HomeMy WebLinkAbout05-4990
I I
"
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
4990
Permit Number: 4990
Permit Type: SWIMMING POOL ES.
Class of Work: POOUNEW
Proposed Use: SINGLE FAMILY R$SIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 45,000.00
Date Issued: 5/09/2006
Total Fees: 487.50
Amount Paid: 487.50
Date Paid: 5/09/2006
Work Desc: SWIMMING POOL _
Address: 5740 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
HOM TOWN POOLS
HOMEOWNER
HOME TOWN POOLS
! ()
;c ~\O~
I ~
BUILDING FEE
PLUMBING FEE
ELECTRICAL FEE
BUILDING FEE
ELECTRICAL FEE
PLUMBING FEE
255.00
35.00
35.00
127.50
17.50
17.50
POOL S EEL
POOL PLUMBING/PRESSURE_
REINSPECTION FEES: Reinspection t1 s will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not sted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements f this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this ounty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for
improv ents to your property. If y u! intend to obtain financing, consult with your lender or an attorney
before ing your notice com hcement."
~~
PERMIT OFFI
~PECTION - 8 HOUR NOTICE REQUIRED
Cl>TECT CARD FROM WEATHER
II
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
4990
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 45,000.00
Date Issued: 10/10/2005
Total Fees: 325.00
Amount Paid: 325.00
Date Paid: 10/1 0/2005
Work Oesc: SWIMMING POOL
4990 :
SWIMMING POOL RES.
POOL/NEW '
SINGLE FAMILY ReSIDENTIAL
I
Address: 5740 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
TO D PIPES
5740 16TH ST
ZEPHYRHILLS, FL. 33542
Phone:
HOME TOWN POOLS
HOMEOWNER
HOME TOWN POOLS
BUILDING FEE
PLUMBING FEE
ELECTRICAL FEE
POOL STEEL
POOL PLUMBING/PRESSURE_
REINSPECTION FEES: When extra in pection 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 i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for
improvements to your property. If y u' intend to obtain financing, consult with your lender or an attorney
before recording your notice of com "cement. "
Complete Plans, Specifications and Fee Mu t Accompany Application.
All work shall be ormed in accordance lth City Codes and Ordinances
~~
NTRACT R PERM IT OFFI
CALL FOR I $PECTION - 8 HOUR NOTICE REQUIRED
POTECT CARD FROM WEATHER
1'1'
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE
PHONE CONTACT FOR PERMI
__"'-"'o:lS
PHONE I S<i? - ~33
SUBDIVISION
PARCEL 10 #
-Od--oO
WORK PROPSED:
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: []SGL FAMILY WELLING
o COMMERCIAL
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
~IMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J,RESTAURANT & HEALT~ DEPARTMENT APPROVAL
S .M~l^, rOoL.
SQUARE FOOTAGE HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PL
COMMERCIAL: ATTACH (3) SE
IF SIGN PERMIT ONLY (2) S
PROPERTY SURV
T PLANS & (2) SETS OF BUILDING PLANS & SET ENERGY FORMS.
S OF BUILDING PLANS & (1) SET EN~
TS OF ENGINEERED PLANS REQUIRED. . ~
Y REQUIRED FOR ALL NEW CONSTRUC <' .~
......
o BUILDING
$
J- PERMITS REQUESTED
Li~Jt>~ VALUATION OF TOTAL CONSTRUCTION
,
f-- AMP SERVICE
I
!
o ROOFING
o OTHER
o Progress Energy 0
I~(J..~ )~~ Ol:~.J 1l'fJ)
j N ~~"pLI ;;;Jl,,-
VALUATION OF MECHANCIAL INSTALLATION ~111''' #'
~ Lf2", L
fl't\\l\. .,-~
j)N'UlAlf
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
W.R.E.C.
[] ELECTRICAL
o PLUMBING
o MECHANICAL
$
[] GAS
o SPECIA~TY
,
TYPE OF CONSTRUCTION: 0 BLOrK
i
FINISHED FLOOR ELEVATIONS ~
o FRAME
o STEEL
[] OTHER
SIGNATURE
?-.- ~~
')"J.
ELECTRIC!
SIGNATURE
~s: ~~
PLUMBER
***************************************************
COMPANY t-Jt5m,l '/owN IOD! ~ ];., C
STATE CERT OR REGIST # ~L ()~b 9~1
***************************************************
COMPANY
STATE CERT OR REGIST #
************** **************************************************
OTHER COMPANY
SIGNATURE STATE CERT OR REGIST #
~/
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions"
may be more restrictive than City regulations. The undersigned assumes responsi'
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, ,
to be licensed in accordance with state and local regulations. If thr
licensed as required by law, both the owner and contractor may be citT
violation under state law. If the owner or intended contractor are l
licensing requirements may apply for the intended work, they are adv~ ~
City of Zephyrhills Building Department, 813-780-0020. )~ -~Q~
Furthermore, if the owner has hired a contractor or contractors, he L-- ~ ~ ~O~
contractor(s) sign po~tions of the "Contractor Sections" of this apr; 'IVFz/l{ S
will be responsible. If you, as the owner signs as the contractor, '~~/I{MO
you, rather than the contractor, are responsible for the work. If the
you to sign as contractor that may be an indica~ion that he is not propeL
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 _-"()."~~'Ero'n
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" 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.
Application 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 "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" 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 abandone
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C
PAYING TW E FOR IMPROVEMEN TO YOUR PROPERTY. IF YO
WITH YOU ENDER OR AN ATT EY BEFORE RECORDING YOUR OT
$2,500 N V LUE DO T NE TO RECORD AND POST A "NOT CE
SIG ATURE: OWNER OR AGEN SIGN
STATE OF FLORID~ ~ STAT
COUNTY OF ,.~<; C COUN 0
The foregoing ins ent was pc knowledged ~The foreg n? iQ~~ent was fcknowledge~~
Befo this ay of~tl~ , 2QGL~, Before me thlS ~ay of J~ , 20co....
by by
(name of person acknowledged) -.~ (name of person acknowledged)
~o is personally known to me, or ~ho is personally known to me, or
T IN YOUR
7\NCING, CONSULT
JOBS UNDER
o who has produced
(type
'00 di~ ~did not
of identification)
take an oath.
Owho has produced
(type
D:ii no
of identification)
take an oath
Wi
Name typed, printed or stamped
~ ~ Janice L Clar\(
. "J . Myeommi&&ion. 00109364
'TJ Expires Apri115. 2006
ture of person taking
LC~
\
W/c&
typ~~ p1j~(~r stamped
!~, My ComfT\iSIiOO OD1~~
,.,..~ Expite& April 15. 2006
I I
..
RESIDENTIAL S1&IMMING POOL. SPA ANDIOR HOT TUB SAFETY ACT
' :' NOTICE OF REQUIREMENTS' , . ,
a new swimming pool, spa or hot tub will I::Se constructed or installed at
' and hereby affinn that one of the following
SIIiMt~1 '
eet the requirements of Ghapter 515, Florida Statutes:
the be for
. The pool II be Isolated from access to the .home by an enclosure that meets the pool barrier
;ureme ,tsofAorida Statute 515.29; " ,
e pool II be equipped with an approved safety pool covE!f'that complies with
STM F1 91 (Standard Perfonnance Specifications for Safety Covers for Swimming Pools,
,,-( Spas and at Tubs); ,
i- ~ . AU doonl · -- providing ...... ...... fmm the home to the pool and '!>adad within "!" ..
' enclosu nce required by the Pasco County Land De~",lopment Code, Section 530.4(0), WIn
' be equip with an eXit alann that has a minimum sound pressure rating of 85deci~ls at 10
,./ feet;
,./
- ,
providing, direct- access from' the- ,home to the pool and loc:ated within th,e
I1ce required by the Pasco CountY Land .lJ.evelopment Code, .SectiOI'l 530.4(0), WIn
be equip with self"CIosing,self-latching devices With release, mechanisms placed no lower
than 54- OYe the flQOl' or deck; . . , .
I UNDERSTAND AND ~REETHAT NOT HAVING AT LEAST ONE OF THE ABOVE INSTAUTRAED AT
THE TIME OF FINAL INSPECTION, OR WHEN THE POOL IS COMP~ETED ,FOR CON _ CT
PURPOSES WlU QNSTITUTE A VIOLATION OF CHAPTER 515, F.S. AND WILL BE
CONSIDERED AS CO IlTING A MISDEMEANOR OF THE. SECOND DEGREE, PUNISHABLE BY
FINES UP TO $500 A DlOR UP TO 60 DAYS IN JAIL AS ESTABLISHED IN C~TER ns, F.S.
,J'
... '~..
.
, ..
42 .2:.17.1.10 Where an $;lveground pool st:ru.cture 18 .
as a banier or where the barrier is mounted on top .
of e pool structure, and the means of access is a lad- :
der or steps, the ladder or steps either shall be capable :
of ing secured, locked or removed to prevent acc~s, .
or e ladder or steps shall be sll1TOunded by a barrier .
w ch meets the requirements of 424.2.17.1.1 through :
42 .2.17.1.9 and 424.2.17.1,12 through,424.2.17.1.l4. .
n the ladder or steps. are ~ loc~ or :
oved, any opening created shall not allow tlie pas_ .
of a 4 inch diameter sphere. :
..
""';"
~
./
".,.
~ ....
I FURTHER UNDER TAND AND AGREE 1l1AT THE OWNE~ AND/OR CONTRACTOR WlU
COMPLY WITH THE F LLOWlNG REGUlATIONS CONCERNING SWlMMIN~ POOl, SPAAND/OR
HOT TUB ENCLOSU es, IMMEDIATELY UPON COMPLETION OF THE SWIMMING POOL, SPA
OR HOT TUB, IN COM JllANCE WITH SECTION 530.4(0), PASCO COlJNTY LAND DEVELOPMENT
CODE: , , _
1. Construct around tile swimming pool, spa or hot tub a MINIMUM FOUR FOOT, HIGH FENcl; with self-
dosing, self-latch "' gates. ,The fence must not have any gaps, openings, ,indentations, protrusjons, or
structural com ,ents that could allow a young chllcl to crawl under, squeeze through, or climb over the
fence. Gates mu open' outw8rd away frOm pool area. The releasing mechanism of the latching device
must be located n the poolside of the gate ~ so placed that it cannot be reached by a young child
over the top or ugh any opening or gap. No opening in the fence may be large enough to admit a
four-inch sphere. ,
2. Construct a lenclosUl'8 around th~ sWimming pool, spa or hOt tub With self-clOsing, SeJf-latchlOg
screen doors. cOes on exterior screen doors must be minimum 54 inches from the exterior acc:ess _
standing surface. All screen enc/osun,s require Building Pennits.' ,
3. Provide and utillz an approved safety swimming POOl, spa or hot tub cover that ~mpliea With ASTM
F1346-91 (Stand rd Perfonnance SpeCifications for S~ Covers for Swimming Pools, Spas and Hot
Tubs). S~ cov must be capable of being securely fastened over theswiniming pool, spa or 1;1000l\Ib ..
when not In use., '.
- I
I R:I~~~f!~ERST. D ANO AGREE THAT one of the enclosures described above will be completed prior
to final.. -..-.ugn of the , spa or hot tub. ' , ,
ADorn,' ONAlL Y, I FU!,'ER. UNO ERSTAN ,0 AND AGREE THAT the owner. wiU requ. ire hislher pool contractor
and hlsJher screen encI contractor (If applicable) to requ8st and SUCl:e8sftilJy pus a final lnapecuon
Immediately following the pIetionfmstallation of the swimming pool, spa or hot tub... ,
IF THE SIGNATURE of iContractor, a~ as &gent for oWner, appears be, ,the Contractor promises in
good faith to make the aware of theabove-descrlbecl requirements a !ties before commencil')g
XSU8SCR18 · _ME~ . -. / / ,/ . _ ./;0. '
':f OF 20&/Zij, ,
/11l'L
~< J;;;D /l. ~b>
'~1YPEORPRINT ~
...
,..
~
I I
OWNER-Burr.or.R AFFIDAVIT
STATE OF FLORIDA )
COUNTY OF PASCO )
r
BEFORE me, the undcrsighed authority, personally Appeared
. whol being by me first cluly sworn, under
~& /l flfr-:5
oath, depos~s and state~
as f 011 ows :
I do hereby swear/affirm:
/
That r own the propertYidescribed IlS
0~hily)]I)1 r1' '?'?.JY2-
I
I
.J7~o /6 d s-f.
/ /2-zt:,... Z/ -ODYD -(X)/Ol) - 0 ZoD.
/
Stllte 1m... r(>quin'!s conp,
Disclosure Statement
occupancy.
for a permit under an ex em
the law.
to IH~ don~ by ] icensed contnictors. YOll hllve ilppU.ed
The exemption allows you, as the owner of
your property, to act as yo r own contractor even though you do not have a license. You
Thp building must be for your own use find
ilt for sale or lease. If you sellar lease a building you
the construction is complete, the law will pre-
l~ or lease, which is a violation of this exemption. You may
as your contractor. It is your responsibility to make sure
that people employed by you licenses required by State law and by County or municipal
licensing ordinances. rson working on your ~uilding who is not licensed must work
under your supervis ion and be employed by you, which means that you must deduct
must supervise the construe
family residence or 11
bui Iding et 11 cost of
outbuilding.
It may not be
have built yourself within
sume that you built it
not hire an unlicensed
F. I. C. A. R.nd withholding tax
prp.scribed by law.
builrling codes. And
You may build or improve a one-family or two-
You may also build or improve a commercial
provide Workers' Cc~pensation for that employee, all as
must comply with all applicable laws, ordinances,
Tha t I have read
~oing, and 11m aWilre of my responsibilities and liabiliti.es
for construction work on the above-described property and do hereby agree to each of the
aforesaid stipulations.
FURTHER AFFIANT SAYETH NO .
i-
d subscribe~ before me
day of .... )I(IJ~ .
Print, Type, or Stamp Commissio
Name of Notary Public ~
Personally Known ~r Produ
. -
Type of Identification
5-7l/a /6 r-.!t. s:f.
Address
UtA,; A.-/I r-I. 3J'rf/z---
\ ?Jb - ;p- os
Date
My Commission Expires, ~~ ~~~
_J
~, Jantc:u I. a.
\~~ My Comm/aeion D01Cl9364
Q; ~ Apr111S. 200cl
PC93053047
I I
F lor I dOl. , County of
I
TUR ImORRSIGNRD hereby Jives notice that improvement will be made to c~rtain
real property, and in ~ccordance with Chapter 713, Florida Statutes the
following inforr~ation i~ provided in this Notice of Commenc~mcnt: '
NOTICE OF COMMENCEMENT
1111111111111111111111111111111111111111I1111111111111111111
2005135431
State of
Ia..sco
,/1.
,
Description of Prop rty: Parcel No.
(Legal descr~~t~on
12 - 2~- 41- 6oL/C>- 00100 -0200
'13.
Owner Information:
jof the property' and street address ~f available)
5-J-u i i/I'l m I A/ h f&o (
Rcpt:900422
OS: 0.00
07/06/05
2.
General Description of ~mprovement
Rec: 10.00
IT: 0.00
------------- Dpty Clerk
llddress S7 City
s
Interest in Property:
Name of Fee Simple T i t:,leholder:
(If other th~n oW~er)
State fL
335<12
JEO PITTMAN P
07/06/05 01~36ASCO COUNTY CLERK
OR BK 54'Ssm ~G ~58
Address City
State
L f 5-':~-,",~
I~f"'____ ..
t' -'Ii>'>
~J t]
Contractor: Name
7bLuN ObIs ~C
City ~ A~YJ;';)
Address
Address
City
State pc...
33S"7~
5 .
Surety: N.:lIne
-1
Amount of Bond: $
State
6 .
i
I
i
t
I
I
Persons within the sttate of Florida designated by Owner upon whem
notices or o~her do uments may be served as provided by Section
7l3.1J(1)(a)(7), ['lor da Statutes:
lie me I .
Address ---j Cl.ty
In addition to himself,1 Owner deslgnates
I
of I to receive a copy of the
Lienor's Notlce as propided l.n Section 713.13(1) (b), Florida Statutes.
Lender: Name
City
State
Address
7 .
8 .
State
<) .
r:-Xpi.rnt J.'Jn dl'1t.e (){ rIut.
fr~m the d.:ltc of rec r
e of Commencement (the expIrat1un date 1s 1 year
unless a different date is specified.)
PC93053048/A
SiCJ~ature of Owner:
Sworn to
of
Ji.OJ r
20 IJ r-
Not.:lry Public
\ '\\N~
~ ~-t~R\ ....
CC\~ o~
If :r;:: ".....
....,..- ~
.~ r '-~ ~-- '"
~ rn1~ '.
(Jo) ~'t-
" W rt)
!2 .~
N .'\
'\
'\
;0
;R\
"'",
i
\
~~
'"Z.~
U')(
~~
\\
0~
~~
~<6\
~
Y
~
~,--
r
o
~
~
2:-
~
I
r-
~
f\\
.J
f~
~fVU> 0
i-l-~ %
},~CI\ m
~~='
~ 0 i
~~j ~
~~ r
,.
r
~