HomeMy WebLinkAbout23-6443 (2)Issue Date: 06/23/2023
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.
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.
CONTRACTOR SIGNATURE
F
PEPIT OFFICEU
ITHOUT APPROVED INSPECTION
L =Sign Envelope ID: E34A6043F-BD58-4L)3C;-B4A2-469A[)52F9EL)6
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name Elijah Newton Owner Phone Number 013) 743 -1738
Owner's Address 4623 Wisteria Dr, Zephyrhills, Florida 33542 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1 4623 WiSt�irla Dr, Ze0hyrhIllS, Florida 33542 LOT #16
SUBDIVISION 1WHISPERING OAKS 1ARCELID#1 15-26-21-0160-00000-0160
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F_] ADD/ALT SIGN DEMOLISH
INSTALL E::] REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL INSTALL
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
&KELECTRICAL 'Z36,820.00 AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED N FEE CURREN L11 N _J
Address License #
ELECTRICIAN COMPANY US Solar
SIGNATURE REGISTERED Y/N FEE CURREN L N
Address 12732 9'roadway Center Blvd Brandon Fl 33510 License# JEC13011543
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N --FEE CURREN
Address I License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN LL N_J
Address License #F_
91112111111111 11#12#1111111flit 11121#111111111ft 11211111111 #f1l t atilt:.
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. (AJC 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
*
uonuaignEnvelope /u:a4Ano4op-Boom-ouoc'e4Az-4nwAouzmEou
813-780-0020 City of Zephyrhills Permit Application ru'-813-780-0021
Building Department
NOTICE oFDEED RESTRICTIONS: The undersigned understands that this permit may »o subject to "deed" s"which may u*more mmwuwa
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 orthe "contractor Block" mm/o
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that ho/nnot properly licensed and |s
not entitled wpermitting privileges mPasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact FeeoaounowvrsmRmmv*rypeoomu'apv/ytum"onneoxctmnnfnnwvuiminoo.chonoomusemox/mmouunumno.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, asmay vndue, will u*identified atthe time mpermitting. n|sfurther understood that Transportation Impact Fees and Resource Recovery
Fees must uopaid priormreceiving "certificate ofoccupancy" urfinal power release. nthe project does not involve acertificate vfoccupancy o,final
power release, the fees must be paid prior to pen -nit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
mpermit issuance mucvordaoc* withapplicable 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 inhereby made mobtain apermit munwork and installation wx
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 inthe jurisdiction. /a|sn certify that |
understand that the regulations mother government agencies may apply tothe intended work, and that u|smyresponsibility midentify what actions /
must take muoincompliance, Such agencies include but are not limited to:
Department ofEnvironmental Protection -Cypress Bayhoada, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diutrict-VV*Uo, Cypress Beyheada, VVaMend Areaa, Altering
VVu\000ureea.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VV*||o, VVao1ovvater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority- Runways.
| understand that the following restrictions apply tothe use mfill:
- Use offill ianot allowed inFlood 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 a\time ofpermitting which is prepared bye 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 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 |eea than one (1)
acre which are elevatedb fill, an engineered 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 in this affidavit prior to
commencing construction. / understandthat aoopuram or
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YO
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSU
OWNER OR AGE T_ CONTRACTOR
0""McAe me this Subs�;ribed and sworn to or affirmed) before me this
Who /are personally known to me or has/have produced Who is/are personall known to me or has/have produced
6L as identification, N -as identification.
_klk�_ - Notary Public Notary Public
Milkalys Rodriguez Milkalys Rodriguez
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Al""I"',
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A IN, � K NQWy PUbtk - SW of Flwift
I L' I [kill ff-.1 ey I Lzmminyj V4--,jm w-10 = Fon Eg��rggqr;%#M
AFTER RECORQINC, RETURN TO
Prepared by:Milkalys Rodriguez
Email: tities@joinussolar.com
2732 Broadway Center BLVD.
Brandon, FL 33510
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 properly& street address, if available) TAX FOLIO No.:15-26-21-0160-00000-0160
SUBDIVISION WHISPERING OAKS BLOCK TRACT LOT 16 BLDG UNIT
4623 Wisteria Dr, Zer)hvrhills, Florida 33542
L GENERAL DESCRIPTION OF IMPROVEMENT: Roof Mounted Solar Panel Install
3. OWNER INFORNIATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a.Name and address: Elijah Newton 4623 Wisteria DrZephyrhills FL 33542
bInterest rnproputy: 100%
c, Name and address of fee simple titleholder (if different from Owner listed above):
4, a. CONTRACTOR'S NAME: US Solar FL
Cootracror'saddress: 2732Broadway. —Center QIvd BrandonF133510 b. Phone niiiiibei,:800-351-3430
S. St-,RETY(if applicable, acopy ofthe ptyiiiey)tbond isatticliQd):
a. Name and address:
b. Phone number:
c. Amount of bond:
6, a. LENDER'S NAME:
Lender's address: — — — — — — — — — — b, Phone number
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be seived as provided by
Section 713.13 (1) (a) T. Florida Statutes:
a. Name and address:
15. 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 713.1 1 (1) (b), Florida Statutes.
b. Phone no niber of person or entity designated b-, Owner:
9. Expiration date of notice of commencement (the expiration date will be I year from the date or 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Si;eak A"A&ez,
Oo86aaf4dO575dable6a235060be4d26fde5b6f9f44411b5Oai Elijah Newton
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Offices-/Director/Partner/Manager)
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me by means of a physical presence or 0 online notarization.
this 4th day of June 2023
by Eliiah Newton as --- Homeowner
(narric of person) (type of atithority .... e.g, officer, trustee, attorney in fact)
far Self
(name of party oil behalf or whom instrument was executed)
Personally Known or Produced Identification / Type of Identification Produced
AMY$ ROORQU
commlssior-PHH 112814 (Signaturelf Notary PulW b—
arx My Comm, Expires IAP 1,1026 (Print, Type, or Stamp Commissioned Name of No(ary, Public)
NltwaI ml,ry A$%o,
Rev. 10-15-12