HomeMy WebLinkAbout23-7001City of Zephyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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.
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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.
7-'CONTRACTOR SIGNATURE --A RE IT OFFICEIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Fee Simple Titleholder Address
JOB ADDRESS 38149 9th Ave, Zephyrhills, Florida 33542 LOT #
SUBDIVISION CITY OF ZEPHYRHILLS� PARCELID# 11-26-21-0010-09100-0090
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
El INSTALL REPAIR
PROPOSED USESFR COMM
TYPE OF CONSTRUCTION BLOCK
DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL
BUILDING SIZE SQ FOOTAGE = HEIGHT
BUILDING $ _ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
=MECHANICAL
0
PROGRESS ENERGY F-1 W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address I License # I I _
ELECTRICIAN COMPANY =USlar Squared LLC.
SIGNATURE REGISTERED I Y / N FEE CURREN
Address 27 2 Broadway Center Blvd, Brandon, FL 33510 License #
n:
PLUMBER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #��
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN
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. Rao-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)
813-780-0020 City OfZephv[hiUS 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 responsibilitycompliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: Ifthe owner has hired acontractor orcontractors $oundertake 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 tocontact 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 ufthe "contractor Block" uftxim
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 tmpermitting privileges inPasco 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, 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 bepaid prior mreceiving "certificate nfoccupancy" u,final power release, |fthe project does not involve acertificate ofoccupancy orfinal
power release, the fees must bnpaid prior mpermit issuance. Furthermore, ifPasco County Water/Sewer Impact fees are due, they must bopaid prior
topermit issuance maccordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2.5On.OUu,more, | certify that |. 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: | certify that all the information inthis application |eaccurate and that all work will bodone incompliance 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. |certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards ofall
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 |
must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheodn, 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 Unit4AAe||o, Wastewater Treatment,
Septic Tanks.
- U8Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority'Runvvoys.
| understand that the following restrictions apply tothe use nffill:
- 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 e drainage plan addressing a
^ compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ''A" in connection with a permitted building using stem vvaU
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 effect 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 fi||, 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 inthe application. Apermit issued shall beconstrued tnuealicense toproceed with the work and not mm
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 nfsix (6)months after the time the work iocommenced. 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.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who isfare personally known to me or has/have produced
as identification.
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Who is/are personall known to me or has/have produced
D as identification.
Notary Public
Commission No. HH212819
iTa—me of Notary typed, printed or stamped
Solar
Local Experts who Care
-------------
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 in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY (Legal description of the property &street address, if available) TAX FOLIO NO.: 11-26-21-0010-09100-0090
SUBDIVISION CITY OF ZEPHYRHILLS —BLOCK 91 TRACT_ —LOT 9 10 11 & 12
38149 9th Ave, Zephyrhills, Florida 33542
2. GENERAL DESCRIPTION OF IMPROVEMENT:
ZINMR7
3, OWNER INFORMATION OR LESSEE INFORNIATION IF THE LESSEE CONTRACTED FOR THE LNIPROVEMENT:
a. Name and address: Terina Lewis 38149 9th Ave Zephyrhills FL 33542
b. Interest in property:
c. Name and address of fee simple titleholder (if different from Owner listed above):
CONTRACTOR'S NAME: US•LLC,
Contractor's address: _2732-Broadwny-C e���dojjEL33_510_ b. Phone number: 800-3_5_1__73_430________
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. Amount of band: S
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) % 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): 120
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TliE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1. SECTION 713,13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPRQVEMEN7,S TO YOUR PROPERTY. A NOTICE OF C0MMENQENEN7F MUST BE
RECORDED AND POSTED QN THE JOB SITE BEFORE THE FIRST INSPECTION. IFYQ.0INTEND IQ BJAINF IN COSULT
Q_ INAN N �C Q
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
79b6falf5b7c3fb789946829a770765e582691a7797dba423b
(Signature of Owner or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of Florida
County of
Pasco
Terina Lewis
(Print Name and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me by means of 8 physical presence or 0 online notarization'.
this 15th day of _ September _, 20
by Terina Lewis as Homeowner
(name of person) (type of authority,... e.g. officer, trustee, attorney in fact)
for Self
(nanic of party on behalf of whom instrument was executed)
Personally Known or Produced Identification,/ Type of Identification Produced QL
ca""W"INN112419 (Sign4ture of ary Pubhc)
ovF myca". Does Jan 3,2026
kaw awwo "dimat Hawy "% (Print, Type, or Stairip Couirnissioned Name of Notary Public)
Rev, 10-15-12
SolarUS ,
• • • •,
5335 8th Street
•,
Re: Authorization of Agent, Carlos Gill
t + �
7erts who Ca
s/a US Solar, hereby authorize my employee,Moore,• submit,and make
number of f permits applied forunder Billy Johnston,i •, is
• employed
furtherdocumentation for
�.i •... •'. •,.'...•
Seann Gates
Owner/CEO of US Solar Squared, LLC
State of • • - County of or
Swornto (or . • before me on • of 0 by • • of
SolarUS • . e LLC and whoproduced .•river's license as identification.