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Home My WebLink About23-6219 (2)City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 ELCMISC-006219-2023 Issue Date: 10/19/2023 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. before recording your notice of commencement." accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CC . TRACTOR SIGNATURE PE IT OFFICE PEW IT EXPIRES tft 6 M0A,;,TVITAOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 313-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department JA Date Received Phone Contact for Pe mittin -351-3430 M! A I a * * X 0 LJLI-JLK I a 1 0 Owner's Name Jason Wagner O er Rhone Numberu 13) 360-5495651 nth 2 Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL I D# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONITR ADDIALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL INSTALL BUILDING SIZE SO FOOTAGE HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION L 04, SIELECTRICAL =PLUMBING =MECHANICAL =GAS ROOFING = FINISHED FLOOR ELEVATIONS E= BUILDER SIGNATURE 12ram• AMP SERVICE PROGRESS ENERGY 014 VALUATION OF MECHANICAL INSTALLATIOW1,""' OF :-4 07 MIA�__ 0 ............ I I I -11, LOMMI.--f SPECIALTY = OTHER FLOOD ZONE AREA =YES NO COMPANY REGISTERED License # PLUMBER COMPANY SIGNATURE REGISTERED VE_E_CURRF`N ------- Address F_ License # MECHANICAL COMPANY � SIGNATURE E=== REGISTERED FIE CU�RREI Address License # OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License #E=:=:= 2#11t# Is It Isis it#* #I*##2#11#111#1## 111# 1 #it I *I at 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 clumpster, 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) 11 — 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 Solar * Local Experts who Care 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 1 PACT/UTILITIES I PACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07, as amended.The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release, If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance.Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I certify that I,the applicant, have been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes,zoning regulations,and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance.Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" 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. A NING TOO NER: YOUJ FAILUI E TO RECORD A N07TICE OF CO E CE E T MAY RESULT I YOUR PAYI C T ICE FOR 1 P O E E TS T YOU P OPERTY. I YOU I T C TO TAI FI ANCIN0 , CONSULT FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Billy Johnston Subscribed and sworn to(or affirmed)before me this c nd sw t�to(Jr ffirm d)before me this by � 1U 4pe lJWho is/are personally known to me or has/have produced own to me or hasfhave producedas identification. as identification.Notary Public Notary Public Commission No. 026 ilklys Odri uz Name of Notary typed,printed or stamped Name of Notary typed, printed or stamped a O 4 ��ti Loco! Care PERMIT NUMBER: NOTICE 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 NO.: 11 -26-21 -0010-03100-0010 SUDDIVISIONZH PQ 1 PQ 54 BLOCK31 TRACT LOT1 2 3 BLDG UNIT 5651 6th SL2p"h rhLiI1.sFlQri0a_33542 2. GENERAL D"CR'PT'ONOF'MPROVFMENT: Roof Mounted Solar Panel Install 3, OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a. Name and address: Jason Wagner 5651 6th St Zephyrhills FL 33542 b, Interest in property: 100% c. Name and address offec simple titleholder (if different from Owner listed above): 4. a. CONTRACTOR'S NAYS: US Solar Contractor's address: 2732 Broadwa -n Center -BIvd Brand b, Phone number: 35 y� --Ft-�3510 00-1-- -a-- --Z43XQ-- 5. SURETY (if applicable, a copy of the payment bond is attached): a. Name and address: b, Phone number 6, a, LENDER'S NAME: Lender's address: c. mount of bond: S— Phone number: 7. Persons within the State of Florida designated by Owner upon whore 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 front the date of recording unless a different date is specified): , 20_ WARNING ARE CON IDERED IMPROPER PAYMENTS I rNDER CHAPTER ?1.3 PART i SECTION ? 13 13 FLORIDA STA TES ND 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 INSPE"i- licil, IF YOU INTEND TO OBTAIN Fli, AI i iCING —CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Jaw47, Waq4� 13235dfb393,b8Oc,ba30c96efdbac8acOlbbdfo205dO9c2d6c2, (Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officei-/Directoi-/Partner/Manager) State of Florida County of Pasco Jason Wagner (Print Name and Provide Signatory's Title/Office) The foregoing instrument was acknowledged before nic by nicaris of [a, physical presence or 0 online notarization. this 22nd day of DM _A 20 23 by Jason Wagner as Homeowner __-- (name oftlerson) (type of authority_.e.g. officer, trustee, attorney in fact) for Self (name of party on behalf of whom instrument was executed) Personally Known or Produced Identification / Type of Identification Produced DL -e MILKALYS ROAGUE2 hotary Public - StatE of FlorWa (-ignatureof otaryPublic) (Print. T- ype. or Stamp Commissioned Name of Notary Public) Ay"toMm . E-Vites . all 3, 1026 Rev- 10-15-12 Solar Local Experts who Care • We will design, install, and maintain the System . • 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. w To pay the Contract Price for the System. ° Ensure that Your Property and roof are ingood condition, w Respond toOur sales and support teams when scheduling and completing paperwork, w Tbcomply with the terms ofthis Agreement. 0 To maintain the System, ADMINISTRATIVE AND WARRANTY SUPPORT SERVICES, AND MAINTENANCE SERVICES: * Subject to the hanns 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. Primary Phone: Alt. Phone: PdrnaryErnai|: Property Address: City: :FL Zip: 33542 Estimated Installation Start Date: 08/06/2028 Estimated Completion Date: 07/21/2023 Installation Notes: ***4J| dates set forth above are estimates only and may be subject to change based on availability and other factors. Sales Price: $39,35000 OtherInrentive(a) or Discount(s) (if applicable): Total: In witness whereof, the Parties hereto have executed this Services Agreement on the date set forth below 31111�1110 Jawn, Whj".w By: 13235dfb393b80cba30c96efdbac3acOlbbdfe205d09e2d6c2� Name: Jason Wagner Title: Homeowner Date: April 22, 2023 By: 07d82b480887c8f2663bee4482b94f6b8527d243cd0395c3bE Name Seann Gates Title: Installer Date: 04/22/2023