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Home My WebLink About21-1434 'v ► !I�u��.; City of Zephyrhills PERMIT NUMBER !" , 5335 Eighth Street Zephyrhills, FL 33542 ELCMISC-001434-2021 - Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/24/2021 � s Permit Type: Electric Service Replacement/Misc Property Number Street Address 05 26 21 0100 00700 0080 6964 Silverado Ranch Boulevard Owner Information Permit Information Contractor Information Name: DAN GREGORY ONEAL MARTHA Permit Type:Electric Service Replacement/M Contractor: TESLA ENERGY BEACH Class of Work:Add/Alter Residential OPERATIONS INC Address: 6964 Silverado Ranch Blvd Building Valuation:$0.00 ZEPHYRHILLS,FL 33541 Electrical Valuation:$26,800.00 Phone: (919)815-7549 Mechanical Valuation: Plumbing Valuation: Total Valuation:$26,800.00 �,2 Total Fees:$261.00 Amount Paid:$261.00 Date Paid:2/24/2021 10:07:32AM Project Description INSTALLATION ROOF MOUNT PHOTO VOLITIAC SYSTEM SOLAR Application Fees Electrical Permit Fee $174.00 Electrical Plan Review Fee $87.00 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 SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER r 7 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 2- -� Phone Contact for Permitting L=813 �460 7640 -rr�-ems-rr - - -rrrr Owner's Name ONEAL DAN GREGORY Owner Phone Number 919.815.7549 Owner's Address 6964 SILVERADO RANCH BOULEVARD Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6964 SILVERADO RANCH BOULEVARD, ZEPHYRHILLS 33541 LOT# SUBDIVISION PARCEL ID#1 05-26-21-0100-00700-0080 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR F-1 COMM = OTHER I SOLAR TYPE OF CONSTRUCTION BLOCK FRAME = STEEL INSTALLATION OF ROOF MOUNTED PHOTO VOLTAIC SYSTEM AND (1) TESLA DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $26,800.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. =PLUMBING $ ✓� 1=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CD C-!V =GAS = ROOFING = SPECIALTY = OTHER 5\ ✓c FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER �s� �({,/n ' COMPANY TESLA ENERGY OPERATIONS, INC. SIGNATURE L � REGISTERED Y/ N FEE CURREN Address 5012 JOANNE KEARNEY BLVD TAMPA, FL 3361 License# I EC13006226 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# i l l l l l l l l l l l l l l l l l l l l l l t l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l 1.1 1 1 1 1 1 1 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 w/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. 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 0 �1 W . oW SOLAR- PURCHASE DISCLOSURE This disclosure is designed to help you understand the key terms of your purchase of a solar electric system ("System"). It is not a substitute.for your purchase contract:("Contract"), loan or any other documents.associated with this transaction. Information.presented below is subject to the terms of your Contract. Read all documents carefully so you fully understand the transaction. For more information on becoming a smart solar consumer please visit www.seia.org/consumers. .Provider: Tesla,-Inc. Installer: Tesla Energy Operations, Inc. Customer: Greg Oneal Address: 3500 Deer Creek Road Address: 901 Page Avenue- System Installation Address: Palo Alto, CA 9.4304 Fremont, CA 94538 6964 Silverado Ranch Blvd, Tel.: 888-518-3752 Tel.: 888-765-2489 Zephyrhills, FL 33541 License#(if applicable): Not State/County Contractor License#: Customer Mailing Address: Applicable FL EC13006226/CCC1331559 6964 Silverado Ranch Blvd , Email: Email: Zephyrhills, FL 33541 energycustomersupport@tesla.com energycustomersupport@tesla.com Email: goneal@tesla.com I Contract Date: 1/27/2021 Purchase Price Your purchase price,, including the cost of the Powerwall(s): $26,800.00 List of any credits, incentives or rebates included in the above purchase price: $100.00 *NOTE: Not everyone is eligible for credits,,incentives or rebates or can fully use them. Consult your tax professional or legal professional for further information. Payment Schedule Amount you owe Provider at Contract signing: $0.00 Amount you owe Provider at the commencement of installation: $0,00 Amount you owe Provider at the completion of installation: $0.00 Your financing partner will make the final payment to the Provider after installation for the following amount: $26,800.00 Financing Your system: WILL be financed NOTE: If your System is financed, carefully read any agreements and/or disclosure forms provided by your lender. This statement does not contain the terms of your financing agreement. If you have any questions about your financing . arrangement, contact your finance provider and read.all financing disclosures before signing a Contract. Installation Timing Approximate Start Date: 7-90 days from the date the Agreement is signed. Approximate Completion Date: 7-90.days from the day installation begins. Interconnection Approval PROVIDER is responsible for submitting a System interconnection application. Site & Design Assumptions for your Purchase The estimated size of your System is: 8.16 kW DC Estimated gross annual electricity production in kilowatt-hours (kWh) from your System in Year 1: 10,769 kWh Solar Purchase Disclosure v.2021 4450525 NMI 0 Estimated System Lifetime: 30 years Estimated annual electricity, production decrease due to natural aging of the System: 0.5% System location on your property: rooftop Connectivity: The System WILL'be connected to the electric grid. At the time"of installation, your local utility WILL credit you for excess energy your System,generates. The rules applying to such credit are set by your jurisdiction. Your utility offers a net energy metering policy"as required under state statute or as regulated by a public utility commission. Changes in net energy metering policy or utility rate structures during the life of the system may result in lower utility bill savings than estimated or none at all; Tesla.Energy will not be responsible for reassessing the contract rate. Your 1 Powerwall system has an initial storage capacity of 13.50 kWh and contains an integrated storage inverter/charger capable of providing a combined 5.00 kW of continuous power and 7.00 kW of surge power. System Maintenance & Repairs System maintenance IS included for 20 years from the Installer. You are required to perform the following system maintenance: • Shade Management: Shading on your solar display dramatically reduces electricity production. Keep trees or other tall plants trimmed to prevent shade on your system. • Panel Cleaning: Cleaning your panels"of debris can improve your system performance. Flushing the panels from the ground with a water hose can let more sunlight'penetrate through the glass cover. "System repairs" refers to actions needed to fix your System,if it is malfunctioning. System repairs ARE provided by..the Installer. If System repairs ARE included, the coverage periods for each hardware component of your System (in years) are: Solar Panels: at least 12 years Inverter Warranty: at least 10 years , Powerwall Warranty: 10 years Please check the Manufacturer's warranty for the coverage period of other hardware components. If System repairs ARE included, the coverage periods for the labor/workmanship for each component,of your System (in years) are: Solar System: 20 years .Powerwall System:4 years Please review your Contract for additional information about any warranties on the System installation and equipment. Note that equipment warranties for hardware are not required to include labor/workmanship. Your Provider may assign or subcontract any of its rights or obligations under this Agreement to any affiliate, successor, partner or purchaser. If such a transfer occurs,you will be notified if this will change the address or phone number to use for system maintenance or repair requests. Roof Warranty Your roof IS warranted against leaks from the system,installation for the first 10 years by the Provider. Performance or Production Guarantee Provider is not providing you with a performance or production guarantee. Taxes You are responsible for property taxes on property you own. Consult a tax professional to understand any tax liability that may result from entering the Contract. Utility and Electricity Usage/Savings Assumptions You HAVE NOT been provided with a savings estimate based on your purchase. Solar Purchase Disclosure v.2021 4450525 - / r t [oil M If provided, the savings estimate was calculated based on: System size. The savings estimate to you assumes the following: Your system will last: 30 years It is important to understand that electricity rates are estimates only. Your actual current and future utility rates and utility rate increases may vary.. Provider IS NOT guaranteeing these savings. Cooling Off Period/Right to Cancel In addition to any rights you have under state or local law, you HAVE the right to terminate this agreement without penalty within three (3) business days or within five (5) business days (CA Customers only) of 1/27/2021 8:47:47 PM +00:00 by notifying Provider in writing at the above address. SEIA Solar Business Code Provider DOES abide by and agrees to be bound by SEIA's Solar Business Code and its complaint resolution process. For more information about the SEIA Solar Business Code and complaint resolution process, please visit http://www.seia.org/consumers Additional Disclosures or Terms Powerwall System The Powerwall will draw 100% of its charge from the Solar Array. In backup mode, the Powerwall will provide automatic backup power to the circuits to which it is connected. In self-powered mode, the Powerwall will capture excess solar energy during the day to power your,Home at'night. Final determination of eligible circuits will be made prior to installation. Eligible circuits must be located in the same'electrical panel used to connect the Solar Array at the time we install.If we cannot install a Powerwall so as-to provide backup energy to at least eight (8) circuits that you request due to access or electrical constraints, you may cancel the Powerwall, and either opt to have a solar-only system installed, or cancel this Agreement entirely. Customer's Initials hereG O Solar Purchase Disclosure v.2021 4450525 • 0 0• : • 1 t Tesla Energy Products Purchase& Home Improvement Agreement This "Agreement" is between you and the Tesla entity ("Tesla", "we" "us" or "our') identified-below. It consists of (1) the below Price Sheet and (2) the attached terms & conditions, and is effective on the date you agree to this Agreement (by electronic acceptance, signature"or e-mail) and shall supersede all prior existing agreements between you and Tesla for the Testa Energy Products described below. Price Sheet !"Your information ..Greg Oneal 6964 Silverado Ranch Blvd Zephyrhills, FL 33541 9198157549 Tesla entity/Provider " Tesla, Inc. of 3500 Deer Creek Road, Palo Alto, CA, 94304 888-765-2489 Installer" Tesla Energy Operations, Inc. of 901 Page Avenue, Fremont, CA 94538 ' FL EC13006226/CCC1331559 Salesperson Name and License Number Laura Sherman, Energy Products and Contract Price Solar System $16,400.00 8.16 kW DC Solar Panels $4,592.00 Inverter(s) &.Balance of System $2,132.00 Mounting Hardware $984.00 Installation, Permitting, and Other Fees $8,692.00, Powerwall $10,600.00 1 Powerwall(s) $7,000.00 1 x Backup Gateway(s) $1,000.00 Powerwall Installation $3,500.00 Powerwall +Solar Discount ($1,000.00) r - • System Price $26,900.00 Taxes $0.00 Contract Price, $26,900.00 Credit for Order Payment '-($100.00) Energy Products Purchase&"Home Improvement Agreement V9.0, 1/1/2021 Testa, Inc. 4450525 1 Credit for Rebate Value ($0.00) Amount Due $26,800.00 Customer's Initials: G O Schedule of Payments Paid at Order, $100.00 Due When Installation Begins $0.00 Loan Amount $26,800.00 The schedule of progress payments must specifically describe each phase of work, including the type and amount of work or services scheduled to be supplied in each phase, along with the amount of each proposed progress payment. IT IS AGAINST THE LAW FOR A CONTRACTOR TO COLLECT PAYMENT FOR WORK NOT YET COMPLETED, OR FOR MATERIALS NOT YET DELIVERED. HOWEVER, A CONTRACTOR MAY REQUIRE A DOWNPAYMENT. The pricing in this Agreement is valid for 30 days after 1127/2021. If you don't sign this Agreement and return it to us on or prior to 30 days after 1/27/2021, Tesla reserves the right to reject this Agreement unless you agree to our then current pricing. You,the buyer,may cancel this transaction at anytime prior to midnight of the third business day or fifth business days after the date of this transaction.See the attached notice of cancellation form for an explanation of this right. Customer's Initials: G O If you are financing your System through one of our financing partners, the timing and amount of your payments (and any applicable interest accrued) will be subject to the terms and conditions of your agreement with your financier. If your financier fails to make payment on your behalf, or your financing is terminated by you or your financier, you will remain obligated to make payment under the terms of this Agreement. Estimated First Year Production (not guaranteed) 10,769 kWh Approximate Installation Start Date 7-90 days from the date of this Agreement Approximate Completion Date 7-90 days from the date of this Agreement Signed by Your signature Testa,Inc. Greg Oneal Name: Greg Oneal Date: 1/27/2021 8:47:47 PM +00:00 Name:RJ Johnson Title:Senior Director,Energy You are entitled to a completely filled in copy of this Agreement, signed by both you and Tesla, before any work may be started. Energy Products Purchase&Home Improvement Agreement V9.0. 1/1/2021 Testa, Inc. 4450525 2 INSTR#2021 012SIO3 OR BK 10262 PG 136 Pagel of 1 01/21/2021 10:02 AM Rcpt 2251252 Rec: 10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles, Esq., Pasco County Clerk&Comptroller Pem9t No. Parcel ID No 05.26-21-0100-00700-0080 NOTICE OF COMMENCEMENT state of Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes, ' the following information is provided in this Notice of Commencement: 1. Description of Property. Parcel Identification No.05-26-21-0100007000080 SILVERADO RANCH SUBDIVISION PHASES 7 eB 11A AND I I B PB 77 PG 079 BLOCK 7 LOT Street Address: 6964 SILVERADO RANCH BOULEVARD,ZEPHYRHILLS,FL 33541 2. General Description of Improvement Installation of roof-mounted photo-voltaic system and'fesla Powerwall(s) 3 Owner Information or Lessee information it the Lessee contracted for the improvement: - DAN GREGORY O'NEAL Name 6964 SILVERADO RANCH BOULEVARD _ ZEPHYRHILLS FL Address City Slate Interest in Property: HOMEOWNER Name of Fee Simple Titleholder: N/A WA (If different from Owner listed above) N/A NIA Address City Stale 4. Contractor Tesla Energy Operations,Inc. Name 5012 Joanne Kearney Blvd Tampa FL Address City State Contractor's Telephone No: 813.460.7640 5, Surety. Name WA WA N/A Address City Stale Amount of Bond $NIA Telephone No: MA 6 Lender. WA Name NA NIA NIA Address CIry State Lender's Telephone No.. NIA T. Persons within the State of Florida designated by the owner upon wham notices or other documents may be served as provided by Section 71313(1)(a)(7),Florida Statutes NIA Name N/A N/A NIA Address City State Telephone Number of Designated Person: NIA 8. In addition to himself.the owner designates NIA of N/A to receive a copy of the Lances Notice as provided in 6eclion 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner NIA 9 Expiration date of Notice of Commencement(the expiration date may not be before the completion of construcWn and final payment to the contractor,but will be one year from the date of recording unless a different date is specified) • 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 1, 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,1 declare that 1 have read the foregoing notice I commenncceemee�nntt and thatthe facts stated therein are true to the best ' of my knowledge and belie(, STATE OF FLORIDA COUNTY OF PASCO Sig 1ptioid of'OViner or Lassie,or Owitens Or Lessees AU1horiTed OfRcol0t aclor/Pa i lnerlManagor Homeowner Signatory's Title/Office The foregoing utslrument was acknowledged before me this l6a y of�.�i�locy�120ji,by_ if AS Owner ,�tJ (type of authority,e.g.,officer,trustee,attorney in fact)for Owner Meet of oa-rty on behalf of w. 15trument was it cvlur!). Personally Known[I OR Produced Idenld+calwn❑ Notary Signature �' '4"(l�t_1 t Type of Identification Produced iiJ`I`I V.tllr �•f(-.l�InS P.. Name(Print) CYNTHW MARIE GARAFOL'O 4�f ''MY C0117MIS310N#GG14S8�0 EXPIRES SOPllWrrl�er 24,20V wpdata/bcs/no licecomm encement_pcO53048 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 W" 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 F!hKNCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC60F CaIMEMEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affir ed)before me this by o 2S Ojai by AI MLAe, AU66T fLp kkn Who is/are personally known to me or has/have produced WHO is/a a personally known to me or has/have produced as identification. 00. OL # 5CI410IRG as identification. Notary Public 1 I Notary Public Commission No. Commission o. 14 01 k1 7 Name of Notary typed,printed or stamped Name of Notary typed, k, SYDNEY WILLIAMS Notary Public-State of Florida • `o; Commission a HH 081157 y ovvtF My Comm.Expires Jan 14.2025 Banded through National Notary Assn. REVISION 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 4/22/21 813.460.7640 Phone Contact for Permitting — err I = ' Owner's Name DAN ONEAL Owner Phone Number 919.815.7549 Owner's Address 6964 SILVERADO RANCH BLVD,ZEPHYRHILLS,FL 33541 Owner Phone Number Fee Simple Titleholder Name I I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6964 SILVERADO RANCH BLVD, ZEPHYRHILLS 33541 LOT# SUBDIVISION PARCEL ID# 05-26-21-0100-00700-0080 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM = OTHER I sown TYPE OF CONSTRUCTION BLOCK FRAME = STEEL DESCRIPTION OF WORK REVISION - REMOVE LOAD CENTER AND LOADS MOVED TO MAIN SERVICE PANEL BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J. =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER F - COMPANY TESLA ENERGY OPERATIONS, INC. SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 5012 JOANNE KEARNEY BLVD.TAMPA,FL 33619 License# EC 13006226 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N J FEE CURREN Y/N Address License# OTHER - COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# tllllllllltlllllllllllllllllllllllllllllllllllllll11111111111111111 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 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. ■ t t-- t 1 1 1 - - A ■ 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 _j 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 W" 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 FIN NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICEC E EMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Zoe I Subscribed and sworn to(or affirmed)before me this Su crib d and sworn o(or a d)before me this by 2 I /ZO Who is/are personally known to me or has/have produced M6 is/ar personally known .me or has/have produced as identification. as identification. Notary Public Z42�t ,e Notary Public Commission No. Commission No. GG a 3 a 8 6P Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Notary Public State of Florida Loraine R Mullins my Commission GG 232486 Expires 05126/2022 T L Limited Power of Attorney Date:04/06/2021 RE:PERMIT AUTHORIZATION Lorraine Mullins Dear Sir or Madam: Colin Winslow Chantel Sharp This letter is to verify that Andrew Argudo is an authorized representative of Tesla Energy Operations and is authorized to pull any and all permits, business licenses, and other project related documents as needed. Please don't hesitate to call me if you have any questions. Sincerely Nich s Armstrong Responsible Managing Employee, License#EC13006226 Regional Vice President ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document,to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. State of North Carolina County of Mecklenburg On April 6,2021 before me, Nicholas Armstrong personally appeared,who proved to me on the basis of satisfactory evidence to be the person who name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person,or entity upon behalf of which the person acted, executed the instrument. I certify under penalty of perjury under the law of the State of Florida that the foregoing paragraph is t a c r ct O�PF1 Signature o otary •`r0TAR=Y2a1'- �' •• PUBLIC v: �� I%� ••.QBERA"' •��: T=SLn Fla. Admin. Code R. 61G15ER20-10 Section 61 G15ER20-10-Printed Copies of Digitally or Electronically Signed and Sealed Plans Considered Valid During the effective period of this rule,comprising ninety(90)days from the effective date, the restriction contained in Rules 61 G l 5-23.004(3)(c)3. and 61 G 15-23.005(4)(c)3., F.A.C., that printed copies of digitally or electronically signed and sealed plans or documents is removed,and printed copies of said plans or documents are deemed validly signed and sealed for any purpose allowed by law. After the expiration of this emergency rule,the restriction is re-imposed. Any licensee seeking to use printed copies of digitally or electronically signed and sealed plans or documents must retain an original copy of the signed and sealed plans. Flu.Admin.Code Ann.R.61G15ER20-10 RulemakingAulhoritr:471.008,471.025,471.033(2),FS.Lair Implemented:471.025,471.033(l)(n), (e),6), 668.003,668.006, FS. Adopted by Florida Register Volume 46,Number 141,July 21,2020 effective 7-17-20. w casetext i 1 Notice of Emergency Rule DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Board of Professional Engineers RULE NO.: RULE TITLE: 61G15ER20-4: Printed Copies of Digitally or Electronically Signed and Sealed Plans Considered Valid SPECIFIC REASONS FOR FINDING AN IMMEDIATE DANGER TO THE PUBLIC HEALTH, SAFETY OR WELFARE: The Florida Board of Professional Engineers("FBPE") is statutorily mandated to require the forms by which plans or other documents are considered properly signed and sealed by a Florida Professional Engineer. Pursuant to this authority, the FBPE has promulgated rules in Chapter 61G15-23, Florida Administrative Code. These rules allow three forms of signing and sealing: digital, electronic, or physical. The current rules specifically mandate that printed copies of digitally or electronically signed and sealed plans are not considered signed and sealed. However, a number of building departments, authorities having jurisdiction, or other state, county, or local governmental agencies do not currently accept digital or electronic plans or documents, requiring physically signed and sealed documents be submitted or filed. On March 1,2020, Florida Governor Ron DeSantis issued Executive Order Number 20-51 which directed the State Health Officer and Surgeon General, Dr. Scott Rivkees, to declare a public health emergency in response to the spread of the Novel Coronavirus Disease 2019 (COVID-19). On March 9, 2020, Governor DeSantis issued Executive Order Number 20-52 (Emergency Management - COVID-19 Public Health Emergency) and officially declared that a state of emergency exists in the State of Florida. On April 1, 2020, Governor DeSantis issued Executive Order Number 20-91 (Essential Services and Activities During COVID-19 Emergency), which directed all persons within the State to remain at home unless engaged in the provision of essential services or engaged in essential activities. COVID-19 is a severe acute respiratory illness that can spread among humans through respiratory transmission and presents with symptoms similar to those of influenza. As of April 8,2020,there are over 14,000 confirmed cases of COVID-19 in the State of Florida. The Center for Disease Control ("CDC") recommends mitigation measures to combat the spread of COVID-19 such as staying home when sick, keeping away from others who are sick, staying home when a household member is sick with respiratory disease symptoms, and for those who are at higher risk, including older adults and those who have serious chronic medical conditions, to avoid non-essential travel, interpersonal contact,and to avoid groups of persons as much as possible. Since the issuance of the Executive Orders and declaration of a public health emergency by the State Health Officer and Surgeon General Dr. Rivkees, the FBPE office has received a number of calls and emails from licensees who are concerned about having to interact in person to physically sign and seal plans and documents in order to have those documents filed. All have suggested that removing the requirement that printed copies of digitally signed and sealed copies are not considered signed and sealed; they suggest this would allow the plans to be digitally or electronically signed and sealed,and then those documents could be transmitted by electronic means,and printed by the recipient,which would eliminate the need for groups of licensees to meet, or individual licensees to leave their homes to travel to a location to sign/seal the plans and then physically deliver them. It has been strongly suggested this will satisfy the purpose and intent of the signing and sealing law without exposure to the dangers of being in groups of people, necessity of travel itself, potential contribution to the spread of the virus, and most importantly, would ensure compliance with the State Health Officer's Orders,CDC Recommendations,and Governor DeSantis's Emergency Orders. Florida's Professional Engineers, and those who come in contact with them,should not be unnecessarily put at risk during this healthcare emergency. Accordingly,the FBPE, by emergency rule, will waive the restriction that printed copies of digitally or electronically signed and sealed plans or documents are not considered signed and sealed as required by Chapter 471, Florida Statutes, and Rule Chapter 61G15-23, Florida Administrative Code. The FBPE finds that this action is a measured regulatory approach that helps to mitigate the threat of exposure to COVID-19 to Floridians, including Professional Engineers and those that come in contact with them, while still satisfying the purpose and intent of the waived restriction. REASON FOR CONCLUDING THAT THE PROCEDURE IS FAIR UNDER THE CIRCUMSTANCES: Given the recently declared emergency in the State of Florida;Emergency Order 20-91;the recent guidance from the CDC; and the fact that professional engineers will be required to maintain the original digitally or electronically signed and sealed documents, the FBPE finds that an immediate danger to the public health, safety, or welfare necessitates immediate action regarding this issue.Notice of this meeting was published in the Florida Administrative Register in Volume 46,No. 71,on April 10,2020. 1n addition,notice of the FBPE's meeting was posted on the FBPE's official website. SUMMARY: The proposed emergency rule removes the restriction that printed copies of digitally or electronically signed and sealed plans or documents are not considered signed and sealed,thus allowing printed copies to be used in any manner in which physically signed and embossed sealed plans could otherwise be. Removal of the restriction would only be for the ninety-day effective period of the emergency rule. THE PERSON TO BE CONTACTED REGARDING THE EMERGENCY RULE IS: Zana Raybon, Executive Director, Board of Professional Engineers, 2639 North Monroe Street, Suite B-112, Tallahassee, FL 32303; (850)521-0500,ZRaybon@fbpe.org. THE FULL TEXT OF THE EMERGENCY RULE IS: 61G15ER20-4 Printed Conies of Digitally or Electronically Signed and Sealed Plans Considered Valid. During the effective period of this rule,comprising ninety(90)days from the effective date,the restriction contained in Rules 61G15-23.004(3)(c)3. and 61G15-23.005(4)(c)3., F.A.C., that printed copies of digitally or electronically signed and sealed plans or documents is removed, and printed copies of said plans or documents are deemed validly signed and sealed for any purpose allowed by law. After the expiration of this emergency rule, the restriction is re- imposed. Any licensee seeking to use printed copies of digitally or electronically signed and sealed plans or documents must retain an original copy of the signed and sealed plans. Rulemakine Authority: 471.008,471.025,471.033(2), FS. Law Implemented:471.025,471.033(1)(a). (e). (i).668.003,668.006 FS.Historv—New 4-15-26. THIS RULE TAKES EFFECT UPON BEING FILED WITH THE DEPARTMENT OF STATE UNLESS A - LATER TIME AND DATE IS SPECIFIED IN THE RULE. T E� S Ln March 26, 2019 Testa Powerwall Hardware Compliance Letter To whom it may concern: ` The installation manual for the Tesla Powerwall was reviewed for mounting considerations. Based on the weight of the unit and the attachment layout of the mounting bracket, it was determined that the following fasteners should be used: Wood Studs: (4) -%"wood screws with w/2-1/2" minimum embedment Metal Studs: (3)-'/4" sheet metal screws at each corner w/ 1-1/2" minimum penetration (25 ga stud minimum) (1)—'/4' sheet metal screws at each corner w/ 1-1/2" minimum penetration (18 ga stud and thicker) Concrete/CMU: Schedule "A"for clear height less than 2'-9" FASTENER SCHEDULE "A"+ MANUF MODEL DIAMETER EMBEDMENT SIMPSON TITEN Y"6 HILT] KWIK—CONN H + Y"v 1 " POWERS TAPPER + Ya"o Schedule "B"for clear height greater than 2'-9" and/or if the governing jurisdiction requires fastener ESR report*. FASTENER SCHEDULE "B"* MAvUF MODEL DIAMETER EMBEDMENT ESR SIMPSON TITEN HD 3�"0 2-" ESR-2713 (CONCRETE) & ESR-1056 (CMU) HILT] KH—EZ Wo 1%" ESR-3027 (CONCRETE) & ESR-3056 (CMU) POWERS .WEDGEBOLT + Wo 1Y2" ESR-2526 (CONCRETE) & ESR-1678 (CMU) E R` •sr ICH AS R O GORIDON -n Exp: m 0 CIVIL p a -a 410. 22W' TESLA MOTORS, INC 3500 Deer Creek Rd, Palo Aliu. CA. 0,1304 p 650.681.5000 f 650.681.5200 C , August 04, 2020 Re: Tesla Retrofit PV Structure Qualification Certification Letter Tesla's Retrofit PV.product is an assembly consisting of Tesla mounting hardware for comp shingle or tile roof coverings and PV modules using the Zep Compatible frame. Please refer to the product data sheets, UL listing, and installation documentation for further information. The Tesla Retrofit PV assembly does not exceed 3.5psf. Installation of the Tesla Retrofit PV assembly offsets load in areas of the roof designed to support a roof live load and provides a lower-friction surface than the existing roof. The weight of the offset live load or difference in accumulated roof snow load as a result of reduced surface friction (in regions where the roof snow load is greater than the roof live load) will exceed the weight of the PV assembly. Consequently, the net additional loading impact to existing gravity load resisting elements is less than 5% for the framing of pitched roof structures with existing roofing material comprised of comp shingle or tile. Note that this assessment does not apply to structures with existing metal roof coverings in regions where roof snow load is greater than roof live load. I certify that installation of the Tesla Retrofit PV assembly on existing structures with: a) existing roofing material comprised of comp shingle or tile roof coverings and b) with no existing structural damage; meets the criteria outlined in Section 403 of the IEBC (alterations to existing structures) and is therefore permitted by code without alterations or strengthening of the existing framing. �`��% As �O %�' ...•��ii��, �`♦G • 1GENS Q �� Digitally signed by Nick � •• v ••2 Nick Gordon'Gorcion * No.81915 * C Date:2020.08.0412:20:08 b = -07100' �� , •� Q E i •••� THIS ITEM HAS BEEN ELECTRONICALLY SIGNED AND SEALED By LAS GORDON N THE DATE SHOWN USING A ,,�,� •• �,,�Q``,,,, DIGITAL O O L SIGNATURE.PRINTED COPIES OF THIS DOCUMENT III tits ARE NOT CONSIDERED SIGNED AND SEALED AND THE SIGNATURE MUST BE VERIFIED ON ANY ELECTRONIC COPIES. Nick Gordon, P.E. Associate Manager, Professional Engineering, Tesla_ ngordon(a)-tesla.com Licenses: AZ, CO, CT, FL, MA, MD, MI, NH, NV, NY, OR, PA, RI, SC, TX &VT T S S L Fi Tesla,Inc. 3500 Deer Creek, Palo Alto.CA 9130n