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Home My WebLink About24-7648 (2)112621001 Name: JASON WAGNER , s: 5651 6Th St ZEPHYRHILL,S, FL 33542 (518)965-5903 Street5335 Eighth •13) i 0 Class of Work: Add/Alter Residential Building Valuation: Electrical Valuation: $16,614.00 Mechanical Valuation: Plumbing Valuation: Total Valuation: $16,614.00 Total Fees: $184.61 Amount Paid: $184.61 Date Paid: 2128/2024 9:51:10AM l \ \\\\ 1 ,� V�til�ti 1 l ELCMISC.007648-2024 Issue Cate: 02/28/2024 b6bi to in Street A s, Electrical Permit Fey $123,07 Electrical Plan Review Fee 61.54 R IN FE T"ION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.00{2}(c) the local government shall impose a fee of four times the amount of the fee unposed for the initial inspection or first rein pecti n, whichever is greater, for each subsequent r in pecticna 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 regards of this county, and there may additional permit required from either governmental entities such as water management, state agencies or federal agencies. "Warning to owners 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 with your lender or an attorney before recording your notice of commencement." Complete Plana, 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. —ONTRACTOR SIGNATURE PE #i OFF EXPIRESIN 6 MONTHS WITHOUT APPROVED INSPECTION INSPECTIONCALL FOR DocuSign Envelope ID: 060CA805-FFE4-4E53-B2D0-0040DC1D737C 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received ( Phone Contact for Permittin 800 359 — 3430 ..a_- .. s� V as* l . Jason A Wagner (813) 360-6492 Owners Name Owner Phone Number Owner's Address 6661 6TH STREET, ZEPHYRHILLS, FL 33642 Owner Phone Number ( �� Jason A wagne r Owner Phone Number Fee Simple Titleholder Name Fee Simple Titleholder Address JOB ADDRESS 5651 6TH STREETEPHYRHILLS, FL 33542 LOT# City ofZephyrhills�9126-29.00i0-03900»0090 SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OFCONSTRUCTION . BLOCK 0 FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE = HEIGHT rl BUILDING— VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $16 614.00 AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION E e =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED y—^Y / N r FEE CuRREN Y t N T Lam_..!..,.,.,�„�.,...I Address License# ELECTRICIAN COMPANY GJ Solar SIGNATURE REGISTERED Y t N EE cuRREN Y i N Address ^c73 roadwa Center Blvd Brandon L 33510 License# PLUMBER[=== COMPANY SIGNATURE REGISTERED Y / N EE QURREN Y / N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Address License # OTHER COMPANY SIGNATURE �J REGISTERED YIN FEE CURREN Y / N ��~ Address License # I 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 subdivisionstiarge 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 StormwaterPlans 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. Fill out application completely. Owner & Contractor sign back of application, notarized It over $2500, a Notice of Commencement is required. (AiC upgrades over $7600) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letterfrom 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 4t total Fxperm who cam a" DocuSign Envelope ID:.060CA805-FFE4-4E53•B2D0-0040DC1 D737C 813a60-0020 City of zephyrhiils Permit Application Building Department Fax-813-780.0021 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed' restrictions" which may be more restnctive 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 understate 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 contractors) 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 iMPACTIUTILITIES 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 be paid prorto 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 --•Homeowners 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 f 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. b 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, WaterNVastewater 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 wali constructions 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 1 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. 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(KZM�� Qaltaad1w OWNEF OR AGENCONTRAc OR this Subsc'b d and sworn t rmad) before I.. vs�.. $t3124 by Ytn3I�# , by y Johnston Who is/are ppersonally known to me or has/have produced Who is/are personally known to me or has/have produced t?L as identification. DvL as Identification. Notary Public C mission No 819 ilkaly5 Rodriguez Name of Notary typed; printed or stamped RM vS �tSd'aklt.TSn' � SG3#s �f fS�itgit�Mf#Ii2+4�%a'S�S E n 3" iQk't� aiadat�aya r�, Notary Public Co ssion No.H 1 9 lka�5 Rodriguez Name of Notary typed, printed or stamped A&L RM US Solar Squared, LLC 2732 Broadway Center Blvd., Brandon, FL 33510 (800) 351-3430 Re: Authorization of Agent: Mario Arbeloa Dear Sir or Madam, Please allow this letter to confirm that 1, Searm Gates. as Owner/CEO of US Solar Squared, LLC d/b,"a US Solar, hereby authorize my employee, Mario J Arbeloa to submit, receive and make any payments necessary for any and all permits applied for by US Solar under either my license number of C\,"C57002, or any permits applied for under Billy Johnston, EC13011543who is also employed by US Solar. Please do not hesitate to contact my staff at permitslujoinussolar.com should you require any further documentation for this. Thank you in advance for all of your assistance. Sincerely, Seann Gates Owner/CEO of US Solar Squared, LLC State of Florida, County of Hillsborough Sworn to (or affirmed) before me on this 15th day of February by Scann Gates, Owner/CEO of US SolarAuared, LLC and who produced a driver's license as identification. WAYS RODPJGVEZ Not avy Public -State of Florida 4Noty Public a isilom 9 HH 2 1 2A 19 My Cbrnm. Expires !an 3, 2026 Bonded Novo National Notary Aun, DocuSign Envelope ID: OSOCA805.FFE4.4ES3.82DO-004ODCID737C AFTERRECORDING - US&)IarScnanod,LL,G 2752 Bmatmay Center lbr& Brandon, F1,&Vm (800)MI-3450 fides@jomussolarxcao PERMIT NUMBER: INSTR# 2024022947OR BK10957 PG3853 Page 1 01 02112/2024 10:28 AM Ropt: 2669171 Rec: 1U0 DS: O00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller NOUCE 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 N(L: 11 -26-21-0010-03100-0010 SUBDIVISION ZEPHYRHILLS BLOCK 34--,,—TRACT "—LOT —1,2,3—BLDG-,----KNIT --- 5651 STH STREET, ZEPHYRHILLS, FL 33642 L GENERAL DESCRIPTION OF IMPROVEMENT: Roof Mounted Solar Panel Installation - - ------- - -- - --------- - - — ------- --- 3. ONINER INFORMATION OR LESSEE NFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a Name and addmss� Jason A Wagner 5651 6TH STREET, ZEPHYRHILLS, FL 33542 -111----,-,-" ---------------- ------ — ------- ------ I ------------- - ------ — — - - -------- b, Interest mpropetw: 100% -------- ----------- c, Name indaddrass offse simple fineholder dfdifferem from Nnai fisted above)t 4, IL CONTRACTOR'S NAME: USSola S LLC car4nctm,s,dmess:_2732 Broadway Center Blvd, Brandon, FL53510 b,Phorenwbbe,(800)351-3430 5. SURETY dtapplicable, a copy of the payment bond is aftched): a. Name and address; lb. Phone number c. Amount ofbond 6. a. LENDERS NAME; Lender's Phone murilrac 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, Name and address: b. Phone numbers oftlesotstand Persons: 8, a, fit addition to hinselfor herself, Owner 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 D .. slgn.d by, Jason A Wagner 2/3/2024 VfVWer or Lessee, or Owner's or Lessee's tPrint Name and Provide Signatory's Title/Office) Authorized Ofritei•/Director/Partner/Manager) State of Florida CountY of Pasco The foregoing instrument was acItnowledged before use by means of FS physical presence or 0 online notarization, this_3rd _.da, Fe 20 24 by Jason A Wagner I lorneowner --------------- — ----- a . ........ for self (name of person) (type ofauthority ,--c.g. officer, trustee, attorney in fact) (name of party on behalf ofwhom instrumera was executed) Personally KFONVII Or Produced Identification_ X Tv eol'IderdificationProduced D1 "ature of Notal bfi (Print, Type, or tampConimission on ed NastI'Notary Public) 10 Rev. 1 -15-12 DocuSign Envelope ID: 7D98654D-DCED-4627-BOFB946A2C103FD2 813-780-0020 City of:Zephyrhills Permit Application Fax-813.780-0021 Building Department Date Received Phone Contact for Permittin 300 351 __. 3430 iE Robert E 7r. Douglas ($13}79.9796 Owner's Name Owner Pfrone Number Owner's Address 39040 CARDINAL AVE ZERHYRHILLS, FL 33642 Owner Phone Number Robert E �r Douglas Fee Simple Titleholder Name ,..�_.- Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 39040 CARDINAL AVENUE, ZEIPHYRHILLS, FL 33542 LOT# 19 SUBDIVISION Ctiy ofephyrhllls� PARCEL ID# 13.26-21.0100-00090.019Q (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 FiOof:MOUntedOlar Panel install with lBCtrlCal iJpgrade-Panel Change/�flC BUILDING SIZE SO FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ _ AMP SERVICE PROGRESS ENERGY = W.R.E_C. 14,337.10 PLUMBING $... MECHANICAL $ VALUATION OF MECHANICAL. INSTALLATION GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONSv FLOOD ZONE AREA =YES NO GUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address License#.. ELECTRICIAN �^ COMPANY 4m1 Solar SIGNATURE REGISTERED Y / N FEE CURREN Address roadway Center Blvd, Brandon, FL 3 510 License# PLUMBERE=== COMPANY SIGNATURE REGISTERED Y 1 N �FEEREN Y! N Address License # � MECHANICAL COMPANY SIGNATURE REGISTERED ;;;; EE cuRREN Y 1 N Address License # .__....�. _� ��_..- OTHER ____m...._.,,.,.._.,..�.......� COMPANY , _ SIGNATURE REGISTERED Y t N FEE cIIRREN Y! N Address License# PESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten n0) working days' after .Submittal date, Required onsits, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities & i dumpster Site Work Permit for subdivlsidns/llarge 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 hate Required onsite, Construction Plans, Stormwater Plana wl 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 constriction. Directlons: Fill out application completely. Owner & Contractor sign back of application; notarized If over $2600, a Notice of Commoncement is. required. (AIC upgrades over $7600) ** 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 olar Itt t asaF Expertswho crier+ DocuSign Envelope ID: 7D98654D-DCED-4627-BOFB-946A2C103FD2 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 RESPONSiBIL171ES: 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 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 isadvised to have the contradtor(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 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 be paid prior to receiving a "certificate of occupancy' or final power release, If 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 AFFIDAVM 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 q permit and that all work will be performed to meet standards of all laws regulating construction County and City codes zoning regulations, and laird development regulations in the jurisdiction. I also certify that t 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" wili 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 wail, If fill material is to be used many 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 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 period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension, If work ceases for ninety(90) consecutive days, thiejob 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 M Notary Public Commission No. Frances Glade Name of Notary typed, printed or stamped ��'f""S� m6dY� CES�UOE � CORfPdiSSIQNiPiPI291# t.»,?t �: IRE Pam, Who stare personaallly Known to me or nasthave produced I_ as identification. Notary Public Commission No. Frances Dude Name of Notary typed; printed or stamped t� °'�`� E 8 � �`,�.». � • 11093139009 i AE wR , R N, F iR'T US Solar Squarer!, LLC 2732 Broadway Center Blvd. Brandon, FL 33510 (800) 351-3430 ti tlesa;joinussolar.com PERMIT NUMBER: NOTICE OF COMMENCEMENT ITT 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 Cornmencement. L DESCRIPTION OF PROPERTY (Legal description of the property K street address, if available) TAX FOLIO NO: 13-26-21-0100-00000-0190 SUBDIVISION EASY ACRES -BLOCK TRACT LOT 19 BIDG--UNff- 39040 CARDINAL AVENUE, ZEPHYRHILLS, FL 33542 2, GENERAL DESC PION OF IMPROVEMENT: Rio 'ounted Solar Panel Installation 3, OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRA. C'TED FOR THE IMPROVEMENT* a. Nance and address: Robert E J r . Douglas 39040 CARDINAL AVENUE, ZEPHYRHILLS, FL 33542 b. Interest in property: c. Name and address of fee simple titleholder (if different horn Owner listed above): a. a. CONTRACTOR'S NAME: US Solar S_qgared, LLC Contractor's address: 2752 Broadway Center Blvd, Brandon, Fl, 33510 b. Phone mwiber. (800) 351-3430 S SLnRETY (if applicable, a copy of the pay menu bond is attached): a. Name and address: b. Phone number: 6, a. LENDER'S NAMES c. Amount of bond: Lender's address: b_ Phone ntnu her 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. 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 parson or entity designated by Owner: 9, Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is specified): , 20____ DocuS3gnad by: (` fi cr° or Lessee, or Owner's or Lessee's Authorized Officertitirector/Pai-truer° ana ea�) MERMEMMM County of Falco Robert E Jr. Douglas 12/14/2023 (i t ?4an Surd Drool e Signatory's Title/Office) The foregoing instrument was acknowledged before me by means of M physical presence or Li online notarization, this 14th day of December , 20 2 by Robert E Jr. Douglas as Homeowner for self (name of person) (type of authority,... e.g. officer, trustee, attorney in fact) (Barre of party on behalf of whom instrument was executed) Personally Known or Traduced Identification X Type of Identification Produced DL " �� ►A i 9 1f (Signature �ofNota� Publi ) (Print, Type, or Stamp Commissioned Name of Notary Public) Rev. 10-15-12 Clear Sir or Madam, Please allow this letter to confirm that 1, Seann Cates, as Owner/CEO of US Solar Squared, LLC d/b/a US Solar, hereby authorize my employee, Curio J Arbelo . to submit, receive and make any payments necessary for any and all permits applied for by US Solar tender either my license number of CVC5700 ,car any permits applied for tinder Billy Johnston, EC13011543 who is also employed by US Solar. Please do not hesitate to contact try staff at permitsCnussolar.com should you require any further documentation for this. Thank you in advance for all of your assistance. Sincerely, Searm Cates Owner/CEO of US Solar Squared, LLC State of Florida, County of Hillsborough Sworn to (or affirmed) before me on this 15th day of February bySeann Cates, Owner/CEO of U4Solaruared, LLC and who produced a driver's license as identification. RONGUEZo bli - State atFlarlda l�� 15114n 0 HN 212619 or iy Comm. plies An 3, 226 Owded Owwo National N tsty