HomeMy WebLinkAbout20-22373 I
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22 73
ELECTRICAL PERMIT
-PERMIT.INFORMATION .LOCATION"INFORMATION '
Permit#:22373 Issued: 1/28/2020 Address: 35958 SADDLE PALM WAY
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: 37,940.00 Total Fees: 345.00 Subdivision: SILVERADO
Amount Paid: 345.00 Date Paid: 1/28/2020 Parcel Number: 05-26-21-0080-00500-0040
CONTRACTOR.INFO.RMATION i' OWNER.INFORMATION
Name: SOLAR BEAR LLC Name: DIETSCH, KEVIN
Addr: 6101 JOHNS RD STE 8 Address: 35958 SADDLE PALM WAY
TAMPA; FL 33634 ZEPHYRHILLS, FL 33541-2906
Phone: (727)218-9407 Lic: Phone: 612-244-8990
Work Desc: INSTALLATION ROOF MOUNT SOLAR PV SYSTEM
APPLICATION FEES
BUILDING FEE 345.00
SP C ION REQU(80
ROUGH ELECTRIC /
CONSTRUCTION POLE /� 1
PRE-METER ( L�
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 properly 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.
C NTRACTOR 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
Date Received r— 2,0 Phone Contact for Permitting 727 940.3256
Owner's Name DIETSCH KEVIN Owner Phone Number 6122448990
5958 SADDLE PALM WAY,ZEPHYRHILLS,FL 3354
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 35958 SADDLE PALM WAY,ZEPHYRHILLS,FL 33541 LOT# 4�
SUBDIVISION SILVERADO RANCH PARCEL ID#1 05-26-21-0080-00500-0040
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 11.7KW
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
X=ELECTRICAL $ 37,940 AMP SERVICE = PROGRESSSS)ENERGY�j= W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN
Address License#
OLAR BE
ELECTRICIAN �Afl '/�'q J COMPANY SAR LLC
SIGNATURE I J , REGISTERED JWN FEE CURREN Y/N
Address 6101 JOHNS RD STE B TAMPA FL 33634 License# CC13009020
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
Illltlltlllllllllllllllllllllllllllllllllllllllllllltllllllllllllll
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,Stonmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge 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 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(PloVSurvey/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"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 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) ^
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swo %o_r affr "ed re, e t
by by— �V — o_
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
DL as identification. DL as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: Sh��t,Y'� &,-
Date Received: /- 13-2,W
Site: -3 5clUb T,-ddf.- All,,Gl ,
Permit Type:
Approved w/no,comments Approved w/the below comments: 0 Denied w/the below comments:
This comment sheet shall be kept with the permit and/or plans.
In/I- JAN 2 3 ?020
KaIV�—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
INSTR#2019212769 OR BK 10022 PG 3451 Page 1 of 1
12/16/2019 11:36 AM Rcpt:2117521 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
PREPARED BY:SOLAR BEAR LLC
6101 JOHNS RD STE B TAMPA FL 33634
Permit Number Parcel ID Number 05-26-21-000eo-66500-o0a6 -•_ --
___
NOTICE OF COMMENCEMENT
State of Florlda
County of PASCO
THE UNDERSIGNED hereby gives notice that Improvements MR be made to certain real property,and In accordance with Section 713.13 of the
Florida Statutes,the following Information Is provided In this NOTICE OF COMMENCEMENT.
SILVERADO RANCH SUBDIVISION PHASES 6,8 8 9A PB 75 PG 075 BLOCK 5 LOT 4
1.Desciipttonoiprnperty(legaldescriptfon):
a)Street Uob)Address: ?,5 qwS Saddle
2.Geneml description of Improvements: INSTALL SOLAR PV SYSTEM
3.Owner Information or Lessee Information it the Lessee contracted for the improvement: —
a)Name and address Ut sc - '----*_(�ddge_Vdt>7 2-
b)Name and address of lee simple thleholder(Ilddterent than Owner listed above)
c)Interest In property. 10D% _
4.Contractor information
a)Name and address: NORMAN PURKEY-SOLAR BEAR LLC-6101 JOHNS RD STE B TAMPA FL33634 _
b)Telephone No.: 727.940.3256 Fax No.:(optional) WA
S.Surety(if applicable,a copy of the payment bond Is anached)
a)Name and address: N/A
h)Telephone No.: ------- - -_----------- .—_._.._—�T—_.__
c)Amount of Bond: 3
6.Lender
a)Name and address: N/A _
b)Telephone No.: _
7.Persons within the State of Florida designated byOwner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7,Florida Statutes:
a)Name and address WA
b)Telephone No- Fax No.:(oplIonaq
Wn addition to himself or herself,Owner designates wA _ _ _ of
to receive a copy of the Llenots Notice as provided In Section 713.13 0)(b),Fla^!da StalNes.
b)Phone Number 01 Person or entity designated by Owner:
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and gnat payment to the
contractor,but will be 1 year Dom the date of recording unless a different date Is specitiedL_ 20
I WARNING TO OWNER:ANY PAYMENTS MADE BY THE OYYNER 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 I
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 1
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. i
Under penalty at per[ury,I declare that I have read the foregalag notice of commencement and that The facts stated therein are true to the best of my
knowledge an -
`1 �_kE J 1� ET SC a1
ena o1�sYlteralessee,a0wnerslHLessee's(llaaoke000e1eDrectaNPaMetlMameer) tNam am FmAdeslinaw"TMelintee)
the fore oing Instru�meatwas acknowledged before me INS day of 7 9'em k/ .20Ig
by —LAe"-n :ef5(,k _ as ---- (hPeate01fte.g.ateeer,eumee.aromrylnbey
fair as
(Name or Penan) pypa ornulAarxy�.e.p.oFimr,Inrsten,�etrneYrn teW
for (name al parry on beball of whom Instwem was executed).
Personally Krim ❑ Produced ID []
Type of IDS.D Notary SI9nawre-_—r,
10MERAI MJJUN Print name —5 dhlm; alp
" f( MYCOMMISSIONflG0314314
EXPIRES:Minch 19,2023
I__ •• aarlr�lTMulietaiyPa5Ve UrdewA4n ._. ___ I
DocuSign Envelope ID:49B21377-74504C33-A067-DA85EF3AFE8C
SOLARR—L EEf,E,ENE,ES
SOLAR BEAR LLC
6101 Johns Road,Suite 8,Tampa,FL 33634
Your Solar Solutions Provider
(727)471-7442
WW W.OURSOLARBEAR.COM
EC13009020
SOLAR HOME IMPROVEMENT AGREEMENT
DATE: CUSTOMER NAME(hereinafter,the"Customer")
12/2/2019 Kevin & Frances Dietsch
ADDRESS: 35958 saddle-Palm Way
CITY,STATE,ZIP: '
zephyrhills, FL 33541
HOME PHONE NUMBER: WORK PHONE NUMBER: MOBILE PHONE NUMBER:
612-244-8990 612-401-9161 -
EMAIL: dietsch.kevin@gmail .com
This Solar Home Improvement Agreement(this"Agreement")is between Solar Bear LLC("Solar Bear","we"or"Contractor")and
you("Customer")for the sale and installation of the solar system described below(the"Project"or the"System")at your home
(the"Property"or your"Home").The Parties agree as follows:
1.Was a full years usage of the customers electric bills provided? YES F-1 NO Fx
2. If no, does the customer understand we can not guarantee a 95%-105% of the previous YES El
NO a
years usage.
3. Does the customer understand the 26% TAX CREDIT is based on their taxable income? YES r
x NO F�
IF YOU DO NOT PAY INCOME TAXES YOU DO NOT GET A TAX CREDIT
PROPOSED SYSTEM SIZE PURCHASED SYSTEM SIZE
(Based on 12 months previous usage)
11.7 KW 18,076 KWH ANNUALLY 11.7 KW 18,076 KWH ANNUALLY
CONTRACT PRICE AND TERMS OF PAYMENTS. I understand,that if I cancel, I will be held financially
responsible for the cost of the permit and any work that
37,940 may J
y have taken 8A
Total System Cost: � rled by:
F] Check Here If Any Portion of the project Sign'
Total System Cost is Financed. 12/2/2019
If checked,the Customer will receive a separate Date
agreement from the Finance Provider outlying
their terms and conditions.
AMOUNT PAID TODAY: $ 0 BALANCE REMAINING: $ 37,440 eg
*An explanation of the Recommended System Size has been explained to me and I have a copy*An explanation of the Federal Investment Tax Credit(ITC) has been explained to me and I have a copy INITIAL
NOTICE OF RIGHTTO CANCEL THIS IS A LEGAL BINDING AGREEMENT AND YOU MAY ONLY CANCEL THIS AGREEMENT PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE YOU SIGN THIS
AGREEMENT.TO CANCEL THIS AGREEMENT,PLEASE SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.THANK YOU FOR YOUR ALLOWING US TO SERVE YOU
12/2/2019
Customer Signature: Dids Date:
Customer Signature: Date:
roe�s,onea er. 12/2/2019
Representative: I .w6w ber6ws0 Date:
]amCL9lGfGi6i...
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Site Assessment Customer: KEVIN DIETSCH
Address: 35958 Saddle Palm Way
Zephyrhills,FL 33541
Component List
Manufacturer Model Quantity
Silfab Solar SLA300M 39
SolarEdge Technologies Inc. P320 39
SolarEdge Technologies Inc. SE10000H-US 1
8031fzfSf1:9 ft
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Notes:
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