HomeMy WebLinkAbout23-6441 (2)City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
ELCMISC-006441-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 06/23/2023
Permit Type: Electric Service Re lace met/ Misc
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02 2621 0180 00000 0080 6133 16-rh Street
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Name: MASSIEL & FERNANDO
Permit Type: Electric Service Replacement/M
contractor: US SOLAR SQUARED LLC
HERNANDEZ
Class of Work: Add/Alter Residential
Address: 6133 16Th St
Building Valuation: $0,00
ZEPHYRHILLS, FL 33542
Electrical Valuation: $50,000.00
Phone:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $50,000.00
Total Fees: $290.00
Amount Paid: $290.00
Date Paid: 6/23/2023 2:39:44PM
INSTALLATION ROOF MOUNT PV SOLAR
Electrical Permit Fee $290.00
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:-4,24,Vitio-i to t�e reQUire-tiptits *f Viiis *Pritit tWArP rit*v �cP,944itiwE*1 fa Vajg
I RNSUR M a IN 61VITNI! W a Air.] ANTOW Ifif w a I M n 1 egn &! L7,
MUM 111FITIM 111MUIPpin 1 111111
F7(;M7e'A=1-t ItTrImeriv-pUn
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
[A
ACTOR SIGNATURE PEfITOFFICE
V---
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
UocuSign Envelope It): OEB46705-5859-4D7L)-A9BB-7L)2B2B817A7A
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 1�
Fernando Rojas Hernandez &((561) 401 -16�4581
Owner's Name Owner Phone Number
Owner's Address 6133 1 ISM St, ZepriyMills, FJOII 33,54Z- Owner Phone Number E_
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6133 1-6th bt, Zephyrhills, --- F1 o-r-da- -33542 LOT#
--2T_
SUBDIVISION PARK-HIEL SU15- PARCEL ID# 0226-UTBU-_DM00_0080
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONITR ADDIALT SIGN DEMOLISH
11 INSTALL H REPAIR
PROPOSED USE SFR F__1 COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL INSTALL
BUILDING SIZE SQ FOOTAGE HEIGHT
_1VW_ -
0 BUILDING 11 VALUATION OF TOTAL CONSTRUCTION
A#
W]ELECTRICAL $bU,UUU.UU:] AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING I
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
#4
BUILDER COMPANY
SIGNATURE REGISTERED LLLNFEE CURREN Y/N
Address License #
ELECTRICIAN COMPANY US Solar
SIGNATURE REGISTERED L_ILNFEE CURREN F—Y / N
Address 732 adway Center Blvd Brandon Fl 3351 Q License # EC 13011543���
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED N FEE CURREN L=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 & I 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 ^Solar
Local Experts who Care
813-780-0020 City of ZephyrhillsPermit Application ��13-780-0021
Building Department
NOTICE m`DEED RESTRICTIONS: The undersigned understands that this permit may be ^ 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—Licen sing 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
County -
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse RecoveFees may applymthe construction of new buildings, change of use in existingbuildings, 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 |uhereby made mobtain apermit tounwork and installation am
indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performedtmeet standards vfall
laws regulating construction, County andCity codes, zoning regulations, and land development regulations inthe jurisdiction. /also certify that |
understand that the regulations uvother government agencies may apply mthe intended work, and that n/smvresponsibility midentify what actions |
must take mueincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheedo. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management Diatrict-VVe||u, Cypress Bayheads, Wetland A/eaa, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Dnoka. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUa, Wastewater Tee1m*nt,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
- Fodena|AviationAuthoriiy-Runweyo.
/ understand that the following restrictions apply mthe use mfill:
- Use offill ionot allowed inFlood Zone ''V^unless expressly permitted.
If the fill material in to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
''companoating volume" will be submitted at time of permitting which is prepared by o 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, | certify that fill will beused only 10fill 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 acUuman\
properties. If use of fill in found to adversely affect adjacent pmp*rtiea, 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, mnengineered 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. | understandmataoeparampannume be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included inthe application. Apermit issued shall umconstrued wuealicense mproceed with the work and not as
authority mviolate, cancel, alter, orset aside any provisions mthe technical codes, nor shall issuance orrpermit 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)after the time the work /xcommenced. xnextension may uo requested, mwriting, from the Building Official for aperiod not m
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
FLORIDA JURAT D137SQ3)d by:
L, Su q to or affirmed) before me this
Who is/a rsonally known to me or has/have produced Who is/are personalT known to me or has/have produced
M —as identification, h as identification.
4L. Notary Public Notary Public
Commisslon No. Commission No.
Milkalys Rodriguez Milkalys Rodriguez
Name of Notary typed, printed or stamped Name of Notary typed, prit
WOMEZ
vm-!RE,b:� expires jV 12016 spr*4 ftwo %Awul fWarf Asm,
INSTR#2023107097OR BK10835 PG3392 P,g, 1 of 1
06114/2023 09:54 AM Rcpt: 2593952 Rec: 10,00 IDS: O00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
W 0111 a = 1.41 W91 IN I a rx� H =I In IM 0
i it
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..02-26-21 -0180-00000-0080
SUBDIVISION PARK HILL SUB —BLOCK—__TRACT----LOT8--
2. GENERAL DESCRIPTION OF IMPROVEMENT: Roof Mounted Solar Panel Install
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a. Name and add,,,: Fernando Rojas Hernandez 6133 16th St Zephyrhills FL 33542
b.Tntcivstinproperty: 100%
c. Name and address of fee simple titleholder (if different from Owiler listed above):
4. a. CONTRACTOR'S NAME: US Solar FL—
CODIEW01'Saddress: 2732 Broadw
ay Center Blvd B[an_don FI 33510—b.phone number 800-351-3430
5. SURETY (if applicable, a copy oft the payment bond is attached):
a. Name and address:
b. Phone number:
6. a. LENDER'S NAME:
Lender's address:
c. Amount of bond: S
Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be sen ed 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 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 STATUTES. AND.CAL
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A —NOTICE OF COMMENCEMENT MUST BE
REC,QRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YO INTEND TO OBTAIN FINA --- CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
fewwndo, 20as J/ewz�
-c8687ed7540c30d924006fefcdd480dc9f3fd4b2776cae714dE
(Signature of Owner or Lessee, or Owner's or Lessee's
Authorized Officer/Directoi-[Partner/Manager)
State of Forida
County of Pasco
Fernando Rojas Hernandez
(Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me by means of a physical presence or [I online notarization,
this 1 Oth day of June --,2o 23
by Fernando RojasHernandezas Homeowner
(name of 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 or Identification Produced DL
",Vubtx stale �r Fig
-y (Signatui fNota, =b
F, ("m Ex;irei jo 1, 208 (Print, T} -pe. or Stamp Commissioned Name of Notary Public)
,
Rev. 10-I5-12
Brandon, FI, 33510
(800) 351-3430
am�
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, FL 33542
Re: Authorization of Agent, Dennis Moore, III
Dear Sir or Madam,
17L.�al Eljollltswho Care
Please allow this letter to confirm that 1, Seann Gates, as Owner/CEO of US Solar Squared, LL,C
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 pernjjt5jg>joinussolarxorn should you require any
further documentation for this.
Thank you in advance for all of your assistance.
Sincerely,
Agd"
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
US Solar Squared, LLC
2732 Broadway Center Blvd.,
Brandon, FL 33510
(800) 351-3430
May 9, 2023
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, FL 33542
Re: Authorization of Agent, Dennis Moore, III
Please allow this letter to confirm that 1, Seann Gates, as Owner/CEO of US Solar Squared, LLC
d/b/a US Solar, hereby authorize my employee, Dennis Moore,111, 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 permits�ssolar.com should you require any
further documentation for this.
Thank you in advance for all of your assistance.
Sincerely,
0 rmw
7�1�
Billy • o
us Solar Squared,
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.
f
Notary PublicM.rVIRES
US Solar Squared
2732 Broadway Center Blvd.,
Brandon, FL 33510
(800) 351-3430
June 29, 2023
Zephyrhiils Building Department
5335 8th street
Zcphyrhills, FL 33542
Re: Narrative Revision Letter
Owner: Fernando Rojas Hernandez
Property address: Q,11 t. ELt _ :,Iy ,1 _ - [(Lc,� .._
Permit No. : ELCMISC-006441-2023
Dear Sir or Madam,
5olar
Local Experts who Care
Please allow this correspondence to describe the work being changed with this revision submission.
Layout Change Owner Requests.
Please advise our office by email if you have any additional requirements at permits aijoinussolancom.
Please do not hesitate to contact us should you require any additional information and we will be more
than happy to provide it. Thank you very much for your assistance.
Sincerely yours,
Bil y Johnston
US Solar Squared
State of Florida, County of Hillsborough
Sworn to or affirmed before me on this 29th of June, 2023 by Seann Gates and who produced a driver's
license as identification.
'
_
Nota Pu licc
MI YS RODRIGUJ
PubL
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Commism.hrough