HomeMy WebLinkAbout23-6503a . y y\�� \� \ \
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07/24/2023
0171IT"W"MI - - v —Wkh �4-- «Wu�
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C C TR ON ACTOR NATURE SIG
OT
aa-0 77"I'll *,,F4:,j I
PEfIT OFFICCC)
ITHOUT APPROVED INSPECTION
lWffi�#N 12*tIffiAYAffi
City of Zephyrhills Permit Application Fe {ataaaaooal
Building Depailinent
Date Received Pliono Contact for Pomiltoni
I It 4 1 X3=I=M'JL-x"-1=rx -9 1 4 4 9 41-1
OaYtarPhonoNumbar 813-819 0199
Ovmoi`3 Naroo Starlight Homes FL LLC=
E
Owner's Address Et Princess Palm Ave, Suite 140 Tampa FL 33619 Owner Phone Numbar
_
Fee Shnplo Thtolicirdur Name OwnarPliorio Number
Fee Simple Titleholder Add(ass
JOU AOURC-SS E8�C@-1 ELBY LANE Zephyrhills, �FL�335�42� LoTa
E28
-Townshomes
SUfJDIVtS(ON Tyson PARCEL
IOWA111110 F A W1 PROPiRTY VAX NO VICE)
WORKIPROPOS110 IEWCONSTA[I ADDIALT SIGN DEMOLISH
B INSTALL REPAIR
PROPOSEDUSC 0 Sr1t COMM OTHER
TYPE OF CONSTRUCTION f--j BLOCK FRAME STEELED
DESCRIPTION OF WORK New Residential Construction
01.14.011,40 SIZE F-16-9-2 FOOTAGE 1386 HEIGHT L 2T-_10-_j
V: , t 4L K
=2 VALUATION OF TOTAL CONSTRUCTION
Ij�CLCCTRICAL E:6j =5.00 AMP SERVICE PROGRESSENERGY
W.fl,E,C.
J=PLUIAOING
8406.00
- -0-
=NICCIICAL MF 7-7-0 5- 0VALUATION OF MECHANICAL INSTALLATION
C]GAS ROOFING SPECIALTY = OTHER
FINIS.HCO FLOOR ELEVATIONS 1386 FLOODZONCAREA ®YES NO
C COMPANY F Starlight Homes FL LLC
IC,lo
S iS144do Y N FEE COARN IN
ATURI OEM
Add—. 972 Princess Palm Ave, Suite 140 Tampa FL 3361
t1consal 1524497
ELE CTRICIAN COMPANY
SIGNATURE E�
aearsreaeo IN FEE..n.E.
Address
License 0
PLUNIOER ayonet Plumbing Heating & Air Conditioning
SlGtIATURE COMPANY
Y N
Address 950 New York Avenue, Hudson, Fl 34667::] ttecnsa s CFCQd2996�
I-If"CIIANICAL COMPANY ayonct I'lumbing Healing kAir Conditionhill
SIGNATURE
Acol3lertso LWY nj FEEZUARN LWL"-j
Address &ySQ New York Avenue, I`Ll son F) 34667 License r C
OTHER
IPANY CIN It
CON
StGNAiURE REGIGTEruzo PF F Ea cvrukerl YIN
Address
RcSiO°CtTiAt � *Attach (2j Fiat Plans; (2) rats at Bui?dreg Pions; {i) sctof t;nergy Foars;R<0-�YPerTn(t rarnMv conaWcUan,� � ®µ - � � � � 4
M1Tu unum ten (tOj erorking days agar submilWl date. Required onsila, Cansbvctton plans, Stammerer Plans wt Sat Fancy l,st.1Id.
CO.41-41CRCIAL Permllorneyl Construction.
Plintnwm ten (10j work g days attar su9mltat data. Required onsita. Cons(uciton Flans• Stone voter Plans w/ Silt Fence Installed,
SanilaryFacilitiosE i 0 fie Pro ec 3. -mermc a C remen $must Meet compliance
SIGN' PERMIT Attacht at Engineered Plans.
""PROPERTY SURVEY requited (of all NCW construction.
Directions;
Fig out application compt4jely.
Contractor sign back of apFGcatian, notarized
It Over 5ZS00, A Notice of Commencement 13 rectuliad+ (AtC upgrades over $7$00)
A-lent(lorthecontiactori or power or Attorney (tortheownef)%vouldbe Someone VAlh notariZ, it IeticC from cr;.ricr aulhe4zingsarna
OVC-R Tire COUNTER PERMITTinG (copy o(coritia'I required)
Rciot;(s 0 slinotes Sewers ServiceiLlporades AIC Fences (PlouSurvey,11'aclage)
Calvilways-Not over counter R an public roadways -needs ROW
813-780-0020 City of Zephyrhilis 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 RESPONSIDILMES: 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 fare misdemeanor violation under state law, If 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 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. 11 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): 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 Gulde"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 "owrier' prior to commencement.
CONTRACTOSMOWNER'S AFFiDAVI-P. 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, Wetland Areas and Environmentally Sensitive
Lands, WateriWastewater 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 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 arthe permitting conditions set forth in this of clavit 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 Of rcial 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,
t-LURIUA JURAT (F.S. 11
OWNER ORAGENT
Subscribed and sworn t t
C personai�ome orhas/have produced
S Identification.
Notary Public
Commission No. 8235
Tonya Pollard
Imarne Of Nolary typed, printed or stamped
oV%Notary Public State of Morda
-. TWVa Poll
V ard
My Commission HH 138235
n� Expires 0610412025
Subscribed and swom 16—(or affirmed) b_erorem_eNhis
_by D I C.fil I G.—I Contra or
Who Were PQ1aQnaIIy_kftQwnAo_me_or has/have produced
side iiie
t1N_.,.ry Public
Commission No. 138235
Tonya Pollard
Name _0f_Notary —typ.d, printed or �stamped
Permit No.
Date Permitted
Builder Name/Owner Name
Control #
County Parcel No. jA 24, -�
_ SubDiv:
Address/Location // c_ i
AV
Classification/Type of use
TRANSPORTATION IMPACT FEE Rate,
Sq, Ft unite
Exempt Yes No How Determined
Impact Fee Amount Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) [Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
mallffll'' p °i�illyl>rrNi��
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
Exempt Yes No How Determined Total Amount ?
RESOURCE FEE
ERU
Total Amount
1
Prepared By ' Checked By
NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
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.
DATE
RECEIVED BY
RECEIPT NO DATE BY
PERMIT APPLICATION �
V\
CONSTRUCTION WITHIN PUBLIC '
All • • '!completely
City of ' i
Street,•
Telephone 80!!! :i. !!
Date of application: Processed By: Permit #:
{gray area for tall use only}
®Copy to Building Department ❑Copy to Public Works
PR03ECT/JOB SITE:
PROPERTY OWNER
ht Homes
•.
. •
dre ! Princess Palm Ave, Unit:
Parcel Identification Number:02 26 21 0310 00000 0280
City, State, Zip Tampa FL33619
• n : • • ! i •
Company: Starliaht Homes
Name: Darrvi Colwell
Contractor's License #: CGC1524497 E-Mail:
Phone:
ARCHITECT/
Name: Firm Name:
Address: City: State: Zip:
State license #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
RESIDENTIAL DRIVEWAY
COMMERCIAL DRIVEWAY
PUBLIC ACCESS DRIVEWAY
• �� • `
AS I• T
4!` 4K.CONCRETE
HEADWALL REOULRED?
_ LENGTH OF DRIVEWAY
_WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH LINEAR FEET
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will • - required.
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
AFFD]AVD: Application ishereby made Loobtain epermit todowork and installations asindicated. Icertify that all foregoing
information isaccurate and that all work will comply with all applicable codes, Iunderstand 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
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property,
All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design
Standards (if applicable). (Public Works Design Manual online link: www.cj.zephyrhills,ft.us/public—works.asp)
APPLICA-RON IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways.Driveways shall not alter/
interfere with existing stwnnwatertreatment and /arconveyance.
PROPERTYapplication: disclosure
statement.. (please initial)
Applica�t Print Name -�P'pl—wan-t Signature-' �,' I Date
4/26/2023
Permit Technician Signature (or) Notary Date �
_�
Ap�|cant�Cw)personally known tomenrproduced as identification.
(type ofidentification)
Page 2of 3 040 0Ak' Notary Public state of Ronda
Tanya Pohrd
My Commission HH 138235
Expires 0610412025
• ; . i .. i;
•;RADMAromm
PUBLIC .•
KS USE ONLY
Concrete (min. 6)
Y
N
Asphalt 0ase (min. 6")
Y
N
Asphalt (min. 11/21 }
Y
N
Length (min. 19'
Y
N
Width (10' min -- 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.M)
Y
N
Plan Review Fee
05/02/2023 10:52 AM Rcpt: 2578258 Rec: 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 0280
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 5 Lot 28
Street Address: 38061 Elby Lane Zephyrhills, 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
Name
9720 Princess Palm Ave �Sujtei4o
Tampa
FL
..
Address
city
State
Interest in Property; Owner
Name of Fee Simple Titleholder: NIA
(if different from Owner listed above)
Address
City
�-tate
4, Contractor: Start! ht Homes FL LLO
ame
TO Princess I'llm Ave Suite
Tampa
FL
_140
Address
City
State
Contractor's Telephone No.: 813-819-0199
S. 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:
Telephone Number of Designated Person:
B. In addition to himself, the owner designates
city State
NIA
to receive.a copy of the I-jenor's 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): _!IA
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 -NQT1 - F COMMENCEMENT,
- W r� :nr-�
Under penalty of pequry, I declare that I have read the foregoing notice a il call Zhu a stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
SIgnahlre--it-fifo-wner Or Lessee, or Owne a 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 2_ ;3 by Darryl Colwell
as Authorized Representative - (type of authority, e. . officer, trust a, attorney In fact) for
Starlight Homes FL, LLC (type
" "" , officer, I cut or
(name �f pa on behalf ofwh m inst nt wes executed),
'am
Personally Known 10 OR Produced Identification C1 Notary Signature : _
Type of Identification Produced
Name (Print) Tonya Pat Pollard
oppp' Notary Pubk StaM of Florid'
Tonyo PO"al 138235
My Coirnmission HH
Expifes olSMU2025
Vol
wpdata/bcs/noticecommencement—pcO53048 L'..4v -