HomeMy WebLinkAbout20-665 L D
o`ii n City of Zephyrh ills 3, ,Y x r-_.
;�"PE_RMIT NUMBER
-. 5335 Eighth Street
Zephyrhills, FL 33542 BGC-000665-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/02/2020
Permit Type: Building General (Commercial)
Property.'N'iinber Street,Address
1126 210010 15300 0130 5Th Ave Btwn 7Th St 8Th St
`Owneranformation Permit Information "Contactor4lnformation
Name: Permit Type:Building General(Commercial) Contractor: CITY OF ZEPHYRHILLS
Class of Work:Right of Way Temporary Use
Address: Building Valuation:
Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:
Amount Paid: «cJJJ
Date Paid:
PmectaDescr'iption. .'11
5TH AVE BTWN 7TH ST AND 8TH ST-FEE WAIVED
Application Fees ..,_.
3t
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government 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 subsequent reinspection.
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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning 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."
Complete Plans,Specifications add fee 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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
DATE: 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 operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete
scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this permit is to be
kept readily available at the site of the work at all times.
PARCEL ID 11-26-21-0010-15300-0130 CITY ROAD 511 Ave between 7th Street and 8th Street
LOCATION (Legal Description):
City of Zephvrhills MB 1 PG 54 LOTS 13 THRU 19 BLK 153 OR 8025 PG 729.
Permission is hereby granted to John Bostic, Utilities Director of the City of Zephvrhills
For the construction and maintenance of:
Monitorinq well for environmental sampling. Soil boring'will be performed by hand auger to 5 ft below ground surface. A flush
mount monitor well will be installed to a depth of approximately 40-50 ft for water quality sampling and monitoring.
Subject to the.following conditions:
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
will 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 responsibility
from damage of any nature arising from this permit. Subject to the same terms and conditions,the permit holder may take such safety measures,
including placing and display of caution signs, as it may deem necessary in conduct of construction and maintenance work hereunder. It is the
responsibility of the permittee to????
5. All private and all City property shall be restored to its original condition as far as practical in the opinion of the City Building Official.
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 understanding that the
applicant 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 result of his operations in 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 facilities and
appurtenances 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 construction,
maintenance,and operation of said facility.
11. The holder shall complete the requested work within 30 days or this permit shall become null and void. In the event the work requested is not
completed upon the expiration date of this permit,the City shall have the right to complete such work and to charge the holder of the permit for all
costs incurred in completed 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
obligations herein, and to guarantee maintenance of-the right-of-way described herein for a period of one (1)year following completion of the
requested installation. 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 and reasonable attorneys fees in the event legal action is required to collect on said bond.
SUBMITTED BY:
(PERMITTEE) John Bostic III, Utilities Director
Signature&Title
Address 5335 8th Street, Zephvrhills, FL 33542
APPROVED BY:
CITY OF ZEPHYRHILLS
i
Utilities Supervisor Date
Public Works Date
Building Dept Date
City Manager - Date Q
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MONITOR WELL CONSTRUCTION
Surface Completion: Stick-up: Manhole: x
Slab/Ground Surface
Type of Grout: Cement
Type of Seal: Fine Sand
��16.r�,liJ 'rr
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ip.: Temporary Screen
y1Z.o.j
Type: PVC
Diameter: 1"
Length: 5'
i;'r,aE'i' iG•ij:i gii:iiiaj,,,(:j.;
Slot size: 0.01011
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Filter Pack
Material: 20/30 silica sand
" Ij fi79 iiviii 2 f`N'
Bottom of borehole: ; :';:;i'; 'i��:;i:ii!: Well Depth: approx (40 -50')
::ui:; i:.l
_Hole dia: 4-inch.
F.
NOT TO SCALE
JonesEdmundD
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