HomeMy WebLinkAbout91-1940
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
Permit N~
194013.
7 -.!> -: UV
;l(J -crD
~T-R~
BUILDING DEPARTMENT
1-813-788-6611
~O';J
GUM BING
Date // / ~ /9- 9 /
~
Legal Description:
Sub.Div.
Lot
Blk.
Property Owners Name:
Job Address: :> /
Zoning CI:
Description of Work ~IA-ft&A> / ~,-<-J--( h. _.d -"/1 ./ C><?-Z J A7l"Yh-
/
Energy Code Readout:
~ IJ7~4 k
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: J ~ I {) CJ. o-v
Fee: J 10-' c:rD -2.-----
SIGNATURE r.lt/ ~
All work sha/! be performed in accordance
with the above and all City Codes
and Ordinances.
COMPANY
ADDRESS
TELEPHONE #
Pre SLB/
Lintel
FRM.
Insul.CL
WL
Tp.Serv.
Rough In
Meter Can
Cons~le
Pool U 11..~tf-' i
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: 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.
Signature
City License ReglSL.ral.~ull 'r
*....* ...**-'~Jt
**************************.- ~ -.
********
Company r::Ie/1? l/yC:';-/fN'
State Cert. or Regist. 0
City License Registration 0
OTHr~ rfTil ;:y~
Signature __ ~
... ~****************************
-**j)<******* .
APPLICATION APPROVED BY ~ _ /.7~ <"-'T";'"" .
/)2-?/ ,fl? ? /Yvfl'7
/S
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay bi subject to "deed restricti~ns' which Nay be m~re restr.ictive than City
regulations. The undersigned assules responslbility;for,.colpliance with any applicable deed restrictions.
-.' . . ~
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a c~ntractor or contractors to undertake work, they lay 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 lay be
cited for a tisde.eanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
7B8-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the c~ntract~r(s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If y~u, as the ~wner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are resp~nsible for the wor~. If the contractor wishes y~u to sign
as contractor that lay be an indicati~n that he is not pr~perly 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 C~nstruction lien Law - H~.e~wner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is s~le(,ne other than the
'owner", 1 certify that 1 have obtained I copy of the above described d~cu.ent and promise in good faith to deliver it to the
'owner' prior to co..encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inf~r.ation in this application is accurate and that all w~r~ will be done in c~apliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a pertit to do work and install~tion as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of a perlit and that all Hor~ will be perf~rmed t~ ~eet standards of all laMS
regulating construction, City c~des, zoning regulations, and land development regulati~ns in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies fiay apply' to the intended ~ork, and that it is
IY responsibility to identify what actions I lust ta~e to be in compliance. Such agencies include bllt ~le not limited to:
...
. J'
. Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensitive lands,
Water/Wastewater Treat.ent
. Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering WatercDurses
. ~rlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
. Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
. US Environaental Protection AQenc~ - Asbestos abatement
I also certify that, if fill aaterial is to be used in Hood Z(lne "A" or .A,etc.', it is understc.od tJ.~t a drainage plan
addressing a .compensating volume" will be sublitted Hhich is prepared by a pr~fessi~nal engineer regist~,ed in the State of
Florida prior to permit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as auth~rity t~ yi~l~te, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Offici.1 from thereafter
requiring a C(,rrection (,f errors in plans; C(,nstructic,n, or violations of any c~de. Every pE.'ui t isslIl',j :hall becc'lE.' invalid
unless the lIork authclrized by such penit is c('III.enced within six 1II0nths c,f issuance, or if work autl'('1 lLed by the perlit is
suspended Dr abandoned f~r a period of six months after the tiJe the wDrK is c~~menced. One 90 day e~\f~sioll of tile, lay be
allowed for the per~it Hith fee charge of $15.00. The extension shall be requested in writing t~ the Building Official. An
approved inspection must be logged during each six month period, ~r the project will be considered db~\,doned.
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 $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A IINO~ICE OF COMMENCEMENT". ~
SIGNATURE-------OWNER~ SIGNATURE___~~-~---
DATE ________191~~J~~--___-__e____--.-.------- DATE - -- _____J~~~ J9..l- - - --- - -- -- - -- ------
NOTARY AS TO. . Q .. - . NOTARY A5 TO ,n . A Q --
OWNER OR ~_~..----~ CONTRACTOR____~----~
MY COMM I 55 I ON EX P I RES!iJ.L;';~I~LJ~~iu~ii":~';W:":" Al.Jol.'ii:~:i 994~Y COMM I 55 I ONNO~* ij.59uC...sr.Au;..Q....$~---
BONDED THRU NOTARY PUBLIC UNDERWRITERS. MY COMMISSION EXf>IIi&::S: MAR. 26. i 994.
SONOED THRU NOTARY PUBLIC UNOERWRITERS.
i'i;~~~.,ii1"",lfi;':!"::'
4}' LIe. 22 BONDED INS.
.un POOl. CO.
INGAOUND CONCRETE POOLS
ART TOOKE
- OWNER-
BUS. (813) 788-1767
RES. (813) 788-1426
)-J d/7 F
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J-}cwy
[I/'Y
DEV~LOP/?F/Vr
J'$? S.
~L
.
Bua: 11 r I_I Drive, Zephyrhllle, Faa. 33541
Rea: 11 r I _ Drive, Zephyrhllla, Fl.. 33541
7.:J/t :r8.'s"~/Y
HOME PHONE
BUSINESS PHONE ~ <t 7
,
ZIP .3 ?..~
,'\ C;':".fASEf;,._._(~~E.LLt~~l
MAILING IIDURESS __. g ) 7
D/JDF
Contractor agrees to conslrucl a swimming pool and appurtenances thereto as hereinafter provided by the plans. specifications and te'~s of the contract at
INSTALLATION ADDRESS ..s J L VE~ d.fJJrS tRlvpLEGAL DESC ..yd ~ - . ,/~~ I L A"'f' ~
;Z1J..}JtU1 ;:-1, 3.3-5"7'/ rlf3.,' P~t;E.s J/~ -~9
POOLSHAPE~OJ:JJF'jE.D J:('lDh'fY MAX WIDTH I~<'" If MAX LENGTH 311 IlWATERAREA 3.J'~Sf
PERIMETiA }5 I'f DEPTH 3 ft. to If).:? ft to (, ft NSPI TYPE SfJ{?,E..
1. EIlc:ess fill L (./JlvE... Q/'/ oS J r i:.. 11 Underwater lighting .30 P W - j~ V 21. Timer ,.;J ~ 0 V
2 FinerSystem [c. c.~<' .DF... 12 Maindrain YEs - J 22 Teslkit Yt5___
I
3. Pump & motor J H. r. {-f'R R J 7"'E 13 Deck k' P Q J.. Sq h a'ea (" J 0 23 Vacuum head Yl' 5 Vac hose ...5 0
Blj'L ~- n
f)U7*'1 14 Deckdrainage nEe - (j - DF/. 24 Brush--'-.I- )fJ' lea'net~
Y E.s - I 15 ~ Grabrails ;;z ..sf F .P C; 25. Adjustable pole f? ')( J t '
'YE~ 16 Steps Handrail .3 CONe. - .Y..!-5 26 Startup chemicals YE.5
p
~II
.. ,,:n.__..' ~ ,. AtlJ
t. nwl4"'yt't."'1 Color f:;II#I';,~ 19 Cantilevercoping1.le
'.~~~J:n:: /l')A~el-rE, 20. Electrica! hookup YES
'.", , ,
\; .\~.i ..~,'
... Method of etIIoIlnaIion
s. SuMce IIiIk'IImIr
6. 8llclkw..n cIiIIlaMl
~> . ,. ,I \
T...... Ii..... .Cli.t!
'I
H. Diving Bd & stand
18 Slide
27. Heater -LY'..P BTU -=- Type-==-
28 Automatic cleaner P J-lt/':J 81 N G
Vf:-S
,
29. Love seal
Nd
Bench
/YO
GFI /"/'//
30. Swimout
/YO
00-
TERMS
.- both herein. Purchaser hereunder agrees 10 make progress payments based on the total price set forth in this contract.
'17 . f:.Jt.Ji-r- /Jduv<hN/2 - h//"" ~);~;; '~~~
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Jj
NOTICE TO PURCHASER
DO NOT SIGN TMIS CONTRACT BEFORE YOU READ IT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK SPACES.
Thif is. home IOIicitatiOn sale. "you do not want the goods or services contracted for. you may cancel this agreement by mailing a notice to the seller.
This notklt 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 contract .""" be dtlemed "" offer to the Contractor and shall be null and void unless accepted by a duly authorized offjcer of the Contractor within
...." ~d ". tMIe IIlId yew noI<<I .oove the Purchasers signatures. The salesman has no authority to bind the Contractor. All agreements and
~..~ in IhitJ f!OfJtTact and the Purchaser warrants that there are no agreements or understandings other than Bre set forth in this
.... ... ~.,....,.. of "* contract by Contractor is to be communicated to the Purchaser by transmitting e copy of this contract to them
,~.. ",,.,..... b,r the execution of a duly authorized offIcer of the Contractor or by commencing constru'stion.
'1,~1J.' ,'" PURCHASER X ~~~)
=::.~:: ~V!A :.:.;r;JU' .U ::~:ASER /
" purchasers are husband and wife, both must sign. If owner is different from purchaser. owner must sign
- --- """"'''"'WI ~nr.~ UIO 4GREES TO ALL THE TERMS AND CONDITIONS ON ALL PAGES Of THIS AGREE.
~--- __r ~J:UNTC'n IN C:U4.1 l I:Q TVDJ:
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The pool propo.ed tor con.truction at the above addre.. ~ !QI
conflict with any underground or overhead facilities of Florida
Power corporation, provided that the pool i. in.talled in the
looation .hown on the attaohed .ite plan provided to u. by the
pool oontr.otor.
-
The pool propo.ed for oon.truotion at the above addre.. .e2!!
oonfliot witha OVERHEAD UNDBRGROUND
- -
faoilitie. of Florida Power Corporation.
Arrangementa have been made with us tor relocation of the
taoilitie. .0 a. to clear the pool area .hown on the attached
.ite plan.
Co.t for relooation of eleotric faoilitie. will be paid bYI
OWNER
POOL CONTRACTOR
PRIOR to relooation of facilitie. and con.truotion of pool.
31231 HIGHWAY 60t · ZEPHYRHILLS. FLORIDA 34248
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in WHOM IT MRY CONCERN
IN ALL OF MY CONCRETE DEfY, WUfW, J 1.,,11 I I.. PE U~d 1\1(1 (~~ NFJ.Jf YPI. (iF m. I NFcme Jr.lh
CONCRETE ON MY JOBS. I WILL NOT 8~ LISING WIPE MESH IN THEM ns THE CONCRETE
I WILL BE USING , WILL HAVE F JHE. r~ J 1\11 HI.. ('UNUH:. rr. I,.JH J LH DUE ~:)t.l 'T (;(.:jl.. L. F [H~
WIRE MESH.
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