HomeMy WebLinkAbout91-1654
STATE OF FLORIDA
City of Zephyrhills
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Type of Permit
--
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
t2D--
PermitN~ 16544
Date 7-/1-9;
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Property Owners Name: r 1:~a32iDJ' ~r~~'Z
Job Address: " _<~__ _ _ _~~ _ _ _
Legal Description:
Sub.Div.~ - 2 t:..."Z 1-1;2 - 0- c6- Lot
Blk.
Zoning CI:
Description of Work
.::;;;' --- ~.
Energy Code Readout:
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---
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..d C) ~!-
Estimated Cost: Tr /; Lil) 0 .
I
q:rz,p
Fee:.~ /~ ~
SIG~ATUR~ '. { -,c9
COMPANY
u
,
Complete Plans, Specifications and Fee Must Accompany Applicatio
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #
1,2 ?~-s
12li:t fs /y-=>~~-,
ADDRESS
TELEPHONE #
c 4-",~-, 8A~A~
.ELECTRIC 5D
M
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~Oi.- ~t>iA1& q--2fetl
Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ~ (~I i ~e)
dollars shall be made for each 1Ii:p..rra d.e:.. (/.s-. CTlJ)
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
Breakers
Ducts Insl.
Compressor
Final
Driveway
APPLICATION FOR PERMIT
CITY OFZEl'HYRHILLS
BUILDING DEPARTMENT
ADDRESS
f)rJ7j ~~L
? ,=f Jr.' if~,s~/I/" ,DR
OWNER '. C r' f) .
Jon LOCATIo(Pllt/Y-7 [;JlVEI17
Co_
APPLICANT
PHONE
7f5~-
/,7: ?
LEGAL DESCRIPTION: LOT(S)
C!;:lY5 DtFf. LOT sIzP)..1L;/ xll! AREA SQ.FT.
BLOCK SUBDIVISION _C;)LVf'/f o-Rk-S
<....Z::-
PARCEL I.D.1~ ,'3- t2~ -PI - /~-O~J-
WORK PROPOSED:~New co~stru~tion ____Addition ____Alteration ____Repair ____Install
____Sign/Temp. _Sign _~love ____Demolish
____Commercial
~Indust.
____1~ of Uni ts
+swim. Pool
._~l/ll
PROPOSED USE: _Single Family
_M/F
Other
_Restaurant & Health Department Approval .
BUILDING SIZE:
It
x ".3~,
lj ~()
Square Fee t,
3
I
-- t
D~EP
Uq~glo-'::
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COm1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOlUlS. ,~*
**COPY OF CONTRACT REQUIRED,
PERMTTS REQUESTED
AMP Service
Valuation of Total Construction
X Florida PO\ver Corp.
.
_H.R.E.C.
-t-BUILDING
-i-ELECTRICAL
_MECHANICAL
-t-pLlJ1-mI N'G
TYPE OF CONSTRUCTION: _Block
$
'7;tJ(ltl, tJO
$
Va~uation of Mechanical Installation
GAS
ROOFING
SPECIALTY
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
n 'D /' _ CONTRACTOR SECTION
BUTLDER ;-ftfJ/' S CD!. () 1. ~ Company..... ";
/1-1 (J/ f' State Cert. or Regist. if "f-LO't'j~<-j7
5 i gna Cure ( A4~,/1 -tJ:; ~ City Licens e Rc r. is t ra t inn i! ) ;:J,
******************************************
---
ELECTRTCIAN Company /.--- ~ C._
:- ) //) .-/ State Cert. or f\cgist. Ii 1..::/?G1t:1cJ/7c4~~
i(:'n:3tur~,~4..u...ati9t.) '7 -<..t:. City License I\egistration I,! J ~)
* 1, * * * * * * * * * * * * * * * -% * * * * * * ,~ * * * * ,~ * ,~ -I: " .:: " ,~ " -I: -I: -I: "
Signature
Company
State Cert. or Regist. ~
City License Registration J
******************************************
PLmmER
Signature
Company
State Cert. or Regist. 0
City License Registration ~
******************************************
~IECHANICAI"
OTHER
Signature
Company
State Cert. orf\cgist. ~
City License Registration 0
APPLICATION APPROVED BY.
...~* :m'" ** * * * ** *", * * *... J. * J, * J. J. J. J. .'.". -'- J. _c .'. -'. -'. J_ J. .'.
.~ ~. ." ~ .-:.. ., . "" ". .... .. ,. .. .. ., .. .. n n ., .. ., ..
- ~
PERHIT OFFICER.
CONDITIONS. OF PERMIT AFFIDAVIT
A": NOTICe: OF Oe:EO RESTRICTIONS ;', '.
Th, und'rsi9n~d understinds that this per.it lay bl sub5ect to 'd~ed restrictions' whicK' ~ay be ~Dre res~rictive than City
regulations. The undersigned a!lSUllles responsibUi~y..,fo.~ cOllpliance Ifith any applicable rlaad rastrictions.
. .:. ,:,\' ," ~ '1,.. . . ~
:. .,' ..' .~,
B. UNLICENSED CONTRACTORS AND'~ONTRACTOR RESPONSIBILITIES
If the olfner has hired a contractor or contractors to undertake Ifork, they may be fQquirad to be licensed in accordance with
statt and local regulations. If the contrl~tor is not licensed IS r~quired by law, both the ouner and contractor ~ay be
cited for a tisdeaeanor violation under state lalf,'. If the olfner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended Ifork. they are advised lo contact the c~ty of Zephyr hills ~uilding Departltnt, !B131
71111-6611. ',',
Further.ore, if the Olfner has hired a contractor. Dr contractDrs, he is advised to have the contractor!sl sign portions of the
'Contractor Sections' of this application for Ifhlch they ifill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for t~e worr.. If the contractor wishes you to sign
as contractor that aay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I cedify that I, the applicant, have been pro'videdwHh a copy of "Flc.rida's Cc.nstrudion Lien Lall - Hc,ceollnH's Pre.tection
Guide' prepared by the Florida DepartJent of Agriculture and Consumer Affairs~ If the applicant is someone other than the
'OHner" , I certify that I have obtained a copy of "the above described document and prO~i5Q in gODd faith to deliver it to the
"oKner" prior to cOimencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Mork Mill be done in co~pliance lIith all
applicable lalls regulating construction, zoning, and land development.
Application is hereby lade to obtain a perlit" t~'do Mork and installation as indicated. I certify that no Hork or
installation has co&~enced prior to issuance of a perlit and that all Mork Mill be performed to &eet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations o~ other governmental agencies may apply to the intended lIork, and that it is
my responsibility to identify what actions 1 must'take to be in compliance. Such agencies include bill ~le m.t li.\ited to:
I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland nreas and Environmentally Sensitive L3nds,
Water/Wastewater Treatment
I Southwest Florida Ilater ManaQelent District - Hells, Cypress Dayheads, Hetland ~reas, Altering Hatercourses
I Any Cc.ros of EnQineers - SeaHalls, Docks, Navigable I'aterl/ays
I Departlent of Health L Rehabilitative Services, Environmental Health Unit - U~lls, Uastewater Treat~en~. Septic Tanks
I US Environoental Protection ~Qenct - Asbestos abatement.
I also certify that, if fill laterial is to'be used in Flc.od Zc.ne "A" or '~,etc.', it is understc.c.d tl.~t a drainage plan
addressing a 'colpensating volu~e' lIill be sublitted Hhich is prepared by a professional enqineer reqist~ied in the State of
Florida prictr to perlli t issu.ance.
A per~it issued shall be construed to be a license to proceed I/ith the 1I0rr. and not as authDrity to yiol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance Df a p~rmit prevent the Building Official fro~ thereafter
requiring a corrr,ction c.f errcors in plans, cc.nslrudic1n, c,r violations of any code. Every perili l issll~d :t.all becc'le inval id
unless the work authori2ed by such permit is com~enced lIithin six months of issuance, or if 1I0rk authorl~ed by the perlit is
suspended or abandoned for a periDd of six lonths after the time the Mork is (o~men(Qd. One 90 day e:le~5iDII of tile, lay be
allowed for the permit Hith fee charge of $15.00, The extension shall be requeslQd in Mriting to the Building Official. An
approved inspedie,n ",ust be Ic,gged'during each six month perlDd, c.r the project Iii 11 be (c,nsidered <<baiidc.i.ed.
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. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". C';-
SIGNATURE__~-~~~-~----- SIGNATURE_~-~~----
OWNER OR AGENT . CONT~R
DATE__-_______~l~~1-gJ--------------~------ DATE___-~tc~---~~----1;r~~----
~~~~~~C~~~~~___~J.{r-~
NOTARY AS TO I n a......
OWNER OR AGENT__~~-~--~~
MY COMM 155 ION EXP I RE5.NOTAR~..~~B. .L1e. STATI QF VLI',\!UW COM~l I 55 I ON
____~ r.o__._,,~UiliSt-MAR. 29,- 199),
110..01:0 THRU ..Oy...R,. PU_l.IC U"D"RW""fiR~: -
EX~~~~~y~~~-----------
"ON~~":.~~~S~~N EX:111:s~"MA~f)ftIDAj
T"'Ry PU81.IQ UN'l ,.i!e. '!l1
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Florida
Power
CORPORATION . /, An.l/...""_ __ "7"'"
:~SS~~~~-<-
CITY ft1'4'La "
~The pool proposed for construction at the above address ~ ~
conflict with any underground or overhead facilities of Florida
Power corporation, provided that the pool is installed in the
location shown on the attached site plan provided to us by the
pool contractor.
The pool proposed for construction at the above address DOES
-
conflict with: OVERHEAD UNDERGROUND
facilities of Florida Power Corporation.
Arrangements have been made with us for relocation of the
facilities so as to clear the pool area shown on the attached
site plan.
~~ ~s/9/
no DA OWER CORPORATI
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
38231 HIGHWAY 64 . ZEPHYRHILLS, FLORIDA 34248
A Florid. Progress Comp.ny
TO WHOM IT MRY CONCERN~
J , .m_...../1tiL.._....__..___..~lL,f; ..-.
F: 1\1 C L.D';:)!:: JYI\( ~3h'" - ...., ._, ...,'- - . "[ TH
FENCE DR R SCREEN ENCLDSURE,
RRT'S PDOL CDMPRNY
"/31 f., .j nSDI\' D F< I VE.
ZEPHYRHILLS, FL 33541
"r EL.E ~ (iJ 1:~; ) "/ E-1B...l "/ r:../
D I~:ir I ~ ......--~.k..r._..--...it.._.._m._..._j:t~.J
__m_-,WILL EI'rHER
n ~;1 I i'.l IIYIUIYI Fell_J R F:UUT
~
.....~~;~-_..
A I=<T' b PUUL. CUI'IPHI\l Y
/316 JnSUN DldVF
lEPI.tYF~HIL.Lb, 1,/UHJlJH ,J.';~Al
TELEPHONE: (813) 7BB~17b7
nrnE:
~lY
)t
1'3'31
10 WHOM IT MAY CONCERN
IN HLL [)f.~' IYlY LClNCF<ETE DELI\ wum\ I Wll.L. BE lJ~iIl\l[J A I\JEW TYPE UF REINFfJRCINl3
CONCRETE ON I'IY JOBE. I WIL.L !'JOT BI::: UbII\lFj (.oj[I<L. 1'11'_,11 Ii\! THEI", AS 'fHE CONCRETE
J WILL BE UHING , WILL HI-WE FlEjEF< INI11L LDI\I(;FH:'IL IrJtlll_il DOESN'T CALL FOR
(.oj I I<E MESH,.
THANK. YOU, ~
~~
1.1" rHUR TOOK.E
f.lf(J'S POLI_ CUMPt4N'I'
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4}' Lie. 22 BONDED INS.
~~A.RT'S POOL CO.
INGROUND CONCRETE POOLS
c'f/l/€Ij~L Jk/'?~
f{J7 wWY "rr ~
a.BP~ C J -ry
PURCHASER
MAILING ADDRESS
'" ":'<""~~~i'(':-,':'J"%"'1"""i'll!~~' "i'.l',:,.r'
ART TOOKE
- OWNER-
~ vs lClPE FJ.5
B Y P~.s s
.
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.
BU8~ (111) 711-1717
.... "I) .,.1.
Bua: H PfIari)rive, Ztp1i1y1llJl.. ......1
Rea: 14 NIl DItve, -I'n"....,.... ~1
73/t ~
HOME PHONE
BUSINESS PHONE ..$""~"/ - l.,('<</
zlP.i~r
Contractor agrees to construct a sWimming pool and appurtenances thereto as hereinafter provided by the plans. specifications and te~ms of the contract at:
INSTALLATION ADDRESS Lrr f SJ.LVEIf OJ9k'.t; LEGAL DESC. s)VA ~.-;(. ~
I
DA. 2 J-JJJL.s P:l ~~..5~'
POOL SHAPE k) Dr/E Y
~J
PERIMETER
1 Excessfoll L~RV~
ON
SJ ~~
2 Folter System E. t:.. LS D E...
3 Pump & motor J ).}.P >-r.l} R I:fE..
4 Method 01 chlonnation R t/ r" .
5 Surface skimmer 'r' E C; - J
,
y~ S
6. Backwash disposal
7. Piping & inlets
if
8. Therapy Jets
/ " / If
9 Tile _ r ~
10 Interior finish W J.I J -7 i:. f'2/) R C.I "1" E..
Additional Provisions
If MAX LENGTH ~;j~
ftlo ~ ftto (.
11 Underwater lighting ~;jdJ1 VI/ - j~ V
YE., - I
Sq. h area S~tJ
PEe. - 11- D8-
~ oS"7'"E P S"
- YL5
MAX. ~TH
~
IIIDEPTH:
12 Main drain
13 Deck J</Ji?J..
8E1t:- e.
14 Deck drainage
15 La)'rGrabrailS YES. -
16 Steps Handrail ~ c.,d c.
17. Diving Bd & stand NO
18 Slide ,rYtJ
19 Cantilever coping 111e Yts
20. Electrical hookup y~ , GFI r.rrJ
If WATER AREA lJ.Jl s I
SNIT
ft NSPI. TYPe &"",;,
21. Tlmel
:;~4V
Yt:j
22 Test kil
I
23 Vacuum ftead y,~ v... ""' 3#
, I M v~ ~
24 Brush J .I J,.'. L.-I net ~
_'" J/ I
25 Adjustable pole ~:!- L~
ye:5
.
26 Startup chemicalS
27 Heater /V (J BTU, - Type-=-
28. Automatic cleaner '-4~J.dc'
29. Love ..at r/ iJ e.nch nI tJ
30. Swimout
r1tJ
TERMS
Unless specially agreed and set forth herein, Purchaser hereunder agrees to make progress payments based on the total price sel forth in thi$ contract.
to the Contractor, as follows:
MAl€. - ~J:/dv t:.~N'n
d- tJ~
/ ~
CONTRACT PRICE $ ~IJ/JO 1Jf) $
~
..5'6 ~ .. SHELL
~ '.. PLUMBING
~
~5"'COMPlETJON
i ;':~~.~~
---
----
-----
../ ~";>.s'O. d tJ
Construction progress may be arrested between billing and receipt of payment for each phase of construction.
NOTICE TO PURCHASER
DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK VACU.
This is a home solicitation sale. II you do not want thl! goods or services contracted for, you may cancel this agrHmenl by maiIi"'l a"*t. '.... IQ,...,....
This notice must indicate that you do not want the goods and services and must be postmarked by midnight the third day after you ~h lI11.r:T\tId.
This contract shall be deemed an ofter to the Contractor and shall be null and void unfess accepted by a duly authOfiZ<<J oIfit>>r C!f._$t.tt....,wMhin
fifteen days of the date and year noted above the Purchaser's signatures. The salesman has no authority to bind IIJe Conttw:to;. AIL. flFlr,. ana
understandings are contained in this contract and the Purchaser warrants that there are no agreements or u~ othM "...,. .. .., ... ;" "'*
document Acceptance of the terms of this contract by Contractor is to be communicated to the Purchaser by tr..mitting . <<lpt' fJ(IlhiIlJOIII1_ ~
- ___<>CO by.he...... by the.......... of. ,,"Iy .....izad oftia>, o' the Con""""''''"l, ~~.
DATE 'J:,~( ).r )791 PURCHASER Y. ~ .
SUBMITTED BY ~RZ- _ 7'P (1 Jf'L.. PURCHASER X
ACCEPTED BY DATE 7-J.~ ?/ OWNER
" pur ers are husband and wife, both must sign. If owner is different Irom purchaser, owner mUllt IIgn; .
PURCHASERtS), BY SIGNING ABOVE, ACKNOWLEDGE AND AGREES TO ALL THE TERMS AND CONDIT~S ON AU ~~s.Qf: THII~'
MENT EVEN THOUGH SPACE LIMITATIONS REQUIRE THAT SOME ARE PRINTED IN SMALLER TYPE. lllf' '.", ,. .
FLA. '977 LAWS
FS 7"3.'3
SEMINOLE FORM 408
NOTICE OF COMMENCEMENT
State of Florida } .
County of l
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
c............. IN DU..LIC...TIU
Description of property .........................................................................................................
General description of improvements ................................................................................ - . . . . . . . . . .
Owner. . . . . . . . . . &.. . .)-d.,. . . .D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .t;) -.3;;r. . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . .
Address ......2 u. T. . . . . . . ...s::. . . . . . . . . . b.J lv E ~. . . . . . . {!BJ7~ . . . . . . . . PI1,. . . . . . . . . . . . . . - . . - . . . . . . . . . . . .
Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . .
Fee Simple Title holder (if other than owner)
Name ..................................................................................................._....._....... .........
Address . _ . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - .
Contractor. . . . . . . . . . f} fi .:f J. . . . . . . . Pt'. P. .L. . . . . . . . . . .C v,. . . . . . . . . . . - . ~ . . . . . . . . . . . . . . . . . . . - . - . - . . - . . . - . . . . . . . . . . . .
,
Address...........;/. 3/'...... .r:f8..5./?/Y...... J)1f!..............7 .J.l.lLL,.5:..............................
Surety (if any)
Address....................................................................... .......... .. _. _Amount of bond $ ...............
Any person making a loan for the construction of the improvements:
Name ............................................................................
Address ........................................................................................................................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name .................................__................................................ ..........
Address ............................................................................................................... _ . . . . . . . .
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) (hI. Florida Statutes. (Fill in at Owner's option).
Name ............... ~ _ . _ . ... ... ..~. u..~_~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . _ . _ . _ . _ . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._. . _ . . . . . . . . . . . . . _ . _ . . . . _ . . _ . . . . . _ . . . . . . .
THISSPACEFORRECORDER'SUSEONLV. le.'~ ~~-~~...<<~:.._............._
r~ Owner
Sworn to and subscribed before me this.
.....l..tP.............dayOf . _. _ _. _::[1.,.1,...\""....... ... _ _...... _ _..... _ .19_.9.1.
o . "-
..............fP~~~...().....~-~...
Notary Public
NOTARV PUBLIC. STATE OF FLORjD~
MY COMMISSION EXPIRES: MAn. 26: i 994.
IJOriD&:O THRU NOTARy PUSI.IC UN.:n:,",wRIT€R..
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