HomeMy WebLinkAbout23-6875 (2)06875-2023
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies,
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
0
010.700002ck City of Zephyfhills Permit Application Fex•013,700.0021
Building Department
!taro fteeotvod Pltona Contact for Pam,lt{la ( �®•�r��
4414 1944F
IGl;L$.:5. ."A' -tLJ rr t44�g
Ovetwarm Nametarlight Homes FL LLC owT,eePhono Number 813-819-0199
Owner's Addrasa 9720Princess Palm Ave, Suite 140 Tampa FL 33619 Ownor Phano Number
Foe Shnpto Titleholder Noma OwnorPhono Number
Fee Simple Titleholder Address
a0u ADDRESS C62 _CALLE OCHOA STREET Zephyrhills, FL 33542 LOTO 46
SUDDIVISION Tyson Townshomes PARCEL iDUE 02 26 21 0310 00000 0460
)OaTA NEO FROM GRareRIN tAX 14e171Cfi)
WORK PROPOSEO I(W CONSTA ADDIALT ® SIGN i— Q DEMOLISH
INSTALL LJ REPAIR
PROPOSEDUSC $Fit ® COMM r r OTHER
TYPE OF CONSTRUCTION BLOCK ® FRAME STEEL Q F—�"^—�
UCSCRIPDONOFWORK New Residential Construction
BUtLOiNG Size 1692 SQ FOOTAGE 1386 HEIGHT 2T-10
C't t'C't'C•CCCt`CC'S't"CC'CCC't.'CC'CC-'-t7'C'C'4'CCCrt'C't'ACCKCC 't''C't'4:'C•r'C-4'C(TCC4"4C 'C-V'%-ACI't7CCC'BL I
l--JDUiLDING S$93,038.38 I VALUATION OF TOTAL CONSTRUCTION
J::DCLCCTRICAL $ 6155.00 AMPSERViCE PROGRESSENERGY Q W.R,E.C,
I=PLUr6oING S 84.06.00
=1000ilANICAL 7705.00 h% a
=GAS ED ROOFING ® SPECIALTY = OTHER
FiNtatil'0 FLOOR ELEVATIONS 1386 FLOOD ZONE AREA =YES NO d
• t-d=z'-t••t-4-•i-t-1^t-t•t-F-F#•t-:-t-t-t-l-#-t-4^t-t-t-t-i-#^t•f-t-t-t-t-t-Q-t-R--f-t-t-t&-#-t
OUILOER "' _--- COMPANY Starlight Homes FL LLC
SIGNATURE A AEOilrEnEO Y 11FEE COARD? !N
A�i1rn�� t911noess Palm Ave, Suite 140 Tampa FL 3361 CCC1524497r�
ELECTRICIAN COMPANY
SIGNATURE Rectsreaffo �^ 1 N� F6EcaRRFrtJAI N
Address License -
YLU.tiDCR ' ^COMPANY ayonet Plumbing Heating & Air Conditioning
SIGNATURE % �_-� c'!J/� rffi RiasT€AEO Y id # FEEwRAr�t -N
Address 950 Now York Avenue, Hudson, FI 34667License A LES042998
1,111ClIANICAL \ /J , %%JJCOMPANY Bayonet t'Zunitiing Heating i c Air Conditionin
SIGNATURE 1,: ` ,st/,e_ `* ^ RfiauieAso Y N FEeCURREY TfN
Address 9500 New York Avcttttc, 5U son 1134667 License Ir CAC053662
OTHER �' COMPANY Illi 4�s iy s FY�rr'"1
SIGNATURE RCCIGTE 0 N FG cume YIN
Address s r License w + s g A i
RESIDENUAL Attach (2) Pioi Plans; (2) sets of BuPding Plans; (1) set of Energy Foim.FL O•V[Permit for new construction,
Minimum ten (10) vroriting days after submittal date. Requtted onsita, Can stmcgon Plans. Stomnvaler Plans wJ Sat FarK4 installed,
Sanitary FocNics G t dumpster, Site Wet Permit for subdivislansttarge projects
CON1.14ERCIAL Attach (2) complete sets or Buidirg Plans plus a Life Safety Page; (t) set of Energy forms. R•O•WPemn't(or new coaltnrc0on.
Minimum ten (10) working days after submittal date, Required onsite. Construction Plans, Stormwa!er Plans wl Silt Ferree installed.
Sanitary Facilities E t dxnpsler, Site Work Permit for a!I new projects. A4 commercial requirements must moot compliance
SIG v PEAMIT Allach (21 sets of Engincered Plans.
—'PROPERTY SURVEY tequtred (or all NCW construction.
t-tr.-t-4-3-6-4•�k•F•i-4.6i-ii-�6i-t-�t-hi-4-4-'F•+-4-&-6-&i-t-
Directions:
Fie out application compfutely.
?rAier 8 Contractor sign back of opr1ka ;on, notarized
It over y2S00, a Notiec of Commencement Is required. (AfC upgrades over 17600)
Aojent (for the contractor) or Power of AtWmay ((or the ovmeo would be someone vn'ih notarized feller from avnor authorizing same
OVER THE COUNTER PERMITTING (copy o(contractrequired)
Reloats it siungies Sewers Service Upgrades AiC Fences (PlouSurvaffoolage)
Ddvoways•Nol over Counter if on public road,vays„needs ROW
=°'0°"U1» City ofZephyrh0uPermit Application Fax-813-780-001
Building Department
NOTICE OF DEED RESTRICTIONThe undersigned understands that this permit may be subject to "deed' restrictions" which 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. 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 IMPACTIUTILITIES 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 or 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 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' prior to commencement.
CONTRACTOWSIOWNER'S AFFIDAVIT: I certify that all (he information in (his 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 certiry 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 Disthui4YeUy, Cypress Baybeods, Wetland Areay, Altering
Watercourses.
- Army Corps ufEngineers'Geawu||u.Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health UniAmo|!s, VVuxtenakar Treatment,
Septic Tanks.
- U8Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Au(hvr|iy-Runwuym.
/ understand that the following restrictions apply wthe use o/fill:
- Use nffill ionot allowed inFlood Zone "V'unless expressly permitted.
- If the fill material is to be used in Flood Zone "A". it is understood that a drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bythe State ufFlorida.
- If the fill material is to be used in Flood Zone 'A" in connection with a permitted building using stem wo||
construction, | certify that fill will be used only to 0| the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such fill will not udwmma|y 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 app1{oaUon, for lots less than one (\)
auma which^ elevated bfi|i, an engineered d| * plan|yrequired,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forlh in this affidavit prior to
commencing construction. I understand that aseparate permitma nwrequired for electrical work, pwmnwo signs, wells, conditioning. gas, or
other installations not specifically included in the application, A perrnit issued shall be construed to be a license to proceed with the work and not as
authority toviolate, 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 orviolations 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 lime 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 wt I demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
ggl Imsignagg lipiwouggagg :LK*J;1WJ 2114NAL4111 ;A RON 0014 1, 1 o - M�
Subscribed and swo r affirmed) before me
Who is/are personally known to me or has/have produced
as Identification.
Notary Public
Commission No��8235
Tonya Pollard
Name of Notary typed, printed or stamped
Subscribed and swornm(or affirmed) before melhis
Notary Public
Commission No, 138235
TonyaPoUavd
Name of Notary typed, printed or stamped
(PY99) Tnya Poltaird
My Commission HH 138235
9 Explim 9 3
F94t-*lTuY-UIU, a2t[slAKSIO
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled -in completely
38!M =�
5335 8th Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
Date of application: Processed By: Permit #:
(gray area for staff use only)
EjCopy to Building Department E)COPY to Public Works
PROJECT JOB SITE:
PROPERTY OWNER
Address:6222 CALLE OCHOA STREET Zephyrhills, FL 33542
Name: Starlight Homes FL LLC
Unit #: 46
Address9720 Princess Palm Ave, Unit: 140
Parcel Identification Number:02 26 21 0310 00000 0460
City, State, Zip Tampa FL33619
Phone: 813-819-0199 Fax:
CONTRACTOR: 0
Company: Starlight Homes FL LLQ
Name: I Colwell
Contractor's License #: CGC1524497 E-Mail:
Phone: 81,3_819-0199 Cell: Fax:
ARCHITECT/ ENGINEER:
Name: Firm Name:
Address: State: Zip:
State License #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
�KRESIDENTIAL DRIVEWAY
COMMERCIAL DRIVEWAY
PUBLIC ACCESS DRIVEWAY
CONSTRUCTION MATERIAL
ASPHALT
CONCRETE
HEADWALL REQUIRED? -YES V_NO
DescriptiI Projject
LENGTH OF DRIVEWAY
WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH -LINEAR FEET
CURB CUT REQUIRED
'YES NO
CULVERTS NEEDED
REINFORCED CONCRETE
CORRUGATED MATERIAL
BOX CULVERT
OTHER {EXPLAIN)
NOTICETO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
Page 1 of 3
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
AFFIDAVrT:Application ishereby made 8oobtain apermit 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
req., F.S. 713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply hothis property.
All work shall comply with the current Florida Building Code, Public Works Design Mammal and FOOT Design
Standards (if appKicabie). (Public Works Design Manual online link: wwwz|.aephyrhiUs.fl.ua/pub|(c_wo,ks.asp)
APPLICATION ISVOID UNLESS SIGNED WITH PROPER IDENTIFICATIONAND WITNESSED BYAPERMIT
TECHNICIAN ORNOTARY PUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance nrrepairs of driveways. Driveways shall not alter
/
interfere with existing stonnwatertreatment and/n,monveyamoe.
PROPERTY OVA ,By signing this application: I certify1th have re��, and understand the owner/builder disclosure
8/24/2023
Applicant Print Name Ap�rCL61: Signatu4-' Date
8/24/2U23
Permit Technician Signature (or) Notary8gnaituxe-1 Date
Applicant is known tomemproduced as identification.
(type of identification)
Page 2of3
101d 0-Ma 111134154191
PUBLIC WORKS USE ONLY
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 — 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 (3W x 71)
Y
N
Visibility triangle o.k.?
Y
N
Side set back (3'min. R.O.W.)
Y
N
Plan Review Fee
Additional description of work as defined by Public Works Director and or designee:
Permit application approved by: Date:
UT—MIraw.
INSTR# 2®23®766®3 OR BK 1 0809 PG 1962 Page 1 of 1
05/02/2023 10:52 AM Rcpt: 2578318 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit
State of Florida
Parcel ID No 02 26 21 0310 00000 0460
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 7 Lot 46
Street Address: 6222 Calle Ochoa Street Zephyrhills, FL 33542
2. General Description of improvement New Construction- Single Family Residence
1 Owner Information or Lesseeinformation if the Lessee contracted for the improvement:
Starlight Homes FL, LLC
Name
9720 Princess Palm Ave Suite 140
Tampa
FL
Address
City
State
Interest in Property: Owner
Name of Fee Simple Titleholder: NIA
(If different from Owner listed above)
Address
City
State
4. Contractor: Starlight Homes FL LLC
Name
9720 Princess Palm Ave. Suite 140
Tampa
FL
Address
City
State
Contractor's Telephone No.: 813-819-0199
5. Surety:
Name
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 Lienor'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): 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 YOU9-NQTIC,6•QFCOMMENCEMENT.
Under penalty of pedury,.I declare that I have read the foregoing notice o at%erli5at,anndd Idl the Ets stilted therein are true to the best
of my knowledge and belief. "" 11 / !
STATE OF FLORIDA
COUNTY OF PASCO
or owners or
Darryl Colwell -Authorized Representative
Signatory's Tdle/Office
The foregoing instrument was acknowledged before me this Z4thday of April , 202?. by Darryl Colwell
as Authorized Representative (type of authority e.g,, officer, trust e, attorney in fact) for
Starlight Homes FL, LLC (name f pa on behalf'of'wh_ mJnstr htwas executed),
Personally Known ® OR Produced Identification ❑ Notary Signature. '
Type of Identification Produced Name (Print) Tonya Pollard
w Notaq Public State of Florid
+ e Tarya P" MM 138235
4 My Commission
cmw° EXQ1taS06M412025
wpdatalbcs/noticecommencement pc053048
Permit No,—�—�
1A
n Date Permitted Z-E-LeL-2
4
Builder Narne/Own:r LName \ ) y ", I I
Control#
County Parcel No.. 3/Z) 1"119000 SubDiv:
Address/Location 2 4L
—�—�Z1411eo 11?
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt [:]Yes F--j No How Determined
Lj
Impact Fee Amount :L:-5 �X Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 3 4,5-3
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKSAND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account
— Recreation Credit
Recreation Total
0 `,5�
Zk
Zone
Total Amount $ /
Exempt =Yes
= No How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
_ Facility Credit _
Facility Total
Exempt 0 Yes
= No Now Determined
Total Amount
RESOURCE FEE ERU
M02=
mm
Checked By_
M
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
AC—KNOWL9XC,1.Mv—;N13f10W D99s NOT IMPLY L I. ... --- —c � r v �c T.1c
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMEN AND THE CONDITIONS OF PAYMENT FOR SAME.
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