HomeMy WebLinkAbout23-5904 (2)5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
77 "I" R
ELCMISC-005
Issue Date: 03/
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. I
I III IIII IIIIIIMI! I RIMINI! , I I 1 111, 1
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.
*ZZ
FICE CONTRACTOR SIGNATURE PE I OFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 954-820-4874
*&Z411*001
Owner's Name Nathan Fall Owner Phone Number (517) 740-1991
Owner's Address AVe ephyrhill5 FL 33542 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
FL 33542 1 & 2
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE Sty FOOTAGE HEIGHT
xx - x x , 3UXX1UE , X Xlr . EAUJU'WV�
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY E;;;;
SIGNATURE REGISTERED FEE G�URREN
Address License #
US Sola
ELECTRICIAN COMPANY [T� r
SIGNATURE REGISTERED Y/N CURRE�NY / N��
Address 27 Broadway Center bled, Brandon Fl 33510 License#
PLUMBER COMPANY E
SIGNATURE E=::= REGISTERED ;;; FEE �CURRF�1Y / N��
Address License #E___=���
MECHANICAL COMPANY E;� FEE CU�RR
SIGNATURE REGISTERED El
Address License # =====
OTHER COMPANY E;;��FEECURR�E����
SIGNATURE REGISTERED N
Address License #
*III
a gifts It I III* It *#*#I *It III #III it I #I# I I I I is I # I 1#1#t12141*11 I It# #I,
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
813-780-0020City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
•
W_ all Mail all all all
no entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTIUTILITIES 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 inal 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.
CONTR CT WNER' AFFID VIT: I i h t 11 th in rma i in i
•
•
•Mill 1,111011 - "I'll-W11
Im"?V11111TA 01mima.-IonvA1.4 k1k KOWIL611III11:41:11*4101 901 RV111111111111,11=1011VA119,111114ALI ICE 0111112 lZIFER1101 101
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who —is/are personally known to me or has/have produced
as identification.
Notary Public
M�M
Name of Notary typed, printed or stamped
to me or has/have produced
as identification.
HH212819
om
Public
AFTER RECORDING RETURN TO:
PERMIT NUMBER:
NO' ICE OF COMMENCEMENT
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 (Legal description of the property & street address, if available) TAX FOLIO NOA 4426-21 -0010-02700-0011
St"'11DIVISION MOORES 1 ST ADDITION PB 1 PG 57 THE WEST 1/2 OF LOTS 1 & 2 BLOCK 27
38832
2. GENFR,&L DESCRIPTION OF IMPROVEMENT: Roof Mounted Solar Panel Install
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a. Nwne and address: Nathan Fall 38832 B Ave Zephyrhills FL 33542
b Interest in property: j 00%
c, Name and address of fee simple titleholder (if different front Owner listed above): . . . . .. . . . .
T. a, CONTRACTOR'S NAME. US Solar FL
Conti -actor's address: b. Phone number: 800-351-3430
5. SURETY (if applicable a copy of the payment bond is attached):
a. Nance and address:
b. Phone number:
6. a. LENDER'S NAME:
Lender's address:
c. Amount ofbond: ,S
b. Phone number:
7. Persons within the Stale of Florida designated by Owner upon whorn notices or other documents may be served as provided by
Section 713.13 (1) (a) T, Florida Statutes:
a, Name and address:
b. Phone numbers of designated persons: — — — — — —
8, a. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b. Phone number of person or entity designated by Owner:
9. Expiration date of notice of commencement (the expiration date will be I year from the date of recording unless a different date is
specified)!_--, 20
Nah6n, fa&
3b8e58c558588ac2dbd8115a624d43Ob7c5c33c4dOdcd2d18 Nathan Fall
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State or Florida
County of Pasco
The foregoing instrument was acknowledged before me by means of a physical presence or 0 online notarization,
this 9th— day of March —,2o 23
by Nathan Fall Homeowner
(name of Person) (type of authority,e,g. officer, trustee, attorney in fact)
for Self
(name or party on behalf or whom instrument was executed)
Personally Known -- or Produced ldcntification—,, Type of Identification Produced
AILKALYS, 10041GUE2
NoUry Public - State of flnnOA
Ay Comm, Expires an 3,101
Rev. 10-l5-12 eroded mWih Natmal Not Asin,
(Signaturme o otary Public)
(Print. Type, or Stamp Commissioned Name of Notary Public)
OUR COMMITMENT:
• We will design, install, and maintain the
• The solar panel manufacturer provides
warranties with registration regarding
panel performance. Visit your panel
manufacturer's website for details,
• The inverter manufacturer offers a
workmanship warranty. Visit the
manufacturer's website for details about
your specific warranty and any exclusions
that may apply.
We will fix or pay for any damage We may
cause to Your Property or belongings
during the time of installation.
YOUR COMMITMENT:
� To [ay the Contract Price for the
System.
w Ensure that Your Property and
roof are in good condition.
� Respond toOur sales and
support teams when scheduling and
completing paperwork.
� Tbcomply with the
terms of this Agreement.
w To maintain the System,
ADMINISTRATIVE AND WARRANTY SUPPORT SERVICES, AND MAINTENANCE
� Subject to the terms of this Agreement, We will provide warranty and customer support
for your System for up to 10 years.
In addition to any manufacturer warranties, We will provide Our Workmanship Warranty
for your System for up to 10 years, subject to the terms of this Agreement.
Name(s) of Customer: Nathan Fall
Candace Smith
Primary Phone: Alt. Phone:
PMnneryErnai|:
Property Address:
Email questions to: support@joinussolar.com
System Size: 6.8 kW
City: :FL Zip: 33542
Estimated Installation Start Date: 04/22/2023
Estimated Completion Date: D6/06/2O23
Installation Notes:
***AU dates set forth above are estimates only and may be subject to change based on
availability and other factors.
& and Payment InformaLign.,
Sales Price: $43'67D.OD
OtherIncentive(s) orDiscnuDt(s)
(if applicable):
Total: $43,670,00
4 . . I
In witness whereof, the Parties hereto have executed this Services Agreement on the date set
forth below
By:
3b8e58c558588ac2dbd8115a624d43Ob7c5c33c4dOdcd2dl8
Name:
Nathan Fall
Title:
Homeowner
Date:
March 8, 2023
By:
9edbeba25cl5e91406afb2bac3a28t664bfe7al6a88466ae34
Name:
Candace Smith
Title:
Co -buyer
Date:
March 8, 2023
WALAIN
By: cOeae92447dc2749d90O3623f54669dl7alff3197dc32a7626
Name Seann Gates
Title: Installer
Date: 03/08/2023