HomeMy WebLinkAbout18-20644 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20644
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20644 Issued: 1/09/2019 Address: 36200 SHADY BLUFF LP LT 3
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: 18,880.00 Total Fees: 202.50 Subdivision: SILVERADO
Amount Paid: 202.50 Date Paid: 1/09/2019 Parcel Number: 04-26-21-0060-00300-0030
CONTRACTOR INFORMATION OWNER INFORMATION .
Name: DON WARNER ELECTRIC INC Name: HEMMENDINGER, RUSSELL
Addr: 12241 GARDEN LAKE CR Address: 36200 SHADY BLUFF LP
ODESSA, FL. 33556 ZEPHYRHILLS FL 33542
Phone: (813)477-5662 Lic: Phone: 352-586-7057
Work Desc: INSTALLATION ROOF MOUNT SOLAR PV SYSTEM
APPLICATION FEES
ELECTRICAL FEE 202.50
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
I
REINSPECTION FEES:(c)With respect to Reinspection fees will comply witb 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 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.
IL
An.
C TRA O PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2018201075 OR BK 9824 PG 3530 Page 1 of 1
11/30/2018 12:13 PM Rcpt:2009799 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'NeiC Ph.D., Pasco County CCerk&ComptroCCer
D.Sign Envekrpa ID:a561110E•9F35403A-AE59-389C9007517C
PREPARED BY:STEPHANIE COFFEY-2512 BAY FIELD CT,HOLIDAY FL 34691
04 26:21 0060 00300 0030
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
State of FL County of PASCQ
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the lone"information is provided in this Notice of Commencement:
1. Desarptiori of Property: Parcel identification No. CONFIDENTIAL 04 26 21 0060 00300 0030
Street address 36200 Shady Bluff Loop zephyrhills, FL 33541
2. General Desaitxfcnotimpmvement Solar panel installation
solar panel installation
3. Owner Information or Lessee information if the Lessee contracted for the improvement
Russell Henallendinger
36200 shady 84T? Loop zephyrhills FL
Address City Stale
Interest in Pro Owner
Property:
Name of Fee Simple Titleholder. N/A
(If different from Owner listed above)
Address State
4, Contractor. DON WARNER
Name FL
12241 GARDEN LAKE CIRCLE ODESSA
Address City State
Contractor's Telephone No.: 813-477-5662
5- Surety: N/A
Name
Address City Stale
Amount of Bond: S Telephone No.:
6. Lender. N/A
Name
Address City State
Lender's Telephone No.:
T Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(lKa)(7),Florida Statutes' N/A
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates N/A of
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. E)iration date of Notice of Commencement(the expiration date may riot be before the completion of construction and final payment to the
contrador,bul will be one year from the data of recording unless a different date is specifiedr
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that 1 have read the foregoing notice of commencement and that the fads stated therein are We to the best
of my knovAedge and belief. -
STATE OF FLORIDA ED—sv-d
t$f�,�,t'LMtMtLk,�11A/�(.Y'
COUNTY OF PASCO
Signature of Owner or Lessee b?VMTF or Lessees Authorized
Officer/Dimctor/Partner/Manager
RUSSELL HEMMENDINGER
Signatorys TNa/Offlce
The foregoing instrument was acknowtedged before me this I day of ALLn 0 dby !�
as 12&kh (type of aufailliv.e.g., rcer, tee,attorney i for
(name of party alf 1 tmlndent was ted).
Personally Known❑OR Produced Identification I J Notary Signature
Type of Identification Produced L`L Name(Print)
lADAMFRANCIS
so MY EXP RIES:OJuly2 0210610
813-780-0020 City of Zephyrhills Permit Applic Fax-613-Tao-oo21
Building Department
Date Received t Phone Contact for Permitti 727 218 9407
iTr `I
Owner's Name RUSSELL HEMMENDINGER Owner Phol 67057
Owner's Address 36200 SHADY BLUFF LOOP/ZEPHYRHILLS,FL 33541 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 36200 SHADY BLUFF LOOP/ZEPHYRHILLS,FL 33541 LOT#
SUBDIVISION SILVERADO PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 9.44KW
BUILDING SIZE I I SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 18880 AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0(
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
es DON WARNER ELECTRIC INC
ELECTRICIAN _ C M ANY
SIGNATURE REGISTERED N FEE CURREN I Y/N
Address 41 GARDEN LAKE CIR,ODESSA FL 33556 License# I EC13001287
PLUMBER COMPANY _
SIGNATURE REGISTERED Y I N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 1 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
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,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&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 wl 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.
""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. (A/C upgrades over$7500)
Agent(far the contractor)or Power of Attorney(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 Service Upgrades A/C Fences(Plot/Survey/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 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 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"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. 1 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 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
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 W"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 NOIACE 9E COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR A7
Subscribed and sworn to(or affirmed)before me this Subs ribe orn (or affirmed) efore me this
by
by
Who is/are personally known to me or has/have produced Who is/a personally known to me or haslhave produced
DL as identification. DL as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped am'o,_
ary p t
yp �n Notary Pub, State of Florida
VT�� Timothy Coffer
o Exp, .08/15/20 248671
Contractor's Authorization Letter
I, DON WARNER , license holder for DON WARNER ELECTRIC
authorize the following people to apply/sign for permits
under my license number EC13001287
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others.
JORDAN MILLER
ARIEL BULLINGTON
JACOB HODGES
DEBORAH PLATTHY
/� DONALD WARNER
Contracto s Signature Contractor's Printed Name
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this 20 day of
OCT , 20 18 by DONALD WARNER who is personally
known to me or has produced DL as identification.
NOTAW PUBLIC �.►►'' f Notary Public State of Florida
Timothy Coffey
My Commission GG 24W71
'Fp'tio' Expires 081/52022
41V
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
t
Contractor/Homeowner:
Date Received: I — �
Site: S(2-0-o �kadtj j6llt�W
Permit Type:
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.
f
DEC 2 8 2010
Kalvin ' itze lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)