Turn Over Of Utility Lines Requirements Bill Of Sale

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TURN OVER OF UTILITY LINES REQUIREMENTS
SUBMIT TO:
Veronica Zackery, Permitting Coordinator
Environmental Services Business Center
1001 Sarasota Center Boulevard
Sarasota, Florida 34240
(941) 861-6625
PROJECT NAME:__________________________________________________________________
PERMIT NUMBER:_________________________________________________________________
Required Items
Checked
[ ]
(1)
BILL OF SALE and AFFIDAVIT OF NO LIENS
[ ]
(2)
CONTRIBUTION IN AID OF CONSTRUCTION
CERTIFICATION (FORM ENCLOSED)
[ ]
(3)
FINAL COST BREAKDOWN
[ ]
(4)
LEGAL DESCRIPTION OR PRELIMINARY RECORD PLAT
(IF APPLICABLE)
[ ]
(5)
WARRANTY and GUARANTEE (ONE YEAR GUARANTEE
BY CONTRACTOR, FORM ENCLOSED)
[ ]
(6)
LIST OF CUSTOMERS/OWNERS (LIST OF LOTS,
OWNERS, ADDRESSES) REQUIRED ONLY IN
CONDOMINIUMS
[ ]
(7)
RECORD EASEMENTS (IF NOT INCLUDED ON PLAT OR
WITHIN COUNTY RIGHT-OF-WAY) CONTACT HELEN ZEPS,
REAL PROPERTY, AT (941) 861-6468. EASEMENT MUST
BE REVIEWED BY HELEN ZEPS PRIOR TO RECORDING
OR SUBMITTAL AND HAVE OWNERSHIP AND
ENCUMBRANCE (O & E) STATEMENT ENCLOSED
[ ]
(8)
LIFT STATIONS: FPL ACCOUNT NUMBER AND
PHYSICAL ADDRESS (3) O & M MANUELS (IF LIFT
STATION IS TO BE TURNED OVER)
UPSPKT01 - Revised 1/7/11
1

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