HomeMy WebLinkAbout17-18662 � ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 18662
RESIDENTIAL SWIMMING POOL
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18662 Address: 6449 ASHVILLE DR
Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL.
Class of Work: POOL/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
' Est. Value: Parcel Number: 03-26-21-0220-00B00-0150
Im rov. Cost: 8 000.00
p ,
OWNER INFORMATION
Date Issued: 7/17/2017 Name: WILKEY ANGELA
Total Fees: 157.50 Address: 6449 ASHVILLE DR
Amount Paid: 157.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/17/2017 Phone: 813-951-6369
Work Desc: OVAL ABOVE GROUND POOL 12 X 24 W/ 106 FT X 6 PRIVACY FENCE
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 112.50
HOMEOWNER FENCE 45.00
' Ins ections Re uired
POOL STEEL
POOL DECK & FOOTER
POOL ELECTRIC BOND
POOL PLUMBING/P ESSURE
FINAL �-�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I''
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
' 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 your property. If yoa intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
�- ����.
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROV�D INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE R�.QUIRED
PROTECT CARD FROM WEATHER
813-780-002;1 City of Zephyrhills Permit Application Fax-813-780-0021
,
Building Department _
Date Recelv�d . -�- ��� ���'
� � - :�.Phone•Contact.forPermlltin � .` �
Owner's Name [� � � �'�t�►-� � Owner Phone Number 3- t���le �
�!
Owner's Address ��° 1, � � .�,�'�'� ��p, � � pW�er Phone Number
Fee Slmple Tltleholder:Name � � Owrner Phone Numb�r ' r -
Fee Simpla Titleholder Addresa -
JOB ADDRESS (Q_.�, LL . • �(�,U�y`,� ' -r-�j�S . LOT# ��
SUBDIVISION �i Ivev�6a� �9�, � � PARCEL ID# ' � • • .
' � + (OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED, •rNEW CONSTR�' ADD/ALT � Q� SIGN Q • Q DEMOLISH
.. ,,B, INSTALL. �'• :�; REPiAIR •• �
PROPOSED:USE � � - , , .
. , Q S�R. [� �COMM' � y OTHER' '� - �
TYPE OF CONSTRUCTION <� Q� ' BLOCK ' ' FRAME '� ;� ,STEEL Q.
- �,� • � • .
DESCRIPTION OF WORK �R �'�-'C�QJt(l �4• g���� �} `� (�,I� �� . ��� .O GJ1
BUILDING.SIZE" ' " �''SQ FOOTAGE' ,{HEIGHT�,� .
.. �,;
BUILDING (�, �� , VALUATION;OF`TOTAL CONSTRUCTION ` "
�/
QELECTRICAL. $ " AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING• ;$ -
� � � \
Q MECHANIGAL' $ " ' " VALUATION OF;MECHANICAL INSTACLA7'10 �"���\
.. . , , , �,
QGAS Q ROOFIf�G Q SPECIALTY, Q OTHER�: / � �I v
_ ( �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES. NO� <<
. . . � 2 i ���
BUILDER � ,COMPANY~= ° � �
SIGNATURE ��� REGISTERED Y/ N 'FEE CURRE� Y PN
Addres� ' � • •Llcense`# ' '
ELECTRIC,IAN:...,; � = ;.;COMPANY - - � _ � - . �
SIGNATURE K REGISTERED Y/ N . �E cutti��°=` i>�Y/N:� '
4; • � ' _ ti . "' A.` - ' '
Addre�s . ' - - ,: : License.#• ; - ,
PLUIIABER''; � .C.OMPANY , � , y, „ ,
SIGNATURE"'�"� � ` �� _ ',REGIST.ERED, Y/.N•, ,;FEE CURRED � - � Xr/N . '
. ,- ,. . __ .
Address ' . ,' Goen&ey# - �- ,
:,. � `'-�
WIECHANICAL` ' +�' - • .' ' _ COMPANY ' _
SI(iNATURE} . ,.. , . , . ,< _ , - _, :� .:,: . � . .�.• . -
REGISTERED; ,Y.,/ N� ; � FEECURREP Y,/�N
- ' tif� � ' ' .. . . � .
Addre�s-:: , ., . ---. ... , � .. :� . . ;q -. , " " ' Licen$e#� �. � ,
:� . �- . , . . . . ,. „_ . ,
OTHER �• ,�^ � ; . -r_.` ;. .. - -. , -t -.<;.:_:�. . ..•; ,;- - - � , , :,.. .. -
C_,O,MPANY _. .
IGNATURE' ,. �.,;,.-.,,. . ,�. .�:;s ,: z... .
S :=%`- -}� - • 'REGISTERED " " Y/ N.,.�. �FEE CURREA Y/N.
/�ddl'688�� tv:r^' %"!: _c�;... >pi;'... _ .... _. ,��2�._ ' `uC6nS9'�'� " ' ' ' �
'rr,��.�.:� ,;,. •-�..- y•�: ry--' �-. - ,
RESIDENTIpL'-;;s^,=;AttacJi"'(2),Plot`_Pians;�.(2)sets:of,BufliJtngtPlan's;(1)setof=En'ergy:Fortns^VR=O-VNWPerrnit farfnew construcUon, . ' -
-��,�.;sMinimum�ten�(�1.0)�working�;dajis�afte_r,;submilfaFdate.�;Requlred onslte;FCon'siiuc8on?Plans:�'Storrnwater Plans w%Silt Fence instelled,
-- - - - ----- �-�Senitery�Fa,dltdes;�;+�,d_�m�sM,r;;Slt���lc�!c,;Psranit;tsr�sutidEvi€IorisAar;�e�p�)ect"s,': ;-;�;, ' .- - -- . , - - - -" --- --
COWIMERCIAL Altach(3)complete�sets`of'BuIlding Plans plus�a'Ufe Sefely Page;(1)set of�Energy�Forms.R-O-W Permit for new'construcdon.. �
Minimum ten(10)working days aitar submlttal date. Required onsite,Construcdon Plans,Stormwater Plans w/Sflt Fence Insfalled,
Sanitary FadliUes 8 1 dumpster.Site Work Permit for all newtproJects::All commerGal[equlr,ements_must meet campllance
.:SIGN PERMIT Attacfi'"(2).sets of'Engin'eered�Plan`s:4.��.=RM.;;:- L.�,x'.�F <:==- � •-.- � . --
••••PROPERTY SURVEY reguired for all NEW_constructlon.,__.. .._. _._... �
.._......�_ , - .
_Dlrectlons: , -..�.,,� --�: .. . � `
Fill out appUcatlon completely.
Owner 8 Contractor slgn back of applicatlon,notarized �
If over 52500,a Nodce.of.Commencemant is required. (AfC upgrados over 57500) ,_,,
,..:,,,.t., �
'• /�qenC(far the�contrac'tor)`flr'Power of Attomey"(fo�tFie owner)would be somaone with notarized letter from owner authodzing same
DVER`THE COUN.T.ER:PERMI'iTING-�---;-•(Front•of-Applicatlon-anly)-..- _ � • " '`
Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewaya-Not over Counter ff on public roadways:.needs ROW'
.�,�
�y
,��
,:- ..,. .: , ,.
tdOT10E OF D@ED RESTRICTION�: The undersigned.under�tands�;th�t;thi�.,pgrrrniF,.may�be,subJ�,ct to:"deed"r�strictlons"r_,^�. , ...-..^
which may�be�:more:rest�ictive�th���-Courityr.�Fegulatlons:�rThe�underslgn�d��assumes'resp�insitiilt4y`for'compliance�writh'any� �
appAcabie deed restrictlons. :._. . ,.,�. � •�•° -
UNLICENSED�CONTR/�CT�RS AND CONfiRACTOR�RESPONSI�ILITIES: If the~owner h�s�`�hiretl�����,conQractor or
contrac4ors to undertake work, they may�be.;r.e,,quir�,d„•�;to::b�,llcensed,ln-�ccordance.with;state.andwlo�ai_regulatl.,ons:�:If°the��� �' � �
contractor�t§ not Iicensed��as�requlred;t�y law, botFi the.owr�er ared contiactor��may be�clted=for°a��°misdemeanor vtolatlorr
�I under staQe lawr. If the owner or Interided;;;contractor,ere,uncertaln �s to what'Ilcenaing_requlr�ments;:m�y-.�apply-:ior.the��-�� �> � �
� . �__,.. ._�....,.,.
intended�work, they a�e advls�d"to contact th�.Pa�co County Building'Inapectlon,Divi�ion--t:tcensing Section at 727-�47-
8009. Furthermore, If the owner'tias�'Filred`a confracfor"or contractors, he ts advised to have �the cmnlractor(s).;sign , _ .
portions of the�"coratractor �lock° of thisti�pplication..for�wrhich they.wlll-.be.resp.onslble.-:if-you;:as•:ghe owiier'�ign`��as'ttie' � �
cont�actor, that•may`be an indicatlon th�t''he`�Is�not.properly Blcensed`antl��is-not entitled to perinittl'ng priitileges in Pasco
County. �� ., -:::;.;,�
TRAIdSPORTdT10N`=1MPi�C`PIUTILITIE��rMPAC'�Awb�ESOtJRC� RECOVER'Y�FEE�:The undersigned under�t�nds
that Transportatfon Impact Fees and.Reco.urse.Recovery.Fees mey��appiy.�-to�the;conatcuctton�of new,buildtngs��•change��of=�'� � �•� '-
use in �xisBng buildings; or;expan�sia�r�of;existi�i,g:':bulldings, a§ specified.in Pasco County Ordinance number 89-07 and.
90-07, as amended..;:The undersigned aiso�underst�nds, th2iE'�such fees�.es,may:����_due;;wlll�:abe ider�tifl�d at the-time�of�' �
, permitt(ng. It is furth�er und�rstood that Tra�§portatlon Imp�ct`�Fees anct�fZesoucce;uRecodery�Fees.musC be pald prior.to
g p cy"�or flnal�power;relea�e: :I��the.proJ�ck_does�.no4 lnvolv���:�certfftoate of occtapanoy,°or-����°�" "
Peceivin �a_"c�rti�cate,of�occu an � �
flnal pow�e rele�se;:the fees•mu�t tie patd:;prlo�to;permR Issuanc�. :Ft��#hermor�-`If::Pasco,;County`�INat�r/�ewer,-:lmpac4 , . � �-
f�es are due,..they�must.be:pald:�,pcior to permit:issyance�in.a_ccordance..w(tt��applicable-Pasco�-.County ordinances. •
CONSTRUCTION-LIEN"LAW(Cliapter 713� FloNda Statute��as amended): If valuadon of work is$2,500.00<or more,.-I=� �� •,
cerlify that I, fhe:-applicant, have�been provided-�wlth~a=ccapy �f�the� `Florida�°Constivction: Llen Lav�Homeowner's
Protection GuOde" prepar�d by the Flo�ida Department�of Agrlc.ulture and Consumer.Affairs. If the applicant Is,someone . -
......
other than th�"own�r, I certify.that l�.have.;optained'a�copy,of..#he;�bpve.:descrl�ed+do,cur�ent�and;;p�or�ise�in,go;od:�faith•.to . ,
deliver It to.lhe.,".owner"�:p�ior`to-coPiimenc�ment:'' ' � �� ; � ,
CONTRACTOR'SIOWNER'8 AFFIDAVIT: I.ceifity,:tha�t::�ll.the,.lnf�rrr»tion:,l�a thia applicatlon is accurate and that all work
will'be don� in compliance with all applicable laws regulating constructlon� zonin� and:land�development. Application fs
h�reby made to, obtaln .� p�rmtt:Co ,do_;wock,;and instsllation as indl�af�d:.>.:.'I� ce�tify that no work�.or Installatlon t�as
commenc�d p�lor Qo issuanc� ot a permif�"and that.all work wfli b� pe�ormed�to meet,standards,.of ail laws regulating� �
const�ction, County and City codes� zoning r�gulati�ns� and land deveiopment regulations�in Qhe ]urtsdictton.. ( al'so. �
cert0fy th�t I understand that th� regulations of other gov�rnment ag�ncies m�y�apply�_to the..intend�d work, and that it!s
my responstbility'to Identifjr•what.actlons I must�take:to be.in:.cor�pllance:,.S.uch:agen,cies_tnclude but�-�re.not lemited to:
- Department of Er�vlronment�I���oQection-Gypress.�Bayh�ad�; WeNand Are�s and Envtronmentally Sensitive
Lands,WateriWastewater Treatment.
- Southwest Florida Water Management: ..DBstrict-W�II�; Cypr�ss.Y Bay�eads; 41Vetiand Ar�as� Altering
Wat�rcourses. �
- Arrny Corps of Engineers-S�awalls, Dock�, �lavigabl��!l�terwrays.
- Departm�nt of .Health::.8.:ReMabllitative: ServlcesLEnvironmenf�l.,He�ith UnDt-Wells, Vvastewtater�Treatment,
Septia Tanks:_ - ,
- U�Environmentai Protec�lon Agency-Asb��tos�batement.-
Federel Avlatlon�Aulhority=.Runwrays.-
t understand that the.follow�ng:<resirlctlons apply'to the us�of flll:•
- Use of�ill I� not allow�d In.,Flood;Zone"V"unless expressly permitted.
- If the flll materi�l-is to b.e used�In.�Fiood Zone. "A", tt� Is underatood that a drainage plan addressing a
"compensating volume" will be submitted at�ime of�permttting wblch (s prepared by a prof�ssional engin�er �
Ilcensed by#he State ofiFlorida: - �� = �,
- tf ih� flll m�terlal is'to be used In Flood Zon� 'A" in>conn�ct�on�with:a�perre�ltt�d building using stem wail ,
� constructlon� i cer�ify.that fill:tirlll��b.e�used only.to.flll the ar��w►(thin�the�stem�w�ll. _
- I� f311 material is to be usad in any area; E cer4lfy that .use. of'euch�flil wlll not adversely affect adJacent
properties. !f use�of flll is found to adver�e�y::�ffect adJaEent��:proper�le�,.the owner may be cited for viofating
th� condillons:of.the bullding'.p�rmlt-Is"su�d�under ihe atfacfied�ermit apptication,�for:lots�le�s�than.one (1)
acre whicFi are�levated�by flll, a�t eng(neer�d drainage plan is required.
if I am the AGENT FOR THE�OWNER, I;.prom'ise in good.falth to Inform the owner.of•the perrnitting conditlons set forth In
this aifid�vit prior 4o commencing constructlon. I unders4and thet a�a�p�rate permit may be required for el�ctric�l.work,
plumbing,..:signs, wells,,pools;, ai� cond(tioning, .gas, .or oth�� Insfallattons nol�spec�ically included-in.the application. .A ,.
permit Issued shall be constcued to b`e�a�Ii�ense'-to��proceed wtth tN�;vvork.and_not-�s..authodty_:to:violate;caiicel, alter, or ,
set aside eny"provislons of the.technical._c+ode�;�nor shall Issuance�of a.permit.prevent the Buliding O#iict�l from thereafter
requlring a conection nf eRors=ln,plans; construction.oc�lolatlons of�any cod�s. Eve•ry�.p�rmit�lssued�shall�become invalid
unless the work authorized by such perm(t:�s.co�menced•withfn s�x::rre.o�th� of�permlt I�su��rce, or if wrork authorized by
the permit i�suspended=or;abandoned for:��;p�rlod;of�s�x�.��9)�montf�s.after the,titne th��work�is commen�ed. An extenston
may be r�que�ted,_In writliig;;:f�oroi.the,�uilding,Offlci�l�for a �rfod::►eot.to exceed�n6i�ietjP�(90)'-d�ys and�-virill�demonsQr�te
justifiable caus�for.•the extension. If work_c�ases:for ninety(9U)cons.ecu4lve�days�..the)ob�Ps consider�d aba�doned.
IPVARNINC 1'0 OWNER: YOUR:�AILIJRE,Tt�.;R�C;ORD;A:.f�OTIGE OF:�CAMMENCEMENT��MAY=RESULT IN�YOUR
�AYINCs TWICE;FOR�IIIAPRO�I„�MENT$:1'�O;Y�OUR<:P�RRORERTY: :I�°:YO.U{IN'�EWDt�T���f38TA1N•;FINiA1�EfNCv;'C.ONSULT
�IIITHYAUR�kEND�R:OR�lN•�;,TTARNEY�B�FOR�+RE�OR�II�G%�1�OUi�'1dOT�C ,���-�COM11�lENC���T:� �`
FLORIDAJUR�1�.(F.S:1., 7 3) , .. . , �` , - . , � - , .
09NNER OR ACiENT � _.��---� ' COI37'�tACT�R I Y '
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VVho is/ar �s nally k� � o.me.or�haslhave.pro.uced o.l pe o a(fykn pme;orhaelhave�pro uced � �
� s � Identlflcatlpn. � % 1`-���'U JdentlflcaUon.
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Gc.c_���-�- U R-- Notery Public _ �"�'��-�- � � Notary Public
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Commissl n ,�Y p���r �Ortimi slon ��`•....y°�,: JACQUELI �
� = :+= � ommission#fF 150422
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08lQ7l2017, 09:50 �A�0137�1f�1 P.001�041
1503 S.Alexander� uite 103
Plan 63 ,�^^�^�'^��,
ho (813)75 '=1665 '�'•'''•�,�
F : (813)750-1681 {r � ���i���:��
Email: LSPC et.cam �z �`" ' • � `p � � �f,,
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,�
�'�.xti�f��� . .
Date: August 7,2017
To: Zephyrhills
Property Address: 6449 Ashville Drive,Zephyrhills, FL 33542
Tax ID/Folio No.: 03-26-21-022Q-OOB00-01501
Legal: Lot{s) 15, Block B, SILVER OAKS VILLAGE-PHASE TWO, according to the plat thereof as
recorded in plat , , of the public records of Pasco County, Florida.
Property Owner: Angela Witkey
File No.: LS17-2438658
TO WHOM IT MAY CONCERN:
Please provide information regarding any open liens, open code violations, or cases that resulted in fines. Also,
please provide if there are any open/expired permits.
Open/Expired Permits: �YES ❑ NO Perrnit No.IStatus: / � ��z (��-CLC°r��`rC� C�°��c����
�'°�.-c�2nn,{`,'Y�Q
Open Code Violations: ❑YES '� NO Case No.IStatus:
Open Liens: ❑YES �NQ PayoffAmount: Good Thru:
DATE PROCESSED: �� �--� � PROCESSED BY: � , !I �.$
Upon completion of fhe enclosed searches,please forward them to the fax number listed ebove.
SINCERELY,
HOMETOWN TfTLE NETWORK
Blank HTN Code and Permit Request LS17-2438658
�
CITY OF / / / / �UILDING
ZEPHYRHILLS pEPARTMENT
OF ADDITION OR CORRECTION
� • • - •
ADDRESS DATE PERMIT�,
�� 1 ��!, ,�r
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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�N G '��"� �. .1" t�� ' .'�.c�_,C.. •�'/ ✓ 1.(��('
�� �E'(,`' -L'� Cj�C.��M tJi- a� '�� uJ�" � � f
It is unlaw►ul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
' cover or cause to be covered,any part of the worlc with flooring,lath,earth 7$�-�020°F� R -INSP�CTION
or other material,until the proper inspector has had ample time to approve
the insWllation.
OFFICE HOURS 7:30AM-4.30 PM MON-FRI INSPECTOR % �
SURVEY OF. {DESCRIP71flN AS FURNISHED}
LOT 15, BLOCK B, SILVER OAKS VII.LAGE — PHASE TWO, ACCORDING TO MAP OR
PLAT THEREOF AS RECORDED IN PLAT BOOK 5Q PAGES 29 AND 30, OF THE
PUB[.IC RECORDS dF PASCQ COUNIY, FL4ftIDA.
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''S �, PREVAt�IRlG CODES
'"'" '.. FLORIpA BUILDING CO �,
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�, NATlONAL ELEC7R{C C DE,l�ND
'�� p�F�EN�E �- 4 ClTY O�Z�PHYRHILL.S RDINAMCES
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{N4 GAP)
cEar��iea ro:
ANGELA PRESTON;
FEAGSTAR BANK, FSB, tSAflA;
THE SECREFARY OF HOUSING AND URBAN
DEVELOPMENT;
UNITY ONE 717LE ANp LAND;
d�0 REPUBLlC NATIQNAL TIT�£ tNSURANGE
CdMPANY
50NE PORTICNJS OF THIS ORAK7NQ ESPECIALLY FENCES AND pOJECiS NEAR PROPERTY ANp 9UIlDING IJNE5 MAY XA4E BEQJ E%AGGERATE[1 FpR CRMN�CAI,pURPOSES ANp NAY NOT BE TO SCAIE,NEASUPEYENTS
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SUBJECT FARCEL APPEARS 70 UE tN FLOOA ZONE{S} X PER THE FL006 INSURANCE RAIE tdAP COMNUNlTY PANE�No. 12b235 OOQS C pA1E0: 1 1 91
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TYPE OF DATE�F
DRAWN CHfCKEb WORK FlEtD
BY BY PERFORAiED WOftIS
OC DR BOUNpARY SURVEY 12/21/11 AC4U—SURV
BdUNDARY SURUEY $�RVF}'JNG AND MAPPIN� LLC
4440 SPRWC LAKE HICHWAY
BROOXSYttt£,FICRtDA 34SQ7
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DAVID AI,LEN RICK P.S.M.#8129 ACCUSURV6�MAILCOM
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07,'65/201.7 10:52AM 8133248826 RECREATIDNAL POOLS PAGE 01/01
Recreational �adl� Spas & Mor
509 w. Bxandon B1vd.
Brandon, FL 33511
Phone 813-324-8824
Fax $13�324-8826 .
***** REPRTN� of ZAYAWAY#: � 965 *�***
Receipt#�: 10965 8�3-479-375$
Store• 1 Jeff Wilkey
Date: 6/2�/2017 Time: 0:53 06 AM 5449 Ashvil�e Dr
Cashier: BRIAN S3spr: BRIA Zephyrhills, F� 33542
CODE pESCRIPTION QTY PRICE EXTENp�p
------------�- ----
----------�---------
Pric�d for JuZy 4t� Clear�nce Sa1e � �
;� 1123457,303 PL- GENERATIpN 224p ERA 1224 1 3995. pq 3995. b0
Za2� ' .�zz�za� T� ooz
1123�50117 ACCESSORIES 893 1 d. 00 0 .00
�'I SKIMMER
1123450675 ACCESSORT�S 643 03 1 0 .00 0 , 00
VAG HOSE; 1.SX30 PREM VAC HOSE
1123450367 ACCESSORIES 835 � 0. 00 0.00
CAM POL�� 6-12
1123450678 AGGESSOR�ES $61 1 a.00 � . 00
MAINTENANCE Kz�'; REMI M '
� 1123451178 PppL CZEANE�t B -20- 70 ' 1 Q. 00 0 .00
Z�DIAC W1�HOp AG ' L CT� R .
112345111G POOZ FIT�TER WWp 05-6 15 1 0 . 00 p . p0
125SF P�20 C�,EAN .5 �i 2SPD CL
112345105� P�OL ZIT�'�Rs �,II 2452 SU x�24 1 0 . 00 O .QO
LINER; 1224 52" OULD UNIB�AD
112345�552 POOL ZAD17ER5 20 7dQT 1 0 . 00 0 .00 '
ENTR.I�NCE SNl,ART C OTCE �
112345�550 POOZ T,AI7DE�S 20 6aoT 1 0.00 0.00
SM1�RT S�EP 24" T L1pE
1�23�151618 ACCESSORIES 444 D�.A 1 0 . 00 0.00
� L'aWER IONIZER
112345b93� CHEMICAZS 8�125 1 4 p.00 p. pp
SUPER ZAk�PI'� (BO ) 1 SAG
1123�45p93S CHEM7CAZ$ AQUA AT,T 1 0. 00 0.00
AQU�1 SAT��' 40LB
---�-------- ----------�-
--------------------------
All returns are subject to ma ag�me t Subtotal 3995.00 `
approva.� and depending on �h Tax 279. 65
condition of the merck�andise ay be TO�AL 4274 . 65
subjec� �0 15� restocking fee. Prev Paymen�ts 100 . Q0
�'aTAL owED �417� . 65 �
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DISCLOSURE 5TI3T�i.�iTT FOR OWNBR � I
CITX OF ZLPAYRHILLS BUTLDIN� D8PAR2R�ld'P
I. ����� lJ-�a��� have read aad fully uad�rstaad and
agree to he provis3ons of this iastriunent. �
The unders3.gaed states az� .affirms that he or she is desirous of coaetructiag, I
reaavatiug, adding �a or`reraofing his or her otva domicile, that he ar` she�� �
actually occupies, or wil3 occugy by said domieile, aad same is not for
rent, lease or sa1e. That he or she shall comgly with th� followiag coadit�3ans:
I. fihat the owuer and he os she alone shall act as the builder �or all phases o�
coas�ruction. �
2. That th� own�r will compiy v�ith aIl psavisians of the City of Zephyrhills
ordivaac�s aadl coc�es pertinent to �he bui2diag.
3. That ia the eveat various ghase� of coa.struction �re svbcoatraGted, he will
engage oaly properly liceased subcoatractors aad wi11 persoaally eupervise
such work.
4. That ia the eveat the Bui2diag Insgsector shall require cosrecti.ons to be made,
the owaer wi13. aassume full .responsib3Zity ta iasure they axe made, aad upon
complet3oss wi1.1 call fos a reiaspection befor� groeeecting with the buildiag.
5. That the owaer �hall aesume full respoaaibility for the constructioa aud will�
aot �xpec� supesvis3oa af his work �rc+m the City of Zephyrhills Suildi.ag '
Departmeat.
6. That pr3or to fiaal iaspectioa aay adc�itioaal £ees, iacluding reiaspection ,
�ees, must b� paid ia full. A wr3ttea request from this office sha23. � ,
coastitute aa afficia], uot3ce to pay additional fees. '
7. That �Ghe ozaaer ehall aomply wa.th all City, Stat� sad Federal laws in regard to
soci.al secur3.ty, workman's compensatian, laen laws, eta. , where applicable.
8. That the owaer sha31 comply with alI the safety cades issu�d by the Florida
Iadus�rial Commiasioa.
9. Sta�e 1a� requir�s coastru.ction to be doae by liceased eontractors. Yau hav�
applied for a germit uader aa exemptiox� to that law. The �aremptioa �llows
you, as the avanes of your propexty, to aat a� your owa coatraatcr �with cextaia
restrictioas evea though yau do aat have a licease. Yau must prov3de dir�ec�
ons3te supervision cf the constr.uctioa yourself. You may build or improve a �
oae-family or t�+ro-famil� residerlae or a £arm outbuildiag. Yau may al�o buil�
or improve a cammercial buildiag, prov3ded your casts do not e�aeec� $75,000.
' The buildiag or reeideace mus� be for y.our owa uee or occupaacy. It may ao�
i be built or substantially improved for sale or lease. =f you a�il or lea�e a ,
' btti3diag you have built or �ubstaatially im,praved yourself withia 1 year. a�fter
the ca�astructa.oxt a.s eozagZete, th� law vaill pr�sume tha� you bui3t or �
substantially improved if fos sal� or lease, whiah is a vialatian of this
escemptio�a. You may aot� hire aa unliaensed persoa to act as yaur caatractoar ar
to superviee people workiag oa your buildiag. It is your r�sponsibility to
�� make sure that peapl� emplayed by you have liceaaes required by state law aad
by couaty or muaieipai Iieensiag ord3nanees. Yoa,may not de2egate the
respoasib3litg for sup�zvis3ag wor3c �o a 13aensed aantractor c�rha is aot
liceased ta per£orm the work beirig doae. Aay persaa workiag on your bu3ldiag
who is aat 1ice�as�d snuat work vader:your dixect sugervisiaa and muet be
------ entploy�d �Sy vou,��hich__meaas tha�y-au-must-deduct-I�.�.C:�:—and-withho3-ci�ng--t�x--- ----.----
I and pravide workers' eampensatian for that employee, aZl as prescribed by Iaw.
�, Your constructioa must comply wath a11 appliea�sle 1.aws, ordiaaaces, buildiag
� codes, aad zoaiag regulations.
OWNER'S S TGNAfiURE ' 'r(3�.L��`�-- �..� DATE `�'�p��
ADI?RE3S � y,�t ti. . - 3Yj ,
PHONS_ (?�'�1��'�(t�i'�S�t
WIT238S5 PERi�3IT #
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City of Zephyrhills
BUILDING PLAN REVIEW CONIMENTS
' Contractor/Homeowner: r, � ��1� ,��
--. -- ---- ---- --- ----- - --- - - ----------- --- --
—- -- Date Received: -- --- --- --- - - -- - ---�— ��
Site: � 7"� % �`l, v� �l'� ��
� Pernut Type: �00�� �d��� � f�tl��
i
j Approved w/no comments:❑ Approved w/the below comments: L� Denied w/the below comments: ❑
l
s�.� �`,� ��
This comment sheet shall be kept with the permit and/or plans.
� /�
7 � ���,
Ka in S itz —Plans Examiner � Date Contractor and/or Homeowner
(Required when comments are present)
I