HomeMy WebLinkAbout23-7192Zephyrhills
BNR- 07192-2023
Issue Date: 12/12/2023
813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021
Building Department
Date Received
�Fhmie Contact for Peirmitting
L �L a a a
n' Owner Phone Number 813-819-0199
Owner's NameESt�arli ht Homes FL LUI
Owner's Address 1 9720 Princess Palm Ave, Suite - 140 1 Tampa, FL 33619 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
SUBDIVISION
Tyson Townhomes
PARCEL [D#
02 26 21 0310 000000 0230
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR
[I
ADD/ALT
SIGN Q DEMOLISH
INSTALL
REPAIR
PROPOSED USE SFR 0 comm
OTHER
TYPE OF CONSTRUCTION BLOCK = FRAME
STEEL
DESCRIPTION OF WORK New Residential Construction
BUILDING SIZE SO FOOTAGE
HEIGHT
=BUILDING
r�} 030 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E,C.
=PLUMBING -4
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS 1 g COG FLOOD ZONE AREA =YES
NO
BUILDER COMPANY Starlight Homes FL LLC
SIGNATURE•REGISTERED FEE CURREN N
Address 9 Prince Im a, ufte 14 par FL 33619 License #
ELECTRICIAN 1,'_7 , -_ Electric LLC
SIGNATURE COMPANY
REGISTERED tL_!JN _J FEE CURREN
Address 5611 land 0 Lakes Blvd Land 0 Lakes FL License #
m
PLUMBER COMPANY tyone Plumbing
SIGNATURE REGISTEREDHeating & Air Conditioning
Address 8905 New York Ave Hudson FL =346=67 License# I CFC042998
MECHANICAL COMPANY Ba onet Plumbing Heating & Air Conditioning
SIGNATURE REGISTERED T iM FEECURREN N
Address; 8950 New York Ave Hudson FL 34667
License
OTHER
SIGNATURE COMPANY Proformance Roofing
REGISTERED Y N FEE CURREN YON I
Address 270 W Plant St #310 WG 347�87 License
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction.
Minimum ten (10) working days after submittal data Required onsite, Construction Plans, Stounwater Plans w/ Silt Fence installed.
Sanitary Facilities & I dumpster; Site Work Permit for subdivisionstlarge, projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & I dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans,
-PROPERTY SURVEY required for all NEW construction,
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways.,needs ROW
813-780-0020 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. 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 contractors) sign portions of the "contractor Block" of this
application for which they will be responsible. It 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, wail 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, 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 --Homeowner's 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.
CONTRACTOWS/OWNEWS 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 peFlonned 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, Welland 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' unless 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 of 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.
OWNER OR AC
Subscribed and
Who is/are personally known to me or hasitrave —produced
as identification.
Commission No. 138235
Tonya Pollard
Name of Notary typed, printed —or stamped
it A i I I -
L 0 CJSgoliz
Subscribed and sworn fa/(or affirriii6d) be I fle in 11 a this
by_v�_ Jerem,j '.. t, 11,2
Who istare personally known to me'or hasJhave produced
as loanti tion,
Notary Public
Commission No. 138235
Tonya Pollard
Name of Notary typed, printed or stamped
Builder Name/Owner Name
County Parcel No, 0 2- 26; 2
Address/Location Da-e-rr-
ClasSification/Type of Use
PARKS AND RECREATION FEE
NIM
go=
Em
Permit No, 71�2-
Date Permitted _zz_��z
-- Control #-
3bSubDiv:
ISI-1 —41ko
E=
NO CERTIFICATE OF OCCUPANY WILL BE 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 9UILDIN6 OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
RECEIPT NO _ DATE BY
INSTR#2023075549 OR BK10808 PG2555 Page 1 of 1
05/01/2023 10:11 AM Rcpt 2577744 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 21 0310 00000 0230
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 follomfing Information is provided in this Notice of Commencement:
1, Description of Property: Parcel Identification No, Tyson Townhomes Buildinq 4 Lot 23
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
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 4. Contractor: Starlight Homes FL LLC State
Name
9720 Princess Palm Ave Suite 140 Tampa FL
Address city State
Contractor's Telephone No.: 813-819,0199
S. Surety:
Address city State
Amount of Bond; Telephone No.:
Lender:
Name
Address City State
Lenders Telephone No.:
T 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:
Name
Address City State
Telephone Number of Designated Person:
fl. In addition to himself, the owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(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 YOUR`N6'nCE-QF COMMENCEMENT,
Under penalty of periury, I declare that I have read the foregoing notice ar;rGopryn nd th&lhe f/Is stated therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA
COUNTY OF PASCO
Signavar"t owner or Lessee, or Own*'s or Lessees Authorized
Darryl Colwell -Authorized Representative
Tig—nalory'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. . officer, trust e, allomey in fact) for
Starlight Homes FL, LLC — (name Kfppean behalf of wh no inst nt was executed).
Personally Known 0 OR Produced Identification 0 Notary Signature
Type of Identification Produced Name (Print) Tonya Pollard
Noty pbF, State of Florfda
T.W- l"Itd
My Commission HH 138235
OF Expires 06M412025
wpdatafbcslnoticecommencement—PcOS3048 1: -
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information Must be filled -in completely
City of Zephyrhills
5335 8th Street, Zephyrhills, FL 33542
Telephone 813,780.0000 Fax 813,780,0005
Date of application: Processed By: Permit #:
- DCOpy to Building Department (gray area for staff use only) ®Copy to Public Works
PROJECTOOB SITE:
PROPERTY OWNER
Address: 6243 DAERR RIDGE STREET Zephyrhills, FL 335421
Name: --Star] i9_TffW6_Me!�T L-L-EC
Unit#: 23
Address9720 Princess Palm Ave, USuite 140
Parcel Identification Number: 02 26 21 0310 00000 0230
Tampa, FL 619
Phone:- 813-819-0199 Fax:
CONTRACTOR:
Company: Starlight Homes _LL
Name: JeLe�y
Contractor's License #: CGC1534594 E-Mail:
_f!L0=�_3-819-Q1R9 Cell: Fax: jeremy.young@starlight-homescom
Name: Firm Name:
Address: Cii--- State: Zip:
State License #: Phone: Cell: Fax:
IMAERRIMEWAY
_„,RESIDENTIAL DRIVEWAY
_COMMERCIAL DRIVEWAY
- PUBLIC ACCESS DRIVEWAY
Do# 9E�Mngr_1194
ASPHALT
_X—CONCRETE
Ing.,141M
YES - X NO
Description of Proje
LENGTH OF DRIVEWAY
WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH —LINEAR FEET
IJN "l[gill Ral M
NOTICE JO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
WMEMAM
UTILITIES LOCATE CONFIRMATION NUMB—F?,:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THI-15'
AFFIDAVIT: Application is hereby made tnobtain apermit todowork and installations asindicated. 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
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 FDOT Design
Standards (0f applicable). (Public Works Design Manual online link: www.ci,zephyrhillsfl.us/public - worksasp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN ORNOTARY PUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not after
/
interfere with existing stmnnxvate,treatment and /mrconveyance.
PROPERTY OWNERS: 8ysigning this application: Icertify that lhave read and understand the owner/builder disclosure
statement.
Applicant Print Name' App*"ant §ignat0e' Date
Permit Technician Signature (or) Notary-Sigriatuira, —Date
Applicant is known tomeor produced as identification.
WORKSPUBLIC ONLY
Concrete (min. 6)
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 11l2'�
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.W.)
Y
N
Plan Review Fee