HomeMy WebLinkAbout96-5753
Property Owner:
Job Address:
Parcel I. D. #
Zoning:
Description of Work
BUILDING PERMITlI!-
CITY OF ZEPHYRHILLS Permit-
(813) 788-6611
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J-'575~~
1f-;9-96
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GILD~
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Date
u.EGIIAr~h...AL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
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Energy Code: "-
o ~ IA.tO-<L"F1"
Radon Gas: r
~ . ""'1-;/ .4JIAJd-., L~A'V~.il/\.1 ~
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
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/J/J/'1
Permit Fee
Signature
Company
Address
Telephone#
Inspector
~
BUILDING
~ ~~ ll~OL
~t.\\.Pre SLB .J\ftt. ~
Lintel
FRM.
Insul. CL
WL
Driveway
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
g~ S'i~ W~
~~~ wM J
Breakers
Ducts Insl.
Compressor
Final
Tub Set
Water
Sewer
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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILlS
BUILDING DEPARTMENT
OWNER'S NAIIE 8,..,~
OWRER. 'S ADDItESS
3 ry I 2..5" CtJ 1/ 1ilJ5 1J.A; L
LEGAL DESCRI.P'l'ION: LOT(S) liJ I I- to 2-
V.~tl j -~ /JOM~ +- !.J~JA WAALs \./
~ l/
PHONE
JOB ADDRESS
BLOCIL--SUBDIVISION 3raph4/.! G-L/SV A to S,"tViFtl OAK.J
PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction -Jddition --Alteration ---Jlepair _Install
_Sign
PROPOSED USE: Y{ingle Faaily
--1Iove
_Deaolish
---lI/F
, of Units
~ia. Pool
---lI/H
_<=<-ercial
_Indust.
_Other
---Jlestaurant Ii: Health Departaent Approval
DESCRIPTIOR OF 1iOIlJ[: ~'J It<J /(M. J & a- (011/ CI!.I/ G ,)"'.;.. ..,:., fi, L
.: I D~
BUILDING SIZE: ! f" X 3 ~, tI:2 2.. Square Feet,~t
RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UlLDING
1/ ELECTRICAL
-"EClWllCAL
$
PERKITS REOUESTED
1 ~ ) b '1!~ Valuation of Total Construction
AIIP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of lIechanical Installation
VPLUKBIN'G GAS ROOFING
SPECIALTY
TYPE OF CORSTRUCTION: _Bloclt _Fraae _Steel
Other
FINISHED FLOOR ELEVAUOBS:
FI' .
IS PROJECT IN FLOOD ZONE AREA.,
YES NO
.............*.*.***.*********************
CONTRACTOR SECTION
R.IT' .DO
COMPANY
r. ~
Signature
v
PLOIIQER.
COMPANY
r ~ State Cert. Regist.'
~ ~ Nlr-
City License Registration f
******************************************
-../
Signature
tlEClWllCAL
COMPANY
State Cert. or Regist. ,
City License Registration ,
****************************.*************
Signature
{;(
W
OTHRR Q
Signature t~.CI~ aY<
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
APPLICAUON APPROVED BY
PERKIT OFFICER.
, CONDITIONS OF PERMIT AFFIDAVIT
I A.' NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this peIlit laY be subject to 'deed restrictions' wbieb laY be lOre restrictive than City
regulations. !be undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS ANDCQNTRACTOR 'imSPONSIBILlrIES . .
If the OImer bas bired a contractor or contractors to ~dertake 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 lisdelleallor violation under state law. If the owner or i~tended contractor aJ;'e un~ertain as to wbat licensing
requirelellts lilY apply for the intended work, they are advised to contact the City)o' Zepbyrbills Bliilding il!partlent, (813)
788-6611.
. .
'"Ir,
Fu~tber.ore, if tl.~ ~~r bas-'hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
'Contractor Sections' of this application for vhieb 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 wisbes you to sign
as contractor that lilY be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
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 with a copy of 'Florida's Construction Lien Lav - HOIeOIDer's Protection
Guide' prepared by the Florida DepartJent of Agriculture.and ConsUler Affairs. If the applicant is sOleone otber than the
'ownern, I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
"owner' prior to COIIenceJll!llt.
E. CONTRACTOR'S/OWN~a.'S' AFFID~VIT ..
I certify that all't6e' infoIlition in'this application 'is abcurate and tbat all wort viII be done in cOJpliance with all
applicable laws regulating construction, loninq, and laDd,developent. . -.
Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation bas ~ced prior to issuance of a peIli t and that all 1IOrk will be perforJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to:
t Departlent of Envirolllel1tal Regulation - Cypress Baybeads, lIetland Areas and Envirolll8l1tally Sensitive Lands,
Water/llastewater Treatlent '
t Southwest Florida lIater Hanaqelellt District - lIells, Cypress Baybeads, lIetland Areas, 'Altering lIatercourses
t AIIY Corps of Enqineers - Seawalls, Docks, Navigable lIaterways
t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnvirODleDtal Protection Aqency - Asbestos abat8leDt
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 'CQlp8DSating volUle' viII be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A p&lit issued sball be construed to be a license to proceed vith the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoIe invalid
unless the 1fork authoriled by sueb peIlit is COIIenced 1fithin slxlOntbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sillODths after the tile the vork is co.enced. One 90 day extension of tile, lilY be
allowed for the perlit vith fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sil IODth period, or the project 1fill be considered abandoned.
VARlUMG TO <*BiR: YOUR FAILURE'IQ BCORD A IOl'ICE OF aJIHDCEIIIIl'f HAY RESULT III YOUR PAYING !VICE FOR IHPROVEMmS TO YOUR
PROPBRfY. IF YOU IImID 'I'O'OB!lIM FIDlCIIG, -coISULT VIm YOUR LBMDBR OR 111 AnORDY BEFORE RECORDING YOUR IfOTICE OF
COMHEIICmmJfto. JOBS UlDlRt2',5110 IN VALUE DO NOT KDD '1'0 RECORD AND POST A 'NOTICE OF C(JIHDCEHD'l".
.
Sl~ ~~
SIGJIA!URK: OIftIBR OR AGm
STATE OF FLORIDA
COUlft'Y OF
The foregoing'.ill;st~t walf'acknd1fledged
before .e thiS' - , 19_ by
'I,'
STATI OF FLORIDA
coum OF
The foregoing instrument was aCknowledged
before me this ., 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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...... P'OOL
IHaTITUTE
J.E. Green
Residential Swim Pool
Phone 813-390-5394
Pager 271-1 G13
Lie #RP0066623
STANDARD RESIDENTIAL
SWIMMING POOL CONTRACT
NSPI, TAMPA BAY CHAPTER
PURCHASE
MAILING ADDRESS-P
itJ~ ~/..j 6:b
This contract made as of the date of written acceptance by the member builder listed above
hereina ter termed "Contractor" and the party named belpw, hereinafter term0 "?ur<\haser:"
. ," , 9'01) .5;j 3:31:~
Z ;0 P . HQME .......;
Ph. BUS
ZIP
. MAX WIDTH If')" III MAX LENGTH-3.5=._lIt WATER AREA~ sit
lit DEPTH: t:? It. to - ft. to --h___It. NSPI TYPL__________
-
1. Exceas f/I
2. Filter Syste
3. Pump & mot
4. Method 01 chlorination
5. Surface skimmer / It C; h
6. Backwash dlepoeaL..L})/A-
7. Piping & inlets I ~U
8. Therapy }eta 'N/Lt.-
9. TJ/f}a. / Cojor, '_? \. "TJO~
10. Interlor ftnlah @tge&'~
11, Underwater lighting/-. ~ ,..- CLJ4/f 21,
12, Main ~n_/' _____ 22.
13. Dec~~s~. ft. are~..:f.z4-- 23,
14. Deck drainage.ll~~~;N 24.
15(La.ddij)Grabrails../J?-f2/2J/)])-o/--IJ2fJ125.
16. Steps/Handrail &~ 26,
17. Diving Bd. & stan<LL1//..4- 27.
18. slide----L1/IA I 28.
19. Cantilever/:oPing/ti..~me;/eL 29.
20. Electrical hookup / N L GFI~ 30,
Timer_I_____.________
Test kiLi_., __, _ .______,.._ _ , , "._ ___..__
~-I
Vacuum headL___ _ Vac. hose____ __._.__._ .
Brush~______Leaf neL/. __,__.
Adjustable pOleL__. .__ _________,_
Startup chemiCals.LI'~~____
j,7c-. ~.
HeatarU>06,;:)ct BTU .'1"1.5: _ Type______
Automatic cleaner _W..a1J'_O~--
Love seat/1!4_Bench~__
SWimou~ _.___
/
AddItional Proylaiona
TERMS
Union specially agreed and set forth herein, Purchaser hereunder agrees to make progress payments based on the total price sel forth in this contract, to the
Contractor, as follows: / ,/)O~ I /l/ /._Jt....,~..J4 C/J~/J1/J/.,,, .
CONTRACT PRICE db; i::>L~ ~~~tQ~7-,.d!~--.-
{/~~4 4 Sh~ ~1 ;/i3cj;3
.: -fi/ P~//J9cJ -.!37;;J~~t
1 ~ Down payment
5O'llt When rough shell Is in place
36'93 When plumbing is completed
5'!l. When pool Is compl"ted, ready lor interior linish
Conetructlon progress may be arrested between billing and receipt 01 payment for each phase of construction.
NOTICE TO PURCHASER
DO NOT SIGN THIS CONTRACT BEFORE YOU READ iT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK SPACES.
Thla Ie a home soNcltatlon sale. II you do not want the goods or services contracted lor, you may cancel this agreement by mailing a notice to the seller. This notice must
indk:ete that you do not want the goods and services and must be postmarked by midnight the third day after you signed the agreement.
This c:ontroc:r sholl be deomed IIn offer to the Contractor and shal/ be nul/and void unless occepted by II duly authorized officerol the Contrllctor within fifteen days of the dl1te
and y..r notod obovo the PurchllSer's signatures. The slllesman has no authority to bind thB Controctor. Allogreements and understandings are contained in this controct and
tho Ptlrchos.rworronts thot there ore no ogreemments or understandings other than are Stlt fonh in this document, Acceptance of the terms of this contract by Controctor is to
IItI communictlttld to thB Purcha$'!f b~ trl1nsmitt COpy of this contract to them showing l1cceptlmce by t II sellers by tht! execution of a duly l1uthorizt!d o!ficor of tht!
C.."no"" M by o~m,"o; O""W 'on. . , ~~..
~~:MmED BY :~:~::~:R .. : ". ~fl;:
ACCEPTED BY Date OWNER
d and wife, both must sign. II owner is different Irom purchaser, owner must sign.
PURCHASER(SI. BY SI r-j' NG ABOVE, ACKN LEDGES AND AGREES TO ALL THE TERMS AND CONDITIONS ON ALL PAGES OF THIS AGREEMENT EVEN
THOUGH SPACE LIMITAtIONS REQUIRE THAT SOME ARE PRINTED IN SMALLER TYPE,
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Marcite is a mined materia and subject to some variation in color consistency, therefore the guarantee of the marcite finish of Jour pool is for workmanship only,
POOL SHAPE: POOL SO. FT: .yc/';;'-' PER.:
~ 'f;" /
SIZE: J.5;,r 35 X I Y&' DEPTHS: 3 TO: TO: U:'
WATERLINE TILE: COPING: {!AI1/~/(;-vbtL
DECK:~/&-c../( SO. FT:,41// RESURFACE: 53 /
PUMP:Sl/9"~1t" Hp. 1/2 FILTER TYPE: ?4-? (
CHLORINATOR: /// Up)?, AUTO. CLEANER: r/r//)Jb()/1)h
IV/If
,
UNDERWATER LIGHT: /
I)/I/l- FOUNTAIN: )Y/ t?-
SKIMMER: / MAIN DRAIN: /
INLET FITTINGS: --3 JETS: /// 4
MARCITE: ,f/ iF S SWIMOUT: -.d~ BENCH: /
ELECTRICAL: / /// C-- COMPUTER CONTROL: IV / r
LIGHT SWITCH: I AIR SWITCH: ~;J ('.J
TIMER: / DECK BOX: /
,
HEAT PUMP:
RAISED BEAM:
UNDERWATER VAC: / TEST KIT:
I
/ (/ G- MANUAL FILL LINE: /~~.;l
,1'i': J
OVERFLOW LINE: /;// /l- VOLLEYBALL PIPES: li/ /~
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R "d t" IS" P I Ph. 390-5493
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NAMEAyd4'c ~/~ft!),I~y r c4 A/r//
ADDRESS:<- 5? /c2~ C4' //c/Zl$ -;- ~ A/ '/
CITY: z~~aLs PHONE: HM./-1oY'" 5fg.33~K. sg8. Lf5'J I
SUBDIVISION: ~/ ~/" &;2- -- s/'WQ-Z oil f:.S"
CUSTOMER'S SIGNATURE:
JOB #:
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Marcite is a mined materia and subject to some variation in color consistency, therefore the guarantee of the marcite finish of your pool is for workmanship only,
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DECK:,%W&c..I( SQ. FT:,4;?// RESURFACE: 53 I
PUMP:Sfd'~1? Hp. /6 FILTER TYPE: _?d"? 1
CHLORINATOR: / // ~ ",)et' AUTO. CLEANER: ?/tI /)} b ~",,)/;
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MARCITE: if";;- S SWIMOUT: -L1/~ BENCH: I
ELECTRICAL: / /Y C- COMPUTER CONTROL: IY /,;.-
LIGHT SWITCH: I AIR SWITCH: ~/) ('..J.
TIMER: I DECK BOX: /
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JE Green Lic# RP0066623
R "d t" IS" P I Ph. 390-5493
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NAME~/d4'c: ?/2&/tJ'j~~y r LA &//
ADDRESS:c5? /025 C~ //ens -; ~ A/ '/
CITY: Zr:p~al.o PHONE: HM.I-~O~...5"fg.33'tJK. Sgg. 4-5'1 I
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