HomeMy WebLinkAbout15-16311 • CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 16 1
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION
Permit �Jumber: 16311 Address: 37516 LAUREL HAMMOCK DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: OAK RUN
Est. Value: Parcel Number: 34-25-21-0100-00000-0150
Improv. Cost: 22,800.00 OWNER INFORMATION
Date Issued: 6/02/2015 Name: NIEPOETTER MELBA J REVOC TRUST
Total Fees: 270.00 Address: 37516 LAUREL HAMMOCK DR
Amount Paid: 270.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/02/2015 Phone: 813-788-9212
Work Desc: INSTALL SOLAR PHOT VOLTAIC SYSTEM
CONTRACTOR S APPLICATION FEES
MATRIX CONSTRU TION BUILDING FEE 210.00 ELECTRICAL FEE 60.00
SEM LLC
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�- - Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC IN ULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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� 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 properly 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 Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
TRACT IGNATURE PERMIT OFFI R
' � P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Permit No. Parcel iD Na i ���
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N0710E OF COMMENGEMENT a°m"
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State oi ��..\b4r County of�',�C.S. ,� �B W
TME UNDERSI6NED hereby glves notiae that Improvement wllt 6e made to certatn real property,and 3n accordance wiLh Chapfer 713,Ftodda Stat�tes, ' � �
the foilrnving infortnaGon is provided in this Natice af Cnmrr�encement � ,p
1, pescription af Property. Parcel Identification No. ��—��.`�'S— r�.�^'O�C�1 �-�:.C�•CC1"'d`5�✓ � '
��t511s, \��1�rs•�.� 1�. Z�c�i��t t�..��1���-1. 335�! 3 � ���
Street Address: �
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2. General Description of Improvement ������C.J`v �..C_�\�C�r\(�..Sry�cS�G✓'"' � ��n
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3. Owner Infprmation or Lessee infortnation if the Lessee coM�cted for the improvement: 1 T'T��� '
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Address City � State
tnterest in Propesty: {�CSi?��`�.a
Name of Fee Simple Titleholder.
(If different from Owner listed abave)
Address City State
Q�, 4. Convactor.�j�,�:"� �... �`h�'�-S
�4fd "��cCr �'�{�� �rllS��C..aE "���.c�s� � �...s�t�f
Address t� City CT State
Contractor"s Telephone No..��w��—� 'J�' �'J ,
5. Surety:
Name
Address Cily Stata �
Amount of Bond: $ Telephone No.: p-a
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6. Lender. O��
Name ' ���
tri
Address Ciry State ; �N�
�endet's Telaphone No.. �f�@ m
i��1I�r
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as pravided by _
SecGon 718.13(1)(a)(7),Florida Statutes: ���
Name �N�°
a �
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Address City State , �� �
Telephone Number of Designated Person: �i„��
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&. tn addition to himsetf,the awner designatas of� [[[��� �
to receive a copy oi the LienoPs Notice as provided in Section 713.13(1)(b),Florida Statutes. ��as�"
7elephone Number of Person or Entity Designated by Owner. f..a
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9. E�iration date of NoGce of CommencemerK(the expiration dete may not be before the completion of construction and finai payment to the � �
contractor,but will be one year Crom the date of recording unless a d'rfferent date is specified): °
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WARNING Tt7 OWNER: ANY PAYMENTS MADE BY THE OWiVEfi AFfER THE E7CPIRATtOIV OF THE(VO7tGE OF COMMENCEMENi' � i j
ARE CONSlDERED 1MPROPER PAYMENTS UNDER CWAPTER�13, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �
RESULT IN YOUR PAYING TWICE FOR IMPRQVEMENTS TO YQUR PRdPERTY. A NOTICE OF COMMENCEMENT MUST 8E
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,GONSULT
W ITH YOUR IEtVDE{2 OR AN ATTflRNEY BEFORE COMMENCiNG WQRK 4R F2EG6R01NG YOUR NOTICE OF COMMENCEMENT_
Under penelty of perjury,I 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 QF FCORtDA •
COUNTY OF PASCQ
t W Owner or Lessee,or s a essee's A zed
O �cedDirectoNPartnerlManager
Signatory's�e/O�ffice �
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The faregoing insWment was aclmawtedged beiore me fhis���l./ay oF��2��bY
�1�Q�,�_�� as � ( �g of tauthority,e.g.,officer,Wstee,attomey in fact)for
��-,�,Ol� }���i C��'+ {nam rty halt hom insWment w x ed).
Personaily Known�OR Produced Iden�cation�. Notary Signature
Type of Identfication Produced���ti Name(Print) �4..:-,'---c���.�.fl�-��
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wpdata/bcslnoticecomm encement�c053048
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4! , � s�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Departmeni , ` ��r/Jp�` C�2 (�+7
�pc� L ( J b G.
Date Received Phone Contact for Permittin 813 485 6799
Owner's Name Melba Niepoetter Owner Phone Number g13-788-9212 '
37516 Laurel Hammock Dr.,Zephryhills 33541 813-546-6998
Owners Address Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 37516 Laurel Hammock Drive,Zephryhilis 33541 LOT# �
34-25-21-0100-00000-0150
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
- WORK PROPOSED NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 3TE L Q
DESCRIPTION OF WORK Instali Photo Voltaic System
BUILDING SIZE S�FOOTAGE� HEIGHT � 1
QBUILDING $ Z��g00. VALUATIONOFTOTALCONSTRUCTION �,�/-1�'1`��
XQELECTRICAL $ �000. AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
✓
QPLUMBING $ � cn`i �����
� .yCi�.,
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ,QrI/1 � �
�W�
/�Cj.�l'. � �
QGAS Q ROOFING Q SPECIALTY 0 OTHER V �^:/� ��
V(I `�.� -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
-"-"-" o � o a s a a o o a s a i i i ! S 8 4 6 � G i i L 4 i 4..7 5.3�3..3��
BUILDER COMPANY Y
SIGNATURE REGISTERED Y! N F�cuaFten Y/N
Address License#
ELECTRICIAN � O � COMPANY Y
SIGNATURE }+ REGISTERED Y/ N F�cuaaenJ _-Y�EN---_.__
�`
Address " Licens�� _ �3��'��� �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N F�cuw�. Y/N
Address License#
MECHANICAL COMPANY
� SIGNATURE REGISTERED Y/ N peECUwtEn Y/N
Address License#
OTHER � COMPANY Y
SIGNATURE REGISTERED Y/ N F w�n YTty_
Address icense# a-
1111111�111111111111111111111111111111111I1111.1 111111111111111 11
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permitfor new ,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 Faciiities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Atlach(2j 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. (AlC upgrades over$7500)
" Ager,t(for±he contractor)or Power of Attorney(for the owner)would be someone with notarized Ietter from owner authorizing same
-
- OVER THE COUNTER Pk'RM177ING (Front of Application Only)
Reroofs if shingies Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) .
Driveways=Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
" under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"wntractor 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 IMPACTNTILITIES 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 e�ansion 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 WatedSewer Impact
fee�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 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,WatedWastewaterTreatment.
- 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 wnstrucbon. 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 INAY 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 JUR.4T(F.S.
(
OWNER OR AGE Y��' CONTRACTOR � �'
Subscribed and swom ro(or affi ed fore'me this Subscribed and swo to(or affrmed)bg gre me this
by C�� by �S�- �.-��L.. `�\:Q�
Who is/are Il k wn to me or has/have produced Who is/ar onally known me or has/have produced
as identification. as identification.
Notary Public Notary Public
„Cqmmission r�. �3NETT1 Commission No. FF130364
`��,�'Y'PUe'�-� -�fA SIMONETTI ` �
;•=o, .�a 9' gg �Publlc-State of Florida Gia Simonetti .•'PY,PUg�, - li
;►; arr�of N�c$�j(ry(� Name of Notary typed,printed o s,� 'e •n: o ary u c- e of Florlda
" '•".• �`: MyCommissionExpires �'� '�= Commission#FF130364 '
"�;�'�df'F�°� June 8,2018 =;�'. ��
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cnnsrrucrinn
' May 8,2015
City of Zephyrhills
Re: Matrix Construction CBC 1250267
Brett L. Emes
John McDonald EC13004784
To Whom It May Concern:
This letter serves as authorization for Jody Eames to act on my behalf for all permitting pertaining
to Matrix Construction within The City of Zephryhills's jurisdiction,to include applying for and
picking up permits or to call in for inspections within the City of Zephryhills's jurisdiction for Matrix
Construction.
If you have any questions,please don't hesitate to call our office at the number below.
Sincerely,
ohn McDonald
Vice-President
E 3004784
NOTARY O�'Pr,?Ue`,; GIA SiMONETTI
Swor o and subscribed before me this ':' ° Notary Public-State of Florlda
� -�' *= Commission#FF130364
� day of�2015. -;�;� o-�'�' My P
�,.,`o`� Commisslon Ex Ires
,,oF f,�, June 8,2018
I
4640 Eagle Falls Place,Tampa,Florida 33619-2224 �
Phone: (813) 677-6655 ♦ Fax: (866) 820-0265
CBC0125G267—CVC��?RS—EC 13004784 '
�mail: gia@solarenergym�:�t.com �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: M a 7��x l.0 N S TR l�C7(D 11� ¢ ���'v1,
Date Received: S — � $ � ! �
Site: 3 ? S 1 6 L.�u f�i,L f�rH�►t d(�
Permit Type: � A� �D 10 �OLZA,1 C
ys7�
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
�
This comment sheet shall be kept with the pernut and/or plans.
`d'� �"(�
Kalvin S 'tzer 1 xaminer Date Contractor and/or Homeowner
(Required when comments are present)
I
- � �}� Solar Ener Mana ement
��►` gv �
I ' Energy Sav�ng Solutions
�
May 8, 2015
City of Zephryhills
Re: SEM LLC CVC56782
To Whom It May Concern:
This letter serves as authorization for Jody Eames to act on my behalf for all
permitting issues, to include applying for and picking up of permits or to call in for
inspections in the City of Zephryhills's jurisdiction.
If you have any questions,please do not hesitate to call our office at the number listed
below.
Sincerely,
�'_
��'
Brett L. Emes
President
NOTARY
Sworn to and subscribed before me this .O,�,HY PVe�,, GIA SIMONETTI
;:• �. Notary Public•State of Floritla
day of , 2015 =`• ;= Commisslan#FF13o3sa
=+�,. o�'�' My Commieaion Expir�s
,oF f�,. Jun�9,2018
SEM,LLC,4640 Eagle Falls Place,Tampa,Florida 33619-2224
813-677-6655 (office)�866-820-0265 (toll-free FAX)
CBC 1250267—CVC 56782—EC 13004784
Gia@solarenergymgmt.cor,�
To: P�ge 3 of 4 2015-06-02 17:20:15(GM� 18668200265 From:Gia Simonetti
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5tandard Sales Contract 6 a2- I �
This Contract is made hy and between Solar Energy Management located at 2802 Leslie Rd.,Tampa, FL 33619 with
Licenses:CVC56782(Contractar)and:
� Customer �
Correspandence&Work Location
Ms.Melba Niepoetter
37516 Laurel Hammock Dr
Zephryhills, FL 33541
Phone:813-788-9212
Alt Phane:813-546-6998
Email:nieper@verizon.net
Major Equipment to be Installed
Solar Electric(PV1 System
Array tkl
PV P�nels: 39 x Canadian Solar,Model:CS6P-260P
Inverters; 1 x SMA America,Model:SB10000TL-US(240V}
Included: 'Webconnect Sunny Portal Inverter Monitoring Equipment{Lifetime};�400
Payment Schedule
�eposit $7,980 Du�about week'I
Installation Complete 56,840
City Inspectian $7,9$0
Contract Total $22,800
' Loan Arranaements:The Contract Total has not heen reduced to account for any Loan arrangements.
}'r���c.3 us'f) 1�4c:�o��f`;i4c:�e3'.�er•3r?:sy i v.2Q i Fi
To: =?Page 4 of 4 2015-06-02 17:20:15(GM� 18668200265 From:Gia Simonetti
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