HomeMy WebLinkAbout07-6743
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
6743
Pennit Number: 6743
Pennit Type: SWIMMING POOL RES.
Class of Work: POOUNEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 29,000.00
Date Issued: Name: WESTBROOKS, JERRY & SUSAN
Total Fees: 332.50 Address: 5320 3RD ST
Amount Paid: 332.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/1212007 Phone: 813263-6374
Work Desc: INGROUND FIBERGLASS POOL W/BARRIER REQUIRMENTS
Address: 5320 3RD ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-09600-0130
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POOL STEEL
POOL DECK & FOOTER
POOL ELECTRIC BOND
POOL PLUMBING/PRESSURE_
FINAL
REINSPECTION FEES: Reinspection fees 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 posted on job site f) plans not at job site g) work not
accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of thiS county, 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 made before any further permits will be issued to the person owning same
nWarning to owner: Your failure to record a notice of commencement may result in your paying twice for
impro en to your property. If you intend to obtain finandng, consult with your lender or an attorney
reco .. your notice of commencement. n
I &.
RACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
'-'.,] VI ...."'t'..J......-. -........ .,..,......-----.-
Building Department
Owner's Name
\
Owner Phone Number I ~ \ 3 - c ~ <i?'1 - i.{ ~ It L,
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address I
I 53 a..O
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PROPOSED USE D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK It., 10. r ~ s < ~,,\ J:S-7n. \ \p. -\-.. "" n.. "J, (l ~~ I r · -i:" '1;.-.:.< il
BUILDING SIZE I sa FOOTAGE L I HEIGHT I
JOB ADDRESS
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Ze.~""1 r- '" ~ \ \~ I F l
I PARCEL ID# -
ADD/AL T
REPAIR
COMM
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LOT #
SUBDIVISION
NEW CONSTR
INSTALL
SFR
B
D
(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE D
WORK PROPOSED
D
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c=J GAS D
FINISHED FLOOR ELEVATIONS I
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
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ELECTRICAL
AMP SERVICE
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PROGRESS ENERGY
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W.R.E.C.
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VALUATION OF MECHANICAL INSTALLATION
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MECHANICAL
ROOFING
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SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
BUILDER
SIGNATURE
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Ikf~~OO\EE~~E~ ~~,PN t~C
P; 3358'-1 License # Ie:. PC' \ 1..\ S l. lL d... ~
COMPANY I
REGISTERED
License #
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
COMMERCIAL
Address
MECHANICAL I
SIGNATURE ,
Address I
OTHER I
SIGNATURE
~~I ~~#
I1111II111111I1111111I111111III1111I11111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Slit Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
...-PROPERTY SURVEY required for all NEW construction.
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
SIGN PERMIT
Di~~~ii~~~I: . . . I I . . . . I . . . I I . . I I I . I I . I I . I I I . . . I I I . . . I I I I I I . . . I . I I I . . . I . . . I . I I . I I I . I . I . I I . I . I I I I I . I . . I . I . . I I . . . . . I . I . . . I I . I . I . . . . I . I . I . I . . I I I I I I . I . I .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC
i...._..'..._~.............~...~
Drlveways-N ,0, v(er Got~n~r'~fmpUtlllt: r07~w~~~~,rr, ' W
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Fences (Plot/Survey/Footage)
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. '
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction lien Law-Homeowner's
Protection Guide" prepared by the Florida 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 described document and promise in good faith to
deliver it to the .owner" prior to commencement.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" 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.
If fill material is to be used in any 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 permit issued under the attached permit 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 permit 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 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, con~truction or violat!o~s o! any codes. Every ~ermit 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 permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Officia~ for a period not to exceed ninety ~90) dars and will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the~ob IS 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.
FLORIDA JURAT (F.S. 117.03) ',n ~
OWNER OR AGEQ, JQ./yyL/,(,(~'fl.ol, Q2 CONTRACTOR FI/h Pco.Q n.Y1J See ~m('. 'I 1a.Anm,
Subscribed and sworn to (or affirm ) fore me this Subscribed and sworn to (or affirmed) before me thiS
by by
Who is/are personally known to me 0 s1have produced Who is/are personally known to me or has/h produced
a Id nlJfiealJon. s d ntlfleatlon.
JENNFE
t Stat. of FIorIcla
f My CommIIalon ExpIrn Jill 5. 2009
, Ht:tfl Commlllton, 00 616813
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
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Date Received:
Site:
Permit Type:
Approved wino comments~ Approved withe below comments: 0 Denied withe below comments: 0
I be kept with the permit and/or plans.
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Date Contractor and/or Homeowner
(Required when comments are present)
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CITY OF ZEPHYRHILLS
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Parcel Information for: 11-26-21-0010-09600-0130 Card: 001
J
Page 1 of2
'3earGr'L\gain Show Map Generalized Building Schematic Estimate Taxes
See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions
ParcellD 11-26-21-0010-09600-0130 (Carel: 001 of 001)
Classification 01 - Single Family
Mailing Address Assessment (totals)
WESTBROOKS JERRY R & SUSAN Ag Land $0
5320 3RD ST Land $44,184
ZEPHYRHILLS, FL 335423934 Building $58,241
Physical Address Extra Features $385
5320 3RD ST
ZEPHYRHILLS, FL 33542-3934 Total Assessment $102,810
Legal Description (First 4 lines) Save Our Homes $0
CITY OF ZEPHYRHILLS PB 1 PG 54 Homestead - $25,000
LOTS 13 AND 14 BLOCK 96 Taxable Value $77,810
OR 7192 PG 1270
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Cond Value
1 0100 SFR OOR3 8,400.00 SF 5.26 1.00 $44,184
Additional Land Information
Acres I 0.19 U Tax Area U 30ZH H Fema Code H - U Res Code ftZHLHLP2
Building Information - Year Built 1960 USE 01 - Single Family Residential (Card: 001 of 001)
Ext Wall 1 Concrete or Cinder Block Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 1.00
Line Description Sq. Feet Repl. Cost New
1 BAS 891 $68,429
2 UST 32 $998
3 FCA 200 $3,840
4 FOP 20 $384
5 UGR 216 $4,992
6 UDU 72 $1,690
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1973 222 $216
2 CLFENCE 1973 480 $169
Sales History
Previous Owner THEEL R KAM & MARY A &
Year Month Book I Page Type Amount
2006 09 7192/1270 WD $124,000
2006 07 7075/1746 WD $0
http://appraiser.pascogov.com/search/offiine_tca.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=O... 6/17/2007
Parcel Information for: 11-26-21-0010-09600-0' 30 Card: 001
J ~,'~
Page 2 of2
~
2006
~
01
6814 / 1 747
PR /I
$0
ij
Search Again Show Map Generalized Building Schematic Estimate Taxes
See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions
http://appraiser.pascogov.com/search/offiine_tca.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=O... 6/17/2007
\<e.\e.o..~~ ~ k\ns ~\eo.se.. (A~ LJor \{ I ~ \
SWIMMING POOL cJ..cn~)
CONSTRUCTION AGREEMENT
Owner ~~;'1 '1\.;- ~ ~a n
Address _ _~Cf ^ r-d._
City
Telephone l.Wr (Wk)
Job Address~l\JY\" a!> ~~
Legal DescriPtian;:{4f ~ ~&~~~ ~t
County "1n..~~ _ \ __
Width \~ 'ta "
Deep End at Drain .s I l 0 "
Shallow End Steps p r~ {lNl"frI~d ..Q~ bt>(",~\(\c:c::
Therapy Jets
Deck Color"f\ n BC-o\cl..rl."
- Lanai Topping-
State License # CPC056882
CPC1456623
CPC1456781
Phone (813) 643-1995
Dale ~ -:J..l,,- 01
L) e.<::-t pr('\l"\V~
ZipCode 33~Lt J
(Cell) ~l7,-~1.~-~3'2~
~e.t"r'l
c::~\~'J~n\.~t l3~t~
Area :;~ SF
GEN~~L POOL/~PECIFICAr~NS:
Shape F, bU9la~~I.~t ~~ttength ~ '
r t'
Depths: Shallow End 2"
ElevationDesired~rOlAn 'pv...t l.'f"tLbnl/r ~t"c,u I1d)
Adiustable / In Floor Returns
Decking Type ~ t>JYlc. r...+-e,
Design in Topping
5% Tolerances
W I ()enc\..-.
EQUIPMENT:
Filter-<<}ed {l1t"d.\~~~~ ~~~-Ql~~ PUmP&Motorbllra~\(lC5/~4-Q~+~ Size
Automatic Chlorinator (Type) e. es \ h Yes ur No 0 Underwater White light
Skimmer with Leaf Basket Yes ~o 0 Electric Hookup to Motor, light, Time-Clock & Tronsformer
w/Arr~\\(
1
kmai Color
t tfp
Yes I]( No 0
Yes UI""" No 0
Yes 0 No I:ir'"
YesO No~
Yes~ NoO
Yes 0 No I:]"
" ", Yes~ NoO
1) b\'('hI Y')
linear Feet 7 ~ L F
Stainless Steel Handrail Yes 0 No ~
Stainless Steel Ladder ..J. Yes 0 No [i;t'"
6" Waterline Tile {choice from stock)~u.r~ 110 -, F, :10 Yes (iYNo 0
Automatic Controls ~<U.~u..~ l..),('e..\<<.s a::.e(\~es ~ No 0
~o\"\-t~o\te.r
Additionallnformation-V ll1 n'\ b {or +u-\u.r p LJf)..-\C-\I"{ (\ \.\
Pool Edge: Cantilever IJI"" Brick Coping 0 Cap Tile 0 Carved Rock 0
Cleaning Equipment: Vacuum Hose and Head, Pole, Brush and Test Kit
Love Seat Yes 0 No ~
Child Safety Fence Yes Ul' No 0
Automatic Pool Cleaner Yes Cit" No 0
Solar Heat Yes 0 No (it"
Heat Pump Yes 0 No lit'"
Swim Out Yes &l' No 0
Yes 0 No GV'
Color Pool light
Color Spa light
Step Edge, Swim out Edge (choice from stock)
Risers linear Feet
Salt Water Generator
F....,.l": N\e-J. xY\n~th('
Australian Tile 0
Color
linear Feet --9 S
Model ~f"~.L'I.~ W\-,i..+e-
/ Customer to Provide
f\u:\c (\\~(q'\ t" r
Yes 0
NoO
Number of Panels
Model
Gas Type
Propane 0
Natural 0
Heater Size
Shape
YesO NoO
Concrete
Spa light
Pump Size
eater for Spa Yes 0 No 0 Gas Type Propane 0 Heater Size
* Home owner is responsible for gas line hookup, There is a separate charge for the gas service from any gas company, Elite is na
MISCELLANEOUS:
BTU
Excavated Fill Removed from Site Yes IJY No 0 If fill to remain on site to be spread by
Site Cleanup by Pool Contractor Yes (5( No 0 Grade and Rake Site and Access Yes ~ No 0
No Sod Replacement No Under'ilround Utilities Repair No Sidewalk or Driveway Repair or Replacement No Fence Repair or Replacement
Pool layout plans and structural engineering supplied by contractor Pool permit obtained by contractor Yes C9"
Contractor shall provide a minimum three yards Dewatering Rock Retaining Wall linear Feet Yes 0 No IJi(
....../ r.Y' 03' r.Y 0
Charge for Stump Removal Yes 0 No L>> Hameowner to Remove Stump Yes 0 No IJl:I Footer linear Feet 11_ Yes UII No
Layout plans are included and are a part of this Agreement.. (Minor variations in dimensions of the Pool, Patio, or Elevations, shall not affect the validity of this Contract, nor the
owner's obligation under this Contract), Shuttle Dig Yes 0 No ef
# 1 SEE BACK Small Equipment Yes 0 No fB"
All pool plumbing shall schedule 40 PVC noncorrosive piping
Contractor to finish interior with hand traweled waterproof material. Type F 1 b ....(''3 \ll s ~
As it is applied by hand it is subject to variations in elevations, we do our best' 0 apply it as smooth as possible
SCREEN ENCLOSURE:
Color C:.~ms4-"" e.
\1\~~~1t:. ~\~E
Roof Style
Doors
Additional Information
Aluminum Color
.. ht
BRONZE OR WHITE
ABSOLUTElY NO VERBAL AGREEMENT WilL BE ACCEPTED, ALL CHANGES MUST BE IN WRITIN ..
TERMS OF PAYMENT: It is understood that the terms are cash and ~..ayments as set forth below are due on billing unless special arrangements are
otherwise made and herein set forth.. CONCRGE FIBERGLASS/VINYLlINER
FUll CONTRACT PRICE: FULL CONTRACT PRICE: I ..2. q) ()OO
(-) Final payment of $500 (-) Final payment of $500 I o..g j 500
SCHEDULE OF BILLING: Deposit 1 0% Deposit 25% Ii '7) \.2.5
Pool Excavotion 40% Shell Placement 50% 11"l) a..50
Upon Installation of Tile/Carved Rock 35% Rough Deck or Footer 20% /I 5) 1 00
Concrete/Paver Deck Placement 15% Deck Placement 5% " \ ) 'i a..~
Final Payment Due Day Before Interior Final $500 Final Payment Due Day of Pool School $500 ., 5 DO. eO
ELITE IS NOT RESPONSIBLE FOR ANY DAMAGE TO ANY EXISm IIG SPRINKLERS, THE CAPPING OF ANY SPRINKLER, OR REPLACEMENT OF
ANY SPRINKLER. NO EXCEPTIONS. . LIEN lAW ' ADDENDUM AnACHED · ~
The owner here cknowledges thot t . instrument as co Ie os to all essential provisions bel l>re signing and a copy the f wa~eli ered to th ner at the . e the instrument w~ed , .... _ .
~ ~ ~~ ~.
Presented - Elite Pool & Spa Inc.. Representative, Date In -a ~ - 07
* See Access letter.
y~u ~ove a le9~1 right under Federal Low to cancel this instrument, if you desire to do so, without any pt ~nahy or obligation except for actual costs incurred in your behalf for building permits or surveys,
Within three bUSiness days from the above contract date. Cancelation must be in writing & notarized.
1111111 III/I 11111 111111111111111111111111111111111111111111I
2007111118
Rcpt : 1110833 Rec: 10. 00
DS: 0.00 IT: 0.00
06/28/07 Dpty Clerk
NOTICE OF COMMENCEMENT
~~92GJ~~M~:~~SC01CO~~Tl CLERK
OR BK 755~ PG 1472
ss:
STATE OF FLORIDA
COUNTY OF "pa..Sc,o
The undersigned, as Owner, notifies all parties that improvements will be made to
certain real property, and in accordance with Section 713.13, Florida Statutes, the
following information is stated in this Notice of Commencement:
Description of Property: ~ l b'f
Lcr\-s
of Zc.\l~lr~\\ls -p ~ I
lo OJ\d. 1"\ "l> \oc~ 9 (.
0,," '11 ~l. "l ~ la <<10
General Description of Improvement: ~ ~W ~ \ be..("~ \IUS \>00 l o..ncl '\) e.c...K
1'GS~
Owner and Owner Address: "krr-y tQ. ~ S\UCa...Y\ wes-tbC'oo \(.S
Owner's Interest in the property described as r c:. 5 I fit<> n C e.
R
Contractor and Contractor's Address:
Surety (ifany) and Surety's Address:
Amount of Bond: $
\;;. U -t-'C.~ 00\ o...oc:l .s~ II' 0<:'"
.lS 0 ~o\. Sco.nlon ~~
Se.~~~c.(" , f='L ;3?>S 8'4
~.
Name and Address of Lender, ifany, making loan for construction of the improvements:
Name and address of person within the State of Florida designated by Owner upon which
notices or other documents may be served:
In aqdition, Owner designates the following person to receive a copy of the Lienor's
Notice as provided in Section 713.13, Florida Statutes:
'.
Sworn to and subscribed b
o i
IENNlFER MCGOWAN
....., PuIIIIc . State 01 ,.......
· "'~IIIl'1I1 ""EIpiqI JIn 5.
COIIlIIIIIIkln . DO 6'"'3
RESIDENTIAL SWIMMING POOL, SPA, AND/OR HOT TUB SAFETY ACT
NOTICE OF REQUIREMENTS
I (We) acknowledge that a new swimminQ pool, Spa, or hot tub will be constructed or installed at (print street
address) :3 '_' :l. ,
and hereby affirm that one of the following I thods will be used to meet the requirements of Chapter 515,
Florida Sfatutes (F.S.): . '.,. . .
Please initial the m~thod(s) to be used for vQ;Jrpool.
Q::;~~,
~
The pool will ,be isolated from access to the home by an enclosure'that meets the pod barrier
requirements of F.S. 515.29. .
The pool will be eqLipped with an approved, safety-pool cover that complies with ASTM F1346-'91
(Standard Performance Specifications for Safety Covers for Swimming Pools, Spas, and I-fot
Tubs). ,
~
All doors and windows providing direct access from the home to the pool and located wlhin the
enclosure/fence required by the Pasco County Land Development Code, Section 530.4(D),will
be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at
10 feet.
All doors providing dir~ct access from the home to the pool and located within the enclosure/
fence required by the Pasco County Land Development Code, Section 530.4(D), will be equipped
with self-closing, self-latching dev~es with release mechanisms placed no lower than
54 inches above the floor or deck. '
I UNDEHSTAND 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 $500.00 AND/OR UP TO
60 DAYS IN JAIL AS ESTABLISHED IN CHAPTER 775, F.S. .
I FURTHER UNDERST AND AND AGREE THAT THE OWNER AND/OR CONTRACTOR WILL COMPLY WITH
THE FOLLOWING REGULATIONS CONCERNING SWIMMING POOL, SPA, ANDIOR HOT TUB
ENCLOSURES IMMEDIATELY UPON COMPLETION OF THE SWIMMING 'POOL, SPA, OR HOT TUB. IN
COMPLIANCE WITH SECTION q30.4(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 yourg child to crawl under, squeeze through, or climb over the
fence. Gates must open outward away from the pool area. The refeasirg mechanism of the latching
device must be located on the pool side 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 openirg 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 UNDERSTANDAND AGREE THAT me of the enclosures described above will be completed prior
to final inspectionofthe pool, spa, or hottub.
. '
ADDITIONALLY, I FURTHER UNDERSTAND AND AGREE THA Tthe owner will require his pool contractor and
his 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 TIlE SIGNATURE of the Contractor, acting as agentfor owner, appears below, the Contractor promises in
good faith to make the Owner aware of the above-described requirements and penalties before commencing
construction. .
D BEFORE MUJiIS
,20U' /
" ......ERIICGOWM
....., NIIIc . ..... or FIIrtlII
· . lire..', .1..........5.
. .....",.. . DO It....
JtRf?~ R. /L)EST!fR&tJK.5
PLE SE TYPE OR PRINT NAME
PRIVATE SWIMMING POOLS & SPAS
REQumEDThWO~~TIONFOR
INSPECTIONS & POOL APPLICATIONS'
FBC 2004 CHAPTERR4101
Pasco County requires the following information to process permit applications for
private swimming pools.
Applicants are required to provide a pool layout showing:
1. The pool with a complete plumbin2 plan showing the location of the
mechanical equipment and the plumbing lines, vent lines, pipe sizes, flow
rates, and pressures.
2. The layout of the pool with dimensions showing steps, swimouts, ladders, and
other features.
3. The spa with a plumbing plan.
4, The deck with dimension showing relationship to the house.
5. Location of windows and doors that have access to the pool from the house.
6. The location of the child barrier fence.
. Applicants are required to provide the following imormation:
1. Pool Volume gallons, ' , ~
2. Pump Mfg'~~ll- ~ ;-\-~ Model NO:[)lLro..glnc:c: Hp.-1-- Turn Over Rate1:- GPM
3. Filter Mfg.S{-o...-Q\t-c... Model No.tfI"A~Ai~ Flow Rate ' '40 GPM
4. J.!eol Heater Mfl:r.: ' . ..Model No: S'fs\-...m 3
5. Anti VaReR Ce7;efB, :M-fg. . M9(iel No.
Applicants are requireq. to provide design drawings showing pool and spa
. requirements designed to meefthe Florida Building Code2004 certified by a .
. Floric;ia registered engineer or architect.
* * * The applicant shall p~ovide two eODies of all the above information; * * *
*** this information shall besupplementaLto the normal permitting ***
*** materials necessary atintake.***
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2007-Jun-29 11:05 AM PROGRESS ENERGY 8137150824
1/1
~'Pmgress Ener~v
June 29, 2007
Elite Pool & Spa, Inc.
150 Scanlon Lane
Seffner, FL 33584
Phone: 813-643-1995
Fax: 813-643-1875
SUBJECT:
PROPOSED SWIMMING POOL CONSTRUCTION AT:
5320 3rd Street, ZephYrhflJs, Florida .
Dear Valued Customer:
. ,
Thank you for notifying us of your proposed swimming pool construction at the above
location. We have c~ecked our facilities for this location .and there does not aooear to
be any conflict with the location of the pool. .
. ,
The'refore, we have no obiection to the proposed construction.
Prior to di in lease call Sunshine One at 1-800-432-4770. Florida laW re",uires
,excavators to call this number so that underaround utility eauiDment can be
located before excavation to avoid Dersonal iniury and damaae to eauiDment.
If you have any questions or require any additional information, please call our office at
813-783-6944.
Sincerely,
PROGRESS ENERGY FLORIDA, INC.
1J~
Darryl Foshee
Distribution Engineering
.OF/atn
SOUTHCOAST DIVISION ENGINEERING 0 4121 St. Lawrence Drive. New Port Richey. Florida 34653
Telephone (727) 372-5159 Fax 0(727) 372-5117
PROGRESS ENERGY