HomeMy WebLinkAbout21-1325 City of Zephyrhills 111111111112ERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 ELCMISC-001326-2021
i f Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 01/26/2021
Permit Type: Electric Service Replacement/Misc
Propertty Number ml� Street Address
3233 Moulden Hollow Dr
Owner Information Permit Information Contractor Information
Name: LORA LORA ROSAS Permit Type:Electric Service ReplacemenUM Contractor:TITAN SOLAR POWER FL
Class of Work:Add/Alter Residential INC
Address: 3233 Moulden Hollow Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33541 Electrical Valuation:$19,000.00
Phone: (239)682-6441 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$19,000.00
Total Fees:$202.50
Amount Paid:$202.50
Date Paid:1/26/2021 10:23:51AM
Project Description
INSTALLATION SOLAR PV ROOF MOUNT
Application Fees
Electrical Permit Fee $135.00 Electrical Plan Review Fee $67.50
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.
I
-`CONTRACTOR SIGNATURE _!LPEFIAIT OFFICE
PEi 1N1T EXPIRES IN 6 MONTHS WITHOUT AP RR-0 INSPECTION
- .---BALL-'FOR INSPECTION - 8 HOUR'NOTICEIREQUIRED
PROTECT CARD FROM WEATHER
e13-780-0020 City of Zephyrhills Permit Application Fax-B1a-790-0021
' Building Department
Date Received /
Phone Contact for Permittingg (
[lt [[[[[ kt!!t _ 1
Owner's Name - �'�G OwnerPhoneNumber � (SQ `
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address Q `
JOB ADDRESS 7+
SUBDIVISION PARCEL ID# ZA.D '. v'Q J 1
(OBTAINED FROM PROPERTY TAX N077CEI
WORK PROPOSED e NEWCONSTR� ADDIALT SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL
DESCRIPTION OF WORK Y1
BUILDING SIZE SO FOOTAGE�. HEIGHT
•Iccr�c'e-rzs't'�e'cC_c'c'+r'+c�res�ee�'rccr�'try'Icccc`+r-e'csti-cs;ire'rc�rt'ie�ccre-c'Ics'ctic-e�-tccsca
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $`R O AMP SERVICE = PROGRESS ENERGY W.R.E.C.
=PLUMBING I.,
1
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO / 7
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
ELECTRIC AN` ~- _ _ _ _-�_� OMPANY
SIGNATURE (REGGI�ISTERED YIN FEE CURREN YIN
Address �i l t�[_" Q License#"
PLUMBER COMPANY �-
SIGNATURE REGISTERED 1. YIN FEE CURREN LXLN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I YIN FEECURREN 17Y—IN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I YTN FEE CURREN Y'/N
Address License#
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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 onsile,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonstlarge 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 dumpsler.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 letterfrom 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
4.
813-7e0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
1 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 slate and local regulations.If the contractor is not licensed as required by law,both the owner and
contractor may be died for a misdemeanor violation under slate 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—Homeowners 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'SIOWNER'S AFFIDAVIT:I certify that all the information In this application is accurate and that all work Y411 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
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'ATTORN Y B FOR RECORDING YOUR NOTICE OF COMMENCEMENT-
FLORIDA JURAT(F-S,117,M) "
OWNER OR AGENT CONTRACTOR
Subscribed and swam to or affirmed before me this b Dyad antl swore(o or ifi tr?{or�,r��1hrS
by ( ) ��; Y`_Who istare personally known to me orhasthave produced Who iis//are personally known to me or haslhaveproduced
as identification. as ldenfiftgtion.
NotaryPubQc---' / /"l�Q Net Public
Commission No. Commission No. "` J i 61(�J,
Name of Notary typed,printed or stamped Name of Notary type , led or stamped
"NoA-1'POI CORI DEE PORASIK
r° ao-Notary Public-State of Florida
;�; Commission # GG 310262
My Commission Ex Ires
"�� March 11, 2023
INSTR#2020224080 OR BK 10248 PG 2078 Page 1 of 1
' 12/31/2020 08:45 AM Rcpt:2243500 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Gowles, Esq., Pasco County Clerk&Comptroller
5�' (y.3a-7 j
Peril No, parcel ID No 24-26-21-0090-00000-0330
NOTICE OF COMMENCEMENT
State of Florida �un1yo,Pasco
THE UNDERSIGNED hereby gives notice that umprovemenl will be made to certain real property,and in accordance with Chapter 713,Flonda Statutes,
the following Information is provided In this Notice of Commencement:
1. Description of Property,Parcel Identification No.24-26-21-0090-00000-0330
street Address: 3233 MOULDEN HOLLOW DRIVE,ZEPHYRHILLS,FL 33540
2. General Description of Impmveanent solar PV installation
3. Owner Information or Lessee Information If the Lessee contracted for the improvement:
Eric Rosas
N
3233 MOULDS BOLL OW DRIVE ZEPHYRHILLS,FI 33540
Address City Stale
Interest in Property: owner
Name of Fee Simple Titleholder:
(Ir ddfemn(from Owner listed above)
Address Titan Solar Power FL Cry stake
4. Contractor.
Name
525 W R_a_cu_lino_ Ed Mesa_A7 85210
Address 1855SAYSOLAR City stale
Contractors Telephone No,'
5. Surety:
Name
Address City Slate
Amount of Bond:S Telephone No.:
6 Lender.
Name
Address City State
Lender's Telephone No.:
7. Persons vltlun the Stale or Flonda designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Flonda Slalules;
Nam
Address City Slate
Telephone Number or Designated Person'
8. In addition to tvmself,the owner designates of
to recelve a copy of the Lienors Notice as provided in Section 713.13(1)(b),Flonda Statutes,
Telephone Number of Person or Entity Designafed by Owner:
9. Expiration date of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment 10 the
contractor,but W11 be one year from the date of recording unless a different dale Is specified):
WARNING TO OWNER, ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART 1, S£CTION713.13, 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 periury,I declare that I have read the foregoing rrobce of mencentent�the facts stated therein are we to the best
of my knoWedgo and better. �f/STATE OF FLORIDA ? 1-
COUNTY OF PASCO
Si ature of Ovmer or Lessee,or Owners or Lessees AUlhonzed
OfficedDirecto r/PadnerrManager
r/Jv.
Signatory'sco s Tdle/Olfi f
The foregoing instrument was acknowledged before me this day of Oz6 ,20 20 by b
es (typo of authority,e,g.,officer,trustee,attorney in fact)for
(name of party on bIiprf of whom instrument was executed)
Personally Known❑DR Produced Identification Notary Signature 4 �a_
Type of Identification Produced 'ram ( Name(Print) L1 O�F
JOSE DAVID VELEZ
.4 f511'.:Notary Public-Stale of Florida
Commission tr GG 305477
'-�� :` My Commission Expires
February 25,2023
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