Contract 2019-18ACONTRACTOR AGREEMENT
THIS AGREEMENT, is made and entered into this _L4J� day of ,[
2019, by and between the CITY OF CLERMONT, FLORIDA, a 'cipal corporation
under the laws of the State of Florida whose address is: 685 W. Montrose Street, Clermont,
Florida, (hereinafter referred to as "OWNER"), and Jam 5:20, Inc., whose address is: 9161
13150 Place N., Suite D, Largo, FL 33773, (hereinafter referred to as "CONTRACTOR").
WITNESSETH: That the parties hereto, for the consideration hereinafter set forth,
mutually agree as follows:
ARTICLE I — SCOPE OF WORK
The CONTRACTOR shall famish all labor, materials, equipment, machinery, tools,
apparatus and transportation and perform all of the work described in the specifications
entitled:
RFB NO. 19-034 titled Sunburst WTP Acoustic Abatement,
as prepared by Owner and its agents shall do everything required by this Contract and the
other Contract Documents contained in the specifications, which are a part of these
Documents.
I:\ iiCd7T*16Y7fWE412Y 1Axel IKIJui
The OWNER shall pay to the CONTRACTOR, for the faithful performance of the
Contract, in lawful tender of the United States, and subject to addition and deductions as
provided in the Contract Documents, the Price Schedule, attached hereto and incorporated
herein as Exhibit "A." The total contract sum shall not exceed THIRTY NINE
THOUSAND, EIGHT HUNDRED EIGHTY SEVEN DOLLARS AND 00/100 CENTS
($39,887.00)
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1.) The CONTRACTOR shall commence work within 10 calendar days after receipt
of (i) Notice to Proceed, and (ii) receipt of all permits required to perform the work,
and the CONTRACTOR will substantially complete the same within THIRTY (30)
calendar days, unless the period for completion is extended otherwise by the
CONTRACT DOCUMENTS. Substantial Completion as provided herein shall be
the day the project or designated portion thereof is certified by the
Architect/Engineer when construction is sufficiently complete, in accordance with
the Contract Documents, so the OWNER can occupy or utilize the work or
designated portion thereof for the use for which it is intended. Final completion
shall be THIRTY (30) calendar days.
2.) The CONTRACTOR shall prosecute the work with faithfulness and diligence
3.) The CONTRACTOR further declares he has examined the site of the work and that
from personal knowledge and experience or that he has made sufficient
investigations to fully satisfy himself that such site is correct and suitable for the
work and he assumes full responsibility therefore. The provisions of this Contract
shall control any inconsistent provisions contained in the specifications. All
Drawings and Specifications have been read and carefully considered by the
CONTRACTOR, who understands the same and agrees to their sufficiency for the
work to be done. It is expressly agreed that under no circumstances, conditions or
situations shall this Contract be more strongly construed against the OWNER than
against the CONTRACTOR and his Surety.
ARTICLE IV — LIQUIDATED DAMAGES
1.) It is mutually agreed that time is of the essence in regard to this Contract. Therefore,
notwithstanding any other provision contained in the Contract Documents, should
the CONTRACTOR fail to complete the work within the specified time as set by
the Notice to Proceed, or any authorized extension thereof, CONTRACTOR shall
pay to OWNER the sum of One Hundred Dollars ($100.00) per calendar day as
fixed, agreed and liquidated damages for each calendar day elapsing beyond the
specified time date; which sum shall represent the damages sustained by the
OWNER, and shall be considered not as a penalty, but in liquidation of damages
sustained. CONTRACTOR shall pay the liquidated damages amount contained
herein to Owner within fifteen (15) days of receipt of Owner's written demand for
such payment.
2.) For the purposes of this Article, the day of final acceptance of the work shall be
considered a day of delay, and the scheduled day of completion of the work shall
be considered a day schedule for protection.
ARTICLE V — PAYMENTS
In accordance with the provisions fully set forth in the Contract Documents,
CONTRACTOR shall submit an invoice to CITY upon completion of the services and
delivery to CITY as set forth in the applicable purchase order. CITY shall make payment
to the CONTRACTOR for all accepted and undisputed services provided, within thirty
(30) calendar days of receipt of the invoice.
ARTICLE VI — DISPUTE RESOLUTION - MEDIATION
1.) Any claim, dispute or other matter in question arising out of or related to this
Agreement shall be subject to mediation as a condition precedent to voluntary arbitration
or the institution of legal or equitable proceedings by either party.
2.) The Owner and CONTRACTOR shall endeavor to resolve claims, disputes and
other matters in question between them by mediation.
3.) The parties shall share the mediator's fee and any filing fees equally. The mediation
shall be held in the place where the Project is located, unless another location is mutually
agreed upon. Agreements reached in mediation shall be enforceable as settlement
Agreements in any court having jurisdiction thereof.
ARTICLE VII — INSURANCE AND INDEMNIFICATION RIDER
1.) Worker's Compensation Insurance - The CONTRACTOR shall take out and
maintain during the life of this Agreement Worker's Compensation Insurance for all his
employees connected with the work of this Project and, in case any work is sublet, the
CONTRACTOR shall require the subCONTRACTOR similarly to provide Worker's
Compensation Insurance for all of the latter's employees unless such employees are
covered by the protection afforded by the CONTRACTOR. Such insurance shall comply
with the Florida Worker's Compensation Law. In case any class of employees engaged in
hazardous work under this contract at the site of the Project is not protected under
the Worker's Compensation statute, the CONTRACTOR shall provide adequate insurance,
satisfactory to the Owner, for the protection of employees not otherwise protected.
2.) CONTRACTOR's Public Liabilitv and Pronerty Damage Insurance - The
Contactor shall take out and maintain during the life of this Agreement Comprehensive
General Liability and Comprehensive Automobile Liability Insurance as shall protect it
from claims for damage for personal injury, including accidental death, as well as claims
for property damages which may arise from operating under this Agreement whether such
operations are by itself or by anyone directly or indirectly employed by it, and the amount
of such insurance shall be minimum limits as follows:
(a) CONTRACTOR's Comprehensive General, $500,000 Each
($1,000,000 aggregate)
Liability Coverages, Bodily Injury Occurrence, & Property Damage
Combined Single Limit
(b) Automobile Liability Coverages, $500,000 Each
Bodily Injury & Property Damage Occurrence,
Combined Single Limit
3.) SubCONTRACTOR's Public Liabilitv and Pronertv Damage
Insurance - The CONTRACTOR shall require each of his subCONTRACTORs to procure
and maintain during the life of this subcontract, insurance of the type specified above or
insure the activities of his subCONTRACTORs in his policy, as specified above.
4.) Indemnification Rider
(a) To cover to the fullest extent permitted by law, the CONTRACTOR
shall indemnify and hold harmless the Owner and its agents and
employees from and against all claims, damages, losses and expenses,
including but not limited to attorneys fees, arising out of or resulting
from the performance of the Work, provided that any such claim,
damage, loss or expense (1) is attributable to bodily injury, sickness,
disease or death, or to injury to or destruction of tangible property (other
than the Work itself) , and (2) is caused in whole or in part by any
negligent act or omission of the CONTRACTOR, any
subCONTRACTOR, anyone directly or indirectly employed by any of
them or anyone for whose acts any of them may be liable, regardless of
whether or not it is caused in part by a party indemnified hereunder.
Such obligation shall not be construed to negate, abridge, or otherwise
reduce any other right to obligation of indemnity which would otherwise
exist as to any party or person described in this Article.
(b) In any and all claims against the Owner or any of its agents or employees
by any employee of the CONTRACTOR, any subCONTRACTOR,
anyone directly or indirectly employed by any of them or anyone for
whose acts any of them may be liable, the indemnification obligations
under this Paragraph shall not be limited in any way by any limitation
on the amount or type of damages, compensation or benefits payable by
or for the CONTRACTOR or any subCONTRACTOR under workers'
or workmen's compensation acts, disability benefit acts or other
employee benefit acts.
(c) The CONTRACTOR hereby acknowledges receipt of ten dollars and
other good and valuable consideration from the Owner for the
indemnification provided herein.
ARTICLE VIII—NOTICES
All notices shall be in writing and sent by United States mail, certified or registered, with
retum receipt requested and postage prepaid, or by nationally recognized overnight courier
service to the address of the party set forth below. Any such notice shall be deemed given
when received by the party to whom it is intended.
CONTRACTOR: Jam 5:20, Inc.
9161 131" Place, Suite D
Largo, FL 33773
Attn: Scott Weber, Corporate Director
OWNER: City of Clermont
Attn: Darren Gray, City Manager
685 W. Montrose Street
Clermont, FL 34711
ARTICLE IX — MISCELLANEOUS
1) Attornevs' Fees. In the event a suit or action is instituted to enforce or interpret any
provision of this Agreement, the prevailing party shall be entitled to recover such
sum as the Court may adjudge reasonable as attorneys' fees at trial or on any appeal,
in addition to all other sums provided by law.
2) Waiver. The waiver by city of breach of any provision of this Agreement shall not
be construed or operate as a waiver of any subsequent breach of such provision or
of such provision itself and shall in no way affect the enforcement of any other
provisions of this Agreement.
3) Severabih . If any provision of this Agreement or the application thereof to any
person or circumstance is to any extent invalid or unenforceable, such provision, or
part thereof, shall be deleted or modified in such a manner as to make the
Agreement valid and enforceable under applicable law, the remainder of this
Agreement and the application of such a provision to other persons or
circumstances shall be unaffected, and this Agreement shall be valid and
enforceable to the fullest extent permitted by applicable law.
4) Amendment. Except for as otherwise provided herein, this Agreement may not be
modified or amended except by an Agreement in writing signed by both parties.
5) Entire Agreement. This Agreement including the documents incorporated by
reference contains the entire understanding of the parties hereto and supersedes all
prior and contemporaneous Agreements between the parties with respect to the
performance of services by CONTRACTOR.
6) Assignment. Except in the event of merger, consolidation, or other change of
control pursuant to the sale of all or substantially all of either party's assets, this
Agreement is personal to the parties hereto and may not be assigned by
CONTRACTOR, in whole or in part, without the prior written consent of city.
7) Venue. The parties agree that the sole and exclusive venue for any cause of action
arising out of this Agreement shall be Lake County, Florida.
8) Avolicable Law. This Agreement and any amendments hereto are executed and
delivered in the State of Florida and shall be governed, interpreted, construed and
enforced in accordance with the laws of the State of Florida.
9) Public Records. CONTRACTOR expressly understands records associated with
this project are public records and agrees to comply with Florida's Public Records
law, to include, to:
(a) Keep and maintain public records that ordinarily and necessarily would be
required by the CITY in order to perform the services contemplated herein.
(b) Provide the public with access to public records on the same terms and
conditions that the CITY would provide the records and at a cost that does
not exceed the cost provided in this Florida's Public Records law or as
otherwise provided by law.
(c) Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are not disclosed except as
authorized by law.
(d) Meet all requirements for retaining public records and transfer, at no cost,
to the CITY all public records in possession of CONTRACTOR upon
termination of the contract and destroy any duplicate public records that are
exempt or confidential and exempt from public records disclosure
requirements. CONTRACTOR shall use reasonable efforts to provide all
records stored electronically must be provided to the CITY in a format that
is compatible with the information technology systems of the CITY.
(e) IF CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTRACTOR SHALL
CONTACT THE CITY'S CUSTODIAN OF PUBLIC RECORDS AT
CITY CLERK'S OFFICE, (352) 241-7331.
ARTICLE X — CONTRACT DOCUMENTS
The Contract Documents, as stated in the Instructions to Bidders and herein made a part,
are as frilly a part of this Contract as if herein repeated.
Document Precedence:
1) Contract Agreement
2) All documents contained in RFP No.: 19-034 titled Sunburst WTP Acoustic
Abatement and CONTRACTOR's response thereto.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on
this Q0 day of .2019.
Howe, City Clerk
.lam 5:20�nc.
INatite &- Title "Print or Ty \
Attest:
orporate S
�'oZf-'lt'�28reYL.
(Name Printed or Typed)
7
EXHIBIT A
SECTION — C
PRICE SCHEDULE
By signing this form, the respondent fully acknowledges that there will be no additional
compensation (no overhead, no anticipated profits, etc.) other than the unit price of the
items times the number of items authorized, ordered, placed, and accepted by the City.
Respondent submits the following prices to perform all the work as required by the
specifications.
LS = Lump Sum LF = Linear Feet SY = Square Yard EA = Each CY = Cubic Yard
t
Mobilization/Demobilization
1 LS
$ 5,000.00
2
General Requirements
1 LS
$ 6,707.00
3
Indemnification
1 LS
$ 100.00
4
Acoustic Abatement
1 LS
$ 28,080.00
Final Completion Lumo Sum Price (as per project documents)
(Words) Thirty-nine thousand, eight hundred eighty-seven dollars and zero cents.
(Figures) $ 39,887.00
Contractors Days to Substantial Completion: 30 Calendar Days.
Not to exceed: One- undrld wentY (120) nd r days rvpl Notte T4 Pr9ceed To
Substantial Comolehon. Final omoletion Not o Wxceed hirtv (30) Calendar Days
Thereafter.
RFB No: 19-034
Page 14 of 31
SECTION — C
PRICE SCHEDULE
By signing below, the respondent agrees to all terms, conditions, and specifications as stated in this solicitation, and is
acting in an authorized capacity to execute this response. The respondent also certifies that it can and will provide and
make available, at a minimum, the items set forth in this solicitation.
Company Name (print): Jam 520 Inc.
Street Address: 9161 131 st PL. N. Suite D. Largo, FL 33773
Mailing Address (if different):
Telephone: (727) 288-2191
Email: Scott®Jam520inc.com
FEIN: 80
Signature:
Print Name:
Scott Weber
Fax: N/A
Payment Terms: 1 % 10 days, net 10
Professional. License No.. CGC - 1522881
Date: 3/13/2019
Tine: Corporate Director
Does the respondent accept payment using the City's MASTERCARD? ID Yes ❑ No
END OF SECTION — C
RFB No: 1M34
Page 15 of 31
0
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i617"(� r
Choice of Champiorfs�
November 5, 2019
Alex Stringfellow
2735 Woodside Ave.
Winter Park, FL 32789
Re: Conditional Use Permit —Art District LLC (Alternate Key 1087210)
Dear Mr. Stringfellow,
The Clermont City Council approved your request for a Conditional Use Permit (Resolution No.
2019-18R) at their regular scheduled meeting held Tuesday, July 23, 2019.
Enclosed are the original and a copy of the agreement to conditions. Please sign the original in
the presence of a notary public and return it to the office of the City Clerk within ninety (90)
days (February 3, 2020) or the Conditional Use Permit will become null and void. THIS DATE
HAGS BEEN EXTENDED TO FEBRUARY 3, 2020 DUE TO APPLICANT BEING NOTIFED
1N WRITING ON NOVEMBER 5, 2019.
Please note that the CUP short form must also be signed and recorded with the Lake County
Clerk of Courts. A copy of the recorded document must also be returned to the City Clerk by
February 3, 2020.
The Public Records Center is located at:
Lake County Courthouse
550 W. Main Street
Tavares, FL 32778
Thank you for your cooperation. If you have any questions, please feel free to contact me at 352-
241-7309.
Sincerely,
cJ'"'
�
John Kruse
�
Planning Manager
Enclosures
A RESOLUTIO
CLERMONT,
CONDITIONAL
RETAIL AND
SQUARE FEET
DISTRICT.
CITY OF CLERMONT
RESOLUTION NO. 2019-18R
N
OF THE CITY COUNCIL OF
LAKE COUNTY, FLORIDA,
USE PERMIT TO ALLOW FOR
ART WALK USES TO OCCUPY M(
OF FLOOR SPACE IN THE CEN'
THE CITY OF
GRANTING A
RESTAURANT,
IRE THAN 3,000
ORAL BUSINESS
WHEREAS, the Planning and Zoning Commission of the City of Clermont, Lake
County, Florida at a meeting held July 2, 2019 recommended approval of this Conditional Use
Permit to allow for restaurant, retail, and art walk uses to occupy more than 3,000 square feet of
floor space in the Central Business District; at the following location
LOCATION:
Vacant land (12,900 +/- square feet) between 752 & 770 West Montrose Street
Alternate Key 1087210
WHEREAS, the granting of this Conditional Use Permit will not adversely affect the
officially adopted Comprehensive Plan of the City; such use will not be detrimental to the health,
safety, or general welfare of persons residing or working in the vicinity, the proposed use will
comply with the regulations and conditions specified in the codes for such use; and the proposed
use may be considered desirable at the particular location.
WHEREAS, based on the foregoing, the City Council deems it advisable in the interest
of the general welfare of the City of Clermont, Lake County, Florida to grant this Conditional
Use Permit.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
Clermont, Lake County, Florida that:
This. application for a Conditional Use Permit to allow for restaurant, retail, and art walk
uses to occupy more than 3,000 square feet of floor space in the Central Business District; be
granted subject to the following conditions:
CONDITIONAL USE PERMIT CONDITIONS:
SECTION 1. General Conditions
1. The conditions as set forth in this Conditional Use Permit shall be legally binding upon
any heirs, assigns and successors in title or interest.
2. No person, firm, corporation or entity shall erect, construct, enlarge, alter, repair, remove,
improve, move, convert, or demolish any building or structure, or alter the land in any
manner within the boundary of the project without first submitting necessary plans,
obtaining necessary approvals, and obtaining necessary permits in accordance with the
City of Clermont Land Development Regulations and those of other 4rrj.QN,:ate
jurisdictional entities.
RESOLUTION NO.2019-1.8R
3. No business can occupy any lmriion of the building unless the proposed business has
applied for and obtained a I-ocal Biisincss Tax Receipt from the Development Services
Depaitmert.
.If all), of [lie Matrcl cur} d{i:ioni ; aT: wolate-J, tl)t; bi.,oll ant understands wid agTees that ffw,
City Council itlay revuke Cvir Corl(4idiuntl i.%'« PC Ivil by wSollitioil.
The Conditional Use Permit aa.-st Esc e:,c cuted ;)rid processed through the office of tha
Cite Clcrl within �0 rl.�.;s r,;, ;:s date OF pj�t�r by the City r;;ourtcil or the; pct7t}it s}Saii
become null and void.
6. Tlie Applicant shall re:corcl in the Public: Records of Lake County within 90 days of its
date of approval by the City Council, a short-forni version of this Conditional Use Permit
as provided by the City Or a form acceptable to the City, to provide notice to all interested
parties, the assigns, successors and heirs of the dcveloperlapplicant and all future owners
of the above -referenced property that the" real property described above is subject to the
tams and conditions of the Conditional Use Pesrmit.
This permit shall bee-omc null and void if substantial construction work has not begun
witliin two (2) years of*t1w date of issuance of this Conditional Ulm Permit. "Substantial
wnstmetion work" means the commencement and Continuous prosecution of
construction of required improvements ultimately finalized at completion.
The struchre shall be inspected by the Fire Marshall for lice safety requireanents. All
requirements must be nwt prior to any Certificate of Occupancy being issued.
9. The structure shall be inspected by the City Building Inspector and all building code
violations must be corrected prior to a Certificate of Occupancy being issued.
SECTION 2. Land Use
Permitted uses shall include restaurant, retail, and art walk uses in a building not to
exceed 5,000 square feet. Other permitted uses in the CBD zoning district are also
pennitted.
2
cm, of;* clmmORT
R + 'OILUTION NO.2019-ISR
]DONE AND 1t ESO LVEn by the City Council of the City of Clermont, Lake Count);
Flcrida, this 23rd day of Jule, 2019,
CITY OF CLERMONT .
A'TEST:
,
Tvacy Ackfoyd Howe, City Clerk
Approed`as co form and legality:
�Mant=is City Attome Y
('t)NDITI()NAI USE 0ERM'T.-��
Article IX of the City Zoning Ordinance provides that the Conditional Use Permit shall not become
effective for any reason unless and until the following events have occurred:
I. Permittees shall have agreed to every condition by properly executing and signing the
Conditional Use Permit.
2. Such Conditional Use Permit executed as indicated, along with a copy of the recorded
Con iditional Use Permit short form, shall have been filed in the office of the City Clerk by
February 3, 2020. Upon expiration of this period, the permit shall become null and void, and the
permittees must apply for rehearing.
3. In the event of failure of the permittee to fulfill development in substantial accordance with
the plans as submitted to the Planning and Zoning Commission and the City Council: comply with
the codes of the governmental agencies having lawful and appropriate jurisdiction thereon; or meet
anv of the terms of the Conditional Use Permit- the permit may he revoked after due public
hearings before the Planning and Zoning Commission and the City Council.
OWNER: Art District LLC
PO Box 120788
Clennont, FL 34711
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CLERMONT, LAKE
COUNTY, FLORIDA, GRANTING A CONDITIONAL USE PERMIT TO ALLOW FOR
RESTAURANT, RETAIL AND ART WALK USES TO OCCUPY MORE THAN 3,000
SQUARE FEET OF FLOOR SPACE IN THE CENTRAL BUSINESS DISTRICT.
I.00':t'I10N: i6!i til�csi i� oii:roe Street
(A l horn is e key" I t7S" ? 1 v)
I
ZONING: C B D --- Central Btlsiiiess District
1:ESOLUTiON: No. 2019-; t,'R
E;tECUTrOi.! 0A"1'-. T17is CiJt' s iuEf 1:t s; SIhU-�tLI11!<u !os1t; •, 01' 1 ; •L_` M .1 .Up1, l 1,- 1'e�7G1•Cieil
C(ir itloctil t_lst P_Inni S;?niI iY,U: to !llc, ofllc'- OI Ine C'ty'Itd- by 11'61-uw j/ 33, 2020) or iliis
pe-1-111it. shall expire ana best. n� c 1-Mil scut voi6' THIS DATE IIAS I31?F iN EXTIsNDEI) TO
p-t:11HUARY 3, 2020 I11Ji-1 '10 A1'i'L-tE-ArvT iJJ-71NC lit WRITING Oi\q
NON'ENt11f!. R 5- : 019.
CONDITIONAL USE PERMIT CONDITIONS:
SECTION 1. General Conditions
The conditions as set forth in this Conditional Use Permit shall be legally binding upon any
heirs, assigns and successors in title or interest.
2. No person, firm, corporation or entity shall erect, construct, enlarge, alter, repair, remove,
improve, move, convert, or demolish any building or structure, or alter the land in any manner
within the boundary of the project without first submitting necessary plans, obtaining
necessary approvals, and obtaining necessary permits in accordance with the City of
Clermont Land Development Regulations and those of other appropriate jurisdictional
entities.
3. No business can occupy any portion of the building unless the proposed business has applied
for and obtained a Local Business Tax Receipt from the Development Services Department.
4. If any of the stated conditions are violated, the applicant understands and agrees that the City
Council may revoke this Conditional Use Permit by resolution.
5. The Conditional Use Permit must be executed and processed through the office of the City
Clerk within 90 days of its date of grant by the City Council or the permit shall become null
and void.
6. The Applicant shall record in the Public Records of Lake County within 90 days of its date
of approval by the City Council, a short -form version of this Conditional Use Permit as
provided by the City or a form acceptable to the City, to provide notice to all interested
parties, the assigns, successors and heirs of the developer/applicant and all future owners of
the above -referenced property that the real property described above is subject to the terms
and conditions of the Conditional Use Permit.
7. This permit shall become null and void if substantial construction work has not begun within
two (2) years of the date of issuance of this Conditional Use Permit. "Substantial
construction work" means the commencement and continuous prosecution of construction of
required improvements ultimately finalized at completion.
8. The structure shall be inspected by the Fire Marshall for life safety requirements. All
requirements must be met prior to any Certificate of Occupancy being issued.
9. The structure shall be inspected by the City Building Inspector and all building code
violations must be corrected prior to a Certificate of Occupancy being issued.
SECTION 2. Land Use
1. Permitted uses shall include restaurant, retail, and art walk uses in a building not to exceed
5,000 square feet. Other permitted uses in the CBD zoning district are also permitted.
J(A�pplfi
dersigned, do hereby agree to all conditions of this C/�'
ional se Permit.
IL
t) D
STATEOF FLOR I DA
COUNTY OF
The foregoing instrument was acknowledged before me this i 4-h day of
2019, by ;ac Tk 1 �in
�l1C'�(Name f�on acknow��f *g)
(Nameofperson acknowledging)
ko�yAr ru•�� CRRLIE ZINKE.R
k * Commission # GG 128898
"r�oT Expires July 27, 2021
'rFOF Fk Bonded Ih u Budget Notary Strube€
gnature o otary Public Carlie Zinker
Who is personally known to me or whom has produced a valid identification.
COUNTY OF &jA, _
The foregoing instrument was acknowledged before me this day of
2019. by
(—�� M -66-,o
(Name�ofperson acknow)ing)
CARLIE 21NKER
Commission A G0128898
Expires July 27, 2021
<ignature Of Notary Public Carlie Zinker 'fFOFF��Q BondedItnBu4siNotuyServka
Who is personally known to me or whom has produced a valid identification.
Received in the office of the City Clerk oil. �7
Date
CityClerk
RETURN TO:
Tracy Ackroyd, City Clerk
City of Clermont
685 West Montrose St
Clermont, FL
SHORT FORM CONDITIONAL USE PERMIT
THIS SHORT FORM CONDITIONAL USE PERMIT evidences that certain Conditional Use
Permit adopted and approved by the Clermont City Council by Resolution No. 2019-18R and
agreed to and accepted by the undersigned developer/applicant as of Julv 23, 2019, with regard
to the following described real property:
LOCATION: Vacant land (12,900 +/- square feet) between 752
& 770 West Montrose Street
(Alternate Kev# 1087210)
and is for the purposes of providing notice to all interested parties, the assigns, successors
and heirs of the undersigned developer/applicant and all future owners of the above -
referenced property that the real property described above is subject to the terms and
conditions of the above -referenced Conditional Use Permit.
IN WITNESS WHEREOF, the undersigned has duly executed this Short Form
Conditional Use Permit as of the day set forth below.
gned, staled and delivered in the presence of:
tia
1 r pY Owner
Prink Name and Title LJ
STATE OF FLORIDA:
COUNTY OF [ uPcI k_
�S��,�,
Printed Name and Title
I HEREBY CERTIFY that on this 5 day of t6UWM6_�- , 206 before me, an
officer duly authorized in the State aforesaid and in the County aforesaid to take
acknowledgements, personally appeared \ .�rtrocikeLlo u) , who is peis rally kin to
me or who has produced as identification, and who executed the
foregoing instrument, and who did take an oath.
My commission expires:
VMCE
Sheila Kilgore
NOTARY PUBLIC
STATE OF FLORIDA
Comm#GG340016
IExpires 5/30/2023
6"�� 4V.Q-
NOTARY PUBLIC
eRecorded: I � I & I 19
betn000Av
INSTRUMENT#: 2019126044 OR BK 5370 PG 333 PAGES: 1 11/6/2019 9:55:40 AM
GARY J. COONEY, CLERK OF THE CIRCUIT COURT & COMPTROLLER, LAKE COUNTY, FLORIDA
REC FEES: $10.00
RETURN TO:
Tracy Ackroyd, City Clerk
City of Clermont
685 West Montrose St
Clermont, FL
SHORT FORM CONDITIONAL USE PERMIT
THIS SHORT FORM CONDITIONAL USE PERMIT evidences that certain Conditional Use
Permit adopted and approved by the Clermont City Council by Resolution No. 2019-18R and
agreed to and accepted by the undersigned developer/applicant as.of Julv 23. 2019. with regard
to the following described real property:
LOCATION: Vacant land (12.900 +/- square feet) between 752
& 770 West Montrose Street
(Alternate Kev# 1087210)
and is for the purposes of providing notice to all interested parties, the assigns, successors
arrd heirs of the undersigned developer/applicant and all future owners of the above-
ferenced property that the real property described above is subject to the terms and
onditions of the above -referenced Conditional Use Permit.
IN WITNESS WHEREOF, the undersigned has duly executed this Short Form
Conditional Use Permit as of the day set forth below.
and delivered in the presence of-
] fop Owner
Primed %me and Title U
STATE OF FLORIDA:
COUNTY OF
A icant
Printed Name and Title
I HEREBY CERTIFY that on this J�1"`day of , 201�3 before me, an
officer duly authorized in the State aforesaid and in tie County aforesaid to take
acknowledgements, personally appeared _\ .'4-v i"ll WO u-), who is pu,,5anally known to
me or who has produced as identification, and who executed the
foregoing instrument, and who did take an oath.
a�� asvu_
NOTARY PUBLIC
My commission expires:
Sheila Kilgore
NOTARY PUBLIC
STATE OF FLORIDA
L Comm# C'GU0016
Expires 5130/2023