HomeMy WebLinkAbout93-3208
76. (JI)
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~
Pmperty owne'll; -/ ~~ ~ . ~
Job Address: b ;(V
Parcell.D, # -3 -.;L (, -;;L/ - /;l. -0 -~ OZ d-
BUILDING PERMIT
Permit N~ _ 320SL5
Date '/- d- 9- 7,,-~
CITY OF ZEPHYRHILLS
(813) 788-6611
.:L eJ. 0lJ
~.)
MEC~L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~ Energy COdeL Radon... G~./
DescriPtionofWork_O~/}< ~.~~ bd~ J~..IU'tl~
(;'.A..I! ~<~
FINAL
3
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Pe,m;' Fe~' 0-0
Signature ""-. . ... - -~,
Company
Address
Telephone#
Valuation or
Contract Price I ~ /;.~ . c:J'?::>
City License Registration # 020
tate Certified Li nse#
t/.
Ftr, 0
Pre SLB S -j /'13 PI.-€.A ~
Lintel
FRM.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
p. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Tub Set
Water
Sewer
Final
Driveway
j;tPJs:~-q5 ;:P
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.
!!
APl'I.:I:CI..'..InJN1 FOit PE.'RJ1UT
CITY OF ZEL"JIYRlIII.T..s
BVJJILDIl!ilG DRPAR1'UH.1NJT
Olo\"NER' S NAME
:q
d l'
~.,~~~,.;,.,
S) I lvy, C --1- ~ <;.
PHONE
owxrn's ADDRESS U i.t I Y
~
JOB ADDRESS
1---~
I.EGAl. DF..5CRIPTION: LOT(S)
BT..ocK
SUBDIVISION' (S'; ~ t
e o<Z .r<. ~
PARCEL I.D.I 'J - Q~ - J....\
r~
c
~'--
,,"'URK PROPOSED:_!1l1ev Construction --.ft\ddition _Alteration _Rer~'lir _Install
_Sign
_Hove
_Dellllolish
PROPOSED USE:
Single Fanily
_KIF
_, of Units
_M/H
_Conaercial
_Indus t.
_Swim. 1'001
Other
_Restaurant & neal~ Deparbment Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COHHERCIAL :
ATTACIT (2) PLOT PLANS, & (2) SETS OF n~DING rLANS & (1) Sf~ ENERGY FORMS.**
ATTACIT (J) SliTS OF BUILDING PLANS " (1) SET ENERGY FOmIS. ~~,
**COPY OF CONTRACT RE'QUIRIID.
Pf!mn~ RF.,QUF.STP.:O
_BUILDING
$
I i, ao 1.;
I
Valuation of-Total Constnlction
_ELECTRICAl.
AKP Service
Florida POl~r a)rp.
\-l.R.E.G.
_MECHANICAL
$
Valuation of Hechanical Installation
_PLUMBING
GAS
ROOFING
SPEGL\LTY
TYPE OF CONSTRUCTION!: _Block
_PraJlle _Steel
Other
F'INISlIED FLOOR Er.EVATIm~S:
PT.
IS PROJECT IN FLOOD ZONE ARFA?
YES - NO
*****~~~~******~***~*******~*~***~*~~~~***
RUIl,orn
COllfi'lU\croR SECT'IOIN
COHPAINY_l'L....-"'-~ ~ (/ cr-/~
State Cert. or Regisl. II! e.(7(...(j)....~<y;..-/
City I..icense Registxation ;j:
*e~~~***~*****e********e*~*.*~
Signature
PI.tlfKBrn
6tL--
boo '- It- P-
. C~ty License Regis~ration 4 ~
**************************************** . J
' COlIPMfl' tJ _ _ '\ ~_ ()u.J" ~
State Cert. or Regist:. #t (! fX-6f}...~~
City L,iccnse Regis~ration tl
******************~~****~****e************
~ 7 ( "
C'iMfPANY .' "\. t,LL/\
Stat.e Cer ~C~iSt. if:
Si
011TY.R
c:om>Am!Y
~t3te Cert..
~
COUPANY
State Cert. or Regist. #t
City License Regist:ration #f ~
*******************************~
APPLICATION APPRO~~D BY
PERmT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this .per.it ~ay be ;lbJec~ to "d~ad restrictions' which ~JY be lore restrictive than City
regulations. The undersigned assules responsibility for co'pliance with any applicable deed restrictions,
B" UNL I CENSED CONTRACTORS AN!) CONTR0:,CTOR RESPONS I 8 I LIT I ES
If the ollner has hired a contractor or contracto~s to ui'':~rtake Hork, they Illay -b~~quired .te, belicensed in accordance with
state and local regulations. If thi!. colit't-ador is not"licensrd as required by law, both the (<wner and contractor lIay be
cited for a lisdeaeanor violation under sta.~ law. If the OWf~r or intended contractor are uncertzin as to what licensing
require.ents lay apply for the intended Hork, they arc advised to conlact the City of Zephyrhills Building Department, 18131
788-6611.
Furtherlore, if the OHner has hired a contractor or contractor", he is advised to have the contractor(sl sign portions of the
"Contractor .Sections" of this application for which they Hill be responsible. If you, as the OHner sign as the contractor,
you are indicating that you, rather than the tbnlractor, are responsible for the work. If the contracto. 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 FEE~
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
Guide" prepared by the Florida Depart.ent of Agricult.ure and Consumer Affairs. If the applicant is someone other than the
"oNner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
~oNner" prior to cOI>>encelent~
E. CDNTRACTOR'S/DWNER'S AFFIDAVIT
I certify that all the inforlation in .this application is accurate and that all work Hill be done in cOlpliance with all
applicable lalls regulating construction, zoning, .and land development.
Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no 1I0rk or
installation has cOllenced prior to issuance of. a perlit and that all work Hill be performed to leet standards of all laws
regulating construction, City codes, zoning reg'ulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands,
.Water/Wastewater Treatment
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland A:eas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
f Depart_ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treataent, Septic Tanks
f US Environlental Protection AQency - Asbestos abat.ement
I also certify that, if fill laterial is to be used in Floon Zone "A" or "A,etc,', it is understood that a drainage plan
addressing a "colpensating volulle" Mill be subli tted whic~)s pr~p_ared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed wi-th-.the Hork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froD thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every per~it issued shall becole invalid
unless the work authorized by such perlit is co..enced within six months of issuance, or if HorK authorized by the permit is
suspended or abandoned for a period of six months after the tile the Hork is coo~enced. One 90 day extension of ti~e, lay be
allowed for the perait with fee charge of $15.00; The extension shall be requested in writing to the Building Official, An
approved inspection Dust be logged during each six month perioo, or the project will be considered abandoned.
WARNING TO OHNER: YDUR FAILURE TO RECORD n MOTiLE UF CO~MENCEMENT MAY RESULT IN YOUR rAVING TWICE FOR IMPRoYEMENTS TO VOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
COM~EHCEMEHT. OSS UNDER $2,500 IN VAL DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
,
STATE OF FLORI~ ~ r\
COUNTY O( . . 'ft b<.'./J
The fc,regc,ing i~nlment
before me th i:l/;. . 9
,
was acknowledged
, 19~ by
to me or who has
produced
as ;dentif;Ca".~~:;'hD .~/diL
tak7fha;;;:,~/ :/~
ff~ture) ( ;~
~ ~0'11 ,/j . C
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
nc,t
r~!"aryP~~~k, ~i~tc (~ r!'):';~3
l\;'ly (e"lm~:;::.:;': ~;::;rcs rc~ 22, 1995
/londod Thru Troy F.... -In,uran..lne.
'\
STATE OF FLORIDA()
COUNTY OF t' A~(I f)
The foregoing inst-ument
before me this ~ . q
,'Jas aqS"'ll edged
, 19. by
~jhn L. m\ II s
\'iho is pel-=e,nallYlkno\,1n te, me or \'/ho has
pn,duced I[:l iCL
as identificcltion and who ~/did not
take0fP~y.7(6J~l
(S{'g6Y;~V7 i,}I3MD:R
(Name Typed, Printed or Stamped)
~~Q.TAR,{ PlJr:1~L~
NfI9f.r. '~blk, Sftl~e 01 nl?r.i~d
~"''' . '-.. . .- ....,...~. ::, ryn!:!u. ..
Ifj COmmis$ion Expires Feb. 22, 1995
iond.d TbruTroy Fain. In,uran.. In.
10l]
0..
Hometown Pools, Inc,
37008 Price Dr.
Zephyrhills, FL 33541
813-782-70n
.. "0......
,... "'00,"
... y,....,..
;TANOARD RESIDENTIAL
{IMMING POOL CONTRACT
SFI, iAMFA SAY CHArTER
PURCHASER
This contract made as ot the date ot wnnen acceptance by the member builder listed above
hereinatter termed .Contractor" and the party named below, hereinafter lermed .PurChaser."
(] L /~/e~ lffi~I-..
~'t~b S II~~~ CJJa6's D/L
Ph. HOMF
MAILING ADDRESS
Ph. BUS
ZIP
Contr2ctor aor_ato construct a swimmino pool and aopunenances thereto 8'!1 ~reinaflM provIded by the plat'S, specllications and terms Of the contract at:
INSTALLATION ADDRESS
, ~ /,) ...'1- l.A.-.....
LEGAL DESC.
POOL SHAPE
PERIMETER
C I...L <..17;-___
9'0
MAX WIDTH
IIf DcrrTH: LI
9 vtMAXLENGTH3 c,
ft. 10 L ( ft. to LJ' "'"
I/t WATER AREA '3 J. Y s/f
ft. NSPI TYPF ~
3. Pump & mot Of
4, Method of chlorinatior1l C L _I C C
5. Surlace skimmer 0 ~....---
6, Sackwasl'l disPOsal "'r -eo '>
~ d.. c.J(J 1''' <-...
!
21. Timer
22. Test kit
23. Vacuum head
24. Brus"
25. Adjustable pole
2~. Sta~chemicat,.
27. Heater ---
~~" ;"w:':':::Ci::: :le3"'~~
29. Love seat
30. Swi,..out 'Te~
1 , Excess fill
2. Filler SyStem
Q~h.."'t'"L
DE
I J-J.-P
1 1. Underwaler Iignl"'" J -Il... "
100 '-'
12.
13.
14,
15.
Main drain OW-c....
~L '-~ -
Deck: So. ft. arelL-! ? ')
Deck dl"ainaoe Ccl n e
Ladder/Gracia,,!! n-r D
Vari. hose
Leal net I
, 6. Sleps/Handrail -
7. Pitoino & .nlet!!
1 7, DiVinO Sd. & Sland
-
_. 7~e:d:"f Jeu:" ~ C
10.
:woe ----...
Cantilev~coP,"QJ1ile I J k
EleC1ncal hoolunl C Cl ...... .t-
BTU Type~
~)'i~__
Bench -
9. Tile L, v..~ Color: it
O. Intenor finlsl'l /Y114. 1'2 c.Ur:;
, 9.
20.
GFI_
\ddlllonal Provision!!
(~~It~ '-v , ~ J.c,c~ S
,
TERMS
Jnless s08Clally agreed and setlorth herein, Purchaser hereunder agrees 10 make progress payments based on Ihe lotal price sel fonh in this contract, 10 the
::Ontractor, as follows: .
CONTRACT PRICE S I ~ l1O<.> $
, O'lb Down PIIyment
5O'la When rOUQh shell is in place
35' When olumbino IS completed
5"" Wh~n 0001 is completed. ready lor interior finis"
ConstnJctlon progress may De arrested between OIf1inO and receiPt 01 oeY'Tlent for each ohase of eonstNCllon.
NOT! CE TO PURCHASER
00 NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK SPACES.
"is IS a nome soliCItation sale. II yOu do nol want the gooos or services contracted lor, you may caneellhis aoreement by ma,lino a nOllce 10 Ihe sellM. ThiS nOllce must
.,dicete rnat you do not want tne goods and sennees and must be oostma",ed by midnight Ihe tn,rd day after you Signed the aoreemenL
771,s CDn".cr s".11 b" d~~,"~d." offf!r fO ,IY'! Con,r.r:or ."d s"." b~ nullllnd "o,d u"/~ss .cc~D'~db". dulv .utho"TPtl offic.,of ,tip Co",,..cro, """"un 1,f't.t1" D,VS 01 'n~ O.'f!
IntJ 'f~.' nOIPd "/;0"" ,hr Purc".s.,.s JI9".,urf!S. Thr S.'t!sm.n ".s no .u'/)onrv'" 0,,,,, f"r CD"t~CtDr All ~9'Pt!',"pnu ~"" "ntJr,sr.nC""fJs ~'t!' r:onr..npd." t"'S co"".t:t ."d
r"'~ Pt"C!:8$~r w."~"rs t"~' ,h~,t!' ~'P "'0 .9'~P,","P"fJ or unQP,,,.,..r1,r.r;s O'''~r ~1'J.n."P Jet faIT" ,,, tnu i:DC:J,""nt ACct!'Dt.nc~ ~f ,,,~ t~,,"s of ~"tS cor:".ct &y CDn".Ct"r,s to
:~ co"''''un,c.tpt! to (/',. Purr".'.' bv rr."smln'''9 . caDy of ''''J contract to ~"'~m stto"'''''g .ccrpI.nCtl Oy tnp stllI.rs by :ht! t!_pCuI'D" 0/. duly.utnonrt:t! ofl'crr of II..
"...ontrllcIOf or by c,,,nm.nC/ng eons"uCtlon.
DATE
SUBMITTED BY
~CCEFTED BY
PURCHASER
PURCH~ q
Date \.(':-)..)-53 OWNE . ~.iJ.aL.-r=-
hase~ are husoand and ....le. both must sqn. If owner IS d. nt' PUrchaser, owner muat slon.
"'J~CHASER(Sl. BY SIGNIN ABOVE, .:lCKNOWLEOGES AND AGREES TO ALL THE TERMS ,tINO CONDlTIONS ON ALL PAGES OF THIS AGREEMENT EVEN
71-l0UGH SP"CE LIMITATIONS REQUIRE THAT SOME ARE ~RINTED:N SMAL~:R TYPE.
/
~~~ ==.._1
LIMITED WARRANTY
The CO*ITRA~OR ....,...~~ Ita wor'- 1= DiP..... .~'" .,...ecn 'I'l """.1"\aI end -o~"'''a _"'" 10 CJIlP"'cr- urr..C"IO"'''' '01" . c:-noc2 r:JI ONe' .,..., .net
a:Ji'"tJIIll!""'lO"Qar.or t,,~ OQOI.'" UM .~,. af"f euc"O"eClSSftOUIO~Wft"""''''''''''''",,1! WYI""""""OV.......-"'~ CDIII 10"'- PVACHASED ~~
_.e ~""=,,,.M' f\aa CC)f'PlOhPC ,,.. 1",,1 w"" !'!'lie t~, '" OIl",....'" and omer c;.or,o.ttORS Of '''-a CD"Itra.:: P-JACMASEP"'S '..J",.,o.,... tvU c.........". 10
CO...-=....=-OR ac:.coro'''';.:- t...~ (.%'-...C- ,..., _0"" oroe"s '''-''ll''OId !!'Va ...,..,.~ Pur:nas.ec 0' UIIP~bI..o ec.e1l&SOl"'" ana .au"""" ............,..,.-,or
"'0 CD~.'.:'! ::a,..., ""."loJ..:1u...." ... ~-... e....: COt.l,:tAC':,R ",,'!\et' ..,.,..nts 01 O....,..",....~ eo"'~' t>>,.o...o 011'" -.-=- ~ .........,.IlMU'W'.
_....._~ .rt" "'''''<'''''0 0" "=-ac.t--..~. ~, ,"",Cr ft..". .",." ~ :--1..,.0 .:lif ",,...., @'~C:!-- """~~::JI ...e PI\a"U..c:U'W.......,..."'V o-teca or ,....."...
Cltu'!of!'C:""" QOl.reous m.S:,...f!T\..... O. ~~, U\II' ~ ,..0...,,: 01 ....~ a: P\.JRCM.t..Sc::r~ ..08'.....
Th,~ .wJI-':O'UY Decon"es -otC w1"\en Onou'\At oure".aw' .._ CI ....s a-.crcee CW'(X)e"'T",
;". -:~r'. st:'oM:~...:".. ts......I.. ~..,~ . I,"," ,10, ...... ..-......, 11'\:11" "".' t:JP"'~ U'tS!a:T=","'''y OU""!""'O m.at '&'nil'
A.,v ,u~_IEO WAAAA"'''. AR!S...G By OPE'UTlO" or STATE LA.... IS l'''':TED r.: ':'~E DURATI"'" or Tl4E ONE YEAR WAAAAIfl'IES MEJlEIN
OO"~ A...(O
A aeo.,.te' '"Sl""m~f'\' .arranrvlN; '''eo."..... c.'-Y"""eC: "",no.. ,,"S con'!.:t"'ll,. De Dl'OWlCleC to tl'Wt Pvr:~. ana It -"'&1: be CCft8Io.r.G. OW' t:1Ilfte CDmr-=t ~,.
DEFIN!TIONS
Tn" 000' 5:ru:tv." 5""" !Weons.o,,''''' 10 ."EFlFO..... SA T1SFACTOAll.,.... oe 'STRUC~AALL Y SOUND'"" lonG UI\"~ oICOftt."""lI_a,.nO.I...,rom_.a_oI
eovaoo,...on ot , 'S.. 'e :1 ~ 6- CJIP' caVI
POOL S><ELL 0' l>0OL STOIUCTURE IS me cone'''''' ...",. ....cn .neaRS me sr_ ,..nfo,CI"ll ba'" 'n._or "...... .... l'IC/l c.n 01 .... -
POO' ~Ulo"'ent 'lllf'nfe~ ~nor"'s lhe tunC!tQn tor _rue'" tl _a. aeslQrtttO snail De CO"'tslOered to .PER,:'~RM SATlSFACTOR'L Y.
'DE CK AND PA TlO wCOlI(" snall be 0,",,"""'" 10 ",a. n a" cone...". lila ."" .........." won< _ .n COft....:1..... -" 1M JmOl CleCKa -..en ..,_- ..~...ng -I&. -- -.....-
.ll:
M.rCI'~ 0' m81"t)1e-1.,,, _~.. us4!'O as ''''eo WHrT'E 'flTeQIOQ -=-1 NISH shall be . mtwture 01 _,,,t. cernen' anc ground ma~ WIt., .."oonat. c.""'" addtt~ ano snail be ~.....,'"
anC dense AOO'eQa... ~-.al' ~ "run 0' '''4!' au."""" w1tn a prOOOttlOna,. .mou"t ~ off.......". Dartoes. and 1M ......-auent.......".. I.....".... De aut:IIeCI to auf'tace OI~"on deOeftdno
\COn the amount 01 eo.." 1ft 'he aOQ'eooat. \Aed
L1MITAT'IONS
No _""'''IV ."'''ncIS 10 ...y pan to ''''' oool. ...u.pmem ... aooun.nanc:es _n I.ilu,a CI d1Mect .. ea_ t>y any d the ~ng condtt...... ... --=
Abuse. &actI CIA ....3OI"WD6e care. ~ OIl ~_ry "...tr.enance. ,morooer (lClef'atlOn: vancsaJ.-n: CIa t:JI GaI:........ ...., and ...,.
F,_z,ng 01 _.~ re" une,",vlll..., in OIuml>l"ll ~_s. Ii".... _01, 1lS'tVrW. or pttw, eQU,_nt,
Subs"tut....., ......ceme"t 01 _it!?".oI tIOU_ not ano,n.My ....._ nor .......uIy autroCl'lZad t>y the Com'*"CII' _OC" InOf'Il aIIct I"" -- or - d ... ---
R"DlIor or "IYC>> 01 1M pool Of eaulpmenl by unaul'-1zec:l pan_ _oc:h .....". in ~ lO ... llIil.... 01 ... ___L
W...... I,..... ........1 ..,.".,.. 0I11ood'"9 wnoc::n "''ll'" dam.Qa .... pump Of _or.
Ctae...ng. el>eOU.... peelt"ll. _'.'IOn. .roslOn. pin'.... diSCOlCll1l'lOft ..d ..'''ino 01 the .-ek - ~ t>y .- d __ _lea" In the o-nono d the daC$'.
SUbl....".... CII' sulf_ erosIOn CMd8d t>y .......... _.a' '"'"' 8CIa 01 natu.... ~ aoun>>&. ...- ." -- ... pool or - -_.
_.",ng 01 """" CII' JmOl as . '.....n 01 .... 0'......" 01 .... r...... ... ..... outs_ lorcea be_" - .ruc:r....
o..,ntng 01 me oool .... ,_or or .....n..nance _"out prooe' _leg..... _.... ,..,....,.....ne -....
Po.e, ."'roes to eeec:::'I:ncal eaulornen1 from tran.......on lin.. or iQhtrwng.
CONDITIONS
Th. oool.nd _,,,",em ....11 be uaed m. ftOIm.' and 'easonable m.".., .nd _.teel in -=or.....,. wi'" lhe,~ _cted by the c:.c.nm.e-and 1M equ....... ~...r.
EXCLUSIONS
"ems 01 eaurome'" _'","uor" no"".' ,1IOIeCe_' I....... II.... to 1'.......,...110'" b'-,Ie_. gou-. __,wNo_ etc.._nc>l"be~_1 :' c --
_rntnfy.
9u_ eraetuno ," I.... CIeCl<Sand pa".. ....",...I,am divmal......ng. ",nn~ Of 011MWca.-- ....1_ __~ OI'oII_inCl."- -~-. _1_1"-"--
Res"","'.' Pool !;I_.... _ ouDlr.""" t>y.... H.r,""" Spa.nO Poo/ tn.,tu..,
Nty ata,na. ",..,.,..,.,.11OftS. .,-1""11. monmg OI_d"'ll_oc:cur to I".inlanor fr..-" d _ JmOl__1t Iallllecl__I_ _~",trMNd."""ftClCbe_""'----
.....'.1 0' IlOOf """""""'10 t>y _ eon......",. '
c:r.cou"Q, _''"9. ...,.,a..on. ......ng,lttacOI....I.Oft, ."_lUng. ...ontono 01_1110 d _ ~ - _iCh CJClCUSAFTER THE ~ IS FILLED WITH WATEA and--'
__.....'" bell"". _I not De _f\IefI .. d1Mea_ __D Of _....- on _ .-n" - ConrnocIor.
CLAIM PROCEDURE
NormaI_...."'yc:.ornota.na S"<lulCl be........, by"'. C.......Clor eft... _I nartl\eal-' blItM P"..._ _. ., -... ~......._d_Contrw:tCll'. .......tyCDr'....'nta ~
be ..._ WI ...,,,ong.nd...._ or oat_ad 10 '''' Contr.CID"I ....na_....... 01 _ -- al - '- 01 P-ua 1 .,,_.........ct.
DATE'
BY'
PURCHASER
SIGNATURE OF CONTRACTOR
OR CONTRACTOR'S AGENT
PURCHASER
l.
, ...... '
.. ... ..
........,
~._..
....... ,
... '
.......
. .
Florida
Power
oo."O",."ON
'0
,.
miLl D<9\JtJIs
(0 Cf / f.R .5'"/c-u~ OJt:JtCS
Zef}?Hy'p-!/lLS
:6::ass
CITY
tJll.
~ The pool proposed for construction at the above addr.ss ~ liQI
conflict with any under9round 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 adar.ss ~
conflict witha OVERHEAD UNDERGROUND
facilities of Florida Power Corporation.
Arran9ement. hav. been made with UI for relocation of the
facilities so a. to clear the pool area .hown on the attached
.ite plan.
rLO~&-RPOIlA'1'ION
COlt for relocation of electric facilities will be paid bya
OWNER
POOL CONTRAC'1'OR
PRIOR to relocation of facilities ana oon.truotion of pool.
38231 HIGHWAY Sot . ZEPHYRHILLS, FLORIDA 342.-
A Florid. Prog"" Oomp.ny
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POOL ENCLOSURE AFFIDAVIT
It is understood and agreed that the OWNER will comply with the following regulations
concerning pool enclosure:
1. That immediately upon completion of pool construction, the OWNER shall:
a. Construct around the pool a four (4) foot high fence with self-
closing, self-latching gates with no openings large enough to admit
a four (4) inch sphere;
b. Construct a screen enclosure around the pool which is permitted by
the Pasco County Central Permitting Division; or
c. In the case of a portable above-ground spa, provide an impenetrable
spa cover securely fastened over the structure when not in use.
2. That one of the enclosures described above will be completed prior to final
inspection of the pool.
3. That the OWNER will require his/her pool contractor and screen enclosure
contractor (if applicable) to call for a final inspection immediately fol-
lowing the structure's completion.
4. I f the following conditions are found on the property, it shall comprise
presumptive evidence that the OWNER is in violation of Section 315 of the
Standard Swimming Pool Code and Section 530. 4-D of the Pasco County Land
Development Regulations:
a. More than seven (7) days have passed since all work was completed on
the pool structure, 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 commenced and is proceeding in good faith; or
b. The pool is being used for swimming or bathing purposes without a
fence or screen enclosure as described above.
5. That a violation of Section 315 of the Standard Swimming Pool Code or Sec-
tion 530.4-D of the Pasco County Land Development Regulations shall result
in the issuance of a "Notice of Violation" to the OWNER by the Pasco County
Building Official and may result in a fine not to exceed $500.00 for each
day the violation exists.
6.
If the signature of the OWNER'S AGENT appears below, the AGENT promises in
good faith to make "tift"''' OWNER aware of the above-described requirements and
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penalties befOr~~~!~~~~construction.
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SWORN AND SUBS~~ED BEFO~~ THIS
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NOTARY PUBLIC
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OWNER SIG~ATURE
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PLEASE TYPE OR PRINT NAME ABOVE
pool:ce
Notary Public, S ate of Floflda
DIANNA RZNADEl
My Comm, xp. Nov. 11, 1995
Comm. No. CC 159184
7/92
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