HomeMy WebLinkAbout16-17799 " �� CITY OF ZEPHYRHILLS
; j 5335-8TH STREET r- -'"
(813)780-0020 �77 9'
BUILDING PERMIT
-� PERMIT INFORMATION � ' LOCATION INFORMATION � �
Permit N;umber: 17799 Address: MIS SEE DESCRIPT 7215 DAIRY RD
Perm�t Type: MISC ZEPHYRHILLS, FL.
Class of Work: RIGHT-OF-WAY Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Es�.Value: Parcel Number:
Impro�. Cost: � OWNER INFORMATION
Date ssued: 10/03/2016 Name: BRIGHTHOUSE NETWORK
Tot I Fees: Address: 30432 SR 54
Amo nt Paid: �� � V�� WESLEY CHAPEL FL 33543
Da e Paid: P hone: 8 6 3-5 5 9-8 4 3 5
Wo k Desc: MI SEE DESCRIPT 7215 DAIRY RD FEE WAIVED
� CONTRACTOR S - - APPLICATION.FEES -a .
BRIGHT OUSE NETWORKS
, �
- � Ins ections Re uired � � -
FOOTER 2 D RO GH PLUMB MISC INSULATION CEILING '
FOOTER OND DUCTS INSULATED SEWER MISC.
ROUGH E ECTRIC LINTEL MISC MISC.
1ST ROU H PLUMB PRE-METER INSULATION WALL MISC.
DUCTS I STALLED WATER MISC DRIVEWAY
PRE-SLA SHEATHING MISC. MISC.
CONSTR'�CTION POLE FRAME MISC. MISC.
REINS ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comp ete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
i ���
CO CTOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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7 CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT
DATE: ��J� RIGHT-OF-WAY USE PERMIT PERMIT#
No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the
City Building Department Any application for approval of construction operaHons an any City owned Rights of Way shall fumish a detailed drawing
showing t6e complete scope of the proposed work in triplicate to the office of the Building Of'ficial for approval prior to the commencement of any work.A
c�opy of this permit is to be kept readily available at the site of the work at all times.
PARCEL I.D.# 35-25-21-0010-10300-0010 CTTY ROAD Dairy Road
DATE 16
iOCATION(Legal Description): '72�5 D81f)/R08d, See attached legal description
�
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Permission is hereby granted to BRIGHTHOUSE NETWORKS of 30432 SR-54 WESLEY CHAPEL, FL 33543
or the construction and maintenance of-
Installation of ne catv conduit&cable within road riqht of wav
I
I subject to the following condiHons:
1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant
2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who
ill be notified at least one day prior to commencement of construction.
3. All materials and equipment shall be subject to inspection by the City Building Official.
4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all
�sponsibility from damage of any nature arising from this permiL Subject to the same terms and conditions,the pern►it holder may take such safety
easures,including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It is the
esponsibility of the permittee to????
5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building O1'ticiaL
6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official.
7. The sketch covering the details of this installation shall be made a part of this permit.This permit is granted with the understauding that the
pplicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a
� esult of his operarions iu order that they may safe guard their interests.
8. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to
this permit shall not operate to create or to vest any property right in said holder.
9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other faciliHes and
ppurtenances authorized hereunder,shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building
Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of the construcNon,
aintenance,and operation of said facility.
11. The holder shall complete the requested work within days or this permit shall become null and void.In the event the work
equested is not completed upon the expiration date of this permit,the City shall have the right to complete such work and ta charge the holder of the permit
�or all wsts incurred in completing said work
12. The holder shall post a cash or surety bond with the City Manager in the sum of$ dollars to guarantee performance of the
iobl�gations herein,and to guarantee maintenance of the right-of-way described herein for a period of one(1)year following completion of the requested
�nstallation.In the event a surety bond is posted,the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in
the event the holder of this permit should fail to meet any of its obligations hereunder.The bond shall also indemnify the City for all court costs aud
easonable attomeys fees in the event legal action is required to collect on said bond.
SUBMITTED BY:
(Permittee) � �r2_ / �
Signature&Title ��/�/ C v�.c /:t-��J^
Address .3O y,3oZ ,S�✓` `� , (it'.�S�zy l�/-'✓7 33�s y�
��3 �.s:5 5-8'y:�.s—
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APPROVED BY:
CTTY OF ZEPHYRHILLS
Building Official
Date•
J -
Utilities Supervisor
Date:
ublic Works 26 sEP i6 � -
E ovrs - REsa� �c� A�ST��t6E'D �e��s�
Date•
City Manager
Date:
ROAD
WORK
END AHEAD
ROAD WORK
A
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LY LY LY ■ � � � ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ fl,
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LY
B Taper Length= %3L Work Area
5ee Table I! END
Table //
ROAD ROAD WORK Taper Length - Shoulder
� WORK Device Spacing-Taper Device Spacing-Tangenf SOd
AHEAD � see Table! See Table I Y�(ft)
� Speed Notes
SPEEDING FINES �mPh� 8 �0 �z
DOUBLED
wHEN wORKERS Shldr Shldr Shldr.
PRESENT
25 28 35 42
Table I so ao so ao �_ws�
Device S acin ss ss ea az 60
Max. Distance Between Devices(ft.) 40 72 90 707
Speed Cones or Type I or Type 1! 45 120 750 180
D/STANCE BETWEEN SIGNS (mph) Tubular n�arke�s Bar�anelsSorrOrums al
50 133 167 200
I Speed Spacing(ft.) Taper Tangent Taper Tangent 55 ]47 ]83 220
A B 25 25 50 25 50
60 160 200 240 �-WS
40 mph or less 200 200 30 to 45 25 50 30 5p 65 173 217 260
45 mph 350 350 50 to 70 25 SO 50 100 70 787 233 280
50 mph or g�eater 500 500
�Midway between signs. 8' minimum shoulder widfh
%L= Leng[h of shoulder[aper in fee[
SYMBOLS GENERAL NOTES DURATION NOTES W= widrn or�ora�shoulde�in feet
(combined paved and unpaved wid[h)
� Work Area 7 When four or more work vehicles enter the thi�ouqh traffic lanes in a one hour 1 Signs and channelizing devices may be omltted if all of the
period or less(excluding es[ablishing and[erminating the work a�ea),the advanced following condifions are met: S= Posted speed limi[(mph)
■ Channelizing Device(See(ndex No.600) FLAGGER sign shall be subs[ituted for the WORKERS sign.For location of flaggers a. Work operations are 60 minu[es o�less.
and FLAGGER signs,see Index No.603. b. Vehrcles in the wo�k area have high-in[ensity, rotating,
flashing,oscillating,or strobe lights operating.
[p Work Zone Sign 2.SHOULDER WORK sign may be used as an alternate fo[he WORKER symbol sign only
on the side whe�e the shoulde�wo�k is being perfo�med.
� Lane Identification+Direction o(Traffic
3.When a side road intersects the highway within the TTC zone,addi[ional ttC
devices shall be placed in accordance wifh o[he�applicable TCZ lndexes.
CONDITIONS
4.For general TCZ�equirements and additional informa[ion,refer fo Index No.600. WHERE ANY VEHICLE, EQUIPMENT,
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WORKERS OR THEIR ACT(VITIES
, ENCROACH THE AREA CLOSER
THAN IS'BUT NOT CLOSER THAN
2'TO THE EDGE OF TRAVEL WAY.
' ' a
LAST � DESCRIPTlON: FY ZO�6-17 lNDEX SNEET
REVlSlON ; FDOT� �i�V�-I.A1�TE, �oV�-�VA�, �V�][t.� Ol'�T �I�O�TI.�EIE� NO. NO.
07/0]/]5 � �- • DESIGN STANDARDS 602 1 Of 1
General Notes JOB LOCATION MAP
ZEPHYRHtLLS o c
" COMI`WONSi .2 �' CamdenAk�e
I,All Catv Ca�hruet�an w�th�n the Publlc 12qhts of Way shall be o-�canf'am�ty A � , �
w�th the I.aal.luisd�ctwn's"Mu��mun 5tzndad5" ,CD A K R U t�! � T 4 W i�V I�W "� Ja L P H� V I L L A t'u E
a�d meet N,E,S,G„�,C,C„M,I1,t,C,l7,a�d F,D,O,f,ytaidards, M E D E C A L' E S T A T E S
2,ihe Ca,tracta shall rot�fq Gall�e,sh�e a,d otlier utll�les prbr ta A R T S C E N T E R �
camrt�err.ertient af car�tnretbn, � , ,
3,Llse the"t7�rectbnal aore MeF�d"for all drNewa cross s, ti- � � I
�}�All open asphalt cutr shall 6�restaed as per ezh�blt�of the � EI�°y�v�' � Pi�dmont Ave P R E T Tl
�,n,o,r,�d�y��,�,�, �. � �'PpN(SH
5�All s�de walk remou�l and replacement shall be re5taed ta �Pin ata�ve R T R A I L S V I L L Q1 G E �Jj j P'0 N D P A
V
the I.aal Jurlsdlet�on's a�d�.f7,0,f,Staidard Speclflcatlon No,522 . : �,._ I`�' - ' `
6,All aerlal ca�tnrcticn shall mau�Fa�a minimsn of 18'dear�r.e parallel ta �augt�tery Rd ' Dauqhlery Rd � (�auyhtery Ftd
aid crosso,q all F,D,O,T,12�of Way, „ ' �'Mill�r-�ve
9,All aer�al ca�h,ructwn shall matrita�n a minimun of 18'dear�ce paall el ta ;? , D i X}E Fi E I G B-I T S �
aid�8'aossUiq all Caa�i{aid Miailclpal�tlez 121o,hts oFVVat{, , 9 Inez Ave
8,All actNe Catv eqmpment eidudtrq brt mt I�mlted to amps,varlts. � Gold�niCbr`tat vt C H IA R L E ST OM Pd
OAaCS
I'S,�d r�sers,nuzt have a 3"x�}"�ticker vls�Me fran road way, ,
9,lhderqrand ublltles have been plotted fran avallble records a7d ' ,
fleld d�ervatens,but are rot necessardy eract,'I}�erefae utlllty laatlan ' �lorida Med ic�l Clf nie H p R:I F T W O 0 D D I W I S I 01� _ ��pap data m201 fi Google
wdl be verifled IOOfk�n advare of trer�ch�q,plav�nq a�cl bortrq,
w that r.aha�qes cai be made m everit of ux�flict,
10,Aestaratton zhall beq�n wtthln three C 3)weeks afker the�nztallat�on
of rable/cauLlt,�ull qrass by seed aid rtulch or sodduq as approaed,
I I,No open trendies to be lefk qx,n wemlc�t,Needs to be backfllled
or covered,(Publ�c 5afety 14�ardJ
12�No erravat�on shall be permrtted wlthln 10'of protected trees
C 20'fa Graid Oaks),A11 uGl�ty mstallat�cn shall be plared by dUectw�al bore
beqmtq a�lde aF protected r�dhs,
STANDARD TRENCH DETAIL
13,1hese dra+�uqs ae fif permltttriq pap��ez anly,
UTILITY LEGEND N11NH 91µ1 ff B�p(F�ID N
uis xor m oa�m ir.�va cop�cna
m�raNr oo�sn ff��s
x PWR WOOD POLE -------•-------- ROW �� �ae'MIN. 12. aa•uiN. ��ra�m eru.srm r-ieo
EOP �� � � � I y p. 5. �aa�n a�a�tcrc/sofuaE,o oaour
� PWR CONCRETE POLE ------------- CENTER LINE �� �� � � �
� PWR S7EEL POLE -------------------- POWER � ��� � �a 2.
jIE ST LJTE -------------------- COMM �ame w�auxr m�auvEn
� JOINT USE TRANS ------------------- TELEVISION �r� m��/��en,�oacwr
� JOINT USE -------------------- WATER
9 FlRE HYDRANT -------------------- SEWER
�••� CULVERT -------------------- RECLAIM
� STORM DRAIN -------------------- GAS
� ���4��~ APPLICATION FOR CITY OF ZEPHYR HILLS PERMIT PROJECT NAME:Adven[ist Health Systems 7050 Gall Blvd COUNTY pASCO
Ch�� TO PLACE 2"CONDUIT&CABLES WITHIN CITY RIGHT OF WAY DATE.9-19-16 SECTION 35 TOWNSHIP:25 RANGE 21
-�-� —�-- _ __ CHARTER ENGINEER Helen Fife DRpWN gy;GLC
(:'Oil:f��it.;z�,�;i, ,imp;;r,;;•
' IOB DESCRIPTION.PLACEMENT OF CARL NUMBER 429333 NTP�NA SCALE NTS
� � i°-e oiaz-4no EXISTING CAT'V CONDUIT&CABLES TYPE OF PERMIT CITY TRACKING#:NA DRAVyIIJG SHEET •1 OF 3
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w � 30'
8, . � . PLANVIEW QF CATV UNDERGROU�D C�NSTRU�TION
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7303 Dairy 17' ',,,; '
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u Proposed Piacement of
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•�m � � 3fi6 ft Catv Cabies & (1) Schedule 4d Condutts
�� -- �i; i � Hand 7rench Mlnimum 30" pepth below grade.
';1 � . Missile Bore Driveways/slabs Mlnimum 30" Depth
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�ie � ole ,#7221 i3 1134' north
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'�d� f CL of Dau hter Rd
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� �M�4�M�1 pppLICATION FOR GI1'1 OF ZGPHYR HILLS PERMIT PROJECT NAME•Advcnrist Heaith Systems 7050 Gali Blvd C01JN'1'Y PASCO
N DATE 9-14-16 S$CTION,35 TOWNSHIP:25 RANGE.21
����_�(� _ � _ TO PLACE 2"CONDUTT&CABLES WTTHIN CITY RIGHT OF WAY
� —CFt�11tTE8'LNGIZIEEK Hel�nPi L —DFtAWN"BY�G
,,,!)1\�9�,�+iUtJ;C+'�',itjt�it� CARLNUMBER .429333 NTP'NA SCALE 1"=50'
� , S JOB DESCRIPTION PLACEMENT OF
t"�—e'�au—ut3s-4TIa EXISTSNG CATV CONBUTT&CABLES TYPB OF PERMIT CITY TRACKING#�NA LIRAWING SHEET 2 4F 3
PROFILE / TYPICAL VIEW OF CATV UNDERGROUND CONSTRUCTION
PROFILE A
TYPICAL CATV TRENCH PARALLEL TO ROAD ROW
LOOKING NORTH ON DAIRY RD STARTING 1134� NORTH OF CL OF DAUGHTERY RD
Row 30' Eop/Row
� 8� Eo 11' C/L 11' �
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grade , i grade
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24"---�----------------- ------------���-------I -----------------------
Proposed Placement of ' T -------------------------- 24�
366 ft Catv Cables & (1) Schedule 40 Condutts � 2�
Hand Trench Minimum 30" Depth below grade. � � ,
Mlssile Bore Driveways Minlmum 30' Depth 30��--- -- ---- - - -- -------------------------�------------------------- 30"
0 2', phone �
36"___�__________________ _______________________+___________________________________________________ 36^
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� �� sewer I
42"---�------------------ -------------------------�------------------------- -------------------------- 42"
A �
60"---�------------------ i------------------------ "
------------------------ � -------------------------- 60
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�2"---�------------------ ------------------------ I -------------------------- 72�
�-------------------------
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NOTE: ALL EXISTING UTILITY DEPTHS & LOCAl10NS BASED ON A
STANDARD, AVAILABLE RECORDS AND FIELD OBSERVATIONS.
WILL REQUIRE UNDERGROUND LOCATES PRIOR TO CONSTRUCl10N.
' A MINIMUM OF 24" VERTICAL AND 24" HORIZONTAL SEPARATION
FROM EXISIING UT1LI11ES MUST BE OBSERVED.
A MINIMUM OF 18" VERTICAL AND 36" HORIZONTAL SEPARATION
FROM EXISTING GAS MAINS MUST BE OBSERVED.
GPR REQUIRED TO VERIFY DEPTHS UNDER PAVEMENT/CONCRETE PRIOR TO BORES
' �+�'�~ APPLICATION FOR CITY OF ZEPHYR HILI.S PERMTT PROJEC'I'NAME:Adventist Health Systems 7050 Gall Blvd COUNTY,pqSCO
���Q� TO PLACE 2"CONDUIT&CABLES WITHIN C1TY RIGHT OF WAY DATE 9-19-16 SECTION 35 TOWNSHIP:25 RANGE:21
� � —CHARTER-EISGiNEER-`HelemFif
�C)t�iivi'.?^NC'�Tti��iS -DRAWN-g •
, , JOB DESCRIPTION•PLACEMENT OF CARL NUMBER.429333 NTP•NA SCALE. NTS
i-°e o iu-4no EXISTING CA1'V CONDUIT&CABLES TYPE OF PERMIT CITY TRACKING#:NA DRA
WING SHEET:3 OF 3
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Legal De.,scription�35 25-21 0010 10300 0010�Pasco County Property... http://appraiser.pascogov.com/search/parcel-legal.aspx.parcel-2125350...
MI�C@ W@��S Pasco Countv Propertv Aooraiser
Legal Description
3 5-25-21-00 30-10300-00 3 0
Assessed in Section 35,Township 25 South, Range 21 East
of Pasco County, Florida
ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 WEST 187 Ff OF EAST 267 Ff OF NORTH
172 Ff OF TRACT 103 EXC EAST 15.00 Ff THEREOFOR 1688 PG 1041
Please be advised tfrat our legal descriptions are for assessment purposes only,and are not
intended for use in legal conveyances.
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