The URL can be used to link to this page

Home My WebLink About14-15372 .r'" • CITY OF ZEPHYRHILLS � �• , . 5335-8th Street , (813)780-0020 15372 ELECTRICAL PERMIT .'�.=PERMITINFORMATION LOCATION INFORMATION � Permit#:15372 Issued: 6/17/2014 Address: 5923 NEWBERRY CT � Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Ciass of Work: PLUMBING/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 800.00 Total Fees: 120.00 Subdivision: WEDGEWOOD MANOR Amount Paid: 120.00 Date Paid: 6/17/2014 Parcel Number: 10-26-21-0120-0000-0230 CONTRACTOR.INFORMATION OWNER INFORMATION' ' � Name: BULLOCK ELECTRIC INC Name: WEEKS, RICHARD JR, RICHARD, ETHE i Addr: 10304 INDIAN MOUND TRAIL Address: 5923 NEWBERRY CT NEW PORT RICHEY, FL 34654 ZEPHYRHILLS, FL. 33542 Phone: (727)243-7770 Lic: Phone: (813)322-4932 Work Desc: INSTALLATION WALK IN TUB W/ELECTRIC & PLUMB ONLY APPLICATION FEES ELECTRICAL FEE 60.00 PLUMBING FEE 60.00 INSPECTIONS REQUIRED ROUGH ELECTRIC � 2ND ROUGH PLUMB /� `_�a�� PRE-METER / ��,T�� ELECTRICAL FINAL �/� � p� � PLUMBING FINAL ��`_ �i�,� � 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 inspection called d) work not ready for inspection when called e) permit not posted on job site fl 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. .� ��.�.. �.,/ CON �C OR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ' PROTECT CARD FROM WEATHER • � 813-780-0020 , City of Zephyrhills Permit Application Fax-813-780-0021 �' ' Building Department ; Date Received �/� ab�j� phone Contact for Permitting 7�7 �o�� .3 eJ i vl�l Owner's Name {�,Qy� Owner Phone Number g J�]'—��,'' y�3 � rr Owner's Address eS��.3 G�. Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address . JOB ADDRESS 59 a 3 ! 'T, � /j t f!S �� ,�S LOT# � I sua�ivisioN PARCEL ID# IC>��G�a 1 � O p-�b� �-�a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK l�e�"-(b tJ� F �a4 fUlo f't��1 �.U{� i� ��cs � A q� e l e��(G BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ �� ' �,o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. PLUMBING $ � D � 4 ob . o�o S-�3 (� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �-� � ��h'Vf� ' QGAS Q ROOFING Q SPECIALTY 0 OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO - I �'�� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Addroess � License# ELECTRICIAN ' /� ` COMPANY ��+1Jo�� Q,/C 2iUG , SIGNATURE �� 1�/� L REGISTERED Y/ N FEE CURREN Y/N � Address F �� ,(�d�f 4J /7d ua,� (/c�{j ,�� License# �C OO�U��'(�o PLUMBER � " �U.� . �{\�COMPANY �2 0�!G�y,Q- � lu /ti �/L SIGNATURE w REGISTERED Y/ N FEE CURREN Y/N Address �0•BO;r ��o ��1/.az� �j�,2, � License# CFCJ��.S��,� MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# Illllllllllltlllllltlltllllllllllllltllllllllllllllllllllllllllllll 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,Stortnwater Plans w/Silt Fence installed, - l� - Sanitary Facilities&1 dumpster;Site WorkPertnit 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 Ptans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliaoce SIGN PERMIT Attach(2)sets of Engineered Plans. *"*PROPERTY SURVEY required for all NEW construction. : C � � : 7CC : : : : : : : : : C : : ' � ' :.,i1011CC � CC � C19CG1091amoCCf0 � 0C " ' Directions: � Fill out application complefely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) �' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same , I OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 RESPONStBILITIES: 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"owne�', 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 govemment 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 RECORDlNG YOUR NOTICE OF COMMENCEMENT. __ FLORIDA JURAT(F.S.117.03) _ OWNER OR AGENT CONTRACTOR � �-�X�( Subscribed and swom to(or affirmed)before me this Subscribed and s o o(or affirmed f ine this by 3n.�Juv+eao� b �0.v-ne K� - Chd�z• Who is/are personally known to me or has/have produced Who is/ar erson y own to me or has/have produced as identification. as identification. Notary Public �l s�n�� Vh-��CL4—°�-�►� Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped uNa4 M.�unwiN NoTAftY PuBUC b I 3 Z�y-. STATE OF FLOR�DA � � Cann�EE741816 Expi�es 10/26/2015 _ -#� JAMCO UNLIMITED INC. Invoice � CO - - 1183 Cedar St � Saftey Harbor,Florida 34695 �, . ��u.�c�°�'.��„'/ jimC�jamcounlimited.cotn � 6/3/2014 I 1143A I www.jamcounlimited.com 727-412-8526 Fax# Richard Weeks 5923 Turnberry Ct. Zephyrhills Florida 33542 � �• . . w 16 Electrical �i... Run 2-15 Amp circuits and 1-20 Amp circuit nll 400.00 400.00 GFCI for tub instcll bond tub to cold wnter or existing 14 Plumbing Remove und reinstull new walk in tub with new 400.00 400.00 stops in existing space 06 Lubor remove tub haul awny install new tub cut end 900.00 9Q0.00 panels instull cuulk & supervise nnd pull all necessury permits Thank You for the opportunity to bid your job Total $1,700.00 Payments/Credits �� Balunce Due �1,�� ; ^.�..�...-� . �. ,�..• . .,.I�.. . -. - \. .\•'�.�/•,i �\, ^ �/v ../��'v' \/ :i..;i�ri,•',�WY'� v l'.i.v�.,✓♦ ^'J.i`.��."�.'..�:�L��. �\rv:/`:/�v^%��.N��•�^.�.�V.;..:�:.`�:/VV�:`.;�,.��,./. .,..:;v^.,-:s:,::.;.��,,.,,..,��.�.,.�,�.�.�.:V'N.�.r.,:,:..,�C :� �� ;� �� FLORIDA GENERAL DURABLE POWER OF ATTORNEY ?� << THE POWERS YOU GRANT B�LOW ARE EFFEC'�IVE �� EVEN !F YOU BECOME DISABLED OR INCOIIAPETENT �� ;z NOTICE: THE POWERS GRANTED BY THIS DOCUMEN�ARE BROAD AND SWEEPING. �� TFiEY ARE EXPLAINED IN THE UNIFORM STATUTORY FORM POWER OF ATTORNEY �� ACT. IF YOU HAVE ANY QUESTIONS ABOUT THESE POWERS, OBTAIN COMPETENT �s >� LEGAL ADVICE. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAICE MEDOCAL � � ,� AND OTHER HEALTH-CARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF � �� ? A�TTORNEY IF YOU LATER WISH TO DO SO. THIS POWER OF ATfORNEY IS EFFECTIVE �� t� IMMEDIATELY AND WILL CONTINUE TO BE EFFECTIVE EVEN IF YOU BECOME ' DISABLED, INCAPACITATED, OR INCOMPETENT. �� S� 4 s� I �%GLa�e� J� CAP.�r� �v3 �lc� �� r� �d� ,-��-r f�-�r�2��"/ �35��.� �. -r �s [insert your name and address] appoint �s �- r r� �i3-an_�s ,�- 1'��oL� i�f�3 [../�cc.�rl r� �z i,'�1. C/E�.�,i-Sl�'� �! �., 7�� <� �� [insert the name and address of the �� person appointed] as my Agent (attorney-in-fact) to act for me in any lawful way with respect to <� � the following initialed subjects: �yr�y ��,�,�b�;,� e��P�u y �' � � TO GRANT ALL OF THE FOLLOWING POWERS, INITIAL TFiE LINE IN FRONT OF (N) AND � �� IGNORE THE LINES IN FRONT OF THE OTHER POWERS. , z� � TO GRANT ONE OR MORE, BUT FEWER THAN ALL, OF THE FOLLOWING POWERS, � �� INITIAL THE LINE 1N FRONT OF EACH POWER YOU �4RE GRANTING. �� t� �� TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY, BUT �� NEED NOT, CROSS OUT EACH POWER WITHHELD. >s �� ; Note: If you initBal Item A or Item �, which follow, a notarized signature will be required � `� on behalf of the Principal. � >> �Z � �s INITIAL S� � `� 1� � Real property transactions. To lea�e, sell, mortgage, purchase, exchange, and �� z acquire, and to a bargain, and contract for the lease, sale, purchase, exch , d �� s� acquisition of, and.to�acce , e, receive, and po�sess any intere ' property < s� whatsoever, on such terms and con ' ' s, and under s venants, as my Agent shall deem �� Z proper; and to maintain, repair, tear down, a1te� ild, improve manage, insure, move, rent, �� ; lease, sell, convey, subject to liens, mo - es, an rity deeds, and in any way or manner � <? deal with all or any part of any i st in real property wha soeacer, including specifically, but � s; without limitation, real rty lying and being situated in the State of-F,lorida, under such � << terms and con ' ' s, and under such covenants, as my Agent shall deem`proper and may for �� < all def payments accept purchase money notes payable to me and secured by-�m,�ortgages �� eeds to secure debt, and may from time to time collect and cance( any of said notes;-� � ` mortgages, security interests, or deeds to secure debt. �� '_---_—.._------ . �� l� (B) Tangible per ions�To lease, sell, mortgage, purchase, �� • ` �------______�--_ �s Page 9 of 7 ---`___ � � S1p .i�.�%�.•-„':f/V�`��::.%.NV'`v�^/�/�N'WW�V i�/��tiWN�NV��/V�v/�✓��NV/�.�1/��/.%�M%\.^'�n�W M%YJ�./��/��ti�n�r��r'V�VWwWW�/1NV�,^fn��✓V��Ni N�/`Nw'V�/lv�V�/ j�:. �.^J'.r.i'�J:�:%.� ' .N•.✓V\��..`;J�.�iv�vi- .i✓✓v�i."./�NYW':/+T��:N+�%�i�,•�n_.'��w..i�✓.i'��.1.\iv. . .: , '../�.il�/�;VV��V'�.'\%�%-✓�i�:':lv�:'vV�\.'�r\.\.'�vv�.��%-�/'��..�i\/.iv.•ivV�s ;, l <t • SS �?� exc�raAg� and acquire, and to agree, bargain, and contract for the lease, sale, purchase, _ �T �; exrhange, an uisition of, and to accept, take, receive, and possess any perso�at�iroperty z< �? whatsoever, tangible o ' ible, or interest thereto, on such terms and-conditions, and under s s� such covenants, as my Agent s em proper; and to maintain;Tepair, improve, manage, s� �$ insure, rent, lease, sell, convey, subject to ' s or mortgages, or to take any other security �5 �� interests in said prope which are recognizeci.un e Uniform Commercial Code as ;� � �� adopted at that time under the faws ofxb�a�e of F(orida o app(icab(e state, or otherwise �� s, hypothecate (pledge), and in�n�r�v�iay or manner deal with all or any f any real or ;� �> personal property w��"ver, tangible or intangible, or any interest therein, wn at the �; s� time of execu ' r may thereafter acquire, under such terms and conditions, and un rs .�h s� ;< cove , as my Agent shall deem proper. � << . �� < �� d bond transactions. To purchase, sell, exchange, surrender, assign,-- ?S �� re eem, vote at any meeting, or o e ' far�s�eLa�n a� nd all shares of�stock; onds, or other ;? �� securities in any business, association, corporatioJ_�n ___.partn�e�hi ;- " �f ther legal entity, whether �� private or public, now or hereafts b�ls�g'trrg-to me. � --�--__` �� Z? Commodity�and option transactions. To organize or continue and co uct any �� S� business which e ' ludes, without limitation, any farming, manufacturi , seroi�ining, ;s s� retailing or other type of busi o eration in any form, whether proprietorship, joint ;� �s venture, partnership, corporation, trus r legal enti ; erate, buy, sell, expand, contract, �� terminate or liquidate any business; direct, co , ise, manage or participate in the �, ?� operation of any business and enga pensate and disc usiness managers, �< employees, agents, attor , ccountants and consultants; and, in gen , xercise all �: �} powers with r o business interests and operations which the principal cou ' esent �� 5� an er no disabilit�r. �—� <� � S{ S; �5 �; /� (E) Banking and other financial institution transactians. To make, receive, sign, �� ; endor e, execute, ackr�owledge, deliver and possess checks, drafts, bills of exch , rs �t 4' of cred , otes, stock certificates, withdrawal receipts and deposi ' n s relating to � < accounts or dep ' in, or certificates of deposit o , savings and loans, credit unions, or '� s other institutions or ass ' tions. To pa ms of money, at any time or times, that may s� �� hereafter be owing by me upo ccount, bill of exchange, check, draft, purchase, contract, �� note, or trade accepta ade, execu , ndorsed, accepted, and delivered by me or for me �� <� in my name, by gent. To borrow from time ' e such sums of money as my Agent may ;� z; deem pro nd execute promissory notes, security e r agreements, financing s� z� stat nts, or other security instruments in such form as the len request and renew �5 �� id notes and security instruments from time to time in whole or in part. o ree access at �� ; any time or times to any safe deposit box or vault to which I might have access. z �� s� �> /fI (F) Business operating transactions. To conduct, engage in, and otherwise �s ;� ansact the affairs of any and all lawful business ventures of whatever nature or kind that I may �< �� now or hereafter be involved in. �� < S �< ?z JJ nsurance and annuity transactions. To exercise or perf�r�any act, power, z� z duiy, right, or obligation, in reg of life, accident,-health, disability, liability, or �s <� other type of insurance or any combination of insur , cure new or additional �� s contracts of insurance for me and to e the beneficiary of same; provi , er, that z� �s my Agent cannot designat e f or herself as beneficiary of any such insurance contracts. `ss z ` <, (�<< Page 2 of 7 �J� I,�`\%."-:,.'•V�:�v.:v:v�n:C�::�;.::.^.:;}nti`.,vvvv.�.:...n�..✓:..,vv•r-ir,�..n.'...i.•�.,i...:.� �r.-.i�.vv...,�.:.r..,,vd.,.n�vve-�/�.n�vv.�v.r.�v.:�,�.;..:n� .. ...,.��,.v.��;.:,��i�,`�i i./�•.��lv^��/'J•/�V�/�i�.V./�✓��N./�i�'V,./�,��J�/�N�:v^�.i.r�/�.Y.:./�rNV.:.!�.iV�i.MIW�.'VvVV��N.r.�.�:1..j�j.i.iviV.��/�.i\:./�.-^� �t:;i�:. ....:'%�:v�::..��r:.'n�.;�.�:-:i:�:�.�.'F:,t.:,:_%v�.�v�i�:i%"�v�i:r'�;v�ii:Y.,�s.�. .. .C•ti�. „n.i.i,�. . .,.. rv�:tii:.'t��i.�.-'•y'�:v�%�'�..�,�...,v::i�:.,�.ti%�;+_ �.. ,,.-.^�..:.i�"^:s�i.i:.',ti;,,,v�} S� ' ' f ?S �� z� �� ; (H� Estate,trus#, a�d other beneficiary transa�tions. To accept, receipt for, �� ,� exerci.se, se, reject, renounce, assign, disclaim, demand, sue for, ciaim and recov�r any s� 5; legacy, beques#, i��vi�e�gift or other praperty interest ar payment due or pay�ble~to or for#he �f �`� principa(; assert any intere ' and exercise any power over any trust;e��e or property � Z subject to�duciary control; establjsh--a-�vocable trust solel�.-€ortCie benefit of the principal that �� z terminates at the death of the principai and i n ' � utabie to the lega( representative of �< �� the estate �f the principal; and, in general x rcise a ers with respec#to estates and �� ; trusts which the principal could e ' e if present and under 'sability; provided, however, �� that the Agent may not or change a will and may not revoke or �nd a trust revocable �� }S or amendable e principal or require the frustee of any trust for the bene i e principal to �s {� pay i e or principal to the Agen# urtfess spec�c authori#y to tha#end is given. �� « � (t} Claims and 1i#igation. To cammence, prosecute, discontinue, or defend all actians �< �� or o roceedings touching my property, rea( or persanal, or any park thereof,._or- z� �� touching any matter ' 1 or my property, rea! or personal, may be-i�-an�r way concerned. �� ` To defend, settle, adjust, make allow�rnaec�.�et�f;stibmit to arbitration, and compromise �� all.accounts, recicani�gs, cla' , ar�d""�mands wha�so� at now are, or hereafter shall be, £� �� pending befinr and any person, firm, corporation, or other e i , m such manner �� ;; an ' respects as my Agent sha11 deem proper. �----,__,,_ ;� , �— � �� al and family m�iratenance. To hire accoun#ants, a#torneys_at_lawr, � ;� consultants, clerks, physicia , s agents, servants�wartcr�en; and others and to remove {� �� #hem, and to appoin#others in thei�p.lace? �� and allow#he persons so employed such �� y salaries , �e"r remunerations, as my Agent shal e�Zm-pra�..e� �� — ��---�-�.,.-�-__ � Sz K Benefits from Social Security, Medicare, Medicaid, or other gov�rnmental �� " �� programs, ar ` '�s,�ce. To prepare, sign and file any c#aim or applicat�r�-€or�ocia! �� Security, unemploymen#or rrrrtrt�._service benefits; sue for, settte or I�art� any claims ta { �� any beneft ar assistance under a�y€e e , e, tocal or n statute or regulation; controf, deposit to any account, collect, receipt for, an ' and hold all benefits under any �1 �z Social SecurEty, unemployment enrice or other stat�eral local or fareign statute or �s �� regulation; and, in geAeet�ai;exerci�e all powers with respect to Sacia( Secu ' , employment, �s �� mi1ita ' e, and governmental benefits, inc1uding but not limited #o Medicare an��s�caid, � Z� ich the principal could ex�rcise if present and under no disability. � s �� L) Retirement plan transactions. To contribute to, withdraw from and deposit funds � �� in anY tYpe o ` ent plan �which term 'sncludes, without limitation, any t ' �e or � �� nonqualified pension, pro ing, stack banus, employee s 'r�gs n�her re#irement plan, z� � individual retirement account, deferre ensatio n and any other type of employee �� benefit plan); select and change payment ' s rincipal under any retirement plan; � � m ake r ollav�r contribu#ions�ro retirement plan�o other r ` ent plans or individual �� ,� retirement accounts; 'se all investment powers available under an��y�r� of self-directed � �� retirement ; nd, in general, exercise all powers with respect to retirement p a nd �� reti t plan account balances which the principal could if present and under no disa riity. �� ers. To prepare, to mak elec�ians;t�o ex tc eue and to file a1T�a�saeial �� security, un�mploym�t��r-a� , na fo_`rmational returns required by the laws o#the United �� ,.States;-a�-of�iny state or subdivision thereof, o`r c�fi-a�►y�-#o�eig.�gavernment; to prepare,_to '� � �� ._-------__.. �� Page 3 of 7 �f t� «._ _. ......�...... nn�a...�. . .i.r,i.n..i.f.r✓....'V�� f�•�/V�:v'+/•�F�r^v�..+;.,�.f��•.VV��.n"n;.�.� `:V�J.rtr,��Mf'�NW�-^V��:�'I V N/' N'J � - +.� ... I .hiV�l�l`J��4V �/V'�i�✓iiVVY%�./iJ�lv\%��n/�i f �y . .� . .`�i �. /. ... /v�. . . . �: " • vV`^i� , "V.. . . '�,'i.��:^%\�:�j�•:�� .r iV1N^•%vV-�i) 7.��ti�_.:`��i ✓ :n..•. 'Vv�.� :.�i\.d�N�: �\:\:�.�Y'✓:.�n�'�%1'lvYVW\�ti'1�i�.f��^'V'�i\.N.�'JV'�. v �i�:iii.nj�n��rV�ii'�i - C))))))) I �(' f ;� ��' � � �� `�� execute, and to file a!I other papers and instruments which the Agent shall think to be desirable � �� or necessary for safeguarding of ine against excess or illegal taxation or against penalties �� r �. �� imposed for claimed violation of any law or other governmental regulation; and to pay, to �s �? compromise, or to contest or to apply for refunds in connection with any taxes or assessments �� z� for which I am or may be liable. �? � ss (N) ALIL OF THE POWERS LISTED ABONE. YOU NEED NOT (N(TIAL ANY OTHER �? � LINES IF YOU INITIAL LINE (N). < >. �� >� � �� SPECI�4L INSTRUCTI�NS: �( � � � ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL 1NSTRUCTIONS LIMITING OR <� �� EXTENDING THE POWERS GRANTED TO YOUR AGENT. �� CS � 1? J:•S �f �N cmSS � � � i.!`I i.1 �t.8 <; � c< �Z � �s �� Ss� �< S� Sl > 1 � � ,� ,y �� , >; <� SI 2, ?� <Z < � `S �` tC ?� �; �� }< < >� lj �� SS �� ?` �� HIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNl"IL l� > IT IS REVOKED. s� �> t? �} �� THIS POWER OF ATTORP1EY SHALL BE CONSTRUED AS A GENERAL DURABLE POWER �� }� OF ATTORfVEY AND SHALL CONTINUE TO BE EFFECTIVE EVEN IF I BECQME � �� DISABLED, INCAPACITATED, OR INCOMPETENT. �? �� ' � (YOUR AGENT WILL HAVE AUTFiORtTY TO ENIPLOY OTHER PERSONS AS NECESSARY �� 5 TO ENABLE THE AGENT TO PROPERLY EXERCISE THE POWERS GRANTED IN THIS S< >; �� FORM, BUT YC)UR AGENT WlLL HAVE TO MAKE ALL DlSC,RETlONARY DECISIONS. IF � � YOU WANI"TO GIVE YOUR AGENT THE RIGHT TO DELEGATE DISCRETIONARY `(` � l; � DECISION-MAKING POWERS TO OTHERS, YOU SHOULD KEEP THE NEXT SENTENCE, « OTHERWISE IT SHOULD BE STRICKEN.) >, ` �s �� z� � Authority to Delegate. My Agent shall have the right by written instrument to delegate any or sf , �• all of the foregoing powers involving discretionary decision-making to any person or persons Z, �� whom my Agent may select, but such delegation may be amended or revoked by any agent >� � (including any successor) named by me who is acting under this power of attorney at the time s� � of reference. <� �� , �� Page 4 of 7 �s /�/��%�l�:�VV�'i:N�%vvtiiv\�%`��i.l�'�V�%v�i�niv�.�.'��,�W�/�'✓�✓v��iW�NVV�✓'N/�J`�-n/�-^i.'�i%�i.��✓�/n�:NVVV�i��i�v':/+��J�N'ni:nNVii j.'^:�v'�n'�i.i�i�.1�N �('-/��^�.�1 T.��:/:%+��'ivV..,v�n�/�i^✓��i l�i�'�iv .i�i�.�. .J.v.��`1�;��.ti.��ti:I_��:NV�%�%'.�v . .. , i - . " \i.. - tv.i.i�i...i�,'�-'.. � ) . . . v�n:n',�'iv'•,r::.��vv:�S'vC.v�.iv�.::-i:i:�.�.n��::i�.�.ti•^:��v�r.r.n.�`%�;..,;2ni�) s� - �� : � ,� .� �Z �� (Y(�UR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL REASONABLE �� ' EXPENSES IfdCURRED IN ACTING UNDER THIS POWER OF ATfORNEY. STRIKE OUT �? �� THE NEXT SENTENCE IF YOU DO NOT WANT YOUR AGENT TO ALSO BE ENTITLED TO << z5 REASONA�LE COMPENSATION FOR SERVICES AS AGENT.) �� ; » �� Right to Compensation. My Agent shall be entitled to reasonable compensation for services >� �� rendered as agent under this power of attorney. �� sz (IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME(S)AND S� �s ADDRESS(ES) OF SUCH SUCCESSOR(S) I(V THE FOLLOWING PARAGRAPH.) �� `� � �� Successor Agent. If any Agent named by me shall die, become incompetent, resign or refuse �s � to accept the o�ce of Agent, I name the following (each to act alone and successively, in the ;� s order named) as successor(s) to such Agent: �� < '; �` �< z5 � <; 5� S� » Choice of Law. THtS POWER OF ATTORNEY WILL BE GOVERNED BY THE LAWS OF THE �� STATE OF FLORIDA WITHOUT REGARD FOR CONFLICTS OF LAWS PRINCIPLES. IT � ; �> WAS EXECUTED IN THE STATE OF FLORIDA AND IS INTENDED TO BE VALID IN ALL �s 2� �� JURISDICTIONS OF THE UNITED STATES OF AMEFtICA AND ALL FOREIGN NATtONS. �� S 'Z � �< S I am fiull informed as to all the contents of this form and understand the full import of this grant ��> y � �� of powers to my Agent. �� <,; �s ' �� I ag�ee that any third party who receives a copy of this document may act under it. Revocation t� � of the power of attorney is not effective as to a third party until the third party learns of the �� s� revocation. I agree to indemnify the third party for any claims that arise against the third party ?� because of reliance on this power of attorney. �� s S> , Signed this � day of r�F�J�i��.� , 20� I' >� ;� �{< l I ({ Ij� 1 Z� ^ (l z� [Your natu ` , s� �� - � -- / %- 0 / 3 �� `' [Your Social Security Number]� �� z� ,. �� > �� ,< � S �� 1� >Z S � �� " S >% � �' Page 5 of 7 �� S<� �I.�, r��.::�.ivv.��.. .. ,.. , v_n.,.,v.�✓v�...�.v��rwv..�v... - . .. • ✓ - i�:.,. , , ��v.;�, v....,...�.,v• ., . .,/< %�N�.V`hi'�.n��iV�i'.n.��.•�/v`��i:NV�/./�i�✓'v�/�.'\i�i�ni iV.��.1.1I.n n.%�l�.VV\nI.^�V�i v'.%�i�%�i�:�/V�%�.�%�;'�n.��i��ivV�N`✓:i�.'�W�i�.NVY/�/./�i�,.nn.'v'�i.iV:%i i�n✓�i�%�i•i f . . . ... .. ... . .,..,. ., _ .. ,_. .. .. ..,,-_,.�,. .. ... .. . ,..,�. .,. .. . .. • . . ,. . ,., . ,...._ . .,� • ... - - , �: , �: � , ;� r � Z( � STATEMENT OF WITNESa ;` . < On the date written above, the principal declar�ed ta me in my presence that this instrument i� '� hi� generai durable power of att�rney and that he ar�he had willingly signed oc direc#ed �; �� anather ta sign for him or her, and that he or she executed it as his or her free and voluntary s; >� act for the purposes therein expr�ssed. �> .; � :� `, [Signa#ure of Witness#1] ;; � [Printed or typ�d name of 1Nitness#1� `�' `�� [Address of Witness#1, Line 1] `�' �: ;s v^ — [Address of Witness#1, Line Z] ;� �� ,l }S '' l: ` 2 it ;; _ [5ignature of Wi�ness#2] :r < <✓'' [Printed or typed name of Witness #2] ;; I << .%�.7t�;,� r:� fl� �v� �� r 5" [Address af Witness#2, Line 1] �� I ,l �,�,�.�,�,� �� Y [Address of Witness#2, Line 2] �_; �` << �< <,_; ,, i �l � �; �'z Z' ; � A Note Abou#Selecting Witnesses; The agent (attorney-in-fact) may not also �`. '�� serve as a witness. Each witness must be present at�he time that principal signs �� ;; ��' the Power of Attorney in front of the notary. Each witness must be a mentally I�� <` comp�tent adult, VVitnesses shou{d ideaily reside ciose by, so that they wili be ;s ;; easily accessible in #he event they are one day needed to affirm fhis document's validity. « <:; � `', ,J`. <C \� i� '. ', ��. ' S, 1� .l iJ ' �;� iI ,, ) I �� ` �( �' 1 l: � } �f �ti �� it �l i. t', ;S ��z ;� =� t; t, �: �, <� r'. �� Page� t�f 7 `�� )l� .. i�� ! . � .i�� ..� .v .•l \i . -f:v�!� ...i i � . � i�. � � ` '.. . .. ' Wv�iv ..\...�,-..�:.,. • >l �%�: !.j. :.n%�.�.'�� .�%�%.%`✓�:1^ �iV��:, ,:n:•: .i�r./�.`:�/'.%':.:�,/`_'v .f� ��%•.N�v%"•;j�j::.;�:'\.�\.ti�.i..�%'•�.i\Ji. .i\'n:.i\.VV�%_.:'VVV-.i.ni`..�;'..`.i�/':l.,'v`:`:l%�iC( {5 V ''v l )i » 1 ` ,?S �) <� �� CERTIFIC�4TE OF ACKNOWLEDGMENT OF NOTARIf PUBLIC �$ �< �� ss STATE OF FL IDA < �z COUNTY OF l � • �� S; �; ? This do en .was ackno�dg�J befo��n /�U� � �13 [Date] by �: �� il ,��, � � C��R �- ° [name of principal]. ,� <� �� << [Notary Seal, if any]: ?� �� ss ,> >5 �z ure of Notariai fficer) �? �> �D�pRYqss LINDA M BALDWIN ' �? oQ °, NOTARY PUBLIC �< s� � �STATE OF FLORIDA Notary Public for the State of Florida >� �� `�s� � �=Comm#EE141616 S'> �� y�E 19� Expires 10/26/2015 My C�,RI ISS(O expires: " `s ��J ��- . �� r. :, �> :z �� }� �� ACKNOWLEDGMENT OF AGENT �� ; �. S Si � BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE �� FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT. `'� �� , / ZZ �� i�iM��s` � l"J�c 1 fol�"� �� s` �>� � ? [Typed or Printed Name of Agent] � >� �? ,� ;> > z � ` .Z Z' s< ignature of Agent �� S �Z �� PREPARATI4N STATEiVIENT �� s l� This document was prepared by the following individual: Z? ��' I (S /�J i L��G/ J �'1�cS �14��'+ -?_O� �? �� ;Z [Typed or Printed Name] �� [Signature] ;� '� � �S S� S` }< �2 � �7 Page 7 of 7 �< S.n-,�:., i-.�i.i.i..�,.:...r.,vv_v.,.i.:.,v.:�.r.,...�.�..:.:.:...�.,i-.U. . ,.i.i.,�.i.i.,,.v.^.�vv.,... .. . �_i .i,n:✓�i-.��, .. .i��v� i. . .�... , i�iv.:.. ,. )•' .n/��.i�V��V�/�/�/./v\.�Mn�.I.,�•!�/�^n.nlvWVV�N�v v�N'.M/��:%�%�J�..n/�/�,v v�r^✓\N,��.:•✓�.V',%�M:/��-V•iV.'./�%�..M/��i=N.i✓.I��i v�'J:%-.N�/��';r�i..%VW�.iv�.:N.n.:! � INSTALLATION��1UAL ( � l � 1.I6�RATfON ___.:sr�sr��-- . Acrylic Exte�sio� Kit Instaliatio�n Steps 5& 6 • Remove the tub from the alcove and install the front and then top panel with the self tapping fasteners. a.� , Predrill screw holes and attach front panel to aparn. � Predrill screw�holes and attach to ' tog deck of tub. � -�.._ n I Self'tapping � � Scre�v � Self Tapping �� Scretiv Steps 7& 8 • Apply the temparary clamps to help support the frant and tap panels while re-lacating the tub back into the alcove. • Remove temparary clatnps, check level, shim if necessary,and seal in panels with silicone. �lpply siiict�ne bet��reen Finallnstall �vaod stringers and extension pa�iels ,..� �� . �lide tub into fina[ installed�asitian, � � 14 , C/� l.!•B E R AT I 0 N INSTAI,LATION MANUAL .,��s�,��— . . , �ra�ir� {�verf�ow Ins��lati�n Dra�n I Overflodv Inforrn�tion A drain 1 overf�ow assembly is pravided with the t�b must be installed on the bath, water tested and connected to the saaitary system of the house. Some drain / overflow kits are packed with the waste flange, strainer, c�verflow cover, and fasteners, packed separately vsrithin the kit to protect the trim finish. Fotlow the installation instructions provided with the drain / overflow kit. 1�fter the drain is fully insta€led, test the unit far prc�p�r c3rainage. If the unit does nat drain properly, rectify the condition befare proceeding with installatian. Safety Tubs is not responsible far the reanaval c�r re-installatit�n costs. �onnectia►n �f the uiek I7►rair� � Quick Drain System requires the cannect�on to a minimum � %2" sanitary drain lin�. • Us��JPG Approved PVG Glue, Primer, a.nd ScheduSe �� ;�" N:Y;:. • Do not change or modify the lacation and ar piping af the Back Fiow 1Vlanifold _ 'i'�:, �u:::��i J �;,;, :;, :::s��:!�? !:r��l,� �hc�r� the drain tee ��vith ctearance not greater than 1". • Dry fit the drain overflow assembly to the sanitary drainage pipe and check far proper fi�. � Glue the Quick Drain Fittings, pipe and drain overflow assembly ta #he sanitary drainage pipe. N�T_F.� �v�fPr,r�Qht ia�stallcrtio�: of the wa�te/overflow is 8{�e instullea•'�respvnsibrdity. �'Mrain leakage is exctrided fYVtn,Sufety Tubs warranty of tlxis pro�lrrct. Qh•er Flo�s riLir V't�1\L`�.�11C�1.L�.li 11j�C�LZ��11�c�� III � � I PREUl�II-I��u�,��`��LL�T/OlV OF OVERFLOW HANd2tE y� ''� CODE,TIATIOI�P,LELECTRICCODE�� ,,•�� /Tn cn�kl�f e�r L��S�Y;t��^J��`S O��rr Flo�r Drrin } i � �_�n � � � Cslsle z � _ �I � . B:tck Hlnu�Tanifn�d � � , ` Fru�n Quick � � � {,/'� Drrin Ps+mp � � � \ { I I � """Flow Direction o ' I �—SET5CREW � I � 1 i ��l�l��p��'��N �� a� y �—��.E I 1 p (��T��F��Q YRH4L.,�� i—f ��RtdilLtf�-E��1 C M (� �p� �/p f��?!�I!„t',f � Sanl4un�Tcr— �Lf'Yt'��l+'\l'i ... s _ �5T g°°E�b°" � —ca$�;et 7tghter�et screw lnto overFlow knab _„�,,,_„� and screw handia over fhe tap af prria Tcr-- _..,�..__.....,,. � —Drxi�ch� th@ SL?SCf@W. Subtl�r ° � � � � '�.�-� Druin/ brrin �°�"�'" Cpble {_��1 �—j �---- Prc-InstalIed Back�Iaw Rlauifold �� ..� —r.Trrp — Supplied ��...�� -- Not SnpplEed �e have tak�n reasonable precautat�ns to ensure tiae ��ick 3Drain �s ��itat�ie for residen�ial plumbing> It is the responsibility af th� insta�ler to insure the sa�itary syst�em is acceptable for the use �rf the 4�a�ick�?rain. �e do a�of accep� r�spoa�sibi�ity f�r da�age arisin�fram the use o�'the Quick D�raia�� t� I � iJ.� • ��B�,R,AT I O N INSTALLATION 1VdANUAL , —.,�.�.s�— � ELEC'I'RICA� INSTALLATIOl�T This diagram shows the electrical configuration and connections for the indi�idual systems. NOTE: The in-line heater and air pump require their o�vn dedicated 15 amp circuits. Drain and Whirlpool pumps should be run off of a 20 amp circuit. DO NOT BYPASS CONTROL BOXES FOR INSTALLATION. .............�....�.................�,��...,..�� A1R PUMP WHIRLPOOL DRAIN PUhiP CHROMO.LIGHTS CON'CROL PANEL � PUMP � O ! � O UZONE � a ❑ � �a�� o , ; � ; , � , � �ay x �o ----- �� I �p Up � � 12 5.5 7.75 ; j AMP �►Mp � + � I � � g g � , � TO 20 AMP � I CIRCUIT ; 1 TO 15 AMP � CIRCUIT � � � fTGAT'C•R ; 15 AMP � DEDICATED ., � � CIRCUIT � i � .._.�.._...... �. � $ � � � —°t ??*t�Tt1I7 AfiT , ..... - ON MANUAL ---_:_�....:a-.:�:__ . . ELE+GT'R.I�.AL IN�TALLATICI►I�T A11 electrical wiring must be instalted in accardance wrtn tt�e Natianai �iectricai i.;oue anu wiin dii _ ' ' �'� ' - -'--': '- :; '�- ''�� °i�/'Y*ricia� Run one, two oc three branch circuits .__. ,a • <s� t-��. •ni�� w.l�n� Yr IIIC� IIV n \IiIY'lllllln �l4{.�L Ll. (;._ ,•�.n::jrn�71 �rr�m ��,¢ .,,�;n n�artrira� ��r�r:�e �anel to the p�.imp area ot'the t'ramfng structure to .s_..v: 3t2.:�rr sse•1 z::cc:e� v.vv...avu. ,-_ - " -i.. r provide pawer to the unit Electrical components have speci�c �viring requirerr:Pnrs, ??efer to thP �natrix helc►w for the electrical supply requirements for the jet massage bathtub and factory installed components. Branch circuits must be rated far 114 — 120 volts. Use 12 Gauge, 3 canductor cabte for the circuits. If the len�th run exceeds 100 feet check with local codes for requirements. Install moisture proaf ,}LitlC�2Qt3 �OX(S� 6" abt�ve ti�e zioor at �i�e gump enu vi ii�� iia��,;#i� i�z cayii ti.iiC,iii%. DO NOT fNSTALI.f THE JUNCTi+ON B{}X{S} tVHER� IT Cr�.N BE REACHED t'VHILE SITTING OR r mer.� rem Tl1�1i!'�YE7}4T!'� �B+i3�' L ATTC�"i'C - ---- - - - ��. . ...� . .... v,. . ..,.�.d...._. .__� .. ._��....___ QLTICI�. DRAIN�; LIGHTS,WHIIZLIPOOL, AIIt SPA�,, CG1MBfJ & �'[EAT]ER a�8 S+d"+^Ta]8 A 6 T33.'P�QT33S�,�6tl�i AI'f'"6�.' iur.iu�..a araa a.0 r.w.a.+v..r.�a��.�.�..�.�.... �'f�ds sectia�r lists tlze factory Frrst�rllet�con:ponenls of Aie Jet Massage and/ar Air Massage Systems. �i'vte th�reqrrired rrrrniber vf circriifs rrtrd 1lrefr rating for tlte Jet 14�assage&Air Massage uttit,yvu are plats�ri�rg tv insttcC/. C()NFIGURAT[ON LABEL F(JR FACTORY INSTALLED CUMPONEL�'1'� Electrical Rating Eiectr'tcal R�ting Dedicated � stea�s �.��+:.��. : :`:s:�_- - - � - n �_... r: .• � .,• .;�.�.. JUCinGI {V!�uivn.iiiyw. '�:::'} , �;��r��,,t L:�ht 3 5 Amp GFGI � Saaker w/Quick Drain w/Light � 15 Amp GFCf 1 � � Jet Massage Or Air Massage i 5 AmP GFC3 �_.�a_�,._ n ,�' A r.,,,.,..,..,.../T :..1,+ 15 Arnn C;PC`1 J4t L�icaJJU� � � IFt Maccaae�r Air NIn:cSa�e wIOU1��S I71d111 IS Amp GFCI IS Amp GFCI .fet Massage Or Air Massage w/Liaht c4c Qnick ^•�--- TL A+,,.,t':G'f'1 24 Amn(iF`C't tttaau Jet Massu>e &c Air Massa e(fJual) 15 Am GFCI I S Am GFCI Jet Massa e &Air Massa e Duai)wl Li ht 15 t1m GFCI I S Am GFCI Jet Massage 8c Air Massa�e(Dual)w/Quick B�� 20 Am GFGi t5 Am GFCI Jet Massage&Air Massage(Dual)w/Light& �IIIGK LJI32II LU tSIT1 vC1.i i.`i ivii vi Li Whirlpaol Inline F{eater-Dedicated!S Amp Circuit l5 Am GFCI A!!electrica!sernttectiorts m�est be carrr'ed otat bv a cer/ified electrician ie� accordance ►vith local elecirrcal reatrirements and codes. 7