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NTRA�C�TOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS
01:1-100-0020 City of Zephythills Permit Application Fox.013-700-0021
Building Depantnent
Dato Received
Phone Contact for Pormlithill
1 4 4 9 . . .
I It 4 q( 4 W-4-17-4 a-
Ovnioes Name - EStar1right Homes FL LLC :D OwrlorPhono Number 813-819-0199
Ownces Address 19720 Princess Palm Ave, Suite 140 Tampa FL 33619
OwillorphonoNumbar
Foe sunpio TiticitardorNarno OumarPhorla Number
Fee Shoplo TRIettateor Address
JOU AOURCSS LEEEDAERR RIDGE STREET Zeph-y—rhills,FL33542
LOT 0 F1 �30
Tyson ownsomes
SU0OI\nSiON h TPARCEL for/ 02 26 21 0310 00000 1300
100trklut() MOM PRAPOWAX 110"CE)
WORK PROPOSCO 19WCONSTAM ADDIALT SIGN C) C:] DEMOLISH
B INSTALL REPAIR
PROPOSED USE C1 $Fit COMM OTHER I
TYPE OF CONSTRUCTION ED BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK L New Residential Construction
f1vtLOINGSI7E 1 1692 SO FOOTAGE 1386 IIEIGKT
[:-JOUILOING Is $95 176 4 1 VALUATION OF TOTAL CONSTRUCTION
�QLCCTRICAL
J=PLUMOING
1ZE=
(=]GAS ED ROOFING
FINIS'.`1110 FLOOR F-LCVAT(ONS 1386
Ic
OUILOC
SjGfjZrURI!
Adol—A972 Princess Palm Ave, Suite 1401
ELECTRICIAN
SIGNATURE
Address
PLUXIOCR
SIGNATURE
Address
F9510 New York Avenue, H
t.111CIIANICAL
StGNATURa
Add(ess
FiM New York Aventic,
OTHER
StGNATURC
AMP SERVICE PROGRESSMRGYitC.
T"A
VALUATION Or MECRANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONCAREA [DYES
IStarlightHomes
FL LLC
COMPANY
P&GISTInED
Y N feettlAaW
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7
COMPANY
F-4'
RE013TVAED
Y t N FEE "Ante
License A 77C.77
COMPANY
�9ayonet Plumbin n
�Unq �Air Condi(ionin
, 'a,
LVINLY
34687
License I CFC042998
COMPANY 113ayonct
Plumbing Willing & Air Conditionin
PsoretenEaQ
jY!Lj-- feecuRam Ltj "N
1-114667
License 9 F CACOSS062
COMPANY
0 1, Address 1Uh U) I 116�-Nx-ll J —13T
1 -1 —.Z5 License 0
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RWOENTIAL Allach'(2) Not Plans; (2) sets of Building ;Ians: (1) Set o(Enorgly Foulns. ft-o-wPermlit for new corsttucom'
krinimumlon (110)virding days after submilialdate. Required onsito, Construction Plans. StamromierPions w/54i Flow Installed,
Sanitary Focililics it I dumpstell: Site Work Permit for subdivistanstlarge projects
C0,41MCRCIAL Altach (2) complete sets or Building Plans plus a Life Safety Page, (1) setof Ertergit Forms. kO-WPormil, (or relv coni(mroo".
Minimum ton (10) walking days after submli(3t date. Required onstle. Construcifen plans. StompivaW Plans wl silt Fence Installed.
Sanitary Fadlidosd I clumpster. Site WA Permit for W.1 new pMjtcW M tornmerdall mqut(craems must moat compliance
SIG�% PERMIT yulach J21 sets of Engineered Plans.
•"•PROPERTY SURVEY required for all NEW construction.
Directions:
Fig out application compluiely,
9YA'ar A C9alraclor Slott back of jpr%'c4I;on, Polarized
It over VZ500, 41 Notice of Commencement Is required. (AtC upgrades over $7500)
.. AtICRI (tor the C011(lactori of Powero(ARomay ((or the would be someone vAlh rtatildred letter from mvier aulhatizing same
OVCR THE COUNTER PeRMITnNG (copy o(cootfact required)
Reloads 0 slingles Sayers Service Upgradils AJC Fences (PIoVSurvgVIFaoIa-je)
Ddvoway3-Nlot over Counter 4 an public readways—na4ds ROW
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 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 aline time or 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 WateriSewer 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 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. it the applicant Is someone otherthan 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. 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 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, Weiland Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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' uniess 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 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 or 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, 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,
1 0 0 1 1 0 " I , A*f i. 11.
1
FLURIUA JURAT (F.S. 11
OWNER OR AGENT,
Subscribed and swom
miv tware �persona�ttome orhasfhave produced
as Identification,
�Nolary Public
Commission No. 823
Tanya Pollard
Vidn'le OF Notary typed, printed or stamped
—
%Y,115 ULT IN YOUR
AN PIING, CONSULT
CONTRACTOR � 1" 1,
Subscribed and sworn 10(cir affirmed) before me his
�by Darryl Colwell / General Contractor
Who Istare Qersnnally krreum rn me -or hasthave produced
irific n.
'Zi Public
Notary
Commission No. 138235
Tanya Pollard
Name of Notary _typed, —pint. or —stamped
T lTl�v PWIV711,
Or
low N Notary Public SWte of Florida v
Tor" Pollard
My Commission HH 138235
Expim 0610412025
VIF i
AL
INSTR# 02309553 OR BK10825 PG Page 1 of 1
05/2612023 03:58 PM Rcpt: 2588063 Rec: 10.00 DS: 0,00 IT: OM
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No.
1-1
State. of Florida
Parcel ID No Q2 26 210310 00000 1300
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 130
Street Address: 6194 Daerr Ridge Street zaphyrhills FL 33542
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
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: Startioht Homes FL LLC
Name
9720 Princess Palm Ave `;vita 140 Tampa FL
Address city State
Contractor's Telephone No.: 813-819.0199
5. Surety:
Address City State
Amount of Bond: S 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 servedas 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 datemay 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): N/A
TO
of my knowledge
geperjuryli declare that I have read the foregoing noMocend the ets st led therein are true to the best
of de knowledge and belief.
STATE OF FLORIDA
COUNTY OFPASCO
Signa Owner or Lessee, or Ownef's or Lessee's Authorized
Officer/Director/Partner/Manager
Darryl Colwell -Authorized Representative
Signatory's Title/Office
The foregoing instrument was acknowledged before me. this 24thday of April , 20 23 by Darryl Colwell
as Authorized Representative .(type of authority,. e...oIN trust e,,aIt ey in fact) for
Starlight Homes FL LLG (name f pa on behafl of wh m insi nt was executed).
Personally Known 0 OR Produced Identification ❑ Notary Signature
Type of Identification Produced Name (Print) Tonya Pollard
dl"
,P+ k Notaty Public ; of Floes
aA f T-yo Pettlafd
o My Commission HH 136235
" Expkes OW412025
wpdatatbcstnoficecommencement pcO53048
Builder a /{owner Name 3'-f"
County Parcel No. -7
Address/Location _ f if,
Classification/Type of Use 1
I
Permit n, E
Date Permitted 7'`6
Control
SOON:
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft unit.
Exempt Yes No How Determined
_
Impact Fee Amount y Zone
No, TAZ;
ChI�i7L IMPACT FEE
Account (56) Single -Family Detached Rouse
Amount $
(057) Mobile Bonze
(058) Other Residential
(123) Collection Fee
Exempt =1 Yes No How Determined_
P ECR Tl� FEE
Land Account Land Credit
Land Total
Recreation Account Recreation Credit
Recreation Taal
Zone
Taal Amount $
Exempt OYes EDNo Flow Determined
Checked By
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
CKNOWLEDGEMENT BELOW O
DITIONS OF PAYMENT
f
RECEIPT DATE BY