HomeMy WebLinkAbout04-2825
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CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
2825
Permit Number: 2825
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
Proposed Use: NOT APPLICABLE
Contractor: MORTON ELECTRIC
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/15/2004
I Total Fees: 44.00
I Amount Paid: 44.00
__ Date~ Paid: . 3/15/2004
Work Desc: POWER SUPPLY FOR CATV
Address: 5231 1ST ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: LAURIE DOYAL TRUSTEE
Address: 5231 1ST ST
I ZEPHYRHILLS, FL. 33542
L-_Phone~ ~__
ROUGH ELECTRIC
FINAL
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- J:{~.LNI::3.1:'~C'l'.lUN ~:n when ext:ta-r-rrstfe'ct:iofi~~t:rYpsaren'fiecessa:ry---aue'Eo-any-on:e-o-r-t:.ne----~
following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for
each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or
corrections not made when inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to
the person owning same
~nnwarn1:i:lg-l:oowner~our~---uurure'--f'~reC6x'Qa.-not1ce'--o-r-commencement mayn~resure-1:.o.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 and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
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PERMIT OFFI
FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-th street
(813) 780-0020
ELECTRICAL PERMIT
2825
Permit Number: 2825
Permit Type: ELECTRICAL M ISC
Class of Work: ELECTRICAL M ISC
Proposed Use: NOT APPLICABLE
Contractor: ATA ELEC. CO.
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/15/2004
Total Fees: 44.00
Amount Paid: 44.00
Date Paid: 3/15/2004
Work Desc: POWER SUPPLY FOR CATV
ELECTRICAL FEE
Address: 5231 1ST ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: LAURIE DOYAL TRUSTEE
Address: 5231 1ST ST
ZEPHYRHILLS, FL. 33542
Phone:
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PRE-METER
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ROUGH ELECTRIC
FINAL
KJ:HN:::H'l:!;C'l'.LUN J:o'l:!;l:!;S :--wnen-eXEra--rnsp-ect~oncr1ps are necessary due to anyone or--tlfe
following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for
each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or
corrections not made when inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to
the person owning same
---uwarni:'ng-.t:o owner:~-Y-our fa1lure to 'recora. a not1ce orcoillmencement may result 1n 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 and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
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CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
PHONE CONTACT FOR PERMITTING
JOB ADDRESS
5~3J
DOl/aL T('~)tcc: /l3n~lrf ;!OtfJL
1ft 5f:
A+A
PHONE 7,}.,7 - q 3f' - 7;),,;)1/
OWNER'S NAME L tlfJ r-i-L
LEGAL DESCRIPTION: LOT (S) ~ /cJ. BLOCK tf1h
PARCEL ID # ID -a"-,,(I- DOlO -()qlo 6() - 001,)...
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
[J ADDITION
[JALTERATION
[J DEMOLISH
[J REPAIR
~ INSTALL
[J MOVE
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JMUL T I - FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
CJ RESTAURANT
DESCRIPTION OF WORK
(lUll
& HEALTH DEPARTMENT APPROVAL
IJ,I.~k>r ~~C/fP1; hI? CRTv
.
SQUARE FOOTAGE
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
J251 ELECTRICAL
/;D
AMP SERVICE
fi9 FLORIDA POWER
[J W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
[JGAS
[J ROOFING
[J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
A/. t/<:?
/y"'----
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREA[J YES [J NO
SIGNATURE
GO~. '. C...... TOaL SECTION
.. .. ".-, ,-c'" -,:-,- _",...,
BUILDER
COMPANY
STATE CERT OR REGIST #
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ELECTRIC::Z (i/tsi
SIGNATURE ~~
COMPANY
AtJJ
E lee me
8).tJJ
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions~ whi~h
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations 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 my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned fora
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
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 UR LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VA E10 NOT NEED TO ECORD AND POST A "NOTICE OF COMMENCEMENT".
d
SIGNATURE: OWNER SIGNATURE: CONTRACTOR
acknowledged
, 2<L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid DUd not take an oath
Dwho has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
MAIL ,0: , '. " ." "tJ;.
a'A8COCOUNTY DEVELOPMENT' REVIEW
WEST PASCO GOVT. CENTER S-23O
7530 LlTllE ROAD
NEW PORT RICHEY, Fl 34654
(727) 847-8142
(352) 521-5144
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No construction, under ground or above ground, bf any facility, shall be accomplished on any County Rights of Way without written approvallrom
. the County, Any application lor approval ot construction operations on any County owned Rights 01 Way shall furnish a detailed drawing showing the
complete scope ot the proposed work in quadruplicale 10 the Counly for review and approval prior 10 Ihe commencement of any work, A copy of thla
permit muat,'be kept readily avajJable at the alte 01 the work at all tlmea., '\
Sec No, T 'I/o R Counly Road ,/,:,1" '/!"'''' ,",1/"/ Dale /0 ..--:f;/. 03
Permit For t' .,t,(: ,.(}'~'c.Ui;'ljl,/l- / II~--
(Project Name)
RIGHT,Of-WAY USE PERMIH
PA~CO CQUNTY
- USE PERMIT -
l' U)I I (' j.., /)...l); '" (,
MS~~;!.~n~ 6~~IN '~;
(800) 432-4170
- 48 hours prior to excavation -
GENERAL INSTRUCTIONS
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LOCATION (legal Descriplion)
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(Name ot Permittee)
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for the conslruction and maintenance ot
Permission is hereby granted 10
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(Descrlpti'~n 01 Work)
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subjecl 10 the following conditions:
1, The construction and maintenance of such utility shall not interfere with the property and rig hIs ot a prior occupant.
2. All work shall be done in keeping with the standards of Pasco County and at the satisfaction of Pasco County. who will be notified atleasl
one day prior to commencement of construction.
3. All malerials and equipment shall be subject to inspection by Pasco County,
., 1. Durir\Q construction all salety regulations of Ihe Florida Department of Transportation shall be observed; and Pasco County shell be relieved..
of all responsibility Irom damage 01 any nature arising Irom this permit. Subject to the same terms and conditions, the permit holder may take such
safely measures, including placing and dlaplay of caution signs, as il may deem necessary in conducl of construction and mainl8MOCe work hereunder,
5. AUprivale and all Pasco County property shall be restored 10 its original condition as lar as practical, in the opinion 01 Pasco County,
6. All underground crossing installations shall be laid at such depth as may be specified by Pasco County, unless otherwise authorized. Installa-
t/Qn 0' utJU.... under County roada ahall be by lacking and boring onty.
7. The sk.tch (four copl..) covering the details of this installation shall be made a part of their permit. This permil is granted with the underslanding
th&t the applk)am haa noUned all other utility users In the area covered by the parmll and lakes full responsibility lor any darnage incurred by prior
inslallations aa a result of his operations, He also takes lull responsibilily tor notifying any and all utility or underground users of his proposed operations
in order thaI lihey may safeguard their interests. '
8.11ia ell pressly stipulated that this permit is a license lor permissive use only and thatlhe placing 01 facilities upon public propertypursuanl
to this permil'lhall not operate to create or to vest any property right in said holder. '
9. Whenaver Pasco County decides 10 further exploit the County Rights 01 Way, any or all 01 said poles, wires, pipes"cables or other facilities
and a~r1enancea authorized hereunder, shall be immediately removed trom said Rights of Way, or reset or relocaled lhereon 88 required by Pasco
Count~ at the expen.. of the holder of this permit.
10. The holder shall save and keep Pasco County harmless Irom any and all damages, claims, or injuries that may occur by reason 01 the construc-
tion, maintenance and operation 01 said laclllty. '
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11. The holder shall complete lhe requested work withi(4"'30i60I9O.t1&P 91~r this permit shall become null and void. In the e\lent the work re-
quested is noI completed upon the expiralion date of this permit';"'Pl1ldtl"unly shall have the right to complele such work and to charge the holder
of the permit ,lor all costa Incurred In completing said work.
" . 12. )rhe "ermltt.. shall post a cash or surety performance guarantee with the County Clerk, Based on a coal estimate prapared by the permittee's
l engineer and approved by the County. The amount of the guaranlee is to be an amount equal 10 125% of Ihe coat to COfl8truct the powmItted lnIprovemenls.
')rfthe event a surety bond ia posted, Ihe said surely bond !thall be made payable 10 Pasco Counly and shall obligate the surety '10 hold lhe County
f. harml... In tile event the holder ot this permit should faU to meat any ot Its obligations, heraunder, The bond shaH al80 lndernnlty Puco Counly 10f
aU court cost, and reasonable attorneys fees in the event legal action is required to collect or said bond,
13, The permltt.. shall posl a cash or surely maintenance guarantee with the County Cler.k based on a coal estl~ate prepared by lhe permittee's
I engineer and lilPPfoved by the Counly, The amoung of the guarantee is 10 be an amount equal to 1 Mob 01 the 9081 to construct the permlUed Improvements,
\In the events surety bond is ~ted it shall meet al~,th~e cr~teria state~ in No. l~.a~ove.',., ,J ;,. I,,' , ...'1:.~' t. 'Ii, i
14. SPECIAL CONDITIONS i.., .-",:,,;.,' /0, ,.","i.-' ,)..{,.,,.~:.tl;l,,f'I..', ,I ,;'Ilf..",rll1tAe.'B.j.t'~"jl/.,;I, ,,;1
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APPROVED 1i~t.Jq L,~io' ~-- t '.
Utilities servi~~' . '(/J r' I ,I ) J r
, Traffic RevieJ). I "ld_ J j .I 1 I t- 14'1' (" i. ;I.
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Permits & I~ion:l i
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., Public Works~
Guaranlee E~timate Review: /;-:,,',..
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Developmen' Review Approved: (/ AJJ . /1.'
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SUBMITTED BY: K I it -.t12-.... ~
Signature
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Prinl Name and Title
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Mailing Address (Slreet, Ci
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Fee $ -t7Tt----.-----
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Telllphone Number (Include Atea Code)
BRIGHT HOUSE NETWORKS
GENERAL RIGHT OF WAY PERMIT
EXHIBIT" A "
Bright house Networks daily activities that do not require a specific right of way utilization permit
when working within the bmmdaries of Pasco County right of way
NFW Customer Service
1. Installation of service drops from serving location.
2. Installation of new aerial distribution cable from existing poles.
3, Installation of 8 second aerial distribution cable from existing poles.
4, Extension of existing aerial distribution cable from existing poles.
5. Installation of anew bW'ied distribution cable that does not cross or begin in the pavcement.
6. Extension of an existing buried distribution cable that does not cross or begin in the pavement.
7, Installation of two way four inch conduit system that does not cross or begin in the pavement,
8" Extension of a two way four inch conduit systam that does not cross or begin in the pavement.
9. Installation of a new pole line.
,,) 10. Extension 0( ~ pole li.nc providing it does not encroach into an Wlderground utility area.
11. Adding of new equiptment to existing cable.
12. Pulling in new underground feeder cables in an existing permitted manhole and conduit system.
13. Digging of B splice hole to splice 8 new cable or changing equiptrnent.
14. Diging of a splice hole for cable acceptance testing for quality.
15. Digging of a splice hole to change the size of a cable leg for new service.
Maintenance of imtku! CATV Facilities
1. Replacement of existing service drops,
2. Replacement! repair of an existing aerial cable providing other aerial utility service still exist.
3. Replacement of existing poles providing other aerial utility service still exist
4. Replac.-~ repair of existing equiptment.
5. Rep1acemont! repair of an existing underground feeder cable in an existing pemritted manhole
and conduit S}1Item.
6. Pumpina water out of a manhole to maintain underground cables in conduit system.
7. Diging of splice holes to locate and repair damaged cables.
8. Digging of 8 splice hole to change the size of the cable,
9. Disging of a splice hole to add a sidA? leg off feeder cable.
10. Digging of a hole to repair braken. conduits.
11. Diging of 81plice hole for cable acceptance testing for quality,
1 Z. Diging of 8 splice hole to repair damaged cable.
13. Digging ofa hole to verify the location of buried facilities.
14. Removal of facilities no longer needed for service.
1 S. Tree trimming to clear aerial facilities.
16. Adjust aerial facilities to accommodate other users of pole line and! or to meet National Elcctri
Safety Code.
BRIGHT HOUSE NETWORKS
GENERAL RIGID OF WAY PERMIT
EXIllBIT " B "
A GENERAL RIGH OF WAY PERMIT (GRP) - is given for certain routine repetitive work not requiring
a specific permit defined on Exhibit" A ,. that is 5 feet or greater from back of curb (BOC) or edge of
pavement (EP).
No roadway will be open cut or directional drilled with this pennil.
Upon completion of work the Pasco County Inspector shall be notified for a final inspection of the
project.
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Best Management PractWes (BMP) will be observed at all times.
NotitY Sunahirle State One Call of Florida at 1.800-432-4770 not less than 48 hours or more than
5 days prior to construction,and all other requirements of Florida Statute 556 will be observed at
all times.
MAINTENANCE OF TRAFFIC
· All activities in accordance with this agreement will require conformance to the "Muwal of
Traffic Control and Safe Practices for Street and Highway Construcion. Maintenance and
Utility Operations," (Chapter 316, Florida Statues)
· Pedestrian, bicycle and handicap traffic must be safely maintained and must not be redirected
into the roadway or into ditches. Use of sidewalks may not be impaired or closed for greater
that 60 minutes. When a sidewalk is to be removed means of rerouting pedestrians. biDycliats
and handicapped people must be constructed prior to sidewalk removal per Florida
Department of Transportation (FOOT), Manual on Uniform Traffic Control Revises MUTCD
and American Disabilities Act (ADA),
· No street shall be closed without the prior written permi.ision of Pasco County Inspector. At
least 2 normal working days (Monday thm Friday) advance notice is required All
maintenance of traffic plans are to be sulmitted to the Pasco Cowrty Inspector for approval
prior to commencement of CC81StructiOn. Appropriate wor}c zone safety is to be followecl at all
times.
· All construction activities shall include traffic control through the work zone in aooordance
with FOOT" Roadway and Traffic Design Standards" Indexes 600 Series titled .. Traffig
Control Through Work Zones."
Where it is discovered that a site specific permit will be required, i.e., during excavation existing fiwilities
become less that 5 feet from BOCIEP.
1) The Construction Supervisor will notify the Bright house Networks Engineer that a project
Cannot be canp1eted under the GRP.
EXlDBIT .. B .. continued
2) The Bright house Networks Engineer will notifY the Pasco County Inspector of the situation
and schedule a field meeting. (Every effort will be made to arrange the field meetmg within
a time frame that will not require the Construction Crew to leave the site and reshedule the
work.)
3) The Bright house Networks Engineer will be responsible for notification all appropriate
personnel of the time and location of the field meeting,
4) A mutual understanding of the scope of work required to complete the project will be achieved
at the field meeting,
5}At the Pasco Cowrty Inspector's discretion, a verbal approval of the work may be issued
allowing work to resume.
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6) The Brisht house Networks Engineer shall apply for a .ite specific Peunit: inclusive of all
details as agreed upon at the field meeting. (If a Verba14pproval was granted. the site specific
shall be submitted as an" After -the-Fact" application,)
7) Uponcomp1etion of the work, the Pasco COWlty Inspector shall be notified for a final
inspection of the project
---"RIGHT OF WAY RESTORATION
· All disturbed areas in the right of way will be sodded wUess oth.et:wise directed by Pasco
County Inspector. Sod must be maintained until it roots, a minimum water of2 weeks.
· Vegetation., other than sod, will be restored to its pre-construcion condition.
· Prior to disturbing sprinkler systems, plants and mailboxes that may be disturbed during
construction, notifY property owners. Replace those items that are damaged by pennittee.
· The permittee shall be responsible for handling all complaints regarding the construction
project.
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CITY OF ZEPnYRIHLLS - nUILIHNG I>EPARI'MF:NT
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PERMIT#
N" ro"dlurllnll UJ1.IPl' ~I'nllll.l nl' nh""e l!I'Illm.1 nf ""~' (,-wllll\' ~hnll he ""ro"'pll.lwe' nu ""~' City R'j!ht. nf W,,~' II'lthollt ,,"'ltell "1'''1'0''''' frn'" Ihe
(,If~' Rnlhlllll( f)el"Ulm,,"!. A..~, o",,"rollnll fnr "rI"'n'''' of cOI,thudlon o"H"lIon. nil o..~. ("~. "" 111'11 Rfghh nf Wo~' _hnll fl1tnl.h " "etnlle.' III'A"'nl! ohn"""l!
Ihe 1'0"'1"('.1' oeop" nf fl1I' pl'llpM"d "'nrl( 'll II"plle"te In Ihe "mer of Ihe RII'h""l! Ome'ol fnl' "ppl'n"'" 1'1'101' 10 the en"',"""l'emell Ilf Oll~' "'ol'k ^ eo,,~' of 1111.
petIOli 11 tn he J(el,1 l'eRlIII~' o""noble AI the tlte of Ihe nOl'l( nl nil IIm..o.
P^IH'f,L 1.1), If ,JQ_,__~~u:.2:,J-.Q9/~_:,:s;>jbt2cL~..QDL~_______ nT\' ROA".._ J__ST .~.GT~ '_._______,._,__,_~...lJ^n:
LOCA'tION (L<'gnl Hc.erlpllon) :
Pun.I..lolI J. h"l'l'hy j!tAlltefl to. __ ...,
fot 'he l'ol1./t',wtlol1 ,,"d m"lntrnAnl'e of
of
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I, The eOlldmcllol1nml mn'nlen""l'e of .lIl'h IIt11U~' .hAllllol fnIHf...... with Ihe propel't.J' "nil I'lj!hh of A prlot necup,,"I,
t A II wotll .hnll he IIn"l' III keep I,,!! IVllh Ihl' .IAII"Anl. of the City ~Ireel. De,I"I'llIIelll "1,,1 lIIuler the mpel"\'l.lon IIf Ihe CII~' n"II11I"~ ONlrhll. who
will hI' notlne,1 III lellRI 1111(> "A~' II.-lOl' 10 eo,"mem'emenl nf ellndwelln...
J. All ,"A.l'l'"'' ,,",1 efllllllll'NII RI"III he R\ll',I~ct.n h"redlnn h~' Ihe Clt~' Rull."nl! ONlrll11.
1. n." In!l'~I"'Rlrll~tlnn "n Rllf~l~' IPl!IIIl1l1fln. nf Ihl' llq'lIrl,"~nl of TI'II"Rplll'Inlhlll .h"n h" oh."n...,I,,,,,1 Ihl' c .It," ."n\1 h... 1'1'111"1'.1 of nn
I.e'J'"n"I""'ty hnl11 fl"mllll;" ..r ""~' nn'"I''' nrl.."p. fl'nlll thlR IWl'mU, ~IIh.lect 10 t"" .ome 1"1'111. 1\\1(1 ......IIltlonR. Ihe !,el'mll hohler iliA" I,,\r~ ."..h ."fel~' 111"I\.nr"t,
'"1'",,11"11; "I"ellll! 1\\1(1 "IRplll~' of ..01111011 RI!!"., A. It mll~' d~"III nl'r"..nl',\' hI eOIl.I"d I.f eOIlR'rul't1oll nlld '1I1I\Inlellllll..e worl. heremllll'l', It h Ihl' re'poll.lhlllt~, of
nIl' pernlWl'e hI pIA"I', IIIAlnl,,'''' nlll! ..."..nl.1' 1111 ImfAl' ..onll'oll\\I(1 ,IHlee.,
!I, Alllllllllt(> nil" "n Clt~' properly .h"n he 1'1'.101'1''' In IIR ..rlll'"A' 1'01l(1I110n 1\0 fl1.. A. pmdlcnlln the nplnloll of till' Clt~' ""'hllng Officln!.
Ii, Allmlllel'l!1'l11l1lf1 .'l'IIRR1nllln..llllnt\om RhAII he IAhlnl ,"eh "eplh 110 mll~' he .pedfle,! hy the C1(\' Rnlhlln!! Omrlnl.
7, The .helr" ('o,'erllll\ Ih.. fl"I"Il. of Ihh "..I"IIAllon .hl1n he ",,,,Ie II 1'111'1 of Ihl< !,(>I'lIIl!. Thl. P"'1'11l1t I. grA"le.IITllh Ih... un,Iel'dnl1dll1g IhM Ihe
"1'lllIeont hllR "otlONI nil otl....' \Itllll~' ...",.. In .,,~ AI'ell ('f"Hefl h," Ih" pe.-1II11 11",1 IAlle. filII re'l'omlhllll~' fill' A"~' flAmAlle Ineuned h~' 1'1'101' IndAllnllon. '''' n
remit of hI. OlIN "Ihln. I" 01.11'1' thAI IIlp~' IIIA~' Rofe {l"AI,.I Iheh' '"lneRt.,
II, It I. """'~'RI~' 011""'0.1'11 IhAI Ih.. !,erl11lt h A III-e...e fOl' "el.".I'Rhe me onl~' All" IhR.I Ihe l"lIrlnfl; of fAc\l1llpR I11'0n pnhllr properly pur.m,,". 10 Ihh
I,,'rmlt .h"lIl1n. o"~I',,11' In (~reAt~ nl' 10 Hot Oil," rrnp...' IJ dj!hl hI .A'rl hoMer,
I). Wh"",,'''I' Ihe ('It~' "erld". 10 f"I'fhel' ...."lolt Ih" ('It,\' ~'j!ht. nfWn~'. AI1~' nr "n .~'" pol~R. I\'h'~~.l'lpp~. I'Ahl"R. or oth"r fl\rlllll~. AI1II
"p"....ll/""nr". ""lho"7ell hel'''''''II",.. .hAlI h" 'nll"e(I1AI<,I~' "ellln\'PfI fl'OI11 .A'" Rlllhl. nf WA~', 01' r~.el .,,' .'plornll'.1 Ihneon At reflll"'e.1 h~' Ihe Clt~, B"lldlnll
Omd"I A. Ihe ('~llrn~1' "f the hohler of Ihl. pHmlt.
tn. The hold.... .holl.A'e ~lllll(eell Ihe Clt~. h"rlllle~~ fr"lII Any Alld All dnl11l1j!e.., 1'1"lm., nl' Inl"rle. 11m. mil)' oee..r b~' 1'1'00011 nf Ihe cDlutnlet10l1,
11I,,1"11'1111111'1', ,11I11 oflemUon of .AIII fAdll(,.
I t. The I",lder ohAlI I'nml'l"t... III" I'~'1I1I'Rte" ",orl. within ,__ ~ ___ flo~'R nt .hl. I'l'nlllt '''AIl h"romr "..1\ o"fl ,,,hI. III Ihl' e,'ent th" l1'nrll l'''fl'I".ted
h n',1 "olllpl,",,,.luI"''' Ihl' ('~"h'At10" .Inte of Ihlo 1'1'1"11111. Ih.. ('It)" .hlln ho\O' th" .-IlIht 10 eOlll"I"lp "11,'11 worl( A",lhl e"AI'j!e the 1",,"1'1' nf thp I.rtmll fol' All ro./q
IlIeIllT,'''ln ('O"II.lptlll~ RIII,I wOl'k
ll. Th.. hn"'~" -h,," pn.t A I'n,ll nl' Rm'el~' "nil'! with Ihl' (.lt~. l\'A"Aj!el'I" the ,t"lII of ~ ________ -Inllllr,. to tr.''''''AIlle'' fI",'fnrmnll~p of Ih~ ohIlIl;A.'''"'
hel'ell1, n."I I" ~"n"nllt('e m"I"I""o",,e nf thl' 1"j!ht~llf-I1'''~' "1""1'11.",1 hH"ill fill' n pel'lo,1 IIf one (I) yeAr foll".\II1~ ""IIII' letlollof Ihe 1''''')111'.11'11 'n.IAJlAtl"n, JI1 th"
(''....It 0 .ulel~' llillld Jq 11I1..t"d, th" ml'el.I' fill"" oh"lI b" 10".1" IIO~Ahlp III the City "nil .h"JI nhlle;AI~ Ihe .",'eh 10 h,,'" th.. Clt~' hntm'~.. In thp ('\'l'lIt Ihe ho\flpr of
IIt1. permit dlll"I.I fAll to m('('1 AI1~' of II. ohll!!:nlln"" h"re""d...., Th" homl .hnllnl,o Imlenmlfy Ih" nl~' fnl' 1111 rll,"1 I~od. 11lld 1'''"'011''''1" llttol"e~"~ fee. In Ihe
Helll lellAI lIdlml 10 "l'flllJI'"d tll e.nlll'el "" 'AI<' hOlld,
13, "lh.. I'etllllttee ,.hAn hAle II 21 hmll' eme1'f~ene~' ('onlMI nllllle nnd n,,",hl'!' 1I.led hellll",
S~JRMlTT'W IW:
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Pholl!:'
APPROVF:OfW:
('11 V OF 1,F,t'HVRItIUi' ../)
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Pull"" Worl..
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