HomeMy WebLinkAbout21-3354i
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 ELCMISC-O a54-2021
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 1211512021
Permit l c ric Service Retc i
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1126 210010 02200 0110 —38437 13Th Avenue
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Name: JAMES EASTON Permit Type: Electric Service Replacement/M Contractor: PALMETTO SOLAR LLC
Class of Work: Add/Alter Residential
Address: 38437 13Th Ave
ZEPHYRHILLS, FL 33542
Building r •• ii
Valuation:Electrical i i►i !i
MechanicalValuation:
Plumbing Valuation:
Total•i i
tal Fees:
84
a• -. ;,
Date Paid:is
1 Electrical Permit Fee $90.00 Building Permit Fee $282.84 1
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entities such as water management, state agenciesor ..i. agencies.
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with` Codesf Ordinances.it OCCUPANCY
. a BEFORE C.O.
CONTRACTOR SI ATU PE IT OFFICER I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780,0020
City of Zephyrhills Permit Application Fax4313480.0021
Building Department
702.716.0084
MWEASTONJAMES R
Owner's Address 138437 13TH AVEZEPHYRHILLS, FL 33542 1 Owner Phone Number
Fee Simple Titleholder Name=:���� Owner Phone Number
Fee Simple Titleholder Address
E:84:37::13TH AVEZEPHYRHILLS, FL 33542=LOT#
=11-14
JOB ADDRESS
SUBDIVISION
CITY OF ZEPHYRHILLS PB 1 PG 54
PARCEL 1D#E-26-21-0010-02200-61 �O J
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTRF,7/ ADD/ALT SIGN
DEMOLISH
El
INSTALL REPAIR
PROPOSED USE
SFR COMM OTHER
TYPE OF CONSTRUCTION
BLOCK FRAME STEEL
DESCRIPTION OF WORK
installation of rcaof-mt)UrlteCl photo voltaic sySterTl.
BUILDING SIZE
=
SO FOOTAGE
HEIGHT
QBUILDFNG
E43=,568 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
1$ lo,000 I AMP SERVICE PROGRESS
ENERGY W,R,E,C.
=PLUMBING
>
=MECHANICAL
5
VALUATION OF MECHANICAL INSTALLATION
"'.
=GAS
ROOFING 0 SPECIALTY = OTHER
-loll
t-
FINISHED FLOOR ELEVATIONS
E= FLOOD ZONE AREA =YES
NO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
COMPANY
REGISTERFE)
C COMPANY
COMPANY
OM
F _R,
REGsIERED
-s' R�r
05
1505 1�0�.qSl Ste —1 I 2705
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
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FEE 1�11PR�11
License #
Palmetto Solar LLC
Y/ N 3 FEE CURREN YIN
License #
License
F—
L_Y_L N _J FEE C.URREN Y/N
License
License #
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
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, Sloirravater Plans w,Sift Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsilarge projects
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 castle, Construction Plans, Stormwater Plans ev Silt Fence installed,
Sanitary Facilities & 1 clumpster. Site Work Permit for all new projects. All commercial requirement,, must meet compliance
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)
.1 Agent (for the contractor) or Power of Attorney (for the owner) Would be someone with notarized letter from ovvner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs it shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter it on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division --Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible, If YOLL 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 IMPACTIUITILITIES 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 1, 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'SIOWNER'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.
11h.
hutilLfAlvalsim
Who is/are personally known to me or has/have produced
F identification,
111
Notary Public
Subscribed and sworn to (or affirmed) Before me for.; - IT
_1211-4/21by
Who is/are personally known to me or hasihave produced
as identification,
---------Notary Public
Commission, No , HH 14
ERICA MCCURD
N
pW*c Saw of FWW
WC00y
#* Caftl*WW HH 143047
INSTR#2021241683OR BK10481 PG1253 Page 1 of I
11/08/2021 10:45 AM Rept: 2376133 Rec: 10.00 DS: &00 IT: 0.00
Nikki Al-jarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit
Stale of FLORIDA
PhrceIIDNo 11-26-21-0010-02200-0110
NOTICE OF COMMENCEMENT
- CountyoftASCO
THE UNDERSIGNED hereby gives notice that improvement Will be made to conam real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement
I Description of Property: Parcel Identification No. CITY OF ZEPHYRHILLS Pe I PG 54 LOTS 11 -14 INCL BLOCK 22 OR 5552 PC 665
Street Address: 38437 13TH AVEZEPHYRHILLS, FL 33542-
2. General Description of Improvement INSTALLATION OF ROOF MOUNTED PHOTOVOLTAIC SYSTEM
INSTALLATION OF ROOF MOUNTED PHOTO VOLTAIC SYSTEM
3. Owner information or Lessee information if the Lessee contracted for the improvement: t �STONJAMESR
James Easton - -
18411 11TH AVE ZEPHYRHILLS FL 33142- fL_
Address City State
Interest in Property: OWNER
Name of Fee Simple Titleholder:
(if different from Owner listed above)
Address mm city Slate
4, Contractor. Palmetto Solar
North Charleston SO
Address city State
Contractor's Telephone No., 843720184A
5, Surety.
Address city State
Amount of Bond: S Telephone No.:
6. Lender:
City State
Landens Telephone No.:
7, Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes:
Address
Telephone Number of Designated Person:
State
8. In addition to himself, the owner designates -PI-
to receive a copy of the Lienors Notice as provided in Section 713.13(l)(b), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement (the expiration date May not be before the completion of construction and final payment to the
contractor, but will be one yearfrorn 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 CHAPTER713, PART1. SECTION713,13, 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
INITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of penury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA James Easton
COUNTY OF FIASCO
Signature of Owner or Lessee, or Owners or Lessee's Authorized
Officer; Director/Panner/Manager
OWNER
Signatory's Tide/Office
The foregoing instrument was acknowledged before me this 29tNay or October .2021, by
_28me5 Easton
as OVYRer (type of authority, e.g., officer, trustee. attorney in fact) for
NA (name clrdirty on behalf of whom instrument was executed)_
Personally Known 0 OR Produced Identification IN Notary Signature
Type of Identification Produced EL QL Name (Print) Tina M. Godfrey
p Notary Public State of Florida
Tina M Godfrey
C2 My ConintE ax0ires 0s0oh GG 962509
.lif_S 0
2W2024
wpdatafbcsinotcecommencement_pc053048
Installer License Number(s):
This INSTALLATION AGREEMENT (the "Installation
Agreement") is entered into by and between
James Easton ("You," "Your" or
"Homeowner") and Palmetto Solar, LLC, whose address is
("Installer") as of October 26, 2021
Installation. You and Installer acknowledge and agree that
the solar panel system described on Schedule 1 attached
located at:
ZephyrhiHs FL 33542
will be designed, procured constructed, installed, tested
and interconnected by Installer or its independent
contractors (the "Installation"). You and Installer
acknowledge and agree that Installer will also provide the
additional products described in Schedule 2 attached (the
"Additional Products").
1. Contract Price. The price of the System installed
under this Installation Agreement (the "Contract Price")
shall be: $ 58568
[] CASH (defined be|ow);
(i) Thirty percent (3OY6)paid upon execution of
the Installation Agreement;
(ii) Sixty percent (6O%)paid upon issuance mfthe
permit for the Installation of the System on
the roof ofthe Property; and
(III) Ten percent (1QY6)paid within five (5)business
days of:
(a) Installer's completion ofits final inspection and
commission mfthe System;
(b) the local authority having jurisdiction passing
its final inspection ofthe System;
(c) Installer receiving approval for permission to
operate your system byyour local electric
utility company; and
(d) the System being energized.
O CASH (defined below) &LOAN:
(i) {ASH paid upon
execution ofthe Installation Agreement;
"CASH" shall mean payment by credit card, bank accou
ec
personal checks.
not a lender and that Installer is not financing the System.
2. Your Obligations. You agree to:
(I) grant Installer and its contractors and agen
reasonable access to Your Property and cooperal
with Installer for the purpose of the Installatio
including installing, using and maintaining electr
lines, inverters and meters necessary I
interconnect the System to Your electric system;
(ii) cooperate with Installer and assist in obtaining
any permits needed, including any
documentation related to net metering;
(III) obtain any consent of a third party required for tI
Installation, such as a homeowners' associatio
Installer will provide reasonable assistance to ass!
You in obtaining any required third party conse
and
(iv) allow Installer to connect the System to Your
local electric utility grid and provide all
necessary authorizations for such
3. Installer's Obligations
(I) Installation, Insurance and Liability. Installer agre,
(a) schedule the installation of the System at a
mutually convenient date and time;
(b) construct the System according to written
plans You may review;
(c) notify You if the System design has to be materially
changed so that You can review any such changes;
(d) give You reasonable notice when Installer or it
independent contractors need to access the
System and/or Your Property;
(e) keep Your Property reasonably free from waste
materials or rubbish caused by Installer or its
independent contractors' activities during the
Installation process and remove all of Installer's o
its independent contractor's tools,
construction/installation equipment, machinery,
waste materials and rubbish from and around Your
Property prior to utility approval of the System;
(f)return Your Property to a condition similar to its
W_M3KRMR "III Mill lil �111,1
origina I condition at the completion of Installation,
excluding normal wear and tear (subject to
Excluded Services pursuant to Section 5 below);
(g) carry adequate commercial general liability,
commercial automobile liability, workers'
compensation and any other insurance required
by applicable laws and regulations. You may
request from Installer evidence of such insurance
coverage; and
(h) be responsible solely for direct damage caused to
Your Property, or bodily injury arising directly
from the Installation and/or caused by Installer
or its agents but only to the extent not caused by
the negligence or willful misconduct of You or
Your invitees.
(i) Conditions to Installation. Installer's obligation to
install the System is conditioned on the completion
of a thorough physical inspection of Your Property
and other due diligence to confirm the suitability of
Your Property for the construction, installation and
operation of the System.
4. Services Not Included in the Installation. This
Installation Agreement does not include an obligation of
Installer to (collectively, the "Excluded Services"):
(i) remove or dispose of any hazardous substances that
currently exist on Your Property;
(ii) improve the construction of the roof of Your
Property to support the System;
(iii) remove or replace existing rot, rust or insect -
infested structures;
(iv) provide structural framing for any part of Your
Property;
(v) pay for or correct construction errors, omissions
or deficiencies by You or Your contractors;
(vi) pay for, remove or remediate mold, fungus,
mildewororganic pathogens;
(vii) upgrade Your existing electrical service;
(viii)install any smoke detectors, sprinklers or life
safety equipment required by municipal code or
inspectors as a result of the System installation;
(ix) pay for the removal or re -location of equipment,
obstacles or vegetation in the vicinity of the
System;
(x) pay for any costs associated with municipal design
or architectural review, or other specialty permits
(this includes costs to attend any public hearings,
notify neighbors or obtain additional drawings
required);
(xi) paint electrical boxes or conduit at Your Property;
or
(xii) move items unassociated with the System around
Your Property or otherwise perform repairs of any
nature whatsoever to Your Property.
5. Performance of Excluded Services. If an obligation
listed as an exclusion in Section 5 must be performed in
order to properly complete the installation of the System:
(I) Proposal. Installer will promptly notify You of the
necessity of such Excluded Services, If
appropriate, Installer will present a proposal of
the costs to You for Installer to perform such
Excluded Services.
(ii) Your Obligation. You agree to promptly either sign
a separate contract for the Excluded Services with
Installer, or to cause such Excluded Services to be
completed by a separate contractor in accordance
with Installer's Installation schedule. Installer
assumes no liability whatsoever for any Excluded
Services performed by anyone other than Installer
in connection with preparing Your Property for the
Installation,
6. Warranties; The only warranties under this
Installation Agreement provided by Installer shall be those
set forth in Exhibit A attached to this Installation
Agreement. You acknowledge that these warranties apply
to the System and do not apply to the Additional Products.
Installer does not provide, and expressly disclaims, any
express or implied warranty for the Additional Products.
7. Conflicts. In the event of any conflict between the
terms of this Installation Agreement and any other
agreement between You and Installer, the terms of this
Installation Agreement shall control. This Installation
Agreement shall replace in its entirety any previous
proposals.
8. Maintenance Package. For non -warranty related work,
Palmetto Solar, LLC provides ongoing service support at the
cost of
twenty percent (20%) ("Cost Plus Basis"). You will be
furnished with transparent cost of equipment and labor,
should it be reXuired, The first Lnear of service .-NuMort is free
of charge to you, Palmetto Solar, LLC reserves the right to
transfer its service support to a related or third party and/or
cancel at any time. Palmetto Solar, LLC service support is in
addition to any manufacturer and/or financing service
support guarantee.
9. Miscellaneous Provisions,
(i) Property Ownership. You represent and warrant
that You are the owner of the Property.
(ii) Homeowner Association Responsibility. You
acknowledge and accept responsibility for
compliance with all requirements, rules and
regulations of any homeowner's association
governing the Property. In the event a
homeowner's association denies an application or
other document related to the Installation, and
You direct Installerto proceed with the Installation
iffl,
.16m;
(which direction Installer may ask you to verify in
the form attached hereto as Exhibit C), You hereby
acknowledge and accept all responsibility relating
to the homeowner's association (including claims
ailleged or damages assessed) of proceeding with
the Installation.
(iii) Concealed Conditions, To the best of Your
knowledge, there are no conditions, concealed or
otherwise, that would or may impede or delay the
Installation or cause the Property to be unsuitable
for the Installation, including but not limited to dry
rot, termites or mold.
(iv) Roof Warranty. If the Installation is to a roof, You
acknowledge and accept that any roof penetrations
necessary to complete the Installation of a System
may void any existing warranty of the roof
manufacturer or roof installer.
10. Term and Termination. This Installation Agreement
Terr"i nation o - I I L
(ii) the first anniversary of the date hereof. Upon
-tt-, IFA424 #0-,* i--* 4 4&,14t y4-
survive shall continue, such as (without limitation)
last,-oller's iiijiW, j -j-un otliggioni,
cle.A
IMAMICI !) [IdA111VT 11#1 • t
of this Installation Agreement. In the event Installer
terminates this Installation Agreement without cause,
Installer shall pay You a termination fee of $500 and
i-intndgv s11r-a+4&vd ao-fantrer
this Installation Agreement.
11. Assignment, Installer may assign its rights or delegate
its obligations under this Installation Agreement without
rights or delegate any of Your obligations under this
this Installation Agreement without the prior written
consent of Installer,
12. Arbitration and Class Action Waiver.
THIS AGREEMENT IS SUBJECT TO BINDING ARBITRATION
UNDER THE FEDERAL ARBITRATION ACT, 9 U.S.C, § 1, ET
SEQ.
In the event of a dispute between You and the Installer
under or relating to this Installation Agreement, either
party may choose to resolve the dispute by binding
arbitration, as described below, instead of in court. Any
claim (except for a claim challenging the validity or
r=r#7r*7-.1 mr1tvi"Aw
provision or a Class Action Waiver) may be resolved by
�-e r -%:Ld
EITHER YOU OR THE INSTALLER CHOOSE ARBITRATION,
CLAIM IN COURT OR TO HAVE A JURY TRIAL. ALSO
DISCOVERY AND APPEAL RIGHTS ARE LIMITED IN
ARBITRATION,
(i) ARBITRATION MUST BE ON AN INDIVIDUAL
BASIS. THIS MEANS NEITHER YOU NOR THE
INSTALLER MAY JOIN OR CONSOLIDATE CLAIMS
IN ARBITRATION BY OR AGAINST THE OTHER
PARTY, OR LITIGATE IN COURT OR ARBITRATE ANY
CLAIMS AS A REPRESENTATIVE OR MEMBER OF A
CLASS OR IN A PRIVATE ATTORNEY GENERAL
CAPACITY.
(ii) Class Action Waiver. Only a court, and not an
arbitrator, shall determine the validity and effect
of the Class Action Waiver. Even if all parties have
opte to itigate a c aim n court, You or t e
Installer may elect arbitration with respect to any
claim made by a new party or any new claims later
asserted in that lawsuit. The Installer will not
choose to arbitrate any claim You bring in small
claims court. However, if such a claim is
transferred, removed or appealed to a different
court, the Installer may then choose to arbitrate.
(iii) Governing Law. All disputes concerning the
validity, interpretation and application of this
Installation Agreement shall be governed by the
laws of the State of Florida, without giving effect
to its conflicts of laws provisions. This arbitration
agreement is governed by the Federal Arbitration
Act (FAA). Arbitration must proceed only with the
American Arbitration Association (AAA) or A.
The rules for the arbitration will be those in this
arbitration agreement and the procedures of the
chosen arbitration organization, but the rules in
this arbitration agreement will be followed if
there is disagreement between the agreement
and the organization's procedures. If the
organization's procedures change after the claim
is filed, the procedures in effect when the claim
was filed will apply. For a copy of each
organization's procedures, to file a claim or for
other information, please contact: AAA at 1101
Laurel Oak Rd., Voorhees, NJ 08043, www.adr.org
(phone 1-877-495-4185), or JAMS at 620 Eighth
Floor 34, New York, NY 10018,
www.jamsadr.com (phone 1-800-352-5267). If
both AAA and JAMS are completely unavailable,
and if You and the Installer cannot agree on a
E-Mum
substitute, then either You or the Installer m
request that a court appoint a substitute.
(iv) Fees. If You wish to begin an arbitration again
the Installer but You cannot afford to pay t
organization's or arbitrator's costs, the Install
may advance those costs if requested of it
writing. Any request like this should be sent
Palmetto Solar, LLC, 1505 King St Ext, Suite 11
Charleston, SC 29405. If You lose the arbitratio
the arbitrator will decide whether You mu
reimburse the Installer for money advanced
You for the arbitration. If You win the arbitratio
the Installer will not ask for reimbursement
money advanced to You. Additionally, if You w
the arbitration, the arbitrator may decide th
You are entitled to be reimbursed Your actual a
reasonable attorneys'fees and costs,
(v) Procedure. Arbitration hearings will take place
the federal judicial district for the County
Charleston in the State of South Carolina. If f
any reason this venue is invalidated or voided, the
Parties agree that arbitration hearings will instead
take place in Orange County, Florida. A single
arbitrator will be appointed. The arbitrator must:
(a) Follow all applicable substantive law, except
when contradicted by the FAA;
(b) Follow applicable statutes of limitations;
(c) Honor valid claims of privilege; and
(d) Issue a written decision including the reasons
for the award.
The arbitrator's decision will be final and binding
except for any review allowed by the FAA.
(v) Enforcement. Any arbitration award may be
enforced (such as through a judgment) in any
court with jurisdiction.
(vi) Application. In addition to You and the Installer,
the rights and duties described in this arbitration
agreement apply to the Installer's affiliates and
their officers, directors, memtom.
... + d any third party co-clefenclant of a
claim subject to this arbitration provision.
(vii) Survival. This arbitration provision shall survive
the term of this Installation Agreement,
(vili) Limitation. EXCEPT AS OTHERWISE PROVIDED
FOR OBLIGATIONS TO MAKE PAYMENT UNDER
THIS INSTALLATION AGREEMENT, FOR DIRECT
DAMAGE CAUSED TO YOUR PROPERTY DURING
THE COURSE OF INSTALLATION, IN NO EVENT
SHALL THE INSTALLER'S AGGREGATE LIABILITY
ARISING OUT OF OR RELATED TO THIS
INSTALLATION AGREEMENT, WHETHER ARISING
OUT OF OR RELATED TO BREACH OF CONTRACT,
TORT (INCLUDING NEGLIGENCE) OR OTHERWISE,
EXCEED THE TOTAL FEES DUE AS CALCULATED
UNDER SCHEDULE I OF THE INSTALLATION
AGREEMENT TO YOU PURSUANT TO THIS
INSTALLATION AGREEMENT IN THE MONTH
PRECEDING THE EVENT GIVING RISE TO THE
CLAIM OR ONE THOUSAND AND 00/100 DOLLARS
WHICHEVER IS LESS.
13. Deposit; Notice of Right to Cancel.
(i) Deposit. Installer may collect a security deposit of
$ (the "Deposit") which will be fully refunded to You
upon completion of the Installation, unless You
cancel this Installation Agreement prior to
completion of the Installation.
(11) BUYER'S RIGHT TO CANCEL. This is a home
solicitation sale, and if you do not want the goods
or services, YOU MAY CANCEL THIS INSTALLATION
AGREEMENT AND RECEIVE A FULL REFUND OF THE
DEPOSIT BY MAILING A NOTICE TO THE INSTALLER
IN PERSON, BY TELEGRAM, OR BY MAIL (WHICH
MAY BE IN THE FORM ATTACHED HERETO AS
EXHIBIT B). THE NOTICE MUST INDICATE THAT
YOU DO NOT WANT THE GOODS OR SERVICES
AND MUST BE DELIVERED OR POSTMARKED
BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER YOU SIGN THIS INSTALLATION
AGREEMENT. IF YOU CANCEL THIS INSTALLATION
AGREEMENT, THE INSTALLER MAY NOT KEEP ALL
OR ANY PART OF ANY CASH DOWN PAYMENT.
(iii) Right to Cancel with Loss of Deposit. You have a
right to cancel this Installation Agreement at any
time after the third business day after the date You
sign this Installation Agreement, by providing
written notice of cancellation to the Installer at the
address set forth above. In the event of such
cancellation, Installer may retain the Deposit or
invoice a cancellation charge of $500 if no Deposit
was collected (the "Cancellation Fee"). You agree
that Installer's actual costs in the event of a
cancellation would be difficult or impractical to
determine, and that this Cancellation Fee is a
reasonable and appropriate measure of the
damages the Installer would incur as a result of
such cancellation, and does not represent a
li
penalty.
14, T
and agrees that Installer makes no representation or
guaranty that Homeowner, this Installation Agreement,
the Svstem, or aw Additional Products will aualifv for or
FCL��ZC d[1J-1CUC1d1, bLdLe UF IULdl Morneol—M
understands that tax credits are subject to many factors
H o but not , ilitv,
23�
0 . t[TtT - WA�
Homeowner may, among other things, be required to
allocate tax credits over a period of years in order to
maximize the benefit. For instance. (I some states limited
W 1 111
, 14,
is encouraged to speak with their utility or local
government to confirm the availability of any rebates or
other incentives prior to signing this Installation
Ilk
and has been provided ample opportunity to do so.
Additionally, Homeowner understands and agrees that
Homeownees Name:
DocuSigned by:
Signature:
4-8c-fl—
Name: James SAR ......
Date: October 26, 2021
Co -Owner's Name (if any)
Signature:
Name:
Date:
Palmetto Solar, LILC:
By: 4A-
Name: Sean Hayes
Title: President
EMEMEMM
Installer makes no representation or guaranty that
or iricent* r t,
to do so.
15. Homeowner acknowledges and understands that if
on the time of day such electricity is used
Use" rate plan) then the electricity consumption cost
savings enjoyed by Homeowner and attributable to the
System's energy production will vary depending on the
Homeowner's electricity consumption habits and such
utility's rate plan.
SOLAR INSTALLATION AGREEMENT
Page 5 of 5
November 2, 2021
RE: CERTIFICATION LETTER
Project Address: Easton Residence
38437 13th Avenue
Zephyrhills, FL 33542
N��
Applicable Codes = 2020 FLBC 7th Edition, 2018 IEBC/IBC, 2018 IRC, ASCE 7-16 and 2018 NDS
Risk Category = 11
Wind Speed = 150 mph, Exposure Category C, Partially/Fully Enclosed Method
Ground Snow Load = 0 psf
ROOF 1 Roof DL = 7 psf, Roof LUSL = 20 psf (Non-PV), Roof LUSL = 0 psf (PV)
ROOF 2 Roof DL = 7 psf, Roof LUSL = 20 psf (Non-PV), Roof LUS L = 0 psf (PV)
To Whom It May Concern,
A structural evaluation of loading was conducted for the above address based on the design criteria listed above.
Existing roof structural framing has been reviewed for additional loading due to installation of PV Solar System on the roof. The
structural review applies to the sections of roof that is directly supporting the solar PV system.
Based on this evaluation, I certify that the alteration to the existing structure by installation of the PV system meets the prescriptive
compliance requirements of the applicable existing building and/or new building provisions adopted/referenced above.
Additionally, the PV module assembly including attachment hardware has been reviewed to be in accordance with the manufacturer's
specifications and to meet and/or exceed the requirements set forth by the referenced codes.
Installer shall verify existing roof framing (including connection) is in suitable condition and does not exhibit any signs of structural
damage or deficiency. Installer verification of the mounting planes noted above is required because some or all of the framing was not
observed prior to the structural evaluatio I p performed for gis report.
Sincerely, �fq
Yuri Yurianto, S.E., P.E.
No. 86261 Dgitally signed ty
Y,, 1, Y,d,mt,
r nto DN cd=Y.naht. Y--m
ou-A01410D00000176B0
STATE OF a n t o 7 CBF00-A2
Reason250 am the author of
RIO —b-
0 1,-
Lmen'
Date. 2021-11-02
A%- 1i \ 1357-0500
By Yuri at 1:56.-49 PR, 111212021
This item has been electronically signed and sealed by
Yurianto Yurianto, SE, PE. on the date and/or time
stomp shown using a digital signature. Printed copies
of this document are not considered signed and sealed
and the signature must be verified by a 3rd Party
Certificate Authority on any electronic copy.
r,! m- ("n x� W," el
rp ;; D,�,,s,�,-j C, �,,i n d '10, ng, 2,02 ,,s �'30,,',-, rk,j n �,- y Viv bar �i : -00P Uil-ld'r11
1', 202A;P-l-1,,')'6 ChCISK",'2-' , i
Existing Roofing Material
Comp Roof I layers
15 psf
Underlayment
0.5 psf
Plywood Sheathing
1.5 psf
Framing Weight
0.73 psf
Vaulted ceiling
No
0 psf
Miscellaneous
1.5 psf
Total Roof Dead Load
R«DL
6.73 p0
Roof Live Load L. 20.0 psf
Member Tributary Area A, < 200 sf
ROOF I Pitch 4/12 or 18*
Trubutary Area Reduction R, I
Slope Roof Reduction R, I
Reduced Roof Live Load Lr = L. (111) (RA 20.00 psf
Ground Snow Load
P,
0
Effective Roof Slope
180
Snow Importance Factor
IS
1.0
Snow Exposure Factor
C,
1.0
Snow Thermal Factor
C,
I'l
Minimum Flat Roof Snow Load
pf m
0
Flat Roof Snow Load
Pf
0.00
Roof Slope Factor
C,P
0.87
ps-p�
0.00
0.00
Ba�un C,"orl 61 1 2012" 01-1,506 ! ch i
BARUN CORP
ROOF 1
EASTON RESIDENCE, 38437 13TH AVENUE, ZEPHYRHILLS, FL 33542
633
9.73
Roof Dead Load (DL) =
Roof Live Load (Lr) =
20.00
0,00
Roof Snow Load (SL) =
0.00
CLOO
21.38
10M
(DL + Lr) j Cd =
(DL + SO Cd =
5.85
&46
Maximum Gravity Load =
21.38
10,81
Load Increase �(%) =j 49,4590 K
IEBC Provision : 2018
psf
psf
psf
psf
psf
psf
i3atl I Czon'-, 7,,, 3eerm, 6 10, `02 4506 cn risk,(a),b@ u r C'
)1'lli i
BARUN CORP ROOF 1
EASTON RESIDENCE, 38437 13TH AVENUE, ZEPHYRHILLS, FL 33542
Ultimate Wind Speed (mph) =
EE=. EMEEMENNEM
ISO Roof Pitch (deg.)
Risk Category
If Roof Type :
Exposure Category
Cs Kd =
--.Gable
0.85
Mean Roof Height (ft) =
20 Kzt =
I
Solar Array Dead Load (psf) =
100 Kz=
50
* Wind calculation is based on ASCE 7-16, 29.4 - C&C, LC#7: 0.6D + 0.6W used.
B,,Min CcE)e4ign and� 10 z 4,1,',06 c,,,onn wv,,w I ba�,u n- co,,,,, c, m,
ERIONEEMEMEM
Ground Snow Load
pg
0
Effective Roof Slope
14'
Snow Importance Factor
Is
1.0
Snow Exposure Factor
C,
1.0
Snow Thermal Factor
q
1.1
Minimum Flat Roof Snow Load
I Pf-m
01
Flat Roof Snow Load
pf
0.00 -- I
,,02 b<,,Ilwn-co,p col-n
Roof Dead Load (DL) = 6.73 9.73
Roof Live Load (Lr) = 20.00 0.00
Roof Snow Load (SL) = 0.00 Oko
(DL + Lr) / Cd =
(DL + SO / Cd =
Maximum Gravity Load =
Load Increase N =F -49,45% (DW
IEBC Provision :1 2018 1
psf
psf
asf
psf
psf
psf
V"ViVIV 'Rr� i n "CO'll P, C01i
al -cl, �,-D i-,�i ineeri na ! 6 i 0 24115��(,,, ch,, ;j corp, c,"),
BARUN CORP
ROOF 2
EASTON RESIDENCE, 38437 13TH AVENUE, ZEPHYRHILLS, FL 33542
Ultimate Wind Speed (mph) =
EE=. ° z' 0
ISO Roof Pitch (deg.) =
14'
Risk Category
11 Roof Type :
Gable
Exposure Category
C- Kd =
0,85
Mean Roof Height (ft) =
20 Kzt =
I
Solar Array Dead Load (psf) =
3.00 Kz =
0.90
* Wind calculation is based on ASCE 7-16, 29,4 - C&C, LC#7: 0.6D + 0.6W used,
20',` 4,',5z"(�
PALMETTO
RE: Contractor Authorization
This letter is to notify you that 1, _Russell Kill , hereby name and appoint the following
individuals to apply for and pickup permits with my license:
Tina GodfLqy__
RERMINKM
Jessica Crawford
Erica McCurd
Kelly Gutierrez
License Holder. RUSSE L KILL
Palmetto Solar
State of —Florida
County of Pasco
The foregoing instrument was acknowledged before me this —14th_ day of —Dec— 2021 by
Russell Kill who is personally known to me or has produced as
identification.
MY co"W""W 00 %VW
Notary Public Signature
Bethany Brady
Print Notary Public Name
1505 King St. Ext, Ste 114 Charleston, SC 29405 855339,1831 Palmetto.corn
NEW PHOTOVOLTAIC SYSTEM 1240 KW DC
38437 13TH AVE, ZEPHYRHILLtL' 542, USA
Bp
- No.86261 ;
1.1,1 PROJECT NOTES: Yurianto
�"$ DN:cn-Yuriako Y���[[�m �
1 1 =Urca8litd '"0i•
1.1.2 THIS PHOTOVOLTAIC (PV) SYSTEM SHALL COMPLY WITH THE NATIONAL 4a=A01A7A2 a07ceSTATE OF
PROJECT INFOR Zsoa0pa7n2
t Reason_lam thew js G' �„ ,>'�aa
ELECTRIC CODE(NEC)ARTICLE 690,ALL MANUFACTURER LISTING AND dae� ent ..... . +,�
INSTALLATION INSTRUCTIONS,AND THE RELEVANT CODES AS SPECIFIED BY THE OWNER
f794I8tt1
AUTHORITY HAVING JURISDICTION'S (AHJ)APPLICABLE CODES. NAME: JAMES EASTON By Yuri at 1:53:17 PM, 11/212021
1.1.3 THE UTILITY INTERCONNECTION APPLICATION MUST BE APPROVED AND PV PHONE: (813)420-0008 This item has been electronically signed and sealed by
SYSTEM INSPECTED PRIOR TO PARALLEL OPERATION Yurianto rurianto,SE PE on the date and/or time
stamp shown using a digital signature. Printed copies
1.1.4 ARC FAULT PROTECTION (AFCI)AND PHOTOVOLTAIC RAPID SHUTDOWN �,
of this document are not considered signed and Seale o
O
SYSTEM (PVRSS) IS INTEGRATED WITH THE POWER OPTIMIZER IN ACCORDANCE CONTRACTOR INFORMATIONnd the signature must be verified by a 3rd Party
TH NEC 210.12 &690.12 RESPECTIVELY. CONTRACTOR NAME: PALMETTerttfícate Authority on any electronic copy. V
1.1.5 GROUND FAULT DETECTION AND INTERRUPTION (GFDI) DEVICE IS CONTRACTOR ADDRESS: 1505 KING ST, (Structural aspects only)
INTEGRATED WITH THE INVERTER IN ACCORDANCE WITH NEC 690.41(B) CHARLESTON,SC 29405 z
1.1.6 ALL PV SYSTEM COMPONENTS; MODULES, UTILITY-INTERACTIVE CONTRACTOR PHONE: (855) 339-1831
INVERTERS,AND SOURCE CIRCUIT COMBINER BOXES ARE IDENTIFIED AND
LISTED FOR USE IN PHOTOVOLTAIC SYSTEMS AS REQUIRED BY NEC 690.4: PV a >
MODULES: UL1703, IEC61730,AND IEC61215,AND NFPA 70 CLASS C FIRE SCOPE OF WORK SATELLITE VI E /V
INVERTERS: UL 1741 CERTIFIED, IEEE 1547, 929, 519 COMBINER BOX(ES): UL 1703 SYSTEM SIZE : STC : 31 X 400W= 12.40 kW DC
OR UL 1741 ACCESSORY PTC : 31 x 376.55W= 11.67 kW DC
1.1.7 MAXDC VOLTAGE CALCULATED USING MANUFACTURER PROVIDED TEMP AC SIZE: 10.0 kW AC
COEFFICIENT FOR VOC. IF UNAVAILABLE, MAXDC VOLTAGE CALCULATED (31)QCELL Q.PEAK DUO BLK ML-G10 400W
ACCORDING TO NEC 690.7. (1)SOLAREDGE SE10000H-US
1.1.8 ALL INVERTERS, PHOTOVOLTAIC MODULES,PHOTOVOLTAIC PANELS,AND (31)SOLAREDGE POWER OPTIMIZER P401
SOURCE CIRCUIT COMBINERS INTENDED FOR USE IN A PHOTOVOLTAIC POWER
SYSTEM WILL BE IDENTIFIED AND LISTED FOR THE APPLICATION PER 690.4 (D). ATTACHMENT TYPE: ROOF MOUNT
SHALL BE INSTALLED ACCORDING TO ANY INSTRUCTIONS FROM LISTING OR MSP UPGRADE: NO
LABELING [NEC 110.3]. z
1.1.9 ALL SIGNAGE TO BE PLACED IN ACCORDANCE WITH LOCAL BUILDING CODE.
IF EXPOSED TO SUNLIGHT, IT SHALL BE UV RESISTANT, ALL PLAQUES AND AUTHORITIES HAVING JURISDICTION f
SIGNAGE WILL BE INSTALLED AS REQUIRED BY THE NEC AND AHJ. BUILDING : ZEPHYRHILLS a
ZONING : ZEPHYRHILLS
1.2.1 SCOPE OF WORK: UTILITY : DUKE ENERGY FLORIDA
1.2.2 PRIME CONTRACTOR IS RESPONSIBLE FOR THE DESIGN AND
SPECIFICATIONS OF THE GRID-TIED PHOTOVOLTAIC SYSTEM RETROFIT. PRIME T-001 COVER PAGE
CONTRACTOR WILL BE RESPONSIBLE FOR COLLECTING EXISTING ONSITE DESIGN SPECIFICATION G-001 NOTES , Z
REQUIREMENTS TO DESIGN, SPECIFY,AND INSTALL THE EXTERIOR OCCUPANCY : R3/SINGLE FAMILY RESIDENTIAL A-101 SITE PLAN ®
ROOF-MOUNTED PORTION OF THE PHOTOVOLTAIC SYSTEMS DETAILED IN THIS CONSTRUCTION TYPE/FIRE TING: 5-B A-102 ELECTRICAL PLAN
DOCUMENT GROUND SNOW LOAD : 0 PSF A-103 ATTACHMENT PLAN o
WIND EXPOSURE : C A-104 MOUNTING DETAIL
1.3,1 WORK INCLUDES: E-601 LINE DIAGRAM
1.3.2 PV RACKING SYSTEM INSTALLATION -QUICK MOUNT PV WIND SPEED STATE : 150 MPH E-602 ELECTRICAL CALCULATIONS
1.3.3 PV MODULE AND INVERTER INSTALLATION -QCELL Q.PEAK DUO BLK E-603 PLACARD
ML-G10 400W /SOLAREDGE SE10000H-US /SOLAREDGE POWER R-001 RESOURCE DOCUMENT
OPTIMIZER P401 R-002 RESOURCE DOCUMENT
R-003 RESOURCE DOCUMENT
1.3.4 PV EQUIPMENT ROOF MOUNT R-004 RESOURCE DOCUMENT SHEET TITLE
1.3.5 PV SYSTEM WIRING TO A ROOF-MOUNTED JUNCTION BOX APPLICABLE CODES & STANDARDS R-005 RESOURCE DOCUMENT COVER PAGE
1.3.6 PV LOAD CENTERS (IF INCLUDED) IBC 2018 R-006 RESOURCE DOCUMENT
1.3.7 PV METERING/MONITORING(IF INCLUDED) IRC 2018 DRAWN DATE 11/02/2021
1.3.8 PV DISCONNECTS NEC 2017 DRAWN BY DC
1.3.9 PV GROUNDING ELECTRODE& BONDING TO (E)GEC NFPA 70 REVIEWED BY
1.3.10 PV FINAL COMMISSIONING 2020 FLORIDA BUILDING CODE-7TH EDITION
1.3.11 (E) ELECTRICAL EQUIPMENT RETROFIT FOR PV SHEET NUMBER
1.3.12 SIGNAGE PLACED IN ACCORDANCE WITH LOCAL BUILDING CODE T_001
This item has been electronically signed and sealed by ®��te�"J a+Jtt® FL
Yurianto Yurianto,SE,PE,on the date and/or time N�1 O YU841,
stamp shown using a digital signature, Printed copies
of this document are not considered signed and sealed
and the signature must be verified by a 3rd Party
N
Certificate Authority on any electronic copy. ®"86261
2.1.1 SITE NOTES: DgWyalgoadbyYaaato r. °
2.4.1 WIRING & CONDUIT NOTES: 2.6.1 DISCONNECTION AND OVER—C E . teY„antee
oao17seo7c STATE OF 4° ti
NOTES' e af °•
2.1.2 A LADDER LL BE IN PLACE FOR INSPECTION IN COMPLIANCE WITH Resggn:lem thvhor otns (}�{
OSHA REGULATIONS. 2.4.2 ALL CONDUIT AND WIRE WILL BE LISTED AND APPROVED FOR 2.6.2 DISCONNECTING SWITCHES S DH
-02,3$5-o5oa ���e�``�
2.1.3 THE PV MODULES ARE CONSIDERED NON—COMBUSTIBLE AND THIS THEIR PURPOSE. CONDUIT AND WIRE SPECIFICATIONS AREBASED ON THAT WHEN THE SWITCH IS OPENED THE CONDUCI° I
MINIMUM CODE REQUIREMENTS AND ARE NOT MEANT TO LIMIT REMAINING ENERGIZED ARE CONNECTED TO THE TERMINALS' Ti at 1:53:29 PM, 11!2'2021
SYSTEM IS A UTILITY INTERACTIVE SYSTEM WITHOUT STORAGE UP-SIZING. MARKED"LINE SIDE" (TYPICALLY THE UPPER TERMINALS). (Structural aspects only)
BATTERIES. 2.4.3 CONDUCTORS SIZED ACCORDING TO NEC 690.8, NEC 690.7. 2.6.3 DISCONNECTS TO BE ACCESSIBLE TO QUALIFIED UTILITY
2.1.4 THE SOLAR PV INSTALLATION WILL NOT OBSTRUCT ANY PLUMBING, 2.4.4 VOLTAGE DROP LIMITED TO 3.0%. PERSONNEL, BE LOCKABLE,AND BE A VISIBLE BREAK SWITCH
MECHANICAL, OR BUILDING ROOF VENTS. 2.4.5 DC WIRING LIMITED TO INVERTER FOOTPRINT. OPTIMIZER WRING 2.6.4 PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGS
2.1.5 PROPER ACCESS AND WORKING CLEARANCE AROUND EXISTING SYSTEMS SHALL BE LOCATED AND SECURED UNDER THE ARRAY W/ SHALL INCLUDE A RAPID SHUTDOWN FUNCTION TO REDUCE
AND PROPOSED ELECTRICAL EQUIPMENT WILL BE PROVIDED AS PER SUITABLE WIRING CLIPS. SHOCK HAZARD FOR EMERGENCY RESPONDERS IN
SECTION NEC 110.26.
2.4.6 AC CONDUCTORS COLORED OR MARKED AS FOLLOWS: PHASE A ACCORDANCE WITH 690.12(A)THROUGH (D).
2.1.6 ROOF COVERINGS SHALL BE DESIGNED, INSTALLED, AND
MAINTAINED IN ACCORDANCE WITH THIS CODE AND THE APPROVED OR L1- BLACK PHASE B OR L2- RED, OR OTHER CONVENTION IF THREE 2.6.5 ALL OCPD RATINGS AND TYPES SPECIFIED ACCORDING
PHASE PHASE C OR L3- BLUE, YELLOW, ORANGE**, OR OTHER TO NEC 690.8, 690.9,AND 240. <
MANUFACTURER INSTRUCTIONS SUCH THAT THE ROOF COVERING CONVENTION NEUTRAL-WHITE OR GREY IN 4 RE DELTA CONNECTED 2.6.6 OPTIMIZER BRANCHES CONNECTED TO A SINGLE W
SERVES TO PROTECT THE BUILDING OR STRUCTURE. SYSTEMS THE PHASE WITH HIGHER VOLTAGE TO BE MARKED ORANGE BREAKER OR GROUPED FUSES IN ACCORDANCE WITH NEC z
[NEC 110.15].
2.2.1 EQUIPMENT LOCATIONS: 110.3(8), Q
2.6.7 IF REQUIRED BY AHJ, SYSTEM WILL INCLUDE ARC-FAULT
CIRCUIT PROTECTION ACCORDING TO NEC 690.11 AND 2.2.2 ALL EQUIPMENT SHALL MEET MINIMUM SETBACKS AS REQUIRED BY 2.5.1 GROUNDING NOTES: UL16996.
NEC 110.26.
2.2.3 WIRING SYSTEMS INSTALLED IN DIRECT SUNLIGHT MUST BE RATED 2.5.2 GROUNDING SYSTEM COMPONENTS SHALL BE LISTED FOR THEIR
FOR EXPECTED OPERATING TEMPERATURE AS SPECIFIED BY NEC 690.31 PURPOSE,AND GROUNDING DEVISES EXPOSED TO THE ELEMENTS 2.7.1 INTERCONNECTION NOTES: N
(A),(C)AND NEC TABLES 310.15 (B)(2)(A)AND 310.15(B)(3)(C). SHALL BE RATED FOR SUCH USE. -_--
2.2.4 JUNCTION AND PULL BOXES PERMITTED INSTALLED UNDER PV 2.5.3 PV EQUIPMENT SHALL BE GROUNDED ACCORDING TO NEC 690.43 2.7.2 LOAD-SIDE INTERCONNECTION SHALL BE IN
MODULES ACCORDING TO NEC 690,34. AND MINIMUM NEC TABLE 250.122. ACCORDANCE WITH [NEC 705.12 (B)] a)
2.2.5 ADDITIONAL AC DISCONNECT(S) SHALL BE PROVIDED WHERE THE 2.5.4 METAL PARTS OF MODULE FRAMES, MODULE RACKING, AND 2.7.3 THE SUM OF THE UTILITY OCPD AND INVERTER
INVERTER IS NOT WITHIN SIGHT OF THE AC SERVICING DISCONNECT. ENCLOSURES CONSIDERED GROUNDED IN ACCORD WITH 250.134 AND CONTINUOUS OUTPUT MAY NOT EXCEED 120% OF BUSBAR
2.2.6 ALL EQUIPMENT SHALL BE INSTALLED ACCESSIBLE TO QUALIFIED 250.136(A). RATING[NEC 705.12(B)(2)(3)(b)].
PERSONNEL ACCORDING TO NEC APPLICABLE CODES. 2.5.5 EQUIPMENT GROUNDING CONDUCTORS SHALL BE SIZED z
2.7.4 THE SUM OF 125 PERCENT OF THE POWER SOURCE(S) CD
2.2.7 ALL COMPONENTS ARE LISTED FOR THEIR PURPOSE AND RATED ACCORDING TO NEC 690.45 AND INVERTER MANUFACTURER OUTPUT CIRCUIT CURRENT AND THE RATING OF THE
FOR OUTDOOR USAGE WHEN APPROPRIATE. INSTRUCTIONS. OVERCURRENT DEVICE PROTECTING THE BUSBAR SHALL - -
2.3.1 STRUCTURAL NOTES: 2.5.6 EACH MODULE WILL BE GROUNDED USING WEEB GROUNDING CLIPS NOT EXCEED 120 PERCENT OF THE AMPACI OF THE
AS SHOWN IN MANUFACTURER DOCUMENTATION AND APPROVED BY BUSBAR, PV DEDICATED BACKFEED BREAKERS MUST BE
2.3.2 RACKING SYSTEM & PV ARRAY WILL BE INSTALLED ACCORDING TO THE AHJ. IF WEEBS ARE NOT USED, MODULE GROUNDING LUGS MUST LOCATED OPPOSITE END OF THE BUS FROM THE UTILITY
CODE-COMPLIANT INSTALLATION MANUAL. TOP CLAMPS REQUIRE A BE INSTALLED AT THE SPECIFIED GROUNDING LUG HOLES PER THE SOURCE OCPD[NEC 705.12(B)(2)(3)].
DESIGNATED SPACE BETWEEN MODULES,AND RAILS MUSTALSO MANUFACTURER INSTALLATION REQUIREMENTS. 2.7.5 AT MULTIPLE ELECTRIC POWER SOURCES OUTPUT
EXTEND A MINIMUM DISTANCE BEYOND EITHER EDGE OF THE 2.5.7 THE GROUNDING CONNECTION TO A MODULE SHALL BE ARRANGED COMBINER PANEL, TOTAL RATING OF ALL OVERCURRENT
ARRAY/SUBARRAY,ACCORDING TO I MANUFACTURER'S SUCH THAT THE REMOVAL OF A MODULE DOES NOT INTERRUPT A DEVICES SHALL NOT EXCEED AMPACITY OF BUSBAR.
GROUNDING CONDUCTOR TO ANOTHER MODULE. ° E
INSTRUCTIONS. 2.5.8 GROUNDING AND BONDING CONDUCTORS, IF INSULATED, SHALL BE HOWEVER, THE COMBINED OVERCURRENT DEVICE MAY BE
2.3.3 JUNCTION BOX WILL BE INSTALLED PER MANUFACTURERS' NEC EXCLUDED ACCORDING TO NEC 705,12 (B)(2)(3)(C). u
SPECIFICATIONS. IF ROOF-PENETRATING TYPE, IT SHALL BE FLASHED& COLORED GREEN OR MARKED GREEN IF#4 AWG OR LARGER[ 2.7.6 FEEDER TAP INTERCONECTION (LOADSIDE)ACCORDING
SEALED PER LOCAL REQUIREMENTS. 250.119] TO NEC 705.12 (B)(2)(1)
2.3.4 ROOFTOP PENETRATIONS FOR PV RACEWAY WILLBE COMPLETED 2.5.9 THE GROUNDING ELECTRODE SYSTEM COMPLIES WITH NEC 690.47 2.7.7 SUPPLY SIDE TAP INTERCONNECTION ACCORDING TO
ANDS LED W/APPROVED CHEMICAL S NT PER CODE BY A AND NEC 250.50 THROUGH 250.106. IF EXISTING SYSTEM IS NEC 705.12 (A)WITH SERVICE ENTRANCE CONDUCTORS IN
LICENSED CONT CTOR. INACCESSIBLE, OR INADEQUATE,A GROUNDING ELECTRODE SYSTEM ACCORDANCE WITH NEC 230.42
2.3.5 ALL PV RELATED ROOF ATTACHMENTS TO BE SPACED NO GREATER PROVIDED ACCORDING TO NEC 250, NEC 690.47 AND AHJ. 2.7.8BACKFEEDING BREAKER FOR ELECTRIC POWER
THAN THE SPAN DISTANCE SPECIFIED BY THE RACKING MANUFACTURER. 2.5.10 GROUND-FAULT DETECTION SHALL COMPLY WITH NEC 690.41(B)(1) SOURCES OUTPUT IS EXEMPT FROM ADDITIONAL FASTENING
2.3.6 WHEN POSSIBLE, ALL PV RELATED RACKING ATTACHMENTS WILL BE AND(2)TO REDUCE FIRE HAZARDS [NEC 705.12 (B)(5)]. SHEET TITLE
STAGGERED AMONGST THE ROOF FRAMING MEMBERS. NOTES
DRAWN DATE 11/02/2021
DRAWN BY I DC
REVIEWED BY -
SHEET NUMBER
- 0 1
1 MODULE QCELL Q.PEAK DUO BLK ML-G10 ARRAY AREA & F AREA CALCSe
400W
ROOF
2 INVERTER SOLAREDGE SE10000H-US ARRAY ROOF AREA
3 OPTIMIZER SOLAREDGE POWER OPTIMIZER ROOF MODULES AREA AREA COVERED
P401 (SQ.FT) (SOFT) BY
4 MOUNTS QMLM ATTACHMENT ° ARRAY(%)
#1 22 464.64 552.29 79.795
5 RAIL IRON RIDGE XR-10-168M,XR-10 IL
#2 9 190.08 709.79 26.750
cEN�te ���r -
No.86263 —_ Dlgtaly slgnad
• Ai r i ➢9 tO DN:c_Yurianto Yurianto /
.ftr c=US U affd'ated r'.,�
*4 u A01494D0008817680 0q
� �• STATE OF �nto 7GBP2S D00A7A2 '�
i Re so:I am Yh author of : y '" ' ;.•"'''• 1 a 'gym
�l�A• �' ORO �. this document " E,. kf § r"x =•� b
"4 �, Date:202 ,.-
1-11-02 "
1IONAL �. 16 Sfi Os 00 (N) w H SOLAREDGE SE10000H-US INVERTER 5 LLI
By Yuri at 9:53:38 PM, 9 9/212021 �" t z ,�— ®1
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stamp shown using a digital signature. Printed copies DISCONNECT{UTILITY DISCONNECT) O
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- FENCE SHEET TITLE
- JUNCTION BOX SITE PLAN
- SKYLIGHT (ROOF OBSTRUCTION
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- CHIMNEY (ROOF OBSTRUCTION) DRAWN BY DC
1 SITE PLAN I -
REVIEWED BY
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FIRE SETBACK TILT 18°
ROOF 1 AZIMUTH - 155°
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DRA DATE 11/02/2021
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By Yuri at 1:53:54 PM, 11/2/2021
This item has been electronically signed and sealed by SHEET TITLE
Yurianto Yurianto,SE,PE.on the date and/or time MOUNTING DETAIL
stamp shown using a digital signature. Printed copies
of this document are not considered signed and sealed
and the signature must be verified by a 3rd Party DRAWN DATE 11/02/2021
Certificate Authority on any electronic copy I DRAWN BY DC
REVIEWED BY -
SHEET NUMBER
A-104
PHASE CONDUCTOR QTY,SIZE GROUND CONDUCTOR QTY,SIZE CONDUIT
(31)QCELL Q.PEAK DUO BLK ML-G10 400W MODULES AND TYPE PER CONDUIT NEUTRAL AND TYPE PER CONDUIT SIZE CONDUIT TYPE
(2)STRINGS OF 11 MODULES CONNECTED IN SERIES
(1)STRING OF 9 MODULES CONNECTED IN SERIES
1 6 AWG#10 PV-WIRE/USE-2, N/A 1 AWG#6 BARE,COPPER EGC N/A FREE AIR
COPPER
DC SYSTEM SIZE: 12.40 kW DC 2 6 AWG#10 THWN-2,COPPER N/A 1 AWG#10 THWN-2,COPPER EGC 3/4" EMT
AC SYSTEM SIZE: 10.0 kW AC 3 2 AWG#6 THWN-2,COPPER 1 AWG#6 THWN-2,COPPER 1 AWG#10 THWN-2,COPPER EGC 3/4" EMT
4 2 AWG#6 THWN-2,COPPER 1 AWG#6 THWN-2,COPPER 3/4" EMT
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DC Input Power-400 watts QCELL Q.PEAK DUO BLK ML-G10
Maximum Input Voltage-60 Vdc 1 MODULE, 400W SHEETnnTITLE
MPPT Range-8 to 60 Vdc ,��';
Maximum Input Current-11 Adc 2 INVERTER SOLAREDGE SE10000H-US
Maximum Output Current-15 Ado String DRAWN DATE 11/02/2021
Limitations-81025 Optimizers, 3 OPTIMIZER SOLAREDGE POWER OPTIMIZER
6000 watts STC per string maximum P401 DRAWN BY DG
4 MOUNTS QMLM ATTACHMENT REVIEWED BY -
5 RAIL IRON RIDGE XR-10-168M,XR-10 RAIL SHEET NUMBER
E-601
SOLAR MODULE SPECIFICATIONS DC CONDUCTOR AMPACITY L Ti AC CONDUCTOR AMPACITYALA L T{
MANUFACTURER/MODEL# QCELL Q.PEAK DUO BLK ML-G10 400W ARRAY TO JUNCTION
VMP 3T59V EXPECTED WIRE TEMP(in Celsius) 55° NO.OF INVERTER 1
IMP 10.64A TEMP.CORRECTION PER TABLE(310.16) 0.76 EXPECTED WIRE TEMP(in Celsius) 33°
VOC 45.06V
NO.OF CURRENT CARRYING CONDUCTORS 6 TEMP.CORRECTION PER TABLE(310.16) 0.96
ISC 11.16A CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a) 1 NO.OF CURRENT CARRYING CONDUCTORS 3
TEMP.COEFF.VOC 0.27W°C
CIRCUIT CONDUCTOR SIZE 10 AWG CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a) 1
PTC RATING 376.55W
CIRCUIT CONDUCTOR AMPACITY 40A CIRCUIT CONDUCTOR SIZE 6 AWG
MODULE DIMENSION 73.97"°L x 41.14W x 1.25"D(In Inch) CIRCUIT CONDUCTOR AMPACITY 65A
INVERTER SPECIFICATIONS REQUIRED CIRCUIT CONDUCTOR AMPACITY PER NEC 690.8(A&B)
18.75A REQUIRED CIRCUIT CONDUCTOR AMPACITY PER NEC 690.8(A&B)
MANUFACTURER/MODEL# SOLAREDGE SE10000H-US 1.25 X isc 52.50A
DERATED AMPACITY OF CIRCUIT CONDUCTOR PER NEC TABLE 310.16 1.25 X MAX INVERTER OUTPUT CURRENT w
NOMINAL AC POWER 10000 W TEMP.CORRECTION PER TABLE(310.16)X 30.40ADERATED AMPACITY OF CIRCUIT CONDUCTOR PER NEC TABLE 310.16
NOMINAL OUTPUT VOLTAGE 240 VAC CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a)X TEMP.CORRECTION PER TABLE(310.16)X
62 40A
NOMINAL OUTPUT CURRENT 42 CIRCUIT CONDUCTOR AMPACITY CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a)X ¢
RESULT SHOULD BE GREATER THAN(18.75A)OTHERWISE LESS THE ENTRY FOR CIRCUIT CONDUCTOR AMPACITY W ®1
CIRCUIT CONDUCTOR SIZE AND AMPACITY RESULT SHOULD BE GREATER THAN(52.50A)OTHERWISE LESS THE ENTRY FOR z
SOLAREDGE POWER OPTIMIZER P401 1 CIRCUIT CONDUCTOR SIZE AND AMPACITY v
MAXIMUM INPUT POWER 400W I DC j
MINIMUM INPUT VOLTAGE 8 VDC CONDUCTOR AMPACITY CALCULATIONS:
MAXIMUM INPUT VOLTAGE 60 VDC FROM JUNCTION TO INVERTER:
MAXIMUM MODULE ISC 11.75 ADC
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MAXIMUM OUTPUT CURRENT 115 ADC AMBIENT TEMPERATURE ADJUSTMENT FOR EXPOSED CONDUIT
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EXPECTED WIRE TEMP(in Celsius) 33°+22°=55° 4
PERCENT OF VALUES NUMBER OF CURRENT
CARRYING CONDUCTORS IN EMT TEMP.CORRECTION PER TABLE(310.16) 0.76 j IU)
0.80 4-6 NO.OF CURRENT CARRYING CONDUCTORS 6
0.70 7-9 CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a) 0.8
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CIRCUIT CONDUCTOR AMPACITY 40A c7
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AMBIENT TEMPERATURE SPECS
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RECORD LOW TEMP -1. 18.75A
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AMBIENT TEMP(HIGH TEMP 2%) 33°
DEBATED AMPACITY OF CIRCUIT CONDUCTOR PER NEC TABLE 310.16
CONDUIT HEIGHT 0.5" TEMP.CORRECTION PER TABLE(310.16)X 24.32A
ROOF TOP TEMP 55° CONDUIT FILL CORRECTION PER NEC 310.15(B)(2)(a)X
CONDUCTOR TEMPERATURE RATE 90° CIRCUIT CONDUCTOR AMPACITY
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SHEET TITLE
ELECTRICAL
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DRAWN DATE 11/0212021
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SHEET NUMBER
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Engineered in Germany Engineered in Germany SHEET NUMBER
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Sinqie Phase Inverter
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DRAWN DATE 11/02/2021
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Description / Length Material Weig DRA DATE 111 2
XR-10-132A XR-10-132B XR10, Rail 132" (11 Feet) 4.67 lbs. C�
6000-Series REVIEWED BY -
XR-10-168A XR-10-1688 j XR 10, Rail 168" (14 Feet) 5.95 lbs.
Aluminum SHEET NUMBER
XR-10-204A XR-10-2048 XR10, Rail 204" (17 Feet) 7.22 lbs.
-005
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