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95-4701
BUILDING PERMIT ? 0 or u-v ;) 0, tTV ;"'61. th2~ CSUJLDINV ~CTRI~~ GUMBINV ::~:::,~,:ne6 ~~::~~ Parcel I. D, # --.5 '- C) {; -,;}.../ - / 6 CJ - 0 /) &CJ c::; _ () ;:} ~ V CITY OF ZEPHYRHILLS (813) 788-6611 470113 Date .;;J. - J 7 - 7 ~- . Permit N~ MECHANICAL Sewer Conn Water Conn: Water MJ!jer: T,I.F.'s: Zoning: Energy Code: R<ad~s: Description of Work...(j,,^~-4<-r:f' ~--(J~' A/e A';L7~h ....t?AL~ NO OCCUPANCY BEFORE C.O. FINAl-.5. ~ rC} "/ DATE Complete Plans. Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE Valuation or Contract Price Permit Fee ~~ <Tv /0, tJ/9.crv - Signature Company Address T~ePhO~ ~= 124" - PLUMBING 3t-; SLB ~ --ct!5" f>jJ Tub Set Water Sewer Final ~-'::;--tf5 ,.~ City License Registration # ( =? ,? .~J, e C "~d Licen'e' If h/ Zl.~~~ ~~ ~~ BUILDING ELECTRICAL cJ..!? I MECHANICAL Ftr. Pre SLB 3-2-I'-7~ 'Bi~ Lintel FRM. Insul. CL WL. . h~f\, 5~"'1) '&:b Driveway ~d-df)-q'5 BtW Tp. Servo Rough In Meter Can Canst. Pole Pool B..-i\ .':l-2-i...y> iJch Pre-Meter Final '5""~ r0 '1 &h Breakers Ducts Insl. Compressor Final 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. 2./~4-~ SeI..P H;.tnr{:( ~t4S ( /8' S"PAr)) SlS'-'/:E;.;.L (..'., I t ne-.... "-",;, (.-J I ~I i(" })Vi"'" I ftj I \ 1 li\ ! 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"r.;'~ I,. \1'. , , ;'-;liV{iR~~'~~:;' 1:'",'\ '}.fl"~~~~.:l.Jj; florida Power CORPORATION NAME: Alt.;:;; NG" ~aG p- , ADDRESS: ..:5118A-J eN ~ PATH r ZErHYRHIf,J..S CITY: tJ~ / THE POOL PROPOSED FOR CONSTRUCTION AT TIlE ABOVE ADDRESS yv.(., DOES NOT CONFLICf WITH ANY UNDERGROUND OR OVERHEAD FACIlITIES OF FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN THE LOCATION SHOWN ON THE A TI ACHED SITE PLAN PROVIDED TO US BY THE POOL CONTRACTOR. THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES CONFLICT WITH O/H UIG FACILITIES OF FLORIDA POWER CORPORATION. ARRANGEMENTS HA VB BEEN MADE WITH US FOR RELOCA nON OF THE FACll.ITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE AITACHED SITE PLAN. FLORIDA POWER CORPORA nON ~ ~ ':<~".9r STEPHEN P. BUNNER DISTRIBUI'ION ENGINEERING ZEPHYRHlu.s OPERATION CEN1l::R: 3&4~3 Geiger Road. Zephyrhllll. Roridl 33541 . (8'3) 783-8944 A Florid. Pro,.. CompMY 7(")- I h............. n"'l ....................T rc........T n=.i I _,(,TO." I '-II '"' ,... In "'"TII Ill":!.., '"' j j 1 -j )- ~ rl [ ~1 if I- {. ' 'I : \,.... I, (f) (, i: "':,~' t" "'4 V-.It: ~:. T ~ c \....t--.ll h- ("~f. l~c.r '/ J r. f. " , ',jJ ~~ l ' ~ ~ 'l\ I , " I " " -:", . t ..' , "',,,, .t ... l ;""\;:.,,~ ,'. ~ Ir' , l ~ ..J ~~- vJ. " 1.. ~ o , ~ ''1\ ~ r. :./)-'" I,." 1 U::.H(4.'~l~~ ~ <) -...t -- ~ ~ " ~ I ....) I ~ . / lP F' "SCALE:... - ,00. ~O' A~. '1 ~ .~ i. ""'; ~~i 1 '0 ~~~ ~ , ,f" .,'" ,,' I f ",.;;...., f :(~r' y I "~. ~ ,4'i "'" " ,if os - c::x:;,o 4 -, I "z. 1. " _ '^-' ,/ ''38 ,o~" , 'J7'V:!-/ ..a . t(:,e ~~ .......Q() .,j<l' . ^} ct:- · ' -~~ . f ,'f-'f. ~~C:\~~ ((I -...J I - "-'\N ~ ~ Olt ~ ! - ~~ ''''\ 6 . ,,~ rC\ '~(. ~~ I OS - 000 4,' zl j ,. I " ') i ~ ~ ( 1'--~ j --t oS "" .oJ. 1 -r ~'-;j J~ ? 1 ~ ~ ~ .... 3--.) ,-t, ~ .~ 1 1~ \l ~ ~ tr --":1 ~J ~ v - 0/). i- .l ;. \ fIl.... C) ~ t". '.b~ A).\. ~-l C>-' ).- -;>, :.) ~-9 ~~.{' is- ~~ """ ~ ..-... .....' - J1J~ t. ~ 1 ~ ~~ u:.t G:--::::I ~ ~ j -;: ,~ V'\1..... Q ~ ..! ~i~ i~ J. 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Z~enN=i~o:j ~~c:(")m=i'~ !. m (") ~ m .. > :u" 0"'U:-:l 0 (') -l t-l ;;~ z~en-l"o -l~m~:U~ mill'~ ~ 17 (") Z... (") (;) _, .. CD _. ~ 0 m c- f? :u Cii ~H . . ~ en ,. 3 a 0 :u ~ (. -l ~ ' ~/ .. ~ lD en ill' 1:> ~ .. Q "" g-a- c: "'U~!i. ..V' CI\ g ~ ~ ""', ~ !!1 _ -) " ~ ~ 8 ~ ~ 7' (/lF~" f ~ ~ ~ ::710 ~" <:: ~ 0 CD CD 0..., <~, m :;) :u -', > '1 '" "'U :;) Co.. (") ~ 7i 1.'" -l q ~ 1 ~'" f!i ~ L ' ~:r !Co ~~ >:r 0 0 o -l ~ f I ~~ aP ~~ ~~ a: ~ ~ (")5:r CD ;::J ;x: ~ ~ .... r" f? ~ o~ g I :-O~en ~ rn.. m Z .... ~ E ; ;;;" '" "I I~'U~ - ~ ~ · l:-' I F :r r F C/ APPLICATION FOR PBRKlT CITY OF ZEPIIYRBIU.S BUILDDlG DEPARTHBIIT G"'!-/STIr"iJr ?l?~~, ~ '15'80 -'8 OWNER'S twm Ci+AaLe-s ct--flzp.~c:..IS L4-N G" PHONE ~'3- 5'7<0 -102-1 <..... OWNER'S ADDRESS 9l.3o 34Tlt W~y PIf'JE-{"S ;:'fl1t.-k'- 3L/(g~(o JOB ADDRESS ~ 7 Z ~ S-rf3VerJ5 ~\+\ ~P#r?/Z.H ILLS Pl.-, 5n:llt:AlS I;lE-I'JN LEGAL DESCR.IP'1'ION: LOT(S) .Z-~ BLOClL--SUBDIVISION 5ILVl?/Z. 0/1 k S PARCEL I.D.# 3 - z.~ - 2/- O/fI;O - bOO (;) 0.0280 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:--X..aew CQnstruction ---..Addition ~teration -Jepair _Install _Sign --1Iove ~lish PROPOSED USE: _Single F_ily _ec-ercial ---..JI/F _' of Units ---..JI/H _Indust. ~swia. Pool _Other --Restaurant Ii: Health Departaent Approval DESCRIPTIOR OF WORK: ~/fY\lrh::r fb-DL~ ~N(.t-OSCJ:Q.G ( , BUILDDlG SIZE: '20 X 3 z.t . Square Feet. Height RESIDEBTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDDlG PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY IlEQUIRED FOR ALL NEW CORSTRUCTION. PERMITS REOUESTED ~UILDDlG $ /0, DlCj~ , Valuation of Total Construction RT.RCTKICAL AIIP Service X Florida Power Corp. W.R.E.C. ---1IECllAllICAL $ Valuation of 1lecbanica1 Installation -PLUKBDlG GAS ROOFING SPECIALTr TYPE OF mIlSTRUCrIOIi: --Block -'raae _Steel ~~ Other FIIIISBED PLOOll BLBVAnOIlS: FT. IS PROJECT IN FLOOD ZOHE AREA., BlffIJ1RR YES HO .................................... Signature CONTRACTOR SECTION' mtlPAIfY fJ-LPI,.JfE f.Co~ r/-5:IJ:t 5 I,.J f.-. State Cert. or Regist. . i2P co hStjlB City License Registration' ....3? .......................................... ' Signature ~n 0,10 Z. 7'J$' COMPAQ: Jiki()~ h'/<t-fn,- State Cert. or Regist. # G tt... '" 0 Co) ~:f' r fL City License Registration'. ~ ~ ........................................ PLlIIBER / COMPANY /.}~p,,.Jt; /teL.") CI- ~~ ..,.Ie... o State Cert. or Regist. #RlbOto~<lI!: City License Registration . ;r ......................................... Signature COHPANY bvlF p.,R.EGZ~ fJl/l..lm,tJ Vf\I\ State Cert. or Regist. # I2x to ~97? "v,L[) City License Registration f 97 .......................................... OTRRR Signature #J In COMPANY State Cert. or Regist. # City License Registration . .......................................... APPLICAnOB APPROVED BY PERKIT OFFIC~. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this penlt Jay be subject to 'deed restrictions' lhich Jay be lOre restrictive than City regulaticms. lhe undersigned ass.. respousibility for cmpliance lith any applicable deed restricticms. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , If the ower bas bired a contractor or contractors to undertake work, they IIY be reguired to be llcensed in accordance litb state and local regulaticms. If tile contractor is not licensed as required by law, botll the ower and contractor JaY be cited for a .isc1eleanor violation under state lal. If tile CMler or intended contractor are uncertain as to Ifbat lic8D8ing reguireaenta JaY apply for tbe intended work, they are advised to contact tbe City of Zepbyrbil1s Building OepartIent, (813) 788-6611. Furtberaore, if the OII8er bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the 'Contractor Secticms' of this application for Ibich tbey lill be responsible. If you, as tbe lJIIIler sign as the contractor, you are indicating that you, ratber than tbe contractor, are responsible for tbe wort. If the contractor 1i8hes you to sign as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting privileges in tbe City of Zepbyrbills. 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 litb a copy of 'Florida's Ccmstruction Lien Law - &.olDer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is 8011!0118 other than the 'owner', I certify that I have obtained a copy of the above c1escribed c10cUIIent and promse in good faitb to deliver it to tbe 'owner' prior to co.enceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is accurate and tbat all IIOrk lill be clone in COIPliance IUb all applicable 1818 regulating construction, zoning, and land developleDt. Application is hereby Jade to obtain a penit to do wort and insWlation as indicated. I certify that no IIOrt or installation bas CDIeIlced prior to issuance of a perait and that all wort lill be perfOIJec1 to ,_t staDl1arda of all laws regulating construction, City codes, zoning regulations, and land develO[lleDt regulations in the jurisdictiCll. I also certify that I understand that tbe regulations of other governaental agencies liY apply to the intended wort, and that it is If responsibility to identify ldIat actions I lUSt take to be in COIPliance. Such agencies include but are not IUlted to: t Departlent of InviIOlll8lltal Regulation - Cypress Bayheads, lIetland Areas and InvironaenWlr Sensitive Lands, lIater/Vastewater lreatllent t South"est Florida lIater Hanagel8llt District - lIells, Cypress Barbea4s, lIetlanc1Areas, Altering Watercourses t lIlY Corps of Engineers - Sealalls, Docks, lavigable Watmars ~ Depm.t of Health i Rehabilitative Smices, BnvirODlelltal Health Unit - Wells, Wastewater lreatlent, septic'lanks t US BnvirODlelltal Protectioo Agency - Asbestos Bbatelent I I also certifr that, if fill Jaterial is to be use4 in Flood lone 'A' or 'A,etc.', it is understood tbat a clrainage plan ac1c1ressing a 'COI1J8Il88ting voluae' will be subaitted wbich is prepared by a professional engineer registered in the State of Florida prior to penit issuance. A penit issued sllall be construed to be a license to proceed litb the IIOrk 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 correctiCll of errors in plans, construction, or violations of any code. Every plIlit 188ued aball becOIe1nvalid unless tbe IOrt authorized by such penit is COIIIlJlced litbin six IODtbe of issuance, or if IOrt authorixed by the pera1t is suspended or abandoned for a period of sil IODtbs after the tile tile wort is co.encec1. One 90 day atensiCll of tile, liy be allowed for tbe perlit witb fee charge of $15.00. !be atension shall be requested in IriUng to the Building Official. An approvec1 inspection lUSt be logged during each sil IODtb period, or the project lill be considered abandoned. WIRKING !O OUIR: YOOR PIILURI !O RICORB A IOIICK or tlIlMDCIIIIIf HlY BlSULI II YOOR III IIIPIIWIIIBI'IS !O YOOR PHOPIRIY. IF YOU UIDD 10 OB'IAII FIIlICIRG, COISULI IIIIB YOUR LIIIDIR OR U InoRDt 8IFORI BICOIDlIG YOUIJOIlCE or aJUIIlfClMBlff. JO $2, VALUI DO 101 lIED fO RECORD lID POSI A 'IOIICK 0 '. Iv,' / l ~n.. 12. (Je. Sf All OF FLORplf j coumoF~n~D The foregoing instrument was acknowledged before me this ~ f€b , 19 'If) by O~ who i persona 1 0 .e or who has produc r as identification and who did/did Dot .~~~~~:~~~) (Signature) (Name Typed, Printed or St~ed) NOTARY PUBLIC SlATE OF FLORI(JI c\ coum OF rt -e y- {'\ o.(t D The foregoing instrument was acknowledged before me this '\'-\-tLFEf:>. , 19Q5 by \0\ \, \0..('(\ ~. ~()e~ ,ho is personallY known to me or who has produced as iden t,ifi~on and who did/did D~ take an oath u.At\ L ' - , ' ~oOQ (Signat L NOT 5 AL l.EAH FUSSELL (Name. NOTARY \l.Y Po OFFICIAL NOTARY SEAL 'o"\'- <9(" CHRISTINE A BORNSTEIN ~ .(7'" ("l COMMISSION NUMBER ;. ~ CC250723 ;0';, # MY COMMISSION EXP. (1'OFf'-O JAN. 17,1997 2261 Bolger Avenue Spring Hill, Florida 34609 (904) 683-0550 PROPOSAL/CONTRACT BUILDER ADDRESS CITY HOME PHONE JOB SITE ADDRESS LOT Z CO BLK. ALP,,J~ /bJt.-S y~ OWNER /1112--1-/11/25, tAr-Jc STATE OFFICE PHONE "5~~S 19'18NAl (;72" SEC. 5rf3.vl3N SPATH RANGE UNIT # TWN. Pool Design: Size: Length: Depth: Deck Finish: Deck Color: SPECIFICATIONS R~c.;rl91Jbl-6 ? " Width: 17- "3 ~2- 'tt) i., ( K.ct>t- )) eu-. W/h'17:; NOTATIONS /Ceo c b6::J<.. t.,p,.j If- ~ Pump: I 1-1, P. Filter: Filter Type: f!/J(l::rfl.. (O~ Size: Ladder: S W//'1&./c Rail: Tile Type: Color: Cap Type: Color: Ught: If) 0 WA-rr5 Chlorinator: Screen: Size: $- b-1t3z Color. W ffi 7& Doors: ~ Ii MA/ z;-i Z'{ ~51J1/:.t Roof Design: Time clock, cleaning equipment, start-up chemicals, plumbing, permits and electrical work all included. MISCELLANEOUS EQUIPMENT COMPLETION OF POOL SHELL INSTALLATION WITHIN WORKING DAYS OF EXCAVATION. COMPLETION OF CONCRETE WITHIN WORKING DAYS OF EXCAVATION DATE EXCEPTIONS FOR INCLEMENT WeyHER t!JiJ TqI"AL PRICE OF POOL 10/ () /9 - --r /<:oct o/?Vt.-tA'A/>>i d1' /. If) %/z. ~. n. , PAYMENT SCHEDULE BY PURCHASER /