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19-21096
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21096 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION ' PPermit Number: 21096 Address: 36126 SHADY BLUFF LP LT Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVERADO Est. Value: Parcel Number: 04-26-21-0060-00300-0080 Improv. Cost: 20,500.00 OWNER INFORMATION E T Date Issued: 4/16/2019 Name: LAWRENCE, HOHN & LOAIZA, NELLIE Total Fees: 285.00 Address: 36126 SHADY BLUFF LP Amount Paid: 285.00 ZEPHYRHILLS, FL 33541-2712 Date.Paid: 4/16/2019 Phone: 813-369-0448 'Work Desc: INSTALL ROOF MOUNT SOLAR PV SYSTEM CONTRACTORS APPLICATION FEES ENERGY SOLUTIONS DIRECT BUILDING FEE 217.50 ELECTRICAL FEE 67.50 Ins ections Required FO TER 2ND ROUGH PLUMB MISC INSULATION 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: (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 maybe 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 Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ONT OR S I G--14ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2019035489 OR BK 9866 PG 3777 Page 1 of 1 03/04/2019 10:07 AM Rcpt:2033122 Rec:10.00 DS:0.00 IT:0.00 Paula.S. O'NeX TkD., Pasco County Clerk&Comptroller PREPARED BY:ENERGY SOLUTIONS DIRECT 796510TH AVE SOUTH ST PETERSBURG FL 33707 NOTtCF_pF COMMENCEMENT FL Covnya(pe PASCO r fE,,aVL:..'.:Swi�kV nrcaRp uwa tu:(,r thyt t:.ruvm(r0 nW In,madb lu.OII�u,rwl Pu,f,�nly,biul in�.�+udahcn e(Ifh ChhplRl 71;1,fK(Ad5 gtatnt �„n�rM+„lnl+ms;e(y(n pm!�itael n Nvs M�la,!er i;vnmhnt�snnnl . t, t?eaONai or From'Pantt( IIMau No. 04'26 21.0060-00300-0080 Sfrcer nrxr ss' 36126 SHADY BLUFF LOOP ZEPHYRHILLS FL v. INSTALL SOLAR PV SYSTEM Om"In"aMp tot!arLescim�binIatW.11th'ILessnoxntlarhed(who.nemva(nehl: LAWRENCE JOHN&LAWRENCE LOAIZA NEWE - - ___._ ZEPHYRHILLS FL hite+kl5t M Prowy 10070 : (If dutenml hbnl l!,n,er listed almvel MICHAEL YAGMIN-ENERGY SOLUTIONS DIRECT ehy ' 9tata 796510TH AVE SOUTH ST PETERSBURG FL Address Ely 31af Caantrat3ot`:Telephone No.: 727.744.0716 p S: WA Name Address City State Q Z 0 (� w Asstasltbt9bnd S Telephone No.: 0 O O = J U S. Lender: NIA z U cn O Name (D0 = <t N � a Address City State LL U1 Z W IL o Lendets Telephone No.: © J 0 > CF— pQ O 7. Persons within the State of Florida designated by the owner upon whom notices or other doa+melds may be served as provided by LLI 0 0 U U Sewn 713,13(1)(a)M,Florida S=tes: d 0 NIA W Name U s O U State w Address co 0 _ Telephone Number of Designated Person: '::,. ': `: ::' :.::: 0 Ill O O O r » � i ' L— U U O a. In additGon to himself,the owner designates N/A ILL�:< L t � O 0.O Cn to receive acoPY;faelbgwl't p liTnd 3 3 esa 0 U � N iJ l Telephone Number of Person orfslityOesi9natec[b1iM?r--a=�' 9. EVira6on dale of Notice of Commencement(the expiration me,may tot r T TII fPJ.>-- H 0 tl C0 contractor,but will be one year from the dale of recording,unless a difereilf�ddi�4s _4 WARNING TO OWNER: ANY PAYMENTS MADE BY Tk1_E21€} ARE CONSIDERED IMPROPER PAYMENTS UNDER RESULT IN YOUR PAYING TWICE FOR IMPROVEMETdTSjAU,I EIS RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIAST IN CTI tJ:'1 :I : ... WITH YOUR LENDER OR AN ATTORNEY BEFORE CfJMN1ENW�]1 �R1y "R Under penalty of perjury,I declare that I have read the fbf iiii of my knowledge and belie(. :t f':;t`:.. :-' i', K,f+j"; . ,•.t.,,,•. ,... i ST COE ONDco MYCO64MWS ISSION#GG itjgge Al it Ol�w,e'"•n �.; �� � •OQl T11t11 f30IHY"'-- �S• z;�' -� 'I '! "`6sns-.s%%%- �.= ~.• 4� -td'ti • ® �Vaif,4' -_y-�' ��,��"'..?rar„tt' ��1�.�.,ay�J �b}, r e�.�'`;"�. -t]��•� '� '��' . The foregoing instrument was acknowledged before me: 15 a5 N�-•�`?� _� .��f�titY c f'tr+r v i.... �m. '•�':., . - _'•"xZ-. 'li'�-,-CJCL�`'�}'VTF,'.,Ili �� -Sn�t�':E ^� �lj-��� ,,., Personally Known d OR Produced Identifiration ,:: 16i ! 4 :• (a;,:hr .,is� Type of Identification Produced I 813-780-0020 City of Zephyrhills Permit Applicatio Fax-8 - `0021 Building Department Date Received 3'�� _ Phone Contact for g 727 218 9407 r t I-r--r..t_t t -r-r--t-t Owner's Name LAWRENCE JOHN&LAWRENCE LOAIZA NELLIE 813-369-0448 Owner's Address 36126 SHADY BLUFF LOOP ZEPHYRHILLS FL 33541 Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 36126 SHADY BLUFF LOOP ZEPHYRHILLS FL 33541-2712 LOT# SUBDIVISION SILVERADO-PHASE 1A PARCEL ID# 04-26-21-0060-00300-0080 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN 0 Q DEMOLISH INSTALL REPAIR PROPOSED USE © SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 10.03 kW BUILDING SIZE SQ FOOTAGE HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ 20500 AMP SERVICE A� PROGRESS ENERGY 0 W.R.E.C. PLUMBING $ IIY/ /j OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� �� ../��/•,',+�,`/\_, OGAS Q ROOFING Q SPECIALTY = OTHERCr��1 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDERbMP� Y ENERGY SOLUTIONS DIRECT SIGNATURE RED I JYY N FEE CURREN I Y/N Address 796510TH AVE OU H,ST. ETERSBU FL 33707\ License# I CBC1260807 ELECTRICIAN COMPANY PANY LUCKY DEVIL ELECTRIC COMPANY SIGNATURE REGISTERED Y NJ FEE CURREN Y/N Address 744 53 TERRACE NORTH ST TERSBURG FL 33703 License# EC13006186 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License# IIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllllllllll 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 w/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 dale. Required onsite,Construction Plans,Stormwater 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. "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(for 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 1, 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 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 became 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 AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this 6Su cri and sworn to�or imed)be ore me by V�by I Who is/are personally known to me or has/have produced o is/ a personally known to me or has/h &p duced DL as identification. DL aim as identification. Notary Public a� Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped ted o stamped 919n State of Floridafferion GG 246871/2 0 2 2 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: btwa— U Date Received: - Site: -6� / 24 -ISLA 13, ltcg/ LP Permit Type: rya /1 4+ C-ab Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: 0 This comment sheet shall be kept with the permit and/or plans. APR 0 9 2019 KalvjA Vitzer-Plans Examiner Date Contractor and/or Homeowner (Required when comments are present)