HomeMy WebLinkAbout23-7193w,'@ .
n' ,�
City of M 77
l
5330 eighth LlVVL
Zephyrhilis, FL 33542 NR-007193-202
Aphyrhills Phone: (813) 780p0020
Fax: (813) 780-0021 Issue Date: 12/12/2023
r i 1 i )
T-CONTRACTOR SIGNATURE PEfIT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application FaK-813-780-0021
I J Building Department
Date Received
Phone Contact for Permitting I
It Z a 4 a
Owner's Name Starli ht Homes FL LLG Owner Phone Number 813-819-0
Owner's Address 1 9720 Princess Palm Ave. Suite 1401 Tampa, FL 33619 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6247 DAERR RIDGE STREET Zephyrhills FL 3354 LOT I 24
SUBDIVISION Tyson Townhomes PARCEL ID#:02 :::: 0310 000000 26 21: 0240
(OBTAINED FROM PROPERTY -T—A—KNOnCE)
WORK PROPOSED NEW CONSTR Z ADWALT SIGN DEMOLISH
INSTALL L_J REPAIR
PROPOSED USE O SFR COMM OTHER
TYPE OF CONSTRUCTION O BLOCK FRAME STEEL
DESCRIPTION OF WORK New Residential Construction
BUILDING SIZE F-169-2 ---------- J SQ FOOTAGE1386 HEIGHT F2T- 1 ON
IE CIL-
=BUILDING VALUATION OF TOTAL CONSTRUCTION C
[ELECTRICAL AMP SERVICE PROGRESS ENERGY a W.R.E.C.
=PLUMBING 7
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES
NO
----------
BUILDER COMPANY Starlight Homes FL LLC
SIGNATURE REGISTERED FEE CURREN N
I
Address 9 Prince Im a, uite 14 pa, F License IF ZCGC1534594 J
ELECTRICIAN COMPANY I Edmonson Electric LLC
SIGNATURE 1,REGISTERED __CZlH=F,E_r..RREN L-LX-i I
Address 5611 Land O Lakes Blvd Land 0 Lakes FL License # I EC1300540
PLUMBER
COMPANY Beet Plumbing Heating & Air Conditioning
SIGNATURE REGISTERED IN FEE CURREN Y N
Address 8905 New York Ave Hudson FL 34667 License# ECFC042998
MECHANICAL COMPANY Bayonet Plumbing Heating & Air Conditioning
SIGNATURE
REGISTERED l[J_.LLN _J FEECURRENUZIE]
Address L8950 New York Ave Hudson FL 34667 License#
OTHER COMPANY F Proformance Roofing
SIGNATURE REGISTERED U— JY K FEE CVRREN Y N
Address 270 W Plant St #310 WG3478=7 License
lig 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 date. Required onsile, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & 1 clumpster; Site Work Permit for subdivisionsaarge 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 w/ Silt Fence installed,
Sanitary Facilities & I dumpsler. 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 $7600)
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 (PlotiSurveytFoolage)
Driveways.Not over Counter if on public roadways.,needs ROW
813-780-0020 City of Zephyrhills 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. 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 conlractor(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 properly 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 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 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 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
musttaketo be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Sayheads, Weiland Areas and Environmentally Sensitive
Lands, Waterf Wastewater 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 rill 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 wort 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 Of 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.
r� �RNING TR w * ~iis B I♦ -r 04h 1ffi•O99
b I.M.-1-iffill ffimm
OWNER OR A(
Subscribed and
vvnO Were personally known to me or has/have produced
as identification,
Notary Public
Commission No. 138235
Tonya Pollard
Name of Notary -type -ff, printed -0F stamped
Subscribed and
_Notary Public
Commission No, 138235
Tonya Pollard
Name of Notary typed,
_70"700
INSTR#2023075569OR BK10808 PG2632 Page 1 of 1
05/01/2023 10:17 AM Rept: 2577757 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 0240
EBEHI• •� M
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:
I Description of Property: Parcel Identification No. Tyson Townhomes Building 4 Lot 24
Street Address: 6247 D
2. General Description of Improvement New Construction- Single Family Residence
1 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: N/A
(if different from Owner listed above)
Address city State
4. Contractor: Starli ht Homes FL LLC
Name
1720 Princess aim 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:
Name
Address Ciiy State
Lenders 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(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 71113, 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 11 F COMMENCEMENT.
COMMENCING
V10 ... ....
Under penalty of perjury, I declare that I have read the foregoing noticeZoce no I the s a ad therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Om.,
Signa Owner or Lessee, or Owne 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 2023 by Darryl Colwell
as Authorized Representative
(type of authority,, a o car, trust a, attorney in fact) for
(name 9,f
Starlight Homes FL, LLC n
— patty on behalf of whqm inst nst nt was executed).
Personally Known 0 9E Produced Identification [I
Type of Identification Produced
Notary Signature
Name (Print) jorlya Pollard
4o pi, Notary Pulsk State 4 Florid'
Tqoy"Comp'mi'ssion HH 133235
Expires 06M412025
wpdatajbcs/noticecommencement_pcO53048 E:=
DRIVEWAY PERMIT APPLICATION
All information must be filled -in completely
City of Zephyrhills
6335 8°Stnaet ZephyrhUs, PL33542
Telephone 813.780.0000 Fax 813,780,0005
Date of application: Processed By: Permit #:
EICOPY to Building Department (gray area for staff use only) E]Copy to Public works
-, PROJECT/JOB SITE:
PROPERTY OWNER
-----------------
Name: Firm Name:
State License #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
DRIVEWAY
oRIVEWm
-PUBLIC ACCESS DRIVEWAY
Descriptiog of Project
__��xoro���
___�oDTxOpDRIVEWAY
R.O.W. EXCAVATION
ospT* —LINEAR FEET
X NO
( REINFORCED CONCRETE
( CORRUGATED MATERIAL
( BOX CULVERT
)orxsm
NO-ILCE JQQ APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
out
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify 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
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 to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design
Standards (if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.fl.us/public—works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhilis is not responsible for maintenance or repairs of driveways. Driveways shall not alter
interfere with existing stormwater treatment and / or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial)
Applicant Print Name
App giant Signat, Date
Permit Technician Signature (or) NotarySlgiilatDate
Applicant is (personally known to me or produced
(type of identification)
WOW=
as identification,
,p" a04�4 Notary public StaW of Rorkla
Tonya Potlard
My Commission HH 138235
OF Expires 0810412025
99 1
1:2420 ..
PUBLIC
B WORKS
Concrete (min. 6°)
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 11/2'7
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 (31N x TL)
Y
N
Visibility triangle o.k.?
Y
N
Side set back (3' min. R.O.W.)
Y
N
Plan Review Fee
Is
Builder Name/Owner Name
County Parcel No. Z,
MEMMMEMEW
Classification/Type of Use --Lo—(-t)( L
TRANSPORTATION IMPACT FEE Rate:
Permit No, —iLL—i
Date Permitted
Control
52-(/&Div
7--
Sq, Ft Unit: /,->
Exempt 0 Yes El No How Determined
flmpactFee Amount �3Y80
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 -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account _ Recreation Credit Recreation Total
Zone Total Amount $ 7 246
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account _ Facility Credit _ Facility Total
Exempt 0 Yes = No How Determined Total Amount
RESOURCE FEE ERU
Rilm
Em
M