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BUILDING PERMIT
Permit N~ _ 32928
Date 6 - 'I-x.. =?
;20. UV
~TRICV
CITY OF ZEPHYRHILLS
(813) 788-6611
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Sewer Conn
Water Conn:
Walter Meter:
T.I.I=.'s:
Zoning: Energy Code: Radon a::
De,,,;p';on of Wo,k' 2.- j4 .....A~ c/ ~ -<,~ . d.e' /"""'-"1
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NO OCCUPANCY BEFORE C.O.
F1NAL-t
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
7
Permit Fee // --.S--: o-i)
Signature (!{~A.-e.- ~
Company
Address
Telephone#
Valuation or
Contract Price J I.. tf"-/ -.5'-' t77J
City License Registration # J.5 D
~. e Ce,fjf;<;!! Ur'. _
~3:~l:2r{~A-4
~~DI~~) ClEC~ 6'7
Ftr. ~ Tp. Servo
Pre SLB. ~ Rough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
Driveway
~lD-l')~q~ ~
{~~ Jd: f~ /-.50
~MB~
SLB t ~ AI? A ,I J Breakers
Tub ~ Ducts Ins!.
Water
Sewer
Final
fo - z.liJUf 3 aJ
~~ -V~:5 &t- v~<h<.-
ME~CAL
---
Compressor
IFinal
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.
APPLICATIOIi FOR PERllIT
CIIY OF ZEPIIYRHILLS
BUIIJ)llIG DEPAImIENl'
OWNER'S NAIIE Judy Sprague
7252 Landover
PHONE (813)782-7275
OWNER'S ADDRESS
JOB ADDRItSS Zephvrhills, Fl.. 111')40
LEGAL DFSCRIPl'IOIf: IDI(S) 52
BLOCX
SUBDIVISION Alpha Villaqe Estates PhaseI
PARCEL LD.' SC 35 TP 25 RG 21 SUB 0050 BLOCK 00000 LOT 0520
M)RK PROPOSED :_lIev Construction --..Addition _Alteration --.Jlepair ~Ins1:all
S.
- J..gII.
_!!love
_Deaolish
PROPOSED USE:
Single F8IIily
_KIF
_' of Units
_K/H
_ec-ercia1
_Iodost.
-Lswia. Pool
Other
---.JlestauraDt &- Hea1th Deparment: Approva1
BUILDDG SIZE:
x
Square Feet.
Height
RESIDEIiTIAL:
COItKERCIAL :
A1TACII (2) .PI.OI' PLAIIS &- (2) SETS OF BUII.DDIG PlAIDS &- (1) SEr EllERGY Fo.RKS. **
ATtACH (3) SETS OF BUII.DDiIG PLUIS &- (1) SEr DIER.GY FORKS.**
**OlPr OF CONTRACT 1UlQUIIUlD.
PERIIITS REOUESTED
_BUILDIIiG
$ 11.Rl~ nn
Va1uatioo of Tot:a1 Construction
_ELECTRICAL
AKP Service
x
Florida Power Corp.
W.R.E.C.
~CAL
$
Va1uation of Kechanica1 Inst:a1lation
_PUllBDfG GAS KOOFDiG
SPECIALTY
TYPE OF mIiSTRUCI'ION: _Block _FraIIe _Steel
Other
FIBISHED FLOOR ELEVATIOIiS:
FI' .
IS PRO.JECT IIi FLOOD ZOIlE AREA'!
YES NO
******************************************
aHrI'RACIOR SECTIOII
RIJTTD~ ~. CDlPAnCoral hlp Pool,
~ . S~te ~rt. or ~gist..' R p 9()~~3 16:569
Signa Cdy L1censeRep.strat1oo' #
***"~.................. /JrV
aMWARY First Class
St:a1:.e Cert. or Regist. , ER l c> fi <)/ 7
City License Regist:rat:ion , ,-
*************************************
aMWARY Coral Isle Pools
St:ate Cer!:. or Regist. t RF 0038257
City License Registratioo' # 1 30
* ***************************************
aMWASY
St:ate Cert. or Regist. ,
Signat:ure City License Registration ,
******************************************
O'TIIF.R Screen Enclosure aMWANY Rpm; ngt-nn "A 111m; n11m
St:ate Cert. or Regist. t
Signature City License Registration ,
******************************************
APPLICArIOR APPIIDVJ!D BY J1 '" ,. fi ~J c;/'f.<l.!J.-ra,r
PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner hiS hired a contractor or contractors to undertake work, they .ay 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 .ay be
cited for a .isde.eanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Further.ore, 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 wishes you to sign
as contractor that .ay be an indication tbat he is not properly licensed and is not entitled to perlitting 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 Depart.ent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
"owner" prior to cO.lencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaoe.ent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volu.e" Nill be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed with the Nork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the Nork authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be
alloNed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEftENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OIlNER OR AGENT
STATE OF FLORID
COUNTY OF
The foreg
before me
Name Typ , Pr i nted ~ ~'tam~~f:i~' _ __ //
NOTARY PUBLIC S////l!flitf<~.';&r VeL/" /SC
SHIRLEY D. D~uf;;C'-l
My Camm. Exp. Feb. 26. 1995
Comm. NG. CC ]~?-;78
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(!o'ta[ [lj.[, Swimmin9 YJoo[j., [Inc..
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35203 Hwy. 54 West, Zephyrhills, Florida 34248
thone: (813) 782-7508
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Power
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Z<aOltY f( HI tLS
The pool propoaed for construction at the above addreaa ~ liQI
conflict with any unaerground or overhead facilitiea of Floria&
Power corporation, proviaea that the pool ia inat&lled in the
location ahown on the attached aite plan proviaed to ua by the
pool contractor.
The pool propo.ed for conatruction &t the above &dare.. DOES
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conflict with. OVERHEAD UNDERGROUND
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f&cilitie. of Floria& Power Corporation.
Arr&n9ement. have been made with UI for relocation of the
f&cilitie. ao .. to cl.ar the pool are. ahown on the attached
.ite plan.
r~f(M~OM~/t/r;-3
Coat for relocation of electric facilitie. will be paid by.
OWNER
POOL CONTRACTOR
PRIOR to reloc.tion of facilitie. ana con.truction of pOOl.
38231 HIGHWAY 54 · ZEPHYRHILLS, FLORIDA 342"
A Florid. Pro~"" Comp.ny
Co'ta[ [/~[i! <:Ewimmin9 [POO[~1 [Inc.
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35203 Hwy. 54 West, Zephyrhills, Florida 34248
Phone: (813) 782.7508
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Phone: (813) 782-7508
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REMINGTON'S ALlJMINUM
(813) 996-2883
Date, ~ 1- 'l' J
'roposal Submitted to=o
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J.n. (1} ~ PI W.-J'
=ity, State, a~d PIf.
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Ne hereby submit specifications a
Slale License No. RX 0058423
Job Name:
7;2. ~2 [;Z~
Job Location:
Z;~ q,
WE PROPOSE hereby to furnish material and labor - complete in accordance with the above
specifications, for the sum of:
DOLLARS ($
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Payment to be made as follows:
--
Ail 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 necessary insurance. Our workers are fully covered by Workman's Compensation
Insurance. Standard One Year Warranty.
Authorized Signature
ACCEPTANCE OF PROPOSAL - The above prices, specific tions and conditions are satisfactory and are
hereby accepted. You are authorized to the work as specified. Payment will be made as outlined above.
19
Signature
Signature
Date of
Acceptance
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