: George Worley, Community Development Director DATE: November 15- 1994 RE: 125 Donner Road I have had several conversations with Pertbrimince General Contractors today about the carpet for Mrs. Dove's house. It seems that the, carpet installer broght the carpet that Mrs. Dove picked out and was ready to start when slie announced that that wqw,, not the color that :;be wanted. Sammy contacted the carpet company and verified the, color selection. As you well know ltxill require several days to weeks to re-order carpet, and Performance general will eat the cost of the carpet which Mrs Dove originally picked out. I believe that wc, should install th,. carp that originally pick by the home owner. This job needs to be completed as soon as possible. It needs to be done correctly and to code,but, it needs to be finished. In that regard I am leaNing du writton mithorizzation to iii;p na the final draw payment to Performance (I.moral Contractor imm-.dlately upon succ-ssful completion of a final inspection. That final inspection should occur on or beforo Friday., November 18th. i1/1 x•154 12:07 LHRPU AND LEAP-' -> 9047450658 R INVOICE ACI _ Minn Blinds VertlCais KItChen vinyl' .713 052427 FREEfWYMBUILDERS PRICER ESTIMATES m. `��' TO ALL 0 8956 Phillips Highway•Jacksonville,Florida 32256*(904) 260.01 o9 7 6915 NorwcloC Ave s JaCnsonvi{le, Florida 32208 a (904) 764.3300 C1 351 Blanding 8`vd. • Otange ParK, Florida 32073 of (904) 276-1400 +s"GMEk t+E NC. - 9 C_tJi!NTY 3OLD EY �+^� _ •� -- - COhoiT+ON54F 501.£ y � At�iQ`IP�•r —.___..���.____�. . Alf vdlc:m,,%oetth on d,1r�yry.f�nandn�d,ryngcmantg - -- rti.3f qy r,3,2%at titer of.c a.AI'�yrc_-.crro and cuxto')16? TAX rpeclCbd dktga9 ntst be-m rlttap on th r0�9.,t !,.,�•;9P;9 KrIlrn"Into.vier ttc honrnrgry T110 Byer C'P'Tt+s to t•Aly rqy- ot,r..,?,Ic 3ftil4Ay'm fo,3—n Vuk nvg-t:011acf.-v1 s n^Coa+:a.y TOTAL fir 7 car rrq S"alf,ono ` 4t.•lpr••. I Loh?J4 A<Y fIr 7epCa.d Mr's ^C ,1rr P'i riij fi'��tG fall p V1dO Gil. `��'•�"r — WAFIRANTY t. ;1"i do q rtt till AL ALAhJC;E 4 1,14,011,1{8 -6,pct, of peq and upi%,13tc%rg fa',,k;. srvw tiny i,1'7 r coaaor•.re%4mgmy 8&17Sr r. KF k - ?:.y-r have pamopat�d it nrti; ,m s, 91'1n.por OP41•�- tar t•.!%) dna gJ81nY Bp o.tion rtii' vc•aatiy e.i1;f fall)' -? 0),dna uniarytar'd cOnd".or •4 is ped W ranty, BUYER'S 5IGNATURE ` N.:: t. �,, --_--- -------+------------------------------- ------------------------------ ---..- .,. .-..----------'--- SHARON MCPHERSON P02 Pcs���cc GCXXNAL co�c�s November 28, 1994 City of Atlantic Beach Vii Facsimile and U.S. Mail 800 Seminole Road Atlantic Beach, Florida 32233 RE: Renovation at 125 Donner Road Dear Mr. Worley: I am writing this letter in response to numerous problems we have been experiencing during renovation of Ms. Mary Dove residence at 125 Donner Road. I would like to take this opportunity to extend my apology to Ms Mary Dove and your office for not been able to meet the project deadline. I would like to reiterate that Performance General Contractors of Florida,Inc. was initially the low bidder on two of the projects. However, we were asked to undertake the third project voluntarily since the low bidder was not willing to honor his bid. This has been the contributing reason behind the delays of Ms. Dove renovation. Although your office has been very helpful and forthcoming to assist us to meet the project goals, the work order issued for each project has a part of the bid package are very general and requires a great deal of explanation to clarify the scope of the work. At every stage of this project,we scheduled several appointments with Ms. Dove to explain the work order to her and plan for renovation. She disagreed with the work order and requested additional renovation of her house. To resolve this problem, I called your office and explained Ms. Dove's position. It was agreed that we meet at Ms. Dove house to get a clear understanding of the scope of the work. Upon adjournment of the meeting, Mr. Worley asked me to submit additional change orders to cover all the legitimate concern of Ms. Dove. Several%A>-contractors such as cabinet manufacturers,air conditioning, plumbing, and electrician had to meet with Ms. Dove and obtained her approval prior to commencement. On each occasion, I was told by Ms.Dove that she would prefer to hire her own sub-contractors. Furthermore, she insisted that her son be hired for the duration of the project so he could help with the renovation. All of these concerns and intervention by Ms. Dove were explained to you on numerous occasions. You have made the proper consultation and advised me accordingly. All of the employers and subcontractors who worked in Ms. Dove's house had proper and adequate experience and required licenses to perform such work Ms. Dove and her son had made numerous derogatory comments to individuals involved in this project and openly expressed their intention that they would not let this project to be finalized by the City of Atlantic Beach. In fact, Ms. Dove had made the comment "Do you know if USS YON N"erre JACENEifYJJk n.32211 0"144-11 It rAtKOW7454658 1 31994 125 Donner Road Building and Zoning, 1 . Replace siding (full sheets) around kitchen window, bath window. -roe or' Wir. A-3 eek, ro faric 2 . Caulk al l windows, doors before painting. Tit © c2.A.J f I*? - 3 . Trim around windows should overlap siding. -- 0,A 4. Water lines in bathroom not sized to allow enough pressure for all fixtures . 6 ,L4. -- 5. All plumbing fixtures must be installed by a licensed p 1 umb e r. eDv • c,9 62 6. Water lines at water heater should be strapped to the wall . b K, 7 . Move telephone jack into wall . 8 . Finish sheetrock behind water closet . re'v(S&rzA •- loao2 9Ptw_(;Y 9. Hang paneling in bathroom. - F1ti Sr(a� •+�- ,p='�0#- c' u4 e r 7`Y 10 . Install electric outlet in kitchen wall between refrigerator and sink. Must be GFI outlet . A,OT- yova- 11 . Windows must match. They should all be aluminum finish or white finish. Moz- This list is not all inclusive. Job is not completed according to contract . 1-16e{-~ 'On 'r .5s N ¢ C,O �Our6,:z 60 Al !-- PA t w 7 T"k Ui`2 ?t 0 VA-) D 41r66 rj o4-1 0 J /A) efu oo C'�S V /_*;L AJ jD St's ("rH- L U P\1A rl - ,�•�¢-ate rt�. .A 9T-1Z ( P 7-60 r 4 oU l c 7'-� FZ '�lit9�jL ?"Z•f-/Z�S f/� c,p 57 2 r 00, WARNING TO OWNER: UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE. TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM US EVERY TIME YOU PAY YOUR CONTRACTOR. Natirr to Ownrr Date: NOVEMBER 29,1994 To: MARY DOVE er Address: 125 DONNER ROAD ATLANTIC BEACH, FLORIDA The undersigned hereby informs you that he has furnished, or is furnishing services or materials as follows: RENOVATED INTERIOR AND EXTERIOR, INSTALLED NEW AIR CONDITIONING, NEW PLUMBING,NEW CABINETS,NEW WINDOWS, AND COATS OF PAINT AT 125 DONNER ROAD. for the improvement of the real property identified as: (Describe real property sufficiently for identification, including street and number if known) 125 DONNER ROAD ATLANTIC BEACH, FLORIDA under an order given by PERFORMANCE GENERAL CONTRACTORS OF FLORIDA, INC. Florida the serving of this notice and restricts your right to make payments under your contract in accordance with section 713.06,Flonda Statutes. If there is a PAYMENT BOND,then this notice will advise you that we intend to look to the applicable payment bond for payment of the foregoing items. Within ten(10)days of receipt of this notice,you are required by Florida Statutes Section 713.23,and 255.05 to furnish nonce of the existence of such payment bond and a copy of said bond. PLEASE NOTE: THIS NOTICE IS NOT A LIEN, CLOUD,NOR ENCUMBRANCE UPON TITLE TO YOUR.PROPERTY,NOR IS IT A MATTER OF PUBLIC RECORD. This notice is a standard business procedure of the undersigned firm,and does not adversely reflect upon the credit-worthiness or other reputation of any person named herein. Request for Sworn Statement of Account must be addressed to: IMPORTANT INFORMATION FOR YOUR PROTECTION Under Florida's laws,those who work on your property or provide materials and are not paid have a right to enforce their claim f payment against your p y. This claim is known as a construction liens _ eta yin e7 le your contractor fat s to pay subcontractors or material suppliers N IF Y6U HAVE P D YOUR COTRACI OR N FULL.Ie who are owed money may look to your property for payment,EVE PROTECT YOURSELF: RECOGNIZE that this Notice to Owner may mutt in a lien against your property unless all those suppi mg a Notice to Owner have been paid. LEARN more about the Construction Lien Law,Cha ter 713,Part I,Flonda Statutes and the meaning of this noti by contacting an attorney or the Florida Department of Agriculture andpConsumer Services,Division WfConsumer Services. Copies to: City of Atlantic Beach Performance General Contractors of FI ri Inc. BY: M7V Lienor's Signature Address: 5933 Green Hill Lane SHARON MCPHERSON P03 elephant can fly?", and in response,her son would laugh. Ms Dove would continue "If that is true, so can Sammy pass an inspections." My employees can testify to these derogatory remarks. On Tuesday, November 22, 1994, final inspection was scheduled for 1:30 p.m. The inspector,Mr. Ford had previously met with us at Ms. Dove's house and tried to summarize the remaining unfinished work. He had prepared a list of items to be completed prior to final inspection. I arrived at Ms. Dove at 2:1 S p.m. As I was approaching her driveway,she was leaving for work. Couple of minutes later, she came back and started to cry. I could hear her complaining that her purse and keys were lost. As she was looking for them, she started crying more violently and accusing my employees of stealing her purse and she was tired of this situation. At this time,Mr. Ford asked me to leave the premise and Performance General Contractors of Florida, Inc was relinquished of all its responsibilities. Mr. Robert Weiss, city inspector,was overseeing this inspection and told me that "the work was shoddy and he has a special relationship with Ms. Dove. Mr. Weiss remarks was unnecessary and insulting,tone of his voice was not acceptable. I tried to explain to Mr. Weiss that the one comer of rotted wood which was painted over mistakenly was unintentional and apologized on behalf of the employee. The cost of that particular repair did not exceed $10,00, and there was no reason for us trying to cover it up. In conclusion, I would like to commend your office for all your assistance in resolving this matter. I feel c onfidart that once you have considered all the circumstances surrounding Ms. Dove renovation project appropriate decision will be made to resolve this matter in the spirit of compromise and mutual respect. I am awaiting your decision and the release of the remaining funds. If you have any further questions, please let me know. Sincerely, Khosrow Taymouri mr RA ilk 4427 Emerson St, Bldg--6 Jacksonville,Fiorias 32207 (904;368-5700 -a, SHIP TO, Egr�orMannp- rgn— r-ftn ;N�MG Mjjry Audre s s -5 9 3 Ln Address T)n nn ,:11y _-Tj-�rksOf- a City- At] anf.,jc 1;paab .6 1, 1 Slate olZidia ZP 2221 $Ve 2 1,"J.d a ZP '7 1 11 IN OICE Your 01de—'No— Date 2n6 Reajest 201 Ouanbrt um"pr"Ce Arr writ amp 1-- cke Detectors + Rannge & grater C-utside Flood Light! lRe-air wirina in att4C (ex0osed '00 t t Ret,-,-Ined Check Charges 100 .:00 SOR, TOTAL 1�4 3 S 'TAX ?al d i n Adv. TOTAL 1185.0_0 PROPOSAL Proposal No. Sheet No. 12 Date Proposal Submitted To ! Work To Be Performed At Name Street Street City State City Date of Plans State '00, Architect Telephone Number We hereby propose to furnish the materials and perform the labor necessary for the completion of ri i 4 ��-XA-X' All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings an spec) lcaf ions submitted for' above work and completed in a substantial workmanlike manner for the sum of Dollars($ with payments to be made as follows Any alteration or deviation from above specifications involving extra costs Respectfully submitted will be executed only upon written order,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,acci- dents,or delays beyond our control. Per Note—This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Signature 9450 MADE IN USA. 0 87958 09450 3 JACKSONVILLE ELECTRIC AUTHORITY 21 WEST CHURCH STREET,JACKSONVILLE,FLORIDA 32202-3139 - (904)632-5200 CvCLE ACCOUNT NUMBER BILL DATE �- $ERVICE ADDRESS i 17 30350-00125-0000-3-00-E 10/25/94 125 DONNERS RD RPTE --�----RESIDENTIAL CONSUMPTION HISTORY DOVE J OCT. 1994 1,52E KWH 125 DONNERS RD OCT. 1993 1,769 KWH ATLANTIC BEACH FL 32233 SEPT. 1994 1,837 KWH SEPT. 1993 2,502 KWH ADDITIONAL INFORMATION ON REVERSE SIDE METER NUMBER READ DAYS CURRENT READING METER CONSUMPTION AVERAGE DAILY DATE BIlLEO READING TYPE CCNSTt NT I CON SUINPT'ON CO_ I 20618884 10/20 29 6646 REGULAR 1 1,528 KWH $4.03 N 0 T I C E PREVIOUS BALANCE. . . . . . . . . . . . . . .S 140.40 PLEASE PAY $2 7.89 BY NOVEMBER 7 1 94 TO AVOID LATE PAYMENT FEE. . . . . . . . . . . . . . . 2. 11 D I SCONNECT i ON OF SERVICE. ELECTRIC CHARGE. . . . . . .. . . . . . . . . 102.76 GROSS RECEIPTS TAX. . . . . . . . . . . . . 2.81 IF YOUR SERVICE IS DISCO. TE FRANCHISE FEE. . . . . . . . . . . . . . . . . . 6.74 THERE WILL A CHARGE OF $ %. 94 7,;2ATLANTIC EACH TAX. . . . . . . . . . . . . -----4.64 RECONNECTION. 003 4W$4, 19`34 X350 L CURRENT CHARGES. . . . . . . . . .$ 119.06 40„40 ic"500003C� SEE THE REVERSE SIDE OF TH ISS � TOTA FOR INFORMATION ON WHERE TO r,} qp i 46,40 140.QL1 LA ` ?� THE REMAINING g 21.57 BALA CE Pb is SUBJECT TO THE TERNS CONDITIONS OF YOUR PAYNEo��e;, EXTENSION. ah coo PLEASE DISREGARD THIS NOTICE IF THE REQUIRED PAYMENT HAS BEEN MADE. THANK YOU. ACCOUNT BALANCE NON-TAXABLE FUEL AMOUNT $21.59 0 5.01413/KWH PLEASE INDICATE ADDRESS CORRECTION BELOW At X Yi, i CITY OF r�artic �'eat� - �lernida 800 SEMINOLE ROAD ---- - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 + INCOME VERIFICATION FORM TO: Employer Social Security Administration HRS I w hereby authorize the City of Atlantic Beach, Florida, to verify my income. Please provide the requested information to the Director of Community Developmgnt, at the above address. Thank you for your cooperation and assistance. Signed: n64 'OnaJ Date: Address: /vc i F 1 .1 PRE-CONSTRUCTION CONFERENCE REPORT READ CAREFULLY BEFORE SIGNING I (WE) THE UNDERSIGNED HAVE ON THIS DATE AT r PARTICIPATED IN A PRE-.CONSTRUCTION CONFERENCE PRIOR TO THE SIGNING OF A CONTRACT FOR THE REHABILITATION OF MY (OUR) PROPERTY. WE ACKNOWLEDGE THAT WE UNDERSTAND THE TERMS OF THE CONTRACT, THE EXPLANATION OF THE WORD TO BE PERFORMED BY THE CONTRACTOR, THE ROLE OF THE CONTRACT ADMINISTRATOR OF THE REHABILITATION LOAN PROGRAM, AND OUR RESPONSIBILITIES DURING THE CONSTRUCT- ION PHASE. I (WE) HAVE BEEN GIVEN AN ADEQUATE EXPLANATION TO OUR QUESTIONS, IF ANY, AND ARE AWARE THAT ASSISTANCE WILL BE PROVIDED BY THE STAFF OF THE REHABIL- ITATION LOAN PROGRAM IF REQUESTED. WE FURTHER UNDERSTAND AND ACKNOWLEDGE THAT THE REHABILITATION LOAN PROGRAM ASSUMES NO RESPONSIBILITIES FOR THE WORK PERFORMED AND DOES NOT WARRANT ANY WORK PERFORMED. gnature olUProperty nertDa`e gnature of Property- Owner — Date --------------------------------------------------------------------------------- I, THE UNDERSIGNED, HEREBY CERTIFY THAT THE PRE-CONSTRUCTION CONFERENCE WAS HELD ON THIS DATE BETWEEN THE HOMEOWNER(S) , REHABILITATION LOAN PROGRAM CONTRACT ADMIN- ISTRATOR AND MYSELF. I UNDERSTAND THE PROCEDURES TO BE FOLLOWED FOR CHANGE ORDERS AND REQUESTS FOR PAYMENT. I UNDERSTAND AND AGREE THAT THE WORK PERFORMED MUST MEET THE STANDARDS OF PERFORMANCE REQUIRED BY THE REHABILITATION LOAN PROGRAM AND ESTABLISHED BY THE REHAB STANDARD PERFO NMNUAL. �140ture of Contftcr/le to ----------------------- --------------------------------------------------------- I, THE UNDERSIGNED, HEREBY CERTIFY THAT I PARTICIPATED IN A PRE-CONSTRUCTION CON- FERENCE THIS DATE AND THAT I HAVE COMPLIED WITH ALL OF THE PROVISIONS OF THE REHABILITATION LOAN PROGRAM PROCEDURAL MEMORANDUM #49. REHABILITATION LOAN PROGRAM RESPONSIBILITIES OF HOMEOWNER AFTER CONTRACT IS SIGNED Until Work Begins Start planning ahead. Plan adequate storage space for the coritractor', tools, equipment and materials. Make arrangements for the contractor tc get into your property if you will not be home during the day. To avoid mutual confusion, one member of the family should be delegated as the spokesman to discuss problems or questions that may come up. If all household members work or will not be home during the construction, consider designating an agent such as a close friend or neighbor or rela- tive not living with you to supervise the contractor's work. You are responsible to make sure the contractor does the work exactly as he stated he would do in your contract. Prepare your property and furnishings for the rehabilitation - use this period to send your drapes to the dry cleaners - wash your curtains. There will probably be dust and dirt from the work - protect your furnish- ings and clothes - put all breakable and valuable items away so they won't be broken or misplaced. When the Work_ Beains Keep your copy of the work description handy and refer to it often. Check with your Case Manager if there is anything you do not understand. Remember you are responsible for ensuring that the contractor does the work correctly as bid. Assistance will be provided if required but the work must be acceptable to you. Try to stay out of the construction area, especially children; this will help prevent injuries and allow the workmen room to work. Try to keep a good relationship between your family and the contractor - again, delegate someone to be the spokesman for the family. O Stop problems before they start - if something isn't going the way you feel it should, or if you don't understand it, speak to the contractor at once and get an acceptable explanation or correction before it progresses too far. if the contractor cannot give you an acceptable explanation, stop the work and call the Case Manager for assistance. Expect the unexpected - in most cases changes and improvements will be new and exciting to you and will give you much pleasure; however, unforeseen problems may be uncovered during the course of the work which may require a change to the contract. Be prepared if this should happen - discuss changes with the contractor and get a good explanation of the change required and why. Try to visualize what the change will look like. Be flexible. All changes to the contract must be approved by you and your Case Manager and must be in writing. Your contractor is responsible for supervision of his workers. If he cannot be present, make sure that he tells you who to talk toifyou have a problem or questions. Win cooperation from the workmen with good basic human relations. A word of appreciation - unexpected pot of coffee or even HOMEOWNFR - nONTRAt TIER AGREEMENT NT Property Improvements To: _______: 'nn (Address) Owner (s) : AAre. ----------------------------------- (Name) --------------------------------------------------- (Legal Description) 1. HOLD HARMLESS. Contractor shall agree to defend, indemnify, and hold harmless the Owner, City of Atlantic Beach, Florida from liability and claim for damages because of bodily injury, death, property damage, sickness, disease of loss and expense arising from Contractor s performance under this agreement to install or construct home improvements to be paid out of the proceeds of the Owner' s rehabilitation loan. Contractor is acting in the capacity of an independent Contractor with respect to the Owner. 2. LIEN WAIVERS. Contractor agrees to protect, defend and indemnify, Owner from any claims for unpaid work, labor or materials with respect to Contractor's performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work completed arising out of Contractor's performance, or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. 3. SCOPE OF WORK. Contractor acknowledges that he has prepared the Contractor' s Proposal (Part II of this Agreement) and that such proposal i4 accurate and consistent as to the name of the Contractor will undertake, and the price. Contractor acknowledges the performance requirements established in the General Specifications of the Rehabilitation Standard Performance Manual effective June 1, 1982 and warrants that all work undertaken will conform to said specifications . 4. CONTRACT AMOUNT AND PAYMENT SCHEDULE. The City of Atlantic Beach shall pay the Contractor for the performance of the rehabilitation work, subject to additions and deductions by approved Change Order, the contract sum of ---------------- - ------------------------- ($-4---- f ---) . Payments will be scheduled as follows, subject to the Owner' s acceptance of the work to be done: Upon completion of 40% of the work, a progress payment of 30% will be made. Upon completion of 80% of the work, an additional payment of 30% of the contract price will be made. Upon completion of .100% of the work, the remaining funds will be disbursed. 5. TIME OF COMMENCEMENT AND COMPLETION. Owner shall provide written authorization to Contractor to commence work. Contractor agrees to start work ten (10) calendag days after the receipt of the written Notice to Proceed. If .the Contractor fails to commence work within ten (10) days of the Owner' s notification to commence, Owner shall have the right to terminate this Agreement. Such notice of termination shall be in writing. a executed Change Order. No extra costs will be paid to the Contractor when he has neglected to properly evaluate,-- the extent of the rehabilitation work. Under no circumstances will the contingency fund, if any, be authorized for work other than totally unforeseen circumstances arising after the commencement of the work. 7. TERMINATION OF AGREEMENT. If the Contractor defaults or neglects to carry out the work as specified under the paragraph "Scope of Work" or fails to perform any provision of the Contractor documents, the Owner may, after fifteen (15) calendar days written notice, terminate this contract and , select a substitute Contractor. If the expenses of finishing the work exceeds the unpaid balance on this contract, the Contractor shall pay the difference to the Owner. If the Owner fails to perform any applicable provisions of the Contract, the Contractor may, after fifteen (15) calendar days, terminate the contract and recover from the Owner payment for all work satisfactorily completed including reasonable profit and damages. 8. WARRANTY. For good and valuable consideration, the Contractor hereby agrees to provide a full one-year warranty to the Owner, which shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall extend to subsequent Owners of the property to be rehabilitated. - The warranty shall provide that improvements, hardware and fixtures of whatever kind or nature installed or constructed on said property by the Contractor are of good quality, and free from defects in workmanship or materials or deficiencies subject Oto the warranty contained in this paragraph. Contractor and Owner agree, however, that the warranty set forth in this paragraph shall apply only to such deficiencies and defects as to which the Owner or subsequent Owners shall have given written notice to the Contractor, at its principal place of business, within one (1) year from the date of Contractor's final payment. The Contractor further warrants that failure by the Contractor to respond to valid complaints by the Owner, or subsequent Owners, that causes additional damages to the property are also subject to the warranty contained in this paragraph. 9. ARBITRATION. If a dispute arises as to the validity of a complaint not satisfied under the warranty clause of this contract, a panel of three (3) independent professionals shall be chosen by the City of Atlantic Beach to arbitrate the dispute. The panelists shall be * chosen on a rotating basis. The finding of the panel shall be irrevocably final, conclusive, and binding on the Homeowner and the Contractor. 10. SUB-CONTRACTORS. Contractor agrees that all warranties contained herein shall apply to all work performed under the Contract, including that performed by any sub-contractor. 11. ACKNOWLEDGMENT. The above warranties are in addition to, and not in limitation of, any and all other rights and remedies to which the Owner, or subsequent Owners, may be entitled, at law or in equity, and shall survive the conveyance of title, delivery of possession of the property, or other final settlements make by the Owner and shall be binding on the undersigned notwithstanding any provision to the contrary contained in any instrument heretofore or hereafter executed by the Owner. 12 . INTEREST OF CERTAIN FEDERAL OFFICIALS, No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be admitted to any share or part of this Agreement or to any benefit to aYise from the same. , 12b.BONUS, COMMISSION,OR FEE. The Borrower will not pay any bonus, commission, or fee for 'the purpose of obtaining the Government's approval of his application for this loan, or any other approval or concurrence required by the Government or its AAo,-„oe I— ----' -' Homeowner-Contractor Agreement cont'd or employee of the Public Body who exercises such functions or responsibilities, shall have any interest, direct or indirect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part ' with the proceeds of this loan. 12d. INTEREST OF OTHER LOCAL PUBLIC OFFICIALS. No member of the govern- ing body of the locality in which the property to be rehabilitated is situated, and no other public official of the locality who exer- cises any 'functions or responsibilities in connection with the administration of the loan shall have any interest, direct or indi- rect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 13. CIVIL RIGHTS. The Grantee agrees to abide by the spirit and intent of the Civil Rights Act of 1964, as amended, and the Civil Rights Act of 1968, as amended, and the anti-discrimination provisions of Chapter 120 of the City Ordinance Code, in that its operation under this contract is free of discrimination against its employees, persons, or groups of persons on the basis or race, color, sex or national origin. 14. EQUAL EMPLOYMENT OPPORTUNITY. The Grantee agrees to abide by the Equal Employment Opportunity Clause for Contracts subject to Execu- tive Order Number. 11246, as described in Attachment 1, attached hereto and made a part thereof. 15. LEAD BASE PAINT HAZARD ACT. The Grantee agrees that no lead based paints or substances containing lead shall be used in any part of this project. Treatment necessary to eliminate immediate hazards shall, as a minimum, consist of the following: a. All surface conditions identified as immediate hazards shall be thoroughly cleaned (washed, sanded, scraped, wire brushed or otherwise cleaned) so as to remove all cracking; scaling, peeling, chipping and loose paint on applicable surfaces. Such surfaces that have been so treated shall then be repainted with two (2) coats of a suitable non-leaded paint. b. Where the paint film integrity of the applicable surface cannot be maintained, the paint shall be a completely removed or the surface covered with a suitable material such as gypsum wail board, plywood or plaster, before any repainting is undertaken. Na ontractor Name(sT of Owner( s) `/ g urge, of C ac o t Signature Owner Date ATTACHMENT 1 EQUAL EMPLOYMENT OPPORTUNITY `CbLUSE FOR CONTRACTS SUBJECT TO EXECUTIVE a ORDER 11246 During the performance of this contract, the contractor agrees as follows: 1. The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or nation- al origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to the following: employ- ment, upgrading, demotion, or transfer; recruitment or recruitment adver- tising; layoff, or termination; rates of pay or other forms of compensa- tion; and selection for training, including apprenticeship. The contrac- tor agrees to post in conspicuous places, available to' employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. 2. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all quali- fied applicants will receive consideration for employment - without regard to race, color, religion, sex or national origin. 3. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency con- tracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 0£ Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The contractor will comply with all provisions of Executive Order No. 11246 of September 24, 1965, and of the rules, regulations, and rele- vant orders of the Secretary of Labor. ATTACHMENT 1 Page -2- 6. In the event of the contractor's noncompYiance with the nondis- crimination clauses of this contract or with any of such rules, regula- tions, or orders, this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Gbvernmemt contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No. 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 7. The contractor will include the provisions of Paragraph ( 1 ) through (7) in every sub-contract or purchase order unless exempted by rules, regulations, or orders of the Secretary of labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24,. 1965, so that such provisions will be binding upon each sub-contractor or vendor. The contractor will take such action with respect to any sub-contract or purchase order as the contracting agency may direct as a means of enforc- ing such provisions including sanctions for noncompliance; provided, however, that in the event the contractor becomes involved in, or is threatened vith, litigation with a sub-contractor or vendor as a result of such direction by the contracting agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States. The offerer's or bidder's attention is called to the "Equal Opportu- nity glause" and the "Standard Federal Equal' Employment Opportunity Con- struction Contract Specifications" set forth herein. The goals and timetables for minority and female participation, ex- pressed in percentage terms for the contractor's aggregate work force in each trade on all construction work in the covered area, are as follows: 1. The goals for minority participation are 21.8* for each trade. 2. The goals for female participation are 6.9% for each +raAo PHGE . 004 PROCEED ORDER DATE: r l TOt 7;7 r� r This is to .authorize you to proceed with work specified in our contract dated for improvement work on the property located at a The amount specified in the Rehab- ilitation Agreement is $ l �y.�L- Please proceed in accordance with the Contract. You are to commence work no. later than . All work shall be completed according to the Work Write-Up, plans, Change Orders, Addenda and Specifications. within- Sixty (60) calendar days after start- . ' ing construction. a Name(s) of Owner(s) (Owner 1 S7 Si. tura) (Owners Signature) ADDRESS: 7F (Local ublic Agency epresentative) Copy: RLP-143 MORTGAGE NOTE Atlantic Beach, Florida For value received, the undersigned ( jointly and severally, if more than one ) , promise to pay to the order of the City of Atlantic Beach, a municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233 , the principal sum of l� yr ".:�.re4dl klllL ly l .fa-e a4 --.mak z and 00/100 Dollars ( $ »,, being payable fn lawful money of the United States of America at 800 Seminole Road, Atlantic Beach, Florida 32233 or at such other address as the holder from time to time may specify by written notice to the maker. Said principal sum shall bear no interest and shall be reduced in amount at the rate of 1/10th per year until reduced to a zero balance at the end of 10 years . Any unforgiven balance shall become immediately due and payable if the maker transfers title to or moves from the premises securing this note within the 10 year period. In the event of the death of the maker of this note , this note shall remain in effect and the principal sum reduced at the above rate of 1/10th per year only if a member of the makers immediate family takes up residence in the subject home, under any other circumstances the note shall become immediately due and payable . This note is to be construed and enforced according to the laws of the State of Florida, and is secured by mortgage on real estate of even date herewith. If default be made in the payment of any of said sums or in the performance of any agreements contained herein, then, at the option of the holder of the same , the principal sum then remaining unpaid shall immediately become due and collectible without notice , time being of the essence of this contract , and said principal sum shall bear interest at the highest rate allowed by applicable law, from such time until paid. Each maker and endorser waives presentment, protest, notice of protest and notice of dishonor and agrees to pay all costs, including a reasonable attorney' s fee , whether suit be brought or not, if counsel shall after maturity of this note or default hereunder or under said mortgage , be employed to collect this note or t rotect t e curity thereof. ( seal ) Na f aker (seal ) t Makers Address STATE OF FLORIDA DOCUMENTARY STAMPS TN TTJV A1,aMMVP nV CITY OF 800SEMINOLE ROAD B ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX (904)247-5805 SUNCOM 852-5800 October 21, 1999 Mary Dove 125 Donner Road Atlantic Beach, FL 32233 -y Re: C.O. Inspection for Carpo Dear Mrs. Dove: We have completed the final inspect Road. The C.O. inspection is a review of thtr ' 't e Standard Building Code which is a minimum 1� control inspection and does not include item 1-2 S-- h6_76 1 LC - ion of posts (either inside or outside of the slab) ) / -� Sin lc ,� Don C. Ford, DCF/pah --------------- Tattficatt of Orrupanq (ltiitu of Atlantic Ncacll — Nloribo %partntcnt of Nuilf ing Inspection This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use For the following. Use Classification Carport Bldg.Permit No. 18420 Group m.frame Type Construction carport District Atlantic Beach Owner of Building Mary Dove _ Address 125 Donner Road ' Building Address 125 Donner Road Locality Atlantic Beach, FL 32233 /© , 20 -q !T By. DMC. FORD el Building Official Date: POST IN A CONSPICUOUS PLACE i PRINT KEY OUTPUT PAGE 1 5763SS1 V3R2M0 960517 S1031596 07/08/99 12-03-24 DISPLAY DEVICE . . . . . - DSP11 USER . . . . . . . . . . - CSTARR UT50OP02 CITY OF ATLANTIC BEACH 7/08/99 SERVICE ORDER SELECTION 12-03-12 LOCATION . - 3302 125 DONNER RD TYPE OPTIONS, PRESS ENTER. 1=SELECT 2=CHANGE STATUS/TYPE 5=VIEW DETAIL ISSUE S.O. S.O. SVC S.O. )PT DATE ,NUMBER TYPE CDE CUST. ID NAME STATUS 6/15/99 52939 SR WA 3303 DOVE SR., JAFORD CO 6/09/99 52632 RS WA 3303 DOVE SR., JAFORD CO 5/17/99 52119 WP WA 3303 DOVE SR. , WORD CO 11/17/97 36539 01 WA 3303 DOVE SR., WORD CO 4/11/97 28802 BR WA 3303 DOVE SR., JAFORD CO 3/14/97 27586 BR WA 3303 DOVE SR., JAFORD CO 8/01/95 6475 01 WA CO F3=EXIT F12=CANCEL F17=SUBSET PRINT KEY OUTPUT WAGE 1 5763SS1 V3R2MO 960517 S1031596 07/08/99 12-04-45 DISPLAY DEVICE . . . . . - DSP14 USER . . . . . . . . . . - CSTARR UT26OUO2 CITY OF ATLANTIC BEACH 7/08/99 ADD CUSTOMER MISCELLANEOUS INFORMATION 12-04-04 CUSTOMER ID - 3303 DOVE SR., JAFORD CODE . . . . . - CSVC CUSTOMER SERVICE NOTES TYPE INFORMATION, PRESS ENTER. DATE 70899 OPTIONAL SPECIAL NOTE . Y Y=YES PURGE DATE . . . . FREEFORM -OPTIONAL- 7/8/99 MRS.DOVE CAME INTO CITY HALL CONCERNING LETTER SHE RECEIVED ABOUT CONNECTION TO CITY SEWER-SAID SHE HAS BEEN ON SEWER SINCE REHAB ON HER HOUSE A90UT 4-5 YEARS AGO. F3=EXIT F12=CANCEL } ' Y I, PRINT KEY OUTPUT PAGE 1 5763SS1 V3R2M0 960517 51031596 07/08/99 12-05-45 DISPLAY DEVICE . . . . . - DSP14 USER . . . . . . . . . . - CSTARR UT120U01 CITY OF ATLANTIC BEACH 7/08/99 LOCATION/SERVICES MAINTENANCE 12-05-43 LOCATION ID- 3392 ADDR- 125 DONNER RD TYPE OPTIONS, PRESS ENTER. 1=SELECT 2=BASE CONSUMPTION S=DISPLAY 9=USER-DEFINED PROGRAM SERVICE OPT CODE DESCRIPTION > GB GARBAGE S9 SEWER BASE SR STATE REVENUE GEN CG > ST STORM WATER UTILITY SW SEWER > WA WATER > WB WATER SASE F3=EXIT F12=CANCEL F14=LETTER MAINTENANCE t �P3R-3644 DEPARTMENT OF EUtLDING CITY OF ATLANTIC BEACH . w PERMIT I WPCtR1+LAT I ON .... - `LOCATION INFORMATION , ` P t*it Number: 9144 Address: 125 DONNER ROAD "ermit, Type PL�IMBING ATLANTIC BEACH. FLORIDA 32233 C-14 of Work- REMODEL, ---- -- LEGAL DESCRIPTION ----------- Cct,r. Type: MOOD FRAME Lot : Hlo�k Section: PIK posed Use. SINGLE FAMILY Totmship RNGt 'Oustlin s " 1 Code, D Subdivision,, DONNER E i hated ' aline Improv. Costa SD Total Wok D CDBG REHAB A T I ON APPLICATION PE ES NERAL PERMIT R ROAD WAT IMPACTPEE �ao $0 .00 I CH, `LxOR:ID �� 5 �� FES o 00 fA , 0 " RADON GAS-H.R. S. $0.00 FORMAN - RADON "CAB 5% 90.00 acme a ` N E PLUM CAPITALINRItt�VE: a , . '� E . , SEWER 'TAP woo JACK LLE; FLORIDA 32208 CROSS CONNECTION E0 .00 Li cer,+w , COQ Type— SEC` H IMPAC' FEE ,"0'01�40 CONST SURCHARGE so Off? Q NOTEa{ ' f NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING` -PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER `FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN PROPERTY OWNER'PAYING TWICE FOR WILING IMPROVEMENTS." �D ACCORDING'TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR QTiIN OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILbfNG DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING 'PERMIT JOB LOCATION OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR �- r AND ADDRESS: ;22 TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: A�,rs z' TYPE OF WORK: i HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS -LAVATORY ,Z WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS f CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: 4 x $3.50 + $15.00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBINGI AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834 CITY OF ,4&4ortte 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 MEMORANDUM July 8, 1999 TO: Finance Department FROM: George Worley, II RE: Connection to Sewer for 126 Donner Road According to information we have received, the above address is on City water and sewer and has been receiving City water and sewer services for four years. Please contact Mary Dove at 249-4762 to facilitate this billing change. DF.ph cc: File CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORM kTION' LOCAT ON"INFORMATION Permit Number: 18420 Address: 125 DONNER ROAD Permit Type: CARPORT ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: DONNER Est. Value: Parcel Number: Improv. Cost: 1,900.00 _ OWNER INFORMATION_____ Date Issued: 6/25/1999 Name: MARY DOVE Total Fees: 120.00 Address: 125 DONNER ROAD Amount Paid: 120.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/25/1999 Phone: (904)744-7171 Work Desc: METAL CARPORT CONTRACTOR(S) APPLiCAT10N FEES FLORIDA METAL STRUCTURES OF NEFL PERMIT 120.00 i r I— InSDections Required -- FOOTING FOOTING I f ' i NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER _ "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 I f12@.B@ 14 Date: 7/12/99 01 Receipt: 0079636 --— --- — -- - - - CASH ATLANTIC BEACH BUILDING DEPT. 0@18@003221000 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address j' S �pAJAJC ('f�2lot,r2 Date - 3 Heated Sauare Footage@ $ per s z Lt = S C' 0 Garage/Shed du @ $ rer sa _ = S ki Carport/Porch � L,0 ;a S _;per sq �t = S �1 Y` Deck ( S jJer 3a ft = .: Patio S. per =a it = S o� TOTAL VALUATION : S Total GCas dation is $ [JOU Remaining Value $S per thousand or portion thereo' TOTAL BUILDING FEE $ 7 r) + I / Filing Fee $ !cJ ( ) Fireplaces @ $15 . 00 $ --O FEE �yV• -' G! �cv,�cE �rkT. �rF �L E BUILDING PERMIm FEE -yr- S _ 0PO � Z WATER IMPACT FEE $^� T j" ✓� �"p/5 si�k121 � SEWER IMPACT FEE S WATER METER/TA? S CAPITAL IMPROVEMENT SEWER TAF S } RADON ( HRS ) 0050 -t; SECTION H PAVING i S HYDRAULIC SHARES S CROSS CONNECTION $ SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_ Electric/New Electric/Temp - SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : T fj CITY OF ATLANTIC BEACH, , PERMIT APPLICATION REMODEL, ADDITIONS, OR 21 T.=ATI�1 MOVING,DEMOLI TIONS � C' '�`i4' i c Dcj c h C3.iii i�u and r. �cl-;inn Owners) ('y hove- Job Address: ' S O h n Gr E-f. _Phone: y C)_ y 7 �a2 Lot # lock or Unit # / Subdivision: Contractor: Dori CA S. djeiqj S State License 0573 7-S- Address:-6111 'Address: lull/ Re" Atud. Phone No: �l (o City J cb State F/ Zip Code31209IG Describe work to be done: me-r-d lc/iie CSre or f Present use of building: .44 / UJ Valuation of Proposed Construction: 00, Proposed use: �IA Is this an addition? 45P �6U If yes, what are the dimensions of the added space _."—ft. X ., ft. Will the added area be heated and cooled? New electrical (or increase) ?� New plumbing fixtures��' New fireplace?-- New Heat/AC?� SUBMIT TM= (COMMERCIAL) TWO (RESIDENTIAL) CCNFLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR T, IF OWN, ' 3 CONTRACTOR. Signature OWNER: Date: Signature CONTRACT R: L 3 Date: l AS TO OWNER: Sworn to and subscribed before me this c'" day of , 195 AS TO CONTRACTOR: NO ARY BLI C *K*My Comngsal l CC738943 p N,��Y Expires May 3.2002 Sworn to and subscribed before me this a da of NOTARY UBLIC Cindy Starling .• *My Commission CC738043 �' n•p Expires May 3.2002 � o N ry ill REC 1 6 1999 0 Ifiund.fit"/mn aipt/Ne/0.1, � SeI fZ"/' ronpipc' -it---- 55 30 �rmd 4W'Zontrcfe j Uildi� (CB 6r 45) We6f 70'4rOeedur�rtnl/Nn/OJ ' andL.Cj11�n nt _ N.89°4G'30'"E. / n�n v�uM M.00 70-00, N,19141._,"-6 114.95' /dts o -- ------ ---- Qa 1 Q Thel,l(Myq�l Q\b /Iirr��lrtBUh P4 O r Sinlpry : .N�. w A 4 Sewer ��... , y-0�AF y,. rr✓;,.r. . .. :�.. ¢ i' O A *l�vei�/do k-"`" AS — � V1 n Aa V. p)aNExroer/ay/s r.� f%Z%ron pipe 6G 45) r 0'SsulA av7 \ 4po&rcn1 Overlap Of Survey By660YX-9-51, I �j land 5urvt ors y Is 1 qZS tk qj Vim 0-1 a• °0 Found Vii'"/ran •��: . t n, t) P;Oe(CB 3(,72) j 4�r rlz I • I �n %01 2 �I Ict �1 Z oao aS1) 4A o Held so.m' Qor co R5 5gc ,t W� 1` 81 W w ti ma 1 I P�aw a r J Ox m J • llc/d 70 � r� � • J O s02�atd o'erneeH �j 1 o ve, 1 aS" S. 4 ImTI D REFER TO TABLE FOR MA.F lUl 70 11D'wS-D FRAME SIZES 7 a ci r D Z MAX HEIGHT 8' 9' 10' 11, ; 12' ; 13' ; 14' — D WIDTH I GNF(2-0lr3 i 100 MFIH CARPI TS i 3 frl 3 10' 0' 1!2.5-15- i :a5-15 2.5-12 12.3-12 3-12 � m ___- 4-_-----__-_-T_____ I D --I 11' 4' I 2.5-15 2.5-12 '2.5-12 3-12 r D --------- T----------- ------ -----2.5-152.5-1215' T -r--2.5-12 3-12 C A --------- ----- C: C a 17' 1' 2 $-1� 2.5-12 2.5-12 3-12 3-12 —{ n w �> --18' 6' 2.5-12 i--- -- 2.5-12 3-12----------------3-12 4-13 C --1 nW -------------- ------------------- m C W 20' 0' 2.5-12 '2. -!c�• 3-12 3-12 4-13 m 20 25-12 3-12 ----- - --- 8-12 4-13 N (� 22'_9'- 2.3-12 - 3-12 _. _-_--. 3-12 1 4-13 24'-2'- 3-12 -- -- -3-12 4-13 25' 6' 3-12 3-12 4-13 W 1 ---------- 7-TZ�,- T i 26' il' 3-12 3-12 4-13 ' 4-13 r 1 29' 9' 4-13 ' 4-13 4-13 4-ll 4-11 0 - 4_11 4-11 3 Z 33' S' 4-11 4-11 ' 4-11.� 2 C) � � D � .Z7 E3 a Z TO USE SPAN CHARTI C'� z ' 1. SELECT WIDTH OF BUILDING DESIRED. f a 2. SELECT EAVE HEIGHT OF BUILDING - THIS IS DIMENSION TO TOP OF COLUMN FROM GRADE. C3 d 3. FOLLOW HORIZONTAL LINE FROM WIDTH TO CORRECT HEIGHT COLUMN. D 4. SELECT TUBE SIZE AND GAUGE LISTED. d J 5. INTERPOLATI13N BETWEEN SIZES IS NOT PERMITTED. E 6. THIS TABLE TO BE USED WITH DRAWINGS GW02-01 THRU GNF02-04 ONLY. w 7. iCENTER BRACE REQUIRED IF SIZE IS HATCHED AS SHOWN.,f aj at APPROVED ao �a \ U� J -- CITY ;% ATLANT C BEACH l 13UILDING OFFICE f D Leaf! VIEW %JUN 1 6 1999 < JUN 2 31999 `J �•IOT TO SCALE m City of Atlantic Beacn 1 R±dlding and Zoning CARPORT, SIZE PER TABLE 9' SIDE COVERAGE1" ��..ti""`i.: OESCRiRnM OF'ANWS DAh C.R. Caudel, P.E. 9 - _� 5.16-Y BWndfnq Foutivard p►an i Pnrk. Ftnridn MTI Il/dM aNre�-OI P,az AAI 96A�A0 r mD m 70 C3 BRACKETS 'D' MAY BE TYPICALTER BOTHRACKET SIDES 7 D D D DELETED IF CENTER BRACE i OF METAL FRAMES IS WELDED TO ROOF CHORDS -i�m rr� CLASSIC RIB GALVANIZED -v-1' METAL DECK �� 12 9c. i ccs _ !1� � ,- - n n c: cc -ni CLASSIC RIBm m 70 GALV. METAL DECK -� �% V METAL FRAMES PER N 0 N SPAN TABLES END/EAVE BRACKET ` 9` COVERAGE NOTE 2, CENTER TUBE AND BR KETS NOT OF P METALICAL FRAMES TH ES RA ES REQUIRED IF FRAME SIZE IS NO HATCHED SEE DETAIL THIS ON SPAN TABLE, SHEET 1. c SHEET 3 m EXAMPLE1 TUBE & BRACKETS ARE NOT i Z REQUIRED FOR 29'-9' X 8' HIGH FRAME, BUT D ARE REQUIRED FOR 29'-9' X 9' HIGH FRAMES. Z ;o METAL FRAMES tti o IV O � Z m i II I a 16 II II ° II SECTION 1-1 ryl NOT TO SCALE M Z I "-�SEE SHEET 3 FOR FOOTER DETAILS D' —al o.¢ C.R. Caudel, P.E. -1 _ 5.55-F Blnndfng BoulnmrdOronge Park. Ff—fde NTS II/t/7� GNF02-02 Ph—e (904) 269-0970 rn>r- A O A rr D z D D fz'1 3 r3*1 105- FOOTER SIZE TABLE n r SIDE PLATE - , ; , i i . i r ; , ; , -•I V)-••I MAX HEIGHT 7 8 9 10 11 12 13 14 c�c WIDTH I I I I I -r'i I I I I I I I c m c 10, 01 --------------- --- ---+---------+---------+---------+---------+---------+---------+--------- 0rq0 11' 4' 12' 9' I I I 1 i 1 �3 15' 7' I I I I I • • • • X09 --------------- ---------+---------+---------+---------+---------+---------+---------+--------- 17' l' ! i i I I c 0 1 I I i 1 I 18' 6' ; a rrii --------------- --------- ---------I---------;--------------------- + -------- ------ --------- ------ =z 20, 21' 4' I I I z ------ -- --------- ------- - -- - --+---- - -- ----- 22' 9' I 1 I 1 I --------------- ---------+- +---------F--------- -------------------j--------- o-- 24' 2' ; D=12' H=42' ; ; ; z --------------- ---------+---------+---------+---------+---------}--------- m 25' 6' 26' 11' I D=12' I H=48' --------------- ---------+---------+---------+--------- 29, 9' I i e d I I 1 1 1 I 1 ----32'-7'--- - - D.,. 35' 5' D ' - I H48' W r STANDARD FOOTER D_ DPER C r CHART rn Of5CM0AW Ci!'H•wZS D.IE -- C.R. Caude1, P.E. 1q Gwoe-03 - - -- --- sss-r n�,.,,ar�o nmd.rm•a Ornnp. r�,-r. ,�.,,,a., /`h—. (904) M-0910 CARULINA ML 1 AL STRUC 1 URLS CLOSED BUILDING o EN FLORIDA METAL STRUCTURES ENCLOSED WIND ZONE SPECIFICATIONS cv " GEORGIA METAL STRUCTURES � z 0 m m N NOTES: 1. DESIGN SPECIFICATION: STANDARD BUILDING CODE (1997 EDITION) DESIGN CONDITIONS ROOF LIVE L❑AD: 16 PSF SNOW LOAD ; 20 PSF WIND VELOCITYi 100 MPH ROOF LL+DL DEFLECTION L/120 SOIL BEARING CAPACITY 2000 PSF LATERAL BEARING CAPACITY 300 PSF 2. WHERE A DETAIL IS SHOWN ON STRUCTURAL DRAWINGS FOR ONE CONDITION, IT SHALL APPLY TO ALL SIMILAR OR LIKE CONDITIONS, UNLESS NOTED OR SHOWN OTHERWISE. 3. IF CONTRACTOR FINDS A DIFFERENCE BETWEEN THESE DRAWINGS AND EXISTING ELEVATIONS, OR OTHER CONDITIONS WHICH PROHIBIT EXECUTION OF THE WORK AS DIRECTED ON THESE DRAWINGS, CONTRACTOR SHALL NOTIFY ENGINEER IMMEDIATELY. 4. ALL ITEMS SHALL BE TIGHTLY ANCHORED OR ATTACHED SQUARE, PLUMB AND TRUE, OR IN OTHER PLANES OR SHAPES AS SHOWN ON THE DRAWINGS. JOINTS SHALL BE TIGHT, EVEN, AND FREE OF OFFSETS, NO FIELD ALTERING OF ANY MEMBERS WILL BE ALLOWED THAT WILL CAUSE THEM NOT TO BE IN ACCORDANCE WITH THE DRAWINGS AND SPECIFICATIONS, WITHOUT WRITTEN APPROVAL OF THE DESIGN ENGINEER. 5. GENERAL CONTRACTOR IS RESPONSIBLE TO PROVIDE ADEQUATE SH❑RING, goo BRACING OR SUPPORT TO PREVENT MOVEMENT, SETTLEMENT, OR DAMAGE TO THE STRUCTURE DURING CONSTRUCTION PROCEDURES ASSOCIATED ,; WITH THIS PROJECT, 6. CONCRETE; CONCRETE MINIMUM COMPRESSIVE STRENGTH AT 28 DAYS ver SHALL BE 3000 PSI. 7. CONCRETE WORK SHALL COMPLY WITH ACI 'SPECIFICATIONS FOR x STRUCTURAL CONCRETE FOR BUILDINGS (AC1 301) AND APPLICABLE t;e PROVISIONS OF ACI 318, KEEP A COPY OF ACI FIELD REFERENCE MANUAL CACI SP-15) WHICH INCLUDES ACI 301 AND OTHER ACI AND ASTM REFERENCES ON THE J❑B, 8, ALL MAT AND FOOTER FOUNDATIONS SHALL BE PLACED ON A COMPETENT SOIL WITH A MINIMUM ALLOWABLE BEARING CAPACITY OF 2000 PSF. 9. DRILL AUGER PILING HOLES IN UNDISTURBED EARTH, 10, CONSTRUCT AND REMOVE FORMWORK IN ACCORDANCE WITH 'RECOMMENDED PRACTICE FOR CONCRETE FORMWORK' CACI 347). 11. ALL GALVANIZING SHALL BE PERFORMED AFTER FABRICATION, AND IN ACCORDANCE WITH ASTM A123 AND/OR A153. 12, THE MINIMUM YIELD STRENGTH OF THE STEEL USED IN THE LIGHT GAUGE METAL FRAMES SHALL BE 50,000 PSI, FOR RAW OR GALVANIZED TUBES. 13. THE MINIMUM YIELD STRENGTH OF THE STEEL USED FOR THE LIGHT GAUGE METAL DECK SHALL BE 80,000 PSI, DECKING PANELS SHALL COVER THREE SPANS, MINIMUM. 14, THE LIGHT GAUGE METAL FRAMES AND DECK SHALL BE OF THE GAUGE INDICATED ON THE PLAN/DETAILS. 15. ALL WELDING SHALL BE IN ACCORDANCE WITH AWS D1.1. 16, ALL WELDS SHALL BE COATED WITH GALVANIZE PRIMER & PAINT AFTER WELDING. 17. WHERE HIGH WATER TABLES EXIST, CONCRETE MAY BE PLACED BY USE OF TREMIE PROCEDURES FOR PLACING CONCRETE UNDER WATER. a USE LARGEST DIAMETER TREMIE PIPE PRACTICAL FOR PLACEMENT, n a c x ` I ' r �� ►INANCIgtVAIN11NG(T�',�t►vN �onuiB� �O�O'KQhci AGE_f�3 5 Mi.N.,, RETURN-eP•ae 004 eYeuearel PHO�� NE L lam - 1�0 To whom It may concern.- Tire oncern.The undersigned hereby Informs you that It"provemenle will be made to certain ret l properly, end In accordance with section 713.1 of Use rlorlda Slalulee, Use tollowln/ Inlornsallorl Is elated In Unle NOTICE or com=NccMLNT. Ueecrlptlon of property •f--r-adC-r- if__--J ------------ --------- ------------------------------ -------------------------J_a= ---hwo-a n-__S :..------ ----------------------------=----------- General description of Improvements _y�! �5�_ �?"!_'�_� '3C t>C --------------------------------- I ___---__--- -----.I -----------------------------------------------------•------------------------------------------------------ OwnerX1.41_ --_b -------------------------------------------------------------------------------- Address __� _5--- O� -- - ----------------------------------------------------------------- Owner's interest In elle lot Use improvement _-__-d --------- ----_--_- yea Simple Tills holder (It other Usst► owner) ------- Name _ ___.Name ------------- - --------------------------------.....----------------------------------------------- Address -------------------------------------.----------------- ------------------------------•--------. Contractor __ � urJ�Ic-- - f'__S /`�. t fi;,fc .-------------------------------------------•-- , Address __ J_L—�-- g�=�.--- r ---------•- ------ surely (It any) -----1 t ---------•--------------------------------------------- Address ------------- ------------------------------------------------Amount of bond $----- ------ Nsme slid Witll of Illy person disking a lose for list construction of the insproven►ents. Nerve ----------------f-F• -------------------------------------------------------1------------------------• , Address ---------------+-------------------------------.----------•-----------�------------__-_----------- IJrnle of Perron within Ilse State of t'lolids, other than Idnlrclf, derignsied by Owner upon whom noticer or other dsxunntnll nuy 1'e served: , Nems ----------------- '- ---------------------------------,;----------------------------------------- Address ------------------ ---------------------------------------------------------------------------- In addition to himself, owner deslgnslee Ilse following person to receive a copy of Use Llenor's Notice at provided In Seellon 713.00 121 1b), Florida Slelulas•' (Fill in at Owtser'e option). Name ------------------------ Address ----------------------Address ------------------------------ Trrur erAelt roll necennan,si use orss.y I ''. fl , CITY OF ATLANTIC BEACH s, DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-SEL: 247-5826-FAX: 247-5877 I EFtMtT.two". ON'--... LOCATION INFORM Permit Number: 18144 Address: 125 DONNER ROAD Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: DONNER Est. Value: Parcel Number: Improv. Cost: OVVItIE tNFORIIAATtON: Date Issued: 4/28/1999 Name: MARY DOVE Total Fees: 100.00 Address: 125 DONNER ROAD Amount Paid: 100.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/28/1999 Phone: (904)744-7171 Work Desc: ADDITIONAL WATER IMPACT FEE COht3RAG.A >S - APPLIG TION FI ES J V AND SON PLUMBING WATER IMPACT FEE 100.00 _. NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $1®9.00 14 Date: 4/28/99 81 Receipt: 99522771 A NTIC BEACH B DING DEPT. CHECKS 5588 ~ Y CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 pERISIl1 tt tFORMATION. LO.C.A110WINFORMATION Permit Number: 18144 Address: 125 DONNER ROAD Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: DONNER Est. Value: Parcel Number: Improv. Cost: . C111i�— INFORMA'M. N Date Issued: 4/28/1999 Name: MARY DOVE Total Fees: 100.00 Address: 125 DONNER ROAD Amount Paid: 100.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/28/1999 Phone: (904)744-7171 Work Desc: ADDITIONAL WATER IMPACT FEE COI'TRACTO 5 J BION FEIwS J V AND SON PLUMBING WATER IMPACT FEE 100.00 NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $100.00 14 Date: 4/28/99 01 Receipt: 0052771 CHECKS 5588 vANtANTIC BEACH B DING DEPT. 001000fl322i000 CITY OF ATLANTIC BEACH FLxture Unit Worksheet for Water Impacc Fee FIXTURE UNITS ARE ESTABLISHED AS THE MFASUREXENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CH.�RGE IS HEREBY FIXED AT L 4ENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET. LAVATORY 6 BATH (8) TUE OR SHOWER STALL (6) WATER. C:.OSE" --[—WATER CLOSET, TAn OPERATED (4) VALVE OPERATED (8) BA7HTU8/SHOVER (2) URINAL WALL L:? (4) SHOVER GROUP PER HEAD (3) FLOOR OFA--N (1) SHOWER STALL DOMESTIC (2) LAUNDRY •*?AY (z) (1) C0`2:NATI0N SINK AND 7-AY \'3) ' WASHING Y.ICHINE (3) POT, SCULLERY Si11K (tel DISHWASHEIR (2) WASH SINK EACH SET OF FAUCETS (2) _]CITCfiE:t SZ;l7C (Z) DENTAL LAVATORY (1) 111-CH SINK WITH WASTE DF-%?TAL UNIT OR CUSPIDOR (1) -GRINDER (3) BIDET 3) BIDET (%) URINAL STALL, WASEOUT FLIISHIn ZVI SINX (8) CDK.BINATION SINK AND TRAY WIT i (� FOOD DISPOS. (4) 1 � - URINAL. PEDESTAL, SYPH0N JE. DRINKING FOUNTAIN (1/27) BLOWOUT (2) LAVA-AORY, BARBER/BEALrr.' ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (_) _JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS $20-00 � EACH � l .JOB INFORMATION $106.86 14 Date: 4/2819""4Receipt: 00522771 !.}' CHECKS .. 5588 .' 00100093221600 r CITY OF r�a�rtic �eacl - �wtida 800 SEMINOLE ROAD - ---- ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 M E M O R A N D U M January 20 , 1995 TO: Alan Jenses , Esquire FROM: Don C. Ford RE: Response to John S . Winkler, P .A. Letter Dated 12-19-94 Alan, the following is a chronological order of events at 125 Donner Road concerning the rehab of Mrs . Dove's home by Performance General : July 27 , 1994 - Contract signed with statement of 60-days from date for substantial completion; September 27 , 1994 - Date substantial completion should have been completed; October 1 , 1994 - Contract with Block Grant program expires for 1994; November 12 , 1994 - Performance General requests final inspection; November 15 , 1994 - Inspection completed by city and punch list turned over to Performance General ; November 17 , 1994 - Performance General requests second final inspection; November 17 , 1994 - Inspection by city reveals many items on original punch list not completed; November 18 , 1994 - Second punch list given to Performance General ; November 22 , 1994 - Inspection by City reveals many items not complete or poor quality work. Mr. Tamouri and Mrs . Dove argued over the work being done . Mrs . Dove requests Mr. Tamouri to leave and not return to her house. Mr . Tamouri asked me to intervene on his behalf . I stated he should leave and the City would find another contractor to complete the job. November 23 , 1994 - Ted Barrett is hired to complete the job. He begins work immediately; Alan Jenses , Esquire Page Two Janaury 20 , 1995 December 2 , 1994 - Barrett turns in draw/bathroom completely redone . Most of Tamouri ' s material had to be removed due to substandard workmanship; January 16 , 1995 - Barrett turns in final draw - job completed - approximately 50% of Tamouri ' s work had to be redone. Please call if you have any questions . DCF/pah cc : City Manager JOHN S. WINKLER, P.A. ATTORNEY AND COUNSELOR AT LAW 2515 OAK STREET JAGKSONVILLC. FLORIDA 32204-4503 (904)764.9910 JOHN S WINKLER. LL.M (TAXATION) MAILING ^00WESS POST OFFICEBOX 495 (FLOWIDA AMO NORTH CAAOLIHAl JACKSONVILLE.FL 3220/4951 December 29, 1994 Mr. James Worley, Administrator CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach, Florida 32233 Dear Mr. Worley: As you are aware, you recently breached the Homeowner- Contractor Agreement between the City of Atlantic Beach and Performance General Contractors of Florida, Inc. for property improvements to 125 Donner Road. Despite the completion of all work required your building inspector denied Performance the opportunity to address or correct any alleged deficiencies or defects under the warranty provisions of the agreement. As a consequence the unreasonable refusal of the building inspector to approve work performed or allow corrections has caused a breach of paragraph 9 of the agreement ("Arbitration") . The employment of other contractors without giving Performance the opportunity to arbitrate the dispute is a unilateral repudiation of the contract by the City and has resulted in damages beyond the contract amount. However, as a sign of good faith and in recognition that the City's actions are responsive to motivations which remain behind the scenes, Performance is willing to forego any action for additional damages provided full payment of the contract amount remaining due of $8, 4.12 .00 is tendered at once. please let me know your response by January 9, 1995. Very truly yours, j� John S. Winkler JSW/lap JENSEN & HOULD ATmRNEYs AT LAW 708 NORTH THIRD STREET POST OFFICE BOX 50457 JACKSONVILIE BEACH,FLORIDA 32240-0457 Alan C.Jensen Telephone(904)246-2500 Stephen A. Hould Fax(904)246-9960 January 23 , 1995 John S. Winkler, Esq. 2515 Oak Street Jacksonville, FL 32202 RE: Performance General Contractors v. City of Atlantic Beach Dear Mr. Winkler: I am the City Attorney for Atlantic Beach and have reviewed a copy of your December 29, 1994, letter to the City of Atlantic Beach. I met with various officials from the City on January 6, 1995, and contacted your office immediately thereafter indicating that a response would be forthcoming. I have now received additional information and documentation and am able to respond to your letter. Your letter states that the City breached a contract, but the contract is between your client and the homeowner, Mary Dove. Obviously, the City cannot breach a contract to which it is not a party. Next, you reference a breach of paragraph 9 of the agreement which, in my opinion, applies to complaints of the one year warranty as set forth in paragraph 8 of the agreement and would not be applicable as claimed in your letter. Likewise, this claimed breach or the claimed " . . .unilateral repudiation of the contract by the City. . . " is impossible since the City is not a party to the contract. I understand that your client has received notice from the property owner of termination of the agreement as provided in paragraph 7 thereof. I also understand from representatives of the City that many items of work required to be done by your client were not completed, were done very poorly and not in a workmanlike manner, and in fact much of the work on the property had to be redone in order to satisfactorily complete the project. Obviously, there is additional expense to the homeowner as a result of your client' s substandard work. Furthermore, I understand from the City that many other provisions set forth in the agreement signed by your client were not met, including the time of completion. s John S. Winkler, Esq. January 23 , 1995 Page 2 I further understand it is the homeowner's position that your client utterly failed to properly perform under the terms and conditions of the agreement, the homeowner suffered damages as a result thereof, and the homeowner desires that no further funds be paid to Performance General Contractors. The City must oversee payment of any funds as administrator of the Rehabilitation Loan Program and cannot pay for work which was not done, was improperly done, or was done with substandard materials and workmanship. The City will therefore not authorize any further payment to your client. If you have any questions or if I can provide any further information or documentation to you, please do not hesitate to contact me. I would suggest your attention to the above matters prior to initiating any action against the City of Atlantic Beach. Very truly yours, A JENSEN ACJ/sky cc: Mr. Kim D. Leinbach, City Manager Mr. Don C. Ford, Building Inspector Mr. George Worley II, Community Development Director � 6 L- F-rj () .z s ` OIL ID�T-i= aF Y`I F N ( 0 L--( `3 ( I ( C?- 1j c(- , 60 77- /IA-e2-al e-7 too(z k 6 o u c (S L "`�� D IV 9 L,,9 0 c, Cj v ZC.c-9 � c� �Z �� ,�� S-ra S CITY OF ��tlartie Seac� - 7�4�tC� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 qA FAX(904)247 5805 January 11, 1995 Sammi Tamori 5933 Green Hill Lane Jacksonville, FL 32211 Dear Sir: By notice of this letter you are informed of the termination of your agreement with of Atlantic Beach to rehabilitate the home at WThis termination date began on November 23, 1994, the date you last performed work on this job, due to substandard construction practices and inferior workmanship. Sincerely, w C� Don C. Ford Building Official DCF/pah cc: City Manager Cit Attorney E 887 PS#{38ik< � DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - -------- ,LOCATION' INFOF.t�ATI01 rit Number', S8'7 >' t' I25: CONKER ICAC 3 Permit BUILDING ATLA14TIC BEACH , FLORIDA � LEGAL ' DESCRIPTION -i�4 las s of Work: REMODEL ; CraiY t- ' Type* WOOD FRAME Lot. Block: Section", proposed Lyse: SINGLE FAMILY *t`ownshiP RNO" Cwe L ngS: I Code: O Sub ivrision! DONNER is 'imatedl ialue, SI1��� yI�O Improv. Cost : ? :00 Total Fesa 0 Amount C c Le HAB HUD DONNER C'OMMUNIT'Y' DEVELOPMENT 4 - OTS €ATI ON r k APPLICATION FEES �. y Y" PERMIT , Ad WATER IMPACT, FEE ON, T ACN; FLORICA31 IMPAC FEE s ' A .G - +R.S. ` T �J FO IATi N . RADON CTB 5% �� U eil� . CONTR., LA CAPITAL IMPROVE. P� SENOR °TAP �.tia „w DCS QAC ILLE, FLS 32211 , ; CEO$$ CONNECTION 00 ; n„, ,e. COC3 51 Type 1 SEC B� TMPA:CT FEE � CNST«SURCHARGE "' aQ r NOTES.• f NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING I PERMIT VOID SIX MONTHS AFTER DATE:OF ISSUE ( BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER '.'FAILURETO COMPLY WITH THE MECHANICS' LIE N LAWCAN RESULT IN TH`E PROPERTY OWNER PAYING TWICE FUR BUILDING IMPROVEMENTS." ID ACCORDING TO APPROVED-PLANS WHICH ARE PARD OF THIS PERMIT AND SUBJECT TO REVOCATION FOR . EOICATION,�OF:APPLICABLE PROVISIONS OF LAW. -AT LANTICIB kC�f B LgI� Er . , TM T BY r CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : I' `��` �U X-- Address: -'Address: _ �h AOL Phone: 2 L !a - 4-7 , Z.. Lot Block or Unit # Subdivision: Contractor:-� � ►'Yl'1�n�� �- li Address: X93 L �( �l�l Phone No: o`t17Lf` --7171 L� \ Describe work to be done:\ U Present use of building: Valuation of Proposed Construction: ,! G�G� Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: '�7i - Date : y CONTRACTOR'S AFFIDAVIT STATE OF FLORIDA SS COUNTY OF DUVAL BEFORE ME, the undersigned Notary Public, personally appeared S 2aVJ :t• hn. /P, ' _ , who, being first duly sworn by - Met d6p seo'T and say That on 191� . P i"SR_bw �a�w�o✓�; as owner` ,ani Q v as contractor, entered into a certain cons on con rac w r y sa contractor agreed to provide certain labor and materials for said owner upon the following described lands bel nging to said owner, located in the City of _ �� , County of and State of Florida, to-wit: CO WNe'9 That deponent is the Y=Moog-, of said corporation, herein referred to as the contractor, and has personally supervised the performance of said contract. That said contract, has been fully and completely performed, and said contractor and all persons, firms and corporations contracting or dealing with , or directly employed by said contractor in connection with said building operation or In connection with said contract, have been paid in full . This affidavit is made in compliance with the provisions of the Uniform Mechanic's Lien Law as approved June 4, 1935, as revised, Laws of Florida , and to enable said contractor to receive his full and final payment from the owner, under the construction contract above referred to. 1 7 - Subscribed- and sworn to before me this _ . „ pSR•3844,. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT I) gORMAT I CSN ------ _- LOCATION INFORMATION - Permit Number: 9205 ddrexs : 125 DONNER RD Fermat Type, ELECTRICAL ATLANTIC BEACH, FLORIDA 322.53 -- LEGAL DESCRIPTION ------- Class of fork ALTERATION bt ,..� � Block: Section Const r . Type * wOO� FRAME Township: RNG^ 0 Proposed ,Use. SINGLE FAMILY ubdivision9 Donner Estimated Value: $0 .00 Improv. Cost : Total Fees ', 0 . Amount P110.1' ' SO, ► Dat ; . fork Des_ .` v :ce from 1OOaMp to Is �SingPbase 3w 240VIt w APPLICATION `ESS ,._., �.,, � ON � kJ � r W k »N&lite ,WATER I14FACT FEE $0 .00 Addr :�� ., !,00 H FLORIDA3 2 3 3 SEW MPAC2 'EEs IA T Myf� �y '4.FA Vuf m` .,5r / ' tia + D,RAD i{y�M1+`r RMA ION C'API TAL ' IMPROVE. $0 .00 NATl1$: Et R. t riwy� y $D:00 , dregs 4 SON ST CROSS CONNECTION `"0 .00 JAX., License EROOa L3 Type: SEC ,H IMPACT FEE $0 .00 CONN,SRCNARGE } D �� � SCIiAR4ElATI, BCH $0 .00, NOTES: 4 It NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WO RIf MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED-AWAY BY EITHER CONTRACTOR OR OWNER x "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN" THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." f " ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS"PERMIT AND SUBJECT TO REVOCATION FORS KIOLATION OF APPLICABLE PROVISIONS OF LAW. AT�ANTIC CH BUILD G DE R ENT ` x. CITY OF ATLANTIC BEACH, FLORIDA AMrWwd by APPLICATION FOR ILICTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: :.L_�1t IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFiCAT10NS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. �z91.?_\�� +oz ELECTRICAL FIRM: NAME '"1 m. 60 ADDRESS:--- D QAlmc2_ 57— RFQ__BOX BLDG.SIZE BETWEEN:-- A7,A g po'q–,et) - -70 RES.I kl'- APT.I ! COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( ! OLD( -) REW.( 1 ADDITION( ) TRAILER( ) TEMP.1 1 SIGNS 1 1 SQ FT. SERVICE: NEW( 1 INCRREM 111' .REPAIR( 1 FEE CONDUCTOR SIZE 142-10 p PER M 0 TCH OR BREAKER .2�&& / PH3 epdC�z' EXIST.SERV.SIZE 1620 AMPSl PH3 Lid V T ��RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS .CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN 3 } 0.20 Awes. TOTAL SWITCHES 81.100 AM INCANDESCENT FLUORESCENT&M.V. FIXED 0.L06 AM OVl11 APPLIANCES SE AIR LL TRANSF: CONDITIONING AYW�pR H.P.RATING OTHER MOTORS AMPS EIL HEAT: KW-HEAT " D 0.1 D /C MOTORS H.P. VOLTAGE PFq N0. 1 va VOLTAGE P148 M19CELLANEOU8 TRANSFORMERS: UNDER ON V. _::qOVER 000 V.