HomeMy WebLinkAbout19-21295 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020: 21295
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21295 Issued: 5/30/2019 Address: 5024 20TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 47,511.00 Total Fees: 420.00 Subdivision: SUMMERHILL
Amount Paid: 420.00 Date Paid: 5/30/2019 Parcel Number: 12-26-21-0100-0000-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: GREEN MINDED SOLAR LLC Name: MARTINEZ ANA COTO & JOSE
Addr: 3350 ULMERTON RD #9 Address: 5024 20TH ST
CLEARWATER, FL 33762 ZEPHYRHILLS, FL. 33542
Phone: (727)464-3888 Lic: Phone: 813-838-6848
Work Desc: INSTALLATION ROOF MOUNT SOLAR PV
APPLICATION FEES
ELECTRICAL FEE 420.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER \ ^
FINAL
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 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.
CONTRAC PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� 911� QO1 S�If,
Date Received:
Site:
nn
Permit Type: V
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
r
This comment sheet shall be kept with the permit and/or plans.
MAY!` 2 8 2019
BiltBurg —Building Official Date ntractor and/or Homeowner -
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21295
ELECTRICAL PERMIT
,PERMIT INFORMATION LOCATION INFORMATION
Permit#:21295 Issued: Address: 5024 20TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: -��1. e: Book: Page:
Cost: .00 Total Fees. 420.00 Subdivision: - _ ILL_
Amou aid Date Paid: Parcel N er: 12-26- 1..l -0000-
C NTRAC OR INFORMATION OWNER INFORMATION
Na e: GREEN MINDED SOLAR LLC me: MARTINEZ ANA COTO & JOSE
dr: 3350 ULMERTON RD #9 A dress: 5024 20TH ST
CLEARWATER, FL 33762 ZEPHYRHILLS, FL. 33542
hone: (727)464-3888 Lic: Phone: 813-838-6848
or Desc: INSTALLATION ROOF OUNT SOLAR V
APPLICATIO FEES
EL CTRICAL FEE 420.0 a
INSPECTIONS REQUIRED.
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL C—C)
n
r .
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute S53.80 (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.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
reGreen Minded
S Wa
Solar,LLC
•. _. ...,,_ 3350 Ulmerton Rd #9
Clearwater FL 33762
r Phone Number727-464-3888
Contractor's Authorization Letter
I, Shane J Kelley , license holder for Green Minded Solar, LLC
authorize the following people to apply/sign for permits
under my license number EC13007555
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others.
Jared Ackerman
Mary Morrissey
Contractor's Signature Contractor's Printed N e
The foregoing instrument was acknowledged before me this ��� day of
P6Z , 20_j'�7(_ by ak who is
personally known to me or has produced as
id e n.
�- Brandon Wright
NOTARY PUBLIC
NO ARY B a STATE OF FLORIDA
Comrt##GG054353
Expires 115/2021
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 828 333--0781
Owners Name Martinez,Ana Coto Owner Phone Number 813-417-8265
Owners Address 1 5024 20TH STREET ZEPHYRHILLS,FL 33542 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5024 20TH STREET ZEPHYRHILLS, FL 33542 LOT#
SUBDIVISION Summer Hill PARCEL ID#1 12-26-21-0100-00000-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
X INSTALL a REPAIR
PROPOSED USE = SFR 0 COMM = OTHER Solar PV Installs on(10.03kW)
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Roof Mounted Solar PV Installation (10.03k"
BUILDING SIZE SQ FOOTAGE 686sgft HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $47,511 AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ 9r
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l "
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
�C-. . . . .... . .. . . . . . ... . . . ...r..-.���T. r .... . ..-. .,. . ...4 . .... ..-. . ... i-. . . . . ....
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License# EC13007555
Shane J Kelley
ELECTRICIAN COMPANY Green Minded Solar, LLC
SIGNATURE I REGISTERED I Y1 N FEE CURREN I Y/N
Address 3350 Ulmerton Road#9 Clearwater,FL 33762 License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111 '
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 date. 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 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 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. 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 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 PQMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR Brandon wf�f�llt
Subscribed and swom to(or affirmed)before me this Subs ed and om to(or affirme�)pef a me this �� y"
by J 10 (� by �hc�ttie Y���e y �, NOTARY PUBLIC
Who is/are personally known to me or has/have produced Who is/are personallykrfl to me or hasfhaxd produced ?;STATE OF FLORIDA
as identification. as identification.
Comm#GG054353
CE rep° Expires 1/512021
Notary Public Notary Public
Commission No. Commission No.
Bzipp1.) c.()eroc— t
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
r n. Green Minded
Solar,LLC
in e'd
3350 Ulmerton Rd #9
Clearwater FL 33762
Sola
r Phone Number727-464-3888
Contractor's Authorization Letter
1, Shane J Kelley , license holder for Green Minded Solar, LLC
authorize the following people to apply/sign for permits
under my license number EC13007555
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others.
Jared Ackerman
Mary Morrissey
Kai OL Q±r�&V,
Contras ors Signature Contractor's Printed Nam
3
The foregoing instrument was acknowledged before me this � day of
20 ('� by C{lUleLeue-o who is
personally known to me or has produced as
entif a ' n.
Brandon Wright
NOTARY PUBLIC
NO ARY PU LI o �STATE OF FLORIDA
Comm#GG054363
S/wE 1v�t Expires 11512021
INSTR#2019093490 OR BK 9916 PG 1 202 Page 1 of 1
06/04/2019 02:31 PM Rcpt:2060291 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. OW66 Pf.D., Pasco County CCerk&CmnptroCCer
This space for use by Clerk of the Circuit Court only.
NOTICE OF COMMENCEMENT
Permit Number.
Tax Folio No. 12-26-21-0100-00000-0020
The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Legal Description of property(street address required): Single Fami(y Residence
5024 20TH STREET ZEPHYRHILLS,FL 33542
2. General description of improvements: Roof Mounted Solar PV Installation(10.03M
3a. Owner Name:_Martinez.Ana Coto
Owner Address:M2420TH STREET Z.PHYRHILI R FL 33542
3b. Owner's interest in site:_Owner
3c. Fee Simple Title holder(of other than owner)
Address:
4. Contractor Name: Green Minded Solar LLC
Address: 3350 Ulmerton Road#9 Clearwater.FL 33762 Phone: 828-333-0781
5. Surety Name: Amount of bond:
Address: Phone:
6. Lender Name: Contact:
Address: Phone:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7,Florida Statutes.
Name: Address:
Phone Number.
8. In addition to himself,Owner designates the following person to receive a copy of the Lienoes Notice as provided in Section
713.13(1)(b),Florida Statutes.
Name: Address:
Phone Number:
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is
specified).
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TILE 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 COMMENCE. .
Signature of Owner or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
i
Signatory's Title/Office
SPATE OF FLORIDA
COUNTY OF t
The foregoing iinnst1ru_ment was acknowledge before me this day of J u u
�
by <IITo O.r�i A ,as for
Personally Known OR Produced Identification
Type of Identification Produced
Signature-Notary Public
Under penal'es of perjury'I declare that I tave`iead the foregoing and that the facts stated in it are true to the best of my knowledge and belief.
Signature of Natural Person Signing Above W COMMSM W
(A copy of my bond mart be anwhed at the time of momdation of mib Notim of Commencement) INME :M 19,210 sled 29NOV2012
V— D gar ti ttG0*let so(11i1ffm