HomeMy WebLinkAbout97-6521
BUILDING PERMIT
70_0{)
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~
CITY OF ZEPHYRHILLS
(813) 788-6611
~tJ - trY
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N! -~
Permit ~~
Date 3 -~-~ 77
00~
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address: t, .0 /
Parcell.D. # 3 - ,;).6- dJ - 0 / g- u-
Water Meter:
T,I.F.'s:
o
Zoning: Energy Code: . ,..Rad2!1 Gas: ~
DescriPtionofWork~~ ~jl ,19-~...4~ /...t!.ALPA--z (...~~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
:5- I -
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or ~ '\
Contract Price /!::. ~'-y.J r U v
Sl)h
Signature
Company
Address
Telephone#
-b
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ft, 3-13 -'?f ~
Pre SLB ~(5- ')
lintel
FRM.
Insul. CL
Wl
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~~()...91 e~
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
~ g-1-'f'l ~,L.L-.
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.
Desired Angle
Tota.1 Deck S,ize
Gutter Size
Anqle of f=acia
Set'-I n of Ca()e
<de9>
( ft>
<in>
< j n)
< de!:])
<in>
000000000000 Longwall
Total Deck ~>ize
Set--In FdS]ht
Set -. 111 I_eft
000000000 Vertical
Height
Height
Height
(ft>
< in>
<in>
<in>
L
18
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"....
L..engths OOOOOOO(J
l_ t3'f t F 8 C .i a
Center F,:=tcia
Right r-~c"lcia
0000000 G'( (ide
Left Facia
Center Facia
Right. FaeL:'!
000000000000 Chair
Chair Rail Height
Po;)i nts -
116
116
116
racia 000000
o
o
o
Rail 00000000000
48
SiZt:- of Beams ' F<oo f , 2X6 5MB
Size ()f [learns 'F'ost , 2x3 P8
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=- MAXIMUM ROOF BEAM SPANS
~ IN DECIMAL FEET EXAMPLE:
SCREEN ROOF I SCREEN WALLS POOL ENCLOSURE
~ WIND 110 MPH DEFLECTION LJ60
~ < ---------0001 COLUMN USED l----------- >
10 'WALL
ROOF (F) (G) (H) (I) (J) (K) (L) (M) (N)
::::m BEAM SPACING 2x3 2x3 2x4 2x4 2x4 2x6 2x7 2x8 2x9
USED PB SMS PB SMS 5MB 5MB 5MB 5MB 5MB
:::::::I 4'-0' 18.42 19.08 19.25 19,25 19.25 19.25 19.25 19.25 19,25
::3 (H) 5'-0' 17.08 17.58 17.75 17.75 17.75 17.75 17.75 17.75 17.75
2x4 6'-0' 16.08 16.58 16.75 16.58 16,75 16,75 16.75 16.75 16,75
~ PB 7'-0" X 15.58 15.75 15.75 15.75 15.75 15.75 15.75 15.75
8'-0" X 14.92 15.08 15.08 15.08 15.08 15.08 15.08 15.08
9'-0" X 14.42 14.42 14.42 14.42 14.42 14.42 14.42 14.42
::::m 23.42
4'-0' 21.08 21.75 21.92 21.75 23.42 23.42 23.42 23.42
::::I (J) 5'-0" 20.08 20.08 20.25 20.08 21.58 21.58 21,58 21.58 21.58
2x4 6'-0" 18.42 18.75 18.92 18.92 20.25 20.25 20.25 20.25 20.25
:::I 5MB 7' -0' X 17.92 17.92 17.92 19.08 19,08 19.08 19.08 19.08
8'-0' X 17.08 17.08 17.08 18.25 18.25 18.25 18.25 18.25
:::J 9'-0' X 16.42 16.42 16.42 17.42 17.42 17.42 17.42 17.42
:::D 4'-0' 28.08 28.58 28.75 28.58 29,92 31,92 31.92 31.92 31.92
(K) 5'-0" 26.08 26.42 26,58 26.58 27.58 29.25 29.25 29.25 29.25
2X6 6'-0" 24.58 24.92 24.92 24.92 25.92 27.42 27.42 27.42 27.42
:::::t 5MB 7'-0' X 23,S8 23.75 23,58 24.42 25.92 25.92 25.92 25.92
8'-0' X 22.58 22.58 22,58 23.42 24.58 24,58 24.58 24.58 .
:::I 9'-0' X 21.58 21.75 21.75 22.42 23.58 23,58 23.58 23.58
"
~ 4'-0" 31,58 32.08 32.08 32.08 33,08 34.92 35.92 35.92 35.92 "
(L) 5'-0" 29.42 29.58 29,75 29.75 30.58 32.25 33.08 33.08 33,08
~ 2x7 6'-0" 27.58 27,92 27.92 27.92 28.75 30.08 30.92 30.92 30.92
5MB 7' -0" X 26.42 26,58 26.58 27.25 28.42 29.25 29,25 29.25
8'-0' X 25,25 25.42 25.42 26.08 27.08 27.75 27.75 27.75
~ 9'-0" X 24.25 24.25 24,25 24.92 26.08 26.58 26.58 26.58
= 4'-0' 38,25 38.58 38.58 38.58 39.42 40.92 41,75 44.25 44.25
(M) 5'-0' 35.42 35.75 35.75 35.75 36.58 37.75 38.58 40.75 40.75
Q 2x8 6'-0' 33.42 33,58 33,75 33.58 34,25 35.42 36.08 37.92 37.92
5MB 7'-0" X 31.92 31.92 31.92 32.58 33.58 34,08 35.92 35.92
:::I 8'-0' X 30.58 30,58 30.58 31.08 32,08 32.58 34.08 34.08
9'-0" X 29.25 29.42 29.42 29.92 30.75 31.25 32.75 32.75
:3 4'-0" 41.92 42,25 ,. 42.25 42.25 43.08 44.42 45,08 47.42 48.42
(N) 5'-0' 38.92 39.08 39.25 39,08 39.92 41.08 41.75 43.58 44.58
:::J 2x9 6'-0" 36.58 36.75 36.92 36.75 37.42 38.42 39,08 40.75 41.58
5MB 7' -0' X 34.92 34.92 34.92 35.58 36.42 36.92 38.58 39.25
:::I S'-O" X 33.42 33.42 33.42 33.92 34.75 35,25 36.75 37.42
9'-0' X 32.08 32.08 32.08 32.58 33.42 33.92 35.08 35.75
::;I, INTERPOLATION BETWEEN VALUES IS PERMISSIBLE
:::I,
=, ,
=11 ~ ALUMINUM STRUCTURES MASTER PLAN
~ ENGI~ERING.INC. @ COPYRIGHT AL, INC, 1994 53
"Y-r
1=1
I GUTTER TO FASC~A DETA~LS I
f3\FASTEN GUTTER W lOx 2"
~@ 12" O,C. - STAGGERED 2"
(DFASTEN FASCIA WI (2 # 1 0 SCREWS INTO
MIN, 2" PENETRATION- (MAX, 24' O,C,)
/
/
(REF, BEAM TO
GUTTER DETAILS)
f2\CONTINUOUS ANGLE. 1 x 2 0 B, OR WOOD WEDGE
\SITO PLUMB GUTTER WHEN REQUIRED
REF, SIMILAR DETAIL ABOVE
FOR TYPICAL NOTES,
/
(REF. BEAM TO
GUTTER DETAilS)
STRUCTURAL GUTTER
/
/
REF, SIMILAR DETAil ABOVE (REF. BEAM TO
FOR TYPICAL NOTES, GUTTER DETAilS)
'\ 5" STRUCTURAL GUTTER
, MAY BE REVERSED USING SAME FASTENER PATTERNS
2, X - OENOTES ORDER OF INSTALLATION PROCEDURES
,3, ENGINEERING, INC. DOES NOT WARRANTEE. EITHER ,EXPRESSLY OR
IMPLIED, THE STRUCTURAL INTEGRITY OF THE EXISTING STRUCTURE.
scr
50
~ ALUMINUM STRUCTURES MASTER PLAN
ENGN:EftlG,~. @ COPYRIGHT AL, INC, 1994
SPACER FERRULE @ EA, BEAMf4\
RIGID ALUM, OR PVC PIPE) \:V
[BEAM TO GUTTER DETAiLS 1
2' x .075 ALUlA, ANGLE CLIP
(1) 0 E...CH BEAIA LOCATION
(2)-1'0 SlAS
(4)-112 x 3/4" SlAS INTO GUTTER (1' lAIN. SEPARATION)
2' SlAB SEE SP"'N CHARTS
(4)-'12 x 3/4' SlAS EACH SIDE
-
-
2 1/8. x 1 1/2" REC, CHANNEL .062
SEE GUTTER TO FASCIA
DETAILS
'8 SlAS THRU CHANNEL INTO BEAIA
--------1
STRUCTURAL GUTTER
2. SlAB SEE spAN CHARTS
-
-
SEE GUTTER TO FASCIA
DEl AILS
(4)-'10 SIAS INTO BEAM ( EACH SIDE)
(2)-112 x 3/4" SlAS INTO' GUTTER
(r MIN. SEPARATION)
N8 SIAS THRU CHANNEL INTO BEAM
2 1/8' x 1" REC. CHANNEL ,062
STRUCTURAL GUTTER
2" x ,075 ALUM, ANGLE CLIP ~
(1) It EACH BEAIA LOCATION
...
2" SlAB SEE SPAN CHARTS
SEE GUTTER TO FASCIA
DETAILS
2 x 2 INTERNAllY FASTENED TO BEAlA
WITH (2)-'10 x 1 1/2. SIAS
-
--
-
t
-----1
(4)-112 x 3/4 SIAS EACH SIDE
(4)-112 , 3/4 St.lS INTO GUTTER (1' t.lIN, SEPARATION)
2 1/8' x \ 1/2" REC, CHANNEL ,062
DOOR JAMB INTERNALLY FASTENED TO BEAU
WITH (2)-,\0 x 1 1/2' SIAS
./
2' 5MB SEE SPAN CHARTS
-
-
-
-
SEE GUTTER TO F ASOA
DEl AILS
(4)-'12 x 3/4 SlAS EACH SIDE
(4)-112 x 3/4 SIAS INTO GUTTER (1" lAIN, SEPARATION)
2 1/8. xlI /2' REC, CHANNEL ,062
NOTE:
AL ENGINEERING, INC, DOES NOT WARRANTEE, EITHER EXPRESSLY OR IUPLlED, THE STRUClURAL INTEGRITY OF THE EXISTING STRUClURE.
~ ALUMINUM STRUCTURES MASTER PLAN
E~tlC. @ COPYRIGHT AL, INC, 1994
A;ps
~s'
4'"
4",
49
I CAGE BRACING
I
~'/(77'L!/u'(/J !
mr I 11
;(; L lF~~~ -
gf ---T~~ 1
TOP :tTRN'S
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a " , "
w w
~ '" ... ~
'" ...
~ '" ... ~
/ " ... "'",
" ...
",. ... '"
~ \Iou. JRACI)lG SEE DETAILS IIEl..ll'J /
,. . 2" 0,8, [)(T,
TYPICAL TOP STRAP BRACING
NP WALL BR...ONC
DET AILS
R[][J' L ......LL BRACING RECUIRED
rrR GAJLLflIP,rL'" T
so: NDTts J(lJl'oI
///// $/////~
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V8 \J/~ tUl SXS
CllRNER CCi..Ui't-l
I
~
:tT AlM.nS STI1:L
CABLE HlN THl~SS
3/32'
318" E'It: IIlL T cry!'>
VI IXJJBLE V-.sHER , NUT
EK:H mE
~ -..r
111I'
NOTES: CORNER CABLES OR RIGID BRACING SHALL BE USED ON ANY WALL NOT DIRECTLY FASTENED TO THE
HOUSE IN ORDER TO RESIST DIAGONAL STRESSES DUE TO WINDLOAD. THESE CABLES SHALL EXTEND DIAGONALLY
FROM EACH CORNER. TENSION SHOULD BE ADJUSTED BY THE USE OF TURNBUCKlES. TURNBUCKLES SHALL HAVE
LOCKING DEVICE TO PREVENT LOOSENING, THIS STAINLESS STEEL CABLE SHALL BE AT LEAST 1750 POUNDS TEST
STRENGTH. THE BOTTOM OF THE CABLE SHALL BE FASTENED TO THE SLAB WITH THREE 114" FASTENINGS OR TWO
5116" FASTENINGS WITH A 1/8" STRAP, EITHER WALL BRACING OR TOP STRAPS SHALL BE REQUIRED,
ALUMINUM STRUCTURES MASTER PLAN
ENGIt-EERING INC. @ COPYRIGHT AL, INC, 1994
45
B E A ~~
PURUN
TO COLUf,1f\j
TO COLUM~~
CON~JECTIONS
CONNECTIONS
2' 5MB
/
2.2P( ./
"':>:
".q:
""w
0""
o
"z
l\J-
..-
I
U~E 4 MIO SMS EACH : 0
SIDE FOR@ @POST I
ALL OTHERS SEE I
rASTENER SCHEDULE I
BELDV ~ 0
I
~) \
m
>-0
"
0l\J
0..
r
u-
C;Ge
ZO
t..
l\J
~
OVERLAP
BEAM
x
o
..
DETAIL CD
I X 2 09. INTERNAL SCPEVED
VI 2 010 1 1/2 SMS 1 X 2 DB. INTER~'AL ~CREvED
VI 2 0:0 I 1/2 SMS
0
2 510<8 c ..
w "-
:>
w :> ""
0 0 '" Z 7:
u 7: '"
'" ::J
-' ;.,
USE 0 0 ",0
u
r AS TENER x D
SCHE DULE 0 ",>-
T I ME S 2 z
0 0
GUSSET PLATE --1
MIN THICKNESS
EDUAL TO BEAM
DET AIL @
F ASTE~JER SCHEDULE
pos T SIZE FASTENERS RE00:REO
@@ ? . ) PB 4 1'0 SlAS EACH SlOE
<D 2 . 4 PB 6 110 SlAS EACH SlOE
f[) 2 . 4 SlA8 8 l' 0 SlAS EACH SlOE ..
@(D 2 l( 6 sua 10 110 SlAS EACH SlOE
Q)@ 2 x 7 sua 12 1'0 SlAS EACH SlOE
CD 2 , 8 5MB 12 110 S,",S EACH SlOE
@@ 2 . ~ 5MB ,. 110 S,",S EACH SlOE
2" SU8 ,ll
U
USE 4 _10 SMS EACH n
SWE rOR @ @POST: 0
ALL OTHERS SEE n
rASTDJER SCHEDULE n
BELOV. ~
II 0
n
CVERLAP
8EAM
DETAIL G
PURLIN
NOTCHED TO REG. PURLlN -_
1/11;i" REG. CHANNEL
4 11'0 SlAS
EACH SIDE
/1
DETAIL CD
~~
c ..
w"-
~ :>
'" z '"
~ ~ ~
N 8 M
Xo
l\J>-
~
.10 I 1/2 SMS
24' ON CENTER
( ALTERNATE CONNECTION - (2) #10 x 4"
SMS ANGLED INTO PURLlN )
COLUMN
PER SCHEDULE
NOTES, IX2 OB AND 2X2 PB CAN BE ROTATED IN ALL CONNECTIONS DETAILS,
EXAHPLE, USING DETAIL @ IJITH THE TOP "X" AND IX" POSITIONED UPRIGHT AS SHOIJN IN
DETAIL @ IS OK, USE rASTENER SCHEDULE or GUSSET PLATE AS INDICATED
ALUMINUM STRUCTURES MASTER PLAN
ENGIt-EERING,INC, @ COPYRIGHT AL, INC. 1994
39
POST I COLUMN TO CONCRETE DETAILS
Typ, S.N,6, Or Snap Column
Scree n
SECONDARY
2x2 ,093 Angle Each Side
Of Column With 110 SNS
(SEE SCHEDULE)
PRIw..R'f
2" x 2" I .093 Angle Each Side
2 Each 1/10 SI.IS Each Side
o
o 0
Concrete Anchor(s)
(SEE SCHEDULE)
AI'
~ ..,
.,
SIDE VIEW
1/4. Concrete Anchor
2 E<lch Side 1- 112" S"'S
Typ, Snap Column Or S.I.I.8.
2 Each
#10 SNS Each Side
PRIMAAY
2x2 .093 Angle
1 14' Concrete Anchor
Thru Primary Angle
!x2 8<lse Plate Typ,
<1
<1
2500 PSI concrete~<1
4
<1. <I'
44<1
<1
<I
..,
I 1.
..,
4
<I
FRONT VIEW
<1
4...
"
I.1AX SPACING --1.
24" OIC
.1 I.
MAX,
f5'
.1--- MAX SPACING
24" OIC
t-.lAX .
6"
Concrete D=k Edge
Screen
TOP VIEW
PRIMARY
2. x 2" x .093 Angle
SECONDARY ANGLE SCHEDULE
COLUMN TOTAL TOTAL #10
SIZE CONCRETE SHEET
ANCHORS METAL
SCREWS
4
4
6
6
6
6
*
Concrete Anchor
(See Schedu Ie)
2x4
2x5
2x6
2x7
2x8
2x9
2 1/4"
4 1/4"
4 1/4"
4 1/4"
4 1/4"
4 1/4"
110 SLlS Typ,
~
SECONDARY
2' x 2" X ,093 Ang Ie
(TYP.) 2x6 S,N,8, Column
Ole tor S,M,6,
32
ALUMINUM STRUCTURES MASTER PLAN
ENGIt-EERING. INC. @ COPYRIGHT AL, lNG, 1994
I SIDE 'w' ALL COLUMN TABLE I
L:5 RID" IICAM ~
JO" t
~
HEIGHT t
NTE j HEIGHT
72'
T -L
I~ Lb ~I MANSARD
GABLE
MAXIMUM COLUMN HEIGHT
IN DECIMAL FEET
SCREEN WALLS 13 PSF - SCREEN ROOF 7 PSF
WIND LOADS UP TO 120 MPH
(D) (F) (G) (H) (I) (J) (K) (l) (M) (N)
SPACING 2X2 PB 2x3 PB 2x3 SB 2x4 PB 2x4 SB 2X4 5MB 2x6 5MB 2x7 5MB 2x8 5MB 2x9 5MB
3'-0' 9,75 13.00 13.83 16,00 16,50 18,50 X X X X
4'-0' 8.67 11,67 12,50 14,50 14,33 16,67 X X X X
5'-0' 8.00 10,83 11,50 13.00 12,83 15,50 X X X X
6'-0' 7,33 9.83 10,83 11.83 11,67 14,50 19,33 X X X
7'-0' 6,83 9,17 10,17 11.00 10.83 13.67 17,83 19,67 X X
8'-0' 6,33 8,50 9.67 10,33 10.00 12,83 16,67 18.33 X X
9'-0' 6,00 8,00 9.17 9,67 9,50 12,00 15.67 17,33 X X
INTERPOLATION OK
I CHAIR RAIL CONNECTIONS
DETAIL CD
INlERKlR V a-tANNa
W/ 4 flO _
t /1.' REtEVlNG a-tANNB.
1011101. ;r
W/ .. 110 SllS
/
1Ifl'fN0II ~ASmINO
2 110 !IllS I III
_ 011 _ S2I:T1llNS
EXTERIOR @
CHA IR RAIL 11
CONNECT I ON
INTERIOR @
CHAIR RAIL 12
CONNECTION
INTERIOR ~
CHAIR RAIL ~
CONNECTION
ALUMINUM STRUCTURES MASTER PLAN
ENGIt-.EERING,INC. @ COPYRIGHT AL. INC, 1994
31
~-
",",.::~.,-..,._."
POOL ENCLOSURES, RAILlNG,CARPORTS & SCREEN ENCLOSURES
f,;.;- ),. '>w<
)/.0
,
~~.
[) Al ~~,
PH, # (
CITY
CITY
PH.# ( )
8209 New York Ave. 2476 Silver Star Rd.
Hudson, FL 34667 Orlando, FL 32804
Phone: (813) 868-8802 Phone: (407) 298-0096
Fax: (813) 862-0483 '1IIIr.. 1-800-818-8804
" SM.-~~5'~/{.,~~i..rLc~/ 198),.. "
0', ... .. '. ..,
/ :, ~ <-{ q;~~1 1u)- ZI~ATE./
/ ~P
APROX. DELIVERY
(ij~ ~ICOASTAL
CRAFTSMEN
· ALUMINUM, ING
SOLD TO'
ADDRESS
JOB ADDRESS
JOB NAME
/
',,;
, --
~'/
-~
------------------------------------------------.--------------------..------------------------------------------------------------------------------------------------------
HEREINAFTER REFERRED TO AS "CUSTOMER", AND COASTAL CRAFTSMEN ALUMINUM INC. REFERRED TO AS COASTAL. 1. Coastal agrees to
furnish labor and materials forthe improvements on the above real property according to the following specifications:
COLOR
ROOF STYLE:
WALL HGT,
END WALL:
RISER WALLS
ELITE ROOF
PAN ROOF
FAN BEAMS
DOORS
X CHAIRRAIL
GUlTER
DOWNSPOUTS
KICKPLATE
FLA GLASS
POSTS
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CARRY BEAMS
PERMIT YES
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APROX, ROOF SQ, FT, /,
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APROX. WALL SQ, FT,~
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STAINLESS STEEL FASTENERS-YES_NO,-,:::,:
DIRECTIONS:
DESCRIPTION:
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A survey sheet or a plot plan and complete legal description Is required on all pool and patio enclosures
PERMIT MUST REMAIN POSTED UNTIL FINAL INSPECTION
CONTf!ACT PRICE
DEPOSIT
BALANCE DUE
..",.... "
CONTRACT SUBJECT TO COMPANY APPROVAL
2, CuSlome, agrees 10 poy and Coos"" agrees ID perform the IOIOIk IlK 1M sum ..., below p~ on cornplfton /lni poyITlents noC paod WIIhtn I/wty
days d comple""" Cuslomer agrees 10 poy onte,est at one-h" pe,cent (' ,5%) pe' month, Irom 1M c~ dala 3. The IOIOIk wit be prefOlmed on
01 aboullhe dale hOled below 3, Cuslomer agrees 10 cooperate wiIh Coaslal and make the property accessible in Older 10 perform the IOIOIk described
here... 4, LIMITED WI>RRNfTY, Coaslal warrants Is work 10 be dona in a worlmanl..... mamer and 10 cOlTlply WIth the specllCallons set lOI1h here..
SaId wallanrv and liWly on the part 01 Coos.... is Iomced ID one (1) yttar from the dale 01 completion, during which lima Coas""all'eeslD ,e.elCCloCelK replaca
arT'( delecllYe work or malerlals, and WIll noC be e"ecllw unlns contracl pncl is ~id in IuI I. In 1M evenl oIligalion arising Irom this Agreement, lhe
p'evaoIincl party shoG be enhlled to anomevlees THS IS AHC>>E soucrrlON SAlE, /INL) F YOU DO NOTWNlT THE GOODS OR SERl/lCES, YOU
w\Y CANCEL THIS AGREEMENT BYIoIAUoIClANOTlCE TO SELLER. THISNOTlCE MUSTNllCATl: lliotoTYOU 00 NOTWNlT THE GOODS OR
SERVICES. NCJ MUST BE POST~O BEFORE MIDNIGHT OF Tl-E THRO O,W AFTER YOUSlGN THIS AUREEMENT
This proposal does not become a contract until accepted by a corporate officer, if it is not accepted all payments will be refunded.
Purchaser Date L1C.# CGC47465
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Coastal Craftsmen Aluminum Inc., By:
THIS PRICE GOOD FOR~DAYS
PLEASE SIGN WHITE COPY AND RETURN WITH DEPOSIT
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/ TIlE POOL PROPOSED FOR CONSTRUCTION AT THE AIJOVE ADDRESS
DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVE1~HEAD FACILlTfc.s OF
FLORIDA POWF.R ("ORPOR,'\TJON. PROVIDED 't.WA" '. I-tl. Ilf.\J'_'L.. H; H'I~7''''ILLI:D 11'(
Till.} LU(;A-nUN :SHUWN ON 'l'i-iE ATTACHED SITE PLAN PROVIDED TO lIS r.~y
THE POOL. CONTRACTOR, :.'
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THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS
DOES CONFLICT \VlTH O/H VIr; FAr.lt rrpiS OF FLORID^ PO'NC/(
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AiikANGEMEN'rs HA V~ n~IiiN M,,\Du 'rYITH US FOR H.4~V<":^TION OF 'tHE
t'^lJ1rITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE ATTACHED SITE
PI-AN.
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FLORIDA POWER CORPORATION
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STEPHEN F. BUNNER
D1STRlI3UTION ENGINEERlNG
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ZEPHYRHILI.S opeRA liON CENTER: J 6453 0.'0" Roed · Zephy,t-,.Il, . Flonda J 3 54 \ . (81.')) 7\J J'~' '1'1
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TEL;813-372-5117
reb 13'97 12:21 No.OOS
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STEVENS POOLS INC.
2816 LAND 0' lAKES BLVD,
LAND 0' LAKES, FL 34639
(8131948-2230/ fax (813)949-1833
QInmrad
DATE: Rfb C1. I CfC[7
~ ~ THis fORM, WHEN 'pROpERly SiqNEd by bOTH PARTiES AqENTS, CONSTiTUTES A CONTRACT bETWEEN THE OWNER
· ANd THE GENERAl CONTRACTOR AS dESiqNATEd bElow, AT THE pRicE, ANd CONdiTioNS HERiN SET fORTH ON THis fORM,
LEGAL OWNER (S) MB..tNOA Lon.1llE ~A.lEC. I h~'-l VILLA (IE' {-\o~.U-~~
AUTHORIZED AGENT/GENERAL
CONTRACTOR 'fl." \J ,I'~UC:S . . PHONE to5"t( -06 {J 6 fcJ
LEGAL MAILING ADDRESS
INST ALA TIOtiAPDRESS ({if D I }J oIL 711- {,4 f F Or2/ t./L
COUNTY ~ S(,,'D
LEGAL DESCRIPTlTON Lo-, '71 ,~TE.P~~ GLeIV tJ AT
33sy/
JfB PH~NE -
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ThE OWNER ShAll SECURE pROpER PERMissioN fOR ACCESS of CONTRACTOR'S EQuipMENT if such ACCESS is ACROSS pROPERTY
OThER ThAN OWNER'S. ANY TREES, bushES, sod, wAlls, fENCES, spRiNkLERS, SEpTic TANks, WATER OR SEWER liNES, dRivEWAYS
ANd sidEWAlks OR OThER ObSTRUCTioNS AbOVE OR bElow GROUNd iN ThE AREAS REQuiREd fOR CONSTRUCTioN UNdER This
CONTRACT shAll bE REMOVEd, CAREd fOR ANd/OR REplACEd by ThE OWNER, EXCEpT AS STATEd hEREiN.
ThE OWNER ShALL bE RESPONSiblE fOR ThE supply of WATER ANd ELECTRic TO ThE job SiTE.
ThE CONTRACTOR AGREES TO REMOVE EXCESS diRT fROM ThE SiTE ANd will GRAdE ThREE fOOT AROUNd dEck AREA TO 800/0.
ThE CONTRACTOR AGREES TO hANdLE ThE WATERiNG ANd iNSTALlATioN of hydRosTAT liNE UNdER pooL.
ShOTCRETE USEd iN pool WALLs TO bE A MiNiMUM of 6 iNChES, flOORS 8 iNChES, 4,000 PSI wiTh STRUCTURAL STEEl
REENfORCEMENT J/8 REbAR TiEd ON 12 iNCh CENTERS.
All plUMbiNG will bE Sch 40 PVC pipE.
ALL MANUAL pool CLEANiNG EQuipMENT, i.E. EXTENSiON poLE, lEAf RAkE, WAll bRush, VACUUM hEAd, skiMMER NET ANd TESTER
kiT ARE iNcludEd.
All CONSTRUCTioN ANd MEChANicAL dETAils COVEREd by This CONNTRACT ShAll CONfORM TO lOCAL COUNTY COdE.
Pool SiZE: r ti u t , Pool DEpTH '"3 + 0 S
SUffACE AREA 3G7 if rll . , PERiMETER 6 Cf RETURNS LJ
MAiN DRAiN "Lp<;. '. SkiMMERS 'lE- - , AddiT~ONAI PIUMbiNCj 'R~M ~ R-.x2.. V ;1 e..
DEck SURfACE AREA =?-d:.a 6. FiNisHDe.s,"er\. d-eQj{ _ Pool PUMp \ ,0
Pool FilTER 1()6I:fl f .i..07l1/~ . AddiTiONAl EQUipMENT
WATERliNE TilE {.;. Ij t tJ Hot I Y u Y--r:{1 .- ~ ,A--L
Pool EdCjE /dl y ,.. ~ P~l Lu\.ju
AddiTiONAl TilE I ,JoJ -I- ^ \( ~ t"'> t:-J ~NCiJ .-1- S-.-rJO- Q5:'
UNdERWATER LiCjHTiNCj~I-..\ ~h~ ~ INTERiOR FiNiSH Q;~-r~ 00 J...E. -.- - Te:~ A~L -l- Wi'" Ill:s"
OTHER SPECifi,CATio~~tc,,~l 6A/1Ll:=; 'U-HIQ::' -lV 11J/\'l" '2.. OCkf)S. I tS ~ _ '!_
CONTRACT PRICE E.E:JJ~~J.J =rr{dLl.~t)f\JQ - , IAR ~ )
SCHEDULE OF BILLlNC; $
DEposiT '" ,." ,'.." ,,'.' ,.."'..,,, ,,'..,.. ,'., ""'.",,'...,,, '.", '....", .'...,'.'.",'.. "",." '.., "'..,,, '.."'..",, ..",,'..,,'. .'., ".., $
ExCAVATiON JIfHo ,....,",..,",....,',..."....,J.S..,~a...~A,~,..v.JLLA~"",...,,'..,..
CONCRETE SHEll ~ ",..,"""',..,",..,..,...,',....,',..",~CHW,v.~.,.,..,,..,"""'.""",,,,'... $
DEck 26% "..,'.", ,'..,,'.'., ",..."" '....,. '..",'..",'.."...., ",'.,..", ",'..,..""", .'."""", ....,'...", ....,'..", "', ",'." $
MARCiTE 11'% .,..""" "'..",,,'. ""'.",,'.,..,, '.." "",,'..., "'.,,, ,'., "'..,, ,'.. ""'.,, "..",'..",'.",..." "',' "..", "',' "',' $
FiNAl PAyMENT""..,.,..,.""".."""""..,..,.",..,.""",..",..""..""..",..""".",..""".",..."".""""",.",.."".. $
FiNAL PAYMENT is dUE WhEN pool is filLEd wiTh WATER, EQuipMENT is iN RUNNiNG ORdER, ANd WATER hAS bEEN
ChEMiCAlly TREATEd SO AS TO bE dEEMEd "SWiM REAdy".
THE SPECIFICATIONS OF THE ABOVE CONTRACT AGREEMENT HAVE BEEN DISCUSSED AND AGREED UPON BY THE
FOLLOWING PARTIES'
ACCEPTED ~/!d-/d 71~
OWNER &!~ t~ JUc.
DATE
2-- - /7 - '7 7
2. - I 7 '- 7 7
DATE
Bonded
Insured
Lie, No, RPOO60188
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97018819
Rcpt: 133528 Rec:
DS: 0.00 IT:
02/20/97
O'P':: COMMENCE~
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Dpty Cler":::';
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FLoilio~.
County of
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State of '
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TllEUNDERSIGNED heI.'eby gives no.tice tha't improvement will be made to certain".
real.prc;>pe'rty ,and i;n accordance with .Chapter 713, Florid:a. Statutes, ~he'
foTl'owing, ,-information is 'provid~d in this 'Notice of Commencement:
, ,
1< ': ?..e~cri.l?tion of Property: Parcel No. Lor 7/ a:(:' 5",evEnS 6tlini A-r
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'._ ~,.-:..., Sf '--Vel Oa~ ~ -tV\fU. ~ ~ lY\o..p .~\(... ~ '2-- ~ !?t.t o.M,o.55 ~ ()p~' Public ~
. (Legal .de~cr~1?t~on of the pro,perty and street ad~res,s ,~f aV~~lable),
'C()lJc~ SWlm~~\V)'t ..~I,
JED PITTMAN PASCO COUNTY CLERK'
02/20/97 11 ~ l1a. 1pSof 11"'09 -:-
OR BK 3700 ~ ,
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3.;' Owner Information: Name rn eutYDA mRtECJ
l\ddre s s ,{p qo { /IJtrrH1 lata Or: .Cit. y 2e{Jhlrhi" 5
..... Jnterest in Pr.ope.rty: Dwnet2-
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State FJ
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Name of Fee Simple Titleholder.:
(If other thgn owner)
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Co;'tract~r:Name' ahMe .t1tJ&15J~~ 12o.is. tb- z,.dt9~br:Mtqy.
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Adlrtss ;J7,?;L( uJHJ tJrJP"Cityc:t'~ OtJ<..O/TGtf/J . StateFf-.. .
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.. ,Su:r:etJ;"': Name
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Amoun t of Bond: .:. $
6. Lender: Name
Address
State
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City
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"] . Persons .within .the State ot:' Florida designated by Owne~ ..upoh,::.:wh.c?m'
no,tices " or other documents may be served as prov;!..ded by 'Sctct.ion'
.:713.13(1) (a) (7), Florida Statutes:
Name
Address
Ci~cy
state
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In ,addition to himself, Ot.;ner'designates
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of , to' receive . a copy '.of.!, the
Lienor'~ Notice as provided in Section'713~13(1)(h), Florida Stat~tes~
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/..l:xplx'(lt.:iol1 uut.e of NoL:J,ce of C()lIIiflCHC~HIClll.: (Lhe cxpiratioll' date is 1
from the .!date 'of: recording unless a different.dat,e is specified.)
~".. mF(,~ A ~ _~~ K. MA-l.i;"': >: .',
SignatureofownerAJ~C/.~ K~t, fi1~.
.- ", ,Sworn 'to and subscrihed before ''l:t~ d;;y. 'of FEO' ',.,.. ';.,: '~:' 1
, , ,.,q ~7 1<I")'VLurJ ,0 ~TA IE OF fhJ~j~" ./~ . .
I" '.19:',/::" . COUNTY OF PA~cb ' . ./J:.:..
, , i!il<; I$; T0' ~:mTIf'f tHAT THE fOREGC1NG IS'K' " '
I N61tary Publid:1 T/iUE AN r:ilf:S[;~! Olf''! 01' Tl-il:r;Oi,;I.I~:t:i~T O:\'f!i,.E .
~n r-\~~^r.t" "~_' THiS Orn~.'::': ~. :""~\!r.~~) ~4Y . I .'
, ~ '( Po LO A . TE NS Of
. ~A't COMMISSION 1# CC 437787 . "
~ ;: EXPIRES FEB 21, 1999
-~ !:2 BONDED nmu
'<"'or ,\.I.)~ '-TLANTIC BONDING CO" INC,
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APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
( ~,~)
o 6CJ - O<OOG:,
, Ciry
')~./ ,
~/r;f'
OWNER'S N~\ '\ --e. \ \f\ d~ Me-I \ e c~
OWNER'S ADDRESS G 9() '\ f\J L ~ ~ e.. D(L .
JOB ADDRESS G ~ 0 If\). L ~ Ie e.. \) e.
LEGAL DESCRIPTION: LOT(S) if 10 BLOcRXrYXSDBDIVISION
PARCEL I. D. t () 5 'L (r Z \ (') I 5<0 CbCco () '7 \ () (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -.-.Alteration _Repair ~nstall
PHONE
_Sign
_Move
_Deaolish
.
PROPOSED USE: _Single Faaily
_eo..ercial
_M/F _' of Units _M/H
_Indust. ~Wia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRlPTIOII OF liORK: C mC\ -f ~ c: ~ ,<Y) '~ fbO L
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 FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
/..s . t!J7}7:) . t9-O Valuation of Total Construction
,
AtIP Service ~lorida Power Corp.
W.R.E.C.
_ELECTRICAL
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF COliSTRUCTIOII: _Block _Fraae _Steel
Other
FltUSHED FLOOR ELEVATIONS:
FT.
IS PROJECT III FLOOD ZONE AREA?
******************************************
YES NO
BUILDER
CONTRACTOR SECTION
COMPANY
f'()(>(Cl t 10J In( -
/
Signature
~
G\S d
State Cert. or Regist. .
City License Registration t
*****************************
ELECTRICIAN
=~h~~2 t~~~~
City License Registration t I "\ L
************************************
YcoLs a #vi) Cc0PcGt f- /UI')
State Cert. or Regist. .
City License Registration t
******************************
PLUMBER
v
Signature
KECHABICAL
COMPANY
State Cert. or Regist. *
City License Registration .
************~*****************************
Signature
, OTRRR COKPANY~& ~JI\. ~~.
(H'Q,) ~~ ~ State Gert. or Regist. tQ~i{"1'<{~
Signature' G_ . City License Registration t 0 a... a~-,
*** **************************************
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to .deed restrictions. which JaY be lOre restrictive than City
regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired 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 JaY be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
.Contractor Sections. of this application for wbich 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 lay be an indication that be is not properly licensed and is not entitled to peraitting 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 Law - HOII!OWIler's Protection
Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sonone other than the
"owner", I certify that I have obtained a copy of the above described docUJeJlt and prOllise in good faith to deliver it to the
"owner" prior to couenceJent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all tbe inforJation 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 bas COIIeDced prior to issuance of a perJit and that all work will be perfoIled 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 governJental agencies JaY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* DepartJent of HnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and HnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Rngineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, HnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
* US HnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill Jaterial is to be used in Flood ZOne "AI or "A,etc.', it is understood that a drainage plan
addressing a NCOJP8Dsating volUle" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
A perJit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOll thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoIe invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, aay be
allowed for tbe perJit with fee charge of $15.00. .The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOt'ICE OF COMMENCEMEIft' MAY RESULT IN YOUR PAYING NICB FOR IMPROVBIIBIft'S TO YOUR
PROPERTY. IF YOU IIft'KIID TO OBTAIN FINANCING, CONSULT WITH YOUR LEIDER OR AM AnoRm BBFORE RBCORDING YOUR JlOTICE OF
COMMHNCEMEIft'. JOBS UNDHR $2,500 IN VALUH 00 NOt' NBBD TO RECORD AID POST A "NOTICE OF COMMENCHMHIft'".
SIGJlATURB: OWIIIR OR AGHIft'
SIGJlATURE: COIft'RACTOR
STATB OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE 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 WhD 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
CENTRAL PERMIITING OFFICES:
. Dade Cily: (904) 521-4206
37918 Meridian Ave., Rm 234, Dade City
. New PorI Richey: (813) 847-8126
7432 Little'Road, New PorI Richey
. Land O'Lakes: (813) 929-1266
4111 Land O'Lakes Blvd, (US 41), Land O'Lakes
THIS APPLICATION MUST BE TYPED OR PRINTED IN INK
AND IS VOID IF NOT PERMJITED ~ITHIN 6 ~NTHS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
------
~ffi~~~~ TJ~~a~Q&.OTD'l/OPRJf~~t~~~_j~LO~~g:~:~
'~ OWNER'S ESENT ADDRESS: .51'\ t1I\E CITY: 2- H ~ \ l~ STATE: F'L ZIP
~
o
. FEE SI PLE TITLEHOLDER'S NAME (It olher than owner):
addr (II applicable):
CITY
STATE
ZIP' '
~~RI~~;WO~----~~nc~~-S~~M~9-~DL-------------
~ LIVING ARE.A PATIO: GARAGE: ENTRY: TOTAL UNDER ROOF:
~ , BEDROOM, "BATHROOMS:__ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER:
to FILL Y_
z
o . IF MOBILE t ME OR RV: MAKE
1=
Q.
0:
o
en
w
c
YEAR
SIZE
~::~~:::':::::::::'::?:::::::::'::::::~:~~:::~
. WORK CODE: kWl'%hWih] PLANS ON FILE? 0 NO 0 YES
MODEL NAME:
VALUATION: $
15,DOO'C:>O
. BONDING COMPANY:
~ ADDRESS: CITY STATE ZIP
0
0 . ARCHITECT/ENGINEER:
...J
to
a:: ' ADDRESS: CITY STATE ZIP
w
i= . MORTGAGE LENDER:
0
ADDRESS: CITY STATE ZIP
. CONTRACTOR:_6!ffl-ne
SIGNATURE:
~
o
9 STATE L1C # (it applicable):
to
15 . ELECTRICAL CONTR
t; SIGNATURE:
~ ADDRESS'
!Z S~ATE L1C "(i' appli
8 POWER CO:
." : MEPHANICAL CONTR~CTOR:
, SIGNATURE:' "
ADDRESS:
,STATE L1C # <il applicable):
o NEW 0 ALTERATION VALUATION: $
PHONE # <
CITY STATE
PASCO CO COMPUTER 10M:
(Required)
ZIP
. PLUMBING CONTR~CTOR: S r!fJne 8ftt/8I15/Sml/6f15 PctLS TII6- tnd Geo~r(7.- fr't11::' LUMBiNG
SIGNAT.URE: ' . . PHONE # ( ff/3) 90/''1 - ~21;!..: FEE: <
ADDRESS: fl734 L-O-L-I3Iu:! CITY li2ncl {) ~ STATE PI ZIP gtfc,3Q
STATE UC # (iI applicable): ~~OO(P 0 \88 PASCO CO COMPUTE!l-IDN: f..p5fo-z..
# FIXTURES: - SEPTIC PER 1#: SEWER: V ' WATER: /' WELL:
. OTHER CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE L1C 1# (il applicable):
TYPE CONTRACTOR:
PHONE # ( )
CITY STATE ZIP
PASCO CO COMPUTER 101:
VALUATION: $
---------------------.---------~--~~~.
OTHER FEE TYPE:
. . .. .. .
:-:...:.....:-::.:.:.:;..:;:>.:... ....
----------------------------------
JOBS UNDER $2,500 IN VALUE DO NOT NEED TO
RECORD AND POST A "NOTICE OF COMMENCEMENT"
. .. ..
. . .. .' .
. TOTAL BUILDING PERMIT FEE:
$
" " "" NOTICE..'..
BOTH THE OWNER AND CONTRACTOR OF RECORD (License Holder) MUST READ AND
(permillorm 10/91) SIGN THE REVERSE SIDE OF THIS APPLICATION
EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERM/ITING STAFF
/'
-'t(~,!:,'AJ ]~;~:-J ~~-:<';;::!'.:;'/'~ ,,?(j':
.,.",,99NOITJONSOF P~~,~T AFFIDAVIT
'~i ;
A. NOTlCF OF DFFD RESTRICTIONS
Tho undersigned understand thaI this permil may be subject III 'deed reslriclions" which may be more restrlclive than County regulations. The
undersigned assumes rosponslbllity fO( compliance with any applicable deed reslrictions,
B, j,JNIICENSED CONTRACTORS AND CONTRACTOR RESPONSIAIlITIES
II Jhe owner has hlred a contractor or contraclOrs III undertake work, they may be required III be licensed In accordance with Slala and local regula-
lionS. II Jhe conl1actor Is nOllicensed as required by law, both the owner and contraclllr may be ciled lor a misdemeanor violation under slate law, II
Jhe owner or intsnded contractor are uncertain as III whallicenslng requiremonlli may apply lor the Inlandod work, they are advised III contact the
Pasco County Building Division - Ucenslng Section at (813) 847-8009.
FurJhennore, lIthe owner has hired a contractor or contractors, he Is advised 10 have tho contractor(s) sign portions 01 the "Conltac:tor Block" 01 this
application for whictlttley will be responsible. II you, as Jhe owner sign as the contractor, you are Indicating thaI you, ralhor than the contraclOr,are
rospOO6lble for lho work. little contractor wlshElli you III sign as contract9r,ttlat may be an Indl~,on that he 15 not properlylioensed and Is notendded
10 pennilling privileges In Pasco County. .)!' \ '\' '''': <)
c, rRANSPORTATION IMPACT/UTILlTIE=S IMPACT AND RESOURCE RECOVERY FEES
The undersigned understand that Transportatio'llmpact Fees and Resource Recovery Fees may apply III the consl1uction of new buildings, change 01
use In existing buildings. or expansion 01 existing buildings, as spedfied In Pasco County Ordinance numbers 89-07 and QO-o4, as amended. The
undersigned also unden;tand that such 1006 as may be due will be identified at the time 01 permitting, 1115 lur1her understood that Transportallon Impact
Fees and REIliource Recovery Fees m:Jst be paid prior III rec:eivlllg a "certificate of occupancy' or final power release. II Iho project does not Involve a
certificate 01 occupancy or final power rolease, ttle foos must be paid prior III pennltlssuance,
FurJhermore, II Pasco County Water/Sewer Impact lees are due, ttley must be pa:d prior to permit issuance. In accordance wittl applicable Pasco
County Ordinances.
D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Slatutas, as amended)
If valuation of worX is $2500,00 or more, I certily that I, the applicant. have been provided with a copy of "Florida Construction Lien Law - Homeowner's
Prolaction Guide" prepared by the Aorida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner: I certify that I
have obtained a copy of the above desaibed document and promise in good faith to deliver it to the "owner" prior to commencement.
E. CONTRACTOR'SIOWNFR'S AFFADAVIT
I certify that all the information In this application is accurate and that all work will be done in compliance with all applicable laws regulating construc-
tion, zoning, and land ~evelopmenl. " '
Application is hereby made to obtain a permit to do work and Installation as indicated. I certify Iha1 no work or Installation has commended prior III .
issuance of a permit and that aU work will be performed to moot standards 01 all laws regulating consl1uclion. County codes, zoning regulations, and
land development regulations In ttle jurisdiction, I also certify that I understand !hat the regulations 01 other government agendes may apply to !he
inlanded worX, and ttlat Ills my responsibility III Identify what actions I must take III be In compliance. Such agendElli Indude but are not limited to:
o Deoartment of Fnvironmental Reaulation - Cypress Bayheads, Weiland Areas and Environmentally Sensitive Lands, WatorlWaslawater Treatment
o Southwest Florida Water Manaoement District - Wells, Cypress Bayheads, Weiland Areas, Altering WatercourseS
o Armv Coms 01 Fnoineers - Seawalls, Docks, Navigable Waterways
o Deoartment 0' Health & Rehabilitative Services Environmental Health Unll- Wells, Wastewater Treatment, Septic Tanks
'"
o US Environmental ProtAC1io:1 Aoencv - Asbestos abatement
I understand that the following restrictions apply to the use of fill:
o Use of fill is not allowed in Flood Zone "V" unless expressly pennittad,
o If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submittad at time of
permitting which is prepared by a professional engineer licensed by the Stala of Florida,
o If fill malarial is to be used in Flood Zone "AM in connection with a permitted building using stem wall construction, I certify that fill will be used only
to fill the area within the stem wall.
o If fill material is to be used in ~ area I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect
adjacent properties, the owner may be cited for violating the conditions of the building pennit issued under the attached pennit application, for lots less
than one (1) acre which are elevated by fill an engineered drainage plan is required,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing
construction,
I understand that a separate pennit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not
specifically included in the application.
A permit Issued shall be constr~ed III be a license III proceed with the work and not as authority to violala, cancel, alter, or set aside any provision of
the lachnical codes,nor shall issuance 01 a permit provent ttle Building Official from thereafter requiring a correction of errors In plans, construction, or
viola.lions of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit
issuance, or if work authorized by the pennitls suspended or abandoned for a period 01 six months after the time the work is commenced. One or
more extensions 01 time, lor periods not to oxceed 90 days each, may be allowed for ttle permit. The extension 6tla1l be requestsd in writing to tho
Building Official, An approved inspecllon must be logged during each six-monttl period, or the proj will be consider abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN E
TWICE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU INTEND TO OST I
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM
?
DATE 2- - r
DATE
J..//'1-Q1
NOTARY AS TO
OWNER OR AGENT I
~'t Pl/d' LOR J. STEVENS
~ &'6 COMMISSION # CC 437787
MY COMMISSION"" lS EXPIRES FEB 21,1999
~ ~~. BONDED THRU
EXPIRES Of f\>" ATLANTIC BONDING (;0 1Nr.
NOTARY AS TO
CONTRACTOR
MY COMMISSION
EXPF'S
k~"-:'
o -
. 0
~
MARGIE H. TUBBS/
State of Florida
My Comm, Exp, July 31, 1999
Comm, It CC 484151
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TILE TYPE: /- OL! '/ iA I/))(J
DEPTH J!o' TO 5 -~ /f
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HTfI (TYPE &. SIZE):
AL TEA:
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W ATIS:
SWlMOUT: ""_
LADOER:
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HANDRAIL:
SKlMMER: INC.
MAIN DRAIN: INC.
REnJRN UNES: aTY:
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ELECTRICAL HOOKUP:
MAINTENANCE KIT:
POOL CLEANER: ~-
CHLORINATOR:
1J7() /'v'1'] Ii 71 (.
SP A SIZE:
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JETS: --
RAISED BEAM:
TIlE RISER:
HEIGHT:
WlDTH: ~_
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SPA PUMP: ...........
SMART POOL CONTROL: a_
BUBBLER:
HANDRAIL: _M
STEPS: ''''''' "
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GLASS BLOCK:
RAISED DeCK: -
. OF STEPs:
RISER STYLE: .,'""'"
FENCE:
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STUMPS;
SCREEN: 011 /2 F .() /1 !/~ /) L V/VJ~ '
;l JJ O()12 ~ 6v-r?j! (l
BRICK OR STONE:
De~NER: (fYJ, rfJ" / DATE:
YARDS FOR SHELL: YARDS FOR DECK:
NametB"y VIU-A6E:' ') MALE C.
AddressJ.1jOI tVo~1iJ LAY.11 t>/J/V!..
City "?--HJJ..tS Phone u'$"lot,04(w
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