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HomeMy WebLinkAbout19-21681 CITY OF ZEPHYRHILLS M y 5335-8th Street (813)780-0020 21681 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION`INFORMATION Permit#:21681 Issued: 9/10/2019 Address: 6465 PADEN WHEEL ST 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: 26,030.00 Total Fees: 262.50 Subdivision: SILVERADO Amount Paid: 262.50 Date Paid: 9/10/2019 Parcel Number: 05-26-21-0070-00400-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: SOLAR BEAR LLC Name: ACEVEDO, CLAUDIA PATRICIA Addr: 6101 JOHNS RD STE 8 Address: 1829 KETTLER DR TAMPA, FL 33634 LUTZ, FL 33559-3374 Phone: (727)218-9407 Lic: Phone: 813-409-9377 Work Desc: INSTALLATION ROOF MOUNTED SOLAR PV SYSTEM APPLICATION FEES ELECTRICAL FEE 262.50 INSPECTIONS REQUIKP ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL � �f REINSPECTION FEES:(c)With respect to Reinspection fees will comply orida 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. r _Zt CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 —> Building Department Data Received /Z f Phone Contact for Permitting 727 .940.3256 -1-II_F-1- _--- - 1-I-i-1- Owner's Name ACEVEDO CLAUDIA PATRICIA& Owner Phone Number 8134099377 Owner's Address 1829 KETTLER DR LUTZ,FL 33559-3374 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6465 PADEN WHEEL STREET,ZEPHYRHILLS,FL 33541 LOT# SUBDIVISION SILVERADORANCH PARCEL ID#1 05-26-21-0070-00400-0010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT � SIGN = = DEMOLISH e INSTALL B REPAIR PROPOSED USE Q SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL 0 DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM.7.BKW BUILDING SIZE SO FOOTAGE= HEIGHT Trr-rr�—r =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ®ELECTRICAL $ 26,030 AMP SERVICE = PROGRESS ENE W.R.E.C. =PLUMBING $ l hv �\ U ' /=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t'I'lu ti f311.yy_-d, , /]=GAS = ROOFING Q SPECIALTY = OTHER A (Gr►rt�A /T FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO (� t� , ✓/ '—// BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N Address (� License# ELECTRICIAN .J VOMPANY SOLAR BEAR LLC SIGNATURE iJ� REGISTERED N J FEE CURREN I Y/N Address 6101 JOHNS RD STE B TAMPA FL 33634 License# I EC13009020 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREN I Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N Address License# I t l l t l l l l l l l l l t l l l l t l l l l t l l l l l t l l l l l l t l l l l l l l l l l l t l l l l l l l l l l t l l l l l l 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,Stonnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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/Sill 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) Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 1 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"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 COMifiENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR_.` _ Subscribed and sworn to(or affirmed)before me this `S.ub cs nbed,and�s t __� — e ort a me this- by by Who islare personally known to me or has/have produced Who is/are personally mown to`m"e or has/haveprotlucecf- DL as identification. DL as ii/d{e/�9�J]{iJfication. Notary Public Notary Public Commission No. Com fission o. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ;ore""rc JACQUELNE BOGES Commission#GG 276457 Expires December 12,2022 Banded Thra T coy Fala lasurar"800,38E-7019 FLOO.00 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: a 1 o- r- Aatr— Date Received: 9—/2--(f Site: 415 Awe-117 O)V Permit Type: Saar day 5,V, e41-1? ylo2c�, 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. AUG I." 6 2019 Kal itzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) CONTRACTOR AUTHORIZATION FORM EC13009020 STATE LICENSE NO.: PRINT QUALIFIER'S NAME: NORMAN PURKRY BUSINESS NAME: SOLAR BEAR *THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIONS* I authorize the following individuals to sign for and obtain permits: (Please print names clearly.) DEBORAH PLATTHY JORDAN MILLER STEPHANIE COFFEY (STEPHENS) STACY GRAVES ARIEL BULLINGTON TIM COFFEY JEFF STEPHENS Signature of Qualifier: Date: 9/8/19 State of Florida County of Pasco Sworn to and subscribed before this day 9/8/19 l�o►�U �- Notary Public State of Florida Stam .,0 Notary audio stare of Florida p) "`� imolny coffC My commission expires �� ; �T 24MI g/devsvcsdocuments\1-documentspecialists\bcs\bcsforms\Contractor Authorization Form Revised 4/3/17 DIRECTORY OF PAGES {' euohlatzln SCOPE OF WORK .a PV-1 PROJECT SUMMARY :.,c .:.,".;13;;,...,Et,":<:::.'.. , ... .::. .1..'a.t� �.��•!• ..... .. ..... �:'...'..""';<:��:."."":.:. .......:::.:''.:.-:." THIS PROJECT INVOLVES THE INSTALIATIONOFA PHOTOVOLTAIC POWERSYSTFM.SOLAR PANELS WILL BE PV 2 SINGLE LINE DIAGRAM n: tr:r..••.:.,.,,; ... ,..,,:::,::.:.: RACKED USING A PREENGINEERED RACKING SYSTEM.THE PV-3 SAFETY LABELS RACKED MODULES WILL BE ELECTRICALLY CONNECTED WITH DC TO AC POWER INVERTERS AND INTERCONNECTED TO THE , X MODULE DATASHEET r.: LOCAL UTILITY USING MEANS AND METHODS CONSISTENT BAY AREA OWITH THE RULES ENFORCED BY THE LOCALUTILITYAND �+/a•,u ............ w OPTIMIZERDATASHEET ;..:'.'t:'.':-:':'.::;.'... . ., .':P ::'i.:.,::: :'';:".;<:�: `�rr"'.'''..:'.::;::.:,;., . PERMITTING JURISDICTION. a INVERTERDATASHEET ',.. ,..,... ....: ;rL'..,:.,.,.'.:.':' c:'..'i�.:; .. .-.... - :: :::.:...:: ISDOCU E SBEENP PAR 0Lu DESCRIBING THE DESIGN OF A PROPOSED Pv SYSTEM WTH w C-) ENOUGH DETAIL TO COPLIANCE WITH PROJECT DETAILS APPLICABLE CODES AND REGULATTEIONSM THE DOCUMENT SHALL NOT BE RELIED UPON AS A SUBSTITUTE FOR � W � PROPERTY OWNER CLAUDIA ACEVEDO FOLLOWING MANUFACTURER INSTALLATION INSTRUCTIONS. Cn 0 L�17 PROPERTYADDRESS ZEPHYRHILLS,FL 33541 US THE SYSTEM SHALL COMPLY WITH ALL MANUFACTURERS co; LISTING AND INSTALLATION INSTRUCTIONS,AS WELL AS ALL W W M APN ';''' : APPLICABLE CODES.NOTHING IN THIS DOCUMENT SHALL BE INTERPRETED IN A WAY THAT OVERRIDES THEM. O O ILL ZONING RESIDENTIAL CONTRACTOR IS RESPONSIBLE FOR VERIFICATIONDOCUMENT.ALL USEANDOCCUPANCY ONE-OR TWO-FAMILY DWELLING ,,:'.::::'.:..:','- .,'.'...:''';r.( ; -: ,,: r,!,.,.;;.;'..!:.: a_ p co CONDITIONS,DIMENSIONS,S,AND DETAILS I THIS CLASSIFICATION GROUP(GROUP R3) W J AHJ "' „ ri�a ,a oia SYSTEM DETAILS W = UTILITY COMPANY PROGRESS ENERGY FLORIDA INC M1 NEW GRID-INTERACTIVE U ELECTRICAL CODE 2014 NEC(NFPA 70) 1 PLOT DESCRIPTION BATTERY OLTOIRASYSGE TEM WITH NO � SCALE Q = FIRE CODE 2015 NFPA 1 PV-1 :NTS ...,... .•,.... :: [chland'•':2'r';c is"<;y'i,wa.." DC RATING OF SYSTEM 7,800W 0 m , AC RATING OF SYSTEM 6,000W r4n• CONTRACTOR r ONTRAC OR INFORMATION arr. - 5 AC OUTPUT CURRENT 2.OA qj... N ,� COMPANY BAY AREA PROJECT SOLUTIONS �, •.r .,F• U 1 us INVERTEI2(S) 1 X SOLAR EDGE SE6000H-US LICENSE NUMBER MODULE SILFAB SLA300M 2512 BAY FIELD CT,HOLIDAY,FL ADDRESS 34691 C7 Z No{ht)I( r' ARRAYWIRING (2)STRINGS OF 13 ss rt PHONE NUMBER (727)543A361 y�ealer INTERCONNECTION DETAILS CONTRACTOR GhapclSouth SIGNATURE {{ Q Zephgriulls, ZephY* Its „(Jppor �' ap NEWSUPPLYSIDEACCONNECTION Vest POINT OF CONNECTION - r� ,{ ° h7(t.5bi+rpuatr F PER NEC705.12(A) *rRsdr'+ak�9 J»Q l+sefa.8 UTILITY SERVICE 1201240V10 ` I ) Snuth )1 1 ' ' �y =� a SITE DETAILS �.�,P'^'P" .. i.x, ASHRAE EXTREME LOW 1°C(34°F) '(7 ('� ^'t17�. (jja. N.. ASHRAE 296 HIGH 34°C 93° I r'; ( D rPROJECT CLIMATE DATA SOURCE ST PEfERSBURG CLEAR KSPG SUMMARY ....,,.. C f+�opata2rnr'sccae WIND SPEED LOCALE C? RISK CATEGORY II DOC ID:119725-149683-1 x8/2119 - SCALE:NTS ta n®� WIND EXPOSURE DATE:S.S. D CREATOR:S.S. ®E, -u GROUND SNOW LOAD REVIEWER: _� _M G) REVISIONS X� �. C rn ® 7 _ ary: PV-1 lol,, P r " 'rJ `PVMODULE MODULES GENERAL ELECTRICAL NOTES _ 19725 OPTIMIZER REF. OTY. MAKE AND MODEL PMAX PIC ISO IMF VOC VMP TEMP.ODEFF.OFVOC FLEE RATING ' PUI4B 2B sILFaB9ATarA 3URT vav 971A a+eA 3aev 326/ OIZV�C(-03%fC) , �UTILITYHAS24HR UNRESTRICTED ACCESS TO ALL 1 PHOTOVOLTAIC SYSTEM COMPONENTS LOCATED AT-THE PMI-26 INVERTERS SERVICE ENTRANCE. I I 300W &� n WV(EANDMODEL ACVaTAGE GROUND MAxOCPDRATMG RATEDIOWER MAIK U UICURRENI MAxINPUTa1RRENT MAxLNw7wLracE acrmartmaFTaEtxcY 2 MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. I f3IN 113M %+I'S ISTRMG saa+EnGEscWooNo i—YI 2s0J UNLRaw°m 4ao 6,a00W zsaoI IB6n I 4a0V ED CONDUCTORS EXPOSED TO SUNLIGHT SHALL BE LISTED AS POWER OPTIMIZERS 3 SUNLIGHT RESISTANT PER NEC ARTICLE 300.6(C)(1)AND BAY R PEF. On MODEL RATED INPUT PMWR MACaNRJI WRfENI MAXINRnISC YALOCVOLTKE riDGHTEDEFFIGEICr Polifi m saAR mr£rim 3RN 1v, n.DA 4BV ARTICLE 310.8(D). L- I CONDUCTORS EXPOSED TO WET LOCATIONS SHALL BE 1 REF. an. MAKE, MOce1 PASS THRU BOXES AND COMBINERS RATED CURRENT MAXRATEDVOLTAGE 4 SUITABLE FOR USE IN WET LOCATIONS PER NEC ARTICLE ' JBI I GENPRCGENAW TH44XOREaM. 70A 240VACItaTJDC 310.8(C). L —JUNCTIONBOX DISCONNECTS OCPDS Ell W 1>ff. On. MAKEANDMODEL RATEDCURRENT MAXRATEDVOLTME IiEF. OTY. AAIEDaJPAEM MAXVOLTAf>E MI swl , FATDNDrza aoREDuv. OA z4wAc M 2 354 z4wAc GROUNDING NOTES Z I J 2V1.111-1-T SYSTEM SUMMARY NOTES i ALL EQUIPMENT SHALL BE PROPERLY GROUNDED PER THE >- W �- INVERrER STRt l STRNG2 II omrzE7LSPRONOERAADSWTDONNFUNCTIQMTYFEDU1RE°BYNEC69012 REQUIREMENTS OF NEC ARTICLES 250&690 p � OU T""WURENTIM15APV MODULES SHALL BE GROUNDED TO MOUNTING RAILS � cM / II6,ODOW SERES 13 13 TREYECIFIEDOPRMRERCMIBESUBSPMEDWRHAP40°,P405,P370,P54ORRXLTHESEOPfUUZERSHAVEANINPUTVOLTAGE'MNDOWW1DEENOIIGHTO USING MODULE LUGS OR RACKING INTEGRATED W W MGVOLTAGE 3B0J 3B0/ ACCOMMODATE THE OUTPUTVOLTAGE RANGEOF THE MODUEATTHE DESIGN TEMPERATURES,HAVE A MAX INPUTCURENT RARNOTHATISABOVE THE MAX _JTINGCUREIR ta34 t034OUTPUT RRENOFTHEMODULE.ANDAMA%PoWERINPUTTHATISABOVETIERATEDPOWEROIITPUrOFTHEMODULE 2 GROUNDING CLAMPS AS ALLOWED BY LOCAL JURISDICTION. �N WER 7,030W UIKtAlR9EDSY5T DCCCPD=FttS H BEWILACO EDA FMIIA5.0CPOSTLVESHMUBERM(ORMARKMP.))AI DCWGATIVESH4LLBEBIACK ALL OTHER EXPOSED METAL PARTS SHALL BE GROUNDED �(OR UAR LED BLACK) USING UL-LISTED LAY-IN LUGS.a1TIM BOoDN INSTALLER SHALL CONFIRM THAT MOUNTING SYSTEM HAS W J ERATEDALPOSEROUINT fi,00011 ALL METAL ENGLOSUiES,RACEWAYS,CABLES AND EOPOSED NCCUR8NTCAWNG MET&PARTS OF EQUIPMENT SHAU.BE GiOLMED TO EARTHASREOURED Q �BYNW2504(B)ATAPAA7IIIOF NEC ARTICLE ZAMIDEDUPMENTGROUNCNG CONDUCTORS SHALL BE SIZED ACCJMINGTO NEC 6M4S TIE GRdIINDBNG 3 BEENEVALUATEDFORCOMPLIANCEWITH UL2703 J W = ELECNCDESYSTQASPALLADFEPET00DO47(B)AND250.1BB THE DOGRONNDING ELECTRODE 94AUBE SIZED ACCORDING T0250+� "GROUNDING AND BONDING"WHEN USED WITH PROPOSED 0 U W s 3 ANAWIDONAL ARRAY GCUNDiNG ELECTRODE SHALL BE INSTALLS INACCORDANCE WNH NEC SECTIONS 25052 AND 250&UNLESS THE ARRAYSTRCTIRE IS PV MODULE. �. Q SUITABLE TOSERJE7SACRailDM EECTR70EAS PER IECSECTION=THE LAADSEINEDBYTHEARRAYISINIEGTTMWITHTHEMNAY,ORTH�EPf@ASES 4 ALL GROUNDING SYSTEM COMPONENTS SHALL BE LISTED p Q W �PV SYSTEM E USTMG W R%EECMME IS LOCATED WTH N6FT,AS PERNEC SECPON6W47p) FOR THEIR PURPOSE W OISCONNECT svw MAX DO VOLTAGE OFPRRAYRXED BYTHE INJERTERAT 380VREGARDUESS OF TEMPERATURE TIE MAXDCVOLTAGEOF THE MOOIAEAT I-CIS EXPECTED TO BE IF THE EXISTING MAIN SERVICE PANEL DOES NOT HAVER H Cl N ®427V(1'G-25•C)XL12✓[C.SBB6V"42714 VERIFIABLE GROUNDING ELECTRODE,IT IS THE p ° 5 CONTRACTOR'S RESPONSIBILITY TO INSTALLA J MBPWRDOA MOB) LOCATEEMgHN 10FT FUTILITYMETBIBLEKwFE81A0ETWEDISCOwVECT7NAT ISACLESSIBLEPND LOCNABLEBYIIE UIIUn TFE DISCONNECT SHALL BE CD U LOCATEDWITUNIOFroFLrRRYMEIER SUPPLEMENTAL GROUNDING ELECTRODE. � ®PGNT-0FCOMECnONISONTHESLPRYSOEOFSEFUCEDISCOMNECT,ATALO=YJJ'PRDVEDCa'MECVMFOW,USINGLOCALLY-APRROVEDMEKWAND JAC SYSTEM GROUNDING ELECTRODE CONDUCTOR(GEC) LOAD HARDWARE INCONPUANCEWITHNED7o512 6 SHALL BEA MINIMUM SIZE HBAWG WHEN INSULATED,NSAWG IF BARE WIRE. Q CONDUCTOR GG CONDUIT SCHEDULE WIELECTRICAL CALCULATIONS EQUIPMENT GROUNDING CONDUCTORS SHALL BE SIZED CONDUTI CIFONDUCTRS ING TEMP.CORP. FILL CON'. MAID CURPENi BASE BERATED TERM AMP.®TERM. 106% DER Q n%caL c0rmucroR � C CONDUET% ocPO EGC FACTOR FACTOR CURRENT UZ5A) AMP AMP. TEMP.MTNG TEMP.RAnNG GTM 7 ACCORDING TO NEC ARTICLE 690.45,AND BE A MINIMUM OF 24on0iov lq,3y 2 DAncwmRE AMR wA wA BAWD nn c) 0 5n a sc E6n Cosa 76ro sDn BgT #10AWG WHEN NOT EXPOSED TO DAMAGE,AND p6AWG 1 i I I• ' IOAWGT�IMNz 075.OA oavH�Wwz SHALL BE USED WHEN EXPOSED TO DAMAGE 2 1 COPPER UrC 4 NIA COPPER 0]1(56'C) 08 15A IBTSV 40A 2272A gn 40A SOFT GROUNDING AND BONDING CONDUCTORS,IF INSULATED, 3 + B COPP z os0wCFTC 2 WA t0 COPPER z nss(3Nc) +0 25A 3t M SSA USA 75-c SIR 0IT 8 SHALL BE COLOR CODED GREEN,OR MARKED GREEN IF r 4 + BAWGTHWN2, 05'DIA LFNC 2 354%2 IOAWG'—Z 996P4*C) 10 25A 31254 55A 52BA 75-C 56A 1ffT #4AWG OR LARGER COPPER COPPER I SINGLE'-LIN'Et)AGRAM PROJECT ID:119725 DATE: 08102119 CREATED BY: S.S. CHECKED BY: REVISIONS SINGLE-LINE DIAGRAM PV-2 SCALE: NTS i19sI10LIWENfIYSI1@1CRFAr®FORTIERIRP65EOFOE50M31NOT1EOE51GNOFAHIOftlSF➢AgT0.4rNc{VM1EA SY51B1N1MBWIGNOEfMrooELONSrPATEC01i4MCEN11HN1MRIf18FN0ISMDRELLLAn016.1NEIlOC14IMSpUDxm BE1®1®urtlx ASA511B511TUlEra11 PV_2 wLlumlmueNuvAn+uraEr+msru7A7ronwwuxs misrNLrssxuLMsrnLaLEaulcMemMAaoalaxLEvmmuAwFAcnmDRlNsruulroxuMvxsxolwxalxrwslwr aRTNuuneewlEav�I®IxAvurTlwroveumes7xelnsmlrcnauwMAxuFA>:ruRmlxsrauTrolRMAwas f6c RACEWAYS EACH DEVICE WHERE ENERGIZED, EACH DISCONNECTING MEANS FOR LABELING NOTES SEE NOTE NO.4(DC RACEWAYS) UNGROUNDED CIRCUITS MAY BE EXPOSED PHOTOVOLTAIC EQUIPMENT(JB1,11) P-1 19725. DURING SERVICE.(JBI,11) ALL PLAQUES AND SIGNAGE REQUIRED BY 2014 NEC - AND 2015 NFPA I WILL BE INSTALLED AS REQUIRED. 7 LABELS,WARNING(S AND MARKING SHALL COMPLY J131-TRANSITION BOXHOCkWyZA 0 (MODEL NOT SPECIFIED) LS WARNING AND LITION SIGNS USED IHE SIANUAHU BAXffl&A 2 HEADER 6 HEADER TEXT,AND SAFETY ALERT SYMBOL ON EACH LABEL.THE ANSI STANDARD OLRcA REQUIRES A HEADING THAT IS AT LEAST 50%TALLER. NEC69031(G)(3)AND IFC605.11.1 NEC 690.35(F) NEC 690.17(E) THAN THE BODY TEXT,IN ACCORDANCE WITH NEC 110.21(B). LLJ (1-INVERTER Lu C) (SOLAR EDGE SE600OH-US) DC DISCONNECT III) AC SOLAR DISCONNECT(SWI) SEE NOTE NO.5(SW1) A PERMANENT PLAQUE OR DIRECTORY SHALL BE a INSTALLED PROVIDING THE LOCATION OF THE SERVICE c/) LLJ 3 DISCONNECTING MEANS AND THE PHOTOVOLTAIC >_ O\2_1 SYSTEM DISCONNECTING MEANS IF NOT IN THE SAME c/) Zo ftATEO LOCATION IN ACCORDANCE WITH NEC 690.56(B). U) SWI-DISCONNECT IARKING,'WARNING PHOTOVOLTAIC Lu Lu (EATON DG222NRB) POWEkkiUlRCE,'SHALL BE LOCATED AT EVERY 10 3: Qf _J FEET OF EACH DO RACEWAY AND WITHIN ONE FOOT OF LL_ NEC 690.53 NEC 690.13(B) NEC 690 56(C)AND IFC 605.11. 4 EVERY TURN OR BEND AND WITHIN ONE FOOT ABOVE 0 C) - \2_1 AND BELOW ALL PENETRATIONS OF ROOFICEILING m U) ASSEMBLIES,WALLS AND BARRIERS.THE LABEL SHALL 0- LLJ AG DISCONNECT(SW1) ANY AG ELECTRICAL PANEL THAT IS FED BY HAVE 318'TALL LETTERS AND BE REFLECTIVE WITH MSP-MAIN SERVICE BOTH THE UTILITY AND THE PHOTOVOLTAIC WHITE TEXT ON A RED BACKGROUND Lu m: SYSTEM(Swi,MSP) :5 LABEL(S)WITH MARKING,'PHOTOVOLTAIC SYSTEM 0 EQUIPPED WITH RAPID SHUTDOWN.-SHALL BE LOCATED c/) 5 AT POINT-OF-INTERCONNECTION OR AT MAIN SERVICE DISCONNECT THE LABEL SHALL HAVE 30TALL LETTERS AND BE REFLECTIVE WITH WHITE TEXT ON A Lu Lu REDBACKGROUND NEC 690.54 NEC705.12(D)(3) AFE+111h Y S LABELS DOC ID:119725-149683-1 DATE:8/2/19 CREATOR:S.S. REVIEWER: REVISIONS I PVt-3j I i j...�..�. .,..-•.--. .._ 3'�.'!a�s:o:..ub,..S..wi�.'S. Test Conditions ST NOR Module Power(PmzL W F u1 T \ 3 - -- .E' ..�.,.. � u7 1 i,fix r t Maximum owervolta a max V P g NP _)-- ', I_k3Z—l3.Ww.wr.,...w+.'�_ 29.5— ' `IGM ^,t e Maximum Op wer cunen[flpmaxj - _A_ F,9.16 7.69 --� ,iS ',�SyG 1yyl t .�a ', �. OPenclrcult yolWfre NocL__--1,��JV t i �485 _36.9 r4l w p r r d Short circuit current(Isc) A � 9 7.96 ffid T ! ^t Module een 1 17.3 :§ RI;T5'0,. Maximum syVstem voltage NDq V „�'!',',ip,;�";i5 w'• '.t. cC Series fuse rating A - K6'�'+�'p Power Tolerance Wp h:::'.::.!:'r:".a,r^!'.,;',�:,•l.,.',;.r'1--0/+5 - _ l''*%. '�5 Measurenent mndltiom:SrClOppWhN•AM 13•T¢mpuawre 35K•NORliOa WRn'•AM 15•Measu ens unuauinryt3ae •Sun Ira,AavNroter kouate.nemkaldurattmsoca may varyky—and paver by0/•5. _ F' ® ® nO ® shnvUtor—radon am"araa,k Temperature Coefficient Isc R t� Ilk � Temperature Coefficient Voc _.._� %/K — -0.30 "=r + Temperature Coefficient Pmax %/K 0:38 _,- NO. R(z 2°C) _ ,C 45 a r INDUSTRYLEADINGWARRANTY D eratingtem erasure --" —"^e 40/+95 - All our products Include an industry - ••• y I Module wei ht d:1 kg___A t s 53 leading 25-year product workmanship 8�._ and 30-ear performance warranty. DlmenslonH x Lx D;t 1mm�— mm 1650 x 990 x 38 .mot v ,rI.?ua• *�` /y',;,N'h Y P tY Maximum surface load(wind/sn_ow)! --w'� _N/m tZ4pp ly'Watd. 4 pd '}V J....I, MA .._ .,...J..,. _i� +#- Hall Im act resistance ' o 25 mm at 83 km/h 35+YEARS OF SOLAR INNOVATION --P----------- --'------- it.,,,^. teas w �-- 60 SI"'onocr g[at�i�n� 4or,9busbar1t 75x iss 7s,(Jlm '' u Leveraging over 35+ ears of worldwide g g Y Glass _�- _ _3.2 mm h transmittance,tempered,antlrefiective coa[Ing _ experience In the solar industry,Silfab Backsheet MultllaXer pester-based is dedicated to superior manufacturing Frame ,��•- AnodkedNp3ladd .�,', r s � - .�• processes and innovations such as Bnass dbdes 3 dlodes-45V/i 2A,IP67/IP68 r •f{� �' Bifacial and Back Contact technologies, Cables and connectors(See Installation manual)— 12001rfm Shmm 4rtim2y;MCCtompabble —"�'� to ensure our partners have the latest in s" '• .u, • - �' Moduleprod mi-kmanshipwarranry solar innovation. 30years a 9796end of 1-year o NORTH AMERICAN QUALITY Linear power performance guarantee a 9046 end of 12a year y Silfab is the largest and most automated a82%end of25ayear ar as solar manufacturer in North America. a80%endo1`30a ear 'a �' qqg.� :;I•' � ;K$,+�; Utilizing premium quality materials and ;- ., � "�"'TM#;„„ "' • ULC ORD C1703,UL 1703,IEC 61215,IEC 61730-1 and IEC 61730-2 Cefied. strict qualitycon[rolmanagementtodeliver rti ' '.�'>s4, [he highest efficiency,premium quality PV FSEC and CEC listed.IEC 62716Ammonia Corrosion,IEC 617012�,^^w 011 11 � Product _ Salt Mist Corrosion Certified — �K,acmodules 100%made in North America. UL Ftre Rating TZpe 2(1 1 on request) __ "5'�f`1+,.W �'•8. ai don eV �A', .W.:x 1F1'. h •Please refer to the Safety and Installation Manual for mounting specifications. '•12 year eMendable to 25 years subject to registration and conditions outllned under "Warranty'at www.slifabsolar.com. A Waralag:Read the Installation and User Manual before handling,installing and operating modules. I Thlyd-party generated pan files from ��YO1�"� _Motlules Per Pallet 2fi pa 8 �� •�® Fraunhoter-InsUNtefor Solar Energy �t",a„_:�= :a Pal:ets Per Truck:36 � a -• t Systems ISEare available for download at 3 Modules Par Truck:936 k 3 •-a, - _ www.silfabsolar.mm/downloads •�� •aa g i Silfab Solar Inc f t 240 Counneypark Drive East a Mlssissauga ON LST2y3 Canada R •• S l�'� kj_' Tel+1 905-255-2501 1 Fax+1 905696-0267 d. Info@silfabsolar.com I a sllfabsolar.comSolar "°� ""'�'"Y '-�•••'•- 910® 8ID0 Comwall]Ave Sao Be]Ingham WA 98225 USA Tel+1 360-S69-4733 __ / Power Optimizer For North America Power C� t�mtzer P320/P340/P370/P400/P405/P505 For North America L P340 (for higher (typical module (fo,60-cellpower 114T.'film (forhig E F F P320 J R340/P370/P400/0405/P505compatibility) modules) : and 72-cell dules) modules) modules) 48 60 BO 12_ 83 We ....: 400 405 505 W ._ Star C P TO ran�� re) ..;':::;,.:.. +.'v..rd•.m.,.,__ ::: --t..._.,)�.,,'::.,�;:'r. FA__FA__ rRvit Cnem Range u 11 10.1 14 63 Mc8-48 8 60 8-BO 125-105 We .,�;} '34;).'✓'r �;'(" :-�'7•" Maamum DC Input Curren 13.75 12.63 175 Mc • '���';,': .. Manmum Elficlerrcy 995 % weghted Effioerry 98.8 98.6 % Orerwltage Cmegory R .OUTPUTDURWGO,ERATIoN(P01NER.OpumaERCO_NNEC[EDTO.OPERATING SOLAREDGE INVERTER) Manmum Output Current IS - - d ax m Mum O.P.Ou[p u[Whag W 60 85 We NUVERTER'OgloG STANDBY:(POWEROPTIMIZERDISCONNECTEbFROM50lAREDGE INVERTER ORSOLAREbGE S.fy Output .ge per1 a Ol We W Opt,—r STANDARD COMPLIANCE,:., . 11 rn EMC FCC Part15 Class B,IEC61000 6-2,IEC61U0(1 6 3 109_1 ROHS Yes INSTALLATION SPECTFICAT[ONS . .. .. l-ge bwrsf System W . - .. S��e 1000 xtic ' Compatible meercers All SdarEdge Sim_k Phase am three Phase inverters 1�28ITrne—(W.L.H) 128,152.28/5.5.97,11 ,152 x36/ 128x152x50/ 12,,.5,59/ mm/in x.97x lA2 5x6.97x196 Sx5.97x2.32 Weght(,nC dig cables) 630/1A 750/L7 845/1.9 1064/2.3 gr/Ib Input ConneRrx MC4m Output W,m Type/Connector Couble Insulated;MC4 Cut,ut Wrce Length 0.95/3.0 12/3.9 m/R Input Wlre Le"gth 0.16/052 m/h Opembng Temperature Range -40-.85/-40-•185 'C/'F PV power optimization at the module-level Protection Rahrg IP68/NEMA6P Rdatne Humdey 0-100.17 % m Ramd Sic power of Np moMk.Mptlule d m•5%pawer blvan¢elb..E / Specifically designed to work with SolarEdge / Fast installation with a single boltux�'D`teatm�iaq rtlm my inverters / Next generation maintenance with module- PV System Design 208V Three Phase 480V / Up to 25%more energy level monitoring a SolarEdge Inverter" HD-Wave Minimum Sting Length Pd00 P340,P370, 8 10 18 / Superior efficiency(99.5%) / Meets NEC requirements for arc fault �"`ef OptiniR") P405/P505 6 e 14 protection(AFCI)and Photovoltaic Rapid Max:mun str,N Length 15 25 50- / Mitigates all types of module mismatch losses, Shutdown System(PVRSS) IF—O ml:ens) 5700(6000 wth from manufacturing tolerance to partial Maxenum Poeer per Stnrlg SE7600-US-SE11400- 5250 600pe 12750- w shading / Module-level voltage shutdown for installer US) and firefighter safety oorow tLI amm�mxe�:tlengths / Flexible system design for maximum space wFpeetmletlstnrgspmgmbmmnonmMm naDm.ww:aeretlBerprevaeramuree,/, pn�,.ppat utilization wltn rotellawetlm mu P40s/P505 wNr P310/P340/P37WP4 m:xmmrp e'A stung wfN maerMn 30op4rmierstloezrm meet/NEC mD:tl ihemown yu:rerrxnh akrywha9e mllMepwe Cc 30V1�uIMMlR m For SE344nrs/SCQ eoJS h is ellpwed m:nnall up m fi.s00W per strnB when 3 salrgs are eorvtc4•tl m the nwne:(3 stnrgs per unit Ipr SE43]KUS)ar9 wlm Ne mmvnum power O:Hemncc 6etwien Uc stnngs:s up m 1.000W m For SE30x115/SE33.3xU5rSFfi6 fi111LSn001elS Ills e0owxeminstell upm 35,000W pe•M:gwM1en3ml:gsorew Yed to Ne:rnMtt(3 Mn95 perurvt br 5Efi6 fixUs/TESOOKUs) a,d wren me meemm wwe+e:rrere,xp newe.T ex•anngs"uD m 2,00DW solaredge.com solar @ m w4 CE RoHS ® Single Phase Inverter Wit HD-Wave Technology for North America 6000H U /SE S 00 S / SE3000H US/ 3800H U /SE5 OH US E S11'lg�e PhaSG' I t1Vef'tC'r ,` SE7600H-US/SE10000H-US/SE11400H-US SE300OH-US :EI 001 600E .0O FEE, EE with ...... Technolog gUTPDT C ; �_ � . for.:North.America:::...: ...:...:..: 3900 Mai 7600 . ....,_.... :: .. :. .. Mtn:Nam:Max i.. '.�. C mum W Wwe MPut 000 @ 208V 0W0 @ 208 SE3000H;US/'.8' 0H-USy'SE5000H=US 7 SE60.00H:ajS/:: ' 33DD'2D0� 5 :n.Naa Max SE7600H-US/.SE10000H,US/SE11400H-1JS m ACFncq­rmbm­!) 59.3-60-60.5^ Hz IV--Colrtmwus Output Current @240V 12.5 16 21 25 32 42 47.5 A Maximum ConCnwus 00put % - N - - 48.5 A Current@208V GFDI A "r'.n,T,.^^,n 'Ir ra k{ul(„):, �y e r �i Unliry r. In N ISlanang Pmrectan,ewrrcry eenlgu ble ws „rv41''t aY �1?fx'b. I "1:,,a',.tra {I;a t Inur'A r41 I,t'', IN0.UT ,t4��1',,#f "a�"� )�h/ ryi Mm�UT DC Ibee @240V 4650 5900 7750 9300 11800 15500 17650 W *'?q:. '"'t''a'`� ty,t^t„ /�,"�' F' Maximum DC Fbxer @208V - 5100 7750 - ,ssoo w 7ransfa less,Umrourded Ks Mu—Input Wltage 480 We . 4#413 Sx �.i►�• .ar37 ap ,m �;a 11 - f s G Nominal DC hprt V.I,.ge 380 400 we M. Input Cunt 0240w B.s ,os 13s 16s ze z7 3os Mc M.—Input C.-M 0208W 9 13s 27 Adc Ma.Inp,:t 11c n 0-1 45 A& A`"�sN ; .>. .,;7^yW°,j•,i",Wr�.ia?a;, ;;,;�,i�.F,,.tt;"°;k0 Revers Fa.ry Pramon x �Ps5 C 4'ir i t �t M pg f fe+ rS/ 11 ') A n ,1r,n f4 t 1(1 Gra,rd Fa,n Isolation oet«tion 600kaSersamry y4 Maximum I--Efcrenry 99 99.2 % CEC weighted E1fiCercy 99 % . At .d,49 i �➢'4x 0 i 9d5 @20. 5 p k ri ADDITf AL FEATURES <zs w Supported Commun cation Interfxes R5405,Ethernet,ZgOee(optbnaq,Cellular(optionap Rexnue Grade Data AN51 C1210 Optonal^ Optimized installation with HD-Wave technology Rapid Sh mown-NEC 2014a d wtomai Rapd Shu dam upon AC GridD o eR 2017 690.12 STANDARD COMPLIANCE Sa!ety UL1741,UL1741 SA.UL16998,CSA C22.2,Canadian AM.crd,ng to ILL M-07 / Specifically designed to work with 6 Extremely small Grid co—Stardoms IEEE1547.Rule 21.Rule 11(HB power optimizers Emissmns FCC Part 15 Class B Record-breaking efficiency 6 Built-in module-level monitoring INSTALLATION SPECIFICATIONS AC 0,V"'Conduit Are/AWG 3/4'minimum 114.6 AWG 3/4'minimum/14-4 AWG R, 6 Fixed voltage inverter for longer strings / Outdoor and indoor installation DC Input ConduR s:e/r of Swrgs/ 3/4'minimum/1-29 rigs/1d-6 AWG 3/d'minimum/1-39rvg/14-6 AWG AWG Rang Dimemm�se wiN Safety Svntch 17.7x 14.bx6.0/450x37Dx174 213 x14.6x7.3/540 x370x185 / Integrated arc fault protection and rapid shutdown for/ Optional:Revenue grade data,ANSI C12.20 (HxMD) NEC 2014 and 2017,per article 690.11 and 690.12 Class 0.5(0.5%accuracy) wegntwithsaferyswitch 22110 1 25.1111A 1 261/11.9 388/17.6 Ib/Iy Nate <25 <50 dBA UL1741 SA certified,for CPUC Rule 21 grid Caolug Natural Cor—ton compliance Operating L,peraNre Range -4010+140/-25 to+6014(-40-F/-406C option)^ 'F/'C Pmtwion Rating NEMA 4x(I—ft with Safety Switch) ^A laNer�wrul b[Iligt p'cave mntm$otrFdge support solar ^Ahghv mtsavcPM d,MimMer LLmtlbinputcumnlbbe vsl Rth ^aevewe d: l5NW SfxmH-1I50pDNNQ solaredge.eom ^Fa you dP/N.El UStlonrebmMpvr..plvyemNsraa+ wv my 2b e.nnavgm nPd1 ^-4pwnan PM.$EvuN U5p0DNNW ROHS t • _� ��, t a tr s �.y�Y^ X .. � II_ •.i1 ! z^9 �n test a - ,y+'�{�, ' � r,x i,,p� �• ��s� 't� '�r�y 1C<,�,. +, p a�"X F t qt r, g � �`�li,,,�`. +. pc +, m x :F+ •� to � r t` t ,. s e 3 ^tC'F � �� s r , 4: f 3 1 !3f �-'" t� 4 ���} k 1 * : $�'�'�• �' pT'• Ak Y � # tom£. . �.t Hellos., ►e �. , h r; ' �1s INSTRI7 2019124398 OR BK 9944 PG 764 Page 1 of 1 07/24/2019 03:23 PM Rcpt 207503E Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller,ad Interim PREPARED BY:BAY AREA PROJECT SOLUTIONS 1501 S PINELLAS AVE STE N TARPON SPRINGS FL34689 Pm dlNumbu PanellDNumber 05_pa_91-an7n.on4nn-^^10 NOTICE OF COMMENCEMENT Slate of Florida County Of PASCO THE UNDERSIGNED hWby Olvea Race that Improvements suns be made to eenah real property.and III uo ardanee vA11 Sedlon 713,13 01 the Raida Stables,the MR"Nlamaaon is provided In NIs U0710E OF COMMENCEMENT. t.Desedpfon of property(legal desatplloe):SILVERADO RANCH-SUBDIVISIOt{.pHASES- 3 e 9_ �a ar nso ai n:K n i nr+ v n 9723 PG 3620 e)SDWMAdete= Wjk5 �rtcl4tn lx>„ o1v�Y4ai 2.General description of bnprovements: !STALL SOLAR PV SYSTEM 3.Owm bdmmdon w Lessee Ildam Pion n the Lessee coniNttad bride bnprovemenl: a)Km and address %a W 12&4;; ►ld621 S+ZeiO�111 s 1335 U! b)Name and address o1 lee simple Ilieholdd�erenl 151ed above) ►J/A c)WeresibiproputY. toots —_-.__-------._...--•__-- 4.Contractor Indotmafon a)Name and address NORMAN PURKEY-SOLAR BEAR UZ-e101 JOHNS RD STE B TAMPA FL 33634 b)Telephone No.: 727."0.3258 Fax No_(optional) WA S.Surety(d applicable.a copy Of The payment bad Is aaaaled) a)Name and address N/A b)Telephone No.: c)Amara of Bond: I 6.Lender a)Name and adfess WA b)Telephone No. 7.Persons w17bin the State a Flodda designated by Owner upon whom notices Or other documents may be served as provided by Section 71&13(1)(a)7.,WWII Slattaes a)Name and adfess NIA b)Telephone No- Fax No-(optional) Lgln addBlm to Idntsen or harm,Owner dadgnatea WA of to recuft a wW afro ucWs Nofce as provNW fan SecM 713.13(1)(b),FWWa Stables b)Phm Numbu of Person sr easy designated by Dow.. 9.Expfrafon date of noft of commasrxmeld(the expiration date may not be balm the completion of wnstuctlon and Mal payment to the togs ,bun M ba 1 tom Ne dale el reeadb)g mess a dYterad date is Killed): ,20 WARNING 70 OWNER:ANY PAYMENTS MADE BY 711E OWNER AFTER THE EXPI TION OF THE NCrnCE OF COMMENCEMENT ARE CONSIDERED W PBOPER PAYMENTS UNDER CHAPTER 713,PART 6 SECTION 713.13.FLORIDA STATURES AND CAN RESULT IN YOUR PAYING TWTCE FOR WPROVEMOM 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 ATTONO BEFORE COMMFJNCWI;won OR RE(ORDWG YOUR NOTICE OF COMMENCEMENT. Under pen*01 pe*ey.I docive no 1 be"lead fro taepoing riefce Of commencement and that the facts stated Nereln are he to ore best of my tat0aled v IV atal• �r l �nu /'tCt'Uak • sAer o fan do aNleeaePaaleturoDml �flN am spueyr t The La�otngaNrloltNdpa06etoeememn �_ days lulu zdq by .l(n to u'PArt as rows ...o.a�,.au>tia.amnafgw lor as 01fr+YRrrwe RYo.d.may.....a.cmc...ufe...mmr1�urfr � (lam d pfrlyaa Ddnid aim InlslvnamMs slealed). pkaaabNttgan ❑ RodaoedlD � TppaalD a NtdaeyBplahn TgM&&A6e, CA4AAAd Flirt itim k) o Lr- �/CI03113f4 fYarohla�3 f7mad 7ft Nary gAte uldfrlba