HomeMy WebLinkAbout15-16712 � CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis��so-oo20 167 2
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16712 Issued: 11/13/2015 Address: 38026 LAWANDA LOOP
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 8,990.00 Total Fees: 120.00 Subdivision: WAYV1/ARD WIND
Amount Paid: 120.00 Date Paid: 11/13/2015 Parcel Number: 14-26-21-0160-00000-0190
CONTRACTOR INFORMATION OWNER INFORMATION
Name: AMERICAN SOLAR ENERGY LLC Name: GRESS RICHARD & SANDRA
Addr: 5109 MEADOWS END Address: 38026 LAWANDA LOOP
LAKELAND FL 33810 ZEPHYRHILLS FL 33542-5633
Phone: (863)859-7800 Lic: Phone: 813-788-2159
Work Desc: INSTALLATION SOLAR HOT WATER HEATER
APPLICATION FEES
PLUMBING FEE 120.00
INSPECTIONS REQUIRED
1ST ROUGH PLUMB
,.v_
2ND ROUGH PLUMB
SEWER �
WATER
FINAL �' '- � -l 5'
l� � �f ,19
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
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.
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."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
� �
CONT � CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Clty Of Z��lyl'�11115
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � !N 1=�1 C/�!L� �OLl4� �AI���Y
Date Received: (Q � 3 ( — ( S
Site: 3�1b2� LAwANpq C/�
Permit Type: So��{ft MOT wATcR c�1(SZr`t�(
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
C��r -� �
Kalv Swi lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
, 613-780-0020 City of Zephyrhills Permit Application Fax-a��-�eo-ooz�
, Building Department
Date Received Phone Contact for Permitting 727 831 3833 Cindy
Owners Name ��ard&Sandra Gress Owner Phone Number 813-788-2159
Owners Address 38026 Lawanda Loop,Zephryhiils,FL 33542 p�er Phone Number
Fee Simple TiUeholder Name ��ard&Sandra Gress Owner Phone Number
FeeSimpleTideholderAddress 380261.awanda LoOp,Zephryhilis, FL 33542
JOBADDRESS 38026 Lawanda Loop LOT# 19
SUBDIVISION Wayward Wind Mobile Home pARCEL ID# 14Z6-21-0160-00000-0190
(OBTAINED FROM PROPERN TAX NOTCE)
WORK PROPOSED B NEW CONSfR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Installation of Solar Hot Water System
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
[�PLUMBING $ 8,990.00 '��p�,� /1�V,�� 1
. � ` • Q1�1
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
V`
�
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVAl10NS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEECURREt� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEECURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N �cuwtEn Y/N
Address License#
MECHANICAL �COMPANY
SIGNATURE d REGISTERED Y/ N FEE CURREA Y/N
Address License#
, - 1,
OTHER PANY LAKELAND,FL 33803
SIGNATURE R ISTERED Y/ N FEE CURREt� Y/N
Address License#
1 1 1 1 1 1 t I I i t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 � 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 I 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
San'dary Fadlities 8 1 dumpster,Ske Work Pertnk for subdivisions/la�ge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fartns.R-O-W Pertnit far new consVuction.
Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater 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.
""PROPER7Y SURVEY required for all NEW consWction.
Directions:•
Fill out application campletely.
Owner&ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over b7500)
" Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs iF shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�
. NOTICE OF DEED RESTRICTIONS: The undersigned underatands:th�t:thls.p�nnit may.be subJect to`deed"resUlctlons" ii
which may be�more�reat�lctive,thart Gounty�regutatfons.�Tfie undeialgned"eseumes'tesponsibflity.for compliance wilh any ,
appllcable deed resMctlons. •
UNLICENSED CONTRACTORS AND C'ONTRACTOR RESPONSIBILITIES: If the ovmer has hired a conhactor or
contractors to undertake work,they may be.requlred:to be.licensed In accordance.with s�te.and:local regulations. If the
contractor ts not Ilcensed as requlred,by law; both the owner and contraoto�•mey be•cited f�r a misdemeanor violaUon
under state law. If the owner or fntended�confraetor-are;uncertein as to what Ilcenaing.requlrements;may apply-for the
tMended work,they are advised to contaot tfie Pasco County Bullding Inspectlon Divislon--Llcensing Secilon et 72T-847-
8009. Furthermore, tf the owner has"hl►ed�a c:ontracto�o�contractors, he is advised to have the contractor(s),sign
portlons of the°contrector Block"of thle applk�tion for which they will be respons�ble. If you,.as-.the orvner atgn as t6e
contractor,that tnay be an IndlcaUon that he Is noY�roperly Ilcensed and is not entltled to pennitdng prhtileges In Pasco
' County.
TRANSPORTATION IMPACTNTILITIES�IMPACY ANb RESOUftCE RECOVERY FEES:-The�undersignad understands
that Transportellon Impact Fees:and.Recourae Recove.ry.Fees mey�apply to tfie constructlan of new bulidings,:change of
use in exlsNng buildings, or.eicpansiorrot:�exi�@1tn�g�fiutldings,as specified fn Pasco Counfy Or'dinance number 89-07 and
90-07,as amended. The underslgned also.understands,thalEsuch fees,as•.may�be.due,cwfll:-6e IdenUfied at the�time�of
permitting. It Is furtfier understood that Tra�sportation Impact Fees and`Resource Recovery"Fees must be pald prlor to
recelvtng a'certiflcate oi occupanc�'or flnaF powerrelease. .It the proJ�ct,does not Involve�a.certHicate of occupancy or
Bnal power release;the.tees must be paid prlor to permR Issuance. Fnttherinore;K-Pascc.County VllatedSewer Impact
fees are due,.lhey,must be•pald prior to permlf lsayance in accordance with appllcable Pasco County ordfnances.
CONSTRUCTION LIEN'LAW(Chept�r 713,FloKda Statutea,as emended): If valuatlon of work Is a2,500.00 or more,I
certity that I, the applicant, have-been provided with a copy af the'Florida Construcdon Lien.Law--Homeowner's
Protection Guide'prepared by the Florida DepertmenC of Agriculture and.ConsumerAffafrs. If the applicant Is someone
other than the'owner',I certify that I have.ob.ta(ned:a copy.oLthe abava.described'document°and:premlSe in,good faith to
deliver It to..the'ownec`prior,_to�commencement:- '
COMTRACTOR'SIOYYMER'S AFFIDAVIT: 1.ceitfty.Uiat all the,lnformatlon.ln this application Is accurate.and lhat all work
will'be done in compliance with all.applicable laws reguladng construcdon,zoning and land development. Applicatlon Is
hereby made to obtaln.a.permit to do_work�and Installallon as Indlcafed�,,.l certify"that no work°or Installatian has
commenced prlor'b Issuance ot�a pertnit`"and`that':ali wark wrlll be perFormed to meet standards of all laws regulabng-
constructlan, County and Cily codes, zoning regulatinna; and land development tegulaUons-in the Jurisdfctlon. I al'so
certify lhat I understend that the regulations of other government agencies may•epply�to the Intended work,and that it is
my responsibiliiy ta Identffy•what.acUons I muat take:to bedn_ootr�pllance: $uch agencles.include b�t are.not Ilmited to:
- Department of Ehvironmental ProtecBon-Gypress:Bayhead�, Wetland Areas.and Envfronmentally Sensitive
, Lands,WetedVVasteweter Treatment.
- Southwest Florida Water Management 'District-Welis, Cypress. `Bayheads; Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers�eawalls,Dooks,Navigable Watetways.
- Department of Health 8 Rehabliitative Servtces/EnvfronmenCal Nealth Un(t-Wells, Wastevvater Treatment,
Septic Tanlis.
- US Envimnmental Protectlon Agency-Asbeatos abatement.
- Federal Aviatlon Aulharity-Rumnreys.
I understand that the following:resUlctlona apply to the use of flll:•
- Use of fill Is not allowed in Flood Zone'V'unless expressly permitted. �
�� - IF the flll materlal Is to be.used:ln flood Zone 'A', ft.Is understood that a dralnage plan addressing a
°compensating volume"will be submitted at Ume of permftting which is prepared by a professlonal engineer
Ilcensed by the 3tate of Flotida:
- If th�flll materlal ts to be used'tn Flood Zone'A" In�connectlon�with.a permitted building using stem wall
construcUon,I certffy that flll�.will:ba used only.to.iill the area within the stem wali.
- If flll materlal Is to be used In.any erea, I certlfy thet uas of euch flll wlll not adversely affect adJacent
propertles. If use of flll is faund to advers�ly,�ffect adJacent propertles,.the owner may be cited for vioCaUng
lhe conditions of the.bullding:permit issued•under tha attached permit applicaUon,for lots less than one(1)
acre whtch ere elevated by All;art engineered dralnage plan Is requlred.
If I am the AGENT FOR THE OWNER,I;promise In good falth to I�orm the owner of-the perm(tUng wndi�ons set forth in
, lhis affidavlt'prlor to commencing conatructlon. I underatand thet a�separate permit may be requlred tor elecMcal work,
plumbtng, signs,welia, pools; alr conditloning,.gas, o�olt�er install8tlbns not•spec►flcally included�in.the applicatton. .A
permit Issued shall be construed to be a Ilcense to proceed with the work and not as.authority to violate,cancel,alte�,or
set aside eny provisions of lhe.technlcal codes;nor shall issuance•of a permit.prevent the Bulldirig Officiel from thereafter
requirtng a correction af errors In.plans,constructlon or vlolaUons of any codes. Every p�ermlt Issued shail bacome inval(d
unless the work authorized by such permit:•Is-cammenced wlthln sbc months of permit lasuance,or If work authortzed by
the permit is suspended or.abandoned for a:period of six(8)montfls efter the Nme the work:ls commenced: M extenslon
may be requested,In wriUng,from the Bufiding,Offlcial for a period not to exceed nlnQty(90)days aad virfll demonstrate
', justifiable cause tor.the extension. If work ceases;for ninety.(90)consecutive.days,..th\Job ls.considered abandoned.
WARNING TO OWNER: YOUR.FAILURE TO.REGORQ A:NOT�ICE OF COMMEMGEMENT�MAY RESULT IN YOUR
PAYING 1WICE FOR IMPROVEMENtT3 TU.YOUi�PR�PERTY.�IF°YOtJ�IPFTEWD:T�'�OBTAIN�FINANEING;�ONSULT
WIT U L D O � O N 0 �. CO �� OU � �C '
FLORIDA JURAT(F. .03} •
ONfNER OR AO CONTRACTO V
Subsalbed end (or aRl e oro me thls Subsalbed a d'swom to(ot'afli r fore me thl�
by bY
Who IWare p onally imovm to.me or haalhave produced Who Is/a etsonellylmovm W me or hadhave prodiked
Identlllcetlon. as IdendBcation.
Notery Public NoFary Public
Commisst No::. Co slon No.
,,::%v".,. JOEL E.BACON ' " ",
Name o Nola �. pife - Name ot No �OEL E.BACON
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r4merlcur� Solarr Enet�y, I,L� `:`=` Keeps Us Out
SC)LAR GQNTRACTORS � '� r�•:;,b,,;,;�,�.�--- - __ �:`�,;•�,3
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RE: Permit Agent Authorization Form
I, Labron E. Taylor, Jr., a state certified solar contractor, License Number CVC056667,
hereby authorize the following to act as my agent(s) in obtaining permits in
, Florida.
Name of Agent Driver's License No.
i v ' �a�a-i o - --'1 3-C�
I STATE OF Florida
This letter contains the names and identification - couNTY oF POLK
� numbers of people that aTe authorized to pul-1 Sworn to(or affirmed)and subscribed before me this L,
� permits in my name. This letter supersedes 1riy- day of S ,ao�by
previously submitted letter(s) of authorization. ��bC� �,�CT(r!'•�T �
This signed authorization will remain in effect �Printed/I'yped Name of License Holder Making Statement)
until cancelled in writing by the undersigned NOTARY PUBLIC �
license holder. ���•���M -���9�
� (Signature of Notary)
��Sc�v��,�T�n �i.Vl 5-Q,�
(Name of Notary Typed,Printed,or Stamped)
(Lice se Hol r's Sign re) My Commission expires:
MINSER `} �, `��
=�;a:�%w�; JASON RYAN —
•. •: MY COMMISSION il FF217901 Personally Known X_OR Produced Identification
'.'}'��' XPIR S April 07��,2019 � - -
�'•';!o..;, Affix 1€1bFabr�yd�o ayservwe•cc^' (Type of Identification Produced)
�4C7�398-0'S3 . �
5109 Meadows End • Lakeland, FL 33810 • (863)-859-7800 • Fax (863)-816-5426
. i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
` Permit No. Parcel ID No 2015137208
NOTICE OF COMMENCEMENT Rcpt:1708209 Rec: 10.00
• DS: 0.00 IT: 0.00
Stateof_ r�0►rt��. Countyof �e3SC0 08/25/2015 C. F'. , Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be made,to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following infortnation Is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. � `o� - ��p b0Q -Q /_..p-1' 1� wj%{�
Street Address: .3 A e`��O L„ P Z h }�1 �(„ a. — $
2. General Description of Improvement��S-}�l 1 a�-[ bY� C!T �O l c�Ir" �o�- 1�tJake� t�C�'�LVI.�I
�u.�-�'�e vr�
' PqULA S 0'NEIL,Ph D PASCO CLERK & COPIPTROLLER
3. Owner Information or Lessee information ifthe Lessee contracted forthe improvement: _ 08/25/2015 01:47 m 1 of 1
R��arrd. � and�a �ires� OR BK �24� P� 34�5
3 8'02(p �a�wc�ida �-P �Qm hurh�I ls F�-
Address City State
Interest in Property (7(.t�V1 C�.r
Name of Fee S(mple TiUeholder. _N�/�
(If di erent from Owner listed above)
Address • State
a. contractor: �..8bv'Ovt � T���IIOr -�vy2.�l.C�.Vt �olar Cv+e�au LLC'
��13'Y meU S �-1-w N 4 � _�.a.ke!�l�l d �
Address Ciry Starte
Contractor's Telephone No.: ����s9 "7 go�
5. Surety: �v//-t
Name
Address City State
Amount of Bond; $ � Telephone No..
6. Lender. Iv��
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 71�.�3(1)(a)(7),Florida Statutes:
_J Y%/4
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates _/V/� of
. —
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice ot Commencement(the expiration 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. 1F YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pery'ury,I declare that I have read the forego(ng notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA �
COUNTY 0���/�ySCO
r°;•••.;�k• LAURIE DELONG PRINDLE ignature of Owner or Lessee,or Owner's or Lessee's Authorized
* * MYCOMMISSIONtFF243749 OfficeNDirector/Partner/Manager
EXPIRES:June 23,2019 �k,�.�,,e�—
N�'TeoF�,oa`O! BondedThruBudgetNofaryServkes Signatory'sTitle/0ffice
The foregoing instrument was acknowledged before me this d-(day of�,20�y�by �a���CL
�91�'�$ S as�W t�l e�' (type of authority,e.g.,officer,trustee,attarney in fact)for
(na of arty on behalf ot m i t ment was cuted).
Personally Knovm�OR Produced Identification[� � Notary Signature
Type of Identification Produced /JY'. �-LC�Q N! .f' �- Name(Print) �... ir I O p f