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e0-2000020 City of ZephythiQs Permit Application Fair013•750.0021
Building Dcparonenl
Oata Rccolvod �C3 Phone CoenUct for PomdtNnp { }
earea(aa _ a(a R's..tti'i"L"CCtr..',
Owooes Namo Starlight Homes FL LLC 0, Plano Number $13-$19-0199
Olvrrer's Add(osa 9720 Princess Palm Ave, Suite 140 Tampa FL 33619 Otvnor phono Numbar
Foe s4nplo TRichorder Name' ! OwflorPhona Number
Fca Simplo Titleholder Addross
dOUAOPRCSS C6231 DAERR RIDGE STREET Zephyrhills, FL 33542 20
LOTg
SUDDIMSION Tyson Townshomes PARCEL Iar 2 26 21 0310 OOOOQ 0200
IoorAMEO FROM PRMAWTAX Italics)
WORK PROPOSED IEVYCONSTR ADDIALT �� SIGN 0 DEMOLISH
INSTALL EJ REPAIR
PROPOSED USE 0 SFIt COMM �- OTHER
TYPE OF CONSTRUCTION a BLOCK FRAME STEEL
DESCRIPTION OF WORK New Residential Construction
OUILDING SIZE _ 1 692 S4 FOOTAGE 1 1386 IIEIGHT 2T-101,
('( l'(`S':.'('('t"('S"t'4' C('C("l'S-C'('L'S'CS'S'S'S'S'CC C(•S'<'(1C'(-CR'('('SZ'C'(•a:'S°q'CC'8'S'C("`4'C'+i
(�,DUILDING s AL CONSTRUCTION _$92.��7.9� VALUATION OF TOTN5
�l� et' . '
(:�D[LCCTRICAL
S 6155.00
AMP SERVICE
Q PROGRESS ENERGY 0 WILE.C.
j:DPLU1`601NG 9
8406.00
Q11CGFUWICAL
s 7705.00
VALUATION OF MECHANICAL INSTALLATION
GAS Q ROOFING SPECIALTY =
OTHER
F1NNti(10 FLOOR ELEVATIONS 13E6 FLOOD ZONE AREA
®YES NO
•1-t•s t-t-i--3-1-,t^d-f-t�•-:-t•H-i^t-l-ht-i-f-M-Z-i•H-t-rg•ht-f-F-8-4-F-t-a'-N•t-f-f-F-i-(
OUILOcre
f COMPANY
Starlight Homes FL LLC ^�
SlGFIATURC
AEorsrenao
Y N FEECUFRN !N
A4,4— 972 Princess Palm Ave, Suite 140 Tampa FL 3361
License P CGC 152449n 7 1�
ELECTRICIAN
SIGNATURE
J!
COMPANY
_
REOWERao
/N FEE CURB EN tN
Address
r
License A
Plumbing Heating & Air Conditioning
PLUMOGR
.s r" ''.
COMPANY
ayonet
SIGt)ATURE !
mTM�
�"$
-� C•'J'r�`^' -..+"rev
RCGISTFRCO ---
1Y N FCECURRUI 0 N
Address 95t? New York Avenue, Hudson, Fi 34667j
License i
Mr?CHANiCAL
SIGNATURC
Address
Oii rER
SIGNATURE
Address
T RE'SIDENTIAL
CW,1.',tCRCiAL
SIGN PCAWT
�8'950N,,,Y
' GO�f PANY
ork Avctiuc, It l son 1134667i
COMPANY
ACCICTEAEO
='�5P-._
Attach (2) Piet Plans; (2) sots or Building Plans: (1) set of Energy Fortis: R 0• 11Pemtlt for nm eonstrucuon,
h1'eiunum ten (10) working days a0er sub mill Iat date. Requited on silo, Canstructlon Plans, Siowmater plans wlSill FSoto Installed,
Sanitary Focitlics L I dump ster: Silc Work Permit for sub divis[on slarge projects
Attach (2) complota acts of 8uRding Plans plus a Ufa Sarety Pagc; (1) set of Energy Forms. R•0-W PomuT for nerr caattrvcuort.
hiintnturn fen (10) working days aver suamlial date. RequlmOf onsite• Con srnrclion Plans, Slonntva!er Plans wl Silt Fence Installed,
Sanitary Facilities d I dumpsler. Site Work Perrnitfor a!1 newproiects. Aa commercial requirements must meet compliance
Allach (2) sets of Engincorad Plans.
""PROPERTY SURVEY required for all NEW construction.
i-t•-r.�t-{-�i•t-h4.3-i-t-C-4-#-i-S-&-4-4-t-4-S-f-Srii-i
Oirectians:
ria out application completely.
t?,Ater 6 Cantfactor sign back or apr.licalion, notarized
If over SZSOe, a tioticc otCommancementls required. (WC upgrades over $7500)
iv' ant Of the connector) or Power of Attorney (for the ownet) would be someone Yn1h nolakad it Ile( from orgor aulhodsino same
OVER THE COUNTER PERMITTING (copy of contract fequved)
Rarocrs it shingles Sevrefs Servicc Vparadcs A1C Fences (PtouSu(vcyrFootage)
Drtvorvays•Nat over Counter if on public foad,vays,liccds ROW
813-780-0020 City ofZephyrh0sPermit Application m^813-780-00/
Building Department
NOTICE opDEED RESTRICTIONS: The undersigned understands that (his permit may be subject to "deed" restrictions" which may be more restiictive
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 (or the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section M 727-847. 8009.
Furihen-nore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Blook'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 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 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, (hey 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 cerlify that 1, (fie applicant,
have been provided with a copy of the 'Florida Construction Lien Law —Homeowners Protection Gulde"prepared by the Florida Department of
Agriculture and Consumer Affairs, If the applicant is someone other than the 'owner", I certify that f have obtained a copy of the above described
document and promise In good faith to deliver it to the "owner" prior to commencement.
CONTRACTOR�SIOWNER'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 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 or a permit and that all work will be performed to meet standards of all
laws regulaCing 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, Water/Wastewater Treatment.
- 8ovNweo( Florida VVate, Management District -Wells, Cypress Bayheadb, Welland Areos, AkahnQ
Watercourses.
- Army Corps ofEngineers -Semwa/|s.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment
Septic Tanks. '
- U8Environmental Protection Agency -Asbestos abatement.
' Federal Aviation Authvhty'Runwaya.
/ understand that the following restrictions apply mthe use v/fill:
' Use of fill ixnot allowed inFlood Zone ^\runless expressly permitted.
' If the fill material is to he used in Rood Zone "A^, it is understood that m drainage plan addressing a
11 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 he used in Flood Zone "A" in connection with m permitted building using stem wall
construction, | certify that fill will beused only |ofill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such N| will not adversely affect adjacent
properties. |fuse nffill 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 |wuo than one (
acre which are elevated byfill, anengineered drainage plan isrequired.
commencing construction, I understand that a separate permit may 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
w»e,m*toou/^osomy,"��anvmcmu6�th�app��t�n'A p�����s�ed��luired 'beconstrued to be a license to proceedwith the work and not as
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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 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 exiension. If work ceases for ninety (90) consecutive days, the job is considered
WARNING TO OWNER: YOUR FAILURE
Tonya Pollard Tonya Pollard
Name Of Notary typed, printed or StampeU— Name of Notary typed, printed or stamped
e0r,%t Notary Public State of Florklar
DRITETVAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled -in completely
5335 8th Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
Date of application: Processed By: Permit #:
®Copy to Building Department (gray area for staff use only) E]Copy to Public Works
PROJECT/JOB SITE:
PROPERTY OWNER
Address:6231 DAERR RIDGE STREETZephyrh ills, FL 33542
Name: Starliqht Homes FL LLC
20
Address:9720 Princess Pal 140
m Ave, Unit:
Parcel Identification Number:02 26 21 0310 00000 0200
Zip Tampa FL33619
1 Phone: 813-819-0199 Fax:
CONTRACTOR:
company:
__ Starlight Homes FL LLQ
Name: Darrvi Colwell
Contractor's License #: CGC1524497 E-Mail:
-Phone: 8j3_81c)_nic)q — Cell: Fax:
Name: Firm Name:
Address: City: State: Zip
State License #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
>CRESIDENTIAL DRIVEWAY
COMMERCIAL DRIVEWAY
—PUBLIC ACCESS DRIVEWAY
ASPHALT
ONCRETE
)M
HEADWALL REQD UIRE? —YES , _
LENGTH OF DRIVEWAY
WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
-DEPTH LINEAR FEET
L$1110*-X40Ad0 I . 0
CULVERTS NEEDED
REINFORCED CONCRETE
CORRUGATED MATERIAL
BOX CULVERT
OTHER (EXPLAIN)
AOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. Icertify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req., F.S. 713.
The issuance of this permit does not ensure compliance with deed restrictions and l understand that additional deed
restrictions may apply tothis property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDKDT Design
Standards (if appWcabKe). (Public Works Design Manual online link: www.ci.zephyrhills.fl.us/public—works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY PERMIT
TECHNICIAN DRNOTARY PUBLIC.
NOTE; The City of ZephyrhUbisnot responsible for maintenance mrrepairs ofdriveways, Driveways shall not alter
/
interfere with existing atnnnwxetertreatment and /orconveyance.
PROPERTY U Idisclosure
statement. (please initial)
4/26/2023
Applicant Print Name 6p"pl'il;�Lpt Signature�'� Date
4/26/2023
Permit Technician Signature (or) Notary Date
Applicant is known Comeorproduced as identification.
(type u[idenbficatinn)
Page 2mf3C, Notary Public State of I adda
Tonya Pollard
My Commission HH 130235
Expires 0610412025
194g,katm,.•
iQAIFi
PUBLIC WORKSONLY
Concrete (min. 6)
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 11/2'}
Y
N
Length (min. 19)
Y
N
Width (10' min -F 20' max)
Y
N
Existing sidewalk,
Y
N
New sidewalk.
Y
N
ADA compliant.
Y
N
Expansion material required.
Y
N
Contiguous parking pad.
Y
N
Triangular flare (3'W x 71)
Y
N
Visibility triangle o.k,?
Y
N
Side set back (3' min. R.O.W.)
Y
N
Plan Review Fee
05/01/2023 10: 10 AM Rcpt: 2577732 Rea 10.00 DS: 0,00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No.
State of Florida
Parcel to No 02 26 21 0310 00000 0200
0, j
County of Pasco
THE UNDERSIGNED hereby gives notice that improvement Wit 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 Buildinq 3 Lot 20
Street Address: 6231 Doerr Ridge 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
Z-W—
state
Interest in Property: Owner
Name of Fee Simple Titleholder: N/A
(if different from Owner listed above)
Address
city
State
4. Contractor:
920Princess Palm Ave Suite 140
Tarnpa
FL
scity
State
Contractors Telephone No.: 813-819-0199
5. Surety:
Address
Amount of Bond: $
6, Lender.
Address
Lenders Telephone No.:
City
Telephone No.:
City
State
State
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 N/A of
to receive.a copy of the Lienoes 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 1, 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 NQTICE-QF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing not f — y1le, A`s`st 4ed therein are true to the best
of my knowledge and belief.
7" 7e2V/
STATE OF FLORIDA
COUNTY OF PASCO
Signature-isfowner or Lessee, or Owne'rs or Lessee's —Authorized
Officer/Direotor/Partner/Manager
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, a. . officer, trust a, attorney in fact) for
Starlight Homes FL, LLC (name f!ps�aon behalf of wh m trial nt was executed).
Personally Known 0 OR Produced Identification E] Notary Signature
Type of Identification Produced Name (Print) Tonya Pollard
,,p P" NotM Pidbf� State Of Florida
Tony9 Pollard My Commission HH 138235
F Xpires 0M4t2025
lb wpdatacs/noticecommencement_pcO53048
Builder Name/Owner Name �� �
'
T�
uaLe eermltteo T T
Control #
County Parcel Na.
(D
nopo
SubDiv:
Address/Location� E�di
Jt(.t_�.
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Rate:
Sq. Ft Unit:'
Exempt No How Determined
Impact Fee Amount k q1t
�a
TAZ.
Account (056) Single -Family Detached House Amount $ — —L5
(057) Mobile Home ���
(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 $I
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount'
RESOURCE FEE ERU
Total Amount
. .�
10
, , ; * .. *. *' : , r
R
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.
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