HomeMy WebLinkAbout91-1714
STATE OF FLORIDA
City of ZephyrhiIIs
PASCO COUNTY
BUILDING DEPARTMENT
7-~-, {JZ) 1-813-788-6611
Type of Permit .;2c < ~ -D Sl. ~ (';['
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BUILDING /(/ ELECTRICAt. <.c PLUMBIN~' MECHANICAL
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Property Owners Name: 'V,1 /r. /;1 ./lli.'.-1..-
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Job Address:,j'jl '-/ /' '.. ..-ft'/( J"r,
Legal Description:
Sub.Div,
Zoning CI:
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Description of Work
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permitN~
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Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: / I ~ {l (: - /..,/rV
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # /(:x-/~ t:J. "
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P~B ~- -q' . Tub et I
Lintel Water
FRM. Sewer
Insul.CL Final
WL
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Driveway
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(/~Et.ECTR I cAt=---,
ME~CAL
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Tp,Serv.
Rough In
Meter Can
Canst. Pole ~
POOl 0-- (1" I
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of _.1 I I J)
dollars shall be made for each..... I y'*-de (/6' t1lJ .J
(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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
of- 8/)1"
S; Lf / fS.;rN
~ . S /J/YJ f3--
JOB LOCATION ;2 fPl-I y,R J-J I J-J- 5 F 1-
II r /,2-
I'} ) 1- 2-- E Pi
S-r:
PHONE
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1.)< ~ 7' 9
APPLICANT
ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.t~ /1- Z. ~ - 2-/
,
WORK PROPOSED:~New co~struction
LOT SIZE\$fl x) 1J f) I\REA SQ. FT. 3
DLOCK/rI:lsuBDIvISION
_Addition
_Alteration
_Hepair
_Install
_Sign/Temp.
_Sign
_t'love
_Demolish
_Commercial
~Indust.
_t~ of Uni ts
-4swim. Pool
._~l/ll
PROPOSED USE: ____Single Family
_M/F
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fce t,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COmlERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY ForUIS. ,~*
**COPY OF CONTRACT REQUIRED.
EERMITS REQUESTED
-1LnuILDING
-i-ELECTRICAL
$ jJ,dOO dO
,
Valuation of Total Construction
AMP Service
X Florida POlver Corp.
,
_H.R.E.C.
_MECHANICAL
---x'-PLutlBIN'G
$
Va~uation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
,7tJCl"rr~ CONTRACTOR SECTION I ~
BIITLD"R I)~f < tPdd1- C't ~ Company J?af 5 If f/.'-
/I J V/ If State Cert. or Eegist. !!-1__12.0
Signature (A/l;[luu.n Q- /f~ City License Ecr,istration !.~
tJI ******************************************
Wjlt/7EfP /-
:1 ::::::; Z ~~r:l C Company rE ic [ '" ~ C T R ) C-
...: ,'. State Cert. or Ecr,ist. iiJ:~.0i/:;#6 #/,
i,-, :1 /c' /L / P .' City License Rcc;istration I) ,j"?-J
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Cf,
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Signature
Company
State Cert. or Rcgist. ~
City License Registration 0
******************************************
PLUMBER
Company
State Cert. or Eegist. 0
. City License R~gistration !~
******************************************
MECHANICAL
Signature__.
Q.Ill.E TI
~~
Company 17 ~/'J J'77 J/Y ~ -T ~~ ,q 1.- ~/V t//?
State Ccrt. or' Ecgis t. !! V dC? r- ,rll.(
City License Registration I! 7S
Signature
APPLICATION APPROVED BY
***********f*******
PERt-lIT OFFICER.
tONDITIONS OF PERMIT AFFIDAVIT
A:: NOT I CE OF DEED RESTR I CT I ONa ;', ,
Th. undtrsiQned under.tinds that this p,r.lt .ay bl subJlct to "deed restrictiDns' Nhith ~ay b~ mor~ res~rittive than City
regulations, The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
a:" '::,'.~.. ~ .,'" . '. . ;
8. UNLICENSED CONTRACTORS ANOdoNTRACTOR RESPONSIBILITIES
t,h'';''
If the owner has hired a cDntractor Dr contractors to undertake work, they may bi f~quired to be licensed in accordance with
stat, and local regulations. If the contractor is not licensed as required by law, both the ouner and contractor ~ay be
cited for a lisdeaeanor violation under state law,', If the owner Dr intended contractDr are uncertain as to what licensing
requiresents lay apply for the intended Hork, theY are advised to contact the City of Zephyrhills Building Departeent, (8131
na-bbll. ""'\"
Furtheraore, if the owner has hired a contractor, Dr contractors, he is advised to have the contractor(s) sign portions Df the
'Contractor Sections' of this application for which they will be responsible. .If you, as the ONner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay 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 certify that I, the applicant, have been provided 'with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection
Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs~ If the applicant is SODEone other than the
'oHner', I certify that I have obtained a copy of'the above described dotu~ent and pro~i5e in good faith to deliver it to the
'owner" prior to COimencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all uork Hill be done in coapliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby lIade tel obtain a p'erlitto'do work and installatie,n as indicated. ] CE'rtify that no we,rk or
installation has co&!enced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laMS
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
.y responsibility to identify what actions 1 lDUSt' take to bl! in compliance. Such agencies includE' bllt ~le IiC,t li'lited to:
I Department of Envi,on~ental ReQulation - Cypress Bayheads, Hetland ~reas and Environmentally Sensitive L3nds,
Hater/Wastewater Trl!atment
I Southwest Florida Hater ManaQellent District - Wells, Cypress Dayheads, Hetland ~reas, Altering Hatercourses
I Army Coros of EnQineers - SeaMalls, Docks, Navigable Haterways
I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat~en~. Septic Tanks
f US Environoental Protection ~Qencl - Asbestos abatement,
I also certify that, if fill aaterial is to'be used in Flc.od Ze,ne "1\" l'f "~,etc,', it is underste,e,d tl.~\ a drainage plan
addressing a 'co.pensat~ng volulle" will be sub.itted which is prepared by a prDfessional engineer regist2fed in the State of
Florida prior to permit issu~ncl!.
A permit issued shall be construed to be a license to procel!d with the work and not as authorjty to violatE', cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a p~rrnit prevent the Building Official froft thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per~it issu~d ;hall beco.e invalid
unless the work authorized by such permit is commenced Hithin six months Df issuance, Dr if Hork aulhoflzed by the perlit is
suspended or abandoned fCor a period of six lonths after the time the Ilork is ce,!.)rnenced. One 9(1 day ;:~t"i,;ioll e,f tile, /lay be
allowed for the per~it Hith fee charge of ~15.00, The extension shall be requested in "riting to the Building Official. An
approved inspectie.n fluSt be Ic,ggedduring each six Mnth period, CoT the proj~cl "ill be ce'f1sidered iiba\iGe,r,ed.
WARNING TO OWNER: YOUR FAICURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
0;-;/
SIGNATUnE__~--\:;;r:_.~---
. CONTRA~
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SIGNATURE... _ L ~_g"":2.l./.E.r~2{j;!L----
;7'r=---OWN~ OR AGENT
DATE_____~__~--;?-L--~==--~-~----~------
NOTARY AS TOt! ..1 J & . k;,,'1
OWNER OR AGENT _~J IJ. .Il ---ilL ." ~.tJ ----
~ Public. state or fTorfifa'
MY COMMISSION EXPIRES_~w~n~~~~~~~-
~...
NOTARY AS TO !II if.".. ;' /~
CONTRACTon~~ . . -----
. ~Rotary Putilic, State or norf(fa
MY COM~lI SS I ON EXP I REgY_~JlI!!l~~Oll..E~ires~~-26.-i-992
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RE"'NGTO'l' A1J'IT'n~UM
NO~r~AN f?EMINGTON
306 So. \Nonder
P.O. Box 2006
land O'Lal{es, FL 34639
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REMINGTON'S ALUMINUM
Proposal Submitted to:
Date:
Street
Job Name:
City, State, and Zip
Job Location:
Telephone:
We hereby submit specifications and estimates for:
WE PROPOSE hereby to furnish material and labor - complete in accordance with the above
specifications, for the sum of:
DOLLARS ($
.~
Payment to be made as follows:
All material is guaranteed to be specified. All work to be completed in a workmanlike manner according to
standard practices. Any alterations or deviations from the above specifications involving extra costs will be
executed only upon written orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, wind
damage and other necessa~ insurance. Our workers are fully covered by Workman's Compensation
Insurance. Standard One Year Warranty.
Authorized Signature
ACCEPTANCE OF PROPOSAL - The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to the work as specified. Payment will be made as outlined above.
1988.
Signature
Signature
Date of
Acceptance
!' . UC. 22 BONDED INS.
...... POOLCG.
.....;CONCBElE POOL.I
t~J.$
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ART TOOKE
-OWNER-
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BUSINESS PHQt04~ ~
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l"ZIP~
,;~;:_,
PURCHASER
~
MAILING ADDRESS
2 Fiher System E.c. t.. -C- D ~
3. Pump & motor J Jj f! ~-:r1l9 RJ'F'~
4, Method of chlolln81ion ~ V -r~
5 Sur18ce Skimmer Y€~ - I
6 Backwash disposal Y IE oS
Contractor agrees to construct a swimming pool and appurtenances thereto as hereinafter provided by the plans, specificatIons and tt>rnils of the (;~Cl a1:
INSTALLATIONA~DReSS .(RrJF~' LEGALDESC. .sJ:J"~, Ji~~l! )..~^.JI.tA:iJ
~lIJC J< JlIII /A,~S) ,~ "~f: >.i
MAX,WIDTH /,5" IIMAKLENGTH ..~ IfWAleR....e... '.'
III DEPTH: <"3~ ft. to L <' ft. to *_ It NS~ TYPE
11. Underwater lighting .3 tJ d W' - J'::> V 21 Timer ':(.;J4 II':
12 Main drain YE oS - J 22 Te. \Iil_ )(:1;'( J " '<,! _.....
I
13. DeCk }('OtJ L Sq. h. are8 '1.'0 23 V.cwm ~n l.y.;... ilfl ..
14. Oeckdrainage DF~ - P- DF/. 24. 8ru~-'." J.'I'~lJ,~.~
15 ~er Grabrails y.!." - ~ ~-f".lFP~ 25. AdjUSlatllt pole rl~ if" I
16 Sleps Handrail . "3 (:.4AI'c A 1"" .D 26. Staltup chemicals y~ ,$
""h
POOl SHAPE
fl
PERIMETER
1, EXC85S fill
.
7. Piping & inlets ~CIJ ~J) .3 17. [)tving Bd & stand '/l/ a
8. Therapy jels Nil 18 Slide d (J
/ It , 1/ c.HIJ) C. "-
9. Tile ,. '1 _ Color _ fI _ 19 Cantilever 'coping tile Y f .;
10 Interior finish VV)./J'f'~ /?ARt:./~~ 20, Eleclricalhookup Y~.s GFI NO
Additional Provisions @ ;;; J t X ..3:1' .5(:.;t:J ~ E. /Y' F N C 1. O.~ L/ J'!f ~ J
,;; DO"IJ/S , .<; l/P~R (;,~ -r-r-z. ~. Jl;F- - PJ..LJfl2A
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~PtJ7'" ~LF..C. FlJVEI=! f.JdcK P.I:.7-:f7tJ
27 ~ NA
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28. AiMlmatiC cl...."J..~8r#JJ/ ~
29. ~_IIl_ M(I .~. ~~
30. Swlmout' I:,/'YIJ ' .
jhP ~,fflJ. .. Q~4r;
~ B "f"..G" L 1/1/& _
TERMS
Unless specially agreed and set forth herein, Purchaser hereunder agrees 10 make progress payments based on the Iota I price set forth in this contract.
to the Contractor, as follows:
CONTRACT PRICE $J{J"D./JD$ EL1<.YkN- -::r-J.)JlV.C~HD - "'f'Wd-
10% DOWN MYMENT #' )) d n . tJ I!J
040% SHEU. " ~ ~ go '" C'
: 20% PlUMBING .j ':;;.;J Jj O. 0 "
25""~ S cR F. ~N J ..;} g t) " t1 f')
5'1(,' COMPlETION .j .5 , ". d d
Construction progress may be arrested between billing and receipt of payment for each phase of construction,
;J U/V'~a..I? . J:;; .tJ'hif?,-----
'7
NOTICE TO PURCHASER
DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK SPACES.
This is a home solicitation sale, If you do not want the goods or services contracted for, you may cancel this agreement by mailing a notice to the MIler,
This notice must indicate that you do not want the goods and services and must be postmarked by midnight the third day after you signed the agreement.
This contracf shall be deemed an offer to the Contractor and shall be null and void unless accepted by a duly authoriZed officsr of file Comr.." within
fifteen days of the date and year noted above the Purchasers signatures. The salesman has no authority to bind I#>> ~. All .___.and
understandings are contained in this contract and the Purchaser warrants that there are no agreements or u~ other then .,. _Iotfh.in".
document, Acceptance of the terms of this contract by Contractor is to be communicated to the Purchaser by tr..mittirtQ . CGPY of ". corttractto .fhtHn
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"purChasers are husband ana wife. both must sign If owner is different from purchuer. __ ...'....1.: ..,. ..... 'llZl"'~~",.:,,:,
PURCHASER(S). BY SIGNING "'BOVE, ACKNOWLEDGE AND AGREES TO ALL THE TERMS AND COND~ON AU. "AU.SOFTHtS~.
MENT EVEN THOUGH SPACE LIMITATIONS REOUIRE THAT SOME ARE PRINTED IN SMALLER TYPe: ;1F'.~ .. , ,., '.'
ART'S POOL COMPANY
"/ :~; 1 C J (.)f3UN DR I t-iF:
ZEPHYRHILLS, FLORIDA 33541
'TELEPHONE: (e 13) "/13El.,.17C?
D A 'T E _.,.-;.G.l:c..Y....._.._.Eil..2..-:::.2L._.
TO WHOM IT MAY CONCERN:
IN ALL OF MY CONCRETE DECK WORK I WILI_ DE USING A NEW TYPE OF REINFORCING
CONCRETE UN MY J08S. I WILL NOT BE USING WIRE MESH IN THEM AS THE CONCRETE
I WILL DE USING WILL HAVE FIBER IN THE CONCRETE WHICH DOESN'T CALL FOR WIRE
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Florida
Power
CORPORATION
NAME zr- 641--J ;n ~Lc..<-
ADDRESS 5 ( Lit 5772.5J-..
CI TY '2 - /-// C:L. (
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The pool proposed for construction at the above address ~ NOT
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
'-
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
i..
A Florida Progress Company
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nRT'8 POOL COMPnNY
/316 ,.Tn(3DI'.~ DF'<:I\)E:
ZEPHVRHILL8, FL 33541
'fELL: (813) 788-1/67
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TO WHOM IT MnV CONCERN:
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