HomeMy WebLinkAbout20-1216 City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 ELCMISC-001216-2020
.; Phone: (813)780-0020
Issue Date: 01/26/2021
Fax: (813)780-0021
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Permit Type: Electric Service ReplacemenVMisc
Prop�eirty Number Street Address
25 26 21 0100 00000 0640 2972 Moulden Hollow Drive
Owner Information Permit Information Contractor Information
Name: JERRY BROWN Permit Type:Electric Service Replacement/M Contractor:TITAN SOLAR POWER FL
Class of Work:Add/Alter Residential INC
Address: 2972 Moulden Hollow Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33540 Electrical Valuation:$48,000.00
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$48,000.00 /
Total Fees: 0
Amount Paid:d:$4$420.00
Date Paid:1/26/2021 10:23:51AM
Project Description
INSTALLATION PV SOLAR ROOF MOUNT
Application1 We
Electrical Plan Review Fee $140.00 Electrical Permit Fee $280.00
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.
A1Q9L*y
CONTRACTOR SIGNATURE _ - PE IT OFFICE
PER EXPIRES IN 6 MONTHS W_1THOUA�ROVED INSPECTION
-- -- "---- CALL FOR INSPECTION - 8-HOUR_NOTICE-REQUIRED --
PROTECT CARD FROM WEATHER
813-700-0020 City of Zephyrhills Perrrfit Application Fax-813a80-0O21
Building Department p r�
Dale Received _ Phone Contact for PermitOng ( 2628809742 '
aaItaate saa _ .
Owner's Name Jerry Brown Owner Phone Number 1 (352)807-2534
Owners Address 2972 Moulden_Hollow Dr Zephyrhills FL 33540 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 2972 Moulden Hollow Dr Zephyrhills FL 33540 LOT# l�
SUBDIVISION PARCEL ID# 25-26-21-0100-00000-0640
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR = - COMM XQ OTHER I soar PV installation
TYPE OF CONSTRUCTION Q BLOCK = FRAME Q STEEL Q
DESCRIPTION OF WORK Solar PV installation
BUILDING SIZE SO FOOTAGE�. HEIGHT
'C`c4-Y"CM�C.'Cc"Yt-C'(lZ'Z•Cii-cCi-c rl[>C Z-L�Ca:'Sf.-c-6'.�C"ri 4 L-ci'ICL CCI C-1
BUILDING $ VALUATION OF TOTAL CONSTRUCTION 48000
X=ELECTRICAL $ 48000 AMP SERVICE = PROGRESS ENERGY XD W.R.E.C. /
=PLUMBINGIlk
= Zj
(/(1U
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'tLl
=GAS = ROOFING Q SPECIALTY = OTHER
VV
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO v
BUILDER COMPANY
SIGNATURE l REGISTERED Y/N -FEE CURREN YIN.
Address License#
ELECTR CIAN - COMPANY Titan Solar Power FL
2 51GHATl1R f" REGISTERED Y/N FEE CURREN Y)N
Address 2221 N US 301 Thonotosassa FL 33592 License# EC13009924
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN LY/N
Address License#
MECHANICAL COMPANY
ISIGNATURE - - REGISTERED I YIN FEE CURREN I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y-/.N FEE CURREN I 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 onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivlslonsAarge 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,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Perrmit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans,
• PROPERTY SURVEY required for all NEW consWction,
O1recUons;
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
s's Ta°aa¢o: City of Zephyrhills Permit Application Fax:ta-maorLt
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NOTICE OF DEED RESTRICTIONS:1MUrbdcrsignedunder--dudsthWttisP.—nma'ybesubJeetto•BgeS}asyi0inns•vSiehlunyIramoletaHr'icfivc: -
min courdyrbgil6gins.The undersipiod as u==raspsosblRf.fOftfinpGsuz=!r+th wy aMik.1bil deed testrfctitu>J.:. . . - -
.. .UNLICENSED CONiRAGToRs AND CONTRACTOR RESPONSMILI.TQS:if the e owrer has tried a C*111r3clor or cmlraims to tindistake%;o k Itiey'
-may bo req*od to bohwwM In accord--m ,M"stxo and teed ieguiekns;oihn wpCador is not ricerrad ar regrind by taxi,both tho ormer and- ' -
Ocamdolmaybonttidfora11166 t :ilffaiotaii0h&Aef rldte lvc if Cho 0wittiroc 61it6&-detntradai are c ucicartah as to Mat Gw_ris gmyrauffmas .
�'d aPWY to tbo kitp�brd rr�tk thry su�uisod p owriad p,c Prso Gwtety 8utdir.A Iniper�nri D"n:;ion�Jx!>;hp Suction al T271u7-60W; '
FurJwtmom,ff tho cenet tie;Pied a c onlmdar orConlrnddra,tu:is adi#ad to hate the cmttz=(c)zf,ti-portions orfhe•apnlradrxflbW of ift
a iCadtn!x tvf>Idi mry h4 bri'rcyuts bto:fi yaJ a the aq nr'slgn an the mrk slar,that cW be ati Indieffiicn that he Is notptaptsty Hosed and is
nIX etdb!Iad to puriNttidg FdvYegee fn Patxa Cotstly:. i:..'. ..
TRANSPORTATION IMPACTiUTILITIES:IMPACT,AND_RESOURCE RECOVERY.FEES:The undersigned understands
1ru!Tra95poAal an impact Fees aril Rrealr�8 Re pay Foes mtiy upplY.taGSe cetvlrucGon dt tmiv CI Udrgs tfnr+l6 or usu,in existing bmvngs,a.
e ga wort of emtltig tw tclrrgs rep ed In Pam Co my"Qcdk>a�ce nuitti B8A7 tmd eJJ-07:a;aMSEdcd Tne luzfeisiguii also w d=tZ ds.loaf
_inch fees.its ur<iy ba di1R wnY ba i�srTmd t31he ilru`of pennttGrip.Il is iuitherutW_ralood U�t Trensporta5,v;impact Forw and Resoiaa+tiecovcry
..Fcr_mr{ba paid prWrto tecet>.trtst a'eaffetw ix oaup:.rz ar,dret paavtti rs'easo:'d mn pmJeG Wr"not trnolve a cer int;Ma or eccY�nty or ffrW
pdrer rokaso,'tho tees rtntst bu paid pttorlo pCrrrii ence.FtnIDrsmore,N Paz Coady Waroby'onvr kapad fees&a d:m;they miza be paid pMr -
', loptxm%issuentx!to aemtd�rrxewM'apolwble Pa.m Cauatyo-t9nantxs.
CO,YSTRUCTION LIER IA`N(Chaptei711,Fldnda M
ortrue,I=%tyMaI.theap�Y,
been ,'iWnia'Flodda Canstrta by eto Fiction Dep rcmrw of
Ux:apfiCait L:tvM a wby oruw above dermbed
andMamlru2rtgocafJVttdddlvaitloth2pn6i•laeaimrv�c.�n:; - _ .. .
_CONTRACTOR'StMVXEErCS.VMAVIT:IcnNtyCtataotrih ci7mtimin'tkisapldFc.Rori I*arr,.uaie and tiled oilv"k wD be dorro in cafrptanwvfth .
at,arq�,alxo lane wa%dilirz6 cons r4 G .zartan}rate t5 d eieJdgmenL'gopfeatlori is o aby inada tq oLGz7n a p s nq t�do aurR eridiilt tir3gdn as
Icd'Gated.l'e aely Ift.:.no work or IttetadaUon hat cWwartced pAor to irsuance of a paimil and mud all wvd:ait t4 pMIXmoa to meet clsndxu:t at all
'lows regWaling wnst uclien,County and City Catlin.zoning mgrs-'s_thms,-_and land amitipment requilb ion.in ft.joai:d»an,_I dso_o[a67'maa 1
under>",nd shut the mg,W c-s of omapovvmnteduig mdmi mny'vWy to ma intended wcrk andYhat it is try r �trhety to lderafvtu-bewra I _ -
must take to Ito in emrpfaho,Suds owriders indude bail—act LIN19dtn: .."
Depaxttrient ot.Envirotim6Aat-Protection'•Cypress'®ayhcads,.WoUaiitt Aieas and Envirorwrientatty Sensitive:, .
Lands,3?yaterMlastevrafer7tYiatmcnL' ...
- Southiw4t Flof(da:Writer-Manogoriien£ Oistrft:!-YYells; Cyprees F39yheads; V.rodand.Areas,-Altering
Army,Corps of Eng'meers-Seawalls,Docks.Novigal a Waterways..'.
Department of Neagh &Rehubildative,Si:ivioosfEnlaranmorita{Ftealth:Unli-Wcils,Wastewater-Treatment.
Septic Tanks.".
US F1lvii6nmerzta!Protection Agency-Asbostos abalernent:.:. ..: "
Feder i Avkftn Authority.Rumtrays.;- -
-
- Use cPfdl is.not allavrcd-sn,Ftotid Zorio'V'ttnlP,ss expressly'perinrtted.,. .:if.
f the fill material is to be t+sed im Flood Zone-A',`!t Is`understood that a'dminage plan'addrossing a
'coMpt'nsafaig volume".will, submitted at Give of.pernlitiing lnhich is prepared by.a professional engineer
licensed by,
'the Siate of Florida..
- If the'rdl:material is:to be:trsed:(n Flood Zone'A'in connection.wiih a permitted buildig tisfng Ete7i tivall :
congtruc6an;l certify that f mAd t_ie used Drily to fill Moo aiea within"'ste-mmil:
If fill malarial is to-be"used.'in any aroa,.I Certify_tttst:bU of-sit fdl.v:dl not adversely affect adJacent
propertias:_Iruco of f1il is(ouni'to advemly.affeld,adjaceri!-pnipert(es;t6c'mvner may be ated.for viotallli:Lj
Ihri cortttdions gf'Uto-building"permit is Frill tintlec Gie.aftadied peril applka0on,'for lots less than one(1)
acre uriticp are elevated'byfill,.anengineeredWainage,plancrequrted..; - - -
-. It fern the AGEf2T CORTNE OIVNER,1 Prcndsr.in gcob raigt to iNam tne'rnrmc�tho PamdN.tng conditions eel tosiii n thM cildovii prtEm to.�-
ccratciv^ncL�9 tx4n a I irildpstatld thq a sopmElle perm"'Lo'ri�i+itad.torNOUtrai work,PtJrnbEnQ:�gis,wcTs.pools:eir conditioning.gas,'cr
oNierliisttdtaliona riot¢teedCtw�kitdtrdad In lax"applkatroti.A ptxmq ISGirtd shag ba tmslrited to be a license a proceed r.Nh lP�o 1v4t(C paid nut as: _
'-atziimity tti violXa;CBttoC7:Eller:ec Wtaddo arty pItt'isron5 ar the tedtitCai CADS,FNK sftoll IaSraanw Of a pariNt pmcnt IhiT_BuT, C-Ici21 front .
LhesenCa rogt{Wm a eoirsom of ertwat in Fbns,'extsiniction or Y igi 0rte Of.any codas,I:v pora:t Issued P.4 be�mA htvolld anlaa,Cio t+work -
' .aLowized by skit pertng is mmmairod udllm SIX rapndts,of pam.t htitcinco,or it vrcti:au:hotired by W61-omdt is agmtdod or obardcrted fat a _
period of tix(6]roonthsahxaro lime the work is rommaocci.An cr4onsion may be mqw..Fled.In wrftg,korh the Dsddng Offrt7ai for'.pctfod rrot Co.
"euaal nmary(oo)OQysand ed6 tghrutrclra[a Juuit iaR'Q-caw9e far the a!ansion,Ji watt ceases tat ritety,(g0}cwwiriri,ttive drys.>ho'job is oonss7ered -
-
WARNING:TO,0VWr__R;:YOUR FAILURE.TO"RECORD A=NOTICE-OF COfAMENCE&iENT P1tAY;RE$ULT IN.YOUR
PAYING TWICE FOR IMPROVEMENTS,TO YOUR PROPERTY.IF YdU INTEND TO'OBTAIN FINANCING,CONSULT_
WITH YOUR LNDF.R OR AN'ATTORNt�'•S PORE RECORDING YOUR NQTICE OF CO! MENCEMEP _
FLORIDA JURAT(F.S./97.p3) -
OWNERORAGENT:- COCSTRAGTDR-
SUb=od and tumor to(or uifaand)baforo rna this a�sewn far nr e
eq i< 0x
in w�'ara pcia7naliy.l�oan W Inn arhaarhaw produced ; ; wrJly Ivwim m!r a or ht atiaxe F+ad eel
.pS ldC?KXtC tatian_'`"'.:• _ -.:r,:. - ri3w p oducea
. - 'hbt-y PtitSC - To Person
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- - •--htxyyF`utac .
Common I4a' -
C sa1Cn Na. `
.. 'moo shay type.. or
CO RI_DEE FORIkS(K
Notary Public=S4ete of Florida
Commission o'GG 31'0'2`
ar-COrrirnission;E.tpiro
March
ir' :' 023
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