HomeMy WebLinkAbout96-6009
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BUILI:?,!y~9HY~L~RM!! N~ -60098
(813) 788-6611
Date
/ - ;22~L~
f6 -. crv
BUILDING
,;LD. t7D
ELECTRICAL
.;2P. Cro
PLUMBING
MECHANICAL
Sewer Conn______.
Water Conn: ____
Property Owner: r/3~ ~
Job Address: ;; 7 ~ ': ~ ;:]d
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Description of Work ~J~~ ~~ A.A~~ ..A d..A.Lt7A--t
"
Water Meter:
T.I.F.'s:
t:?..;f'U" _ ,
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
2/ll/Q')
D.UE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
[lATE
Inspector g; B
City License Registration #
r75!~~7~
BUILDING
J~Y9
Permit Fee
Signature
Company
Address
Telephone#
~~'~
~ '" ( ~ql-
Valuation or
Contract Price
/.f:>-; ~3 b. trz/
,
Aa$4L- ~ /2
~ !~/yyp
PLUMBING
SLB ~l...q Ia Bi>8
Tub Set
Water
Sewer
Final
MECHANIC)~L
ELECTRICAL
Driveway
~~,,_c;1lc 606
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
J;~~lf rtfC l>0f!;
Breakers
Ducts Insl. 0
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
CompressOl"
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.
'\J
tlECllARICAI.
COMPANY
State Cert. or Regist. f
City License Registration .
......~.~~~..~............................
~~ &,~.(la5~AIIY '1?2J. ~~~ /
I . State Cert. or Regist. .. .
,. -~~ City License Registration f I :t 9 J.-
.......................................... ;
Signature
OTIIRR
v-
Signature
APPLICAnOR APPBOVBD BY
PBRHIT OFFIC~.
CONDITIONS OF PERMIT AFFIDAVIT
Aw NOTICE OF DEED RESTRICTIONS
. rbe und~signed understands that tIlis peralt laY be subject to 'deed restrictiODS' rhich lay be .re restrictive than City
regulatiODS. the undersigned ass.. r88pOJl8ibility for cmpliance ritll any applicable deed restrictiODS.
Bw UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the 0II18l' bas hired a contractor or contractors to undertake work, they .y be required to be licensed in accorc1ance witll
state and local regulationa. If tile contractor is DOt licensed as required by lar, botll the 0IIDel' and CODtractor la' be
cited for a lisdeleaDOr violation under state law. If the owner or intended contractor are uncertain as to llllat lic8D8ing
requirel8l1ts laY apply for tile intended work, they are advised to contact tile City of Zepbyrhills Building Departlent, (813)
788-6611.
Purtllenore, if the orner bas bired a contractor or contractors, he is advised to have the conUactor(s) sign portions of tile
'Contractor Sections' of Ws applicatioo for wbich tIley will be respoosible. If JOU, as tile 0II18l' sign as the CODtractor,
you are indicating that JOU, ratller tIlan tile contractor, are responsible for the rork. If the contractor li8hes you to sign
as contractor that laY be an indication that he is DOt properly lic8D8ed and is not entiUed to. pmitting pd,ileges 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, tile applicant, bave been provided witll a copy of 'Florida's Construction Lien Law - lIaIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and CODSUI8l' Affairs. If the applicant is 8OI8OD8 other than the
'orner', I certify tIlat I have obtained a copy of the above described docUIent and prCllise in good faitll to deliver it to the
'owner' prior to co.enCl!I8Jlt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infonation in tIlis application is accurate and that all work lill be done in COIpliance litll all
applicable lara regulating CODStruCtion, Jooing, and land develo.-nt.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no rork or
installation bas cml8DCed prior to issU8Dce of a pmit and that all lOCk lill be perfOIJed to_t standards of alII..
regulating CODStruCtion, City coc1es, loning regulatiODS, and land devel~t regulations in the jurisdictioo. I also
certify that I understand that tile regulations of other goyerDleDtal agencies laY apply to the inteDc1ed worl, and that it is
Ii responsibility to identify what actions I lUSt tale to be in COIpliance. Such agencies include but are not lilite4 to:
I Departlent of BnviIODllBlltal Regulation - Cypress Bayheads, IIeUand Areas and BnviroDlBDtally Sensitive Lands,
lIater/Vastewater rreablent
I Southwest Florida Water Ilanagl!lBllt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArJy Corps of Ingineers - Seawalls, Docks, latigable Watenays
t DePaItlent of Bealtll , Rehabilitative Senices. BnviIODlDtal Healtll Unit - lIells, Wastewater 'freablent, Septic lanks
I US BnviICllll!Dtal Protectitm Agency - Asbestos BbatHellt
I also certify that, iffllllaterial is to be used in Flood Zone 'I' or 'A, etc. " it is undentooc1 that a drainage plan
ac1clressing a 'co.pensating vol.' will be soblitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perltt issuance.
A pemit issued shall be construed to be a license to proceed vitll the IIOrk and not as authority to violate, cancel alter, or
set aside any provisions of tile technical codes, nor shall issuance of a peIlit prevent the Building Official frCII thereafter
rel)Uiring a correction of errors in plans, constructioo, or violations of any code. Ivery perait issued aball becme invalid
unless tile rork authoriled by such perlit is co.enced vitllin slllOl1ths of issuance, or if rork autlloriled by tile peralt is
suspended or abandoned for a period of sillOl1t1ls after the tile the work is ~ced. One 90 day atensilll of tile, laY be
allowed for tile perait 1Iitll fee charge of $15.00. rhe atensioo aball be requeste4in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODtIl period, or the project lill be considered abaDiIooed.
WmING fa (lID: YOOR PlILUIB fa RICORD I KarICK OF CCIIIDCllllllIIIY RISUL! IK YOOI PIYIIG !lIICK FOR IJI1IIJVWII8 fa YOOR
PROPmY. IF YOU IJIIIID fa 0BI1II FIIIlICIIG, COISUL! WID YOOR LIIDIR OR lJIlftORIIY BIfOIIB RmDIIG YOUI DICK OF
CCJlMDCIIIDr. JOBS URDU. $2,500 II YAWl DO a DID ro RICORD lID POS! I 'aICI OF CCJIIIDCIIIIIII.
,~~~
SIGU!URB~ OR IGIIft'
~ (C ~a-
SIGIfI CODRACIOB
srAR 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.
srlll OF FLORIDA I I' I J L_
coum OF H I !>wrOLl qh
The foregoing instru.en~as acknowledged
before me this I c:J ~ , 19 q~ by
<SOhn 6. ~~
who is personally known to _ or who has
:~~:=ifl~t~~!K.h~~ not
ta~:mA ~~~~~~
~. G
(Na.e Typed, Printed or Sta.ped)
NOTARY PUBLIC L g~';,}l:i!t~li~~~~~:~~~\~I:~'1
1"',1 01':;~;i;;",::;i~:i CJ;j;~~i;. ~2~I ~ :i~~{iDA
L~Y.E..'2::!.l'::1iSS:ON LXP DEC. I, 1999
(Signature)
(NilIIe .Typed, Printed or 8tuped)
NOTARY PUBLIC
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J.E. Green
Residential Swim Pool
Phone.813-390-5394
Pager 271-1013
Lie #RP0066623
NATIONAL
"A a POOL
IN,TITUTE
STANDARD RESIDENTIAL
SWIMMING POOL CONTRACT
NSPI, TAMPA BAY CHAPTER
This contract made as of the date of written acceptance by the member builder listed above
hereinafter termed "Contractor" and the party named below, hereinafter termed. Purchaser:"
PlJRCHASER4 d-~r / ~ "t.~p $#t'h- Ph. HOME
MAILING ADDRESS Ph. BUS
ZIP
Cootra<:tor ayrees to construct a swimming pool and appurt
;a9,fJ/
ances the~s herE)inafter provided by the pia
;a.. LEGAL ,
INSTALLATION ADDRESS
POOL SHAP
PERIMETER
lit WATER AREA sit
tt. NSPI TYPL____
MAX WIDTH /3
/If DEPTH:_~tt. to
Underwater lighting / d trtJP..hU";l.
Main draio.--2 22.
Dec~&4. ft. ar~ 23.
Deck drainage ,V~ L}/t.Jf/ ;vi, 24.
Ladder/Grabrails ~ 25.
Step~ I.
O','og Bd. & "'''';vJflI/ ::
Slide. 28.
29.
/
1. ""~1"7~
:::7:: .~~
4. Method of chlorination /. W
5. SOOace skimmer i/ (9 J
6. Baekwuh disposal .. /V / /T
7, Piping & inlets / ~ f;-
8. TM-rafIY iet'- ;1//
9. ~ 7 3 Col~J2AL~"
10. Intertodlnish /;:J;1?2~ '
Timer
Test kit_ /
-.--. ----'--"", ---7-.----
Vacuum head-L._ Vac. hose_~
Brush_,L..._Leaf net__c'__~
Adjustable POle_../ --=3:-". ._u
Startup chemiCals._?-/ er . _.__ ___
Heater_#ff~Tlf__ -Type7/-;-
Automatic cleanK?/tt'/lYP ?//~_
Love seatdl/,/J Bench~__.
/1/,/#.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
GFI_
30. Swimout
AddItional Proviaions
TERMS
Unless specially ~reed and set forth herein, Purchaser hereunder agrees to m e pr09ress payments based on the total price set forth in this contract, to the
Corn":~::;:'CE'~ 1)36 ~k~~5k
10'*' ()()wn payment
5O'llt When rough shell is in place
~ When plumbing is completed
5% V't'tlen pool is completed, ready for interior finish
()-
8
CQnatructlon pr09reu may be arrested between billing and receipt of 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.
C\ Thia ie a homesoll<;itation sale. If you do not want the goods or services contracted for, you maycancel this agreement by mailing a notice to the seller. This notice must
<....J 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.
1
...:9
U
This cDntracr shall blldellmed an offer to the Contractor and shall be null and void unless accepted by a duly authorized officer of the Contrlctor wirhin fifteen days of the date
and y.ar noted above the Purchaser's signatures. The salesman has no authority to bind rhe Contrlctor. All agreements and understandings are contained in rhis contra ct and
lh. PtirchIS er warrants thl/lhereare no agreemments or understandings other than are set forth in this dccument. Acceptance of the terms of this contrBCt by Contr.ctor is to
h communicat,d to /he Purch,ser by transmitting a copy of lhls contract to them shOWing accept,nce by the sellers by the execution of a duly authorized officer of the
C~""~'" ~mm."""" ,oo"N"ioo. ,
DAT~ t-&"& il' j~(j (,., PURCHASER f': L ti t;;j
I II /~ . ~.
SUBMITT D BY PURCHASER ~t;n.-'T.t--c~-.? ~ -:>..n~c.~:o
Date OWNER
If purchasers are husband and wife, both must sign, If owner is different from purchaser, owner must sign.
PURCHASER(S), BY SIGNING ABOVE, ACKNOWLEDGES 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.
ACCEPTED BY
TERMS AND CONDITIONS
COMPLETION
Completion date shall be designated as the date that work set out in this contract has been done and the interioftinish has been applied, and the pool is ready to fill with wltllfor l.I&e 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 loat due to fire, rain, windatorm, flood,
inspections, material shortages, acts of God, holidays, work changes, Purchase(s agent, third party WOfk on the job or failure 01 Pu~haser to make progress payments II l<;jreed ahlll be
added to the construction time.
Unfess spe<:ifically staled elsewhere in this agreement. there shaH be no penalty Of' award clauses in the contract.
PAYMENTS
i
Progress payments are due 5 days alter billing date Late charges 01 , 'h% per month on the unpaid balance will be added on all accounts not paid In accordance with tenne. Thll C~jl
amounts to 18% per annum.
CHANGE ORDERS
A surcharge of $50.00 will be made for each changa. deletion or addition to/from this contract or the drawings after acceptance by the Contractor. Such wOO changes shan be .uthorlzK
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 oflntllfiof llnlall.
DELAYS
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. arcMectural committees, homeowner associations and such will be borne by the Purchaser.) The Purchaser and Contractor both aogrH
to exercise diligence in obtaining all such permits and approvals.
In the event.Nork on the peol cannot be commenced within 45 daY1l of the contract date or if construction delays occur between phases which are beyond the control of the Contractor
(excluding ce.., home cons:ruction), 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," the contract documents, the Purchaser shall be responsible 10< the removal or protection of trees.landsulping, vegetation, underground utilities, Irrigation
pipes, or existng :rnprovef".ecls which might be in the space to be used fo< the construction work or access, and agree8 to pay the Contractor all Ildditional costs incurred as a result cIlhe
Purchaser's failure to so prOVide
ACCESS
Purchaser Will provide adequate access through his own property or through adjacent property fo< all men, material and equipment 88 reQu~ed to perform this contract including but not
Hmited to excavation. hauling, concrete mixing and pumping and delivery vehicles o. equipment. Purchaser shall obtain written permission of adiacent property owner for ingress and
egress of Contracter and mateflal and equipment during the construction. il necessary; and agrees to be respol"\Sible and hold the Contracto. harmless and indemnify him fo< any 106a,
injury or damage resu~ing to adjacent property owner for any reason. The Purchaser shall be responsible for dam894l to lawns. shrubs, flowers, troos or landscape material resulting lfom
the co[)struction work under this contract unless otherwise agreed to by Contractor elsewhere in this contract
FENCES
Un~ess otherwise stipulated In the contract, the Purchaser shall be responsible lor the cost of removal and re-erection of fence 8, gates, ornamental walks and such as necessary for&eeeSS
of eQuipmoot Ii) the pool site.
Compliance with local fence laws shalt be the responsibility of the Purchase..
DRIVEWAYS AND WALKS
Wl1en the agreed access for any construction equipment such as excavators, dump trucks, concrete tl\lw. pumpers. delivery vehicles and ~herCfosses curbs, drives o.walks serving the
Purchaser's property. repair 0< replacement 01 such improvements must be agreed upon prior to construction. and the cost of such wOO included in the contract II the Contracto< is 10
repair such imprcvements. 11 the cost of such repair work is not included and so stipulsted, the Pu~haser shall be responSible for damage which might occur during construction and hold
the Contractor harmleu fOf any claims for such repairs.
LAYOUT AND EXCAVATION
The swimming pool and related improvements and equipment shall be construC1ed upon the land and in a location upon such land U 8hown in th.-contract documents and agreed 10 ~the
Purchaser. Even though the Contractor may assist in locating the pool and related work, the Purchaser warrants that ha is familiar with the location of his property line, easemanta.
setbacks and deed restrictions, and that th,e peol work agreed upon is within such boundaries and does not violate setbacks 0< clearance "om P<Jblic utilities required by local, State or
National Codes. The Purchaser agrees to indemnify and save harmless the contractor from any suits, actioN, claims of Pu~haser or third p&rty for the location of said pool WQf1( byttle
Contractor in the place approved by the Pu~haser.
OIJe to the inability of either Pu~haser or Contractor to anticipate unusual subsurface conditions, it is mutually 8<;jreed that in the event the Contractor in excavating ,he pool ohelt
encounter pipes, condu~s, sewers, grease traps, cistems, tanks, mass concrete, tree stumps, hardpan, or 01 her ob8tructlont I'IOtlpperenl from tha surface which m~ht reQUife bbsti/l;,
iackhammering or rippertooth type equipment or other than normal excavating equipment for removal, the Purchaser shaU iOdemnify the Conlractor for increased costs incurred by him
plus 15 percent overhead Ind 1~ prolit.
Relocation of sewers and utii~les shall be at the Purchase(s expense.
;r,. excavation coat is based on a mutual assumption that low denaity soil or muck which should be removed and r~~wrth n....fill and ~tlocompectiondoes notexiet '" ttla area
ri the pool excavatioo. The Purchaser s/1all indemnify the Contractor for extra expense to remove and repl_ such material plus 15 pe~ overhead and 1~ profit.
;r,e Contractor agreea to provida dewatering devices as required to koop the pool excavation dry during construction; however, when extreme ground ...aterconditiona are encowMer.ct
wtlich require dewatering in excess of 3000 gallons per hour, cost for additional WOfk and dewatering equipment, alOO9 with 15 percent lor o\'6mead and profit, shall be paid to !he
Contractor by the Purchaser.
\'Il1en unusual under\/lO<Jnd conditions are encountered. the Contractor shall notify the Pu~haser and provide him with approximate cost ulimates for extra work. Within''''' days of this
notification, the Purchaser shall authorize the extra work or instruct the Contractor not to proceed with construction. It the Purchaaer stopa construction, the Contractor shall rec:.ivelrom
tI",e Pu~haser 15 percent of the contract price stated herein or the Contractor's costs to date plus 25 percent, whichever >I \/Iuter.
Unless otherwise stipulated in the contract. the Contractor assumes no responsibility for repair or replacement 01 seawalls or de admen, the Purchaser agrees to sa....1h8 ConlreclO<'
harmless from claims against him for subsequent failure of seawalls or other existing retaining walls 0< structures.
DIMENSION TOLERANCES
All dirr.ensions provided in the plans and specitications are approximate and may vary to a tolerance of 5 pertent. When measured 8lIrface area of the pool is IeaslNll1 staled In the
contract, the Purchasllf shall be ent~led to a credit in the amount of $10.00 per square loot from the Contractor as compensation /<)( dam'998.
The pool and deck shall be constructed to a tolerance of 5 pe~ent 01 the elevation shown on the drawin~. Var>ltiooa in .'.....tiona 01 \/Ieale. Ihlll\ 5 percent shall be auOOlitted jolntlyby tha
Pu~haser and tt,e Contractor 10< Binding Arbitration as prescribed elsewhere In this contrlllCt.
No damages shall accrue to the Purchaser ~ the pool is larger or deeper than shown on the drawings.
UTILITIES
The Purchaser agrees to supply the Contractor with suitable water for originel construction, warranty wor\<, cleanup and for filling as required; and will furtl1ar supply 110 volt electrical
outlet fOf the Contracto(s use adequate to operate electrical equipment utilized in construction (20 amps~ and make such outlet available to the Contractor for his u&e when on the lob,
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POOL SHAP~~// POOL SQ. F1> PER.'
SIZE: DEPTHS: TO: TO:
WATERLINE TILE~/ - SL -;3 COPING:&,.t/~g~r~~,
DECK: ~J~rf:r?iSQ, FT: RESURFACE: ~.:1.: 'C'/e-. c/;.-
PUMPS~ -//1;; Hp, FILTER TYPE: . /1/1':
CHLORINATOR: / // ~/Pc; AUTO, CLEANER: ~,1It?
, ////1 '
,
UNDERWATER LIGHT: / 'cJ~tJ l/.Jd7/'"
RAISED BEAM: "A/ / ~ FOUNTAIN: g/l'
/ MAIN DRAIN: /
,
INLET FITTINGS: JETS: //:/ /
MARCITE: ,J/E:5 SWIMOUT: -~e- BENCH: / ,
i./ -- -::: "'//.//
ELECTRICAL: ,/ (;; J COMPUTER CONTROL: /Y/ /,
LIGHT SWITCH: / AIR SWITCH:. /@
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HEAT PUMP:
;y
SKIMMER:
CJ~I
(~
15f / )(??~ AlE ~(t
~
~
/
.
UNDERWATER VAC: .I TEST KIT: / LEAF NET: /
BRUSH & POLE: / HOSE FOR VAC: /
DECK DRAIN: //6 .~ MANUAL FILL LINE: /ij/
OVERFLOW LINE:' #!!# VOLLEYBALL PIPES: #4'
HT, RAI~lYA. BOVjE POOL:
~;ii ,~/
rLE~'JGN.l' ..
RETAINING WALL:
TIMER:
I/Y?'
DECK BOX:
SPA:
SPILLOVER:
JETS:
HEATER:
FOOTER:
..
BLOCK WALL:
SCREEN: f/Ef WALL HT.: ROOF: ,1;4;/6".1.c/
GUTTER: ?/?~ DOORS: / COLOFtiP..>>/JZi?
PAN ROOF: EXT, I-BEAMS:
NOTES: -;;/e:;- a~~"/ ~76~S"
JE Green Lic# RP0066623
R "d t" IS" P I Ph. 390-5493
eSI en 18 wlm 00 Pager 271-1013
NAME: ~ 9I-~ /2 ~~Z~l-j)
ADDRESS: 6 t{9-/ rif/h[M (J!J -Ii;
CITY: PHONE: HM, WK.
SUBDIVISION: :5//!J5/1 {)/l1::.5 L-.()1 ~
CUSTOMER'S SIGNATURE:
JOB #:
DRAWN BY:
PERMIT #:
DATE:
BY:
~larcite is a mined material and subject t some variation in color consistency, therefore the guarantee of the marcite finish of your pool is for workmanship only.