HomeMy WebLinkAbout2004 - Subcontractors CertificationsHUG 27 2004 9:33AM HOLLAND BUILDERS 9547715080 p.l
HOLLAND BUILDERS OF SOUTH FLORIDA, INC
4860 N.E. 12`h Avenue
Fort Lauderdale, Florida 33334
(954) 771-2210 Fax (954) 771.5080
FACSIMILE
Pages: _L(Including this cover sheet)
Firm: City of Sebastian
Atte: Terry Hill
Fax No: 772-589-5209
Date: August 26, 2004
From: Jim Kelly/ Francesca Hunt
RE: SZ! BASTIAN ADMINISTRATION BUILDG
Certification Form
Message: Please sign, date, print title and fax back to my attention ASAP.
Thank you.
Si?[i<. (jiY� p �(; ! 17IL5 CER fiFIC"r1"I'[UNF
"1 certiN under penalty ,flav that 1 undeistand., an shall comply with. the terms and conditions of the State of Florida Gema, Pcriuit fir.
Stotrrrater Disc}urge from f.aroe nrtd Sma11 Cons:rvr-tion Activities and this stomnvafer Polluliot, Preventim Plan prepared lhrreunder"
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_�t�'OiiP1NYNAi4iE,AITDEZES5
W.Parmenter Excavating
1321-724-8760
f
--------------
2090 Northview St.NE
F:311-676- 7704
11
I i
print: Bill Parmenter,Jr.
Palm Bay,FL 32905
Sign:
_
City of Sebastian
Public Works Dept.
!Sebastian,FL
1
1772-589-5490
F:772-589-6209
Pcint:Terry Hill,
Sign: _
I
arding Electric
J321-773-5169
T
Print: Davo Harding
President
1'4170Rosewood Avenue
Malabar, FL 32950
3F:321-951-0662
Sign:
Project Manager
lHolland Builders of
South Florida, Inc.
4860 NE 12th Avenue
954-771-2210
F:954-771-5080
8/26/04
f Gini J mes Ke y
:ilgrl:
Fr-raUdnrdale, FL 33334,.�
Print:
Sigw.
Print:
Sign:
Print:
Seal:
Print:
Pont:
Sign:
Prior.
swer r 3.
RUG 27 2004 2:30PM HOLLAND BUILDERS 9547715080 P.1
HOLLAND BUILDERS OF SOUTH FLORIDA, INC
4860 N.E. 12"' Avenue
Fort Lauderdale, Florida 33334
(954)771-2210 Fax(954)771-5080
FACSIMILE
Pages: 6 (Including this cover sheet)
Firm: City of Sebastian
Attn: Jason Mllewski
Fax No: (772) 589-6209
Date: August 27, 2004
From: Jim Kelly / Francesca Hunt
RE: Sebastian Administration Building & Police Evidence Compound
Message: Please find attached Report til for Contractor Certiitcations sent to DEP.
This copy is for your records.
Please call me should you have any questions.
RUG 27 2004 2:30PM HOLLAND BUILDERS 9547715080 p.2
CONTRACTOR
CERTIFICATIONS
I'he general crmir ctor and/or sutyconuactorls) that will unplement the pollutant control measw-es
described in the SWPPP must be identified below. Each trust sign a staterne.nt certifying that thev
understand the WDES general permit authonzing stony water discisarges during construction. These
statements tn;isr be forwarded to the pn,iect owner at the start of construction.
Contactor implemcoWig the S WPPII:
Holland Builders of South Florida, Inc.
4860 N.E. 12th Avenue
--
Lauderdale, FL 33384
"aysncu rmcp�one humh:E` 954-771-2210 Fax: 954-771-5080-- - --
CEPTIFICATION: (Not: signature requirements in part vl.G of the NPDBS General Penna-)
°I cvnify urate,'penalty of 4 w that t understand, and comply with, the rums and condition
t 1 !he,Sate 01'Florida Getrrric Pvmi: for Sior mwateraischarge f o?n Large and SmaII
Construction Activities and rha Stonnwater polluliotr prevention pten prepared thereendec
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Stormwater Pollution Prevention Plan inapectlon Report Votto
Impectimxa most occur at least once a reek art ssitlda 24 flours of the and of a dorm event that is 0-9 Incites or greater. ,�p���
Project Name s %pi s.. .+r v7t�1 ��M. f p� L T FDEP NPDK3 Sto.-.-iter Id trticauan Number. FLRIOl!
Loeadon�--
Rain data
Typeofcunuul Bate installed/ Curim Condition Cuuixtivr.Actitnt/OdrerR.rntarka —--_�_—T--1
Sea below) nwdifiedscebelow)__
L--_ 7 '_ti �— ---
te
2R Tree taction
2.lanhtiikea
ll.Ve tadvebatttrdrip
20.Gabion
29.Detemhoa PaMd
3. 5iructutai divantion
M3
21. Sediment basin
30. ReloWim pond
4. Swale
Coaditioa Cade:
G = Good M = Mmpjnal, needs tr ahmenanee or replacement soon P = Poor, needs immediate maintenance or replaceoumt
C =Needs to be cleaned O = Other
t`mhnl T— ('odea
1. Silt E --l0.
Sturm dram inlet protection
19. Reinfated soil total ' sfatem
te
2R Tree taction
2.lanhtiikea
ll.Ve tadvebatttrdrip
20.Gabion
29.Detemhoa PaMd
3. 5iructutai divantion
._
l2. Y 'vo o"nation an
21. Sediment basin
30. ReloWim pond
4. Swale
13. Retention Pond
22. T sta11 std
31_ Waste disposal / bmt io
5. Sa nsent Trap
6.Cbeckdam
14. Coastruction epnviaze stabilization
23. Permanent seed / sod
24. Mulch'
32. Dam
33.SandB�_� —� --_
7. Subtauface dtaio16.
_15.Ptsimeterdiwh
Cetb and
25.7 Bales
34. CdtK _
8. P sl dtnin
17. Paved toad suffice---
Ni. tieotedite
9. Level smygders
18. Reck outlet ixotec m
_
27. Rii`
TMF�
Name— i Am avian Date
The abuts sigmtuiso s1a0 certify that this w�ility is in aatapliamx with etre 9ltrmwaler PnOntiun Prevention Plea anti the State afFlorida Generic Penni: for
Smtmwater Discharge Oom large and Small Constw.timt Activities if there rue not any ineidemn of non-compliance identified above.
♦rrnrr
"I certify wrier pemdty of law that this dw:umeot and all sttachmcuta wore ptr:pmcd miler my direction or supervision in accordance with a system dmigri d to
xsaure That rpwlilial persormr! prupuly gathered ud er-ahrated the in&tmnuinn wrhtined. Basal rot my imptny of rhe panne or persons oho mmmwge the syntem,
or [lase pent- dk-dy teslansible for gala rids the iafirtt-firm. the iaftatttatlon sdsmitted ie., to the hest of my Ymrwldlge nerd belief, tore, accurate, and
1=1 . I am aware that there are significant periaffi+n for submi+mg false infantatim, including the possibility of fine and imptisatmteat for knowing
viulaU 9 "
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(fLealroouiWe Attp 'ty) Data
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AUG 27 2004 2:31PM
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HOLLHND BUILDERS
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AUG 27 2004 2:32PM HOLLAND BUILDERS
9547715080
08/27/2064 69:52 3226767704 W PARWNTER
AUO 26 2004 6106PN MOLLRND HUILDERB 85477:5000
PAGE 02
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SuBCONTI AOMORSCERTIFICAcions
-'t .-au!Y i§idet P-VeIN o'ial :1AI 1 Wldast—k a a6aB rbmply :rlh. d:c team and -r notm ortNe 4elc of Florab CPaunc Permit Cor
Jto!prvater Dia:hargr 8ra•; t>tr9-- and Small'-ft,2nwion Asti-Afi-and this gt' m itr Poili..tirn Px:nui" Plan ,.rn,.«.i
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l co An, At ADDH€S4 F;tOi�'E: MISDOSR
`DATE
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�N.Patvi�ter 8xca a 9
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321-724-8760
12090 Morthviea St.MZ
1 F-321-6.76-3033
j
FtintBill Paraeater Jr.
Palm Bak -FL 32905
!
(City or Sebastian 1
!772-589-5490
1
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pa:LL• Terry Ai11
'Poblic 4tor%s Dapt-.
its 775-509-6209
Sebastian,]!L
Warding &tech i.c E
321-773-5169
+
print. Dave Harding
President
4170 Hpsevocd Avenue
.1 F.22I-953-0662
Malabar, FL 32950 +
Sip!:
,7 y Ke Y
Project NanayerSouth
jAoliand Builders of
Florida, Inc. :954-772-2210
-4860 ME 12th Avenue F°954-771-5080
118/26/04
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SUBOOKMA"Ofts C8.RTIF 'R(IATroivs
"J 0"U0 Wder Peet)r *flow ftt ] WXkrsWW. an fJWI cbrvAy mdt 'be oenrte aslsi Londilreas of t#O S'Lne of Florida CAcncric Prru>M1t F r
Stctntvvala l i �r Emrn Tarim 7114 9r�+.lt Go4st[Er ivar Activid" WIA tl1i.. 5tara�,welet po "W'ii m P#VvCn ft VW WePwcd thcre Afdet."
:L &x2cwtoex aalvt 9 321 - lid -3633
090 more ►viev 5t.HR .322- 724 -3033 F
FrintAill Pa.xnebter.Jr. alai Oa�y :i►L 32905
4c its' of Sebastian
Fxi�:�erry Hi 11 225 Main atxaet 77Z- 509 - 545►+
Ublic Work& Dept. 772 - 50J -62tl9 •F � !� �
atrdinq Electric 321 - 773• -5169 I
prhu;]?ave eardUag pr 4ideat 170 Rose o$ Avenue 521 - 951 -0662 P
labmr t?& 32950 3011&'ne+ DIdra of 5. pjA, a
Vrojec't Manager 1860 so 12th Avenue 954- 771 -2210
Priatiamm!j CA611V Ft'Laudardalu,FL 33334 954- 771-5060 F
7
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PYIXe:.j�iS 7t it i 4 `5 -771 4 .(I 'I t. i
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Prim:
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Pant
Swat
P1Yrft•
FEB 14 2CO5 8:44MM HOLLAND BUILDERS 95477151780 0.1
HOLLAND BUILDERS OF SOUTH FLORIDA, INC.
4860 N.E. 12th Avenue
Fort Lauderdale, Florida 33334
(954) 771 -2210 Fax (954) 771 -5080
FACSIMILE
Pages: 2 (Including this cover sheaf)
Firm: City of Sebastian
Attn: Terre )hill
Fax No: 772 - 589 -6209
Date: Febnsary 1. 1, 2005
From: dam Kelly / Francesca Hint
RE: Sebastian AdFniniistradan Hu Rding & Poitve Evidence Compound
Coatract,or's Deporting Form
-Message: Please sign and fax back to my attention ASAP to submit f'nr the above project.
Thank you.
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SUBCONTRACTOIxs UER'nFICATIONS
" T certify nndcr P altY of law lhaE 1 understand, an shad rompiv with: the terms surd tnstdi IO(Is* of the State of Florida Generic hermit fur
StOrwwat -r Dil- ;hatge Crom Large and Sty(} C.CmInxtion Activiti" and this SlOrMwaJer Pollution i' v ention Plan prupared them..andr_r."
NAM TITLE COMPANY NAi , ADDRYM PHC)NF its UNMER
Sigh_ W. Darin rater Exca.vt q 321 -724 -3033
- -- -- 090 Northyiew 5t.NE 321- 67f -77f34 F
Printbi1 Pa enter, Jr. al.m t3ay,PL 32005 r
Sign.. F ity of Sebastian
LL6fICLAC
)%tz �t� 225 Main Sttee�t 772- 589 -549+0
i'tittt:ter y x1131 772 - 569 - &2Q9 F
ublic Workd Dept.
� {
Sign: Parding Electric 321- 773- -5169
President 170 Rosewood Avenue 321 - 952 -OFi62 F �
E'tint.Bave Harding _. alabar,FL 32950
Sign: its lland Bldrs of S.Fta, c
Project Manager 60 .NE 12 Lh Avenue 954-771-2210 r
Prin3;Jantes E.Kel3 Lauderdale,FL 33334 954- 771 -5080 F
Sign _ un P3umbing,inc. 323- 725 -2460
President 935 Vickie Circle
Print'Steve Rutherford _Melbourne, FL 32904 323 -- 951-9235 F
Sign. ologness Const. Serv. , T c.
President 0951 Harmony Park Dr. 239-- 945x$151
Print:Michael Bolognese onita Springs, FL 239 -- 949 -1555 F
Sign; izon Kendall Masonry
Vice President ,' -172- 451 -9763
p�� Frank Cook f 342Q Eifter . rise Scud
_ - : 772 -461 -3818 F
Fort Pierce, FL 34982 �
Sign: -
Prhxt l
Sign:
Print: l !
Sign:
Print:
DEC 08 eo4 10 :40PM HOLLAND BUILDERS 9547715080 p.1
HOLLAND BUILDERS OF SOUTH FLORIDA, INC.
4860 N.E. 12'° Avenue
Fart Lauderdale, Florida 33334
(954) 771 -2210 Fax (954) 771 -5080
FACSIMILE
Pages: _ 5 (Including this cover sheet)
Firm: City of Sebastian
Attn: Jason Milewski
Fox No: 772- 589 -6209
Date: December 8, 2004
From: Jim Kelly! Francesca Hunt
RE: Sebastian Admin. Building & Police Evident Compound
Contractor's Reporting E orm for November 2004
Message: ,4 copy has been sent to Takeshia Roberm of rise Department of'Eavirom mental
Protection for their records.
DEC 08 2004 10:40RM HULt_RND BUILDERS 8547715080 p.2
CONTRACTOR
CERTIFICATIONS
The gea oral contra for anchor s;itx;crnrtactor(s) th2t will ir+aplctnmrtt the nollumnt oontrol ruer!+Am
d ri ire the WTPP ecurst be i6entificd below. Each mast sign a staten=t certiflring that th2v
undtmumd dot NPDF -9 g=ena permit at3tkoriaing swmi water 'zips during coristruct;on. 'f htse
s€aate:stcnta must be forwarKU to the project Owner at the start of consftuotion.
CGrw-amr implememitag tilt sVLrppr:
---HQl.]And Zui.lde_rs of South Florida, Inc.
Adams None
4860 N.E. 12th AVenue, Fort-. Lauderdale, FL 33:34
B mcse Addrcse ^ -- _
(954) 771 --2210 (954) 771 --5080 Fax
CERTIFiC.XrION: (Note &gna:ure requi- .mcnts in Par*. VL.G of i'e NPD.ES GGnoral Permit.
"! cer ttfy ur�cler ji rtnli�+ �fuw ch at L undersrcctr4 Q?9d comrply with, the rer ms and canditI&IS
gf1he Srate of Florida GemericPern -ir for SIt;rrriwalepDisc.harge rorrz jarge and &na11
Cnrrstr-ucdon Acavitiev and rky Siorn'Wter Polluliur; Preve Wunr. Playa preparcd rhereunder
:lames. E. Kelly Project. Manager, Construction
:wired Ner — — —
tlrTtamd'CKIc �'
Stsramater Pollutlon Pr m- tmtloa Plan It mpecdau Repott Farm
tRS;E4�I #pr._ ^. mtfat M..11f At k2St OUCC 8 creek snd wj*A 24 bouts of tW end of a stone (feat th2t 6t 4-% i"Ches or gmtcr.
Y- miekairlarae:_Sebastian Admin.& Police avid. CojMq!2nd FiRiti 8164
Luc�slior +.
drain data Type ofcmtrol 1,1ate installw1 i C'tu t Condition
scz b dawl� tt difla _ {ace btiv►v
Corrective Action / Otlrrr Rcmartcs
soutil
30. �i acution pond
West
CC nffitort Cc&
IU - Good M - MarginaL needs trraiRtcuaner or replA#nrkeal smu
C: - i'aaeds to bt r 1caita=d C -'Jtb�
Control Tym Codes
P - prior, vmfr (h fkurnediate matntrr=tt or teptacemem
�1. Silt Pcncc T
2. F.� aibms
3.3. _s tur:ttte_e1 diversion
10, sm"Lt &&in in1Ct ptutcttiun
1 i , YCI,�Live httt r - — — -
12 VCSI G— c_pre8cttr3tion am - - -
13. Rctenfm Pnad - -
14. C'u tstkvction eat a-ecw stabdizutiun
19� Reisdcatrtl self ttsaiai g sysuax
20. _ - - --
21. SOWMCnt Elan►(_ Y_
28 Teeepvl�et;an ---- - -�
Detention
30. �i acution pond
4. Svale _
S. Sect m-= Tiaap --
22-TeOWrXV seed r and
23. Putra�ra-sst seed i sud
34_ Wamt r, sposal L m
32- Win
6. Cheat.
_7. Sttt+sstttaoe strain
15. Ferbabda ditch _
1fr. Curb-asud gutter — - -_ _.. —
17. Paved marl swfaiv
24. ivlulch _ _ _
75. T lay Bales
33. Surd l
34.Otfter_
^ --
8. Pk s_d ruin
!G. Gevte�lG
27, RiR4
9. Levelspremlers
I& Rmk outlal rt att<'non
� Lkf • IIOQ:
Projetrt Mgr._ for General ConLr.aefor
tjrrchfs titan Daft
above sigasnire 9vo eisr rmmfy umt dWe fAuilify is in compliance with #I(; to mdsator Put hit iotn Prevcudon Plan and ttae Stale cf Flrmida Omrric pe mtt for
Stermwattw dutelamge fmra large and Small C onstmctirrn Aetiivitits if time am not arty jacidenot of idewifrexl abtvt-..
•M* #N f •
'I re,rtify urea, peaaclty of lase that (Iris doctm art and all WasEu=ts writ prq=rW under my dimWon or Papnvisia n irr actmirdsuce with a system designed to
assure that quallhod paw. -mel rtglerty pillerad atut evatuxted flee iaromation xubmitmccl. nasal on my inquity of the perrwu, nr lu -amm v4in msmalge the sysrern,
or thtw penam dirway kespanmble for gathering the ivfon moon, the i4fomatier. nibmiltarl i.4, to zha best of aky knowlalge- auui belief, :n e, accsnvtc, and
com kft.1 say a %reds that (hare are signitisrmt penaiti,ms for subrniixinr3 fatgc mfosmtdj ar. including the pmatWity of (bir amd impiis(mnmd for krxming
viol dorm."
muclRcsYrnn,i Atrtttvrityl (?etc
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DEC 08 2004 10:42AM HOLLAND BUILDERS 9547715080
12/E8/2M DB: P,8 321-351-,e662 HARDING AC: AND ELEC
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DEC 08 2004 10!43HM HOLLHND BUILDERS
12/DG/2004 15:27 1 `i615SK209
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9547715080
CITY OF CEBA;71AN
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OCT 19 2004 9 :55RM HOLLRND BUILDERS 9547`715080 P.1
HOLLAND BUILDERS OF FLOFUDA, INC
4860 N.E. 12L" .avenue
Fort Lauderdale, Florida. 33334
(954) 771 -2210 Fax (9514 ) 771 -5051)
FACSIMILE
j
Pages-, 6 (Including this cover sheet)
Firm: City of Sebastian
Attn: ,Jason Milewski
Fax No: 772- 589 -6209
Date: October 19, 2004
From: Jim Kelly / Frmeesca Hant
RE: Sebastian Administration Building & Police Evidence Compound
Message: please find attached Reporting Form for Contractor Certifications sent to
DEP. Tbis copy is for your records.
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4ticiimil -amy Pailthan ier'e"e:110019 s lAn 1naltmilon Repart loam
Fuspeetlodas must accur at trust imce a week a"d within 24 Mars of the egad of a dtlann evctst t"t is 0.50 Jurbm ar Prvalti,.
PriftoNmnc. Sebastian Ad3min.& Police Eyid3.Campa Js d F ajo R164
;,dp;iltFdgi Rxeu 117414 Type uC+.:aidtutd ilwde 41MR11W ! cwmnd C(aedlid un Cud mAkir Aviou I Mcr Rm mAz
ar 17 , .- - - - - sex below tcxl�tGect- -- sdm Esr�low _ iLY� - -- - - -- -
t __ . -- _ 1 -- p d�'maCe. caused by Hurricane
Cmxlitiuu C_'adie:
G — ONO M a Nfar�irda<, creeds Mai: etenard, _ Or repia•_ *_rnent som. P — Poor, Fier& acnniediate nudinmratwc or repinumiru
C — Nm ds to tic c1med 0 atidtz
lidutdul Tvac Ccpdm-
L Silt Fmcc
2 Earth tli = -
10. Swm dradu ialal protection_ _
i i . Vcp%W dx met -
14 Reiaforctd sou r-
28. Tree mAcUluu ! T
207 0afs3icat –...�
29..>7eteWwapmd1
3. - gumc317iF&l divezzics
4. Swalc
12. Y VC ('wCuyvziou um
13. iLatd:itt?dm Pmd
21. Sedizmat Basin
22: T mod r iud
30. Rde41 m oid
3t. W ate �ispAncx3 I}xx ixr�
_
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14. Lbnstduckidifl dsnu m e stabOrndian
23. Pmmanttit seed I sod
_
32. DWO -
33, Smad --
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IS. pedumlar dituh _ _
Ic Curb ackd gumf
i 7. Paved midi dlttr$ec+
I& RM& outka mtectian _ —�
24.M" W -
25.
7. S6su&ce drain
LPipe st drain
26. Geoteditiid
9. T eve[
27. _ rte_
-
Inspector mt8smativv.:
P.rojeet Mdnager for General Contractor � �_ ►
atrin ( iiFddXttiirti Dwe
Me 8Kave mg"a so &hall eed#ify dial this fddcility is in A:dMMPHOJ e;e with flee SbXMweter I'ulluikmI P'icveucioai 1" Ian and die grate Of €Wda Gepe& Pernik for
4tntttaa mer 1}ir;c uwW fiimi Lwgr sod Snudi Cunst action Adivitics if there an am any ind'iclatts of nm-cc lhuwe dien"ed above,
"[ certify =der pvdalty of law Ihat dins tltlCet(Wtt mill all SU*Ctkli alit were prepamd Lmde r my diireetian or supe nrision in accotcla,>rc With a SyMm dcdgntd to
mRum tlnit yualiCmd pea gonucl popmrly W Fldeml mrut evahtstcd the: info mntiore *tbireiitai_ Based on gay ingmiry of the person or per who R=age ilea days P%
of dw%e pemous directly responsible for ,gathering the i ifbnnatiou, the itrfunm inn suhmittedl is, to the Wd of my Irnoaded%e and Nilef, true, meumte, imd
cmwletie. l ern aware that these arm sigHfium rt liMAfies fcu suhnittinp false infonma on, iSFtlading the pomilAiity of fine and hmprisomv= fdrr WiGwing
Yiolatiam n
Name (Rrspa mWr Authority} —
Doe
OCT 19 2004 9:558M HOL_LHND BUILDERS 9547 -I ISOBO 01 -i
GOivTiii; �Cj��'C1�R
C1= RTIFI Arl ONS
e gemra4 contrautur an&u1 Out will implemem the puilutant c:ontro) mea -%ur,,
cf�ribel' in �e ��w'NPY n7�.sst be i(ietlrEfit;cl b�iQvt; , l:'.�'�7 r�tt3t 5i� a sta�erncn' t:erLk "tying tha lilac•
nde! sta;td t :e NI DES general Pmmt aurhorimg slorm water dawharlyes during comtruction. Th,.-w
eta =crrt^asrs must forwarded to t#m Owner at fete sum of canstructior:.
:'o rawcur impimcnLmL thr S44 Efll.
_ Hallanc1 Builders_ of Sout:.ii Florida, Inc.
4960 N.E. 12th Avenue, Fort Lauderdale, FL 33334
(954} 771 -2210 (954)771-5080 Fax
CERTIFICATION: (Note stj*rnauue requirc;111c :ts ir, pmt vl.G 01 the NAL�FS Gera rat I'e[m it.l
1 rerA6 :.,rdeF pcaaj• Nr it1iV thuL 1 ulyd3crSoart and ranply with, the tsmt,r mid co#Atrat�r
?, the .State o,` ka.wstlr JCrepier•ic .Per rii for Sxorrlctvale- Divehagr fram Lau ye- and Sinali
unvlr uefrur, tclaviti y and t: 'x ! term leaf -r ?uliudair Pre�erri ou Plav pr'eparva' rheramwi.r_ "
sip dir0aes _ �ii�r
E. Kelly Project Manager, Construction
0("T 19 2004 9:56AM HOLLAND BUILDERS 9547715080
l0!lV2?04 07:54 155i5896209 C:Ty 07 SZHBASTJO�
OCT 15 2OD4 2,,,3P" HDI-LF40D BUILDERS 9547715090
. 10
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_i Owilp "tr pcwtlty o! l w that I xwcrAu. i. an Thw, Comly vtittt the tem-S gad candiRustis Of the Mate of Fknida Pmttit fir
Sten.eritn D 3chw9c fi'Om Lsnre and Stte U CO' . ction ActiviRk, aced this Shv. "r.Yeter PrAlution Pmveve -iim Plan prcpmd dwmrn(}as
NAME 1ri'LL OWANY NAME, ADDRFM
PHU?it (Insom
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1.,Parmenter Rxcav#.ini
= 321 -- 724 -8769
---- - -- @090 Northvlew st_NE
3Z3- +676 -3x33 F
Printftll Parmente7r, j r. aim BayrFL 32995
772- 589 5499
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it:y of Sebastian
a35 fair► Street
p;int'Ps. ry 11M
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lie works Dept_
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ardirtg Electric
321773 -5169
3
t'rieri ve 'Harding
170 Rosevcpa d Avenue
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Droject Manager )4860 NM 12th AVe Ue 954 -7 1 -2210
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-1 certify wkiff P=&4 of law that Z mrrii'rstam, an OWI et "ily with; titC tit+ m and canditinm oraw sw# of f'lor da Ganmr, Pcrrmt Rr
Stp{SimIxt Doge &*Tn 1,&W IM Saualt CAnOnxtion Acthitin pried this Sia mwater PatluGnrt Prty idtt Flan pt pwvs i ttCP„mdn."
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COMPWY NAME, ADDR
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Bart�vie
acld BAy,PL 329(#5
322- 76 -3033 F
ity of Schaatian
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225 main Street
772- 569 - -54911
prjut7erry all
tic wortcaE Kept.
7T3 -5t# -5209 F
Presi qt
rriiaq electric
270 Rtse4KaOd Avenue
3ai -7?3 -51+x9
321- 951. -0662 3r
p�; Dave Sir¢ q
2&bsr,FL 329SU
S'
•llaadl 81dra aiE S.Fla.,Iac
-- --
Er;rajact laanagar
860 NE 12th Avenue
954- 771 -2210
Print J ets E_lCell
Irt Laudcrdatie,FL 33334
954-- 371 -5000 F
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OCT IS 2004 2: 13pm HOLLHND BUILDERS
HOLLAND BUILDERS OF SOUTH FLORIDA, INC
4860 NZ 12th A.venuc
Fort Leuderdaie, Florida 33334
(951) 771 -2210 Fax (954) 771 -5080
r--
FACSI�v ILE �r
Pages: _2 (including this cover sheet)
Firm: W. Pargmenter Exrava&g, Bill Parmenter, Jr.
City of Sebastian, Terry Hill <
Harding AC & Electric, Dave Harding
Date: October 15, 2
AMI (Jim Kelly 1 Francesca Bunt
RE' . Building a& Police Evidence Compound
Message: Please find attached Contractor Certification reporting form
"Please sign, date and return � a,�ax to astir attention .9SAP.
:Thank you.
St.tElCf:►N"TRACTDIES CER'TiT'Tf'.iTiC)NS
A certify andef pcna t }' n#° lake shat 1 sxticktsl ��tal, :tt:� shall rttmVIV s ifh, #17e terr4 and Wnditirytls of rite Simie of Flori& Gene lr. Permit fo,
S #omiwakr Discharge frtutt Lame rte 5niall nrs3txuctionr.#i; st,f ; atl,i this S {vrfnt. ater f allElllOfl Plan preprmii #iwlprt;�urr.
T} ?L' _ -- -- C'®l�VA.i N 14 }1», r� li �'S^�� t'1ll�iNYE NUMBER DATE _
Sign: 7> . i arm�n Pr tic �vtinr�
040 Northview St_�+iE s 321- 724 -8750
!
Print;Blll " rtnenter, Jr. Palm Bay, FL 329D5 321 -676 -3033 F
sign:A /' R16l t� Looctx 5 pity of Sebastian
_ 772 -589 -5490
q.� 225 Main Street
Print:Ter Hill k�LQ C.�C, LZ— .� - 7?2 -589 -6209 F
ttYrlir�'4�ork� Dept.
Sip.1 a.rding Electric 321-- 773 -5169
pnri #•Daysr Harding r�President 170 Rosewood Avenue 321 -951 -4662 F
alabar,FL 32950
Sign: olland Bldrs of S.Fla`, c -
Project Manager 860 NE 12th Avenue 954 - 771 -2210
e i
Prini;Jam S F;.Ke11y :t I,auderdale,FL 33334 954 - 771 - -5080 F
Sign: - --
Pciiri: I
Sign: - — --
Print:
Sign;
Print
Print:
Print: _..- ..�.........._L__
—� ....__. '
Print:
-ts
v
OCT 19 2004 8: 18RM HOLI_HND BUILDERS 9547715080 P.3
HOLLAND BUILDERS OF SOUTH FLORIDA, INC
4860 N.E. 12'h Avenue
Fort Lauderdale, Florida 33334
(954) 77t -22.10 Fax (954) 771 -5090
FACSIMILE
Pages: Z (including this cover sheet)
Firm, W. Parrnenter Excavating, Bill Parmenter, Jr.
City of Sebastian, Terry Hill
Harding .AC & Electric, Dave iIarding
Date: October 15.2004
I +Torn: Jim Kelly I Francesca Hunt
HE: Sebastian Administraitiou Building & Police Evidence Compound
Message: Please find attached Contractor Certification reporting form
* *Flease s&m, date and return vice fax to My attention ASAP."
Thamk you.
OCT IS 20,04 EJ. 18RM HOLLAND BUILDERS
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