HomeMy WebLinkAbout08-8344 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8344
RESIDENTIAL SWIMMING POOL
a _
Permit Number: 8344 Address: 6234 SILVER OAKS DR
Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL.
Class of Work: POOL/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-012A-00000-0130
Improv. Cost: 32,345.00
Date Issued: 9/30/2008
Name: BERRY, JEFFREY& JUDITH
Total Fees: 397.50 Address: 6234 SILVER OAKS DR
Amount Paid: 397.50 ZEPHYRHILLS, FL. 33542
Date Paid: 9/30/2008 Phone: (813)714-3271
Work Desc: INSTALL FIBERGLASS POOL WITH SCREEN ENCLOSURE
POOL MEDIC BUILDING FEE 327.50
REMINGTON ALUMINUM INC PLUMBING FEE 35.00
Q .`ns kc 51ICj ELECTRICAL FEE 35.00
POOL STEELS
BUILDING Ft
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 any one 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
"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."
CONT CTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor meowner: (?4s J
Date Received: 9-I'7-
Site: J4 OJ ( I1
Permit Type:
Approved w/no comment Approved w/the below comments: Denied w/the below comments: ❑
VHf) YII( pro €r '¼i thgrLrc LJL e
qnd i' 'wAJ act 1n oF cf / vC1bki
A
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This comment sheet 1 e kept with the permit and/or plans.
4)Kal ' S er— Examiner Date Contractor and/or Homeowner
If (Required when comments are present)
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.0
Line Description • Sq. Feet Repl. Cost New
1 fP 176 $4,563
2 BAS 1,597 $117,539
3 FGR 412 $12,144
4 FOP 40 $736
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 II DWSWC ii 1996 H 480 II $864
Sales History
Previous Owner GILMORE BERTHA
813-780-0020 City of Zephyrhills Permit Application j2c�(� Fax-813-780-0021
Building Department t2J I I
Date Received 1 t7 i
Phone Contact for PermittingJ 1 �-/D r
Owner's Name 3e (e. 4 i +-n SJ�r rte- Owner Phone Number )S- 114- 3'2-1I
Owner's Address b I )Y ( Owner Phone Number I ' ' ' " o o2
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address f 1
JOB ADDRESS (2 , I v&' nl hr. LOT# IS
SUBDIVISION i I V> PARCEL ID# 21 - D 1•2,4 tbCtY3-- Q 1 e
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN MOVE DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM Q OTHER
TYPE OF CONSTRUCTION fl BLOCK FRAME Q STEEL Q OTHER
11 r.. � t � +1L,i f
DESCRIPTION OF WORK EG t
BUILDING SIZE I SQ FOOTAGE HEIGHT
BUILDING $ ^DO VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE PROGRESS RGY1,, I W.R.E.C.
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 0 ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS I
FLOOD ZONE AREA =YES NO
BUILDER AA COMPANY IPwi I r .
SIGNATURE �^ REGISTERED N FEE CURRENT N
Address 5`2, T"L I License# P 2 4
ELECTRICIAN t gOMPANY rvv1'ee . Co
SIGNATURE REGISTERED N FEE CURRENT I O1N
Address A1IZLDC3LL1 Piz& S\1I 3J' - 6t4 T ,L3(O"�Q-license# I n- .-
PLUMBER t " COMPANY1 i ` B
SIGNATURE /REGISTERED N FEE CUR ENT /N
Address (�1 H License# r1��
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT I 4 N
Address I License#
OTHER (\j\ c COMPANY 1 I� - i I
SIGNATURE I I ' . hh r'REGISTERED N FEE CURRENT N
Address x, LtO� f L45I License# cRC i Q
SltIiIIII IIIlIIiIIIIIIIIIiIIIIiIIlIIIIIIIIIl 111111 1111111111 IIIIiiIIIIIIIIIIIiIIlIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII::II 111:11 hull IIUIIIIIIIIIIIIIIIIIIIIIIIII:111111 IlIIiIIIIiIIIIIlIiIIIIIIIIII hill
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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work.Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application, notarized
If over$2500,a Notice of Commencement is required. (A/C 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 A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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, construction or violations of any codes. 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 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 Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job 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. 117.03 () r)
OWNER OR AGENT Ü QCONTRACTOR
Subscribed and s (or imed) me this Subscribed and s o r affir ed)beforei ,this
J7 of by y
Who is/are person ly known to me or ha /have produced Who is/are personally known to me or has/hay produced
f as identification. 'L Z1 as identification.
L_ LybIic
Commission No. Commission No.
iE 8.SWERAND
Nam ty t d 2012 Name of N
=? ;� Commission 1 �xplrl a ru ry 2012
expires February 22, een�a fM ITmyF&Ifflu ra00038&1019
2008135105
Rcpt:1203677 Rec: 10.00
ps• 0.00 IT: 0.00
099/17/08 Dpty Clerk
NOTICE OF COMMENCEMENT JEp PITT
08/17708 SCO1COUoNTTY CLERK
ORBK ' PG 1130
Permit No. rr�� /�
Property Identification No.�S nn,,- - 21-b12A-D n1w
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property(legal description:) LD-r It' r\Vert A
a)Street Address: i k'et- r il± FL
2. General description of improvements: I 7 . 171
cep n Thei
3. Owner Infor on
a)Name and address: Pte,{4-cS(,t rcV24 yei [ 7o nhW0 F)_ 642
b)Name and address o,fifea situp a titleho r(if other than owner) Mf A
c)Interest in property 1'rC'2h1 Lconc .
R Contractor Information
a)Name and address: 6(Dlo 362 t1df
b)Telephone No.:llj L I2. 1 Fax No. (Opt.) "12•'1 , - 6-1'_9
Surety Information
a)Name and address: k
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6. Lender
a)Name and address: N
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No. (Opt.)
8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No. (Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
Specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
gnature of Owner or Owner's Authori ed Off r/ A c r/Part r/Manager
I T A r r
Print Name
The
foregoing instrument was acknowledged before me this day of s bex ,200&,by r 4
i.tcL' x as (type of authority,e.g. officer, trustee,attorney
in fact for
(name of party on behalf of whom instrument was exe ted).
Personally Known OR Produced Identification y Notary Signature
Type of Identification Produced t'.- tiyi X5 LICi;1 r L Name(prin r.
Barbara E Russell
< My�sO
on OO785825
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of r Exp /2012
the facts stated in it are true to the best of my knowledge and belief. egoing and that
STATE OF FLORIDA �-
FORMSMOC,rV UNTY OF PASCO attire of Natural Person Signing ie
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE _
OR OF PUBLIC RECORD IN THIS OFFICE.WITNESS MY
HAND AND OFFICIAL SEAL TH)S/7 DAY OF
�CP7' 2Q '
JED PI AN C ER OF CIRCUIT COURT
BY DEPUTY CLERK
POOL MEDIC, INC.
• 1002 Land O' Lakes Blvd., Lutz, FL, 33549 Ph: (813) 948-7816 Fax: (813) 948-7806
• 8506 State Road 52, Hudson, FL, 34667 Ph: (727) 868-3127 Fax (727) 868-3738
Florida State Registered
Residential Pool&Spa Contractor
RP252554747 O822607
• Customer Contract •
Fiberglass Pools for Beauty, Strength, Durability& Ease of Maintenance �Legal Owner: _rTeT,(-t,A1 * l A 3tYi� Phone: ( t74 4 :32ii
Authorized Agent/General Contractor: Phone: (gI' ) 7'I • -7(047Z
Installation Address: 2 3Jy J (. City: Z ephru hl 1k5 Zip: P54'2-
Legal Description: Lot# )' Blk: SubdivisioIjIyer Q3 Unit#: County: iii)
9 ��'� ✓ Len Nominal Specifications
Pool Desi n: Length: Width: Depth: Color: ____
LIMITED LIFETIME STRUCTURAL WARRANTY ON POOL SHELL
Equipment Included in Contract?
Yes ()or No ( ) q, --
1. Excavation.................................................. V v� 12. Concrete Decking &r I ►e._`-� Surface
2. Dirt Removal............................................... ✓ Std. Sq. Ft. Plus Sq. Ft.
3. Set Pool...................................................... v @ Per Sq. Ft. .............................. V'
4. Backfill........................................................ ✓ 13. Ladr�efi-e;r Swim-outs................................... ✓
5. Plumbin . ........ .......................................... ✓ 14. Hand Rail..................
6. Pump lt'�C ✓ 15. Auto Pool Cleaner.5r. t .1�,................
7. Filter..l.4.f, .... Rk: }.... .. ,.r 16. Start Up Chemicals..................................... ____________
8. Electrical 220 V(Does not include GFI)................. V V 17. Cleaning Equipment...........____________...
9. GFI (if needed)............................................ V' 18. Waterline Tile Border# . j
10. Timer........ 19. Foundation for Enclosure........................... ____________
11. Light....... . ............................................ ✓ 20. Hydro Therapy Jets.............: -.................... ✓
MANUFACTURER'S WARRANTY ON EQUIPMENT
Miscellaneous Equipment ..
57I r t * i11rC .
.
►' x
'POOL MEDIC, INC. (hereinafter referred to as "Contractor")shall have the unconditional right to rely on information provided by the individual(s) executing this
contract concerning,among other things,the ownership of the property,authorization to perform the work as contracted herein,and any other facts or data relating
to Contractor's work and the real property itself. Failure by the Owner, or its agents, to timely provide accurate and complete information shall be a material
breach of this contract.
The Owner shall be the sole entity responsible for providing Contractor, including its equipment and materials, sufficient access to the property. Owner shall
protect and/or remove any trees, bushes, sod, walls, fences, sprinklers, septic tanks, underground utilities, driveways and sidewalks, or any other obstruction
hindering Contractor from performing its work. In the event that Owner fails to timely secure or provide access as required,the Owner shall be responsible for any
replacement and/or remobilization costs, or any other damages caused as a result thereof. Contractor shall not be responsible for any damage caused to any
property as a result of Owner's failure to timely provide adequate and proper access to the work site. The Owner shall advise Contractor of any condition or
circumstances which will prevent or hinder Contractor from accessing the property,or any condition which could pose a threat to property or persons.
Owner shall be the sole entity responsible for complying with any applicable child barrier protection laws. Owner shall not use the pool until such time that all
applicable child barrier protection devices are in place, inspected and approved by the appropriate governing authorities. Use of the pool by anyone prior to final
completion by Contractor shall constitute Owner's unconditional acceptance of the pool and all related equipment and materials;and shall immediately thereupon
bring about the Owner's obligation to make payment in full. In the event that an inspection Is rejected due to Owner's failure to provide proper barrier protection as
required by Florida law, Owner shall be obligated to pay Contractor any additional fees, fines, or expenses associated with the re-inspection of the property by
building officials or those having jurisdictional responsibility over the project.
Owner shall have the right to cancel this contract, but only within three days from the date of its execution by Owner. Such cancellation must be in writing and
received by the Contractor by no later than close of business on the third day from the date of the execution hereof.
The time necessary to complete the work of this contract shall be adjusted for any delays which are not within the control of Contractor. The Contractor shall be
granted additional time to complete its work in the event delays are caused by, but are not limited to, obtaining necessary building permits, unacceptable soil
conditions, lack of sufficient and proper access, concrete shortages, personnel shortage, delays in delivery, inclement weather, changes in applicable law, failed
inspections,or any changes made to the terms and conditions of this contract.
The work of this contract shall be deemed substantially complete upon the completion of the concrete decking, or final acceptance by the building authority,
whichever occurs first. Owner agrees that all pool dimensions as noted herein above, or in any other drawing or literature prepared on Contractors' behalf are
approximations, and therefore, shall vary. Owner understands that any changes to the terms and conditions of this contract, and/or any changes to the pool
location or placement shall result in an equitable adjustment of the contract amount and contract time. Contractor shall not be obligated to perform any changes
other than those expressly provided for herein. Any additional costs involving a change order or a modification to this contract must be paid in full at the time that
such change is agreed to in writing by the parties. Contractor shall not be responsible or required to perform any change work unless and until such time that the
Owner has paid for the costs of such change work and has agreed in writing to the nature of such change.
OWNER IS RESPONSIBLE FOR READING ALL CONDITIONS OF THIS CONTRACT, AS CONTAINED ON THE REVERSE SIDE HEREOF; AND ALL
REQUIRED NOTICES ATTACHED HEREWITH. IF,FOR WHATEVER REASON,OWNER DOES NOT RECEIVE A COPY OF THIS CONTRACT CONTAINING
SAID CONDITIONS OF CONTRACT, OR THE REQUIRED NOTICES, IT SHALL BE THE OWNER'S RESPONSIBILITY TO ADVISE CONTRACTOR
ACCORDINGLY AND REQUEST IN WRITING A COPY THEREOF. IN ADDITION, OWNER SHALL BE RESPONSIBLE TO OBTAIN FROM CONTRACTOR
ALL MANUALS IN CONNECTION WITH THE REQUIRED PROPER CARE AND OPERATION OF THE POOL AND RELATED ACCESSORIES. AS A
CONDITION TO SIGNING THIS AGREEMENT, OWNER REPRESENTS THAT HE/SHE HAS READ SUCH MANUALS AND AGREES TO FOLLOW SAME
AND UNDERSTANDS THE GUIDELINES FOR MAINTENANCE OUTLINED BY THEM NUFACTURRERRSSOFTHE POOL SHELL, FILTRATION EQUIPMENT,
AND POOL HEATERS AND ANY OTHER RELATED ACCESSORIES. �`� / "\ '
Payment Schedul
Deposit with Contract............... $ ) - �y
Upon Placement of Pool Shell
Cash or Cashiers Check.......... $
Upon Placement of Decking..... $_ '! 1 O `4O
Upon Placement of Enclosure.. $ 5fl. , c,
Upon Completion of Project...... $ D
j � otal ontract P ' e.................. $
���
Accepted by OwneMl� �-''�� J Date:
Submitted to Pool A by: A _ Date:
Accepted by Pool Medic, Inc.: Date:
• PRIVATE SWIMMING POOLS & SPAS
REQUIRED INFORMATION FOR
INSPECTIONS & POOL APPLICATIONS
FBC 2004 CHAPTER R4101
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 plumbing 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 information:
1. Pool Volume '-7' &5 gallons
2. Pump Mfg Model No. I.A3y Hp. 1 Turn Over Rate/GPM
3. Filter Mfg Model No. Cam^-( - Flow Rate 1 Oc GPM
4. Pool.Heater Mfg. -Model No.
5. Anti-Vortex Covers, Mfg. - i Model No.
Applicants are required to provide design drawings showing pool and spa
requirements designed to meet the Florida Building Code 2004 certified by a
Florida registered engineer or architect.
*** The applicant shall provide two 'copies of all the above information; ***
*** this information shall be supplemental to the normal permitting
*** materials necessary at.intake.***
RESIDENTIAL SWIMMING POOL SPA AND OR HOT TUB SAFETY
NOTICE OF REQUIREMENTS ACT
I (We) acknowledge that a new swimming 'pool, spa or hot tub will be constructed or installed at
S) • , and hereby affirm that one,of the following.
(Please Print Street Address)
methods will be used to meet the requirements of Chapter 515, Florida Statutes:
(Please initial the method(s)to be used for your pool
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 F1 346-91 (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
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 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(D), 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 Al
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 ICE
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 ANDIOR 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 FENCtr 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 latchin,g device
must be located on the poolside 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.swiniming 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 completionlinstallation 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. .
SWORN AND SUBSCRIBED BEFORE ME THIS
(d , DAY of ep T Y z0
OWNER OR CO CT
NOTARY PJ LIC PLEASE TYPE OR RINT NAME ABOVE
for""v Notary Public State of Florida
Barbara E Russell
My Commission DD765825'
Expires 03/06/2012
24'-8"
12-4" I 10'-II" 11' 10-8"
83" 5 "
p4l"
I�
FREEPORT
NOTICE TO CAD USER_
THE DIMENSIONS FOR THE POOL SHOWN IN THIS CAD BLOCK ARE APPROXIMATE,AND
ARE PROVIDED FOR GENERAL LAYOUT GEOMETRY. FIBERGLASS POOLS ARE SOLD
"NON-DIMENSIONALLY"BY MODEL AND DESIGN ONLY. USE FIELD VERIFIED
MEASUREMENTS TO DETERMINE INSTALLATION DIMENSIONS AND QUANTITIES FOR
ANCILLARY APPURTENANCES.
Sep 18 08 08:49a Sun Fiberglass Pools 8139487806 p.1
For h4 o: ... Z _..
yhi Ji�..� ...... ' I
Fax number: '1 90
From: Barbara Russell
• Fax number: (813)948-7806
Date: � `� ►yam• . SLIP 2-
.Id._'._.._ . ._ '_. . � �.C� - DDbW: .CO
Number of pages:
Comments: r?re %S 11 )e &
Ovcv- cer m .-; rtecr
Please contact me should you require additional information n� ��
POOL MEDIC Fiberglass'Pools
Pool Medic,Inc.
1002 Land O'Lakes Blvd., Lutz, FL 33549
(813)948-7816
Sep 18 08 08:49a Sun Fiberglass Pools 8139487806 p.2
09/17/2008 10:17 FAX ®001
2008-Sep-16 05 : 18 PM PR0G! ESS ENERGY 8137150824 1/1
Pss r
September 16, 2008
Pool Medic
8506 State Road 52
Hudson, Florida 34667
Phone: 727-869-7946
Fax 727-868-3738
SUBJECT: PROPOSED SWIMMING POOL CONSTRUCTION AT:
6234 Silver Oaks Drive,Zephyrhills, Florida
Dear Valued Customer:
Thank you for notifying us of your proposed swimming pool construction at the above
location, We have checked our facilities for this location and there does not aooear to
be any conflict with the location of the pool.
Therefore, we have no objection to the proposed construction.
Prior to drggino please call Sunshine One at 1-800-432-4770 Florida law requires
excavators to call this number so that underground utility equipment can be
1ocathd before excavation to avoid nersonal iniu and damane to equipment.
If you have any questions or require any additional information, please call our office at
727-372-5154.
Sincerely,
PROGRESS ENERGY FLORIDA, INC.
l
Douglas Kirk
Distribution Engineering
DK/atn
SOUTHOOAST DIVISION ENGINEERING-4121 St Lawrence Ddva-New Port RLchey.Fiorlda 34053
Telephone(727)372-5159 FCC.(727)372-S117
PROGRESS ENERGY
I
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