HomeMy WebLinkAbout94-4568
"BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
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Permit N~
4568/J
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Date/:2 -.;2.;1 -9 Y
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
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Parcell.D, # <-3-626 ~;LI ~ 0/02. cJ.'- 0 Z;O C) 0 ,- oE-d.-CJ
Water Conn:
Water MeJer:
T,I.F.'s:
Zoning: Energy Code: _,Rad<;a;,s:
DescriPtionofWork~if/)(J-aAr~ ~'<A~~ _~~tJ~ ~--^J~
NO OCCUPANCY BEFORE C.O.
FINAL / - 2-}- ,--
DATE
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Permit Fee / C'-z:5). tr.D
Sign~ture "/t~/#-?
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Company
Address
Telephone# (P3) 71'9- t:;';J () "7
Valuation or
Contract Price
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City License Registration # <.1-5-
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ELECTRICAL '1/
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PLUMBING 0--S - MECHANICAL
SLB 11--2"6 '~l./ &lL
Tub Set
Water
Sewer
Final
BUILDING
Ftr. i 2 -2-'1>'4'-/ ilLL-
Pre SLB t-b....tl~ ~
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~~ \-br~~ e\1J
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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_OWNER~ MEL RATZ
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BUSINESS PHONE
Aquafun Pools & Spas
P.O. Box 783
Zephyrhills, FL 33539
(813) 780-7288
(813) 788-4937
CPC 056646
HOME PHONE ,/J} 74-/1.;' .;1~
7'/;'- iJ,/ ,;IS'"
ZIP J ;r'l/
Ucensed
Bonded
Insured
PURCHASER
MAILING ADDRESS
A'e,.,;,
C:lntractor agrees to construct a SWimming pool and appunenances tnerelo as neretnafter provided by Ine plans. specifications ana temts of tne conlract al:
INSTALlATION ADDRESS '-~/7 /JI. LI/Rp ~r L.EGAL. DESC, LIJ+- ~ t5J. tfJ! ye,- (/q,er
4~~dA1
77 L~-I-
MAX. WIDTH
11 DEPTH:
15'
~ I
II MAX L.ENGTH ill".t
II, 10 h I ft 10
7IJC VIlH-
Z;. 21, Timer
II WATER AREA
5'3~
s I
POOL SHAPE
PERIMETER
13, ~ck
SQ, It. area
cltc.~ dr(I'"
It
vel'
,
22. Test kit V.er
/
23. Vacuum heec V.t'/
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V"I'
25. AdJustable pote 1/ e .I'
'y't!r
26. Slanup ChemIcalS /
BTU_ Type_.
24, Brush
Vac, hOse ..)I~.r
I eel netp.:f
1. Excess fill
2. Fiher Syslem 5v$ ~'" ~ be
3. Pump & moun / A/, f 'hll' i.f.(
<t. Melhod of c:tIIonnation ~1/f-D/fI qfic.
5. Surface skimmer ~~.>
6, Backwash disposal Y -e f
,
7. Piping & inlets ,vel'
12 Ma,n cirllin
, ,. Underwater light.ng V~~
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yer
14 Deck dreinage
15, Ladder Grallr..ts
16, Sleps Handrail
17. DiVIng Bd, & stand
'27. Heater
8. Therapy jels
9. TlIe Ve ~ Color _ tI_
r
10. lnIeriorfirllsn /1filrdH
18, Slide
19. Cantilever 'coping llle
ellJ!f1
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f;J~
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28. Automalic deaner
29. Love seat
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20, Electncal hOOkUp
30, Swimoul
Additional Provisions
TERMS
Unless specially agreed and S8' forth herein, Purchaser hereunder agrees to make progress payments based on the total price set fonh .n this contract.
to the Contractor, as follows:
CONTRACT PRICE S ~~~. 00 S
10%. Down payment .J !?S{). 00
50%, When rough shell Is In plaCl ~ 'I,;rrl. ()tJ
30% When tile is completed ~ :15") ~. () 0
10%, When pool is completed ..J /l~ (). (J 0
Construction progress may be arrested between billing and receipl of payment tor each phase of construction.
NOnCE TO PURCHASER
DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF PERTINENT INFORMAnON IS MISSING FAOM BLANK SPACES.
Thia .. · home ~ation sale. If you do IlOI W8nt the goods or services c:ontracted for. you may cancellhla agreemem by mailing a notice to the seller.
ThIa naticelnUlt.lndicMe that you do not W8nt the goods and services 8nd must be postmarked by midnight the third day 6Iteryou signed the agreement.
ThitI ClllrlIhc:t... 1M dNmed ., Dfflll'to tM Contracttx and shs/I be.nun MId void unless ~Ied by. duly lIUthotized officer of 1M Contractor wtlhin
....." da)'S 01 ". .,. and yur noted eowr the Purr:haser's signatures. The uJesman has no .uthority to bind the Contractor. All .gteflmllflts mid
Ul....,.d~ .. ~ in this cantract IIItd ". Purr::tuIMIr WlUTMts fIIIIt the", "", no .grHmllnts or undtIrstandings ather ttwJ "", SIIII lorth in this
~ ~ ~ ac.. 01". ,."". 01 this corrtrac:t by Contractor is to be CDmmunicaled to ". Purr:hIuIer tnlnsmitting _ copy 01 this contrac:t 10 them
~ ~ by lite .."",. by the uecution 01 _ duly .uthorized oIflCfN of the Contra or or by c:ommfl, . construc:tJon.
DATE /,il-/f-~ PURCHAS v.-.
....1TIBl BY /U~ /- ii!2' -# PlJRCHASf" . ~
A~,..It~u BY DATE I.;J.-/~-ft/. OVYNt:~ h-
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PUACHASERCS). BY SIGNING ABOVE, ACKNOWLEDGE AND AGREES TO AlL THE TERMS AND CONDmONS ON ALL PAGES OF THIS AGREE-
MENT EVEN THOUGH SPACE UMITAnONS REQUIRE THAT SOME ARE PRINTED IN SMALLER TYPE.
TERMS AND CONDITIONS
COMPLETION
Completion date shall be designated as the date that work set out in this contract has been done' and'the interior finish has been applied, and the
pool is rttady to fill with water or use of the pool which shall serve as final completion and acceptance by the Purchaser.
The Contractor shall substantially complete the pool (ready for marcite) within _ working days from completed excavation date. Days lost due to
fire, rain, windstorm, flood, inspections, material shortages, acts of God, holidays, work changes, Purchaser's agent, third party work on the job or failure
of Purchaser to make progress payments as agreed shall be added to the construction time.
Unless specifically stated elsewhere in this agreement, there shall be no penalty or award clauses in the contract.
PAYMENTS
Progress payments are due 5 days after billing date. Late charges of 1 '12% per month on the unpaid balance will be added on all accounts not paid in
accordance with terms. This charge amounts to 18% per annum.
CHANGE ORDERS
A surcharge of $50.00 will be made for each change, deletion or addition tolfrom this contract or the drawings after acceptance by the Contractor.
Such work changes shall be authorized by a written work order, signed by the Purchaser and the Contractor, at a mutually agreed price, Charges for
such items shall be due and payable before application of interior finish.
DELA YS
The Contractor ,agrees to begin construction in a reasonable time after acceptance of this contract and after obtaining all necessary permits from
government authorities. (Fees charged for plan submission to zoning or variance boards, architectural committees, homeowner associations and such
will be borne by the Purchaser.t The Purchaser and Contractor both agree to exercise diligence in obtaining all such permits and approvals.
In the event work on the pool cannot be commenced within 45 days of the contract date or if construction delays occur between phases which are
,beyond the control of the Contractor (excluding new home construction), the Purchaser agrees that the contract price of the uncompleted work will be
increased at the rate of 1, percent for each 30 days of delay.
SITE WORK
Unless stipulated elsewhere in the contract documents, the Purchaser shall be responsible for the removal or protection of trees, landscaping, vegetation,
underground utilities, irrigation pipes, or existing improvements Which might be in the space to be used for the construction work or access, and agrees
to pay the Contractor all additional costs incurred as a result of the Purchaser's failure to so provide.
ACCESS
Purchaser will provide adequate access through his own property or through adjacent property for all men, material and equipment as required to
perform this contract including but not limited to excavation, hauling, concrete mixing and pumping and delivery vehicles or equipment. Purchaser s~all,
obtain written permission of adjacent property owner for ingress and egress of Contractor and material and equipment during the construction, if necessary;
and agrees to be responsible and hold the Contractor harmless and indemnify him for any loss, injury or damage resulting to adjacent property owner
for any reason. The Purchaser shall be responsible for damage to lawns, shrubs, flowers, trees or landscape material resulting from the construction
work under this contract, unless otherwise agreed. to by Contractor elsewhere in this contract.
FENCES
Unless otherwise stipulated in the contract, the Purohager shall be responsible for the cost of removal and re-erection of fences, gates, ornamental
walks and such as necessary for access of equipment to the pool site.
Compliance with local fence laws shall be the responsibility of the Purchaser.
DRIVEWAYS AND WALKS
When the agreed access for any construction equipment such as excavators, dump trucks, concrete trucks, pumpers, delivery vehicles and other
crosses curbs, drives or walks serving the Purchaser's property, repair or replacement of such Improvements must be agreed upon prior to construction,
and the cost of such work included in the contract if the Contractor is to repair such improvements. If the cost of such repair work is not included and
so stipulated. the Purchaser shall be responsible for damage which might Occur during construction and hold the Contractor harmless for any claims for
such repairs.
LAYOUT AND EXCAVATION
The swimming pool and related improvements and equipment shall be constructed upon the land and in a location upon such land as shown in the
contract documents and agreed to by the Purchaser. Even though the Contractor may assist in locating the pool and related work, the Purchaser warrants
that he is familiar with the location of his property line, easements, setbacks and deed restrictions, and that the pool work agreed upon is within such
boundaries and does not violate setbacks or clearance from public utilities required by local, State or National Codes. The Purchaser agrees to indemnify
and save harmless the Contractor from any suits, actions, claims 01 Purchaser or third party for the location of said pool work by the Contractor in the
place approved by the Purchaser,
Due to the inability of either Purchaser or Contractor to anticipate unusual subsurface conditions, it is mutually agreed that in the event the Contractor
in excavating the pool shall encounter pipes, conduits, sewers, grease traps, cisterns, tanks, mass concrete, tree stumps, hardpan, or other obstructions
not apparent from the surface Which might reqUire blasting, jackhammerlng or rippertooth type equipment or other than normal excavating equipment for
removal, the Purchaser shall indemnify the Contractor for increased costs incurred by him plus 15 percent overhead and 10% profit.
Relocation of sewers and utilities shall be at the Purchaser's expense.
The excavation cost Is based on a mutual assumption that low density soil or muck Which should be removed and replaced with new fill and brought
to compaction does not exist in the area of the pool excavation. The Purchaser shall Indemnify the Contractor for extra expense to remove and replace
such material plus 15 percent overhead and 10% profit.
The Contractor agrees to provide dewatering devices as required to keep the pool excavation dry during construction; however, when extreme ground
water conditions are encountered which require dewatering in excess of 3000 gallons per hour, cost for additional work and dewatering equipment, along
with 15 percent for overhead and profit, shall be paid to the Contractor by the Purchaser.
When unusual underground conditions are encountered, the Contractor shall notify the Purchaser and proVide him with approximate cost estimates
for extra work, WIthin five days of this notification, the Purchaser shall authorize the extra work or Instruct the Contractor not to proc8ed with construction,
If the Purchaser stops construction, the Contractor shall receive from the Purchaser 15 percent of the contract price stated herein or the Contractor's
costs to date plus 25 perceni. Whichever is greater.
Unless otherwise stipulated in the contract, the Contractor assumes no responsibility for repair or replacement of seawalls or deadmen, the Purchaser
agrees to save the Contractor harmless from claims against him for subsequent failure of seawalls or other'existing retaining walls or structures.
DIMENSION TOLERANCES;
All dimensions provided In the plans and specifications are approximate and may vary to a tolerance of 5 percent. When measured surface area of
the pool is less than stated In the contract, the Purchaser shall be entitled to a credit in the amount.of $10.00 per square foot from the Contractor as
compensation for damages.
The pool and deck shall be constructed to a tolerance of 5 percent of the elevation shown on the drawings. Variations in elevations of greater than 5
percent shall be submitted jointly by the Purchaser and the Contractor for Binding Arbitration as prescribed elsewhere in this contract.
No damages shall accrue to the Purchaser If the pool Is larger or deeper tha~ shown on the drawinas.
The P.urC:haser agrees to supply the Contractor with the suitable water for original construction, warranty work, cleanup and for filling as required; and
will further supply 110 volt electrical outlet for the Contractor's use adequate to operate electrical equil9ment utilized in 'construction (20 amps), and make
such outlet 'available to the Contractor for his use when on the job.
UTILITIES
,
EARTH HANDLING AND DRAI~AG'E
All excess excavated material shall be removed from the job site by the Contractor unless specified in the contract documents before start of excavation.
The Purchaser agrees to assume all responsibility for excess excavated material left on the site ai his request. No grading except in the immediate pool
and deck area is included unless spelled out specifically in the contract documents.
When drainage of the Purchaser's property requires filling, cutting or establishement of new grades beyond the construction work built by the Contractor,
this shall be considered the Purchaser's responsibility and the Contractor held harmless by him for claims of direct or consequential damages from
run-off, standing water or flooding of the Purchaser's or contiguous properties.
CONTRACT DOCUMENTS
Plans, drawings, specifications, warranty and proposal, when submitted by Contractor together with this contract, shall form a part of this contract
along with any change orders executed as described on Page 2. In case of conflict between the terms and provisions of other contract documents and
this contract, the terms of this contract will prevail.
ORAL AGREEMENTS
All agreements between the Purchaser and the' Contractor must t.~ in writing" d signed by both parties. This contract along with additional documents
described above constitutes the entire agreement between the parties, and neither party shall be bound by any statements, representations, or oral
expressions by any agent or person purporting to represent or act on behalf of either party.
GENERAL TERMS
This contract shall be binding upon and inure to the benefit of the executors, administrators, assigns and legal successors of the parties hereto.
Should any part of this contract be declared invalid for any reason, such decision shall not effect the validity of any remaining portions and shall remain
in full force and effect, although the invalid portion has been eliminated.
In the event that any of the Purchaser's representations herein as to real property prove to be untrue. and as a result of relying thereon, the Contractor
,is put to unusual expense, the Purchaser agrees to pay the Contractor the full amount of any additional expense, in addition to all other payments called
for, at the time of final payment.
The Contractor expressly denies any responsibility or liability for incidental or consequential damages arising out of or as a result of the use or
owmership of this swimming pool.
CONTRACTOR'S RESPONSIBILITIES
The Contractor agrees to supply the materials and labor necessary to perform the work described in the contract documents in a workmanlike manner.
The Contractor agrees to work with all other trades on this job regardless of their union or non-union affiliation, The Contractor assumes no responSibility
for the refusal of other trades to work with his mechanics and employees.
Contractor shall have in force during the entire period of construction liability insurance to the limits of at least $100,000 per person and $300,000 per
occurence.
Contractor will carry workmen's compensation insurance for the protection of Contractor's employees during the progress of work, Contractor shall
not be responsible for injury to Purchaser, his employees or for persons under the Purchaser's direction or other persons at the job site at the Purchaser's
express or implied invitation.
The Contractor shall regularly remove trash and construction debris from the Purchaser's premises. Upon completion, the site shall be free from
construction material, decks and patios shall be broom clean, the pool shall be vacuumed, tile and equipment wiped clean and all equipment placed in
operation.
Ruts left by equipment will be filled and raked level. No sod replacement, reseeding or replacement of shrubs and landscaping material shall be
provided by the Contractor unless specifically spelled out in this contract.
The Contractor will not substitute any accessories or equipment specified in the contract documents unless that equipment or accesory is of equal
quality or better, and has the same functionalability, useabilty and utility.
The Contractor warrants that his work will meet or exceed applicable building Codes.
The Contractor agrees to pay the cost of all labor, materials, supplies and any subcontract work used to construct fhe work described in the contract
documents and shall hold the Purchaser harmless against liens or other claims from workers and suppliers, unless Purchaser fails to make full payment
of contract and change order amounts.
ELECTRICAL
When electrical wiring of pool equipment is included in the contract, the Contractor shall install such work according to local electric codes and Chapter
680 of the current National Electric Code. Items such as remote switching, area lighting, convenience outlets, relocation of overhead or underground
wires and conduit or increasing the size of the Purchaser's electric service or main panel will be consIdered as extra work and shall be at the Purchaser's
expense.
HEATER INSTALLATION
'Heater(s) supplied by the Contractor shall be Installed and plumbed in place by him. When Included in the contract electric heaters shall be wired to
power supply, except that upsizing of existing service or panels (when required) shall be at the Purchaser'" expense.
Fuel supply and hOOk-Up of tanks, as well as stocking and venting of gas or 011 fired heaters according to applicable codes and laws shall be the
responsibility of the Purchaser.
THEFT, VANDALISM AND DAMAGE TO WORK
The Contractor shall not be liable for repairs or damages to any pan of the pool work or equipment resuhing from natural causes of an act of God
such as earthquakes, hurricanes, inundation, ground motion or natural settlement.
The Contractor shall not be liable for repairs to work nor replacement of equipment from damages caused by neglect, negligence, willful acts, third
parties or damage resulting from other construction in the pool area or theft or equipment, components or materials installed or stored on the job site by him,
ATTORNEY FEES AND COLLECTING COSTS
Should services of an attomey be required by the Contractor to collect sums due by virtue of the contract or for the enforcement of any provision of
this contract, including but not limited to anticipatory breach of this contract or altematively, arising out of any claim made against the Contractor by the
Purchaser, then, in such event, If the Contractor Is successful In the recovery of any such sums or does successfully avoid any of the relief sought by
the Purchaser against the Contractor, the Purchaser agrees to pay reasonable attomey's ff;les and all other cost of defense thereof incurred by Contractor.
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A separate instrument warrantying the work performed under this contraC1 may be provided to the Purchaser, and il shall be considered a pan of the
contract documents.
LIMITED WARRANTY
The CONTRACTOR warrants ItS work to be free from detects in material and workmanShip and to perlorm satisfactorily
tor a perioa of one year a1ter completion date or the POOl is In use. and if any SUCh defects should appear Within such time.
shall remedy sa~e without .cost to the PURCHASER ~rovided said purChaser has compiled in full with the terms of payment
and other Conditions of thIS contract. PURCHASER S failure 10 make full paymentS to CONTRACTOR according to the
contract and work orders shall VOid this warranty Purchased or assembled ac:essones and equipment installed under this
contract carry manufacturers warranty and CONTRACTOR neither warrants or guarantees such equipment beyond or in
. excess of manufacturers warranty and servicing or replacement of such items snail be cnarged for if they exceed tne limits
of said manufacturers warranty. Defects or failures caused by obVIOUS mistreatment or neglect shall be repaired or serviced
at PURCHASER'S expense,
The c:oncme structure (shell) carries a twenty (20) year warranty that it shall perlorm satlsfactonly during that time.
This warranty becomes VOId when original purchaser sells or leases described prooeny.
ANY IMPLIED WARRANTY ARISING BY OPERATION OF STATE LAW IS LIMITED TO THE DURATION OF THE ONE
YEAR WARRANTIES HEREIN CONTAINED.
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DEFINITIONS
The pool structure shall be considered to "PERFORM SATISFACTORILY-or be "STRUCTURALLY SOUND" so long as it is capable of containing
water and is free from leaks (eXClusive of evaporation 1,S" to 3'16" per day).
POOL SHELL or POOL STRUCTURE is the concrete work which encases the steel reinforcing bars, Interior finishes are not pan of the shell.
POOl equipment which perlorms the function for which it was designed shall be conSidered to 'PERFORM SATISFACTOAIL Y:
DECK AND PATIO WORK shall be deemed to mean all concrete. tile and masonry work done in connection with the pool decks such as footings.
retaining walls. steps. pilasters. cures. ete.
MarCile or marblelite when used as !he WHITE INTERIOR FINISH shall be a mixture of white cement and' ground marele with appropriate cement
additives and shall be trowelled smooth and dense. Aggregate shall be 'run of the quarry- with a proponionate amount of off-while paniCles. and the
subsequent "while" finish will be subject to surlace diSCOloration depending upon the amount of COlor in Ihe aggregate used.
LIMITATIONS
No warranty extends to any pan of the pool. equipment or appunenances when failure or defect is caused by any at the following conditions or events:
Abuse; lack of reasonable care: lack of necessary maintenance: improper operatIon: vandalism: acts of God: normal wear and lear.
FreeZing of water left uncirculated in plumbing lines. filters. pumps, fixtures or other equipment.
Substitution. replacement or addition of equiprnenh1 ;,tit originally installed nor expressly authonzed by the Contractor which might effect the
operation or use of the pool.
Repair or service of the poot or equipment by unauthorized panies which results in damages to or failure of Ihe equipment.
Water from external sources or flooding which might damage the pump or motor,
Cracking. checking. peeling. separation, erosion, pitting, discoloration and staining of the deck finish caused by use of improper chemicals in the
cleaning of the deck.
Subterranean or surface erosion caused by excessive water from acts of nature. outside sources, under or around the poot or deck structures,
Heaving of deck or pool as a result of the growth of tree roots or other outside for ~es beneath the structure,
Draining of the pool for repair or maintenance without proper safeguards against hydro-static pressure.
Power surges to electrical equipment from transmission lines or lightning,
CONDITIONS
The pool and equipment shall be used in a normal and reasonable manner and operated in accordance with the instructions provided by the Contractor
and the equipment manufacturer.
EXCLUSIONS
hems of equipment which require nonnal replacement from time to time such as light bulbs, lenses. gaskets. pump seals, whip hoses. etc.. are not to
be construed as replacement uncIer warranty.
Stress cracking in the decks and patios Whether from diumal heating. shrinkage or other caus~nless such cracking or off.setting exceeds the
acceptable limits set forth in ....Inirnum Residential POOl Standards.
Any stains. discoloration, streaking, mottling or shading which occur to the interior finish of the pool after It is filled with water and chemically treated.
shaD not be construed as defective material or poor workmanship by the Contractor. .
Cracking, peeling, separation, staining, diSCOloration. streaking, mottling or shading of the marcite finish which occurs AFTER THE POOL IS FILLED
WITH WATER and chemical treatment begun, shall not be construed as defective workmanship or materials on the pan of the Contractor.
CLAIM PROCEDURE
Normal warranty complaints should be satisfied by the Contractor after verDal notification by the Purchaser. however, to Insure perlormance of the
Contractor, warranty complaints should be made in writing and mailed or delivered to the Contractor's principle place of business shown at the top 01
PagL 1 of this contract.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHlLLS
BUILDING DEPARTMENT
OWNER'S NAME
f.e,;n
A/~'1/J (t.ltI"J
/It'/ ~ft:..~n(JJPHONE
/
OWNER'S ADDRESS
JOB ADDRESS
tS-/7
~rll
/(j'/e
.
.J)r
~
LEGAL DESCRIPTION: LOT(S) ('f~ BLOCK SUBDIVISION ..>)/~'l' d'4'Lr
PARCEL I.D.' ;-a6,-~/ - ()1,;)O-l)tJotJt)- tJR~tJ (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: ~ew Construction _Addition ----..Alteration ~epair _Install
_Sign
---.Move
~eJIOlish
PROPOSED USE: _Single Faaily
---.MI F
_, of Units
/'" Swia. Pool
---.MIB
_~ercial
_Indust.
_Other
_Restaurant & Health Depar~ent Approval
DESCRIPTION OF WORK: S"','IJ,;';"~ A,l)/ C"fl.f/rYCJ;O})
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUlLDIHG
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLlJHBING
GAS
ROOFING
SPECIALTY
J'lflt",,,,,nfj "/other
/
TYPE OF CONSTRUcnON: _Block
_Fraae _Steel
FINISHED FLOOR ELEVAnONS: FT .
IS PROJECT IN FLOOD ZONE AREA?
./.
******************************************
YES NO
CONTRACTOR SECTION
BQJLIlIlR COIIPANY ;';'114-", .:T /1,,//At'ry ~
/./,//~,..// ~ State Cert. or Regist.' CP~~ 6lf6
Signature ~~ ..b?- ~ City License Registration' . ?~
********'*;. *** ****************** *** *****
~/J ~/7 COMPANY ()"'/4/1 EJ~(~,'
- Jl it~ ~V' f.?- ~~~\~:';e O~e:::~:~~i:" .
( ** ***************************************
..-- ~
PL~ER :' COMPANY /AI/;''t;n J Filnllrl't ' r.
1./ '/# .:#- -/// ../ State Cert. or Regist. , C,iO d. If,v'h
Signature rt/~ ~ ~ <f7 City License Registration' ,~S
********~~******************************
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration .
*************************************.****
Signature
llTIIRR COIIPANY {AI;) 1;"", .:r F;"~. en" ~
.~ ./ # _ ./ State Cert. or Regist. 'c c6 5"< 6 ~
Signature /j. ~ City License Registration ,
~ ******** . ..**.**************************
APPLICAnOR APPRllVED BY 'f1"'AI~)0 ,;;,,-1cJ PBIlIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit aay be subject to .deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner 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
requirl!lents JaY 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, be 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 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, bave been provided with a copy of .Florida' s Construction Lien Law - HOJe01IDer's Protection
Guide. p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If th-e applicant is sOleone other than the
'owner., I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
Nowner. prior to cOll8Dceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOIIenced prior to issuance of a peIlit and that all work will be perf OIled to Jeet 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 governaental agenCies aay apply to the intended work, 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:
* DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water {Wastewater TreatJent
* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health i Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
* US EnvirODJeDtal Protection Agency - Asbestos abateaent
I also certify that, if fill aaterial is to be used in Flood ZOne "A' or "A,etc.., it is understood that a drainage plan
addressing a .COIpensating volute. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perait 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 codes, nor shall issuance of a per.it prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becOle invalid
unless the work authorized by such peIlit is cOllBDced within Sil IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of sillOntbs after the tile the work is cOllenced. One 90 day l!ltension of tile, JaY be
allowed for the peIlit with fee charge of $15.00. Tbe l!ltension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
WARIIIKG TO omR: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND 'fO OBrAIK FIJWCING, CONSULT WITH YOUR LENDER OR AN AnORNBY BEFORE RICORDIIiG YOUR KOTICH OF
COMHENCEHENT. JOBS UliDER $2,500 IN VALUE DO NOT IiEED TO RECORD AliI) POST A "NOTICE OF COHHEIiCEHEIif..
jUL/#
SIGlIATURE: ~RAC'fOR
7/
STATE OF FLORIDA
coum OF
The foregoing ~pst~ was acknowledged
before me thi9' J- I ' , 192..!L by
STATE OF FLORIDA
coum OF
The foregoing instrument was aCknowledged
before me this j:1- - / <) ,19~ by
who is ~onall v kn~to me or who has
produced
as identification and who did/did not
~~.~.
(Signature)
(Ham~ Typed, Printed or Stamped)
NOTARY PUBLIC
~...y ,.~+
.iW^ DONNA M SINCLAIR
. * My CommiSSIon CC382619
~., . Expires Jun, 14. 199B
-~Ofp..~
who is ~OnallY ~o me or who has
produced
as identification and who did/did not
take 1l~ ~.~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.\)A~
DONNA M SINCLAIR
* * My Commission 00382618
Expires Jun. 14.1998
d'~,,- .A;'"
'<OF p..1l""
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S N~~ \ ~~-\-L
OWNER I S ADDRESS bS t I No~\-h. \ ~~e.. "l:Jn.J ~ c
JOB ADDRESS~5ll (\JO~"'\' 'n \ A. k e. ~rU \J,-
LEGAL DESCRIPTION: LOT(S) ed-. BLOCK SUBDIVISION ,,:;, \ U< ~ QA ks
PARCEL I.D.' 03 ~ ~<.c, a... \ - C:> \20 ~ CX::X::X:>O--e>S2.O(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:ANew Construction _Addition ---Alteration -.Jlepair _Install
PHONE
_Sign
--..Move
_Deaolish- S~ ~
PROPOSED USE: LSingle Faaily
--..M/F _' of Units _M/H
_~ercial
_Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: - Sc.~c:...k) Pac> \ ~ rUe lcs'-'\.lZ.e
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUlLDIHG
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_KECIIAlUCAL
$
Valuation of Mechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
.. ~ll.AJvvv...~~
TYPE OF CONSTRUCTION: _Block
_Fraae _Steel
.." -W""f _''''31i.''
519<:8eoo U"!SS!WWOO IIV11" ..
HIVlONIS VII VNNOO J ~ ~HY.tON
(padmelS ~o paluJ~d ~ aMeH)
(a~nleu6JS)
-.J ?'\~ ~ '-"-t'(\
, " -: . Ql90 tm"--a3fel
lOU PJp/PJP OqM ptm uOJle~JJJluaPJ se
pa=>npo~d
seq OqM ~o am Ol ~~ Atteuos~ad sJ OqM
\" ..., "VI ~ f't' (" ~ ~
Aq -v~6t I ~ sJQl am a~oJaq
Oa6n:llTIUltI'VnD aDM "l.-......."l "'..... 1;..........1;._ ___ __
"",1HO,.
.,<::,vr ....~'"
S66I'vl"UnrS9J!d"3 '6Ia
519<::aeoou<>!s"!wwooIlVII .. ~..
HIVlONIS VII VNNoa ~
-?ltt ~ ,<::'+
JI1UOd AHY.tOH
(padMelS ~o paluJ~d 'padK.t ameN)
, (a~nleu6JS)
'-.......-.-">.) 0',>,,,",,> "?\.~~
oqleo tm 8](el
loa PIP/PIP OqM pue aOTle~JJJluaPJ se
pa~npo~d
seQ OqM ~o am Ol dMo~ Atteuos~aa St OQM
,\,",\lV'-f~" c:v ~ (' ~
0"'2. SlQl!m S.IO]sq
Aq h\;6t I
__e___.... ____.~ __ _
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait JaY be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. the undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
, ,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner 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 iicensed as required by law, both the owner and contractor lay be
cited for a lisdeaeanor violation under state law. If the owner or inten~ed'contractor ate uncertain as to what licensing
reguireaents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 wishes you to sign
as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting privileqes 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 - HOJe01Iller' s Protection
GuideN pfepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOlf!One other than the
'owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
uowner' prior to COlleDceaent.
E. CONTRACTOR'S/OWNER'S AFF1DAVIT .
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlleDced prior to issuance of a perait and that all work will be perforaed to teet 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 goverDleDtal agenCies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
t Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health i Rebabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US Environaental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan
addressing a 'cOlpensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait'issuance.
A perlit 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 codes, 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 perait issued shall becOle invalid
unless the work authorized by such perait is COll8llCed within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, 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 aust be Ipgged Quring each sixlODth period, or the project will be considered abandoned.
WARMING TO omR: lOuB FAILURB TO RECORD A NOTICE' 'OF COMMBJICEMm MAY RESULT IN YOUR PAYING' TWICE FOR IMPROYBMEHTS TO YOUR
PROPEllTY. IF YOU IJI!EIfD TO aMAIN FIWCING, COIISULT WITH YOUR LEHDIlR OR 1M AnORRBY BEFORE, RECORDING YOUR IIOTICE OF
COMMEIlCEMENT. JOBS UHDER $2,500 III VALUIl DO IIOT IIUD TO RECORD AND POST A "IIOTICE OF C()I4IfQeEMEIIT".
-1~~ <- ~~ ~
~~O~/LORIDA Th~QO
The foreooiDo instrument waR ar.knnwl~~ft4rl
STATE OF FLORIDA
coum OF
~A~CO
m'l.._ 4='.............."..--
.:__..._ ..L
'.
111_:...
.. . ..
.~.... w.:.
'. ...
'" ..
" ',' -: "
Florida
Power
COUO'IIT10.
~
.
I
NAME /If,(. /lJGl. K /.1 T Z
ADDRESS ~s I 7 A/ d/UJ-I b91CS- IJ~-
CI1Y Z'"f9?/.f. Y It Hlu-J
.
v1lffi POOL PROPOSED FOR CONSTRUcnON AT TIffi ABOVE ADDRESS OOES NOT
CONFLICT Vv'Iffi ANY illIDERGROUND OR OVERHEAD FACILITIES OF FLORIDA
POWER CORPORATION, PROVIDED TI1AT THE POOL IS INSTALLED fN THE
LOCA nON SHO\VN ON THE A IT ACHED SITE PlAN PROVIDED TO US BY THE POOL
CONTRACTOR. :
1HE POOL PROPOSED FOR CONSTRUCTION AT mE ABOVE ADDRES DOES CONFLI cr
'WITH: OVERHEAD UNDERGROUND
FACILITIES OF FLORIDA POWER CORPORTATION.
. '
ARRANGEMENTS HA \IE BEEN MADE 'WIlli US FOR RELOCA nON OF THE FACILITIES
SO AS TO CLEAR THE POOL AREA SHO\VN ON THE A IT ACHED SITE PLAN.
"i~~~j~;;;~_._--"-
COST FOR RELOCATION OF ELECTRIC FACUlTIES WILL BE PAID BY:
OWNER
POOL CONTRACI'OR
PRIOR TO RELOCATION OF FACII1TIES AND CONSTRUcnON OF POOL
.
.
'\
ZEPHYRHILLS DISTRICT OFFICE: 382Jf 5th A..... . Z,phyrttllls, ,Iortd. USofO . (IJJ) 112-15"
" Florllltl PrOlrcss Comptlny
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