HomeMy WebLinkAbout92-2394
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
.;2!J ~ in:)
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PmpertyOwne, ~ -r ~ ~~
Job Address: t,'. ;;( /btf- ,/J
Parcel 1.0. # ..5 - d..-{;-';;J./- 0 I d () - /J <::) CJ 00 -- 0610
Permit
N~ 2394B
h - s> ~ ? .:J...
7..s -. ()tJ
OatH
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: ---;#adon G_as:
oescriPtionofWork~ ,.l'LLJ-a........x ~ ~ _. A.AN'~ .,4J.A..LtJA'-1 _~
NO OCCUPANCY BEFORE C.O.
FINAL...2....SD -
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
Signature
Company
Address
Telephone#
if.....5-' Ct.") ...---.-
~Vl ~ ~,
l:7 ".
Valuation or
Contract Price
/ /. S-O-V. JV
".
City License Registration # I ;;L
Certified License#
Tp. Servo
Rough In '1 ..--/1-1l
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB s;;fI ~ >ftJI-
6.rt Tub Set /~ V
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
iFinal
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
.g. Work not accessible,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERl'llT
CITY OF ZEPIIYRlIILLS
BUILDING DEPARTMENT
APPLICANT
IlI3 f:S P/J01-
73/(. :r8.su/J/ DR
OWNER DP.ffNJ.s .(
W'/}REN
Ct).
;;2' hJ I :L J.. 5
f"2~ C K 1//
nA.
~3'S-Y/PIlONE
[<'J,3-/gS-- .//~?
ADDRESS
JOB LOCATION (;,(,.31/ hX/'?OOFi
LOT S IZE.)....!J..K.X J /)0 AREA SQ. FT ,
LEGAL DESCRIPTION: LOT(S)
~/
BLOCK
SUBDIVISION .51 L -V r#1
,..
1T.,g K-.5
PARCEL I, D, f~
O.3-dl~- .;;;/
O.JdO - oooao
oc.JO
WORK PROPOSED:L.New Construction _Addition -^lter;ltion _Repair _Install
'"
_Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_~love
_Demolish
_M/F
_H of Units
._M/H
_Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee L ,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FORMS.**
COM1'tERCIAL: ATTACH (3) SETS OF BUILDING PLANS [, (1) SET ENERGY FOR~IS. H
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
KBUILDING
XELECTRICAL
-X-MECHANICAL
4-PLUMBING
TYPE OF CONSTRUCTION: _Block
$
)}, K'tJd_ dO
,.
AMP Service
Valuation of Total Construction
~lorida Power Corp.
_W.R.E,C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
_Frame
Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
**********************************~*******
n ___ CONTRACTOR SECTION n I
BUILDER nfl-r L--1lJ7lf'€ __./ Company ar}7..s
/),1 -# ~/ J' State Cert. o~. r~egist. !I
Signature LUl~/l _~ City License J{c[', is (I'a t. ion
* ********** ******** * *** ,', 1,1,*1,* 1,-{, ,',,,,, ".'"''''''''''''
ELECTRICIAN ~,-~~~~l2>-~ Company -z....-~(L."-c:. E...L.....:E:~'t S'~"'-u ,
~~~. "'. State Ccrt, or J{('I'.ist:. II ~O -:LlG.y
Si9nature ~,-"'-~. City License ]~f'I',istration II l 0
*****************************************
P~I7l.- Co.
AI";) () () .y9 *'9 7
II j-4 ,.,
PLUMBER
JJ P/ r .;; () 11'-J . Company IJ A '/ '3
~ U State Cert, or ]{('f.',ist. 1.1
<<It!J: ' City License geeistratinn
*****************************************
f-~(7 1- {;p.
13 ~t? t1 J-} if g 9 7
iF )~
Signature
MECHANICAL
Company
State Cert, or Re~ist, If
City License Re~istrntion #
******************************************
Signature
OTHER
/V~
Signature ~
~companY B E"/>7fl7J/Yt:7"O:/Y' 1J2cz//'?.IdV/'J
. ($3 State Cert. or Eegist. If l1'l dd~.r:;g'j';;3
. City License Registration iF --7~
APPLICATION APPROVED BY
PERl'IIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait lay be subject to "deed restrictions' which may be Bore restrictive than City
regulations. The undersigned assules responslbllity':'for cOlpliance with any applicablr, deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPQ~SIRII_ITIES
If the ONner has hired a contractor 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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. If the contractor Nishes you to sign
as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to periitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDn STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleDne other than the
"owner", I certify that I have obtained a copy of the above described docuffient and profuise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor~ation in this application is accurate and that all work will be done in cospliance with all
applicable laws regulating constructi~n, zoning, and land developeent.
Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City codes, zoning regulati~ns, ane 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 t(, identify what actions I must take to be in compliance. Sucl, aqr."cies include bill ~le lic,t liaited to:
. ,
I Department of Environmental ReQulation - Cypress Bayheads, Wetland nreas and Environmentally Sensi live Ldnds,
Water/Wastewater Treatment
f SouthNest Florida Water ManaQe.ent District - Wells,' Cypress Bayheads, Wetland Areas, Altering Watercourses
. ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
f Oepartlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en:, Septic
. US Environaental Protection AQency - Asbestos abatement
Tanks
I also certify that, if fillllatc.rial is to be used in FI(,od Z(,ne "A" (,r "A,dc,', it is understc,c,d tl"l a drainage plan
addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer regist~red in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol3te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a cCorrection c,f errors in plans, c(,nstructi(,n, c.r violatic,ns of any c(,de. Eyery ppr~it issll,'d "hall bec('le invalid
unless the "c,rk auth(,rized by such perllit is cC'lIlenced within six months [,f issuance, ('I If 1'1(,) f; alltl'(>tl,ed by the perlit is
suspended or abandoned for a period of six aonths after the tiJe the work is commenced. One 90 ~ay e:I~~5jDli of tile, lay be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in wriling to tho Building Official. An
appro'ved inspectic,n ,",ust be lc,gged during each six lIonth period, [of the projc'ct Iii I] be u,nsidered dbcil,d(';II:d.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRoPERI"Y. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEf~ OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JUDS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMf"lE:.NCEMEN 1'''. C--
SIGNATURE ______ SIGNATURE____~-_ ~__~
OW OR AGENT CON 1 RACTW-
DATE__[)~__~:'!L9..'l_;L__ __ _______ DATE__~_~__s.'!!.L~(U!::,-______
(; 1.. II Py s 1.. tJ /,(,$ it... () L J9 {/ Y 5 ).., r~ u. 5 It..
~~~~:Y O~S A~~Nl_ Af~ ~~__>f!..~___ ~~~~~~C~~R:~_~~__
""'~='<:.~ Pu61lc, 5l~ l)l fTOrJ(Ja ~ Notary Public, State <5f: rrcmaa:
MY COMMISSION EXPIRES.M:i..QW.D".!.?E!~_E.:~r:.S_S.:~:...2~~~::._ MY COl'lME,SION EXPIRES!.'.:~.:."'':':-~~2r~'~~~~~e~t.:..:.3..:. 1992
!. LIe. 22 BONDED INS.
. '.. .~~
~~~T'S POOL CO.
INGROUND CONCRETE POOLS
ART TOOKE
-OWNER-
BUS. (813) 788-1767
RES. (813) 788-1426
PURCHASER
MAILING ADDRESS
DE /Vfi/J ~
'" 3f
I
,;? J-}ILL~
~ J:{RR~
FiJi /?ODf:1
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I';lBt:JrJ./V
DR
Bus: 14 PrIM Drive, Zephyrhllla, Fla. 33541
Res: t-4 p.. DrIve, Zephyrhllla, Fla. 33541
?AI' ~K D'I.
HOME PHONE"bf -.7.r~ - lYJO
BUSINESS PHONE
ZIP .3.3~ ~ I
Contractor agrees to construct a sWimming pool and appurtenances thereto as hereinafter provided by the plans. specifications and e'ms of the contract at
INSTAllATION ADDRESS S,R/Y:7f: lEGAL DESC .3 .
If
I f MAX lENGTH
ft to ~ /~ ft to
11 Underwater lighting 300 W - J..:l V
Ye.s - J
13 Deck If'Ot:JL Sq h area Jj~<O
14 Deck drainage 0 f C. - D - DPlQJ,y
Nt>
Cpy;c.. - r~ C; 26. Stanup chemicals
NtJ
NO
)(} D/tf r
7~
1 Excess t,ll L. f..,Rv'f- t'QY 4i J -rf-
2 Filter System E. c. '" S D E..
3. Pump & motor J H f'. t;rH IVrr;..
4 Me1hod of chlonna110n 8~ ~O
5 Surlace skimmer Y E.5 - J
y~ <;
7. Piping & Inlets .5 c.JJ '111
NIJ
c.HpJC L
Color_"_
J.?
.
-3
POOL SHAPE
MAX WIDTH
PERIMETER
I.'f DEPTH
12. Main drain
6 Backwash disposal
15 Ladder Grabrails
16 Steps Handrail 3
. ":l
17. DIVIng Bd & stand
1 8 Slide
8 Therapy Jets
,. '1 / 'I
9. Tile r... Y ~
19 Cantllevercopingtlle Y F- .;
20. Electrical hookup YE...s GFI III 0
~C~ €..w f./1/c LO~ vflf'-
10. Interior tlnlsh VV)7J/~ /7./:JRt:.l-r"E
L::) .,.,1.", 30'
Additiona! Provisions ~~....~ _ ,..
TlNn noCJ R -~
.3tJ
'-
If WATER AREA .3'-0 sf
SH'T
It NSPI TYPE c..I'JE.-r&..
~~() V
YEJi:
21. T,mer
22 Test kit
23 Vacuum head Y.f~ Vac hose .3 n I
/ " "
24 Brush ___ i-- J 11 Leaf net ~
U t.'"' I / '
25. Adjustable pole ~ _L _~
YE: €;
27. Heater Nt'
BTU -=:::..- Type-=-
28. Automatic cleaner p1. u~/I)r/G
29. Love seat IY p Bench rV'1J
30. Swimout
Vt:.s
.
<p~r:Jt~
JdlP
TERMS
Unless specially agreed and set forth herein, Purchaser hereunder agrees to make progress payments based on the tola! price set forth in this contract.
to the Contractor, as follows:
.k 4~/JP'-
./
CONTRACTPRICES!,49'OOeJUS ELfV~N- "T}.?4V,:..&jH'P - Elc,Jd'T- #1..(tV.f:)HI'P
10% DOWN PAYMENT I JJ fj'tJ. (Jt:)
400/0 SHELL .; 1t./~f). 0"
20"10 PLUMBING -l ~ ~ ~ 1:'. tJ(J
-~ ~CFJ~1f./I/ ." -i.3 '''.08
'-/Po COMPLETION .( J I '9'11. P "
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 F~OM 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 Ihe seller.
This notice must indicate that you do not want Ihe goods and services and must be postmarked by midnight the 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 within
fifteen days of the date and year noted above the Purchasers signatures. The salesman has no authority to bind the Contractor. All agreements and
understandings are contained in this contract and the Purchaser warrants that there are no agreements or understandings other than are set forth in thiS
document Acceptance of the terms of this contract by Contractor is to be communicated to the Purcha r y transmitting cop of this contract to them
showing acceptance by the sellers by the execution of a duly authorized officer of the Contractor or b mmencinQ CO tru 10 .
DATE 17.& y ~/. JY?~
SUBMITTED BY 1../f..Z:: ~ tJ 1"( E PURCHASER
ACCEPTEDBY ~ z,{c... DATE S--"'~-9~ OWNER
If purchasers are husband and wife, 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 CONDITIONS ON AU PAGES OF THIS AGREE.
MENT EVEN THOUGH SPACE LIMITATIONS REQUIRE THAT SOME ARE PRINTED IN SMAllER TYPE.
PURCHASER
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Florida
Power
CORPORATION
NAME a9..////.5....- X-/J./lEAJ /JJ IJOoA,)
ADDRESS lPCo3<f FOXI1100rL ()fl-.
CITY Zl!5/'HY~Ju...S.
.
~he pool proposed for construction at the above address DOES !Q!
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.
~.,t'~ ~ft~
FLOR A POWER CORPORATION
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
A Florida Progress Company
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POOL ENCLOSURE AFFIDAVIT
. .
It is understood and agreed that the OWNER will comply with the following
resulations concerning pool enclosure:
1. That t.aediately upon completion of pool construction the OWNER shall:
a. Construct around the pool a four foot high fence with self latching
lates with no openings large enough to admit a four inch sphere: or
b. Construct a screen enclosure around the pool which is permitted by the
Pasco County Central Permitting Division.
2. That one of the enclosures described above will be completed prior to final
inspection of the pool.
3. That the OWIER will require his pool contractor and screen enclosure
contractor (if applicable) to call for a final inspection Lmmediately
followinl the structures completion.
4. If the followina conditions are found on the property. it shall comprise
prelu.ptive evidence that the OWNER is in violation of Section 315 of the
StaDdard Sw~in& Pool Code and Section 530.4-0 of the Pasco County Land
OeveloplMllt lesulations:
a. More ~ leven days bave passed since all work was completed on the
pool Itructure except for a final inspection. and:
1) A fence or pool enclosure as described above is not in place: or
2) Work to build a fence or pool enclosure as described above has not
co.aenced and is proceeding in good faith: or
b. Tbe pool 11 being used for swimming or bathing purposes without a fence
or Icreen enclosure. as described above.
5. That a violation of Section 315 of the Standard Swt..ing Pool Code or
SectioQ 530.4-D of the Pasco County Land Developaent Regulations shall
relult in the ilsUAnce of a "Notice of Violation" to the OWNER by the Pasco
County Build1aa Official; and may result in a ftne not to exceed $500 for
each day ~t the violation exists.
6. If the .1lft8ture of the OWNER'S AGENT appears below. the A~ENT promises in
,GOd faith to aake the OWNER aware of the above described requirements and
::~~:. :f::s:::c::::n::::ono x~)e. ~
:J./I"'C.. DAY OF ~^~u........--' . 19 9:L' 0 NT'S SICNATURE
~X!~, -.tLI9{)I/~),BtWL
NOTARY PUBLIC I PLEASE TYPE OR PRINT NAME ABOVE
Notary Public, Sla~ lff ~
My C~rn~iss;on fxpires Sept. 23, 1992
~H~ T '!3 [.'UUL. C( 11'1J.'f.ll\lY
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TO WHOM IT MAY CONCERN
IN AL.L OF MY CONCRETE DEC.~ wnr'::h T W [L1. Dr: UH I Nl3 t:.) I\lFcW TYPE. Dr m: J NFDr<C J Nt3
CONCRETE ON MY JOBS. I WI L.L NUT Hf. U~) 1I\~(:; (,oJl HI I'IF';II IN TIIFI'1 (.~';rHF: CONCRETE
I WIL.L. BE USING , WI LL H~lVF F HILi':: J NT IlL rDI\IU<FH. l-JH I CH DOF~;N' T CPL.!.... FOR
WIRE MESH.
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