HomeMy WebLinkAbout04-2828
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
2828
Permit Number: 2828
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
Total Fees: 44.00
Amount Paid: 44.00
Date Paid: 3/15/2004
Work Desc: POWER SUPPLY FOR CATV
Address: 38635 SOUTH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
I Book: Page: ·
Subdivision: CITY OF ZEPHYRHILLS
Name: BRIAN HA VERLOCK
Address: 38635 SOUTH AVE
ZEPHYRHILLS, FL. 33542
, .,'
Phone:
ROUGH}L~CT~IC
FINAL ~ ~ /7/ oy RUt
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1-ili .L.N::i.P ~CT .LU.N r'~~::i :--wnen-ext::ra-ynspe-CE:ton-cr~psa-re nece s sary-dUe---Cb-anY-Ohe- o:r-tn:e------
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
--nwaftUngeo---Owner-:-YOur fai'Ture1:O recor-a---a-nocJ.ce of commencement may-resure-:rnyour-----
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.
~
-~--_._---~~_._--
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,--'
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CITY OF ZEPHYRHILLS
5335-th street
(813) 780-0020
ELECTRICAL PERMIT
2828
Permit Number: 2828
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
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
Address: 38635 SOUTH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name:
Address:
Phone:
I
- ---....-------,---~-..____L~.._____~__ --,__,L___,~_..________
Rj:HN~FI:!;C LLUN .t".I:!;.I:!;~: when ex-e-ra----rnspec~Er_OI'l-'Erlps--are necessary--ctue-eo-any-one---OIUre-----
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
--.rwarmnsr1:oowner :----YOurYailUre -t:o-recora-anotJ.ceofC::ommencemem: may reeiUu--1:D.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.
--Zitfi,;
CALL
~
PERMIT OFFI
FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'. I ,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IWD
, 3 It :1-/0</
, ,
PHONE CONTACT FOR PERMITTING
OWNER'S NAME IJra,; n r: '
JOB ADDRESS J~bJSSDu~
j/qfJf(/, Inr!( /g':'1hf Ikt{5e
A J--t,
PHONE
/,~ 7 - '131 - 7 J. ,), 1,.1
LEGAL DESCRIPTION: LOT (S) J).. BLOCK ;;).../1
PARCEL ID # 11-;26-).1.- OoID-dllOO -()I~o
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
[J ADDITION
[J MOVE
[JALTERATION
[J DEMOLISH
[J REPAIR
~NSTALL
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
c~ 'tt)
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
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
51 ELECTRICAL
60
AMP SERVICE
C'ia' FLORIDA POWER
[J W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
[J GAS
[J ROOFING
[J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
CQ~C'.lX>:RiSECTI()N
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
************ **********~~*'~********************************.****
f11Pt/ ,/
~~/ COMPANY lirA E/e'in( IJ1C.
ELECTRIC
STATE CERT OR REGIST #
g;;)93
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATtJRE
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".~6ich_'
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 indica~ion 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,50 N VALUE DO NOT N D TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20_
(name of person acknowledged)
Dwho is personally known to me, or
Dwho has produced
(type
and wrioD did D did not
of identification)
take an oath.
Signature of person taking acknowledgement
Name typed, printed or stamped
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20_
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type of identification)
and who Ddid O:lid not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
. !viAll 10: " ,.'
,- PA9CO"qOUNTV DEVELOPMENT REVIEW
WEST PASCO GOVT. CENTER S-230
.
7530 liTTLE ROAD
NEW PORT RICHEY, FL 34654
(727) 847-8142
(352) 521-5144
7;>
RIGHT.OF-WAY USE PERMITI
PA~CO CQUNTY
- USE PERMIT -
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GENERAL INSTRUCTIONS
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"Sunshine-One all"
(BOO) 432-4770
- 48 hours prior to excavation -
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No conslruc:tion, under ground or above ground, bf any facility, shall be accomplished on any County Righls of Way withoul written approval 'from
'Ihe Counly. Ally application for approval of construction operations on any County owned Rights of Way shall furnish a delailed drawing showing Ihe
complete scope of the proposed work in quadrupllcale to the County for review and approval prior 10 Ihe commencemenl of any work. A copy of thl.
permit must,be kept reltdlly evaUeble at the elte of the work at all time.., '~,
Sec, No, T lj, R County Road )" '" /,i. 'kL! Dilte /0 -:$/' D 3
Permit For " ,f,< /"h'-..t'e.t./i/i/l/"- ~,.._~
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(Project Name)
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LOCA nON (Legal Description)
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(Name of Perm,"ee)
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Permission is hereby granted 10
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for the construction and maintenance of
(Desc:rlption of Work)
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subjeclto Ihe following conditions:
1. The construction and maintenance of such utility shall not interfere wilh the property and rights of a prior occupant.
2. All work shall be done in keeping with the standards of Pasco County and althe satisfaction 01 Pasco County, who will be notified alleasl
one day prior 10 commencement of construction.
3. All malerials and equipment shall be subjecllo inspection by Pasco County,
"1. Durln9con.truction all safety regulations of the Florida Department of Transportation shall be observed; and Pasco County shall be relieved.
of all responlibilily from damage of any nalure arising from Ihis permit. SUbject to the same terms and conditions, the permil holder may lake such '
safety measures, including placing and display of caution signs, as it may deem necessary in conduct 01 construction and maintenance work hereunder,
5, All private and all Pasco County property shall be reslored to its original condition as far as practical, in Ihe opinion of Pasco County,
6. All underground crossing installations shall be laid al such depth as may be specified by Pasco County, unless otherwise authorized. Installa-
tlQn 0' uUII.... under County roeda ahall be by lacking and boring only.
7. The sketch (four copies) covering the details of Ihis installation shall be made a part of Iheir permit. This permil is granted with the understanding
thllt the a~ll4ant has nollned all other utility users In the area covered by the permit and takes full responsibility for any damage incurred by prior
installations all a result of his operations, He also takes full responsibilily lor notifying any and all utility or underground users of his proposed operations
in order that 'hey may safeguard Iheir interests,
8.'lI,is eIJpressly sllpulated that this permit is a license for permissive use only and thatlhe placing 01 facilities upon public property pursuant
to this permit'shall not operate to creale or to vest any property right in said holder. "
9. Whe".ver Puco County decides 10 further exploillhe County Rights of Way, any or all of said poles. wires, pipea,.cables or olher facilities
and appurte".nces authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by Pasco
Count~ atlh. expenae of the holder of Ihis permit.
10. The ~lder shallaeva and keep Pasco Counly harmless from any and all damages. claims, or injuries Ihal may o<::cur by reason of the construc-
lion, malntentnce and operation of said facility. .
.....-~..... '........''4.
11, The hpIder shall complete the requaated work Withi~60;;118a..davsi>r this permit shall become null and void. In the ellent the work're-
quesled i. nol completed upon the expiration date of this permi1~shall have the right to complele such work and 10 charge the holder
of the permit tor all coals Incurred in completing said work,
.. 12, )rhe permittee shall posta cash or surety performance guarant.. with the Counly Clerk. Based on a cost estimate prepared by Ihe permittee's
t f1ngineer and .pproved by the County. The amount of the guarantee is to be an amount equal to 125% of the coat to construcl the permitted improvements.
'':In''lhe evenl ai 8t.Irety bond Ie posted, tho said surely bond shall be made payable 10 Pasco County and shall obligate the-.reey ,to hold the County
('harmle..,n the evant the holder of this permit should fail to meet any of ilS obligations, hereunder. The bond shall also Indemnlfy Pasco County lor
aU court cost. and reuonable attorneys fee. in the event legal action is required to collect or said bond.
, ,
I 13. The permittee shall pOSI a cash or surety maintenance guarantee with the County Cler,k based on a cost estimate prepa~ed by the permillee's
I engineer and llPPI"oved by the Counly. The amoung of the guaranlee IS 10 be an amount aquallo 15% of Ihe cosllo construc;lthe pennilled improvements,
\'n Ihe evenl 8 surely bond i. posted i~ .shall meet a~lhe cr~teria stated in No. 12, a~ove. f ,'_ .), " '," . ./: ~' T. > II, ;
\ 14, SPECIAL CONDITIONS ':', '"',.:. ,.' '/1/ "" ('i" l'..(t'/;':..iIAA't,:. ,; I ',1".';' In,At. R.I+!)t;i Ii..... ,;1
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APPROVED B~f).->q U.i \oJ ,1.._ t '.
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Traffic Revie~' r'~:'J Il I r
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SUBMITTED BY
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Print Name and Title
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Mailing Address (Street, CI.v. State)
'. Public Works:
Guarantee Es1imate Review:
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Development ~eview Approved: i/ ~)I
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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 pennit
when working within the boundaries of Pasco County right of way
New Customer Service
I
1. Installation of service drops from serving location.
2, Installation of new aerial distribution cable from existing poles.
3. Installation of a second aerial distribution cable from existing poles.
4. Extension of existing aerial distribution cable from existing poles.
5. Installation of anew buried 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. fustallation 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 systarn that does not cross or begin in the pavement.
9. Installation of a new pole line.
10. Extension of exi$ting pole line providing it does not encroach into an underground 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 a splice hole to splice a new cable or changing equiptrnent.
14. Digging 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.
Afaintenance of Existin& CATV FacHities
1. Replacement of existing service drops,
2. Rcplacemontl 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. Replacemcntl repair of existing equiptment.
5, ReplaccmentJ repair of an existing underground feeder cable in an exi3ting permitted manhole
and conduit s)'Jtcm.
6. Pumping water out of a manhole to maintain undergroWld cables in conduit system.
7. Digging of splice holes to locate and repair damaged cables.
8. Digging of a splice hole to change the size of the cable,
9. Digging of a splice hole to add a side leg off feeder cable.
1 Q. Di.agi.ng of a hole to repair broken conduits.
11. Digging of a splice hole for cable acceptance testing for quality,
121. Diging of 8 splice hole to repair damaged cable.
13L Digging of a hole to verify the location of buried facilities,
14l. Removal of facilities no longer needed for service.
15~ Tree trimming to clear aerial facilities.
16~ Adjust aerial facilities to accommodate other users of pole line Wldl or to meet National Electri
Safety Code.
BRIGHT HOUSE NETWORKS
GENERAL RIGHT OF WAY PERMIT
EXlDBIT " 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 pennit.
Upon completion of work the Pasco County Inspector shall be notified tor a fmal inspection of the
project.
Best Management PractiCes (BMP) will be observed at all times.
NotifY Sunshine StaY 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 confonnance to the "Marwal of
Traffic Control and Safe Praotices for Street and Highway Construcion, Maintenance and
Utility Operations." (Chapter 316. Florida Statues)
· Pedestrian. bicycle and handicap traffic must be safely maintained and nwst 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. bioycliats
and handicapped people must be constructed prior to sidewalk removal per Florida
Department ofTranaportation (FDOT). Manual on Uniform Traffic Control Revises MUTCD
and American Disabilities Act (ADA).
· No street shall be olosed without the prior written peIIllission of Pasco County Inspector. At
least 2 normal working days (Monday thru Friday) advance notice is required. All
maintenance of traffic plans are to be sulmitted to the Pasco County Inspector for approval
prior to commencement of construction. Appropriate worJc zone safety is to be follow~ at all
times.
· All construction activities shall include traffic control through the work zone in accot'dance
with FOOT" Roadway and Traffic Design Standards" Indexes 600 Series titled" Traffio
Control Through Work Zones."
Where it is discovered that a site specific permit will be required, i.e.. during excavation existing facilities
become less that 5 feet from BOCIEP.
1) The Construction S11peIVisor will notifY the Bright house Networks Engineer that a project
Cannot be ccmpleted under the GRP.
EXmBIT .. B .. col1Uaued
2) The Bright house Networks Engineer will notitY the Pasco County Inspector of the situation
and schedule a field meeting. (Every effort will be made to arrange the field meeting 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 COWlty Inspector's discretion, a verbal approval of the work may be issued
allowing work to reswne.
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6) The Bright house Networks Engineer shall apply for a lite specific Pemait inclusive of all
details as agreed upon at the field meeting. (If a Verbal ~proval was granted. the site apeoi1ic
shall be submitted as an .. After -the-Fact" application.)
7) Upon completion of the work, the Pasco COWlty Inspector sha.11 be notified for a final
inspection of the project
----RIGHT OF WAY RESTORATION
· All disturbed areas in the right of way will be sodded tmless otherwise directed by Pasco
COWlty Inspector. Sod must be maintained Wltil it roots, a minirnwn 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 dwing
construction, notify property owners, Replace those items that are damaged bypemrittee.
· The pennittee shall be responsible for handling all complaints regarding the constnwtion
project.
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CITY OF ZF,PHYRI1ILLS - Bt.1ILIHNG J>F.PARTMF:NT
RLGJJ]'-QJ.r.-.W A L!J_SE PlLRI\UI
PERMIT#
Nu rumtrllrll"1l1l11.1rl' Ill'mll1d 01' nll,,\,(' JilI'flllll,1 of n"~' f,,"'nl~' ~hl\1I h(' nr<,olllflll~hell 1\11 nn~' City RfJ!!Ih of \Vll~' ".Ithout 1\CI'IttPllllfll"'o\'nl fr01l1 Ihl'
City 1l1l1l1l1"R nrlllltlntl'nt. A,,~' Arrllrlltlon for orr,,",n! of comtl11rtlo" oIH'r"tlflllq on Any (,Iry' fIlmrd Rfli!Ilh of WA~' .h,,1I fllrnlqh A d",tAIINI 111'811'11111 qh011'IlIg
Ihe r""'r'Ple q<'flfl\' of Ihr JlI'(lI'o,q..d ",oI'I( III tl'll'llrnll' 10 Ih" omrr (If Ihe R"''''lnll Omclnl f"r AI'pro"'II (ltlot t" thr romml'ne",1I1ellt (If nllY 11'01'1<. ^ eOJl~' of Ihlq
retmlt h 1.1 he 1(l'III t'l'A.1I1y A\AIIAble Allhr qll(' of the wOI'I( AI All Ihn('~.
PARCf.L 1.lJ, If -jL<2:--~u~-:-dL,:f',!J!.fL.:'__'?l1J?_o.- 9l;;J_0 _~ nn ROAIJ.__2.0s'\\_h_J\':JS______,_____
lJATF,
LOCATION (Ll'IlAI f)eqrrll'tlon) :
-,-~-,---,---...._- ""'- --.,- ...__.- ---......-.".--..- .. ,..-.--..-_ ,--,--_,,_,~,_._ _A .___.___.._,.___..____.___.__.___.____..______~___. _..__.____,~_~ _______._____~____________._.__._
-_. .-...- -_..-......~. -_.._._~ ."-. --_._-+~.__._..__. -_._-~.._-'_..~..._._.._-_._----~-.._~-_.~._._-----_..-...-.-.------------
--.-...._______'_n____._._...._~_._.____.~.__.. _.__...____.__n._ _.____~__~_.___._ "________._._.______.____.~_..~_
- ----~~._- .-.---.---..----- ..----- ..-._-_.-..__.~~-~~.._- ----~ ----~---~._-- .~-~~--------,._---_._------------------_._-
rHfI!h~lon Iq l1f't../ty l!rAnl~11 In __ _.. ..,_
fol' Ih" <,on~lru<'ilon And "'l1t"t"n"oc~ of
'~_~_'-.___________..~__ __ ___..__ of
-----.--.-..---- .---...-...---..-.--..-. -_._-_._-_._-_._-_.__._----_._---~_._---
~;lhI~f't'l;;iil; f""f;,\i~ll r~~,iiji"m:
.- -.. ...-..--___~... ___'_ m'__._ .... ____ ..______ __ ___________._._____.__._____.. ... _.___ _.__._.___~____. ____ .__.____..___._____. ..._____.____._._~___
.._-.__..._--_..~_. .-.---.----........ ----...-....- -._---.-..- .-~-------_._--- --+----_.._-~..~._....__._..__._-_._------_._._._-,.._--~-_.~~.~--
I. Thl' <,,,,,,h'IlClloll And malnll'nnnce of ou<,h ul""~' ~hA1l1l01 Inl..rf~l'~ with Ih(' IItQperry' All" l'fllllh of A (11'101' occlll'nnt.
t A IIw"l'l( ~hAII h(' """" I"I(('('I'I"ll with Ih(' ~IAIHIAl'lh of Ihr CIty Slt~el~ lJl'(I"I'II11!'llt Alffl undcl' Ihc ,qupf'nlqlon (If Ihe ClI~' Bull"llIll OffielAI, who
will hI' nOlinI'll 1lI11'''AI onl:- IIAY rl'lol' 10 comm~lIe(,ll1",nt of rOndl'llclloll.
J, All Il1AlrdAI~ AII.I rqulpm..nl ~h,,1I h.. quh,lect 10 In'(I~cllon h,\' Ih(' elt,l' Rlllhllnll Omd,,1.
-t, ""dng "Oll~ft 111'11011 ,,11 ~Afrt~' Ipg"l"ffo", of Ih.. "1'1'111f1lll'nl or T""n~portAllflll ohllll hI' ,,1I,enl'tI lllltl Ihe r:ll~' qhl111 hI' I'rll('Wfl of "II
I'r~Jlon,lbl\lly fl'OI" ,IAm"~e of nn.\' n"htrp ol'hlnll fl'om thl~ 1\p.l'mll. Suhlecl 10 Ih!' 'Ame Irtl"" AIIII rlllllllllnm. Ihe 1'''1'1111t holll('1' 111"~' IAltr ~Ileh qnfl't~, ll1"'IUlll'('q,
InrhHllnll rl"elnll "nfl .1I.plny "f eAIlff,," ~Illnq. A~ It nlo,' f'erm n('cf'qql1l'Y III cQnd"d "f ('on"rlll'll"n ..11.1 mAllllenl1nc" 1\'0"'( hl'rrtnltln. It I" Ihl' 1'(.qflOmlhl1fI,l' of
Ihe I'''''mlllel' 10 1'1111'1', IlIAlnlA'u. nllll ~u(ll',"\'he "lIlmm(, conll'll' "nd dnl..r~.
~. ^ 11111'11 111(' "n" All Clt~' I'lo(lerl~' ~11Il1I he r",dor",d Illlh orllll""l cllmllllo11l1, fl1l' ,,~ prAdleAllu Ihl' o"tnlon of thl' Clly Rlllhllnll Officlnl.
Ii, ^lllllldl'l'llnl1lnlll'nt~~lnll InqlAIlAffllm ~h,," h", '..hi AI 'lIeh 1!~I'lh IU 1II0~' he ql'..c1f1~fl h~' Ihl' Clly Rlllltllnll OffidAI.
7, Thl' ~'I('MI "oHlloR Ih~ 'IrIAII~ of Ihl, 'n"AIlAtlQn ,hnll h(' Illl1fle A I'Arl of thl~ ,.erlllll, Thl. l'ennlf Iq lltnnl",,1 'Tlth Ih(' unll"'I'~ll1n,lIng Ihlll Ih"
"I'II"eAIlI hA. 1lIlIInl't!AI\ olhe" 1I1l111y nqrn I" Ih!' AreA 1'0\1'1,('.1 b.\' lit" JlHllIII Ant!IAII(,. f!11I I'eql'onqlhl\ll~' f"t AIl,~' ""mAlll' Inrllt'tl'd h~'IIl'lol' hlqlnllAtlon,q A, n
1'1"1111 ,.f hlq Olll'1'Atlon~ hI ontl'1' Ihnl Ih,,~' IlIA~' qAf~ llUAI'lllh('\I'lnler'cql"
R, Ilrq e~I're.,ly ,1II'"1AI",1 thnl Ihl. I'el'mll I~ " Ikeme for 11l"'mf~~he mc Oll'~' An.! thAI the 1,IAI'lnll (If fAd"ff.'~ UI'OIl fluhll~ I'roflerl~' flUr,qUAnt 10 thlq
penult .hAIIII,,1 "III'I'IlII' 10 CI eAle 01' 10 nll All,\' pr"l'l'Il,r dr-ht III 'AI<I hohl"l'.
1/. Whenrl"l' Ih" ('II~ .,,,e1tlr, 10 flll'lhel' ""pl,.1t Ihr C1l,r nff!hh of W,,~'. ""Y 0" All q"I<I 1'011'," l\'In'.. "II''''''' cAhle.. 01' olhl'r f"cllltI!,q Alld
AJlJllll Icnnnce. AII'hod7r.1 hN'N'",'I'I', .h,,1l h.. 'nllllrll\ot('l~ I'Nuo,'('(1 fl'om 'Ald Rll!;hl~ of \"A~'. 0" I'I',cl "I' ..eloeAler! IhrnOIl A' I'rqllll,..r! h~' Ihe etty Bullrlfnll
OffidA' III Ihe r~l'rn.e of Ih" ho'de.. of Ihh I'1't'11111.
HI. The holder .",,11 q,,\.. Am' kl'ell Ihe Clt~' h"nulc.. fl Olt! "n~' And "II dAn'lAIOlI'". cl"lm~, or InJurleq Ih,,1 m",- Ilel'n.. h~' I'e".on of Ih(' con,ll'Ilrtlon,
IIInlllf<,nAnee, And oll('mll"n of '11 hI fl1dllt~,.
II. Th~ "oltler qhAII cOllll'I"le Ihe I'!''1"..~Il'" WOl'1f ",lIhlll,__, _.._.._ .l,,~'~ or Ihlo rHIU" ~hAII hcc"me n'll1 An" \01.1, In Ihr ennl the w'ork nqll"qtl'd
'q nol ""'"I"elrll ""nn tlI" l"IIIIAllon II AlP of nl'q (I...'inlt, Iltr ('11,- ,hnll hR\" Ihe rlllht 10 1'0"'1'1..,(' ",wh wOl'k AIl,I 1'1 chRl'lle Ihe h<llder of thr !,pl'mlt fot, "II coqh
hl"""Trilln 1''''''I,lellnll""I.1 WIlI'k
1?" Th.. h"ldel' 'h,,1I IIMI n .."... 0" ~"I'('I~' h"ntl with Ihr City I\I"""llel' In Ih" ~"111 of!!;_ __ ___ ""n"t" to "IIn..nl1I....'INformnIlCI' oflh(' 0,,"~111\01l,
h",,"rln, 11",1 to 1l"111'lll1le(' 1l1!!'nleu"nc" or Ihl' I'lllht-of-WAY de~nlhe.1 her..ln fm' A 1'et'lofl of 0111' (I) -""A" foll..wlnll c"1lI11Iell"u or the reqllrdl'fl InqfRlIl1Ilon, In Ihe
('\'rnt A "'I..rl" I"md I~ 110"...1, Ih.. ....."'Iy '".,ltl qh!!1I h" m",I.. p"~'Ahl.. 10 Ihl' City Iln"qhl1l1 ohllllAIl' Ihe 'llI'et~' In h.."I Ih" C11~' hntml"q. In Ih", "\'1'111 Ih(' holller of
Ihlq 111'1'11111 qhnu'" fAll 10 m..el I1n,v of II, ohllllAllonq het'f'undn, Th.. h01l11 qh,,11 AI.o Imlemulf.\' Ihr e1f,\- fOI' All ..011I I f',,~t~ nll.I 1'.."qonAhl" !\flome,""q f,,('q III th('
(-Hnl l"IlAllIl'tlllu h I'eqnl...." to f'oll('eI on 'A"II",nd,
U. The ,,"rmltt!'e "hAlIllI\\~ A 24 h"'II' ell1<'I'IlCUC)' conlAcl IIAI11~ And nml1her lIqled h('I"".,
SORMITTlW RV:
IPrl'''''lIee} _~__ &-l.~_~)_cJj_~__ ..___ ~,__.. ~ ,____ __________.._
Slll'lIlhll'C & '1'111,,_ ..~_ '_____m~ ,.._,__.._ ___,,,~~,,,, --'..'_m",__~n_.._._~__..~,__..._
A "II I'e~"
. ----.-.-..-----...-..-- -._-_._-.~~, ._._-.__..-....~------ -.------.------.------------- .----.-.-. -
PllIlll('
--- _._____~__.n______.__.._ _._0__....___ ..~. ,_ __. _._ __._____.__._._. __.., _ . ~_..__.._ _,__.
-- ..-'- ,,_. -'~---'---"~--,- --_.,- '--'- -----._-.- .-. --
---- --~"---~-_.--_...., ~_.. - --- ----- ---._-~... ._-~.__._._---_.__. .--- ...-----.--- ---_._,~ --.--.
.:zephyrhiU~ Bldg
Dept_
Fc.>e
.-
VVhorn e"IJ'lar
p- KItty
.......
1-8ClO-679-8004
____ '1
~ 813-780-00.20
-
4115r.2004
-
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- e-n_= THESE 'NILL ALL 6E A RELeASE ON BRlGHT HOUSE CABLE FOR PQVVER
SUPPL Y"'S FOiR. CA. T\/ _ AU in the right: or vvay
6002 PARKHILL TERRACE DR PERMIT#2886
38716 Z- AVe
Per"lT'IIit 1#2:827
='7 S.R. 54 VVest. Pen-nrt#2946
38349 C_R. 54 East Permii#2947
38635 Sou.th A.ve
~errnit#282S
65()4. Huntington Or
6038 Noami Ave
7425 GrEM!IrlSIope Dr
5840 1- St
5913 1.2[h St
Perrr\;1#.2902
F'ennitW29Q3
PerTT1 it#2:904
Permit#29OG
6638 DaOry Rd
5709 a'" Sf.
Pennit1#.2906
Perrni1#:2927
Perrnit#2926
38451 sn Av-e
Pennif#:.294.4
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