HomeMy WebLinkAbout17-18548 CITY OF ZEPHYRHILLS
5335-8th Street
' (813)780-0020 18548
� : ELECTRICAL PERMIT
PERMIT INFORMATION - LOCATION IiVFORMATION
Permit#:18548 Issued: 6/06/2017 Address: 7907 KAY MARIE AVE LOT 356
Permit Type: ELECTRICAL MISC . . - ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 29,224.00 Total Fees: 277.50 Subdivision: GRAND HORIZONS
Amount Paid: 277.50 Date Paid: 6/06/2017 Parcel Number: 34-25-21-0180-00000-3560
' CONTRACTOR INFORMATION OWNER INFORMATION
' Name: GUARDIAN SOLAR LLC Name: BURNS, JAMES & SHERI
Addr: 4502 ONTARIO DRIVE Address: 35550 WINTERSWEET LN
NEW PORT RICHEY, FL. 34652 ZEPHYRHILLS, FL. 33541
Phone: (800)605-7211 Lic: Phone: (813)714-9415
Work Desc: INSTALLATION PHOTOVOLTAIC SYSTEM ,
APPLICATION FEES �
ELECTRICAL FEE 277.50
INSP , ONS RE RED
ROUGH ELECTRIC
CONSTRUCTION�POLE n
PRE-METER
FINAL
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REINSPECTION FEES:(c)With respect to Reinspection fees wi omply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amoun 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 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 pertormed in accordance with City
Codes and Ordinances.
� ��
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting Dw IpD �.!l
� , Owner's Name Owner Phone Number ��� `�1
Owner's Address� O \ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O� R \ ,hOT# �
SUBDIVISION C ,Z PARCELID# ����O1 � O, O' � ��
(OBTAINED FROM PROPERTY TAX NOTIGE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� �/�� S
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $� �O VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE �1X PROGRESS ENERGY Q W.R.E.C.
�yG �
�PLUMBING $ �_ CQ�.ir1��
��� \ . �-�� � ol��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� .I ��� �
OGAS Q ROOFING Q SPECIALTY � OTHER � �A�, w ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � �v �a`� - v
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BUILDER /�,„ ��COMPANY V►4C V�� � C•
SIGNATURE ����lL REGISTERED Y/ N FEE CURRE� Y/N
Address . �l\V� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllltllllltlltllltllllllllll
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,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construclion.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
•• Agent(for the conVactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVac[required)
Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurveylFootage)
Driveways-Not over Counter if on puhiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
• � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block" of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properiy 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 I
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to ,
deliver it to the"owner"prior to commencement. I
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work I
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 ceRify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive �
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering I
Watercourses. I
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. j
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGE CONTRACTOR
�ybscri d and yw o o a irmed e�m�this Su s ribed and s�o
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Who is/are y o n e or has/have produced o is're erson e or h /have produced
as identificatiori. as identification.
Notary Public Notary Public
Com�n Na. ��1�3� Commi ion No. � ��
A �
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Name o Name of Nota ,
?o�P�q�� Notary Public State of Florida �p1�Yp`q� Notary PubliC State oT Florida
. Angie Bryant � . Angie Bryant
'� �o` My Gommission FF 163371 9 �� My Commission FF�63371
�'oF Fl.d` Expires 09/2512018 �oF�.� Expiros 09/25/Q018
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2017080462 �
' � Pertni[No. ParcellDNo�y- ���a�-o� ga pbo�o-3,�0
NOTICE OF COMMENCEM
State of ��' County of �QSL�
THE UNDERSIGNED hereby gives nofice tha[improvement wili be made to certain real property,and in accordance with Chapter 713,Florida S[a[utes,
the following infortnation is pmvided in this Notice of Commen `en�t c� l p. (� B O�
1. Description of Property: Parcel Identification No. �V'nC�'�1- ��O����������YJ� �N�
StreetAdd2ss:�"1��' 1C. \t 1'1 1(�-G Y'C Vt_ T_Ym1/�V.�1����� � )�� ���
2. General Description of Improvement N��
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lv���f�,\1��r., �w �n1'�o�ov ol� tf„i c, �(�13..n i S � -
3. Owner Intortnadon or Lessee information if the Lessee contracted for the improvemenr 3 N
.�Qx��r.� A _ '�v r�n� ��
Name ' "'�� I
�-t��� ��� M Q.�t, pcv r,v�.,�e. �t��►v Yh v1;1 S � . .. �
Address City State O B�
Interest in Property: �WV�/ � '
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K Bm
Name of Fee Simple Titleholder.
(If differen[from Owner listed above) n B
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Address �^� City State, �
4. Contractor. _ ���v� ` ��(�,(� ��C• �
��9�-I �Na�.\'J ��•,\�� � ����{��S �
Address �^� City State
Contractors Telephone No.. b V l�' ��r%•���\
5. Surety:
Name
O�
Address City State (��
Amount of Bond: $ Telephone No.. 0��
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6. Lender N
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Name �N o
B z
Address City State �(AJ�
�ir
Lenders Telephone No. i���
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7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by o
Section 713.13(1)(a)(7),Florida Statutes: '�,p
I�°°n
Name �
3 cv'i
0
�
Address City State �~m
Telephone Number of Designated Person: � I
— i��� I
8. In addiNon to himself,the owner designates of �
to receive a copy of the Lienors Notice as provided in Section 713.'13(1)(b),Florida Statutes. ��~3
Telephone Number of Person or Entity Designated by Owner. �� � '
0
9. E�ira6on date of Notice of Commencement(the e�iration date may not be before the completion of construction and final payment to the �
r
�q m
contrador,but will be one year from the date of recording unless a different date is specified): V`���� �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7'I3, 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 ATiORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I dedare that I have read the foregoing notice of commencement and that the fac[s stated therein are true to the best
, of my knowledge and belief.
STATE OF FLORIDA /
- COUNTY OF PASCO
� gnature of Owner or Lessee,or O e or essee's Author¢ed
Officer/DirectaNPartner/Manager
��
, �S�
Signatory's TiUelOffice
The foregoing insWment was acknowledged before me this day of M�v .20�}-by `�Gm e s A����s
as � (type of authority,e.g.,officer,trus[ee,attomey in fact)for
� �.m.f� ���f Y�S (name of party on behalf of whom insWmentvras executed).
PersonallY Known 0 OR Produced Identlfication[�]' Notary Signature
Type of Identificalion Produced �� /J�1(1 V7�S 11[W C..Dlame(Print)
;:��X;: NANCY YA�iMlfd p�IANCY YAf3P�4�f�
='' MY COMMISSION#FF929780 ���:i
� =': _ MY COMMt��k�:,;�=::a<5760
'�+'a, .• EXPIRES Ocfober 21,20t9 � EXPtRES Oct:.ix:r��i ?_01�9
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�IW�768-C�53 Flor' N ,Serviee.eom 53048 �
(r07�9G8.Ot53 FlorfdnNaa Service.cpn
��������C+ STATE OF FLORIDA, COUNTY C�� E�A�G�
��v ��� THIS ISTO��ERTIFY7HA�THE��R������I��
!."� ' '� TRUE AND;C'RRECT CQPY OF TH�DaCUM�P!T
� �."., a ON FILE OR OF PUBLIG RECORp IN TMIS OFFICE
� , o��+��'"��, � WITNESS MY HAND AND OFFICIAL SEAL THIS
� s��.���� , � �� _DAY 0� 2
� �\�`� PAULA�O'NEIL,CLERK& OMPTROLO,ER
�� .�'�,�g�s �r
� vi ���� ��� � �_DEPUTY CLERK
� �T�F�����.
DocuSign Envelope ID:950BE78A-3A71-413A-BAOC-OA2B4E392681
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���L1 �IC�f'�� ��f+��Ct
P.O.Box 40321
ST.PETERSBURG�FL 33743
SALES CONTRACT
DATE: 5/1/2017 CUSTOMER NAME(hereinafter,the"Customer") j ames bu rns
ADDRE55: 7907 kay mari e ave
CiTv,STATE,Zir: Zephyrhi 11 s, fl
HOME PHONE NUMBER: WORK PHONE NUMBER: MOBILE PHONE NUMBER:
813 849 3953 813 607 9678
EMAIL:
jaburns521@gmail .com
SCOPE OF WORK
ENERGV SOLUTIONS DIRECT(thB"Contracto�")shall furnish allmaterials and perform all the work on the property address below(the"Home"):
in consideretion of the Contrect Price listed below.
WORK PERPORMED
7.84 Kw System 28 panels $1000 Gift check issued upon solar installation completion
HVAC SYSTEM 512E/SEER WINDOWS ATTIC TENT
RADIAT BARRIER/FOAM WA7ER HEATER WRAP GASKETS/ BULBS
PROGRAMMABLE THERMOSTAT SOLAR ATTIC FAN OTHER
MISCELLANEOUS:
CONTRACT PRICE
29224
The Customer shall pay the Contractor the total agreed upon sum of$ ("Contrect Price")for an in consideration of all material and
labor that is provided and performed under this Sales Contract.
Customer and Contractor agree Contractor will not begin the work performed under this Sales Contract until payment of the Contract Prics is fully
paid by Customer.
CONSULTANT NAME�SIGNATURE: �� IL�ts HOMEOWNER NAME�SIGNATURE: I��`S �AVI�.S
C1 J
� �
� ' Energy
Solutions Direct
June 2, 2016
To Whom it may Concern:
Please note, that we, Energy Solutions Direct, sub-contracted the installation of James
Burns' Photovoltaic Solar Energy System to Guardian Solar.
Please let me know if you have any questions or if I may be of further assistance.
Sincerely,
G 1./
-F�,�/-�
�� ��' L
,�
Steve Grant
Energy Solutions Direct
Steve.Grant(a�enerqysolutionsdirect.com
727-744-0716
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� � l(,(�
Date Received: �- Z���'7
Site: _ ��� 7 ��,U f�`(Gc�'r�. �.
Permit Type: PY� I�U�.� , S �! ��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans. I
/ f ��r �
Kalvin witzer— s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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GuAu�i�t�vr .
�oiA�
POWER OF ATTORNEY
May 25, 2017
To Whom It May Concern:
This letter authorizes Tina Steward the authority to sign on behalf of Glen D
Upchurch, President of Guardian Solar LLC in order to apply for, procure permits
and work with the City Of Zephyrhills Building Department on any licensure
required to obtain building permits under the jurisdiction of your Building
Department.
This Power of Attorney is valid through May 2018.
K' ards,
Glen Upchurch
President
Guardian Solar LLC
CVC56709
STATE OF FLORIDA
COUNTY OF PINELLAS
EXECUTED this Q� day of , 20��.
o e signe y t e person s own above)
Subscribed and sworn to (or affir ed) before me this G�c day of
o. , 20 �1 , by c�.}c�
Notary Public: �
20�°'9'Yp64�� Nofary Pubfic State of Florida Prin , Ty ame of Notary
. Angie Bryant
��'oF��` Exp�resog�25�2 P8163371 My Commission Expires: �rr ���, 1
2519 McMullen Booth Rd., Suite 510-142, Clearwater, FL 33761
Phone: 1-800-605-7211 /Fax: 727-842-9549