HomeMy WebLinkAbout99-8857
BUILDING PE,RMIT-
CITY OF ZEPHYRHILLS
~ (813) 788-6611
J Date
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Pmperty Owne' ~. ~~ . ::::, ::,:,.
Job Add,es", 8,.. .. __ - . '.- 0 . . __ _ _ -r . ..! a;, diU.. (j",k. 's
Parcell.D. # __ _
Zoning: goO' ~./ ~o~~ Radon Gas:
Oesc,;p,;onofWo'" r;z...~~.u t7.J&
Permit
8857
~-~7-71
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NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration # ____
State Certified Licens~
Permit Fee
Signature .AJ4-./">/-'- _"1rl~~~J2"
Company G TE
Address /f TJ)/' /J1C- F~~ ~=giJ/.(
Telcpholl"# / ~D;=. )..)~ :{-r: J./lltE"4'l.AJl)j(,
tJ/jI-~ ~g"5.357 33501
Valuation or ~ .L ~
Contract PrliC<!::::.-- .A 4A1 (/ '10.-
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BUILDING
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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 ($ 25.00) 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.
--
am
GTE Telephone
Operations
Attn: He FLLK3014
120 E. Lime Street
Lakeland. FL 33801
Date: B-I'1- 'I "\
TO: Owners of all Public Utility
Installations and Structures
Reference: '3CD2..-3 '1P~2.' ~e,-'ODl.
To Whom It May Concern:
This is to advise that on the above date. GTE Florida Inc. has submitted
an application to:
C-,ty ~ ?;.P~~JJ~~1{-fi':;"':... .:.;;"i;
for a pennit to construct, operate and malntain.3CO gl)irl-i~ '\ UL-Pt-..CIM.
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within the right-of-way of A\12,T1 ME ~v"C-. .
Attached is our sketch, please advise if there are any confticts. Iffurther information . ;.:
is required, please contact A1r1td44J'l 'lLtl - t.92- 807'7 . .
or at 941/688-5357.
Sincerely,
C7t~~
to". Brox.ton
Section Manager-Access Design
THE Ul1U'IY DEPARTMENT SHAlL
o. It "OlfRED 24 MOURS '"
ADVANCE Of STARTING WORK
'(113) 7a~ 11ft
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Enclosure( s)
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FPC..
C.ITY 0 ~ 2E. AAA.-"'~ . - S6c...J'''L
A part of GTE Corporation
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Engineering Sketch Sheet
SHEET NO.
WORK ORDER NO.
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EXCHANGE
Engineering Sketch Sheet
SHEET NO.
DATE
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ENGINEER
WORK ORDER NO.
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90007124
DATE: 8-11-,\'1
CITY (W ZF.I'IIYIUlIU,S - UlJlUJlNG DEI'ARTMENT
IUGUT-Olf_W A Y USE I'ERMI'I'
PERMI1'I#
9~g
Nu ClllllIl'lldllln under Ilruulld or .ho,'e Ilnluml of .n~' f.clIlI" ....11 he .ccum..II,"ed on .ny City RI..... or Way "IChou' "riUen appro"" rro.. .he
ell, BulldlnllDcltnr'menl. Any ....plle.Uon for "ltltru".1 of clln. h'Ud Ion o..er.'lon. on .n, Clt, o"ned RI..... or W.,....U ftlmI.. . ..Called....."... ..."...
.... comltle'e leulte uf .... Itropo.ed "ork In .rlltllc.'e '0 'he office of 'he BulldlnR Offiel..1 ror "PI' roYal prior '0 Ibe COIIIIDleaeemen' 0' IlII1 "ork. A c:epyo,..... ,
..ermlll. '0 be kepI readily .vall.b1e .. lhe .I'e of I"e work ... ..II 11m c..
PARCEL I.D. "
Sl8 l' ').(, ~ ~'l,..
CITY ROAn
AI~.:nMe: AV6
DATE $ - 11-'1,\
LOCATION (LellIlIDe.crlltUun) : ,
eAsr 0;: ~1<.1t' ~I\J6 LAfJ~
~ N~T~(!)r Au~.nms fJrVb"
Perm I.. Ion I. hcnhy Ill'"nled 10
for I"e eon.llnlcUun "nd m..ln'en.nce of
of
.ubJed 10 I"e rollo11'lnll cundl.lunl:
1. The cun.h'UcUon ..nd m.ln.e......ee of .uch uUllly .....11 no' III'erfere wllh 'he proper'y and ri..... or a prior oceupant.
2. All '''ul'k ."~II be dOlle In keeltl"ll ",lib '''e ......d.rd. of 'be Clly S'ree', Depu.nlen' and under'he .upe"blon or'he CUy BulJdIn. Omclal, "bo
11'11I be no'lDed ..Ie.... one d..y Itrlor.o eonnneneeme..' oLeun"lnIdlon.
"
3. Allm,,'erl..11 .nd equlltme... Ih"lIlte lubJed '0 bL...edlon Ity 'he Clly Building Officl.L
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4. During condl'llellon all late.y rellula'lon. or 'he Depu'men' or Trllnspor'aUon .h.U be ob.e"e. and the CI'1.ha11 be relieve. or.u
re'ltun.lblll.y rn.... dllllllllle or .ny nll'ure arlsblll rrum .hls permlC. Subject .0 .be .Iune .erm. and eond........ .he perml' holder ..a,. lake .ucIa ..relf mcuure't
IlIdudlnll pblelnllllnd dl.plllY or e.ullon .Ign.. .. I. m.y deem nCffI..ry In con.ud or con.trudlon and .......enance w.rk hereunder. II II the mpOlllIbWIy .r
.he permlUee to plllCe, mllln'.ln. .nd .upen'lse .11 'l'1IIffie eontrol .nd devlee..
5. All ..rh'".e and all Clly properly .bllll he n,'ored '0 II. original condlUon .. r.r.. p...eelealln the .plnlon or the City BuU..... omclaL
6. All ulldulll'ound ero..lnl ......III1Uun. ....11 he 1.ld .. .uc" dcp.h a. mllY be '1leelOed by Che City Bulldln. ornelaL
7. The .kdeh eonrlng 'be de'"I1. or 'hls bl'lall.Uon ....11 be mllde . pu. or .hl. permit. Thl. permit II ,l'llIIfe. wlCh .he un..n......... .... the
...pllc.nt has no.med .11 o'her u'III'y user. In 'he .re. covered by 'he perml' and 'ake. rull re,poRllblllty for ...,....p lneurrecl .y prior ....taIIa.1oiu .. a
re.ull orhl. o..nllllon.ln urdn that 'he,' m.y s.re gUlUd .helr In'cre..s.
8. It I. ell..re..ly .lIltula'ed .h.. .hl, I.nml. I. . license ror ..em....lve u.e 0111,. .nd .h.. the plaelna of raellltle. upon pubUe property punUlllll to .....
permll .hall..n' upera'e '0 erea'e or to n.. ...y property rlKflt In ..Id holder.
9. Whenenr 'he CI.y decide. .0 fur.her UI,loU .he Clly Rlgh.. or Way, any or lill..ld pole., wi...., 1'...., cab.... or other r.elWle'lII1.
appurtenanee. au.borlzed hereunder. .h.1I be Immedlll.ely remond rlVm .lIld Rill". of W.y. or re.e'or reloeate.lbereoa.. require. by the Clti Ball.....
Ornel.1 .. .he ClIpen.e or .he hulder or .hb perm I..
10. The holder .h"ll,"", and kerp 'be CI.y harmless rrum any IInd 1111 d.mllge., el.lm., or lnJurle. .... may oeeur by reuon or the COIII'ructloDt
main.ellllnce. ...d ol,er..lon uf .ald raelllly.
II. T"e hulder .h.11 complde '''e l'ClJue..ed work ",1I"ln 10 dllY' or 'hls permlt.haD 1Icco... auU 11I1" "old. In .he e"CII' the ".rk req....ted
I. no' eomltle'ed upon 'he 11I1'lr.llon Ila'e or .hl. perm I', 'he Clly .hall hll"e Clle rlgh. .0 eomple'e .ueh work and ......e the bolder.r the perml' for all_II
b1curnd In eompldb.. said work.
12. The holdcr ...,,111'0'. . ellsb or .u.'e'y bond nl'" 'be Clly Manllgn In 'he .um ors ..lIan .. guarantee pertol1lll1llCe or the oblla.......
hcreln. .nd '0 guarllnlee IOlIln.cnanee or Ihe rlllh.-or.",.y described herein rur . perlo. or one (I) ye.r followlnl eoIDplellon .r the req.....ecI....lallallon. In ....
even. a .ure.y bond I. polled, .he .ure.y bIHld .hall be m.de p.y.ble .0 .he Clly .nd .hall obllg..e the .ure.". ..... the Clay ...rm....1n the nad the boI.er.r
.hl. Iterml. .hould fall 'u med IIny or II. obllg..Ion. hereunder. TIle bond .hllll.l,o Indemnlry.he CIt,. r.r .11 c:eurt _II.... rea....." a...me,.'. fill In ....
even. leaallldlon I. required .0 coiled on ..Id bond. I
13. The l,ermlUee '''"11 have . 24 hour emergeney eon'"d nanle .n. number 1I,'ed belo".
(PerlOlI'u)
SUBMn"I'ED BY:
-
GTt::'
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e.L-JYYIG S~
M \ k litlfL
FLLIl... :::to,4i U:J..lJ I 1=LA 33ec:> 1
Slpa'ure & Tille
A.dre.. (2..0
P"olle~4-I- ~BB-S357
APPROVED BY:
CITY OF ZEPIIYRIIILl.s
.......OfDd..~.,. '~, ,..-
Da.e: ~ 0
U.IIIC1e. Supenl.ur ;;i ,? ~~~"----'"
Dale: ~/ ~~J'
~:~~~e wurk.t;ff[r~
Clly ManllRcr
U.'el
THE UTILITY DEPARTMENT SHALL
BE NOTIFIED 24 MOORS 'N
ADVANCE Of STARTING WORK
(813) 782.. 1/11