HomeMy WebLinkAbout23-6253 (2)it of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
ELCMISC-006253-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05/16/2023
...... .......
24 26 21 0110 00000 1350 3299 Lytton Hall Drive
. . ........ ..
Name: DANIEL LEWIS
Permit Type: Electric Service Replacement/M
Contractor: US SOLAR
Class of Work: Add/Alter Residential
Address: 3299 Lytton Hall Dr
Building Valuation: $0.00
ZEPHYRHILLS, FL 33540
Electrical Valuation: $36,750.00
Phone:
Mechanical Valuation:
q
Plumbing Valuation:
(41"d
Total Valuation: $36,750.00
Total Fees: $223.75
Amount Paid: $223.75
Date Paid: 5/16/2023 4:05:39PM
........ . .
INSTALLATION ROOF MOUNT PHOTOVOLTAIC SOLAR
Electrical Permit Fee $223.75
It 11 L 'PT LLL C L ort It I I
entities such as water management, state agencies or federal agencies.
11111111 11!1111 1 F 1111111 Ill 1� !1111 jj��Jj 11�111 iiiii 1 11
111111#111L�"T :11111411 1 M=UWATZHIM. #M` • .;M=
'art- �-." F i7" M77VAMMA111111• r•7 1 Mir
11111
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGN� PEJAIT OFFICE()
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
E3
08W.110100
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received Phone Contact for Permitting 1(
*111491alstata a w JL X R A AL-M 3L JLX X-ILA
Owner's Name Daniel Lewis Owner Phone Number
Owner's Address 13299 Lytton Hall Dr Zephyrhills FL 33540 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
32 99 Lytton Hall Dr Zephyrhills FL 33540
JOB ADDRESS E i LOT # 135
SUBDIVISION [Hidden River Phase 2 PARCELID#1 24-26-21-0110-00000-4-3-50
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR E ADD/ALT SIGN DEMOLISH INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK JRoof Mounted Solar Panel Install
BUILDING SIZE SQ FOOTAGE HEIGHT
C-IL,x x lu-JUAL
=BUILDING VALUATION OF TOTAL CONSTRUCTION
®ELECTRICAL 1' $36,750.00 1 AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$ 1
=MECHANICAL r== VALUATION OF MECHANICAL INSTALLATION
= GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS F_ FLOOD ZONE AREA =YES NO
C
REGISTERED Y/N FEE CURREN L
BUILDER COMPANY
SIGNATURE _Y �N
Address License#
ELECTRICIAN COMPANY US S01ar
SIGNATURE REGISTERED FEE CURREN L_.y / N
Address K 104 Q0WCLUwC1y CeltrT-Bivd�, Fl 98510 License# IEC13011543
PLUMBER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN LL N_J
Address I License #F-
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED LLLN J FEE CURREN _L / =N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for 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)
1. 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
813-780-0020 City ofZephyrhi||S Permit Application paxa13-780-0021
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 |au The undersigned 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 n,the "contractor Block" v,m|a
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 topermitting privileges mPasco 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, anmay ue due, will be identified at the time of permitting, It is further understood that Transportation Impact Fees and Resource Recovery
Fees must uopaid prior mreceiving "certificate o,occupancy" o,final power release. nthe project does not involve acertificate ufoccupancy u,final
power release, the fees must uepaid prior mpermit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
topermit issuance inaccordance 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. nthe applicant i"someone other than the ^vwnn,^. | certify that | have obtained acopy ofthe above described
document and promise mgood faith mdeliver umthe ''nwmn('prior tucommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will bedone mcompliance with
all applicable laws regulating construction, zoning and land development. Application |ohereby made mobtain apermit tovuwork and installation ao
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 |nthe jurisdiction. | also certify that /
understand that the regulations o,other government agencies may apply tnthe intended work, and that it|omyresponsibility midentify what actions |
must take tnun|ncompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Boyh*ads, Wetland Areas and Environmentally Sensitive
Lande, VVetenWeotewaterTneatment.
Southwest Florida Water Management Diotriot4Ne||a, Cypress Bayheado, Wetland Areeo, Altering
VVshenoounsen,
Army Corps of Engineers -Seawalls, Docks. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||s, Wastewater Treotment,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
- Fedens|AviotionAuthority-Runwayo
| understand that the following restrictions apply mthe use v,fill:
Use uffill ienot allowed inFlood Zone °Junless expressly permitted.
If the fill material is to be used in Flood Zone ''A^, it is understood that o drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- |fthe fill material is to be used in Flood Zone ''A^ in connection with e permitted building using stem vvaU
construction, | certify that fill will beused only tofill the area within the stem wall.
- If fill material is to be used in any area, | 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 |eoo than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
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 ufsix (v)months after the time the work ivcommenced. Anextension may uorequested, |nwriting, from the Building Official for aperiod not m
exceed ninety (eo)days and will demonstrate justifiable cause for the extension. nwork ceases for ninety (Vo)consecutive days, the job |nconsidered
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
Subscribed and sworn to (or gffirmed) before me this Subscribed and sworn to (or affirmed before me this
Who s/are personally known to me or has/have produced Who is/ar personally known to me or has/have produced
16L as identification. as identification.
—Notary Public Notary Public
Milkalys Rodriguez
Name of Notary typed, printed or stamped
Name of Notary typed, 137rinted or stamped
AFTER RECORDING RETURN TO
Prepared by:Milkalys Rodriguez
Email: titles@joinussolar.com
2732 Broadway Center BLVD.
Brandon, FL 33510
PERMIT NUMBER
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 inthis Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property & street address. ifavailable) TAX FOLIO -,,-o.: 24-26-21 -0110-00000-1350
SUBDIVISION HIDDEN RIVER PHASE 2 BLOCK
TRACT LOT 135 BLDG UNIT
�Lvtton Mail Dr, Zephyrlj�• •�.__
2. GENERAL DESCRIPTION OF IMPROVEMENT: Roof Mounted Solar Panel Install
0 -FR IN - IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
WN INFORMATION LESSEE INFORMATION
a. Name and address: Daniel Lewis 3299 Lytton Hall Dr Zephyrhills FL 33540
b,interest inproperty: 100%
c, Name and address of fee simple titleholder (it differcrit from Owner listed above):
I. a. CONTRACTOR'S NAME: US Solar FL
Contractor's address: 2732 Broadway Center Blvd, Brandon A 33510 b, Phone number: 800-351 -3430
5. SURETY (if applicable, a cop) of the payment bond is attached):
a. Name and address:
b. Phone number
6. a. LENDER'S NAME:
Lender's address:
c. Anton nt ofbond: S
b. Phone number:
7. Persons �Nitliin the State of Florida designated by Owner upon whom notices orother documents maybe served as provided by
Section 713.13 (1) (a) 7.. 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 or 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—
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713,13, FLORIDA STATUTES, AN-D CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MIDST 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.
9CW4;d &04Z
55a46Oe47eaf9cc826c2218e59afadO5t4a3424855Oo5afeab(
(Signiaturc of Owner or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of Florida
Count, v of Pasco
Daniel Lewis
(Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me by means of 9 physical presence or El online notarization,
this 7th — day of _May_______, 20
by Daniel Lewis as Homeowner
(name or person) (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 V Type of Identification Produced DL
Ty
(Signature of Nlitary Public))
(Print, Type, or Stamp Commissioned Narne or Notary- Public)
104TI-Inan gm
City of Zephyrhills
5335 Eighth Street
mu"
Zephyrhills, FL 33542
ELCMISC-006254.2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05/16/2023
3196 Kresterbrooke Lane
Name: ANTHONY & KRISTEN SHORTRIDC I Permit Type: Electric Service Replacement/M Contractor: US SOLAR
Class of Work: Add/Alter Residential
Address: 3196 Kresterbrooke Ln
ZEPHYRHILLS, FL 33540
1W
ROOF MOUNT PHOTOVOLTAIC SOLAR
Electrical Permit Fee
Building Valuation: $0.00
Electrical Valuation: $47,532.00
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $47,532.00
Total Fees: $277.66
Amount Paid: $277.66
Date Paid: 5/16/2023 4:05:39PM
$277,66
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.
11IFF77 'no, SIM 161711111 —Pz,-F7'1
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C
--,--e �-RACTOR SIGNATURE PEJAIT OFFICIEC)
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 Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
Owner's Name Anthony Shortridge Owner Phone Number (813) 532-6924
Owner's Address 3196 Kresterbrooke Ln Zephyrhills FL 33540 Owner Phone Number- ® l
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
Joe ADDRESS 3196 Kresterbrooke Ln Zephyrhills FL 33540 LOT # 83
SUBDIVISION HIDDEN RIVER PARCEL ID# 1 24-26-21-0100-00000-0830
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
11
NEW CONSTR
8
ADD/ALT SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR O
COMM OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME STEEL
DESCRIPTION OF WORK
Roof Mounted Solar Panel Install
BUILDING SIZE ( SQ FOOTAGE HEIGHT
=BUILDING $ rrVALUATION OF TOTAL CONSTRUCTION
t-�.�
®ELECTRICAL $ $ 7 532.0 AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING $ =1
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
ELECTRICIAN �T _ COMPANY USJOlar
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address 2732 roadway Center Blvd, Brandon FI 33510 License# I EC13011543
PLUMBER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address I License # �—
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # �^
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*020 City ofZephvrhiUePermit Application pp'-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 monn The undersigned assumes responsibility forcompliancewuhanyampl/cableu*ogremmmonm.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may uorequired mbelicensed maccordance with state and local regulations. nthe contractor * not licensed axrequired bylaw, both the owner and
contractor may oe 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, may are au,|oo« tvcontact the Pasco County Building Inspection Division —Licensing aom|nn a/7or'owr' onoo
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions ovthe "contractor Block" ofm|u
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
no/enououmpn,muun8pxvi|egev|nPan0000vnh.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact peemwrmneooumenecuvery Fees may apply mthe construction / new buildings,change of use in mm| 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 ofEnvironmental Potection-Cypress Boyhoede, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVahsr Management Diethot-VVeUo, Cypress Beyheedo, Wetland Anaaa, Altering
Watercourses.
Army Corps ofEngineera-SeawaUa.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unh-VVeUa, VVaob*woer Treatment,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement,
- Federe|AviotionAuthohty-Runwmya,
| understand that the following restrictions apply mthe use mfill:
Use of fill is not allowed in Flood Zone ''\y' unless expressly permitted
- If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
''uompenaating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- |fthe fill material is to be used in Flood Zone ''A^ in connection with e permitted building using stem we||
construction, | certify that fill will be used only tofill the area within the stem wall.
- If fill material is to be used in any area, | 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 byfill, anengineered drainage plan iarequired,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth mthis affidavit prior w
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 tnproceed with the work and not ao
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 o,six (u)months after the time the work * commenced. Anextension may urrequested, inwriting, from the Building Official for aperiod not m
exceed ninety (oo)days and will demonstrate justifiable cause for the extension. nwork ceases for ninety (nn)consecutive days, the job /uconsidered
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
OWNER OR AGENT CONTRACTORZ�
Subscribed and swQrn t�(or affirgd) befqre me this Subscribed and s or 1: 01"?ffirmed) before me this
,Who 4ie personally known to me or has/have produced Who isla personally known to me or has/have produced
as identification. Dr as identification.
Notary Public Notary Public
Name of Notary typed, printed or stamped
Milkalys Rodriguez
Name of Notary typed, printed or stamped
Notary Pu4lic - State of Florida
My Comm. Expires Jan 3, 2026
bonded through Nationa! Notary Assn,
winjawww"., Jogg
��r'MaWk"yte!W'�e'r'
Brandon, FL 33510
Prepared by:Milkalys Rodriguez
Email: tities@joinussolar.com
PERMIT NUMBER:
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.
DESCRIPTION OF PROPERTY (Legal description of tine property & street address, if available) TAX FOLIO NO,:
SUBDIVISION MIDDER RIVER —BLOCK __TRACT____LOT83 BLDG___UNJT
3196 Kresterbrookejjn,_ZgphyrhiIIs, Florida 33540 0
2. GENERAL DESCRIPTION OF IMPROVEMENT: Roof Mounted Solar Panel Install
I 1. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT;
a, Name and add,,,: Anthony Shortridge 3196 Kresterbrooke Ln Zephyrhills FL 33540
b. Interest in property:
e. Name and address office simple titleholder (if different from Owner listed above):
4, a. CONTRACTOR'S NAME: US Solar FL
Conti-aam'saddrcss:2732 Broadway Center Blvd Brandon FI 33510 b, Phone oube, : 800-351-3430
5. SURETY (il'applicable.a copy ofthe payrnentbond is attached):
J
a. Name and address:
b. Phone number
6, a, LENDER'S NAME:
Lender's address:
c. Amount of band
b. Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7_ Florida Statutes:
a. Narue and address:
b. Phone norribers 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
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713.13 FLORIDA STATLJTES, AND CAN
L_
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
T
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
fia&onShoa&i4e
62346b362d5edbc3adb99407llfl55le5a3c33e03bQ95a614
(Signature of Owner or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of Florida
County of Pasco
Anthony Shortridge
(Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me by means or a physical presence or 0 online notarization,
this 4th day of _Mgy 20 23
by Anthony Shortridge , as
. . . . . . ........
(name of person)
for Self
(type of authorit\ - ..e.g. officer, trustee, attorney in fact)
(name of party on behalf of whom instrument was executed)
Personally Known or Produced Identification Type of Identification Produced
N1
WLKALYS ROURIGUEZ
' A T
P _ASignatu4f "Xotay Public
'34
1 qn"[,
�otrmfs&m 0 Hil Z1281 q m Type, or Stamp Commissioned Name of Notary Public)
M, C amm
OMM, ExPites lap 3,1026
80rdk tbrougfi NAtonnal ktrlary Assn.
Rev. 10-1s-12
US Solar Squared, LLC
2732 Broad way Center Blvd.,
Brandon, FL 33510
(800) 351-3430
1EMBRIM
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, FL 33542
Re: Authorization of Agent, Dennis Moore, III
Dear Sir or Madam,
Solar
Local Experts who Care
Please allow this letter to confirm that 1, Seann Gates, as Owner/CE0 of US Solar Squared, LLC
d/b/a US Solar, hereby authorize my employee, Dennis Moore, III, to submit, receive and make
any payments necessary for any and all permits applied for by US Solar under either my license
number of CVC57002, or any permits applied for under Billy Johnston, EC13011543 who is
also employed by US Solar,
Please do not hesitate to contact my staff at !jmit joinussolar.com should you require any
further documentation for this.
Thank you in advance for all of your assistance.
RM=
Seann Gates
Owner/CEO of US Solar Squared, LLC
State of Florida, County of Hillsborough
Sworn to (or affirmed) before me on this 9th day of May, 2023 by Seann Gates, Owner/CEO of
US Solar Squared, LLC and who produced a driver's license as identification.
FRANCES GUDE
WCOMMSSIONIHH2111M
Notary Public