HomeMy WebLinkAbout05-4182
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
4182
Permit Number: 4182
Permit Type: SWIMMING POOL RES.
Class of Work: POOUNEW
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 32,000.00
Date Issued: 5/05/2005
Total Fees: 260.00
Amount Paid: 260.00
Date Paid: 5/05/2005
Work Desc: INGROUND POOL AND ENCLOSURE
Address: 37128 CULLENS TRAIL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: DONALD HILDERBRARD
Address: 37128 CULLENS TRAIL
ZEPHYRHILLS, FL. 33542
Phone:
JTB POOL ONTRACTING
HAWKINS ELEC. SERVICE
JTB POOL CONTRACTING
MR.CONSTRUCTION
BUILDING FEE
PLUMBING FEE
ELECTRICAL FEE
POOL STEEL
POOL PLUMBING/PRESSURE_
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) 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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
~~ ~-.
' i CONTRACTOR PERM IT OFFI
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
i/21/o5
PHONE CONTACT FOR PERMITTING
OWNER'S NAME /)OfJa../d lJi/ckrbraA-d
J7/JJ' CL<.j/{ IN TI~i /
LEGAL DESCRIPTION: LOT (S) 77
~ pFRMIT SERVICE
1-866-824-7894
o re
SUBDIVISIONS,kp Jill'S ell/] ai
. S'I/ur u~
(OBTAIN FROM PROPERTY TAX NOTICE)
JOB ADDRESS
BLOCK
PARCEL ID #
WORK PROPSED:~NEW CONSTRUCTION
o SIGN
o ADDITION
o ALTERAT ION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
BUILDING SIZE
J" 'I 62-"
0# OF UNITS
~SWIMMING POOL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
1f1t;I'[)f.t.-A..c1 /Jet/ I-- J-.~C {OS!L-L(
. , ~ O'JL If
SQUARE FOOTAGE 7 fP /. fP
OMULTI-FAMILY
o MOBILE HOME
o OTHER
o INDUSTRIAL
DESCRIPTION OF WORK
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
& (1) SET ENERGY
FORMS.
ICiO. 0~
~..;- ~~
- .;;:;-::>
'~)-
FORMS.
,;uJG,.
})Lh-C.
(ll'\JJllqP; .
fjJ BUILDING
~ ELECTRICAL
~ PLUMBING
o MECHANICAL
$
J rJ, <fiX) , oa
,
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY i7T1J '()J/ {'~~l/WJ/A; Dr
SIGNATURE
\..jV~L U{ ,
(/
STATE CERT OR REGIST #
******************************************************************
SIGZ
PLUMBER
COMPANyMQu..:>\(Jn~ (_ ~ C Sue Co
STATE CERT OR REGIST # ~~ L \. 2. \
**********************************************************
COMPANY
1'19 fJ cd.
SIGNATURE~
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER ?coL t n.dOSL.tre....
SIGNATURE f-.oUJdd. e/.l~b
COMPANY
MQ. C~tJSTRVOlDD
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsU which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsU of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerU, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerU prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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 construction, zoning, and land
development.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AU or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu.
, w-u~~~~)dL
SIGNATURE: CONTRACTOR
~~ ~!{
SIGNATURE: OWNEiloR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~day of Apri I , 2006
by
(name of person acknowledged)
~ho is personally known to me, or
Pa.,6 UJ
STATE OF FLORIDA~
COUNTY OF ~LiJ
The foregoing instrument was acknowledged
Before me this ~day of Apr.' I ,2005'
by
nl (name of person acknowledged)
~ho is personally known to me, or
I ,~,
o who has produced
(type of identification)
and Diid not ta e an oath
.~
taking acknowledgment
o who has produced
(type
Ddid not
Name typed,
f person taking acknowledgement
~~~ ~)(;~ J3ah~
:'J.-.<y;~V\ .\:-:. Comm;s~~i(';, '::Dnl~7)~~
w:in~# fo.:oirS1:chrope6l. 20Uf
/-.-;;; ~)F f~"~~~: t.~ ,,'i'~kJ .. hru
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Name
.',d~1.!!jc Un.:Hting ~'- u. iCL
('d"~ r; f- C '1f-<..1I~
NOTICE OF COMMENCEMENT
State of
~ (~urr..diA.
County of
fJaJ'fD
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is pro\rided in
this Notice df Commencement: /
1. Descrip~ion of Property: Parcel No. 03- l.l~ -,-1-/- 0/ hJ .1000.1 -(} 77/)
L t f 7 "7 (S-.k -pit It 'J t:-i01 Ctj J>!t~r 0 tL /l-J'
(Legal description of the property and street address if available)
,
2. General Description of Improvement IlLjIYJLLA-r/ ,/(J..i..70 / Il.) / ~{/~ e / ()SIt./Lc
~!~~~~~~!~II 1/11' "'11"'" "'" """""""""
3.
Owner TInformation: Name l.Jt It <<. II
Address 37/,)[ (u../I-t/lI 7;yu/
/-/ / I rh t 6 I 'It^ ("I
City 2c~!1j1lLl/J
State;:'!, 35JVJ-
Interest ;in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Rcpl: 876329 Rec: 10.00
OS: 0.00 IT: 0.00
04/21/05 ____ Dpty Clerk
4.
Address
Contractor: Name 77/3 AX)!
Address I' . J ,/].)X ,S-;S-O
City
{l..dAl-f'QCiiAf 7A-c.
City z.'fiyrUb
State
S tatel1, 3J5:} J
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
~~92~~~~MA~8: ~C:;o fOUNT:, C1ERI<
OR 81< 6331 PG 334
City
State
7. Persons within the State of FIorida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of . " . to receive a copy of the Lienor's Notice as
provld<+d m SectlOn 713.13 (1) (b), Florida Statutes.
9. Expiratio!l date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
Signature of ().~~~~~:: "~
Sworn to an,.d, S,UbS~ b,~f,e"re me this /qf./M.-
NotaryPubli~: '~i3c:d.-
My Commi!s-siairExpires:
, PC93053048/A
day of Hpr / I
,20 .05.
.".~:":~:iJ'{;:,..> :- ,::. ,
,",,".
~ "~;'~If'~(/:-:"':
RESIDENTIAL SWIMMING POOL. SPA AND/OR HOT TUB SAFETY ACT
NOTICE OF REQUIREMENTS
ew wimming pool, spa or hot tub will be constructed or installed at
I and hereby affirm that one of the following
- ItS
apter 515, Florida Statutes:
The pool will be isolated from access to the home by an enclosure that meets the pool barrier
requirements of Florida Statute 515.29;
The pool will be equipped with an approved safety pool cover that complies with
ASTM F1346-91 (Standard Performance Specifications for Safety Covers for Swimming Pools,
Spas and Hot Tubs);
All doors and windows providing direct access from the home to the pool and located within the
enclos~re/fenc~ require~ by the Pasco County Land Development Code, Section 530.4(0), will
be equipped with an eXit alarm that has a minimum sound pressure rating of 85 decibels at 10
feet;
All doors providing direct access from the home to the pool and located within the
enclosure/fence required by the Pasco County Land Development Code, Section 530.4(0), will
be equipped with self-closing, self-latching devices with release mechanisms placed no lower
than 54" above the floor or deck;
I UNDERSTAND AND AGREE THAT NOT HAVING AT LEAST ONE OF THE ABOVE INSTALLED AT
THE TIME OF FINAL INSPECTION, OR WHEN THE POOL IS COMPLETED FOR CONTRACT
PURPOSES, WILL CONSTITUTE A VIOLATION OF CHAPTER 515, F.S. AND WILL BE
CONSIDERED AS COMMITTING A MISDEMEANOR OF THE SECOND DEGREE, PUNISHABLE BY
FINES UP TO $500 AND/OR UP TO 60 DAYS IN JAIL AS ESTABLISHED IN CHAPTER 775, F.S.
"
I FURTHER UNDERSTAND AND AGREE THAT THE OWNER AND/OR CONTRACTOR WILL
COMPLY WITH THE FOLLOWING REGULATIONS CONCERNING SWIMMING POOL, SPA AND/OR
HOT TUB ENCLOSURES, IMMEDIATELY UPON COMPLETION OF THE SWIMMING POOL, SPA
OR HOT TUB, IN COMPLIANCE WITH SECTION 530.4(D), PASCO COUNTY LAND DEVELOPMENT
CODE:
1. Construct around the swimming pool, spa or hot tub a MINIMUM FOUR FOOT HIGH FENCE with self-
closing, self-latching gates. The fence must not have any gaps, openings, indentations, protrusions, or
structural components that could allow a young child to crawl under, squeeze through, or climb over the
fence. Gates must open outward away from pool area. The releasing mechanism of the latching device
must be located on the pools ide of the gate and so placed that it cannot be reached by a young child
over the top or through any opening or gap. No opening in the fence may be large enough to admit a
four-inch sphere.
2. Construct a screen enclosure around the swimming pool, spa or hot tub with self-closing, self-latching
screen doors. Latches on exterior screen doors must be minimum 54 inches from the exterior access
standing surface. All screen enclosures require Building Permits.
3. Provide and utilize an approved safety swimming pool, spa or hot tub cover that complies with ASTM
F1346-91 (Standard Performance Specifications for Safety Covers for Swimming Pools, Spas and Hot
Tubs). Such cover must be capable of being securely fastened over the swimming pool, spa or hot tub
when not in use.
I FURTHER UNDERSTAND AND AGREE THAT one of the enclosures described above will be completed prior
to final inspection of the pool, spa or hot tub.
ADDITIONALLY, I FURTHER UNDERSTAND AND AGREE THAT the owner will require his/her pool contractor
and his/her screen enclosure contractor (if applicable) to request and successfully pass a final inspection
immediately following the completion/installation of the swimming pool, spa or hot tub.
IF THE SIGNATURE of the Contractor, acting as agent for owner, appears below, the Contractor promises in
good faith to make the Owner aware of the above-described requirements and penalties before commencing
construction.
lu~_~aL
/ NOTA PUBUC
-', e BahI
'''''''' suzann
,"':;-YPUe" , , #0015713'
::<,,0'\;;;' -:v;": CommisSion, ,
::< ~:;= Expires: Noy 15,2006
"';:;~i ' . . '0:""";' Bonded Thru
/Iffl~~t\~'\' Atlant.ic Bonding Co., lnl:
SE TYPE OR PRINT NAME ABOVE
SWORN AND SUBSCRIBED BEFORE ME THIS
~,DAYOF-B..pri I ,20 oS-
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