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HomeMy WebLinkAbout08-7826 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7826 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: MISC ST/AVE SEE DESCRIPTION 7826 MISC RIGHT-OF-WAY NOT APPLICABLE Address: MIS ST/SEE DESC ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 5/05/2008 Phone: FIRST STREET -NO CHARGE l'j~ ~ 0 / ~/\\'~) lAfiU R FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to ur property. If you intend to obtain financing, consult with your lender or an attorney before recordi our notice of commencement." CTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION.. 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ~~I~} TYPE OF INSURANCE POLICY NUMBER P8k+i~i~~8;Wf Pg~!fl,~,.';b~~N LIMITS LTR A ~NERAL LIABILITY GL0372943804 5/1/2008 5/1/2009 EACH OCCURRENCE $ 1 000.000 eX- OMERCIAL GENERAL LIABILITY ~~~~H9E~~~~nce) $ 100 000 I--- CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 10 000 I--- PERSONAL&ADV INJURY $ 1 000 000 - GENERAL AGGREGATE $ 2 000 000 -'IN'LAGG~E~E ~~~ APGlS PER PRODUCTS. COM PlOP AGG $ 2 000 000 POLICY X JECT X LOC A ~OMOBILE LIABILITY BAP372943904 5/1/2008 5/1/2009 COMBINED SINGLE LIMIT $ 1,000,000 .lL ANY AUTO (Ea accidenl) - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY I NJU RY $ - NON-OWNED AUTOS (Per accident) I--- PROPERTY DAMAGE $ (Per accident) RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B ~ESSIUMBRELLA LIABILITY QI01201519 5/1/2008 5/1/2009 EACH OCCURRENCE $ 5 000 000 X OCCUR D CLAIMS MADE AGGREGATE $ 5.000 000 $ ==1 DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC372944004 5/1/2008 5/1/2009 T WCSTATU- I IOTH- EMPLOYERS' LIABILITY X TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE WC372944104 5/1/2008 5/1/2009 E.L. EACH ACCIDENT $ 1.000 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Sample Certificate Project information HERE ACOJqD,., CERTJFJCA TE OF LJABJLJTY JNSURANCE Page 1 of 2 i DATE 05/02/2008 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America. Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Cable Constructors, Inc. INSURER A: Zurich American Insurance Company 16535-000 105 Kent Street INSURER s: St. Paul Fire and Marine Insurance Compan 24767-001 Iron MOuntain, MI 49801 INSURER C: INSURER D: I INSURER E: COVERAGES CERTIFICATE HOLDER CANCELLATION Sample Certificate c/o Willis of MN, Inc. 4000 Olson Memorial Highway, Suite 300 Minneapolis, MN 55422 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) Co11:2344177 Tp1:771604 @ ACORD CORPORATION 1988 GITY-OFZEPHYRHILtS -BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT DATE: 4-c15/{}f} PERMIT #: 'I g 2i(J No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department. Any application for approval of construction operations on any City o'M1ed Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this pennit is to be kept readily available at the site of the work at all times. PARCEL ID #: CITY ROAD I ~ ~a:e( LOCATION (Legal Description): 3( 3+ uh--e€-T Permission is hereby granted to 8I2r.GH111Ll1.LSE. ~Wll~ of 30432- SJ2 _ 54 For the construction and maintenance of: W6LE'i al~vn.., 11-. 33543 ffllfDstD PlkfNtBJ( of UJ.J~LLJ1JJ() , ~. dJnL (A6Lf, Subject to the following conditions: 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant. 2, All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official. who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to inspection by the City Building Official. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this pennit. Subject to the same tenns and conditions. the penn it holder may take such safety measures, including placing and display of caution signs. as it may deem necessary in conduct of construction and maintenance work hereunder. It is the responsibility of the pennittee to ???? 5. All private and all City property shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be made a part of this pennit This penn it is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. 8. It is expressly stipulated that this penn it is a license for pennissive use only and that the placing of facilities upon public property pursuant to this penn it shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way, any or all said poles. wires. pipes, cables, or other facilities and appurtenances authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the City Building Official at the expense of the holder of this penn it 10. The holder shall save and keep the City hannless from any and all damages, claims, or injuries that may occur by reason of the construction, maintenance, and operation of said facility. 11. The holder shall complete the requested work within _ days or this penn it shall become null and void. In the event the work requested is not completed upon the expiration date of this permit. the City shall have the right to complete such work and to charge the holder of the pennit for all costs incurred in completed said work. 12. The holder shall post a cash or surety bond with the City Manager in the sum of $_ dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the right-of-way described herein for a periOd of one (1) year following completion of the requested installation. In the event a surety bond is posted, the surety bond shall be made payable to the City and shall obligate the surety to hold the City hannless in the event the holder of this pennit should fail to meet any of its obligations hereunder. The bond shall also indemnify the City for all court costs and reasonable ,attorneys fees in the event legal action is required to collect on said bond. SUBMITIED BY: 3354 3 APPROVED BY: CITY OF ZEPHYRHILLS Building Official Util.~ suP"""""f!il ~ Public Works --J.-/:tL ~ City Manager Date Date .r( 2-,(;16 Y Date Date