HomeMy WebLinkAbout2626 PALMETTO AVE 18-4110�U/
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CITY OF ;). OCT 0 2 20% 1J
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SANFORD 0 PERMIT APPLICATION
BUILDING DIVISION f 'S - L4 J V
Application No:
Documented Construction Value: $ 1 'L+ U
Job Address:,-AeeAoS.�r=-irvt-e44- Ove Historic District: Yes❑No]
Parcel ID:O/-,�o-7D •SCLo-bDoD-/(Uai] Residential F1Commercial E2
Type of Work New b Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work
Plan Review Contact Person::: Le o per- Title:
Phone:Z/07- gDe-61b9iFac: Email: (bmt_ .uv_S.C_3n'
Property Owner Information CQ
Name (A) I/it, Phone:
Street: r9 P 1S CDPD?&- 2 t&4t C(;c.N 4 Resident of property?: 110
City, State Zip: I -C kfW c" r(- 30 -?q(, _
Contractor Information
Name _R-tt xnies Sp'-Ae't t;a&rr bq Phone: �/U
Street: ICI y,7 Ivo, �� 1. r �C' KIDSS .n. ; c' 1 Fax: �/lJ i- M2 - 0k4e
City, State Zip -.Qi- �, db /::7-& State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior
to the issuance of a permit and that all work will be performed to meet standards of all taws regulating construction in this jurisdiction. I understand
that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners,
etc
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6'h Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public
records of this county, and there may be additional permits required from other governmental entities such as water management districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
rnnc vwnenngent s Name
Produced ID
:da • Da[e
tate of Fbnoa
oolsby
ion GG 154813
1/2
to Me or
TypeofID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature
Produced
TAMMY D STEEN
MY Co ISSIoN # GGo9025le
PIKES June 20, 2021
erson y Known to or
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: a - /i—
E
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Grant Meloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018111821 Book:9221 Page230; (1 PAGES) RCD: 10/1/2018 11:24:18 AM
REC FEE $10.00
•l � Rs`s rlri�e7JjR.SYf11«i11•
.. R�611teF e
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number.
Cn17rTIFlrl7f0t'( CRANTMALOY
CLERK0, LI I F nib COUP 0 71
ANF; APC ) u
By r..tj CLERK
r„c•_
Parcel ID Number: 0/"SCG-,yO-.S—( G^C OC) +-kod C)
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with
Chapter 713, Florida Statutes, the following informal on Is provided in this Notice of Commencement.
GENERAL DESCRIPTION OF IMPROVEMENT:
Z-�Sk�l lm (:�
OWNER INFORMATION:
Fee Simple Title Holder (d other than owner)
Address: Y7Y`l Alor-41,, n2 1& RIeSS Traaf (71rfc oCL
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(6), Florida Statutes.
In Addigon to himself. Owner Designates of
To receive a copy of the Lienors Notice as Provided In
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is Specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS To YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Ander�penj�t§a of perjurryyq I declare that 1 have read the foregoing and that the facts stated in it are true
to the =pan'
knos01dH .Ad hnllfr .. n ..
G L1I41AS
71113"Ilk' cox weer mull ripe Ne mdrsal wnmencameN AM no mr rhe mry be gemitled la sign h Ns o1 her rh id:
Stateof Floridg Covntyer &rrtin0le
The foregoing Instrument was'a/c�knowledged before me this �L day of cSe*rn bar -,Lie
by _ Rorita ICi �� 1rV t 11; Q,YYy S Who 1s personally known to me
Nmne ar perms mahip eWemem
OR who has produced Identification ❑ type of Identification produced:
iw Notary Public State of Fiona
Wendy J Goolsby
+,1� -My Coniston GG 154913
pr Expires 02/11/2022
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SUBMITTED TO:
Palmetto Avenue Baptist Church
JOBSITE STREET:
2626 S. Palmetto Ave
JOBSITE CITY:
Sanford, FL 32773
SUPERVISOR:
BROWNIE'S
SEPTIC &PLUMBING
Brandon Lepper & Keith Grondwalski
CF(:1428456 - SA0131835
WORK ORDER AND CONTRACT
JOBSITE PHONE:
407-687-8712/407-323-1583
FAX OR EMAIL:
Kathvwilllams2626(cDga m il.com
DATE:
8/20/18
JOBSITE CONTACT:
Kathy Williams
This lob is set for 1 trip only
Brownies will remove all Drains, Disposal and water lines under the kitchen sink and then supply & install
(1) ZURN 15 GPM Grease trap reconnecting the drains to trap inbound and outbound and rerouting water
supplies. Brownies will make every attempt to fit entire grease trap under the kitchen sink cabinet but has
notified the customer that they may need to use the dead space where the old Dish washer use to sit,
Customer approved that idea if needed
Brownies will supply materials for scope of work in this mob
Brownies will test for leaks once drain is moved
Brownies will complete all work per Florida code
Brownies is not responsible for Damage, Repair or Replacement of Drywall, Finished floor or pipe attaching
to for portion of this mob and any fine cleanup. Brownies is also not responsible for closing off area where
work will take place Brownies will only remove from home large construction debris.
Any work needed outside this proposal a change order or proposal will need approved before completing
BROWNIE'S SEPTIC AND PLUMBING PROPOSES THE FOLLOWING:
PAYMENT IS AS FOLLOWS: %: down deposit and balance due upon completion
1 authorize this work to be done. I understand this estimate is preliminary pending Health Department specifications if applicable.
Prices do not include electrical wiring or connections. Brownie's Septic and Plumbing does not assume any responsibilities for
damage to driveways, landscaping, sprinkler systems, sidewalks, fences, waterlines, concrete areas, sod, underground damages
or mound stabilization, unless otherwise agreed to in writing.
By executing this document, I authorize Brownie's to act as an Agent on my behalf to obtain all necessary permits, surveys,
measurements, engineering, or any other legal requirement in order to complete this project. I understand that if additional fees
4949 N. Orange Blossom Trail Orlando, Florida 32810 (p) 407.841.4321 (f) 407.872.0848
BRCS '
S
SEPTIC & PLUMBING
CFC1428456 - SA0131835
or payments are required to complete this project I fully authorize Brownie's and agree to pay any costs or fees that may be
incurred. Brownie's will re -submit a Work Order or orovide a Change Order if scope of work changes
Acceptance of quotation and contract — The prices and Terms and Conditions are satisfactory and are hereby accepted.
Brownie's Septic and Plumbing
Customer/ Agent Signature
Date of Acceptance Print Name
Terms and Conditions
1. Time for Performance: Brownie's Septic and Plumbing LLC (hereafter referred to as, "The Company') will not be responsible
for any delay or delays that, indirectly, result from or are contributed to be Customers failure to perform its obligations hereunder or by
any cause beyond Company's reasonable control, including but not limited to: fire, flood, or other act of god: strike or other labor
disagreement: acts or requirements of governmental or other civil actions: riot, war, embargo: shortage of labor, material, or energy. If
equipment, materials, personnel, or supplies remain on customer's'site at Customer's request during such a period delay, invoices will
be rendered in accordance with the description of work set forth herein (the "Scope of Support"), and customer will also pay the Company
for all extra costs and expenses by the company.
2. Representations and Warranties of the Company The Company shall perform the Services in material conformance with all
applicable Local, State, and Federal Laws, regulations, and guidelines and in conformance with the Scope of Work.
3. Exclusion of Other Representations and Warranties THE REPRESENTATIONS AND WARRANTIES GIVEN IN
PARAGRAPH 2 ARE THE ONLY REPRESENTATIONS AND WARRANTIES GIVEN BY THE COMPANY WITH RESPECT TO THE
SERVICES TO BE PERFORMED IN CONNECTION HEREWITH AND ARE IN LIEU OF ALL OTHER REPRESENTATIONS AND
WARRANTIES WHETHER EXPRESS, IMPLIED, OR STATUTORY INCLUDING IMPLIED WARRANTIES OF MERCHANT ABILITY
OR FITNESS FOR A PARTICULAR PURPOSE.
Warranties or Claims: For a construction related warranty or claim to be valid an executed Warranty Document must be signed
by the Property Owner or Authorized Agent and a Representative of the Company. Any claim made for work done by the Company
arising during the implied warranty period must be promptly reported. Verbal notification within 48 hours, and written notification of
the claim and all relevant data must be submitted to the Company within 5 days. The company warranties the installation and
workmanship only, the actual performance of the item (BOD, temperature, pH, hydraulic overload, or effluent toxicity) is outside of the
Company's warranty or liability for the specified tern on Warranty Document Permits, landscaping, sod, irrigation, fees, taxes, surveys,
re -inspection fees, or any other cost associated with performing the warrantied repair are not and will not be the responsibility of the
Company. Warranty claims may be immediately dismissed for the following reasons: excessive water consumption (exceeding the DOH
design average GPD), acts of God (fire, flood, root intrusion, sinkholes, lightning, etc.), compaction or damage from vehicular traffic,
electrical malfunctions, or any change or fluctuation in nearby drainage or the seasonal high water table. Systems that are installed on
homes serviced by a well, must have a water usage meter installed prior to the system being placed into service (for water consumption
verification) for any warranty to be valid or implied. Warranties and claims will be VOIDED if final payment is not made in full, a lien
or Notice of Collection has not been satisfied, or any outstanding invoices are not paid.
4. Limitation of Remedies: In the event of the Company's liability, whether based on contract, tort (including, but not limited to,
negligence, strict liability, or otherwise). Customer's sole and exclusive remedy will be limited to, at the Company's option, replacement
or correction of any Services not in conformance with the Scope of work or these Terms and Conditions, or to the repayment of the
portion of the purchase price paid by Customer attributable to the nonconforming Services. THE COMPANY WILL NOT BE LIABLE
Customer Initials
4949 N. Orange Blossom Trail Orlando, Florida 32810 (p) 407.841.4321 (f) 407.872.0848
BROWNWS
SEPTIC & PLUMBING
CFC1428456 - SA0131835
FOR ANY OTHER DAMAGES, EITHER DIRECT, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL OR OTHERWISE, AND IN NO
EVENT SHALL THE COMPANY'S LIABILITY EXCEED THE PRICE PAID FOR THE NONCONFORMING SERVICES.
5. Limitations of Liability : The Company shall not be liable for any liabilities, claims, demands, expenses, or losses incurred by
the Customer or other parties as a result of any claim, suit, or proceeding based on (i) changes in applicable laws or regulations after the
Services are completed; (ii) acts or occurrences outside the Scope of the services; (iii) release of toxic materials or hazardous substances
to the equipment which are not a result of the gross negligence or willful misconduct of the Company; or (iv) failure of Customer to
obtain required permits, licenses or approvals.
6. Terms and Methods of Payment Unless otherwise agreed in writing, itemized invoices will be submitted for payment to
Customer either (i) every week or (ii) upon completion of the Services whichever time is the lesser.
(a) All invoices are due and payable upon receipt.
(b) All payments received thirty (30) days after the invoice date will be assessed a late payment service charge of 1 'h% per month for
each month and amount under such invoice remains unpaid, or, if lower, the maximum allowed by applicable law. All payments received
will be applied first to unpaid late payment service charges and then to the invoice balance.
(c) The Company may, at any time or time, suspend performance of the Services or require security or other adequate assurance
satisfactory to the Company, when in the Company's opinion the financial condition of Customer or other grounds for insecurity warrant
such action.
7. Delinquent Payments: In the event Customer fails to make any payment when due, the Customer shall pay, in addition to all
other sums payable hereunder, the reasonable costs and expenses incurred by the Company in connection with all actions taken to enforce
collection or to preserve and protect its rights hereunder, whether by legal proceedings or otherwise, including, without limitation,
reasonable attorneys fees and court costs.
8. Claims: Unless otherwise agreed in writing, claims relating in any way to any portion of the Services must be made promptly
within two (2) days after such Services are performed and must be confirmed in writing within five (5) days thereafter. In no event shall
Customer hold back payment for invoices during any period such claims are pending.
9. CANCELLATION POLICY AND REFUNDS: If the Customer decides to cancel a job or project prior to the actual work
commencement, the Company will deduct all costs incurred for the project (permits, surveys, mobilization, office expenses, etc.) up to
and until a written cancellation notice is received. The remaining balance of the deposit received after expenses will be returned to the
customer within 10 business days.
10. Taxes: Unless otherwise agreed in writing, Customer shall be responsible for all sales, use, excise, or other tax.
11. Approvals, Permits, Licenses, etc.: Unless otherwise agreed upon in writing Customer shall be responsible for securing, at
it's expense all necessary permits, approvals, easements, and judicial and/or administrative orders to enable the Company to perform
the Services.
12. Site Conditions: Customer shall furnish the following information to the Company with the respect to the site on which the
Services are to be performed (the "Site"): (i) the physical characteristics (it) soil reports and subsurface investigations; (iii) legal limitations
and restrictions; (iv) utility locations; (v) legal description and survey; (vi) other reports or documents which may be reasonably requested
by the company. Customer shall also advise the Company of any special chemical or physical hazards associated with the Site and
materials to be handled by the Company in performance of the Services.
Customer Initials
4949 N. Orange Blossom Trail Orlando, Florida 32810 (p) 407.841.4321 (f) 407.872.0848
_ BR01Mliffi"S
SEPTIC & PLUMBING
CFC1428456 - SA0131835
13. Utilities: Unless otherwise agreed in writing, Customer shall provide, at its expense, all utilities necessary to perform
Services.
14. Wastes: All wastes resulting from the performance of t�te Services shall remain the property of the Customer. The Company
assumes no liability arising from the pumping, handling, storage, transportation, or disposal of such wastes unless otherwise agreed in
writing. In performances of the Services, the Company assumes no responsibility for waste materials or contamination located on
Customer's Site.
15. Indemnification:
(a) Customer shall indemnify and hold Company harmless against any and all liabilities, claims, demands, expenses, or losses resulting
from (i) the performance of the Services in compliance with the Customer's instructions or specifications, (ii) the negligent or intentional
acts or omissions of Customer, it's employees , officers, agents, directors or subcontractors, (iii) release of toxic materials or hazardous
substances to the environment which are not a result of the gross negligence or willful misconduct of the Company; or (iv) failure of
Customer to obtain required permits, licenses, approvals, easements, or order as herein required.
(b) The Company shall indemnify and hold the customer harmless against any and all liabilities, claims, demands, expenses, or losses
resulting for the negligent or intentional acts or omissions of the Company, its employees, officers, agents, directors or subcontractors;
provided, however that the amount of such indemnification is limit d to the price of the for the Services which give rise to the claim for
indemnification.
16. Change Orders:
(a) Any changes in the Scope of Services as set forth in the Scope of Work set forth hereon shall be agreed to in writing between the
customer and company and shall be on only, mutually agreed time ,and financial basis.
(b) In the emergency affecting the safety of persons or property, the Company shall act in its own discretion, to prevent threatened
damage, injury or loss. Within five (5) days after taking such action, the Company shall supply a detailed report to Customer which shall
specify the emergency, the action taken, and such other information as the Company shall reasonably feel is necessary to fully explain
the emergency. The Company shall invoice Customer, and Customer shall pay for all extra costs incurred by the company in the event
of such emergency unless such emergency was caused by the gross negligence or willful misconduct of Company.
17. Records and Data: All records and data generated by the Company in the performance of the Services remain the property
of the Company. The Company shall retain such records and data for a period of two (2) years or such longer period required by law. If
requested, copies will be provided to the Customer, at Customer's expense.
18. Independent Contractor: Company shall perform the Seryices in accordance with the attached Scope of Work as approved
by Customer. Customer shall have no right to exercise any control or direction over the employees or agents of the Company in
connection with the services. Neither party shall have authority: (i) to employ any person as agent or employee for or on behalf of the
other party or (ii) to make any representations or assume or create any obligation, expressed or implied, on behalf f the other party.
19. Entire Agreement: It is hereby further understood and agreed that the express terms of the attached Scope of Work and the
Company's Terms and Conditions constitute the entire Agreement between Customer and Company and there are no other agreements,
representations, or understandings between Company and Customk�r relating to the Scope of Work or the Services to be performed by
the Company in accordance therewith, and that all agreements, representations, and understandings of the parties with the respect to
the Services to be performed by the Company are merged with and superseded by the terms of the attached Scope of Work and these
Terms and Conditions. No provisions of the Company's Scope of Work or the Company's Terms and Conditions may be waived, altered,
or modified in any manner unless the same shall be set forth in writing and signed by duly authorized officer of Company. In the event
that any purchase order, requisition, or any other notice of authorization to proceed in accordance with Scope of Work contains any
provision, term or condition which is in addition to or inconsistent with any provisions herein, no inconsistent provisions, terms, or
conditions shall be deemed to have been tacitly accepted by the Company by reason of the Company's commencement of Services
Customer Initials
4949 N. Orange Blossom Trail Orlando, Florida 32810 (p) 407.841.4321 (f) 407.872.0848
BR019Qr1**JM`S
�'� SEPTIC & PLUMBING
CFC1428456 - SA0131835
pursuant to anv such purchase order, requisition, or other authorization to proceed. The Company's Terms and Conditions shall
supersede any such purchase order, requisition, or other authorization to proceed.
20. Governing Law: It is expressly agreed and stipulated that this contract shall be deemed to have been made and to be
performed in the State of Florida, and all questions concerning the validity, interpretation, or performance of anv of its terms or
provisions, or of any rights or obligations of the parties hereto shall be governed by and resolved in accordance with the laws of said
State.
Customer Initials
4949 N. Orange Blossom Trail Orlando, Florida 32810 (p) 407.841.4321 (f) 407.872.0848
! t I
J aj
i
egral trap. and
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J G.P.M. - 50 G.P.M.
Regulady fumign,.__
Zurn Industries, LLC I Light C-aw
1801 Pittsburgh Avenue. Erie, PA U.S.A. '
f
Canada anelo I Zuriv Industries galled3U4 Nashua Drive, Mississauga, Ontario L4V tl2 Ph. 90 2700
www.zurn.eorn
MY Commission Expires:
City of Sanford
Building Division
P.O. Box 1788
Sanford, Florida 32771
Phone: 407.688.5150
Fax: 407.688.5152
PLAN REVIEW COMMENT
Date: October 9, 2018
Project: Grease Interceptor
Contact Person: Brandon Lepper m
Job Address: 2626 S. Palmetto Avenue
Contact Phone Number:
Application Number: 18-4110
Contact E-mail: brandon@ccll6rownies.com
Contact Fax Number:
0.4 c c
ARCHITECTURAL
1. No comments.
STRUCTURAL
1. No comments.
MECHANICAL
1. No comments
PLUMBING
1. Need riser diagram. Riser diagram to include venting, flow control etc.
ELECTRICAL
1. No comments.
Please direct any questions you may have to Joy Deen at 407.688.5064 or fax to 407.688.5152.
You may also contact me by e-mail at joy.deen@sanfordfl.gov.
Respectfully,
Joy Deen, Plans Examiner
INSPECTION SEQUENCE
BP# 18-4110
ADDRESS: 2626 S. Palmetto Ave.
BUILDING PERMIT
FMinjMax Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Chane of Use
Final Building (Other)
REVISED: June 2014
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
Electric Final
!PLUMBING PERMIT
Min Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2"a Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rou h
Plumbing Steam / Chill Water Rough
1000 Plumbing Final
MECHANICAL PERMIT
Min Max inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
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