HomeMy WebLinkAbout91-1783
STATE OF ~LORIDA
City of ZephyrhiIIs
PASCO COUNTY
PermitN~
1783P
9-1-:3-7/
1V
Type of ~ermit .P-" '~.. /J[)--.
~, ~
("'~ (E!..ECT~AL ~_". ~L
~~:P:~:r~s:~erSName: ~4/~~~~9~~
,-
BUILDING DEPARTMENT
1-813-788-6611
Date
Legal Description:
Sub.Div,
Lot
Blk.
Zoning CI: 3 -
Description of Work
~~;:;::;J/9~
Energy Code Readout:
~Mt> KJ-/7-lf/ ~
Complete Plans, Specifications and Fee Must Accompany Application
~ oiJ
Estimated Cost: /0) LWO~-
OCC,UPATlONAL L,'CENSE, # /2--;~
Ile /~
a ~._' ,'tJ",.,
C~UILDI~ (~UMBINV
Ftr. ' SLB '1- -"'I
n_L - 'i~ 4 I Tub Set
Lintel Water
FRM. Sewer
Insul.C Final
WL
~.j..I}B v1~-2-7-q{"f.vJ
tMveway
___ 4.. ~~1'JfJ....
Fee: r 'j
SIGNATURE' '~
COMPANY
ADDRESS
TELEPHONE #
u
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
\1--<<- l:i{tif!
C~ ELECTRI~9-U
Tp,Serv.
Rough In
Meter Can
Canst. Pole
Pool <<.JO>O\Jl~ 1-27Jf/
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Relnspect/ons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
APPLICATION FOR PERl-tIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
POdL
ADDRESS 7."?/? ;-j,t1s;/v J/R :2 7-;J11.5
G ~/1f EA,QL J-} If/'? L
Jon LOCATION 3J/lf7 rpr R~/J/ Pi-
)47
PARCEL 1. D. t~ 03 - .;; (. - ;;{ J
WORK PROPOSED:~New Co~st~uction____Addition
H tf.J J 1<:,
Co,
LEGAL DESCRIPTION: LOT(S)
;:: '- :3 ?<?;J/ PHONE
[)y VIELtJP/'7~ffr
. . I I
LOT sIzEl2$-X //'1 AREA SQ. FT.
SUBDIVISION ~ J t. VFA t7~.x-5
,~/ fS g- -- / '/ h '7
OWNER
BLOCK
-^lteration
_Hepair
_Install
____sign/Temp.
_Sign
_~love
____Demolish
_Commercial
~Indust.
_~~ of Uni ts
Xswim. Pool
._~l/ll
PROPOSED USE: ____Single Family
_M/F
Other
_Restaurant & Health Department Approval
BUILDING SIZE: /S X 3cJ ,
1~ ~/.
Square Fee t,
(
I~
f)UtP 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 FGrUIS. ,~*
**COPY OF CONTRACT REQUIRED.
PERMTTS REQlffiSTED
lBUILDING
XELECTRICAL
$ JO, .3tJcJ. cJcJ Valuation of Total Construction
"
AMP Service X Florida Pm.Jcr Corp,
_\-I.R.E.C.
_MECHANICAL
LPLU1-lBIN'G
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
/J R 1')..} 2,/~
fl4tV1
-Y'~~
:!~~
{;ONTRACTOR SECTI~ \ Pt r:
Company tf?7" '11 L (J
State Cert. or Regist, if I7rpt1 '1'1 ~ 97
Ci ty License Regis tra tion i! J ~
******************************************
IHJILDER
:T::::~:~ ~; t; Company rf- [LU-r/11C-
, r/ State Cert. or Rcgist. II j[:/et/6"ldNbH~
~ "_ " :- - -;J, -:1..... *:~****.. ;~;~ *~~;;~::.~: ~~~; ::~; ~~: "J~
Signature
1117-7;'; vA fit? H" ~ ,Company f) (3-/5 P tjf; [1
' // --I-- 1/ tJ State Cert. or Regis t. i.! I)" 1/9'1( 7
fA/J/thun ./I~J)J " City License Regi~tration iF 'l~
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 0
.City License Registration f~
******************************************
MECHANICAL
OTHER
Signature
Company
State Cert. or"Rcgist. 0
City License rtegistr~tion 0
")
*,**~'~.. ::4*~t*H.*,-l(**** '
, ",.,'~~" PERl-lIT OFFICER.
APPLICATION APPROVED BY.
:,"'." .
CONDITIONS OF PERMIT AFFIDAVIT
A.': NOT I Ce: OF DEED RESTR I CT IONS ;', , ,
Th. und.rslgnad underltinds that thll plr.l~ I'Y b. sub'lct \0 "dead rll\rietit,ns' which ~ay b~ aor~ restrictive than City
regulations. The undersigned assuIUS responslbltl\r,fo,~ co.pllanee with any applicabl~ deed restrittlon~.
.:' 1.:0\ ." ~ '..
B. UNLICENSED CONTRACTORS ANOtONTRACTOR RESPONSIBILITIES
t ',' ....~
If the ONner has hired a c~ntractor or contractors to undertake work, they may be r~quired to be licensed in accordance with
stat, and local reQulatlons. If the contra~tor Is not licensed as required by law, both the OHner and contractor nay be
cited for a .isdeleanor violation under state law.', If the owner or intended contractor are uncertain as to what licensing
require.ents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departsent, (8131
7B1H611. ',',
Furthlraore, If the owner has hired a contractor, or contractors, he is advised "tD have the contractorls) sign portions of the
'Contractor Sections' of this application for which they will be responsible. .If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. 1f 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~ltting 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 bl?l!n pro'videdwHh a copy of "Flc,rida's CClnstruction Lien Law - Hc.ceowner's Pre,tection
Guide" prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affairs, If the applicant is SODeone other than the
"owner", I certify that I have obtainl?d a copy of'the above described docuffient and proli5e in good faith to deliyer it to the
"owner" prior to cOi~ence~ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all wor~ Ifill be done in co~pliance with all
applicable laws regulating construction, 20ning, and land developDent.
Application is hereby .ade tCI obtain a p'erlif t'o' do work andinstallaticln as indicated. I certify that no wClrk or
installation has cO&lenced prior to issuance of a per1it and that all worl: Hill be performed to roeet 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 lay apply to the intended \for~, and that it is
my responsibility to identify Ilhat actions llllust 'take to bl? in compliance. Such agencies include bl1t ~I e m,t li~ited to:
I Deparhent of Envil'on~erftal ReQulation - Cypress Bayheads, lIetland Areas and EnvirOMentally Sensi lil'~ Lands,
lIater/\Iastewatl?r Treatment
. Southwest Florida ~later ManaQe~ent District - \Iells, Cypress Bayheads, Hetland Areas, Altering Hatercocrses
. ArlY CorDS of Enqineers - Seallalls, Docks, Navigable Waterways
I Departaent of Health L Rehabilitative Sl?rvices, Environmental Health Unit - W~llsf WasteHater Treal~En~, Seplic Tan~s
I US Environoental Protection AQenci - Asbestos abatement,
I also certify that, if fill aaterial is to'be used in Flc.od ZClnl? "1\" or 'A,elc.', it is und\'rstc,e,d t:,~t a drainage plan
addressing a 'colpensating volu~e" will be sublitted which is prepared by a prDf~ssic,nal engineer reqi5t~ied in the State of
Florida prior to per~it issu,anc~.
A per~it issued shall be construed to be a license to proceed with the \fork and not as authority to ylol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official frD~ thereafter
requiring a corrEction clf ernrs in plans, constructlcln, (.r violations c.f any CClde. Eyery per~it issued ;hall becclle invalid
unless the work authorized by such permit is comftenced within six months of issuance, or if Hork aulhorli~d by the perlit is
susp~nded Dr abandcln~d fClr a pericld of six lonths after the tilBe the liork is cC'r.\ffiencE'd, Dne 9(; day c,~I;;;,sic'll clf tile, aay be
allowed for the permit with fee charge of ~15.00. The extension shall be requested in Iiriting to the Building Official. An
approved inspecticln /!lust be lc'9ged'during each six Mnth period, (If the pre,jecl Hill be ((,nsidered dbaiiGCli,ed.
WARNING TO OWNER: YOUR FAILURE 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. J08S UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". c;
SIGNATURE________~-~, . ._____ SIGNATUnE__~-~-~-----
OWNER OR'~ . CONT~OR
DATE____________~~~~~---------~------ DATE____~C~~----~-f---~~;1~-----
NOTARY AS TO \..11.._ . II. _ _ _ Q' ,
OWNER OR AGENT___~--~-~
~~~~~~C~~~~~~~~-~-~~
NOTARY PUBLIC S '~
MY COMMISSION EXPIRES MY COMMISSIQ&~~~ FLORIDA. MY COM~lISSION
-eoJIlt:JJm'T.HRUNOTARY PUB . M1l'IT."'21;, 1994.
Lie UNDERWRITERs..
EXPI~ARY PUP.,LlC. Sff,rc OF nC:3w,
r\M~c~~~e~~~~~o~~A~20
BONDED THR '.. lB..),
NO! r~j:;,,"v-'I''''''' u NOTARY PU~LIC UNDEH"NR
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, 1 '~, ':)'
o ~~, r.: L ',,::
R:" i;:h~-
TO WHOM IT MAY CONCERN:
ART~S POOL COMPANY
.7 ,31 C"TnSDt'~ DR I \/F.
ZEPHYRHILL6~ FL 33541
IELE: (813) 788-17C7
S ---- 1-1 )22
D AT E :: .. ,,'u,. "Ee.1-..-~".-u- u'-:2./..__..,_ ,,'...- ...1...,
I , .', mCf.Ii.etf.i!l,b.,__,..JJ..ff/!2k._,....j).f..hY:E.,J../!rL2f/;:]:_~ L.J I L. L, E I THE f~
ENCL..UHE, j'tIY ('1 Ivl I N I j\1LJlvl FD!.JI? FDUT
FENCE OR A oCREEN
u~-51
HDi'r1EDIr-INE:: R
.....
._ ... e.
...........
:..--::
\.......:
.. ....-
.....
Florida
Power
COAPOAATION
NAME
ADDRESS
/ITY
---- 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.
~~ fh,lf" JlN,
LtJT '17 F~~~A.J I'l.
,ZB'NY/lN/LL/'
,
,
The pool proposed for construction at the above address ~
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.
FLO~t. ~;~~IOI/Irf/
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
38231 HIGHWAY 54 . ZEPHYRHILLS, FLORIDA 34248
A Florid. Progress Comp.ny
" LIe. 22 BONDED INS,
dART's POOL CO.
INGROUND CONCRETE POOLS
~ EN tflJJ I
MAILING ADDRESS f? J 7
D8Df CJ"'f'Y
ART TOOKE
- OWNER-
BUS. (813) 788-1767
RES. (813) 788-1426
Contractor agrees to construct a sWimming poo! and appurtenances thereto as hereinafter prOVided by the plans, specllicalions and te'ms of the contract at
LEGAL DESC y-t/~ - :y~,/~ J
P43 ~, pg"E.5 ifi.-lf?
I f MAX LENGTH ..JJ) I f WATER AREA . i ~t: s I
ft to ~!....( ft to t, tt NSPI TYPE ~rL
11 Underwater lighting ? f)/J W - /~ V
Yi ~ - J
Sq f1 a'ea 700
PURCHASER
})IV'/ f. Df Vi Lof>F-.l'j.5
Hew)'" '9;/ ~.
I rL.
INSTALLATION ADDRESS
.5) ~ V&'f .
{V7J('<:' JfPHYA)1/LkG. ~L-.
/
POOL SHAPE (Y}/JOlyj/:D j,/IDN~ Y MAX WIDTH
PERIMETER
.7f-
~ 3.Sl:; )
/<~
1'1 DEPTH .5
1 Excess 1111 L f. .9 V f oN t:; IT I
2 Filter System f L (., ~ n f...
3 Pump & motor I )7. e t;f.-:J B./-ff:"
4 Method of chlOrination .Il "" /'V
5 Surface Skimmer Y f oS ~ J
6 Backwash disposal V ~ .5
,
12 Ma,n drciln
13 Deck lfOIJ 1
Jj
'7 DIving Bd & stand
Dcr - p- DR,
d S1'EP<;
CliNe.. - Yf ~
rV{)
NO
y~ ~
,
14 Deck dr alnage
15 L~er Grabrails
16 Steps Handrail '3
7, PIping & Inlets S CH J.f /J
8, Therapy Jels N ()
9 Tl'le / ','v / /I Color t.JI/./I_E.
WI _A. (p. ,,19 Cantilever coping tile
10, Intenorflnlsh 'vY}JIfL PJQ~CI-rE
I 1,-
Additiona' Provisions J5 X ...... ~ (J "J // L~ "9"
'8 Slide
20, Electrical hookup y E ~ GFI /'10
E~~/y'Kt'r
Bus: 11 r IJI Drive, Zephyrhllla, FJa. 33541
Res: 1!t:r. Drtve, Zephy......... Fla. 33141
'/ 3/' (f'".HS;n
HOME PHONE
BUSINESS PHONE sL '/ - ~~tr J
ZIP. L ?.3s ~J""
Lo 1"
~7
21 Timer
~...;) a V
YE~
22 Test kil
)
23 Vacuum head YE..5 Vac hose .::J /J
I( II VL" /"
24 Brush ---1...fl.--..t t. leaf net ~
25 Adjustable pole $ J X" ,1' J
26 Startup chemicals .y IE ~
27 Healer 1If.# ~ BTU -=- Type~
'W7F'
28, Automatic cleaner PJ.UflJI) d"
29 Love seal ----LY..IL- Bench n/ ()
30, SWlmout
,y'p
TERMS
Unless specially agreed and set lorth herein, Purchaser hereunder agrees to make progress payments based on the total price set forth in thiS contract.
to the Contractor, as lollows:
Ii<<- 7)j//v ~/YD - r.J}(YE EO - J.-Jl.'(/YD~ ED
u.&
d- tfp~
/'
CONTRACT PRICE $/4 1plLl/b$
~
St:1 .-;., SHELL
";;,5' 11% PLUMBING
~
~ 5% COMPLETION , JJ. ~.5;} S CJ tJ
Construction progress may be arrested betweer1billing and receipt of payment lor each phase of construction,
-L ,-; 1,<'0. 00
..I ";;;~~7S. Of)
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 seller
ThiS notice must indicale that you do not wanl the goods and services and must be postmarked by midnight Ihe third day after you signed the agreement.
This contract shall be deemed an offer to the Contractor and shall be null and void unless accepted by a duly authorized offIcer of the Contractor withir,
fifteen days of the date and year noted above the Purchaser's signatures The salesman has no authority to bind the Contracto;. Atl agreements ano
understandings are contained in this contract and the Purchaser warrants that there are no agreements or understandmgs other than are set torth in this
document Acceptance of the terms of this contract by Contractor is to be commUnicated to the Purchaser by transmittmg 8 copy of this contract to them
showing acceptance by the sellers by the execution of a duly authorized offIcer of the Cont~cl'i{:?r b: commencing fonstructlonl
DATE .5 f Pf', ~, J.7'? / PURCHASER ~ '-{ ~ ., ()-. -\4. on .
SUBMITTED BY j) fj-f'~K...8 7P # K L- PURCHASER
ACCEPTED BY~"(] ~, DATE9- ~ -7/ OWNER
II purchasers are husband and wile, both must sign If owner is different from purchaser, owner must sign
PURCHASER(S), BY SIGNING ABOVE, ACKNOWLEDGE AND AGREES TO ALL THE TERMS AND CONDITIQNS ON ALL PAGES OF THIS AGREE.
MENT EVEN THOUGH SPACE LIMITATIONS REQUIRE THAT SOME ARE PRINTED IN SMALLER TYPE, .
f:HH' b PUUL, CUI'lPf4NY
/31 b Jn5UN Dfd VE
I E:: 1=1 ~'1 Y R ~--i 1 L. L.. f) ., r- l... [ J I' < 1. f) ~i :.'j ,.~~ ~'~J it J.
lELEPHONE: (813) 78B-17G7
1', -'L: C "'tf?'f
) HI<=- : _21:..
).3
19'31
10 WHOM IT MAY CONCERN
IN ALL OF MY CClNCF<ETE DECK W(m~\ I WILL BE LJ~ilNh A I\lLW TYPE OF REINFORCING
CONCRETE ON MY JOBS. I WILL NOT BE USING WIRE MESH 11\1 THEM AS THE CONCRETE
J WILL BE USING, WILL HAVE FIBER IN lHE CONI;REfL WHICH DOESN'T CALL FOR
\.oJI HE MESH.
THANK YOU, 0:-::
~~
f41(THLlR TUOKE
H Rl" b POCJl_ ClJlYlPANY
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