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Florida Governmental Ut¡lity Authority - FGUA

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Exhibit B<br />

FLORIDA GOVERNM ENTAL UTI LITY AUTHORIry<br />

DEVELOPER CONVEYANCE CH ECKLIST<br />

Project Name: Dr. Pikos Admin. Offices System: Pasco Water & Wastewater<br />

Ptoject #: 11-005 SSD County: Pasco<br />

Conveyance Agreement Approved by <strong>FGUA</strong> Board:<br />

A. Documents Required for a Conditional Boald Approval of the Closeout Package<br />

Item Required for<br />

This Project Item Description<br />

NO<br />

YES<br />

YES<br />

NO<br />

NO<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

NO<br />

NO<br />

NO<br />

YES<br />

NO<br />

YES<br />

YES<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

YES<br />

YES<br />

Warranty Deed<br />

Utility Easement (s) dedicated to <strong>FGUA</strong><br />

Bill of Sale - Water<br />

Bill of Sale - Wastewater<br />

Bill of Sale - Reclaimed Water<br />

Attorney's Affidavit<br />

Owner's Affidavit<br />

Owner's Waiver and Release<br />

Releases of Lien (from all subcontractors and material providers)<br />

Contractor's Letter of Warranty<br />

Engineers Certification of Construction Completion<br />

1- copy of final plat CAD and PDF disk and one hard copy (11X17)<br />

2 sets of "As-Built" plans full size & one 11x17<br />

1 CAD and PDF disk of "As-Built" plans<br />

Assign ment and Assumption Agreement<br />

B. Documents Required for <strong>FGUA</strong> Staff Review and Acceptance<br />

Mandrel, Low Pressure Air, TVing, Lamping Results (gravity)<br />

Pressure test results (force mains)<br />

Pressure tests (water mains)<br />

Pressure tests (reclaimed mains)<br />

Bacteriologica I tests (water main)<br />

Backflow Preventer Certification<br />

Lift station start up repoft and O&M manual(s)<br />

Lift station calculation w¡th shop drawings<br />

Manufacturer's Wa rranties<br />

FDEP/DOH request for ceftification for water system application*<br />

FDEP certification of completion for wastewater system application*<br />

C. Documents Required for Final <strong>FGUA</strong> Release<br />

FDEP/DOH water clearance**<br />

FDEP wastewater clearance**<br />

Final walk through by <strong>FGUA</strong> ¡nspector<br />

<strong>FGUA</strong> final acceptance and meter release letter<br />

* Please note that all documents marked as required in sections A. and B. must be submitted and approved pr¡or to the <strong>FGUA</strong> sign¡ng the FDEP<br />

appl¡cations' **TheFDEPClearance(s)arerequired¡nordertocompletedthefinalwalkthoughandprojectacceptanceletterandthesestepswill<br />

not be completed if any items are outstanding.<br />

REVS-2011 _ _ 10<br />

Date<br />

Received Reviewed by

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