HomeMy WebLinkAbout19-21554 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21554
RESIDENTIAL SWIMMING POOL
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21554 Address: 2996 MOULDEN HOLLOW DR
Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL.
Class of Work: POOUNEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: HIDDEN RIVER
Est. Value: Parcel Number: 25-26-21-0100-00000-0670
Improv. Cost: 33,900.00 OWNER INFORMATION
Date Issued: 8/06/2019 Name: HYATT, RONALD & REGINA
Total Fees: 495.00 Address: 2996 MOULDEN HOLLOW DR
Amount Paid: 495.00 ZEPHYRHILLS, FL 33540
Date Paid: 8/06/2019 Phone: 813-919-7562
Work Desc: INSTALLATION INGROUND POOL 12' X 26 '
CONTRACTORS APPLICATION FEES
PAUL SCHAPER CONSTRUCTION INC BUILDING FEE 360.00
REESE ELECTRICAL INC PLUMBING FEE 67.50
PAUL SCHAPER CONSTRUCTION INC ELECTRICAL FEE 67.50
Inspections Required
POOL STEEL
POOL DECK& FOOTER
POOL ELECTRIC BOND
POOL PLUMBING/PRESSURE
FINAL
REINSPEC77ON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
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 yo rty. If you intend to obtain financing,consult with your lender or an attorney
fore recording your notice of commencement."
&_— 6���
15=
RACTOR PERMIT OFFI
IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
C OR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-STH STREET
(813)780-0020 21554
RESIDENTIAL SWIMMINGL
'OOP
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21554 Addriss: 2996 MOULDEN HOLLOW D-R*O'
Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL -MOP"
Class of Work: POOUNEW Town'Shit., _.J?4"Peo�Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: HIDDEN RIVER
Est.Value: Parcel Number: 25-26-21-0100-00000-0670
Improv. Cost: 33,900.00 OWNER INFORMATION
Date Issued: Name: HYATT, RONALD & REGINA
Total Fees: 495.00 Address: 2996 MOULDEN HOLLOW DR
Amount P * . ZEPHYRHILLS, FL 33540
D aid: Phone: 813-919-7562
,Work Desc;,' INSTAL TION INGROUNP POOL 12'X 26 '
CONTRACTOR(S) APPLICATION FEES
AUL SCHAPER CONSTRUCTION INC BUILDING FEE 360.00
REESE ELECTRICAL INC PLUMBING FEE 67.50
PAUL SCHAPER CONSTRUCTION IN ELECTRICAL FEE 67.50
Ins ections Required
POOL STEEL
POOL DECK& FOOTER
POOL ELECTRIC BOND
POOL PLUMBING/PRESSURE
FINAL
REINSPEC71ON FEES: (c)WIth respect to ReInspection fees will comply with Florida Statute 553.80(2)(c)the
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 you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
CONTRACTOR PERMIT OFF109k
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application FOX-813-780-Ml
Building Department
Date Received -:2 2-�W Ph %vet for Pormittina 1
Owner's Name Ll E in Ue Owner Phone Number 1%1_1— gig _7$a
i ' ' or
Owners Address 111(0 (01"'4 14 01 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION PARCEL IONU � -Q100WO-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE SFR = COMM OTHER I Pnbl inst-571
TYPE OF CONSTRUCTION Q BLOCK C:] FRAME STEEL
DESCRIPTION OF WORK Ind 1 (30t71 1 t yk-IN 01)"M I
BUILDING SIZE r 80 FOarA(;E HEIGHT E=
. . . . . . . . . . . . . . . . . . . .
UILDING
1$33 IQQ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMPSERVICE 0 PROGRESS ENERGY W.R.E.C.
MPLUMBING 1$ -a--vs� /V 0&_;i
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
/ _
=GAS ROOFING Q SPECIALTY= OTHER l�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . ..J . . . . . . . . . . . . . . . . . . . . . .
77- - - -
PErL
BUILD Pau SCJ\Q
SIGNA%�� REG18TERE0 Y/ N FEE CURTMN I YIN
Add —off* License#
ELECTRICIAN
Zir-as P/
11
7t� PANY E"
SIGNATURE 4 V011111 5"1 REGISTERED I YIN FEE CURRES, I Y/N
Address Ucense#
PLUMBER fdj d COMPANY
SIGNATURE REGISTERED I Y/N FEE CURRER I Y/N
Address I License#1 Iq
MECHANICAL COMPANY =
SIGNATURE REGISTERED I Y t N , FEE cuRm LLLN J
Address I License#
OTHER COMPANY I
SIGNATURE REGISTERED I Y/ N FEE CURRU L�N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for.new construction,
Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Pieria wif Slit Fence Installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now Construction.
Minimum ten(io)working days after submittal date. Required Bristle,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&I dumpster.Site Work Perini for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .AT S.
Fill out application completely.
Owner&Contractor sign back of application,notarized
ff over$2500.a Notice of Commencement Is required. (AIC upgrades over$7600)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some
OVER THE COUNTER PERMITTING (Front of Application Only)
Retools if shingles Sewers Service Upgrades AtC Fences(Plot/Survay/Footage)
Driveways-Nat over Counter If on public madways..neads ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an Indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit Issuance. Furthermore,if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the"owner",I certify 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
CONTRACTOWS/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. 1 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewaterTreatment.
- 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.
- US Environmental Protection Agency-Asbestos abatement
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone"A" In connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- if fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas,or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is 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 XOUR LENDER OR AN ATTORNU13EFORE RECORDING YOUR NOTIGE-OFCOMMENCEMENT,
FLORIDA JURAT(F.S.117.033)1 -� __
OWNER OR AGENT N CO
S l re r swo to(or afv me b me this crib d wo •
n ^�d soallknomee orhas/havepfoduced WHb Istafe personally
(mown to me or hasihave p duoed
as identification. as Ide ' cation.
Notary Public Notary Public
Commission No. Commission No.
Notary Public State of Florida NameRLd;prier "MateofFlorida
f� Alicia Herweh-Cannon Alicia Herwreh-Cannon
My ",05sslonGO218378My Commission GG 218378 Expires 05/18/2022
aa,, Expires 05/16/2022
INSTR#2019115401 OR BK 9935 PG 3561 Page 1 of 1
07/10/2019 08:29 AM Rcpt:2070618 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Neil Ph.D., Pasco County CCerk&ComptroCCer
NOTICE OF COMMENCEMENT
State of FLORIDA County of PASCO
Property Identification No:25-26-21-0100-00000-0670
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
1. Description of property(legal description):
HIDDEN RIVER PHASE ONE B PB 76 PG 077 LOT 67
Street Address 2996 MOULDEN HOLLOW DRIVE, ZEPHYRHILLS, FL 33540
2. General Description of Improvement:INSTALL POOL&SCREEN CAGE
3.Owner Information or Lessee information if the Lessee contracted for the improvement
a)Name and address: Regina Hyatt
996 MOULDEN HOLLOW DRIVE, ZEPHYRHILLS, FL 33540
b)Name and address of fee simple titleholder(if other than owner):N/A
c)Interest in property:Owner
4.Contractor: Paul Schaper,8949 Gall Blvd.,Zephyrhills,FL 33541—Ph:(813)782-0920,Fax:(813)715-4875
5. Surety: Bauer&Associates,12210 Higbway 301 N.,Dade City,FL 33525-$5,000 bond
6. Lender: Name/Address: N/A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)(7),Florida Statures:
a) Name and address: N/A
b) Telephone No.: Fax No.
(opt)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b),Florida Statutes:
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541—Ph:(813)782-0920—Fax:(813)715-4875
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a
different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA
STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF.
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU
INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
f Owner or /e�r's Authorized Officer/Director/Partner/Manager
Pyint Name
r
The foregoing instrument was acknowledged before me this (9 day of Ju 1q . ,20 A ,by
9-4bt '"-ictt} as (type of authority,e,g.officer,trustee,
attorh6y in fact)for (name of party on behalf of whom instrument
was executed).
Personally Known OR Produced Identification Notary Signature
Type of Identification Produced F1 0(r,'L:c .
KATHRIN M ROBIN50N
.a Notary.Public-state of Florida
< Commission O.GG 3218 2013
'��� My Comm.Expires Jun 2,
Assn.
Bcnded through National Notary
CIRC(®' STATE OF FLORIDA, COUNTY OF PASCO .
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
® ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS_MY HAND OFFICIAL SEAL THI
�L_DAY OF(-AN ll� 2
CLERK-9 COMPTROLLER
DEPUTY CLERK
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
Approved w/no comments-W Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kal i r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
SKETCH SEC. 25 , TWP._ 26 S, RNG. 21 E.
NOT A BOUND ONLY
PLOT PLAN ARY LOT 67 BEARING BASIS:
HIDDEN RIVER PHASE ONE 6 NORTH BOUNDARY OF SUBJECT PLAT BEING S 89-40'43-E
PASCO COUNTY, FLORIDA. THIS SURVEY IS SUBJECT TO ANY FACTS THAT
N MAY BE DISCLOSED BY A FULL AND ACCURATE
PRELIMINARY DRAWING: ON LOT AREA CALCULATIONS TITLE SEARCH, ALSO SUBJECT TO SETBACKS,
THIS PLAN Is FOR PERMITTING PURPOSES LOT = 6600.00 s0.FT, EASEMENTS AND RESTRICTIONS OF RECORD.
ONLY,NOT FOR CONSTRUCTION. VERIFY LIVING AREA =__1Qa1SO.FT.ENTRY UNDERGROUND FOOTER, STEM WALL. AND
ALL DIMENSIONS BEFORE ANY CONSTRUCTION, 1LSQ.FT.
GARAGE = 127SO.FT. n UNDERGROUND UTILITIES ARE NOT LOCATED On
LEGEND: COVERED LANAI = N/A--SO.FL SHOWN.
PROPOSED DRAINAGE FLOW PATIO FT.
CONC. DRIVE 408. --SO.FT. 00 NOT SCALE THIS PRINT. DIMENSIONS AND
(00.00) PROPOSED GRADE A/C&CONC PAD 18 0.FT, NOTES TAKE PREFERENCE,
E-00.00=EXISTING GRADE PRIVATE SIDEWALK I'L DESCRIPTION NOT CONTAINING PLAT BOOK AND
NOTES: IMPERVIOUS —7. PAGE INDICATES THAT PLAT IS IN
-_2QM_SQ.FT. PRELIMINARY STAGE AND IS SUBJECT TO
LOT GRADING TYPE - A SOD FT. CHANGE AND/OR REVISION.
PROPOSED PAD ELEVATION
FRONT SETBACK = 20* OFF LOT AREA CALCULATIONS CERTAIN DATA SHOWN HEREON BASED ON
SIDE SETBACK 10' RIGHT OF WAY = Z20..0_0SQ.FT. ENGINEERING PLANS PROVIDED BY CLIENT.
REAR SETBACK= 10' DRIVE APRON = 144 -SO.FT.
PUBLIC SIDEWALK = 24P--SO.FT. STRUCTURE TIES SHOWN HEREON DENOTES
MEASUREMENT FROM FORM BOARDS/FOUNDATION
SOD FT. TO PROPERTY LINE
L TOTALS 10' DRAINACE/unUTY EASEMENT
AREA _.Z3_Z.0_Q_0_SQ.FT. 5' 0RAJNAGE/UTILnY EASEMENT
DRIVEWAY -_.L52 So.FT.
SIDEWALK -_ZJL__SO.FT.
SOD 4901 0.FT.
11
LOT 68
CS C9 �PRM(P)
TRACT
WETLAND CONSMATION AREA/
DRAINAGE EASEMENT
01. HIDDEN RIVER PHASE ONE A
(PLAT BOOK 74.PAGES 101-121)
WEtLPND CONIIIIIATION
LA_
C, IS
1h N'00
G s
PLA
BOUNDARY
SO
LOT 66
LAT
YNDARY
ON
O
PROPOSED:
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 71.35'
O GARAGE AREA: 70.81'
DESCRIPTION: ELEVATIONS REFERENCED TO
LOT 67, MAP OR PLAT ENTITLED"HIDDEN RIVER PHASE ONE B-, NATIONAL GEODETIC VERTICAL
oAS RECORDED IN PLAT BOOK 076, PAGES 077 THROUGH 082, DATUM OF 1929. MEAN SEA
a, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LEVEL= 00.00 Fr.
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO, 12101C 0458 F EFFECTIVE DATE: 9/26/2014
k Project Number: Squore Feet: 6600.00 1 LENNAR HOMES
LEGEND;
(C)- CALCULATED DATA,(0)- DEED DATA.(M)-MEASURED DATA, (P)- PLAT DATA, E- CENTERUNE,A/C-- AIR CONDITIONER,B/C- BACK OF CURB. C/S-
c3 CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING,CLF= CHAIN LINK FENCE, CONC. CONCRETE, COV COVERED. F/P- EDGE OF PAVEMENT. ESM*T= EASEMENT.
F/C- FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR- FOUND IRON ROD, FN&D= FOUND NAIL &DISK. FPP- FOUND PINCHED
PIPE,LFE-LOWEST FLOOR ELEVATION, MAS.- MASONRY,OR= OFFICIAL RECORD BOOK, PB. PLAT BOOK,PCP- PERMANENT CONTROL POINT, PRM= PERMANENT
REFERENCE MONUMENT, R/W= RIGHT OF WAY,R=RADIUS,SIR=SET 1/2-IRON ROD&CAP No. 4493.SN&O- SET NAIL&DISK, TSM- TEMPORARY BENCHMARK.
U4P- UTILITY POLE, WIF- WOOD FENGE
< JOHN R.BEACH&ASSOCIATES,INC. SMS By:
SURVEYORS AND MAPPERS
t Uro�n 911 WEST ST, PETERSBURG-DRIVE Checked By:
JRB
ONE OLDSMAR,FLORIDA 34677
WAY Scale:
(513) 854-1276 FAX(813) 855-49370
l".30,
NOT VALID WITHOUT THE SIGNATURE AND jDate: PLOT PLAN 11/9/18 ACS
2 THE ORIGINAL RAISED SEAL OF A FLORIDA tic URE DATE
U
LICENSED SURVEYOR AND MAPPER EA
iN . BEACH
I%RIOA' G. LAND SURVEYOR No. 2984 .-LB#4493
JEFF M.ZH -EY
LSURVEYOR &MAPPER No.7123
WITHLACOOCHEE RIVER(ELECTRIC
Ma
COOPERATIVE,INC. V/1
Your Touchstone Energy'Partner Kl
i
POOL CLEARANCE APPROVAL
Date : July 25, 2019
Address : 2996 Moulden Hollow Dr
Account Number : 1405 510 447 440 WRFC Release No. : 0125/19
Approved : Yes �X No
If"No",reason :
Inspected by: Stephen Weaver Date : July 25, 2019
Approved by: Stephen Weaver Date : July 25, 2019
Pool Company: Schaper Construction
Comments : No conflict
NOTE: This approval is only a confirmation that the described pool location conforms to the"National Electrical Code"
concerning clearances between pools and electrical conductors. For identification of W.R.E.C.facilities,notify
Sunshine State One-Call @ 1-800-432-4770 or 811.
P.O. Box 1278, San Antonio,FL 33576 Phone : (352) 588-5115 / Fax: 352) 567-4376