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HomeMy WebLinkAbout96-5753 Property Owner: Job Address: Parcel I. D. # Zoning: Description of Work BUILDING PERMITlI!- CITY OF ZEPHYRHILLS Permit- (813) 788-6611 ~O ,- ~ GIIMa~ %ii~ ~/zf~rf~ -- J-'575~~ 1f-;9-96 g.O. ~VO. GILD~ ~o Date u.EGIIAr~h...AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: '- 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 ~ 4~, /,9f1 ...!!:::- , /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 \~ ,/,-'":':/~,. ~ ...... 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, I "- " , ~ F "" p CI Co r. .:7 i- f' I! ~ ~~ ;; C'.... 0 ~ .. (' "" ., .. <. '.>;" ..... . r ~~.,..,:\ CI-;~e !:... 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C' I~ - 'iSL. $ -016 d9' ~ Ac..<:.€:S~ J .571 ~ J'~ 7s I,) :5(1) (j I~ '-') /Yt~ (3) 1.51 SC{(&tIJ Do 0 r<- !3 ) f!..A i r,)' I pot! rt [3y 13(.(I/cl61C, /oj/oNly -2' ~ ~ , ?OI.L'< By o"'IIc!,,-tC , " ~ 10 f 01'./ I Y '- 5' "".t.-.. -'-- ~ -~- --~~- 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/ /~ ......, I / I~ / C- "'" SPA: / V HT. RAISED ABOVE POOL: !:L SPILLOVER: ~I () c./C LIGHT: I & BLOWER: / HEATER: en-Q/ ) ;/ c-- / / LEAF NET: BRUSH & POLE: ./ " HOSE FOR VAC: DECK DRAIN: JETS: FOOTER: ELEC. IGN.: RETAINING WALL: ;1/ //1 BLOCK WALL: SCREEN:_~~/~ WALLH~: ROOF: A1lflr~~rol GUTTER' JI~" ,D}lORs,:J - COLOR, 1u)/1(.i PAN ROOF: ;j/ U EXT. I-BEAMS: N~ES' ;Ai'", t-/<r,c. ~~:!:- ;::) <715 If EL ;J G T l- / -!.If ~ / ,0____2 JE Green Lic# RP0066623 R "d t" IS" P I Ph. 390-5493 eSI en la wlm 00 Pager 271-1013 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 #: PERMIT #: DRAWN BY: BY: DATE: ~___.._~~~r:':-;:-;~../..',\/~'"!...s:;;jI~~ -. ~ ~?' I $71 ~ :fa IS /,1 :>r/lj (j I~ ......) IYtl;<' , )I/('/d ~,4,/ ~ Ac..C.~~~ J -!5 SC,r(Gtd ))00 r<- ~~-- -~~ 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, ) 2Air,J . foa rl- [jy 15tlllcl tilt, 7OfotJ/y ;2' ~ ~ ... ?ou-< '8;1 DU, //,,-te ... ~ -;0 f 0/) I Y ...... ;:;5 ' ..~-'- POOL SHAPE: POOL SQ. FT: L,/0-7 ~ PER.: , I v '/ SIZE: 6')(35 X IYc1 DEPTHS: .3 TO: TO: (.? WATERLINE TILE: COPING: (!/I/l./t;/O-UbrG 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 ~",,)/; ;I/Jf I UNDERWATER LIGHT: / Ij// /1- FOUNTAIN: )Y/ r?- SKIMMER: / MAIN DRAIN: / INLET FITTINGS: --3 JETS: /1// /l MARCITE: if";;- S SWIMOUT: -L1/~ BENCH: I ELECTRICAL: / /Y C- COMPUTER CONTROL: IY /,;.- LIGHT SWITCH: I AIR SWITCH: ~/) ('..J. TIMER: I DECK BOX: / HEAT PUMP: RAISED BEAM: UNDERWATER VAC: / TEST KIT: I DECK DRAIN: 11/ ~ MANUAL FILL LINE: //~.;2 OVERFLOW LINE: /y / /J- VOLLEYBALL PIPES: 1/://1 ~I/~ I~fi SPA: / V HT. RAISED ABOVE POOL: (L SPILLOVER: ~/~ e-IC LIGHT: I & BLOWER: / HEATER: (Jf1..Q/ ) ;-1 (,..... I / LEAF NET: BRUSH & POLE: ,:,/ HOSE FOR VAC: JETS: ELEC. IGN.: FOOTER: 11/ / /I RETAINING WALL: BLOCK WALL: SCREEN: --!.d/);/7d- WALL HT.: ROOF: /l!ilIY~~(c/ GUTTER: JI~ 5' ,DpORS:;;1 - COLOR: tvdt1'ei PAN ROOF: iY g EXT. I.BEAMS: Nt~:~:'~~~~:) "fZ~ If/;-T ~Gr JE Green Lic# RP0066623 R "d t" IS" P I Ph. 390-5493 eSI en la wlm 00 Pager 271-1013 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 SUBDIVISION: ~/ 6/ "" t6;2- -- ,sjWQ1; oA kS' CUSTOMER'S SIGNATURE: JOB #: PERMIT #: DRAWN BY: BY: DATE: .-. .--- >c,J-f.~"z;aV:;-' -~ j 11. .. Llc..~( c.l1 ~,!~....~ " ~ ,,- I" ;- "3 -< .,..: "" ~.M"" o ,; I 0.1 I i i~(~ !~ ~~~I t~ ~ ~"'... o P(IO U ''- .}I'l" c.;/l> e ~0 -<,;1"~'- ~Il~''':) hI'\. 'l.,,~ , t ..: a,,'\', Il>r,t.'(.' v..' 1\.1 \; r,~~ I.. {IF.1~ Wilt" "^',~" lo.l \"'c.~ ~ "~""'''''''~\I,I''',)l'.,~ iO t.JKu. If Q...~.,\,1.',u".,.J> ~..~{,,-I~ lo l!t t.v l' ~<<"~""'>.~ r,'-'\ \> u",'\ ~', ;~''''I~/~''''? ~~,,~' (" .. /.) <.J .,.: 0.. a .." -..: "- ",' f<'~ ~.... \l.,~i\u . j_ I'" ''<l> .".J'iv~.' L, ("lo' k,>-.l . ~'<7.. ~IJ'~ 1.-') ~QIt '1)1.'''1. 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