HomeMy WebLinkAbout20-911 fit City Of ZephyrhillS PERMIT NUM -
5335 Eighth Street AS
` Zephyrhills, FL 33542 BGR-00091 2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 1 112020
Permit Type: Building General (Residential)
v " PropertyNumbe�.: '`i - && Street'Address -- g{��' r"
05 26 21 0070 00300 0050 6670 Paden Wheel Street
;b
Name: JONATHAN&CYNTHIA Permit Type:Building General(Residential) Contractor: HOMETOWN POOLS AND
GARAFOLO Class of Work:In Ground Swimming Pool PAVERS
Address: 6670 Paden Wheel St Building Valuation:$25,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$3,000.00
Phone: (813)714-8168
Mechanical Valuation:$0.00
Plumbing Valuation:$3,000.00 d
Total Valuation:$31,000.00
Total Fees:$412.50
Amount Paid:$412.50
Date Paid:10/21/2020 3:11:52PM
Pro ect•Descrt t o `X "" yy � , WWI
.awn t�- .�..I f�l°"Y;�k�3fx"Y}'fRi<. �;Id%4Mu p%may' •y$1�'g- 6^..A r
INSTALLATION INGROUND POOL 19 X 50 Y
'�!pPlicat olntFeesai =. ';._ }� �a �v ',s •r . "r ze .
Plumbing Permit Fee $55.00 Electrical Plan Review Fee $27.50
Electrical Permit Fee 2 �b $55.00 Building Plan Review Fee $82.50
Building Permit Fee y`�7 $165.00 Plumbing Plan Review Fee $27.50
REINSPECTION 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 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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON RA OR SIGNATURE PE IT OFFICE
P MI XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Silverado Ranch North Homeowners Association,Inc.
c/o Artemis Lifestyle Services,Inc.
1631 E. Vine Street, Suite 300
Kissimmee FL 34744
Customer Care: (407)705-2190 Fax:
Website: www.artemislifestyles.com
Date: 8/3/2020 9:25:59 AM
Project Ref: [6670 Paden Wheel St.]
Jonathan Matthew &Cynthia Marie Garafolo
6670 Paden Wheel St.
Zephyrhills FL 33541
RE: Silverado Ranch North Homeowners Association,Inc.
Pool
Dear Jonathan Matthew &Cynthia Marie Garafolo,
Congratulations! The request for an architectural change, as described below, has been
approved.
-Your application to install a Pool has been APPROVED with the condition the the rear
setback is at least five-foot from the rear property line and the pool deck does not extend
past the sideline of the house.
Please ensure that the$25.00 fee is remitted within 7 days of the date of this notice.
Feel free to utilize the online services offered to you through your communities' portal
for payment.
Project must begin within 90 days and be complete by 180 days after approval letter.
The HOA reserves the right to make a final inspection upon completion of the approved
changes to ensure compliance.Please be advised that any modifications of the original
request will require an addition form to be submitted.
Please remember to adhere to all local building codes and setback requirements. If a
building permit is necessary,it is the responsibility of the applicant to obtain.
The HOA approval is based solely on the aesthetics of the proposed change. This approval
should not be construed as a certification of the structural integrity of any construction. Be
aware that it is the responsibility of the applicant to contact the appropriate utility companies
prior to digging.
Sincerely,
On behalf of the Board of Directors
Silverado Ranch North Homeowners Association,Inc.
DUKE
ENERGY®
WR#38473257
October 15, 2020
Jamie Mills
hometownpoolsandpavers(@ginail.com
Subject:6670 PADEN WHEEL ST
Dear Jamie Mills:
Thank you for contacting Duke Energy Florida, LLC for a letter of no conflict regarding your pool
construction.
NO CONFLICT: Duke Energy Florida,LLC has reviewed our existing facilities at the above
referenced address and has found no apparent conflict at the proposed pool location. According
to the drawing(s)you have provided Duke Energy Florida,LLC has no objection to the proposed
construction.
Note: Florida law requires excavators to dial Sunshine State One Call of Florida at 811 to locate
existing underground utilities prior to digging to avoid personal injury and damage to equipment.
Sincerely,
Adrianna Caputo
Project Coordinator
Duke Energy Florida, LLC 4121 Saint Lawrence Dr,New Port Richey, FL 34653 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting SIN sor7ri
Owner's Name %-t 1`6 Owner Phone Number A13-714
-11 J r
Owner's Address %V I,LJ f1aA*A_TAo*W1 S40ft+l Owner Phone Number'
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS WID PaJeA $+rW+ *SSSMI LOT#
W
21-W76---:00300-
1 1V4MJ 0 PARCe0al
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK.PROPOSEDNEW CONSTRF--1 15 ADD/ALT SIGN DEMOLISH INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER I
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q _J
DESCRIPTION OF WORK CDAPre-�e &V I Me";ft toot5 ncne&
BUILDING SIZE X "50 1 1 SQ FOOTAGE HEIGHT
..........1. W44444444
=BUILDING J$2.S,ID,00 00 1 VALUATION OF.TOTAL CONSTRUCTION
=ELECTRICAL J$ 431 t),On 60 AMP SERVICE t f O PROGRESS ENERGY W.R.E.C.
=PLUMBING
1$ 3. 000
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING F__J SPECIALTY OTHER V44
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8-',, NU"
HHHH ........
BUILDER
COMPANY lqome-rb&lAr r
10
-SIGNATURE REGISTERED, Y/,N-j-,,,'1�2FEE'CURREN J Nw,�
Address Licierise 36P
43
/I
ELECTRICIAN
COMPANY
SIGNATUW9 Y�4 FEE.CU REGISTER I Y/W_� ""
KREN ty/
Address �! License
It v11v
PLUMBER COMPANY 4
,SIGNATURE REGISTERED Y/ N, -FEECURREK 15Z�� _)2 N J
Address 04LJIP c w 3 License#-WCO'Tic 9 to
MECHANICAL COMPANY
SIGNATURE REGISTERED Yf.N FEE CURREN LILN J
Address License 4
OTHER COMPANY
�IGNATURE -RE [STEREO Y/ N7F FEE CURREN L_yLN
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets:of,Building Plans;0)set,of.Energy Forrns;'WO-W Permit for new construction,
Minimum ten(10)working days after'submittal date. Required onsite;-Construction.'Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life-,Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working-days after submittal date. Required onsite,Construction Plans;-Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit 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.
- - -------------- - -- -------
Directions:
Fill out application completely.
Owner&Contractor sign.back of application,notarized
If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles S;aw6rs Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not overbounterff on=public.'ro-'adWa'y.'s..ne,'4*iii-ROW
VQ
NOTICE*OF DEED RESTRICTIONS: The undersigned understands that tl�is 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,Iocal.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.4icensing,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 appl ,to theconstr`uction•`of new buildings, change of
use,in-existing-bUildings,_or expans on_of-existing,buildings,:as specified i 4_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:projectldoes 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 71% 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—Homeowner's
Protection Guide" prepared"by,.the`Florida:Department of.Agriculture.-and Consumer Affairs.. If-the applicant is someone
other than the"owner",1 certify_that,l have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement..,I
CONTRACTOR',S/OWNER'S"AFF.IDAVIT:_.I,certify;that.all the„information in this application is accurate and'#hat 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: (certifythat .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 iand'development regulationslin 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 incompliance. Such.agencies iriclude,but are not limited to:
Department of.'Environmental Protection-Cypress'Bayheads, 1Netland'Areas..and'Fnvironmentally Sensitive
Lands,VllaterMlastewater Treatmentl,_.
p... ..
Southwest Florida Water Manag lament 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.-1
I understand that thefollowing restrictions apply to th`e'use of fill:
Use of fill isnot allowed in Flood.
If unless expressly permitted.
- If the,fill,mateddl"..is,to be used in j Flood. Zone-"A", it is understood that.a drainage plan,,-.addressing a
"compensating.vol6me".will be submitted"at time of permitting which'is prepared by a professional engineer
licensed,by the State of Florida. � , i
= If.the fill material is to`,be used:in Flood Zone "A"' in connection with a permitted .building using stem wall
construction; l certifythat fill will be used-only to fill the area within the stem wall.
- . If fill material is to be used in anyi area, I certify that use iof such fill will not adversely affect adjacent
properties:;1f use:of,fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions;-cf;the°building.permit(issued under the attached permit application, for lots less than one (1)
acre which::are:elevafed`:by fll; an engineered drainage plan is required. .'
If f.am.the:AENTFOR';TiE OWNER;I promise in good faith to.inform the owner.of the'permitting conditions set forth in
this 6.Mdavif' prior:to,.:com'mencing.construction. 1 understand`that;a separate:permit may,be required for.electrical work,
plumbing,%signs;-"wetis;':pools, air,�conditioning, gas, or other'installations,not.specifically included in the.application. A
permit isstyed shall;be construed` o..be-a license ito<proceed with the,work and not as authority to violate, cancel, alter,..or
set aside;;any:'provisions-';of theae,tchnical;codes, nor shall issuance:,of a permit prevent the Building Official from-thereafter,
requiring:a:con'ection 4bri -in-plans;construction or violations of any,codes. Every permit issued shall become invalid
unless tf"e.vuotk authofizetl"by, sucl permit is coppmenced within six months of.permit issuance, or if work authorized-by
the permit'is suspended'or abandoned for a period of six(6)months after1he time-the work is commenced. An extension
may be.requested,Jn,writing,;from.the',Building.Official for a!:period-not to exceed ninety(90) days and will demonstrate
justifiable cause-for.the.`extension "Ifwork ceases for ninety(90),consecutive days,the job is considered abandoned.
-WARNING TO-OWNER:.—YOUR,.-FAILURE'TO RECORD-A_NOTICE_OF-COMMENCEMENT MAY RESULT SIN YOUR
PAYING'TWICE`FOR;IMPROVEMENTS TO YOUR;PROPERTY', IF-YOU INTEND"TO'OB'1 AIWFINANCIhIG;CONSULT --WITH YOUR LENDER OKAN ATTORNEY BEFORE,,,rRECORDING'YOU_ R'N ICE,` COMMENCEMENT.
FLORIDA JURAT'(F.Sn1'17.03)
W6WNER OR AGENT(, CONTRACTOR
Subscribed an bswo o(or ffi e before a thi fit Subscdbed'and s o o r affi ed fore me this
e H ?p
y M;0C
Who is/ persona y no t m r as ave produce Who is/a a Ily kn to me r has produced ��I as identification. as Identification.
Notary Public Notary Public
�/L► /�/ IWSoe r:
Commission No. + �,Z Commission No.
Name of Notary typed,printed or stamped Name of Notary typed 1 printed or stamped
AP40� Notary Public State Of Florida ��' NOtery Public State at Florida
Glennis M Daniels Glennis M Daniels
ry C:W,11 tuon HH 019500 '{' My Commission HH 019500
xprwt 0708/2024 ? Expires 07/0812024
INSTR#2020165948 OR BK 10 190 PG 3228 Page 1 of 1
10/05/2020 01:03 PM Rcpt:2211706 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel to No `05 4(6-42 0070 —0 -3.,- 00.T o
�i
NOTICE OF COMMENCEMENT [0
State of_ �/d& County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes,
the following Information is provided in this Notice of Commencement: !V!
1. Description of Property:Pannaal Ids n No. / d ;j
SbeetAddracs: i .
2. General Description of improvement •AdI
1
3. Owner information or Lessee Information It the Less contracted for the Improvement:
Address City
Interest Id Property:- '"�� fir-fl• .
Name of Fee Simple Titleholder.
(it different from Owner listed above)
Address City State
4, Contractor.
Name i , ♦—
Address
state
contractors Telephone No.:3 °sty
5. Surety:
Name
Address , City Stele
Amount of Bond:S Telephone No.: j
S. Lender.
Name
Address City State
Lender's Telephone No:
7. Persons within the State of Florida designated by the owner upon whom notices or other documerds may be served as provided by
Section 713.13(1Na)(7).Florida Statutes:
Name
4
Address City State
Tatephons Number of Designated Person
8. In addition to himself,the owner designates —of—
to to receive a copy of the Llenoea Notice as provided In Section 713.13(1)(b),Florida Statutes.
• t
Telephone Number of Person or Entity Designated by Owner,
9. Expiration date of Notice of Commencement(the expiration date may rot be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date Is span fied): `
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT I!
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1 SECTION 713.13 FLORIDA STATUTES AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROvEMENTS TO YOUR PROPERTY, A NOTICE`OF COMMENCEMENT'MUST BE !
t RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pedury,I declare that I have read the foregoing notice of commencemerd od that the fads stated therein are true to the best
of my knowledge and belief. A
STATE QF FLORIDA' (j`j.+ R
COUNTY OF PASCO `
Signature o a r Lesced,or Owner'sra
e 9e'6 Authorized
,.Officer/Olrector a r/Manager
to
��} Sig ony's TitteJ, i�a •'
O t.+ tfrA r*iti�b
The loregatrmg instrument was acknowledged before ma this�rYay of ,2�y ;
A c r (type of authority,e.g.,officer,trustee,attorney In facl)for
(name on behalf snt was s ed). I
<e,-Zacat�lohProcluced
BProducedidenUBcation❑ -Notary§Ignature--
Namme(Print),
i
NolirY P411k State of Randle i
j. GiBrI tt M Qaniels
f+a' � 7+�24 otBsim j
wpdatetbcdooticecommeneemenr pcOMS
� Cgs state of Florida,County 4f P86cO
This is to certify th8i the foregoing Is a
' ® true and correct copy of the document
—< �, : on file or of public record in this office.
;
da• • `:' 4� Witness my hand and official seal this
2
p
Nikki Alvareg �R?�es,Esq.,Clerk&Com trotter
paeco Cou , kSrida
Deputy Clerk
I
RESIDENTIAL SWIMMING POOL, SPA, AND/OR HOT TUB SAFETY ACT
NOTICE OF REQUIREMENTS
j
I (We) acknowledge hat a new swimming pool, spa, or hot tub will be constructed or installed at (please print street
address) 4 and hereby affir n that one of the
following ftielhods will be used to meet the re ui i is of Flo ida Statutes(F.S.)515:
Please initial the method(s)to be used for your pool.
The pool will be isolated from access to the home by an enclosure that meets the pool ba rier requirements of
F.S.515.29.
The pool will be equipped with an approved,safety-pool cover that complies with ASTM 1346-91 (Standard
Performance Specifications for Safety Covers for Swimming Pools,Spas,and Hot Tubs).
xAll doors and windows providing direct access from the home to the pool and located within the
enclosure/fence required by the Pasco County Land Development Code (LDC), Secti n 530.4(D), will be
equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at t n feet.
All doors providing direct access from the home to the pool and located within the enclosure/fence required by
the Pasco County LDC,Section 530.4(D),will be equipped with self-closing,self-latching devices with release
mechanisms placed no lower than 54 inches above the floor or deck.
In addition to the enclosure/fence required by the Pasco County LDC, Section 530.4(0), a swimming pool
alarm that,when placed in a pool,sounds an alarm upon detection of an accidental or unauthorized entrance
into the water. Such pool alarm must meet and be independently certified to ASTM Standard F2208, titled
"Standard Safety Specification for Residential Pool Alarms,"which includes surface motion,pressure,sonar,
laser,and infrared alarms.For purposes of this paragraph,the term"swimming pool alarm"does not include
any swimming protection alarm device designed for individual use,such as an alarm attached to a child that
sounds when the child exceeds a certain distance or becomes submerged in water.
I UNDERSTAND AND AGREE THAT NOT HAVING AT LEAST ONE OF THE ABOVE INSTALLED AT THE TIME OF
FINAL INSPECTION OR WHEN THE POOL IS COMPLETED FOR CONTRACT PURPOSES WILL CONSTITUTE A
VIOLATION OF F.S.515, AND WILL BE CONSIDERED AS COMMITTING, A MISDEMEANOR OF THE SECOND
DEGREE,PUNISHABLE BY FINES UP TO$500.00 AND/OR UP TO 60 DAYS IN JAIL AS ESTABLISHED IN F.S.775.
R4501.17.1.10: Where an aboveground pool structure is used as a barrier or where the barrier is mounted on top of the
pool structure and the means of access is a ladder or steps,the ladder or steps shall either be capable of being secure,
locked, or removed to prevent access, or the ladder or steps shall be surrounded by a barrier which meets the
requirements of R4501.17.1.1 through R4501.17.19 and R4501.17.12 through R4501.17.14. When the ladder or steps
are secured,locked,or removed,any opening created shall not allow the passage of a four-inch diameter sphere.
I FURTHER UNDERSTAND AND AGREE THAT THE OWNER AND/OR CONTRACTOR WILL COMPLY WITH THE
FOLLOWING REGULATIONS CONCERNING SWIMMING POOL, SPA, AND/OR HOT TUB ENCLOSURES
IMMEDIATELY UPON COMPLETION OF THE SWIMMING POOL, SPA, OR HOT TUB, IN COMPLIANCE WITH THE
PASCO COUNTY LDC,SECTION 530A(D):
1. Construct around the swimming pool, spa, or hot tub a MINIMUM FOUR-FOOT-HIGH FENCE with self-closing,
self-latching gates. The fence must not have any gaps, openings, indentations, protrusions, or structural
components that could allow a young child to crawl under,squeeze through,or climb over the fence. Gates must
open outward,away from the pool area. The releasing mechanism of the latching device must be located on the
pool side of the gate and so placed that it cannot be reached by a young child over the top or through any
opening or gap. No opening in the fence may be large enough to admit a four-inch sphere.
2. Construct a screen enclosure around the swimming pool, spa, or hot tub with self-closing, self-latching, screen
doors. Latches on exterior, screen doors must be a minimum of 54 inches from the exterior access standing
surface. All screen enclosures require Building Permits.
3. Provide and utilize an approved,safety,swimming pool,spa,or hot tub cover that complies with ASTM F1346-91
(Standard Performance Specifications for Safety Covers for Swimming Pools, Spas,and Hot Tubs). Such cover
must be capable of being securely fastened over the swimming pool,spa,or hot tub when not in use.
1 FURTHER UNDERSTAND AND AGREE THAT one of the enclosures described above will be completed prior to final
inspection of the pool,spa,or hot tub.
ADDITIONALLY, I FURTHER UNDERSTAND AND AGREE THAT the owner will require his/her pool contractor and
his/her screen-enclosure contractor (if applicable) to request and successfully pass a final inspection immediately
following the completion/installation of the swimming pool,spa,or hot tub.
IF THE SIGNATURE of the contractor acting as agent for the owner appears below,the contractor promises in good faith
to make the owner aware of the above-described requirements and penalties before commencing construction.
publiddv/poolreq Page 1 of 3
.StPJORP!AND SUBSCRIBED BEFORE ME THIS � e
DAY OF _f 20 ao 4PWNEROR!c TRACTOR SIGMA
4 NOTARY ILIC PLEAS TYPE OR PRINT NAME ABOVE
C;���rS "GCS
NWAr Pubue Sete of Honda
Glennis M Daniels
d� Exxpo"E Coffi071 2024 01
aw
pubbrAv,poobe Page 2 of 3
PRIVATE SWIMMING POOLS AND SPAS
REQUIRED INFORMATION FOR
INSPECTIONS AND POOL APPLICATIONS
FLORIDA BUILDING CODE 2017, CHAPTER R4501
Pasco County requires the following information to process applications for private swimming pools.
Applicants are required to provide a pool layout showing:
I The pool with a coLnPlete LAuMtjqjj8W showing the location of the mechanical equipment and the
plumbing lines,vent lines,pipe sizes,flow rates,and pressures.
2. The layout of the pool with dimensions showing steps,swimouts,ladders,and other features.
3. The spa with a plumbing plan.
4. The deck with dimension showing relationship to the house,
5. Location of windows and doors that have access to the pool from the house,
6. The location of the child barrier fence.
Applicants are required to provide the following information:
1. Pool volume: ji 000 gallons X
2. Pump Mfg.: Turnover Rate: GPM
Lle Model No.-
HP.:
3. Filter Mfg.: Z� Model No.: i L 4300 Flow Rate; GPM
4. Pool Heater Mfg.: Model No.:
5. Anti-Vortex Covers Mfg.: if Model No.:
Applicants are required to provide design drawings showing pool and spa requirements designed to meet the
Florida Building Code 2017,with any supplements,certified by a Florida registered engineer or architect.
The applicant shall provide two SWIes of all the above information.
This information shall be supplemental to the normal permitting materials necessary at intake.
pubbr.ldv/poofmci Page 3 of 3
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