HomeMy WebLinkAbout23-54865335 Eighth Street
Zephyrbills, FIL 33542
Phone: (813)'780-0020
Fax: (813) 780-0021 1
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ELCMISC-005
Issue Date: 01/
"W"WN
MN 'ptIMS �7.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE c.6.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR a GNATURE
AIT OFFICE
"a
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
813.460, 7640
I B 7..i..1. 1..1 i
_.. .. _4._AJ[...Y....C.
8..1..1 i 9.
Owner's Name
LIKHIT JAIN
Owner Phone Number
848.234.0078
Owner's Address
7847 SAIL CLOVER LN
J
Owner Phone Number
Fee Simple Titleholder Name
®�...._..._._.......,_._...._.
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
7847 SAIL CLOVER LN
LOT#
SUBDIVISION
PARCEL ID#
35-25-21-0170-00700-0220 l
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT SIGN 0 DEMOLISH
INSTALL
REPAIR
PROPOSED USE SFR
COMM OTHER sor,�a
TYPE OF CONSTRUCTION BLOCK a
FRAME STEEL �—
DESCRIPTION OF WORK
INSTAL:L:AT C:N QI ROOF i OUNTTEa PMtOTO VOLTAIC SYSTEM
BUILDING SIZE
SO FOOTAGE
HEIGHT
=BUILDING
( VALUATION
OF TOTAL CONSTRUCTION
=ELECTRICAL $ 25 752 00 AMP SERVICE PROGRESS ENERGY 0 W,R.E.C-
=PLUMBING $
=MECHANICAL Is VALUATION OF MECHANICAL. INSTALLATION
=GAS O ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
I I I I I I I I
RESIDENTIAL
SIGN PERMIT
COMPANY
REGISTERED
" COMPANY
REGISTERED
5012 JOANNE KEARNEY BLVD. TAMPA, FL 33619
COMPANY
I REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
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License #
TESLA ENERGY OPERATIONS, INC.
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License # EC 13006226 ��
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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
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
Attach (2) sets of Engineered Plans.
-*PROPER 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
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 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'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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(FS 11702c
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or afflrmed) before me this Subscribed and sworn to or affirmed) before me this
--by ---by Nic [IOLA$ ARMSTRONC
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as denthoation asidentification_
1?
—Notary Public — _X / , 1 1---Notary Public
Commission No Commission No HH269936
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Name of Notarytyped,typed printed or stamped -Name of —Notary typed, printed or stamped
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10. Tesla Intellectual Property, Tesla owns
property rights associated with your Syst
Solar Loan Agreement
V11.0.0., 10/06/2022
Tesla, Inc,
9699132
patents, trademarks, copyrights, trade secrets and any other intellectual
I. Tesla gives you a limited, non-exclusive, license to use any software
with the use and operation of your
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lien notices, certain warning
Agreement to Arbitrate. Please read this part carefully
dispute between you and Tesla will not be decided by a j
arbitratorin a private arbitration.
claims in arbitration against
Solar Loan Agreerner
V1 1.0.0- 10/06/2022
Tesla, Inc.
9699132
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insurance attached
a agreeing that any unresolved
urtroom, but instead by a single
Tesla Energy Operations, Inc. of 901 Page Avenue, Fremont, CA 94538
FL EC 13006226/ CCC 1331559
Solar System $26,762.00
11.6000 kW DC Solar Panels $6,180.48
Installation, Permitting, and Other Fees $14,676.64
Inverter(s) & Balance of System $3,605.28
Mounting Hardware $1,287.60
Taxes $0.00
Contract Price $26,762.00
Credit for Order Payment ($2%00)
Amount Due $25,502.00
r $260.00
Amount $25,502.00
01UR
Solar Loan Agreement
V1 1.0.0., 10/06/2022
Tesla, Inc,
9699132
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Name: Tyler Moragne
Title- Director, Residential Energy Operations
Solar Loan Agreement
V1 1 .U, 10/06/2022
Tesla, Inc,
9699132
INSTR#2022246294OR BK10725 PG2471 Page 1 df 1
1I'll 8/2022 12:03 PM Rcpt. 2525294 Rae 10.00 IDS : 0.00 IT: 0.00
Nikki Alvarez-Sowles. Esq.. Pasco County Clerk & Comptroller
Permit No. Parcel '..D No 35-25-21�0170-00700-0220
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement mi be made to pertain real properly_ and in accordance with Chapter 713. Florida Statutes..
the following information is provided in this Notice of Commencement:
Deseripiion of Property Pare:el Ideniifiretion No 35-:5 11-0170 007G0-322C ZEm-YR LAKES St~6Di V:SiON PF+A&E 2G P9 34 PG Cal BLOCK 7 LST 22
Street Address: 7847 Sail Clover LN, Zephytttlis. FL 33540. US
2. General Description of Improvement Installation ofRoof--Haunted Photo -Voltaic System
3. Owner Information or Lessee Information if the Lessee contracted formic improvement
Likhit Jain
7847 Sail Clover Lane
Address
interest in Property- Homeowner
Name of Fee Simple Titleholder` NA\
Qf different from Owner fisted above)
NIA
Zephythilis
City
Ft_
State
NiA NIA
City State
4. Contractor Testa Energy Operations. Inc -
Name
5012 Joanne Kearney Blvd. Tampa FL
Address City State
Contractor's Telephone No.: (813) 460 - 7640
5. Surety: N/A
Name
WA N.rA N!A
Address City State
Amount of Bond: S N/A Telephone No NIA
5. Lender N(A
Name _
N/A NiA N/A
Address City State
Londer's Telephone No.: NtA
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 7'3. 13(1)ia)7).. Florida Statutes:
N/A
Nama
NiA MA N/A
Address City State
Tolephone Number of Designated Person: N/A
8. !n addition to himself.. the owner designates NI of -
N/A to receive a copy of the Lienor's Notice as provided in Section 713.130)(b)- Florida Statutes.
Telephone Number of Person or Entity Designated by Owner N,'A
9. Expiration date of Notice of Coin encenlent (the expiration date may not be before the competition of const,action 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. PART1. SECTION 713. 13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury. I declare that I 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
COUNTY OF Orange
X Online Notarization
Li '�.it ,�Riri
Signature of Owner or Lesson, or Owner's or Lessee Authorized
Officer/DirectorlPartne.r?Manager
Homeowner
Signatory's TItIe/O.ffice
The foregoing instrument was acknrwviedyed before me this 1%15'i�'4 26 _ by _
es owner ftyP e of 81,11110Ht Y, e q.. officer, trustee, attorney in fact) for
owner 1:Mlem Instrument was executed)-
Personally Known [,j OR Produced identification [M Notary Slgnatur, c.
Type of Identification Produced DL Name (Print) Emma Ryland
ERyland:Commission
# 98
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misson Apr '5. 2026
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