HomeMy WebLinkAbout19-22174 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22174
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:22174 Issued: 12/18/2019 Address: 4830 17TH 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: 27,517.00 Total Fees: 270.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 270.00 Date Paid: 12/18/2019 Parcel Number: 14-26-21-0010-02200-0110
CONTRACTOR INFORMATION OWNER INFORMATION
Name: SOLAR SUN, LLC Name: FERGUSON PHYLLIS
Addr: 6090 CENTRAL AVENUE Address: 4830 17TH ST
ST. PETERBURG ZEPHYRHILLS FL 33542-6024
Phone: (619)729-8311 Lic: Phone: 352-807-2292
Work Desc: INSTALLATION ROOF MOUNT SOLAR SYSTEM
APPLICATION FEES
ELECTRICAL FEE 270.00
INSPECTIONS i9EQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE ;
PRE-METER /
FINAL ODD
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 rinspection,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.
1�
O CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTI0
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
Date Received 729 8311
Phone Contact for Permitting 619 _ _
_
Owner's Name PHYLLIS FERGUSON Owner Phone Number 352 807-2292
Owner's Address 483017TH ST ZEPHYRHILLS FL 33542 Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 4830 17TH ST ZEPHYRHILLS FL 33542 LOT# 11
SUBDIVISION MOORES FIRST ADDITION PARCEL ID# 14-26-21-0010-02200-0110
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
® INSTALL e REPAIR
PROPOSED USE ® SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK INSTALL A 6.46kW ROOF MOUNTED PV SOLAR SYSTEM
BUILDING SIZE 1 SQ FOOTAGE 1408 HEIGHT
OBUILDING $27517.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ W
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (/
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .-
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
i
Address �I License#
SOLAR SUN LLC
ELECTRICIAN �`'` {) COMPANY
SIGNATURE I ';S t:. ''T h' i - ii REGISTERED I Y/ N FEE CURREN Y/N
Address 6090 CENTRAL AVE ST.PETERSBURG FL 33707 License# FEC13008B40
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License#
IIIIIIIIIII11111111111111111111111111111111111111111111111111111111
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 subdivisionsAarge 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 onsile,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.
Li I &
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 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 %r 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.11.7..0,3
OWNER OR AGENT 1 CONTRALTO
y.
Subscribed and swo to o' rmedybefore me this Subscribed and sworn to'(orraffir'med afore me this
by by Gary Braig
Who is/are personally known to me or hasihave produced Who is/are personally known to me or hasthave produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
N e of t o Name of N e ranted or slam edd
� � ��e `fh�fL �of Florida ry p Notary l�ubllc State of Florida
Thomas Boone Thomas Boone
My Commission GG 364208 ' : My Commission GG 364208
• • +1
as Exp�res08/08/2023 Ojp� ' Explres06/0812023
City 02eplyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: Y? - l
Date Received:
Site: I � 10 1 Y�
Permit Type: ti 1 L � c,�LZ ��hP
Approved Who comment . Approved w/the below comments: 0 Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
DEC 6 2019
Kaivin S itzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
1
NOTICE OF COMMENCEMENT INSTR# 2019211101 BK 10021PG 1414
Permit Number Tax Folio# 14-26-21-0010-02200-0110 12/12/2019 02:16pm Page 1 of 1
Rcpt: 2116749 Rec: 10.00
The undersigned hereby gives notice that improvement will be made to DS: 0.00 IT: 0.00
certain Real Property,and in accordance with Chapter 713,Florida Nikki A 1 varea•-Sow 1 es, Esq.
Statutes,the following information is provided in this Notice of Commencement. Pasco County Clerk & Comptroller
1. DESCRIPTION OF PROPERTY:
(Legal description of the property and street address,if available).
4830 17th st,Zephyrhills, FL 33542
Moores First Addition Pb 1 Fig 57 Lot 11 &South 1/2 Of Lot 12 Block 22 Or
9377 Pg 1458
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Install a 6.46 kW roof mounted solar PV system. This space reserved for recording
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name&Address: Phyllis Ferguson 4830 17th St.Zephyrhills. FL 33542
Interest in Property: Owner
Fee Simple Title Holder(if different from owner listed above):
4. CONTRACTOR: Name: Solar Sun LLC Phone Number: 619-729-8311
Contractors Address: 6090 Central Ave St. Petersburg, FL 33707
5. SURETY(If applicable,a copy of the payment bond is attached):Amount of bond: $
Name: Phone Number:
Address:
6. LENDER'S NAME: Phone Number:
Lender's address:
7. Person's within the State of Florida Designated by Owner upon whom notice or other documents may be
served as provided by Section 713.13(1)(a)7., Florida Statutes.
Name: Jeustin Caguioa Phone Number: 619-729-8311
Address: 6090 Central Ave St. Petersburg, FL 33707
8. In addition, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone number of person or entity designated by Owner:
9. Expiration of notice commencement(the expiration date will be 1 year from date of recording unless a different date is
specified. 20,
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 I, 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.
Phyllis Ferguson
TSigrfature of Owner or Lessee, b r Owner's or Lessee's (Print Name and Provide Signatory s Title/Office)
Authorized Officer/Director/Partner/Manager)
PASCo
State of {CLo�Z I County.of
The foregoing instrument was acknowledged before me this Z� day of NO��M� 20 I by
for PHyc.c IS FeQ6u5ojo
(type of authority,...e.g.officer,trustee,attorney in fact) (name of party on behalf of whom instrument was executed)
Per Wally Known or Produced Identification UC-d�5 L to Fk5E—
Sr Il
(Signature of Nota Public— rya}_ � Notary Public State of Florida
FormIP502—Revised 01/13/15
Thomas Boone
MY Commission GG 364208
Expires 08108/2023
` boidr5ull
� To whom itmyconcern,
}
/ \ dO hereby aUthOhze the following names listed below to as my
agents ip submitting permits applications and obtaining permits for in
� .
| addition tn register with the jurisdiction and renew registration. Under license number EC13008840.
A
M] �=� /
^^� / � =
\ �\
/ r^�
Signature of Owner
Print Name ofOvv.ner/Depresentative
Title
Sworn and subscribed to before methis DL day of by
vvhois/arepecsonaUyknowntpnneorhas/have-rmduced as identification.
! Persona|}yKnovxny�lOR Produced |6ent�cat|on [ lType of identification Produced
.
(Signature of Notary Public-State ofFlorida)
(Print/TYpe, )
E4N:Not"=� -=~~