HomeMy WebLinkAbout94-3796
BUILDING PERMIT
Permit N ~
1tf;-
~
)D
~
,.--
CITY OF ZEPHYRHILLS
(813) 788-6611
--
C--~
- I IIMRIN~ -- MECHANICAL
_3796;6'
1- :2~-9/f
Date
Sewer Conn
Water Conn:
Property Owner: a./~ c;:- m~ ~~P.P/vJ Water Meter:
Job Address: & 3~o V;/~~) VtZh6 ~. //~. T,I.F.'s:
Parcell.D. # tJ~' - ~6 ... ..;2/ - 0 / 2~ - 0/')000 - I) /'72)
Zon;ng' Ene,gy Code, " ~;R'don G,,, .. - J /J -----r/ ---1
De,"dPC;~~;21 ~-;;1/;~.~:~~lIJQ ~ ~4't.." /
~~ ~/1J1~ ~S-
NO OCCUPANCY BEFORE C.O. ~ FINAL
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Valuation or "d J . lJ V -.
Contract Price r, '!l, () 00
City License Registration # ~ 0 ~t..Jt...5
State Certified License# (J. PC t)e2!).,~,f2
~6~~ cPAt<f1/: ~--..I-P
BUILDING ELECT ICAt:f t 7
Ftr. 01/28/94 BILL
Pre SLB 01/28/94 BILL
Lintel
Inspector
~oo
Permit Fee 4 -
S;gna't",e , . _ . - - . _ """-,
Company
Address
"
.IA
-
Telephone#v-j i' a...
~~
70 '1 ~
MED;l ^ ~J1CItt:'
~
Breakers
Ducts Insl.
Compressor
Final
PLUMBING
FRM.
Insul. CL
WL
STEEL 01/26/94 BILL
Driveway
q \J~' ~ -t- ?~.l1" J (j.,Gjq
SLB 01/7.6/Q4 RTLL
Tub Set
Water
Sewer
Final J.J -/9,94 {j,;,fj
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
STEEL HH) 01/28/94 OOB
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.
Al'I'LIf'lL'lT .<!~ .."!}~ .,:,'L;:~~_T
CITY ~ , :l.iml'P..InLLS
lUJTII..D:(ililG mn.-'ARIHE'RT
OWNER' S NAKE
ALVIN & MARTHA MUELLER
6230 SIL~ER OAK A BLVD.
mOI!m
OWNER' S ADDRESS
JOB ADDRESS
SAME
LEGAL DESCRIPl'IOl!i: LOT(S)
BIi.JCK; ______SlllBDIVISIONl aIL VEl( O.71.KS
PARCEL I. D. #
03 26 21
012A 00000 0170
~---- ~._~
WORK PROPOSED:_lN!ew Construction __Additiou ___Mteration _Repair _Install
_Sign
__I!tove
._Deaolish
PROPOSED USE:
Single Faaily
_KIF
_, of Units
_K/H
_~rcial
_IndtilSt: ,
-X-,Swia. Pool
Other
_Rest:aurant &: Health Depar1:aent: Approval
BUILDING SIZE:
x
_ _Square Feet.
Height:
RESIDENTIAL:
COHKERCIAL :
ATTACH (2) PLOI' PLMiIS &: (2) SEIS OF BlITLDUiG PLQlS &: (1) SET E'NERGY FORKS. **
ATI'ACH (3) SETS OF BUILDDilG PI..ANS &: (1) SET EHERGY FURHS.*-:f:
**COPY OF COHTRACT RIlXlilTl"RIJD.
rERlllITS REOUJRSTED
_BUILDING
$
12000
JY?'luation of Total Construction
_ELECTRICAL
AKP Servic-.:
Florida Power COrp.
W.R.E.C.
_KECHAlUCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ...ROOFi'NG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr3llle _Steel
Other
FIIISHED FLOOR ELEVATIONS:
FI' .
IS ~~OJECT IN FLOOD ZONE AREA?
YES NO
************iIc'i!:''!!::-ll-i!:iIc*iIcilc:l!-***iIc**iIc******iIc**iIc***
COIn'RACT'OR SECTION
BUILDER
O>>WANY HOMETOWN POOLS INC,
State Cert. or Regist. 4# CPC 025542
City License Registration #f: ...2 1)
**iIcilcilc********iIc*******iIc***x*******iIcilc*******
Signature
ELECTRI:V ,) OOItPAlIY DENNIS TRZNADEL
~. g S<ate Cer<. or Regist. ,
Sifmature ~ ~ ~ .1 _ City J~icense Registration t
~~iIc*iIc*** **~iIc~~*****~*****iIcilc************
ELEC. CONT.
67
PLUJHBER
a>>W~y ~ HnMR~nWN POOlS INC
State C4::rt. or Regist. 4# CPC025542
City J~icense Registration' ,..;), 0
******iIc*.l:x..,i!:*....*iit*iIc**iIc*,'=~****iIc********iIc****
Signature
HECHAlfiCAL
COltPMW
5t&te Cert. or Regist. f
City ~.icense Registration I
i!:************iIc*~**iIc*********iIc**iIc******iIc***
Signature
amPANY HAWLEY ALUM.
State Cert. or Regist. 4#
City License Registra~ion ,
"b~._ :.. ;;~"'iIc*iIc**it~it~***i\-*************
~s-
PERKIT OFFICER.
f>r~ ,..-.;r
CONDITIQNS C~ PERMIT AFFIDAVIT
A. NOT I CE OF DEED RESTR I CT J.Di\lfi '
The nndersigned understands that this perlit may be subject to 'deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules r~spol~ibility for cOlpliacce Mith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the /Jllner has hired a contractor, or ~!>ntrac:tcrs b undertake work, they lay be requi;;dt;b;licensed in accc<rdance with
state and local regulations. If the contractor is' not licensed as required by lall, both the owner and contractor lat be
cited for a lisdeeeanor violation under state law. If th~ OllnEr or 'intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (BI3)
7BB-bbl1.
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 wishes you to sign
as contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of 2ephyrhills.
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 providerl with a copy of "Florida's Construction Lien Law - HOleollner's Protection
Guide" prepared by the Florida Departlent of Agriculture and :onsuler Affairs. If the applicant is sOleone other than the
"ollner", I certify that I have obtained a copy of the above descrihed document and promise in good faith to deliver it to the
"owner" prior to cOllencelent.
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 compliance with all
applicable laws regulating construction, zoning,' and land developlent.
Application is h~reby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of.a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, 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 lIork, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wa5tewater Tr~atlent
f Southwest Florida Water KanaQelent District - WElls, Cypre~~ Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood 2~r:e "An or "A,etc.., it is understood that a drainage plan
addressing a "coapensating volule" will be sub.itted which is prepared by a rrofessional engineer registered in the State of
Florida prior to perlit issuance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical code~, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths aftEr the tilP the work is cOllenced. One 90 day extension of tile, lay be
allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection,must be logged during each six tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCEKENT MAY RESULT IN YOUR PAYING TWICE FOP. 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 no NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
was ackn0wledged
, 19__.. by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befcq-e me th i s
STATE OF,FLORIDA
COUNTY OF
The foregoing instrument
before me this
was ~cknowledged
~ if by
-
who is personally known to me Dr who has
r,roduced
as identification and who did/did not
take an oath.
who is personally known to me Dr who has
prc,duced
as identification and who did/did not
take an oath.
(SignatUl-e)
(Signature)
(Name Typed, Printed or Stamped)
NOT ARY PUBL I C_
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
~
-
,
~f_2~_~2~~Q~~_~~~~~~
DESCRIPTION: Lot 17, SI,LVER OAKS PHASE lA, AS RECORDED IN PLAT BOOK 30, PAGES 51-52,
,Public Re90rds of Pa:sco County, Florida.
~EYORS NOTElS:
l. INo u,ndergriound installations or improvements have been located, except as noted.
2. iNO i-nstrUl,nents o-f record reflecting easements, rights-of-way, and/or ownership
Iwere furni,shed this surveyor , except as shown.
3, 'Unless otherwise shown hereon, no jurisdictional wetland areas or other physical
!topographic features have been located.
Bas~d on Flood Insur~nce Rate Maps Community Panel No, 120230-0455C, dated 2-17-89,
the property s'hown hereon appears to lie within Zone "c" .
t./ n de Ve 14 ,p e d Sll.t/€~ OAKS Ph'45c TWO
6. 100;!~ '4~''&. ~o,50'
gt/n~'-"" I / "Sef- !f-1J"
o..,cre~ \
'fj!1V/1feA I fr:t"I''it'od
3555
I -/ #" ':l ~(,o
~
I LOT /7 cr
t , (~ i
~ )1 I ) % ~
'b~
>-<;:) ~ \j
~ ~I ~
~'-J I .....
~ I .~ VAC, )
~Iu I 0
~ ' !
~~ ~ r
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l.ultl Q~ ~I \.; I
'fI~ Qj
~~ '"It p- ./
~I.ij ~ ~:n
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1(< \l')
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Vi~ I l)
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Aon~
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Jead;i/8 -:.zs,oo' '__Je.r-~" Co ~L_ ~cir'l'~
,. 'rO" cd
- - --- -+-- ---
Arc; -:. 3!!).Z7' .... IrOI'f ~od #>" ~~O /'#=.f4?~O
Chord; 35.3(;,' 'I M IO(JZ~'42''J;V,
PeH'a '" ~oa:>t)O., ~ ~5. 50' ~
t..
" "-
Ig
II\') ~(
~O'R/W I Z4' Aspha/-I- Paveme/?r
~
-
~ G,&..~O $/("I/ER OAIf$ PR/V~ ~ ~
~ ,.~ , ---~-
~ ~ ~
PREPARED FOR: $M /TH CArn....: ~ G~OJ/6"~ INC.
RBVISIONS
~ERE ENGINEERING, INo.
~ CIVIL ENGINEERING
DATE DESCRIPTION OF WORK ORDER NO, OWN CK'D LAND SURVEYING
THIS SURVEY NOT VALID UIlt.!:SS' IMPRINT!:D WITH AN EMBOSSED
SURVEYOR"S SEAL 1813/ 968, 73111
SURVBYOR'S C~TIrICATB FAX: 963'21118
I he,reby certify thet the .urvey repre.enteel hereon meets the 3750 GUNN HWY, SUITE 1-C, TAMPA, FL 33624
requlrements of Chapter 21 HH-6 Floriela Aclministrative Coele
pursuant to Chapter 472.027 Floriela ~ '
FLORIDA REGISTERED LAND SURVEYOR ~ ~~ DRAWN BY: ('..,W, CHECKED BY:~'~ SEe, 3 TWP, Zte> 5, RGE,Z/€,
Ronalel H, paoe P,L,S, .4660 SCALE: /": ZO' DATE: //-4 -!JZ ORDER NO. :~-$-/a7~ DWG, NO. : /7
.~
<:>~~~
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Florida
Power
oo"'OUTlo,,
'f
~USi
C~'l'Y
IF/. t.i / tV h1 U I5LGI.-.sr2.
(;,gZO 6/(.d~ ~ LJ't.
~/IY/O-I/tl.J
(LOT/7)
~ The pool propo.e4 tor conltr~ction at the above a4ore.. ~ liQ!
conflict with any underground or overhead facilitie. of Floriaa
Power corporation, provided that the pool i. in.talle4 in the
location .hown on the attached .ite plan proviae4 to ~. by the
pool contractor.
-
Th. pool propo.e4 for con.truction at the above ao4re.. ~
conflict with. OVERHEAD UNDERGROUND
-
fac111t1e. of Floriaa Power Corporat10n.
Arrani~.nt. have been made with ~I for relocation of the
fac11itie. .0 a. to cl.ar the pool area .hown on the attache4
.1te plan.
)LO~! =IOr~~
, .
COlt for relocation of electric facilitie. will b. pai4 b~.
OWNER
POOL CONTRACTOR
PRIOR to relocation of faciliti.. and con.truotion of pOOl.
~~1 HIQHWAV 64 . ZEPHVRHILL8, 'LORICA ~a..
A Florid. "ro~".. CompfIIY
C'i
0_
.. ..0....
.,.....00..
..."..u'.
Hometown Pools, Inc.
37008 Price Dr.
Zephyrhills, FL 33541
813-782-7077
iTANDARO RESIDENTIAL
'IMMING POOL CONTRACT
;FI. TAM FA SAY CHA?iCM
This contract made as 01 the date 01 wrtnen acceptance by the member bUilder listed above
hereinafter termed .Contractor- and the party named below, hereinafter termed -PurChaser:'"
PURCHASER
tJ. t...VL4
~;;l.-;o ~
o eat( ..s
th u.~JIL~tt.
..
,IV-irz. O&4.({S
Ph. HOMF
MAILING ADDRESS
sllu 'IA.
5f \r d,
Ph, BUS
ZIP
Con~C'Ior aor_a 10 constNC'l a sw;mmino pool and lIOOUI1e-nees Inereto n ~'einaft'"' provIded by Ine olans. soectlicalions and Iet'ms ollne conlraC'l at:
INSTALLATlON ADOm;SS
LEGAL OESC.
POOL SHAP~
PERIMETER
e.. "-\.s TO '^"
goo
MAX WIDTH
ItI DblrrH: ..3
J').. IIf MAX LENGTH' .t "-{
ft. to r ft. to
IIf WATER AREA A. "I 0
ft. NSPI TYPF IJ.
slf
'1, Underwaler liOn.."" /-1;).. " -/OOL.V
12. Main drain O,..,~
, 3. Deck '-I ~ 0 Sa, ft. are~ 0 c.,)-.
14. Deck ~inaQe c:. CJ d 4-
1 5. Ladder/G/'llO~"" :l - (?. T'" P
16. Sleas/Handrall -
21. Time' '(<S
22. Tesl kit '-t.... I
23. VaCINm "ead- Vaa: "ose-
1. :xcesslill O~N ~
Z. Filler System () Go
), Pumo & molor / 1-1 f
FloQ. +
&. Metnod at cnlorinalior1l '
;. Surface skimmer C)N"<.-
5. 9ackwasft disoosal 't-c..s
'. Pit,inO & inlel" 51 ~ '-/ C!) (.AI (..
Two
24. Bt~sn 0 N ~ Leaf net CJN- c...
25, Adiuslable l'ole 0 #\I ~
26" Sla~cnemicat" '-f "C.j
17, DiVIno Bd. & Slant'!
-
27. Healer-
I. Tile V J ~ Col~
.
aTU - Type-=-
;:~. ':'..::.;::..r;;: :le~"~~ ,.:r-,q..J..4J)~
19. Canlilever/coOlnQltile TI t~ , 29. Lo". SelIl - Benen "C.5
20. e...."'.. ''''''''''' ~ e!> GFl==- >0. s.......u~..,,. S <-It ..e... ~
pA..J-f..J ~ (1"1.'''1 iJ"T... -c ~ Jsl. 9 I ~ 5"6 _
j '"'" (\' "'<. '\. __ <: (sCi L. 4 -c.,"",.( prrr;; - d c:.~ J/f.A ,~ -
TERMS
!. ;~e:4"~ ;.,.i.
10.
::uoe
-
:':::~P::~ :~l>Q..~~
~/
,
J..
d c. oll.~
s: 4f-c.~
nless SDeCla'ty agreed and :set lortn "erein, F'utcnaser he,eunder ao~ 10 make prOQress oaymenls based on Ihe IOlal pnce sel fonh in Inis contract. to Ine
ont,.ctor. as lollows: _ _ I I .
CONTRACT PRICE ~- L '"i -, ~ S -l.4J I ~ CJ ,tf;"-
J ;t d9dIZ2 / 'U h c,; IS CJ ,.... ,
",.. Down poyon.., J I i1l
5O'lls When tOUQn snell is in olaee fc(~ ~
3.5' When olumbino IS comolet
5' Wh~n 0001 is comoleted. ready for intenor finisn ~
ConslruC'lIOn oroore55 may OIl arresled betwe.n olllinq and rece,ol d OIIY'TIent lor eaen onase of construction.
NOTICE TO PURCHASER
00 NOT SIGN Tl-IIS CONTRACT BEFORE YOU REAO IT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK SPACES.
,is IS a home SOlicitation sale, II YOU dO nol wanl t"e OOOOS 0' seNiClls c:ont~C'Ied for. you may cancel In,s aoreement by mailing a nOllC_IO Ine seller. ThiS nOllCe must
dlCllle 1n.1 you do nOI wanl In. goods and se"..ces and must be oostmllfltecl by m.dn,ont the I"u'd day after you signed Ine IIgteemenL
?us eD"".~r S"." b. d~~,"fH1." ",.,~, ta t"~ CDn,r.c:", Inti s".1I b~ "ul1."d .o,d U"/~SS .ce~tJl.d b". dulv .ullto"rptl of'l;t:~,.of '''. Co",,..erol .,.""", I,".." a...,s of fit", ""'.
"11 ,,~.,. "o'~d ~I;o". fn. Pure".~.r"s S'9"'_'U'.S. Th~ S.'",srn." ".S no .uI"on", 10 O,,,,et ",,~ C""'t7CIO' All '9'~f!,"."rS ~"d unr1.~Jr~nt:l"t9S .'. eon,.,"rt1 ,n ,,,,S ~D"rr.n ~"t1
"t!' Pt.UC.-:6S.' ....".",$ In., tit.,,'! ~'. no .9'.f!,","~"rs 0' un"r'fI."f1,r:gs QI"~' ~-"n.r? set lo"",n tnrs ~DC:J,"."' ACC~D'."e. -:J' ,n" tp>,rrts 0' ~"'s c"n"~cr 0" CC"".Cl0',S to
~f! e"'"'"un,e.tt!" t" tn, Pure".~p, 0", ,r,ns,",nl"9 . caD" 01 ,,,'S :D",rat:: to ~"~m $110""""9 Icrr:P'.nc~ 0.. tfl. s.II.'$ 0", :hr ~..cu"o" 01 ~ tluIY.1I1no"rr" D"'CIf' 01 tit.
on,r.C' 10' 0' Or COrnmll"C,np construCtlan.
Y>
PURCHASE~
PURCHASER '
, Dal. OWNER'.. . .. 'Y .. - .. - {) 1lP",.1
II renase~ are nusoand and ,."Ie. both muSI slQn II owner '5 dtfte,ent from ouren.ser, owner muat $10"-
'JRCl-<ASERISl. BY SIGNING ABOVE. .\CKNOWLEDGES AND AG;:!EES 1'0 AU THE TEFlMS "NO CONDITIONS ON ALL PAGES OF THIS ACiRE:MENT EVEN
"iCUGH SPACE LIMITATIONS REOUIRE THAT SOME .\RE ~R1NTED :N SMALLER TYP~.
/
)A TE L'l....... II
iU8MITrED 8Y
,CCEPTED 8Y
~-
-= ~===:~='-
LIMITED WARRANTY
'The C,OarITa&.~OA ...,...f"'I!~ Ita ~ 1= c.......""'" opecn." MIMI......., ...............,.,., to ~~ _rw"ec1Of"~ tar a oenoo t1I Oftlt .,-- .n..
lZ)fft__oal.....fW ~.'''u_ ._, .,.......""..----.....-- _.._..___CDII.o_PVACHASeO ~
..0 :tloI""="'.'" "'-a CXl"'"QIe.e .,. IUlII w,.- 1!'W ,."... "" c.""""'" .Nt Df'ft.er ~ Of ,.... c::IDft'ra::, ",JACHASEIr'S 'athlN 10....... "'" c:..,......... 10
c::::Jtr=.~=-OR ec:.c::ar.,....; .: '''~ c.&'--.~ ...., _0". OPG~ 1"- llJIOIO t~. ..,..,.~ Pur='la..c: 01 ....~bI..., eccllUO'''' aNI""'''''''''' ......IIIICI U""IICIir
"". CD...,~ ~,..., "'."ttJ.lIC1u..... "-"1-'" ....: CO""T~C":OA ....,,,-, ...".nlS 01 Q"'''''''- 641Cft 8OUf~ ~ Of "'..... ........,..,.,.,..,..
_...._... ...<<1 ""'<'1"0 0' ...:M.c:~--.,.. :9' ..,C" ".",. 11\.I" ':)lr ,:"",a..,.o.' ........ .~C ~--- ......" :fIi ...C "....,.ect~........... o.eeca 0/1'."""
c:wu...e ~ QCIlIIOuS "'.s:._::"'ft..... O. ~"P"':t VUI' ~ ...0..-..: 01 ...~ .: P\..IQC...A$i="'S ...,..,..
~. ~.,. .,.....c!.t. ,""'.... ~_... ..... .to. .... ..........., 1M' It 81\.- DI''''~ ...._Ct:l"'17 OU~'""IQ mall....
Thl~ ........="'Y DeCOfI'Ift -o.c:: Wf\e" O"OrtW.1 oure-.....' ..... 01 ..... C-.croec or~,
"Of" ,...=.'EO WAAIU.Of!"t' AAlS'OfG ey OPERATlOOf or 5T"'~ I.A.... IS I.I..,:TEO r.: r~.E OURATlOOo ~ THe a..e YE.U' ..ARRAIo(1'IES ...""EIN
coo.;: .....CO
l
!
.'1
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It. "011'8'. ......"''''.,.. _."'ant'Yt~ 'n. -oI'tI ..... ,:)I""eC: wftCM', m1$ CO"lrC1 ......, De fII.,..,.,ed 10 tfte P'Ur:ftaM. aflO II .-...: De 0CIlI_~.r'ltG · ." (II .... c::DfttIWCt dOCUf'IIIII"fa
DEFIN!TIONS
no. DClO' s,"':tu'. Sfta" ~eonsoo.''''IO 'peRFORM SA f1SF ACTOR II. 'f'" or De 'STRU~RALI. .,SOUNC' OOI_..n.._d~-.,-.,,_,,__..--d
PW'aOO'."Oft Of , '!!I'. 'e 3 '6" Dr aa.. .
POOL SHEl.l or P?:)l STRUCTURE.. me conc..'. _ .....c" .neaR' me ._ ......0"""0 DIIrs ,,,.-'- - ftCIl can ,. .... -
PCIC)I .au.o....'" _'C'" :>e"orrftS 1_ lu"CI"''' lor .....OC" .. _as oe.'O"ecl ''''" De~.OO..-.d 10 'PEAF':'RU SATISFACTORILY'
'OeCK ANO PA no w~t(' SftalIDll 0__ 10 ..._".. c:anc_e.IIl.."" ....--"!'....... __ 1ft CD."'.ClIO"-" I'" DOOIOCU-.cs\ ..1_- _"'''9 _1&.._ --- cu-'
~ ~
....'0.. ~ ....rt>I...,e _....~ us." as .n. WHITE INTERIOR I'1NISH .nall De. .....un! d _. cem.nt ."" II"'Und mart>Oe-II -........- 1Od1f_."" ~IDII~_
_0 "..... AQQ'eQ.'" .-al' De -run OII".OU.,.y- _'" a ..__.. .~I 01 011_". oat1c....na lhe __....."..1_.. - De _10....._ '!'_I_--ftQ
\000" I". _mo"". 01 COI'Jf ." .,. aoo'eva.e -..ed .
LIMITAT10NS
No _""'''''' ...._. to"'" Den to lhe DOOI, eovoom- 01 _n_.ftCft _n t.""". ." o.fec:t .. ca_ .,., ...., f1I - ~ ~ .,,_11:
AD...., &.c:II ,. ...-_ cao.. _ d ........,., _.m...."ca. ._ _flAIl: -....: - d GaG: ........ - - --
F'..z.ftQ 01, ...... Ie" UftCIr::ulalecl i" ClIumCll"9 _.. Ii".... _... ,........ ." -, _~"L
SuO...I"'''''' __"I'" 1Od"~_ d __ noI _,,,.1Iy ___ _ .IID""'" __ad"" - ConInctor -- tftlOIIl -,.. -'10ft 01_ f1I - ~
R~oa" or ....._ oIlhe o0oi ... 8ou._'" by unaut'-tzecl De"- _Cft ...../IS in dMftIIOe8 ID or _,.... t1I - ~
W..er I..".. ."_, .......... or _"'0 _octt ""'11I _0- III. ~'"" 01 _or.
erae'''''9, c.......ro;. _'IftQ. _,."on, ........... D1mftQ. "'scot......... _ ..,"ir'lQ of - - ~ ca.-d to'f - f1I -- --.. 1ft !he ~ t1I - --
SUbl.....".... '" Mrtl_ __",,, .....- .,., ._- _.er '""" acta 01 Nil...... 0UUlCM -.n:8L - ,. -.rd - IIO<lII or - ---
-...."9 ,. ".". 01 DOOI as . '....11 ... n..- ll'-''' 01 :... r_ 01 _ 0UlS- ,- DII__" !he --.
o.a-"9 d _ ~ lor ._" or _1...._ W111tOU1 ~ .'OlQ..ras _.... ..,..".....nc -...
Powe. a..ova' 10 _nea' eoul_1 lrom I...._.an Ii".. 01 io"lftlftQ.
CONDITIONS
Th. DOOI."" _.""'.... .............s in. _.1_ .aesan._ ...a"..'."" _..ed ."-=--_I".._~byi,,.ContrKtor-t"'''''''''''----=-
EXCLUSIONS
_ 01....-"'__"."0"".,'- = .....".I.-._IO..__..llQl'ftb_...-. QIU-.__.-- MC._noIIDDII--~'" ;'
-,...,..,.
.,4" ....
91r_cnll:luftQ '" I"'''''''' and ""..a. __",.,1..".. diu"'" """"9. ","",,- or otner_-.....- -~ OI'oII_lftO _..--~_. _'_I..~
Res_I.1 Pool SI_" . OUOll.- .,., - H.I.--, SDe ."" POOl .....IU'..
N.., ........ ",_.1OftS. .'__"'11. ""'"1tftQ or -lftO ~ _'01'" ...._ft.-II at - pooI__IIIaI__-I- -~,,--......-.._.......--..
_..... Of __ _"'10 Dy 11M c-..-eOl'. '
0--"9. _""II. _'.1..... ......."9, _....,,_. ......Iul'lQ. _HlQ fit 8ftaCIIftO t1I _ -=- - _cro ........ AF"TP n4E POOL IS F1U.ED WITH WATe'l ..., ~
_I_nt bell..... _. _ De"""""- .. o.f__ __......0 or --- an - ~ t1I_~,
CLAIM PROCEDURE
HocwmaI_........., c.arnc>Ia.nD ........., De _""_ b.,.... Com..c101l11ter -' nllllllcallon .,.,1- Pun:""'" -, ID -- ~_.....t1I_ConlntCIor. -'\'......"'.....--
.. ...- 1ft .""HlQ ."" __ 01 _ad 10 1_ C-.._' D"ftCI_ _'" __ _.1 11M IOD f1I ~ I d _.....,..a.
BY'
DATE-
~
NATURE OF CONTRACTOR
R CONTRACTOR'S AGENT
c.Pc. cd.. Ssv ~
PURCHASER
PURCHASER
,.. ..
POOL ENCLOSURE AFFIDAVIT
It is IJndP.r~tood. and agreed that the OWNER will comply with the following regulat1.olls
concnrning pool enclosure:
1. That immediately upon completion of pool construction, the OWNER shall:
n. Construct around the pool a four (4) [oat high fence with self-
closing, self-latching gates with no openings large enouSh to admit
11 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 SCtucture 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.
I.. If 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 530.4-0 of the Pasco County Land
Development Regulations:
a. Hore than seven (7) days have passed since all work was completed on
the pool structure, except for a final inspection, and:
( I) A fence or poo I enclosure as doscr ibed above is not in
place; or
(2) Work to build a fence or pool enclosure os described above
has not commenced and is proceeding in good faith; or
b. The pool is being u5ed for swimming or bathing' purposes without a
[ence or screen enc losure as descr ibl!d above.
5.
Thnl.: II violation of Section 315 of the Stnndnrd Swimming Pool Code or Sec-
tion 530.1.-0' of .the Pasco County Land Development I~egul/.ltions sl\l111 result
in tho iS5UllnCI! of a "Notice of Violotion" to the OWNeR b}' the Pasco County
Uuilding Official and ml1Y result in a fine not to exceed ~500. 00 for ench
day the violation exists.
6.
If tlw sir.nnture of the OWNER'S AGENT llppears below, the AGENT promises in
r.ood faith to make the OWNER aware of the above-described requirements nnd
penalties before commencing construction.
,\,\\U:~::H!:;JI.
~,\\ Q.~ Irti::"~
SWORN AND ~~.~(.I-l.I~~FORE HE TInS
~O., '..<, -::.
.3~-l~~y OF ~L_
= + : * ~: + =
\ .;......,. I ,/ ,/
.- 4/ '" ,~'
PUll L I C"IIIII/I/IlIIl\\\,,\\\j
, 19 911
OWNr:H AGENT'S SIGNATUHE
~ (
.rl cklfU' t:h Ll\. ') .
,
PLEASE TYPE on PRINt NAME
~
AIlOVr::
poo 1 : C I!
Notary Public. Stut.? ,.i :;;uJida
DIANNA L. 1 i-(Z-.-,;:;' .--:.L
My Comm. Exp. Nov. 11. }995
Comm. No. CC !:u _:..4
7/92
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