HomeMy WebLinkAbout12-13519 CITY OF ZEPHYRHILLS
. . 5335-8TH STREET
(sia)�so-oo20 13 19
RESIDENTIAL SWIMMING POOL
Permit Number: 13519 Address: 6036 RIDGEWAY DR
Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL.
Class of Work: POOUNEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-040
Improv. Cost: 17,700.00
Date Issued: 10/24/2012 Name: COBB, ANNETTE 8� EVERETT, ANNA
Total Fees: 307.50 Address: 6036 RIDGEWAY DR
Amount Paid: 307.50 ZEPHYRHILLS, FL 33542
Date Paid: 10/24/2012 Phone: 813-395-5797
Work Desc: INSTALL INGROUND POOL 10 X 20 (enclosure seperate permit)
BACKYARD POOL CREATIO S INC BUILDING FEE 187.50
AAA ELECTRICAL CONTRACTORS INC PLUMBING FEE 60.00
BACKYARD POOL CREATIONS INC ELECTRICAL FEE 60.00
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POOL STEEL
POOL DECK & FOOTER
POOL ELECTRIC BOND
POOL PLUMBING/PRESSURE
FINAL /1--F�'"�"`12-b-�2-
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) oondemned work resulting
from faulty construcfion c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� 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 reoord 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 reaording your notice of commencement."
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O RACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: C�� (�:� � I �P��li�'1
Date Received: � � � � — � �--�
Site: ,�`3 tih � ��G�c (,v�- �r
Permit Type: � C� � �� rc�?�-r�� � ����IC�SLe�
Approved w/no comments:❑ Approved w/the below comments:� Denied w/the below comments: O
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This comment sheet shall be kept with the permit and/or plans.
�C'� �``� �� c��1(�^�' �vu
K vm Swit —Plans Examiner Date Contractor and/or Homeowner
°' (Required when comments are present)
813-780-0°2° City of Zephyrhills Permit Application Fax-87&780-0021 �� (��
Buildinp Departrnent ^ �I
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� ' Date Received — Z Phone Contact for Permidin ' J Ip — 0 0 p N � J
TTr1-r rr-r �j�
Ownera Name �ln r1 e �10U Owner Phone Number �.3� 39�`S7/
Owners Address J 1[ ,d� u19 (� Owner Phone Number J 7��y�O '�.�J
Fee Simple Tltleholder Name Owner Phone Number �-�
Fee Simple Titleholder Address -�
JOB ADDRESS O �G� C�.Jw �D l�� e � ^h 1 I �3S�e2 LOT S ��
susoms�oN " C H 'd PARCEL IDM 0 3-a la' a I- 013�- o��- p�7 V
(087A1lED FROM PROPERIY TAX NOTCE)
WORK PROAOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM Q OTHER —�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �--, S'C,(�/,I'�
DESCRIPTION OF WORK IV w 1 n �d Co�c1�{t �;n��,,� �l ��k oZ� � ��
BUILDINGSIZE __.. .S4F09TAGE� HEIGHT �
QBUILDING J J S ''1'`�� VALU9TKffl OF TOTAL CONSTRUCTION �
°� _ __ ��l 7����
QELECTRfCAt '- - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPIUMBING s � ,\��.� �C
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OMECHANICAL $ VALUATION OF MECHANICAL INSTALtATION
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Q OTHER V ��/;( `, � �
QGAS Q ROOFING Q SPECIALTY \1'�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � '�
BUILDER \Cj� •�OMPANY• • SG • • OlJ7� •PW� CJ'C+fi�i�I?G
SIGNATURE �c,�S7ERED Y N �cu�� Y/N �� ' I ;
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,�d� t as� a �' n� ,�I 3� o ��,�� ��asas.�Y9 �����
SIGNA�TURE� � ` � rtECM�D Y/ N �CA.I�C.tY/J'(ZtN J V1S
Address or-f �C License# � p
PLUMBER y��, � C�OMS�D p��{t.�µ+�^ P�7O�C�^lhwi /rYl.(�
SIGNATURE v
naa,.� /'/zs Kq nn ,�► �G a t;c�,�s (�.P�55K9.3,S
MECHANICAL COMPANY ��3i g�.
SIGNATURE r�c,�s�t�o Y/ N F�curx�� Y/N
Address n License i� �—� �
�a, �����t �NCt
OTHER ,�f,� � COMPANY �c.FJefr /nwNf711AM g SCJ�/��� ' �
SIGNATURE �'^""' rx�S�p Y/ N F�cur�n Y/N � /�/
� TCiI•.�
�d�g �� ��aA � �, �►� 3�� ��,�� s�o��ns� ������
, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Y
RESIDENTIAL Attach(2)Pbt Plans:(2)seLS of BuiWing P�ns:(1)set of Energy Fortns:R-0-W PermR for new canshuclion, � �, �,�(�
Minimum ten(10)working days after submit[al date. Required onsite,Construction Plans,Sto�mwater Plans v�d SiR Fence installed, �g /�GV" —/�
o mwa �d
Sanitary Facilides&1 dumpster;Site WoAc PermR fa subdivisions/large projects �` , O,\ _J/
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sefety Page;(1)set of Energy Forms.R-O-W Pertnit fa new conshuc6on. UT�E,C.� l���
Minimum ten(10)Harking days after s�miVel date. Required onsite.ConsUVdion Plans,Stormweter Plans w/SiR Fence installed, _( �
Sanitary Faali0e5 8 1 dumpster.Site Work Pertnit for all new projects.AII commercial requiremeMs must meet oompliance ��e T
SIGN PERMIT Attach(2)sets of Engineered Plans. �
""PROPER7Y SURVEY required for afl NEW conshudion. ����—'
Dvectlons.•
Fill out applicaGon completely.
Owner&Contractor sign badc of application,notarized �-
If over s2500.a Noflce ot Commencement is required. (AIC upgrades over 57500) I���,� �� r����
" Age�t(for the co�tractw)or Power of Attomey(for the owner would be someone with notarized letter fiom owner aulhoriang same .�,
OVER THE COUNTER PERMITTING (Front of Application Ony) y� '`
RerooTS'rf shingles Sewers Service Upgrades A!C Fe�ces(PbUSurvey/FootaOe) ��� '1 �� "'
Driveways-Not over Counter'rf on public roadways..needs ROW 1
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
appliqbie 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 acx�rdance 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 iMended contrac[or are uncertain as to what licensing requirements may apply for the
intended wohc,they are advised to contad the Pasco County Building Inspection Division--Licerising Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrador(s) sign
portions of the"contractor Blodc"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 permittl�privileges in Pasco
County
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impad Fees and Recourse Recovery Fees may apply to the constn�ction of new buildings,change of
use in exis6ng 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 identfied at the time of
permitting. It is turther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certficate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or
final power nelease,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 CouMy 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
Protedion Guide'prepared by the Florida Department of Agriculture and Consumer Afhairs. If the applicant is someone
other than the"omier^,I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ft to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT- I cert'rfy that all the infortna6on 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 pertnit 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 regulatlons, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may appy to the intended work,and that it is
my responsibility to identify what ac[ions I must take to be in compliance. Such agencies inGude 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 Watervvays.
- Department of Health 8 Rehabilitative Services/Environmental Heatth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protedion Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand N�at the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly pertnitted.
- 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 wifh a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem walt.
- 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 conditioru of the building permit issued under the attached pertnit 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 01NNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical work,
plumbing, signs, wells, pools, air condi�oning, gas, or other installations not specifically induded in the application. A
permit issued shall be consUued to be a license to proceed with the worlc and not as authority to violate,cancel,atter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buifding Official from thereafter
requiring a correction of errors in plans,construction or viotations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six morrths 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 wridng,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 C01�AENCEMENT MAY RESULT IN YOUR
PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH Y R N R O AN ATiO RE RECORDING YO R N0710E OF EN EMENT.
FLORIDA JURAT(F. 7.03) �
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OWNER OR AGENT ' CONTRACTOR
S and �(or atfim�ed)before me tlNs ' i' Subsaibed and swom M(or affirrned)before me this
�r 4�1.�bv�►/I�fY IN_ CobL, bv
Who is/are personalty known to me or hasfiave produced Who is/are personaly known to me or hasfiave produced
P[. �(� as identificadon. as identification.
f'C�rCJ�Y1"`�� � �� Notary Public NMary Public
Commission No. �E �v�9 S� Commission No.
Name of NQ�ty�d._(�tadQ��F�O�A Name of Notary typed,printed or stamped
NOTARY PIJSLlt:
""'••- Stephanie L. Bozek
�j-Commission#EE104956
',.�.-�Expires: JITNE 24,2015
BONDID THRU ATLAIr"fIC BOh�ING CO3 INC.
a<a Ypot Cr�t�o�
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Customer Contract C �''� y� ��Z�
Legal Owner: .�i�cve. � �}nr�.�� �'vb,� Phone: a��� �76 Y�� v y��
Installation Address: (d'l�n ��-�I2 w°� J�r City: Zep�+y r�n+I�f- Zip: �S�t%l County: �v C�O
Subdivision: ZT�� Power Company: �.�� C Wat�/Septic: Pi�)/ .�Pt.�C��
Pool Specifications � _
Shape: (e�� Size: ��X� Depth 3'�Z-�Pool Color: Std: White '- Blue " Other
Pool Area:Z� Sq Ft*Total New Deck Area:�2.s Sq Ft*E�cisting Lanai Area: u�` Sq Ft*Screen Area: s�s Sq Ft
l.Excavation,Set Pool,Backfill In�luo(tc� 13. Fiberglass Pools: Exposed Pool Coping �--
2. Crane(if needed) Dirt Removal $ �/. Per Lo d Cantilever Edge --- Brick Coping '�-
3. Access.�Acl�f.�f�� Equipment Location or �� 14. Concrete Pool Finish:�iaraoini-Biit��le J J11_IVI' ��
4. Electrica1220V(does not include GFn l�s (� GFI IN�/� _ '"�""""' �
5. Plumbing 1�c I u oL�d Timer �^�4 �a 15. Concrete Pools: E�Edg d• a ���
6. Pump Brand a ftl HP 1-3 Cartridge Filter.�'`�eb ,,,,16.Tile Color Oc_P�9N Tile# � r�. . � a�
7. Chlorinator - Salt System r a Nature2 '- .`17. Hand Rail�k� �•Ladder or wim-o � �
8. Standard Light LED InclY/ Fiber Optic --- 18.REQUIRE�Ciuld Safety Barri r larms S
9. Pool Heater Solar Heat � 19.Automatic Pool Cleaner �/A
10. Start-up Chemicals/Cleaning Equipment �c��*�-� 20. Hydro Therapy Jets_-- Deck Jets �--
11. Concrete Decking: Total NEW Deck Area � � Sq Ft 21. Waterfall Feature =Slide/Diving Board '�
� , r Acrylic Color��_Deco Drain �t/ � 22. Spillovers: 2' - 3' "�S "- Other
6 X�S �6x`��'avers •u Sq Ft 23. Spa Size/Shape '-"" Jets Blower^1
12.Finish Existing Lanai Area .r/ Sq Ft;Total Area�Sq Ft 24. Spa Heater Light '-'-'Grab Rail --��
Screen Enclosure ,� y'P��,,s� s��� 7�Gc,
1. Foundation for Enclosure �o��' 4. Gutters/Downspouts 6 _
2. Hip Gable�i c Mansard 5.Total Roof Area '-' _Extra Screen Area -
. Screen Fram ronze � ' � White �3D 6. Pan Roof -' sq ft or Elite Roof - sq ft
4.Wall Height Number of Doors Z
Remodeling
l. Remove Tile "'° 3. Resurface Pool Finish �'----
2. Install New Tile: Color Tile# - 4. Other
Miscellaneous Notes: -� ��- . 7���.a3 - �L,o;ro >.v � <.n.,�r- � ar� • %�ct�ww,�`Nc
�jtKf/vrr. �i•'� �d � d r��ls L /� d .tr° a
p. E7r,t�.tJ �� . � �a/:c% �tiri')
i 1t. �'�vc�vof
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*Additional Mis ellaneous charges to homeowner: Survey and as bailt survey when pool is completed. Will include in contract for an additional
charge of�.If in low lying area where water table is high,additional charges for well points,rock,or any other conditions will be expected
based upon cost.Additional fill dirt that is needed will be .� �f per load.
*The owner shall secure proper permission for access of Contractor's equipment if such access across pmperty other than Owner's. Any trees,
bushes,sod, walls,fences, sprinklers, septic tanks, water or sewer lines,driveways,sidewalks,or other obst�uctions about and below ground in the
areas required for construction under this contract shall be removed,cared for and/or replaced by the Owner,except as siated herein.
*Owner shall comply with local building codes regarding fences and screen enclosures. Owner shall refrain iiom using pool until fence or pool
enclosure is in place and finai inspection has been completed.Use of pool prior to completion(final inspection)constitutes owner's acceptance and
all remaining payments are then due.
*Fiberglass pool shell installation shall be completed within five (5) working days of excavation. Concrete shell installauon shall be completed
within fifteen(15)working days of excavation.Exceptions are concrete shortages,inclement weather,failed inspections or changes in contract.
*All pool dimensions are a proximate with reasonable tolerances either way. Corrections for difference in the surface aze of the decking shall be
charged or credited at � f1 per square foot.Prior to commencement of installation,after installation underway a$75.00 change order fee will be
billed with any additional decking or enclosure orders. Any additional costs involving a change order must be paid in full, at time such change is
made.
* This Contract is for immediate acceptance and includes the standard rnnditions and provisions printed on the back hereof whic6 are
hereby made a part of this Contract for all put�wses.
Purchaser hereby contracts with Contractor for installation described herein at the price and on the terms and conclitions set forth on this contract:
FIBERGLASS POOLS WITH PAVERS CONCRETE POOLS WITH PAV�E S. MISCELLANEOUS
Contract total $ Contract total $ ��' Contract Total
10%Deposit at signi�g $ 10%Dep.At signing $ -�� `�'"` Deposit $
Balance to be paid as follows: Balance as follows: �y
50°do when shell in place $ 40%when shell in place $ �✓Z����
10%rough footer poured $ 15%rough footer poured$ ..i Z L s,�u
I S%paver deck completed $ I S�o paver deck completed$ h Z L�.C�
�'o when screen in place $ ZO%when screen in $ +'t,��ct,• `'°
$350 or balance-com,pl tion$ � �350 or balance-�one $ 3�°•°G"
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Accepted by Owner: L"v ""L� � � Date: � `�� � � _
Submitted To&Accepted By(builder):"- .:^ � �e /'.t� _ Date: - �/
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, �Q � -- C�b�,NATION �I,ECTRIC CODE AND
W �$ CI'CY OF Z�PHY ILLS ORDINANCES
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Pasco County Parcel: 03-26-21-0130-00000-0470 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, September 15, 2012
Parcel ID 03-26-21-0130-00000-0470 (Card: 001 of 001)
Classi�cation 02 - Mobile Homes
Mailing Address Property Value
COBB ANNETTE M & Ag Land �p
EVERETT ANNA M Land $17,129
6036 RIDGEWAY DR Building $51,755
ZEPHYRHILLS FL 33542-7996
Extra Features $2,414
Physical Address
6036 RIDGEWAY DR Just Value �71,Z9g
ZEPHYRHILLS FL 33542-7996 qssessed (Non-School Amendment 1) $71 298
.
Legal Description (First 4 Lines)
See Plat for this Subdivision Taxable Value ��1,2gg
ZEPHYR RIDGE
PB 26 PG 78-80
LOT 47
OR 8557 PG 1230
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0200 MSUBM OOM1 6,000.00 SF $2.85 1.00 $17,100
�� 0200 MSUBM OOM1 41.00 SF $0.70 1.00 $29
Additional Land Information
Acres 0.14 Tax Area 30ZH FEMA Code �Residential Code ZIDELPI
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 2005 Stories 1.0
Exterlor Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Sheet Vinyl Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C None Baths 2.0
Line Description �� Sq. Feet � Repl. Cost New
1 �— BAS ��-1,657 �r $58,674
2 FOP 90 $814
Extra Features (Card: 001 of 001)
Line Description Year Units —� Value
� 1 � DWC 1992—� 711 $889
� �— CAC-4 2005 � 1 —lC $714
3 � CON PTO � 1992 3gg $5g2
4 SUNDECK 2006 �—90 $229
Sales History
Previous Owner HOUSING &URBAN DEVELOPMENT
Month/Year Book/Page Type �e Condition Amount
05/2011 8557/ 1230 WDeedty 12 Improved $45,200
05/2010 8337/ 1906 �of�t?� lr 2 � Im�� ��
http://www.appraiser.pascogov.com/seazcl�/parcel.aspx?sec=03&twn=26&rng=21&sbb=0... 9/20/2012
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2012164322
Permit No. Parcei ID No �3 - ab- a�- a3o- o�o-oy�a
NOTICE OF COMMENCEMENT
State of F/orido� County of PaSCa
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 provided in this Notice of Commencement:
1 Description of Property Parcel Identification No. O 3- a1(o-,��-O 130- O�O pp -(�/7 a
Street Address: _(n0 3 L, IZ�'�ae�� t�r, 7 a�l��r�,I ls �, ��y�
2. Generat Description of Improvement il/P�.a CcY� a.-� I��f��/ �,�,��y���_O��j s SC3�^ �/1 c.1 QSW`�.
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
1•f r►,�e�Ne Co b lo
Name
�3(0 �dc����rH 1�r 7_en�nur�,ll� 33�12 �_
Address City State
Interest in Property: 0 W�RY
Name of Fee Simple Titleholder: R�Pt�1464296 Rec: 10.00
(If different from Owner listed above) DS: 0.00 I T: 0.00
09�28/12 K„ Kraengel, Dpty Clerk
Address n Ciry State
4. Contractor _�qf,.�L�.14It.� �I"JO� 1'C°t.��0'45� hG
L�2s3 �ae,� ,�; �n�a 1��1� 3Y6�o ��
Address � City State
Contractor's Telephone Na.: _.�a__��� g�g
5. Surety: ��.3- /ns..,rw1Cs. �
N me /�
Pa ��X �`�67 YGt�f')A �i� �Z �L.
Address City State
Amount of Bond: $ .SaJ� • � Telephone No..
6. Lender PQULa S O�NEIL,Ph D PqSCO CLERK & COMPTROLLER
Name 09�28�12 11�18am 1 of 1
OR BK � �1 PG 1640
Add�ess City
�.o.�
Lender's Telephone No.:
7. Persons within the State ot Florida designated by the owner upon whom notices or other documents may be served as provided by
Sedion 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
to receive a copy ofthe Lienors Notice as provided in Sedion 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entiry Designated by Owner•
9. Expiration date of Notice of Commencement(the e�iration date may not be before the completion of construction and final payment to the
contractor,but will be 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 1, 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,1 declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA C�� / p ,
COUNTY OF PASCO ��L�� �'�J��T
Signature of Owner or Lessee,or Owner's or Lessee's Authorized
Officer/DirectorlPartnerlManager
Signatary's Title/Office
The foregoing instrument was acknowledged before me this�day of SCt�' ,2p/?,by�/!12[,� 17'1 Co�
r-
as_ � OWitd/` (type of authority,e.g.,officer,trustee,attomey in fad)for
��� (name of party on behaff of whom instrument was executed).
Personally Known�OR Produced Identification Q� Notary Signature�l �� pL ����
/ �^1_
Type of Ident�cation Produced f�L �L Name(Print) �1 hf't�' ��;/1 ZQ L �?e�
NOTARy pUgLIC-STAT'E pp�Q�A
_� Stephanie L, B�ze
�, �0mmission#EE10495
sorv���upires: JL'NE 24,2015
T�L\'TlCBO;��ING CO.,INC.
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� G. B. COLLINS ENGINEERING, P.A.
CONSULTING ENGINEERS
January 30, 2012
For: Pasco, Hernando, Citrus, Hillsborugh County Building Departments
RE: Backyard Pool Creations Master File
Please be advised that I have no objection to the pool company listed above placing
this Standard Residential Pool and/or Spa design on file as a new master as long as
it has the above referenced pool company name, my signature, seal and date. This
may remain on file until there is a change in the code or it is expired by your dept.
S�nce ly, � ;�
/� �% ..
;_�'�c �� �� � 11
Samuel �. Liberatore, P.E
�=resider�t
Certificate of Authorization#27934
1268 Rogers Street
Clearwater,Florida 33756
TeL• (727)442-8443 Fax: (727)442-6988
gb_col lins@ veri zon.net
WITHLACOOCHEE RI�'ER ELECTRIC
CO IVE,INC. � •��
Your Touchsione Energy''Parner��`,�
��
P�OL �LEAl�ANCE APPRt�VAL
��r� : ,G_i L;'�t' 1 Z���= ----------
Aadress . l L.� .�G� i31 �C��:I��l�i f` ,U 1�
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Accour�t Nsarnner; I �"Z I ' �7 �_" �j',� ]"t'�3 L..l`1 WI�C Rel�ase Nc�. +� � j—I �7�
� ✓`�--�' - --
Appro�•ec� : Yes No � '
--- - —'
It`°?+10", reason :
Insprct�d by : � � �'�}f..�'� ��.- Date y � �' L� � ! � �..
Appro��e�by :��. �1,��_�� �i-�t�_---- � �_�_���-�-1_�-,Z..- -
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�ooz co:����y� : �3-�k L K Y�1�_L�__f�_�f_i��..5
c�U�m�nts : �l-D----C�J 1;� f�� ��-I-
�U'I'r 'I'h;s approval is only a cer.tirmatian that the described pcx�l location conforr*�s to the"Nation�l E��.c�icat Code"
cc�r.cerr,ia,g clearances betweec�pools and electricai e�nduetors. For idenr.fication ofl4'R.E C.facilitiea,notir,
Suns�:in�S:ate C1ne-�,all�rr?, 1-8p()--��%-�377Q or 811
P,C1. Eir,� 12?�, San Antanuo, FL, 3357E Phone : f352)588-S1 IS ! Fax : 352}�67-�376
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Or?"_c?',-c:��ta"c' �=r�,:a�;F' HF�I��'':t•�N�.:-r r:�1�S'� r9L,_�r�.l!ltlrl ;�7_�5�,_���?; ���sr� �
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• Poal En�iasures 5�pr �ttas, F'�. 3sso+�
; ca�`r�orts o�'�'a AL.UIVIINUM AND SCIZEEN 1��r €;�;
P�; :, 727-8�b-4999
� �lass Raont� vvww.wostaoastaluern.com F�h� _� 352-684•�":1
• �ntry W�ys � Talt�� i 1-£�?7-Y89•�372t
• Vll�yl ROOII'!i '1� * 352-556•25$4
• Alusriinurn Raofs . : �'
• C�nncrot• E. '.�
FREE E8T19Y1',�TE$ • STIIfT� CER'Y't�'tED LiCENB�,,,�tSCC05 7l�� � 80 ����j ED
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I,Vvilliam�.Chandler,President af 1ti'�st Coasc Aluminum and Screwn,iaic�,E�:�reby grent�u izati���cu
S�.eph�nie 8azek ta ace in my behalPwhile�onducting activ�ties reisted ro o�rr,,�i:tng per�nits. ,,,�e
ac�ivilies specifi4ally include sign�r.g a'.1 documetyt9 rCyuiring signu�urt oP"��r:i��actar". ;,�;
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�:ate Certifcation Number: SL't��_b;55 �� '�
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Stcce of Florida ;
Counry af Herando , �i��
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Thc fiore�aing inshur,�r•x:t w�s acknowledg�d bef�re me tris actober2:�,2C��, E'�� �` '
`.vil���m E.Chan�ler,�'r�sid�r,t�f«'es±CoP.st Aluminurr�and Screen, [n�;., ,r�>ts p�rsonel y� ,;u*�to me,
Or wh�has�re�duccd rL,e /�, as i;�encificarion. ��
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14253 Hays Road Phone: 727-856-8808
Spring Hill,FL 34610 Phone:352-397-2202
BackYardPoolCreationsna hotmail.com Fax: 727-857-0890
September 26,2012
To: City of Zephyrhills-Building Department
5335 8�' Street
Zephyrhills, FL 33542
This is authorizing Stephanie Bozek,vice president of Backyard Pool Creations,Inc.to act on my behalf as
company representative to apply for a permit,pick up,sign,call in inspections and take care of any matters that
may be needed for getting a permit. If you have any questions or concerns,please feel free to call me,Robert Bozek
at 727-856-8808.
Thanks for your assistance in this matter.
�'�� c��
Robert Bozek, President
FL License#RP252554935
�he foregoing instrument was acknowledged before me this o2L day of S'��'� _,20�� by
��"��' �'x�- who is/are personally known to me or has/have produced F�- �J+et✓cn- C�cc:uS�=
as identification.
G� C� ����
Notary Public
�4r-�1t-Z- � ��� Name of notary(typed or stamped)
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� . - DAP�IFL C COF�iF'tS
�= � _ Notery�ublic-State oi Florida
� �'}.� My Comm Ezp�res Jul 31,2013
Commis;;ion # GD 907102
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