HomeMy WebLinkAbout23-6497(1113-7001020 City of Zephychills Permit Application Fox-013-7004021
Building Depameant
Data Recolyod Phono contact for P.1m,II(In ( I I
I 1 4 11 4 4 4 a -a-1-LAJ-LJLj 1 4 4 0 4 4 0 11 4 a It 4 Trxrcxlar_��
Ownor,3 Name FS=tarfighxtHomes
FL LLC OwnorPhonoNumbor 813-819-0199
Owner's Add(oss IL720 Princess Palm Ave, Suite 140 Tampa I FL
ownerphonoNumbor
Foe Shriplo TI(Johordor Name 6 ownerplionct Number
Fee Shuttle TMeltoldor Address
JQUAODRCSS E620-6—DAERR RIDGE STREET Zephyrhills-, FC32t542 - LOTN
SUDDIVISION Tyson Townshomes PARCEL 104 02 26 21 0310 00000 1280
J00TAINEO"MAMIAXtionctj
WORK PROPOSED llewcoNsTRpq ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSEDUSC SFR COMM OTHER t
TYPE OF CONSTRUCTION 84OCK Q FRAME STEEL
DESCRIPTION OF WORK New Residential Construction
DUILOINGSIZE 1892 SQ FOOTAGE 138E IIEIGKT
VI(, t'K*-E'4VrIE*K*C-VVCC'4Cr.-It*q7-Cg.*iv-vircc ( c . C 'Ircc . cx .
C:-JBUILDING j"_.$95,176.16J VAL UATION OF TOTAL CONSTRUCTION
(--1QLCCTnjCAL ' 6155.0u'l — - AMP SERVICE PROGRESSENER[D GY W.R,E.C.
=PLUV,DING s 8406.00
7705M —i VALUATION OF MECRANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS 1386 FLOOOZONCAREA, =]Yes
E)
oult.ocri COMPANY Starlight Homes FL LLC
SIGNATURE r neotsx#nao y
Addta.c 972b Princess Perri Ave, Suite 140 Tampa FL 3361 t1conso I
ELECTRICIAN 4:
COMPANY
SIGNATURE
FEECURREN I I)JIN
Address
k, License#
ayonet Plumbing Heating "r Conditioning PLUMBER COMPANY �
SIGNI jjqu j FlecurtRok I EYN
Address b950 New York Avenue, Hudson, F1 34667 Ucenso I I CFC042998
COMPANY 1111ay net Plulnbingflca(ingkAir
ATURC
tArCHANICAL
SIGN L6 Acolzlyefuio Lwy Bj Feectmnf.4 Lut N
Address 89=50 New York Avenue, sonrl .346�67 Licenser =CACOSS,
OTHER COMPANY
SIGNATURE
Address JtL—, "1 4 . j I ,
2tLf 1k j j j,-51 `�Z
a :);61 IV I License 0
...................
llgS10�krfffAl Attach (2) Plot Pions; (2) Sets of Bui.ding Plans: (1) Set of Energy Fo.nr4.* FL-0411Permit (or Atw cortsuuc ;
hfinimumlen (10) working days after suttmiilal data. Requiredoosilo. Can strucoon Plans, Stommier Flora w/ Sal Fam. installed,
Sanitary Fodilics It I dumpster Site WA Pcnitit for subdivisloostlatge projects
COAVAERCIAL Attach J21 cornplote sets of Building Plans plus a Life Solely Page; (1) setet Energy Forms. k0AYPermilror neyr, construction.
MIAlmurn ton (10) working days after subm4tat date, Required onsgo, Construction Plans, Stwmm!er Plans wl Sol Fence tosiafled,
Sanitary Facilities a I dtimpster. Site WA Pennit for a!I new proitct3. Ad commercial tequItentents must moot compliance
StG-t.PCRA1IT Attach 121 sets of Engincored Plans.
""PROPERTY SURVEY required (or all NEW construction.
t, . 11,44444-4-%-V4-11-1�"4-44-�
Directions:
rid out application Completely,
cN,,-Idr A Contractor Sign back or apr6cali*on. norarixed
It over VZSQO, a Notice of Commencement Is required. (AtC upgrades over $7500)
A -lent (for Cite contractoo or Power of Atforney (for the "-net) %veeld be somcapa, vAlh notarized letter from orator authorizing same
OVER 1111C COUNTER PERMITTING (Copy o(contract required)
Reto'.Is 9 sleingles Soviets Service vporodgs AJC Fences (Plo4untaffootage)
OtIvoways-Not over Counter it on public coadways,=44s ROW
0 1 a- I ov-vv/-u City of Zephyrhilis Permit Application Fa*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 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 M07 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 poor 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 poor to permit issuance, Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid poor
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 1, 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' poor to commencement.
CONTRACTOR'S/OWNER'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 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 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, 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 I I 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 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 penniffing conditions set forth in this affidavit poor 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 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.
FLORIDA JURAT (F.S. I I
OWNER ORAGENT /
Subscribed and swam tZ�
i Identification,
Notary Public
Commission No. 8235
Tonya Pioiiard
Name Of Notary typed, printed or stamped
MA
Y IN YOUR
NINE,
Subscribed and sworrilo-(6 r affirmed) tiercre-mi'this
by Dar I Colwalt /General Contractor
Who is/are persona%tknown rn mP or has/have produced
ific n,
Notary Public
Commission No, 138235
Tonya Pollard
aura of Notary typed, printed or —stamped
'40 ONNo" PUblile State of Flodda
it Tot" PobTd
My Commission HK 138235
Exp*es 011104/2025
Date Permitted
Builder Name/Own7erlNa7me 5/1) kle- --- Control
County Parcel No. 0,17) SubDiv:
Address/Location 2 Gl I I
— —q---
J7
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: So, Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount Zone No, TAZ:—�
SCFIO®` I PA FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt C3 Yes No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account � Recreation Credit Recreation Total
Zone — Total Amount 5
Exempt 0Yes El No How Determined �
Land Account Land Credit Land Total
Facility Account. Facility Credit__. Facility Total
Exempt 1:1 Yes EINO How Determined Total Amount
RESOURCE FEE
ERU
Total Amount
MEM
OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENT�t&
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRFNCE "2 Apa"' 0
Ur I A14 kXbkSSMENT AND THE CONDITIONS OF PAYMENT FO'R SO
ME
RECEIPT NO
ME
M
INSTR#2023095507OR BK10825 PG3651 P,g-i-fi
05/26/2023 03:57 PM Rept: 2588057 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit
State of Florida
Parcel to No 02 26 210310 00000 1280
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 18 Lot 128
Street Address:
2. General Description of improvement New Construction- Single Family Residence
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
Starlight Homes FL, LLC
Tampa FL
City State
Interest in Property;
Name of Fee Simple Titleholder: N/A
(if different from Owner listed above)
Address city State
4. Contractor. Slarfight Homes FL, LLC
Name
2720 PrinoL .Palm Ave, Suite 140 Tampa FL
Address City State
Contractor's Telephone No.: 813-819.0199
5, Surety:
Address city State
Amount of Bond: Telephone No.:
6. Lender:
Address city State
Lender's 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 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 COMMFNCFMFNT
VVI I H YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y(OUP--N-'n-- --,F,C-O,.-M-t�-E-N.�C,-E,M-E-N.T-----
Under penalty of periury, I declare that I have read the foregoing notice ce s ;the 'W a st ad therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA
COUNTY OF PASCO
Fignalure-iff Owner or Lesi-ae, or ovine s or Lessees Authorized
Officer/Director/partner/Manager
Darryl Colwell -Authorized Representative
Signatory's Tille/Office,
The foregoing instrument was acknowledged before me this 24thday of April 20Za by Darryl Colwell
as Authorized Representative (type of atiffindiv e q npipAr, f—foe, attorney in fact) for
Starlight Homes FL, LLC (name 9f pa on behalf of wh in inst nt was executed).
Personally Known® OR Produced Identification [I Notary Signature
Type of Identification Produced Name (PrInQ Tonya Pollard
N, id
lorWO
otwPumstmof F
Notary
Pollard
rt my comnii HHI 136235
P E%1*413 061042025
OFMr
wpdata/bcstnoticecommencemenLpcO53048