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HomeMy WebLinkAbout23-6289§ Ill ° \}? i"Date: � /\� " �a<.. � /. \\\#j?6� �� /\. .. . .. e r m E 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 `~^~^``'~'~^'~^�~'"+~"""+"�"�''°="=~'"mo""'»' 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. t PIM m 4