HomeMy WebLinkAbout98-7886
BUILDING PERMIT
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
(813) 788-5262
PLUMBING
Permit
7886 B
~'rJ. ~
Date
~- ? - 7 V
BUILDING
MECHANICAL
Sewer Conn
Pwperty Owne, c!~..4 U'il {2,J~~,
Job Address: 'O,s-o
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning: /1 ... ~~nerg~~od~:
Description of Work ~~ ~A
Radon Gas:
ii, .,,;/.L:.. J
(GJ- -?-LA.)
/
/{LX L/ 0
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Valuation or
Contract Price
,~
Permit Fee
Signature
Company
Address
Telephone#
City License Registration #
State Certified License#
LJ~l4~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($16.0Oi shall be made for each trip for each trade:
~-: iJV
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~~A
ra
... . ....'lI
...... . . ~
Florida Department of
Environmental Protection
r21''''~._I)'
tit"
.... , all
Twin T..... Ollle. BIq. . :600 Blair ~'_.a...l . T.II-L....- 'I'F. FWWa J2S~
NOTICE OF 'ASBESTOS REMOVAL PROJECT
TY'fI! OP NOTICE: C Original 0 Revised 0 CanceJled 0 Demolition
L Fal;llrty Name East Pasco Medical Center
Add~~ 7050 Gall Blvd.
Ci:v Zeohvrhills. Sm. FL CountY Pasco
Site Surveyed by
Bulding:)~ 12 X 40 ( Square Feet) # of Roars 1 Age in Y e~ 9 Prior' Use CatS can
II. Fee Receipt Wi" Be Sent to Address in Block Below: (Print or Type)
, OWNER PROJeCT NUMBER
I i Fee CheCK Number
I Other
.
III Faolitv Owner East Pasco Medical Center
~dd~ 7050 Gall Blvd.
~. Zephvrhill~.
State FL
Phone (813 ) 788-0411 Ext./11311
Zip 33541
___.u__.........___.._____....___;..,~..._..._._.__.
IV. ContrClc:tor'S Name L.::i. w ~J.son t"av~ng
Add~ Wilson Drive
Gty: Zephyr hills,
Phone (
State FL
Ronda license No.:
Zip:
33541
V, DEMOUTION 0
REMovAl C
DEMOUr:ON WITH NO A01If]
Em~ency 0
,~nua! 0
Removal: Start Date
Finish Date
! Demolition: Start Date 08/"'/98
Finish Due 08/';t98I
VI. ReMovALlDEMCUTlON P~OCEDUP.fS TO Be useo
Strip & Removal
V\let MettlOd i -Dry Method
'"MUST OaTAI'I ~R DEP A/IfIf4.0V/4A... BEFoRE USING..... DRY METHOD!
VlL w~ Disposal Site ~e
Address
VIII. Fee Calculation & Type of RACM in Renovations 0" ACM in Demolitions
RA01~
(cirda Yes 0,. No)
Square Feet Surfacing Matenal_._._.~._ Yes ____NoX_
Linear Feet P"lpe.________oo.____Yes___Nox..
SQUare Feet Cementitious Material.__ Yes.___NoX_
Square Feet Resilient Roonng......__....__..Yes_Nox...
Square Feet Asphalt Rooting.,_____.._ Yes ...___._.NoX_ .
Total MCM (square + linear feet)
$ Endosed (See Fee Schedule) !Xl O1eck if Demolition Only
Bulldozer
Exclode
Wrecking Ball
I Bum Down
City
Oan
S1ate
IX Asbestos Wasra Transporter'
Name
Phone (
X. Procedures (or Un~ected MCM
l'"
July 29. 1998
(Date)
Postmark
Fee ReceIVed $
GO'd
00ll18-
Date Received
~:G't
'..
86. 8 [n[
8SU9-U17L-~!8:xe.:l
lsra lS~lnnS ~~~
~ 09:21 FAX 813 241 8737
GLE ASSOCIATES
IC002
..
.. II
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SUMMARY OF BULK SAMPLE ANALYSIS
East Pasco Medical Center
S.mple Location
Sample Type
Fiber Type
01
12xl2 Beige Floor Tile
100% Polymer, Quartz. Calcite, Clay. Mica
Adhesive
NAD
02
12xl2 Beige Floor Tile
100% Polymer. Quartz. Calcite, Clay, Mica
Adhesive
NAD
04
Ceiling Tile
100% Cellulose. Bindc::rs
os
Ceiling Tile
100% Binders. Cc::l1ulose
06
Ct:iling Tile
100% Cellulose:, Binders
07
Drywall
92% Gypsum. Quartz. Calcite. Clay
8% Glass Fibers. Cellulose
Backing
100% Binders. Cellulose
08
Drywall
8% Glass Fibers. Cellulose
92% Gypsum, Quartz. Calcite. Clay
Backing
100% Binders. Cellulose
09
Drywall
8% Glass Fibers. Cellulose
92% Gypsum. Quartz. Calcite, Clay
Backing
100% Binders. Cellulose
10
Roof Shingle
80%
20%
Bitumen, Quartz, Calcite, Mica. Aggregal.c
Glass Fibers
Felt
I 00% Cellulo~-,j3inders
lJ
Roof Shingle
80%
20,?1"
Bitumen, Quartz. Calcite. Mil;~ Aggregate
Glass fibers
Felt
; h. :.
100% Cellulose, Binders
l~~~;
. Pola,i:I:ed Ughl Microscopy coupled with di8persion is tne techniQue ~ ~licatlon In acc:ordance witn EPA-llOO 8nd EPA 40 CFR 711a.
-- The pe,cenlilge 01 eacn component Is 'II5ually eslimated_ The result 01 thiS lII'liilysi& ,e'ale only (0 lJIe rnatenallesllld. Tne repon shall not b. used 10 claim
producl..ncIo.........m by HVLAP or any sgency 01 the U,S Government (> 1"'- 9'"le. Inan one p.rCIIf'II, <I % IM~ ,nen """ ",,~ll