HomeMy WebLinkAbout20-896 D t 1
Q
�� ► \° ' City Of Zephyrhills PERMIT I NUMBER
5335 Eighth Street f
Zephyrhills, FL 33542 ELCMISC-OO"96-2020
Phone: (813)780-0020
' Fax: (813)780-0021 Issue Date: 10/20/2020
Permit Type: Electric Service Replacement/Misc
3 TRWIb-"i°"LSfii••' $.;.f' -iE3,e. - -
" Property Numtier _ ,=; ;; ,t :eStr�eet Address
13 26 210140 00000 0480 39687 Meadowood Loop
Owner n ormation,- 'Pe mit lnformati n. ' Contractor Information
Name: DAVID PELL Permit Type:Electric Service Replacement/M Contractor: ESD HOME SOLUTIONS
Class of Work:Add/Alter Residential
y/�Address: 39687 Meadowood Loop Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$32,400.00
Phone: (813)893-1905 Mechanical Valuation:
Plumbing Valuation: r
Total Valuation:$32,400.00
Total Fees:$303.00
Amount Paid:$303.00
Date Paid:10/20/2020 1:57:49PM
Project Description
INSTALLATION PHOTOVOLTAIC SYSTEM
Application Fees011
Electrical Plan Review Fee $101.00 Electrical Permit Fee $202.00
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 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 permit 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 add fee 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.
CONTRACTOR SIGNty PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#20201 72516 OR BK 10196 PG 3182 Page 1 of 1
10/14/2020 01:00 PM Rcpt:2215308 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
PREVARtU 8Y:LZU HUME bULU I IONb LL4
7201 BRYAN DAIRY RD LARGO FL 33777
Permit Number
Parcel ID Number
NOTICE OF COMMENCEMENT
State of FI Ida THIS f.RL4IS.w cSEP"JF...r,•POR CLERK OF riIE.COURT CERTIFICATION
County of
e �
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 71
Florida Statutes,the following information is provi ed in this NOTICE OF COMMENCEMEN . �� ��: �°
1.Descriptiort of Property(!spar descripffon U �.f-''•
2.General description of improvements: INSTALL SOLAR PV SYSTEM
3.Owner Information or Lessfik mIbriQM if the Lessee contracted for the impro ement:
b)Name and address of fee simple titleholder(if different than Owner listed above) N/A
c)Interest in property: 100%
1
4.Contr2ctor Information
Ld
a)Name and address: ANDREW HALL-ESD HOME SOLUTIONS LLC-6076.Park Blvd N Pinellas Park,FL 33781 Q I-- U W
J
b)Telephone No.: 727.744.0716 Fax No.:(optional) N/A (L o
6,Surety(if applicable,a copy of the payment bond is attached) 0 z m o F-
[J1 J :J��;
a)Name and address: N/A W 0 _ < o LU
b)Telephone No.: a w z - 0 o
c Amount of Bond: $ _ _ 0 m �- Q ¢ Y
8.Lender o 0 � 4 W
a)Name and address: NIA w o 0
Cr
b)Telephone No.: ca? �� to o LU.
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sectisna. U ro o L
0LL � m � o0
713.13(1)(a)7.,Florida Statutes: F I r m
a)Name and address: N/A 0 u C-, r-. z p w
b)Telephone No.: Fax No.:(optional)
8.2.ln addition to himself or herself,Owner designates N/A of 1- . " U)
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. z
b)Phone Number of Person or entity designated by Owner: = cc z ~ Y }
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the z m
contractor,but will be 1 year from the 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,
Under penalty of perjury,I declare that I e rea a foregoing notice of commencement and that the facts stated therein are true to the best of my
knowledge and belief.
(Signature of Owner r essee,or Owners or Lessee's(Authorized Officer/Director/Pattner/Manager) (Print Name and Pro a Signatory's Title/Office)
The foregoing Instrument was acknowledged before me this 1 8n day of , ,V4� Mr 20 %ZO
by �U)C j �K as �udmr- --- (type of authority,e.g.officer,trustee,attorney in fact)
for ,as j
(Name of Person) (type of authority....e.g.officer,trustee,attorney in fact)
for (name of p rty on beh If of whom instrum s executed). I
Personally Known ❑ Produced ID
Type of ID DL Notary Signature
Print name '�t tr1\�
,TIFFANY M. HIGGINS
Notary:Publie-State of Florida
'' •'- Commission 0 HH 38358
MY Commission Expires
"rrrrr�` September 01,2024
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 1071 Phone Contact for Permitting —
.aaaaaaaa ausaaamasaaaa
Owner's Name ' Owner Phone Number
" Owner's Address 13q6A7 fVVec6,,j06 Gi Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 16/IK7 nnine4aouxiock
LOT# /
SUBDIVISION CCfCLXAJOO I PARCEL ID#
_ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $' VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 0 AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ �
=MECHANICAL $ VALUATION OF ME HANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
V
BUILDER COMPANY
SIGNATURE F REGISTERED Y/N FEE CURREN Y/N
Address License#
1 �
ELECTRICIAN /f COMPANY S
SIGNATURE REGISTERED Y/N FEECURREN I Y/
Address 7 6 &-K C(/ License# t4fJ.2yJ'et
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y I N
Address F License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
_■■_a a a.Ca a s IIIXN_a.a.a aa.La_a a a_a.a a i a a a■.a a i_a.a■.a a a a a a 2.v_a a a a a■.a.a.a.■a.a.a a.a-a,a■K-1
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 wl 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.
Drrectrons: % % _ ———— ——_—_ —e_—
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
Energy -
Sob Dired
6076 Park Blvd N
-Pinellas Park, FL 33781
727-744-0716
Ak -
I, Andrew Hall , license holder for
Energy Solutions Direct authorize the following
people to apply/sign for permit under my license number EC13008844
+A
Please allow ONLY the persons listed below:This letter will supersede aILothers.,.
Bruce Reviere Phillip Reyes
Doug Burlett
Catherine McCarthy
Quinton Polisena
Andrew Hall
License Holder Signature- License Holder Printed Name
State of Florida County of Pinellas The forgoing instrument was acknowledged before me this /f day
Of 0 C, ,20_Lg by Andrew Hall who is personally known to me or has
produced for identification. tipvB
��.•�-.�v� J=RANCES M RICE
� � Commis��GG222864
y`'�°�Fl°E'er Bated i May29'20n
Notary Public ` "
613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 goad 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 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
Sub ribe and swam to or ffirmed yfor his Sub) nd swam to(o ff/rmed befo�q s
/a/ !O / Ev�,l /�/N by /C y�
Who is/are persbQaUXJn5a.0me or has)fiave produced Who is/hrellpa to me or has/have roduced
as identification. as identification.
Notary Public ���� f Notary Public
Commission No. Commission No.
Qo•.,aS � ..J—�b(r'k �d� �v�'l[?-<F� r�eVR�" a�0316
Name of Not typed,printed or stamped 16 Name of NoWry typed,printed or stamped 0 `O� Ga�`�12p23
®0®Z�3 p29 ,I puait� CO��\aNpVO�o N°vHaON�
O0\® �O9ry` Z�r?.•... �XQ\lg���®ado
ypUBl/c ®�®V��`�g1Dt�
T4rF of iv
x
sTR)E OFt�