Form 700-010-43 "State Construction Concurrence" - Florida

What Is Form 700-010-43?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Florida Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 700-010-43 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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Download Form 700-010-43 "State Construction Concurrence" - Florida

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-010-43
CONSTRUCTION
STATE CONSTRUCTION CONCURRENCE
08/18
Page
of
Fin. Proj. ID:
F.A.P. No.:
S.A. No.:
County:
WPI No.:
Contract No.:
Estimated Cost of Changes:
Original Contract Amount:
(1)
Granted Time:
days
Premium Cost
:
Reason for Granted Time:
Description of Changes:
Reason for Changes:
(2)
Work described from a Design Error or Omission:
Yes
No
Revised Plans Required:
Yes
No
Revision Date:
Revised Plan Sheet Nos.:
Negotiated Unit Prices:
Item No.
Quantity
Item Description
Unit Price
Recommended by:
/
/
District Construction Engineer
Date
Specialty Engineer
Date
Approved:
/
Date
FHWA Participating: Cost
Director, Office of Construction
Time (Days)
SCC Verbal Prior
Name
/
Received by:
Approval Granted by: Title:
Date
Init.
1
Premium Cost is defined as additional cost which would not have been incurred if the work described herein had been included in the original contract.
2
Attach reasons justifying FHWA participation.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-010-43
CONSTRUCTION
STATE CONSTRUCTION CONCURRENCE
08/18
Page
of
Fin. Proj. ID:
F.A.P. No.:
S.A. No.:
County:
WPI No.:
Contract No.:
Estimated Cost of Changes:
Original Contract Amount:
(1)
Granted Time:
days
Premium Cost
:
Reason for Granted Time:
Description of Changes:
Reason for Changes:
(2)
Work described from a Design Error or Omission:
Yes
No
Revised Plans Required:
Yes
No
Revision Date:
Revised Plan Sheet Nos.:
Negotiated Unit Prices:
Item No.
Quantity
Item Description
Unit Price
Recommended by:
/
/
District Construction Engineer
Date
Specialty Engineer
Date
Approved:
/
Date
FHWA Participating: Cost
Director, Office of Construction
Time (Days)
SCC Verbal Prior
Name
/
Received by:
Approval Granted by: Title:
Date
Init.
1
Premium Cost is defined as additional cost which would not have been incurred if the work described herein had been included in the original contract.
2
Attach reasons justifying FHWA participation.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-010-43
CONSTRUCTION
STATE CONSTRUCTION CONCURRENCE
03/04
Page
of
Description of Changes (continued):
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-010-43
CONSTRUCTION
STATE CONSTRUCTION CONCURRENCE
03/04
Page
of
Reason for Changes (continued):
Page of 3