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Home My WebLink About91-1637 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1637-6' Date ELEfAL PLU~G MECrCAL Property Owners Name: Go~, ~_ Job Address: q '344- ~~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of VVork ~S-~5"-~ ( })OJ~~~flo~ ~ Energy Code Readout: ~~ 2 3/-7/ ~ Complete Plans, Specifications and Fee Must Accompany Application $1"""\ "'~ Estimated Cost: o-{J'(5)v All work shal! be performed in accordance with the above and all City Codes and Ordinances. #-"\~ 7J~ Fee: ~ Z~ I SIGNATURE . - ,- COMPANY ADDRESS TELEPHONE # Tp.Serv Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ..-, ,J I 0 ~) dollars shall be made for each k!ip: T Y' a. cL e.. ~ ~ -, CJlJ) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. .. APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT ADDRESS &- 3& i- 7m (#~- ~ PHONE APPLICANT OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LECAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I, D . t~ WORK PROPOSED:____New Construction '----Addition ----Alteration ____,Repair ____Install ____Sign/Temp, _Sign _.t-Iove ____Demolish PROPOSED USE: ____Single Family '_M/F ____t~ of Uni ts ._I'I/H ____Commercial ~Indust, ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: CmU-tERCIAL : A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl'lS.'~* **COPY OF CONTRACT REQUIRED, _ELECTRICAL ,PF.RMTTS REQUESTED $ 2: i Dc!) 0 Valuation of Total Constructiorl / AMP Service Florida PO\<Ier Corp. _H.R.E.C. ~ILDING _MECHANICAL $ Valuation of Mechanical Installation _PLmlBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ******************************************~ [J n I;J /J CONTRACTOR SECTIOI'V\-./1 .,!/ '? ~ nUII.DER %"r\.u::{aA. ~ ( Company ~ State Cert. or Regist. 0 Signature City License Registration " ****************************************** ELF:CTRTCT AN Company State Cert. or Rcgist. 0 Siunature City License Registration 0 ****************************************** PLUMBER Company State Cert. or Regist. Ii Signature City License Registration J ****************************************** MECHANICAL Company State Cert. or Regist. Ii Signature City License Registration!; **********~******************************* Company State Cert. or-Regist. 0 City License Registration 0 OTHER Signature. APPLICATION APPROVED BY, PERtlIT OFFICER. . .'~' '. tONDITIONS OF PERMIT AFFIDAVIT A.': NOTICe: OF DEED RESTRICTIONS;'." Th. und.rsl9ned under.tSnds that this p.r.it "y b. subJlct t~ 'deod r..trlcti~n." which ~ay bo a~ro r.s,rictive than City re9ulatlons. The undoTsi9ned alSUle. responslblll~y for ,olpllance with any applicable deed restrictions. , .:' j:."'~', ~":, . B. UNLICENSED CONTRACTORS ANOdoNTRACTOR RESPONSIBILITIES :,....,... If the owner has hired a c~ntractoror contractors to undertake work, they may b& required to be licensed in accordance with stale and local re9ulatlons, If the contractor I. not licensed as required by law, both the ouner and contract~r nay be cited for a lisdeaeanor violation under state laK.', If the owner or intended contractor are uncertain as to whal licensing requirelents lay apply for the intended work, they are advised t~ contact the City of Zephyrhills Building Departlent, (8131 7IlB-~~11. ' . ',', Furtherlore, if the owner has hired a contractor. or contractors, he is advised to have lhe contractor(s) sign portions of the "Contractor Secllons' of this application for which they will be responsible, . If you, as lhe e,wnor sign as lhe contraclor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per&itting privileges in lhe City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been pro'vidi!dKHh a copy of "Flc,rida's Ce,nstruction Lien Lall - Hc,oeollner's prc,tection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a copy of.the above described d~cument and pro.i~e in gDod faith to deliver it to the "owner' prior to cOlmence~ent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Mill be d~ne in co~pliance lIith all applicable laws requlating construction, 20ning, and land development, 1 .'...' Application is hereby !lade tCI obtain a penif to' do Kork andinstallatic.n as indicated. I certify that no wc,r~ or installation has coaRenced prior tD Issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws regulating construction, City codes, 20ning regulations, and land development regulatiDns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions 1 aust" take to be in compliance. Such agencies include bnt ~ll! 1i[llli.lited to: I Depart.ent of Environ~ental ReQulation - Cypress Bayheads, Wetland nreas and Environmentally Sensiliv~ l3nds, Water/WasteKater Treatment I Southwest Florida Ilater ManaQelent District - Wells, Cypress ~ayheads, Wetland Areas, Altering Hatercourses I ArlY Coros of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Wflls, WasteHater Treat~~n~. Septic Tanks I US Environ~l?ntal Protecti~n AQenci - Asbestos abatement. I also certify that, if fill IIiIterial is to'be used in Fle,od Ze,ne "fl" or "i'l,etc.',' it is understelc,d tl.~t a drainage plan addressing a "cOlpensating volu.e" will be 5ublitted lIhich is prepared by a professional engineer reqist~(ed in the State of Florida prior to permit iss~ance. A pereit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ihall becole invalid unless the work authorized by such perllit is cOIll\enced within six months of issuance, ~r if llC'l~ authc,f],ed by the perlit is suspended or abandoned f~r a period of six lonths after the time the >>~rk is co~menced. One 90 day e:IE~5ioll of tile, Jay be allowed for the per~it Hith fee charge of $15,00. The extension shall be requested in uriling t~ the Building Official. An approved inspecticln l!Iust be le.gged .during each six Mnth period, e,r the prc,j\:ct Iii II be cc,nsidered dba\idc'rli?d. WARNING TO OWNER: YOUR FAI~URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUH PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO ECORD AND POST A "NOTICE OF COMMENCEMENT". __~~~~_____ SIGNATURE_~~~-~-- OWNER OR AGENT . CONTRACTOR SIGNATURE_ DATE_____~~_~=-~~------------------------ NOTARY AS TO /~ I ~ Ib OWNER OR AGENT i41f)JtfJ!Ed.0:(;.2'i;..~-:i--- MY COMMISSION EXPI~TARY PUBLIC, STATE OF FLORIDA My ~mnmISSlmrE!XPtres-J:!rr.-?75';' "t ~!t!t Bonded thru Patterson. Becht Agency DATE -------------------------.---------- '7-11-9/ NOTARY AS TO /J ~ ' ~.p CONTRACTon_~6k~~.<:~:?'~"'tW;:/----- MY COMt'1I SS ION E1)I.QIA~~~L1C, STATE OF FLORIDA ~yc6fu ~n~~rn~Thn~~S-r995 Bonded thru Patterson - Becht Agency MILLER ELECTRIC COMP ANY "Quality Service Since 1928" July 10, 1991 City of Zephyrhills 5335 8th St. Zepherhills, FL 33540 RE: General Construction and Electrical Permits To Whom It May Concern: Please consider this written authorization for Mr. Richard Milligan to act on my behalf to sign for General Contruction and Electrical Permitting in the City of Zephyrhills for the installation of satellite dishes at the Barnett Banks. We thank you for your consideration in this matter. Very truly yours, MILLER ELECTRIC COMPANY ~~ Vice President EC 0000388 CG C047556 SWORN TO AND SUBSCRIBED before me this 10th day of July, 1991 Jb~.~_r;LAk"4~ . ~.______ Notary Public State of lorida My commission expires: 2/22/94 2251 ROSSE.LLE. STRE.ET (32204) r.o, BOX 1799 JACKSONVILLE., FLORIDA 32201 904/388-8000 FAX 904/389-8653 CERf. NO. EC,l 1 I'[S ~3E:', [1.:.\L l:HEREhCE .\L\.';L'.\L .. -'"'1 ;,"':,'/- : r U 1_.....1 I ,~ . ..... "'I ,'" "" t -... . t. I ,.. SHieLL! e C~3ii~L ~~c / PES2.628 Item Number Part Number Description Quantity 1 01 64-084 Canister Assembly 1 2 0181-235 Azimuth Collar 1 3 8307-007 5/16-18 x 0.50" Set Screw 3 4 8317-005 5/8-11 x 2.00" Sq. Hd. Screw 8 5 8105-007 5/8-11 Hex NUl 8 6 83 1 7 -004 112-13 x 3.00" Sq. Hd. Screw I 7 8104-007 112-13 Hex Nut 2 8 8200-0] 7 1/2 In\. Tooth Lockwasher 2 Figure 5-3. Canister Assembly (2.44M) 7-5-6 4' '[1"0;'1 : .Di 1 ip L Kc,thel<..ar,P, E, 904-7~7-1137 , . . OILIP L. KOTHEKAR, P.E, Con.ulllnu Enulnoor JACKSONVILLE. ROIlIOA /'-lov, 05, 1990 11 : 33 At1 P02 C~A~CII~"HIl ~y /)L)( MIL l..E. R.. JOb TITlE __'_'" ., ... .. ___ c LE. 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D,I SH: : : ; /, '8 ....:.......'., ,... "T'" .....1'- , ) ...).'.. j..'.. .....!....'...-; ......i........'...!....... "'I'" . ...... no ......j i . ! ... \" j..... ...,..-f..... ......r'I-'" -.,..1 CHfCl<EDBy.......... ....._ DATf_......____ SKCTCII NO. ~ k - MIL !:::.~..~ ..:s..__8CAI E 0/8' . S~(lJECT: ~~. 4 .~_._~I S H / /, 8 NJ . I Ivf 0 U AI r ~ !) A Arr1:.N fJA JOEl. NO. __.. ..._~!.$ H (JOLt:. SH ____ or .. . . . ; ............~.,...........~.... .. .~ . .. .~. ........-t. ...........! . , . . ...................................-".......-_.....1, . . . . I , . . ... . .. ~ .. ;' . , . .... ....-7-..._......~.............t....._.....~. .... '.. ....; M .....81....~~...; : T7. : .. ........+ , ....... j , I I r"~^'~---~l 0 COMPUTER 1.li/II/I.III:I.IIIII:111111 0 1181 ~ A_. Suite 110 Eul JacaoIwtIIe. Florida 32204-21187 P<* 0Ilk:e Box 2388 JacaoIwtUe. Florida 3223H:1076 lI04j3liO-1<<lO A. CUSTOMER DATA Personal Earth Station site Survey Report Barnett ComDutinq CUstomer Name PES site Name Customer Address BARNETT BANK TOWNVIEW SOUARE OFFICE 7344 GALL BLVD TOWNVIEW SO SHOPPING CTR ZEPHYRHILLS . FL 33541 Bank# 51 Branch' 11 City / state / ZIP County Primary Contact Alternate Contact Alternate Contact TOM CORONA Phone Phone Phone ( ) (813)225-2284 ( ) Does Barnett own the building? No If No, complete page #6 Yes --X- B. SITE ELEVATIONS/DISTANCES Rooftop (Number of Floors) Roof Lines (Height of Building in feet) Comments: 1 15 Distance to nearest site property boundary(feet) North 30 South 30 East 30 West 30 C. ANTENNA AND MOUNT TYPE Antenna Size 1.8M -X- or 2.4M NOTE: Indicate three options , if possible, by inserting option number after the mount type. Short Pole xtl Tall Attached Pole Tall Free Standing Pole__ Wall Mount Non-Penetrating Mount ___ NPM : Manufacturer Location : Roof Ground Tethering available on roof? Yes-X- No___ Comments: TETHERING IS NOT NEEDED FOR THE POLE HAS ALREADY BEEN CONSTRUCTED AS PART OF THE BUILDING. THE POLE RUNS FROM THE CENTER BASE TO AND THROUGH THE ROOP. D. SITE ACCESS Check method of installation/delivery of PES antenna/hardware. Crane/boom Exterior ladder ~ Freight elevator Other Explain Stairs Scaffold Hoist truck -X- Interior ladder Ceiling hatch dimensions: (, \ B. LOCATION OP INDOOR EQUIPMENT(provide data for all options) DIU location ROOM SOUTH OF TELLER LINE NEXT TO VAULT Is location environmentally controlled? Explain Is an AC power outlet available for DIU? Explain Total length of IFL cable required from DISH to DIU 50 feet Describe cable route CONDUIT HAS ALREADY BEEN RUN PROM POLB TO DIU LOCATION. NO YES -L NO YES -L Type of cable required: PVC -.1L Plenum Is conduit required for IFL cable? (Inside) Explain NO -L YES Type of conduit: Type of conduit: Notes: PVC PVC EMT (Inside) Length EMT (Roof) Length Antenna Ground Wire: (#6 gauge) Is 8' ground rod required? ___ Yes -.1L No If NO, describe location where ground wire will attach. ATTACH TO POLE WHICH SHOULD BE GROUNDED. If YES, note on roof drawing location for ground rod and ground wire route. Estimated Length ____ Option #1 ~ Option #2 ____ Option #3 Notes: NOTE: Mount and antenna equipment electrical grounding must conform to HMS spec TM 70040a-1 and applicable codes. (2) .... CUSTOMER DATA BQUIPMENT INFORKATION Type of Computer Equipment/Controller(s): # of Units 3X74: 4701: --1- SYS36: ATM: ~ AS/400: WANG: Notes: Location CONTROLLER ROOM OUT SIDE OF BUILDING Describe DTE cable route from Controller to the DIU location: Length 3X74 #1: 3X74 #2: 3X74 #3: 4701 #1: 25 4701 #2: SYS36 #1: _SYS36 #1: ATM #1: 150 _AS/400#1: WANG #1: Notes: IN SAME ROOM AS DIU HAS ALREADY BEEN RUN (ATM OUT SIDE 0... BLDG) Note: Sketch DTE cable routes on floor plan drawing. G. SATELLITE INFORMATION Satellite to be used GSTAR-1 Location (degrees W) 103 dea' Transponder Antenna Azimuth 219 Antenna Elevation 49.9 site LatitUde 28.1 site Longitude 82.1 Timing Offset 4138 Polarization -8 Is there an unobstructed view to the satellite? YES X Arc blocked from to west longitude. Items to be removed/moved for unobstructed view. No Are there any satellite, nearby? Building Address Describe Antennas microwave, or other antennas installed NO L- YES (3) H. I'IELD SERVICE ACCESS Will ladder, lift truck, scaffolding, etc. be required to access and service the outdoor electronic equipment and antenna? Antenna option #1 NO -.1L YES Antenna option #2 NO YES Antenna option #3 NO YES Explain Explain Explain SHORT POLE I. ROOI' CONSTRUCTION Roof Type:-x- Flat & Level Notes: Flat & Sloped ___ Pitched Roof construction: Notes: wood rafters concrete slab -L steel Decking:___ plywood/composite Notes: concrete -L corrugated steel Waterproofing shield: ___ asphalt deck ___ surface coat (non Notes: wood shingles critical surface) membrane -L tar/pea gravel Is roof or surface now under warranty? When will the roof be refinished? NO YES -L I I Is any particular contractor required by building management? NO -L YES Name: Address: City,st,Zip: Contact Name: Telephone: Notes: Are there any other structures on the roof? Describe: AC UNITS NO YES -X.... Are there any existing building entries for IFL cable? NO YES -L Describe: CONDUIT PREMADE POR IFL CABLE ALREADY INSTALLED. NOTE: Attach drawing mount (cross section measurements. or blueprint of roof structure for roof of beams, etc.) clearly showing all (4) J. WALL MOUNT (complete for wall mount only) N/A x Wall type: Explain Building exterior mount Freestanding/wall support Penthouse Other Is access to backside of wall available? Explain Supporting structure: Concrete masonry ___ Poured/cast concrete Explain NO YES Structural steel wood/metal stud Other Wall/surface materials: Brick/block Glass stucco Other Explain Siding Metal Concrete Tile Shingles plywood/sheeting Are any other structures mounted on or attached to this wall Explain Are there any existing building entries for IFL cable? NO ___ YES ___ Explain NOTE: Attach drawing or blueprint of wall mount and wall showing cross section of structural support. L. SOIL CONDITION INFORKATION FOR GROUND MOUNTS. N/A x Firm Marsh Other Rock Sand Subsoil obstructions ___ Clay ___ asphalt Trench from antenna footing to building entry point feet. Will trenching require repair/replacement of walkways or drives? NO YES ___ Explain Provide following soil parameters if available: Allowable foundation pressure lbs/sq.ft. Frost depth ft. deep. (5) M. BUILDING INFORKATION Is Landlord Approval Needed? NO -L YES Are future building additions/changes planned? NO -X- YES Explain BARNETT OWNS BLDG BUT NOT THE LAND. BUILDING LAND OWNER Company Name Address City / State / ZIP County Primary Contact Alternate Contact BUILDING OWNER Company Name Address City / State / ZIP County Primary Contact Alternate Contact Phone Phone ( ) BARNETT BANK Phone ( ) Phone ( ) BUILDING ARCHITECT/ENGINEERING I'IRM Company Name Address City / State / ZIP County Primary Contact Alternate Contact If. PERMIT INFORKATION Phone ( ) Phone ( ) Are building/construction permits needed? NO Explain YES ___ If not required, state source of information Are electrical permits required? Explain NO ___ YES If not required, state source of information (6) N. PERMIT INFORKATIOlf CONT. County Building Inspectors: Contact Name: City/Town Building Inspectors: Contact Name: Phone ( ) ) Phone ( If required, did you attempt to obtain permits? NO -X- YES Current status of permits: Obtained Denied Explain In process Is a wind load study required? Explain NO YES If required, is it complete and available? NO YES SITE SURVEY REPORT CERTIPICATION I have performed the survey at this site and certify the information provided in this report to be correct: Signed Print name Title Company Telephone Date 06/11/91 MATTHEW V. GRIEB INSTALLER CPI (904)350-1400 NOTE: Attach to this report, a drawing no smaller than 8 1/2"X 11" of the site. Drawing should include a legend and show equipment locations, trenches,AC panel locations, IFL cable runs, etc. The drawing should show both plan and elevation views. The position of the site with respect to true and magnetic North should also be shown. Photographs should also be included if possible, and be labeled as to antenna location etc. Attach photocopies of any permits, variances, etc. which have been obtained. ICOMPUTERI o o 661 Riverside Avenue. Suite 110 East Jacksonville. Florida 32204.2987 Post Office Box 2388 Jacksonville. Florida 32231-0076 904/350-1400 r'1~-fAl.: -; '1!z.- D'::- .A- <D Iv n t- .1:1;;- i ~ I J I -II ICOMPUTERI o o 661 Riverside Avenue . Suite 110 East Jacksonville. Florida 32204.2987 Post Office Box 2388 Jacksonville. Florida 32231.0076 904/350-1400 fPc. (c1'1)J ,;,IJ I DJ0- L celt-- r;L. 6'1 {( I 1 7t:' t~l.-L L /? /~) " l' /1---' jt~:~' I .. 1-,' .;:- . ; ::'. .. ..\~' .~. r ':~ _. --,.,'--. - - - -~-I--. Iff ";""J :jlt . . a = I SJ , @) "&J !m . Ji. Ii I a ~ I I. ~ =.}oI l- I = :!I' I a g Air i ... . ~ (2) 'II · Sitf o =i ~ ~ I _, II ~ I 1;1l --5 .. a i..! .... ~ M:!J I. . !lu l I J .,"- ili a (c5)~ /\~j f.. .'\. / JL~ ~ ~ ;~ ~" ../ Y ,fclV ~~ '\ .p. '^ l ,," {f'~'- ~ . ~ \)!Y1 '- ' ;:;'d ~\ A? 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