HomeMy WebLinkAbout23-6284SIGNATURE
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-Issue .. • • r
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PE IT OFFICE
00-700.0020 Ci(y of Zephy(hills Permi(Application Felr(113,700,0021
Building Depmunent
Hato Re colvo d
x- ellono Contact for Pormittla I
ic a 4 4 1 a A % It 11 4 1 4
Mtarlight Homes FL LLC
O'eaofls Nanio QararPhOno Numb.: 813-819-0199
Owimes Address [9720 Princess Palm Ave, Suite 140 Tampa FL 33619 OwriorPhonoNumbor
Foe S411PIO 7111chorder Nam* L,-.. Ownorl?honoNumbar
Fee Shilplu THIchotdor AdUfoss
JOUADI)RCSS 6211 DAERR RIDGE STREET FL 335�42 LOTA 15
SUL)DIV(SION [Tyson Town-Shomes ] PARCEL ID111F 02 26 21 0310 00000 0150
10 OTAWCO FROM PROPERTY VAX tionce)
WORK PROPOSCO ICWCQNSTRf7j ADDIALT SIGN E:] DEMOLISH
B ;NSTALL Lj REPAIR
PROi`OSEDUSC SFR M COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK New Residential Construction
BUILDING SIZE E1692 SO FOOTAGE 1386 HEIGHT =27- 1 0"
It' 14 t - rk- cvvc I;.*K*C`C1K1 K .
_7JOUILOING s
j_176 16 VALUATION OF TOTAL CONSTRUCTION =
�QLCCTRICAL ' 6155.00 AMP SERVICE Q PROGRESS ENERGY W.R,E,C.
t=PLU?/.DING 5 ----] 8406.00
=MCCRANICA!, S 7765.00 VALUATION or MECHANICAL INSTALLATION
C:]GAS ROOFING SPECIALTY = OTk(ER
FINIS.'iCO FLOOR ELEVATIONS [--1-3-8-6-----] FLOODZONCARE& ®YES NO
L---------------- j
0 ECOMPANY Starlight Homes FLLLC
SIGNATURE �"Add—. 9720 Princess Palm Ave, Suite 140 Tampa FL 3361 CGC1524497
ELECTRICIAN
COMPANY
SIGNATURE
REGISTERED
Address ucense 9
PLUAIOER Fayo7net Plumbing Heating & Air Conditioning'
COMPANY
SIGNATURE
_14N_j FEE CURAFA I LYN I
Address 950 kN�ew York Avenue, Hudson, FI 34667 ucceso I
COMPANY 1).yqnct I'linribing Hcati ng Air Conditionhill
SIGNATURE
nEotaYEREo
address $95=0 N01 I7 uconso It
OTHER
009CONPANYn1
SIG ry .'
rlt L.paz cvwe " YIN
Address
�Tinimum ten (i0} vroriring days after submiilat data, Raqu'uad ensile, CanswctTon Plans, crPlanj wtSRI Fiinw Installed,
Pemul (or neyl construction.
bfinlnsurn ten (tD) work ng days alter su'xn ttat date. Requtrad ansite. Cansrnrdron Plans, erlislansw/Silt Fence Installed,
Permit0 a.. new pccolec 3, AY eommcrmc a (cq emen $must meet camp(lance
SIGs, PC RMIT AlI III () sets of E !near* Plane.
"PROPERTY SURVEY (squired (oratl NCWton*uction.
oircct;on S; ril out apprication COMPIL(ely,
Contractor Sint) back Q(0PFI;C4I;oA, nalatized
It Over f2S00, a (1011cc of Commencement Is rectutrod. (IVC upgrades over $7600)
A`J0nl {tar the Contractor) or Powero(Affamey (for flic ownct) %kvutd be someone vnlh Aaladt:ad fanerrrort c,ger authoazing same
OVER THE COUNTER PERMIrnNG (copy of con(ta'I (equIred)
Rt;0o'(s 4 sUnotes Seviers ServiccUporadcs AIC Fences
DtIVOWAYS,NOt over Counter N an public roa4ways-ric4ds, ROW
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 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. It 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 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 property 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 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): li'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!SIOWNEWS 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.) 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 lake to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection -Cypress Bayheads, Weiland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment,
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Weiland 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.
I if f 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 wall
construction, I certify that fill will be used only to fill the area within the stern 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. 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, after, 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 or 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
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU
f-LURIUA JVRAT (F,S. 117
OWNER CIRAGENT
Subscribed and sworn I to
as Identification,
Notary Public
Commission No. 8235
Tonya Pollard
Name of Notary typed, Printed or stamped
off PVZ� Notary Public State of Flodda
Ploard
My Commission HH 138235
OF Expires 06104/2025
MAY,RE,$ULT IN YOUR
-FINAN,CING, CONSULT
Subscribed and swomTo- 'or affirmed) before—meihis
by_ D., I C.1-11 / G.—I Con .-
Who Islare 9914QnatlyrknommAo-me-or hasthave produced
n.
==:LN.t.1y Public
Commission No. 138235
Tonya Pollard
Name of Notary typed-, printed -or —stamped
05/01/2023 10:10 AM Rcpt: 2577725 Rec: 10.007DS: 0.70 IT.70.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No.
State of Florida
Parcel to No 02 26 21 0310 00000 0150
County of Pasco
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: Parcel Identification No. Tyson Townhomes Building 3 Lot 15
Street Address: 6211 Daerr Ride Street Zephyrhills, FL 33542
2. General Description of Improvement New Construction- Single Family Residence
Owner Information or Lessee information if the Lessee contracted for the improvement:
Starlight Homes FL, LLC
Name
9720 Princess Palm Ave, Suite 140
Tampa
FL
Address
city
State
Interest in Property: Owner
Name of Fee Simple Titleholder: N/A
(if different from Owner listed above)
Address
city
State
4. Contractor:
Name
9720 Princess Palm Ave Suite 140
Tampa
FL
Address
city
State
Contractors Telephone No.: 813-819-0199
5. Surety:
Amount of Bond:
City State
Telephone No.:
6. Lender:
Name
Address city State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes:
Address city State
Telephone Number of Designated Person:
8, In addition to himself, the owner designates NIA of -
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date Is specified): NIA
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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTIC7FCOMMENCEMENT,
ec
Under penalty of perjury, I declare that I have read the foregoing notice o ce nd I YOU s at ed therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
SIgnaturedf Owner or Lessee, or Owne?s or Lessee's Authorized
Of
Darryl Colwell -Authorized Representative
Signatory's Title/Office
The foregoing instrument was acknowledged before me this 24thday of April 2023 by Darryl Colwell
as Authorized Representative (type of authority, e1g, offi2er, trust It in fact) for
Starlight Homes FL, LLC I.,,, ru ge, a omey
-(name fpa on behalf, , :I. ...t�d).
Personally Known 0 OR Produced Identification 0 Notary Signature _�l nt �.r
Type of Identification Produced Name (Print) Tonya Pollard
1E101 "My Public S12te Of MrW
!TOrWo "ard
Jmy commission HH 138235
% Expires 06M412025
wpdatatb cs/noticecommenceme nt_pc053048
a e ermltted
Builder Name/Owner Name t ( Control #
County Parcel No. 2 2 z SubDiv:c �
Address/Location 2 rx l ir(f c
Classification/Type of Use ___
TRANSPORTATION
Exefoff, Yes =1 No How Determined
Impact Fee Amount_L_3_q_16_a__
Zone No. TAZ,
Account (056) Single -Family Detached House Amount $ J
(057) Mobile Home y
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account _ Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt =Yes No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
ExemptEl Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
TERFORIVIED UNTIL THE TOTAL► i
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
Iomftl
RECEIPT NO - DATE BY
R