HomeMy WebLinkAbout23-7195. . Zephyrhills
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:Issue Date:12/12/202
813-780-0020 City of Zephyrhills Permit Application FaK-813-760-0021
Building Department
Date Received
Phone Contact for Permitting
a a a a a a a 9 4 2 A I a I I
Owner's Name Starli ht Homes FL LLC 1 Owner Phone Number 813-819-0199"1
Owner's Address 9720 Princess Palm Ave, Suite 140 1 Tampa, FL 331319 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6257 DAERR RIDGE STREET Ze h rhills FL 3354 LOT #
26
SUBDIVISION Tyson Townhomas I PARCEL to# �0226 2�10310 �000000 0260
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRFX ADOfALT SIGN Q DEMOLISH
INSTALL ❑ REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK a FRAME STEEL
DESCRIPTION OF WORK New -Residential Construction
BUILDING SIZE 1692 SQ FOOTAGE 138V HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C,
6155.00
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES CD
BUILDER COMPANY Starlight Homes FL LLC
ren
SIGNATURE REGISTERED LL11L FEE CURREN ILYJN
N
Pa' Ft r
Address [;9�klPrince Im e, uite 14 a. I L 33 -1. 1 �g License # QQQ 1
ELECTRICIAN
son Electric LLC
COMPANY
SIGNATURE
REGISTERED N FEECURRFN
Address 56=1 1 Land =0L=akes=BlV=dL=and =OL=akesFL License #I EC13005408 I
PLUMBER COMPANY Bayonet Plumbing Heating & Air Conditioning
SIGNATURE I
REGISTERED LLILN J
Address 8905 New York Ave Hudson FL 34667 License # I CFC042998
MECHANICAL COMPANY Ba onet Plumbing Heating & Air Conditioning
SIGNATURE I . �
REGISTERED Y N FEE CURREN N
r
Address 8950 New York Ave Hudson FL 34E= License # I CAC058062
OTHER COMPANY Proformance Roofing
SIGNATURE REGISTERED Y N—E.- cu_�-NY N
Address 270 W Plant St #310 WG 34787 License #1 1`11`11`113309�
It ggilaillitillitit
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 onsike, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster; 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 onste, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumps(er. Site Work Permit for ail new projects, All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
Directions: - - - - - - - - - - -
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)
Retools if shingles Sewers Service Upgrades A/C Fences (PloVSurvey/Foolage)
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 contractor(s) 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, 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 "cerifficate 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. FurtfireonoFe, 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 Statute$, 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.
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, 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 of abandoned for a
period of six (6) months after the time the work is commenced. An extension may be requested, in wiring, 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.
FLORIDA JURAT (RS.
OWNER OR AGENT
Subscribed and swain I
Subscribed and
P-'WnatlY Known to me ornasinave produced Who is/are personally known to ineor haWhave produced
as identification. 0 as identi ation.
Notary Public Notary Public
Commission No. 138235
Commission No. 138235
Tonya Pollard Tonya Pollard
Name at Notary typea, printed or stamped Name of Notary typed, printed or stomped
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zane Total Amount
Exempt Yes No How Determined
LIBRARY FEE
Land Account Land Credit Laud Total
Facility Account Facility Credit Facility Total
ExemptEl Yes No How Determined Total Amount
RESOURCE FEE ERU
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 BUILDINGS OWNER ON NOTICE of THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
Im
RECEIPT NO
RM
INSTR#2023076511 OR BK10809 PG1 575 page 1 of 1
05/02/2023 10:52 AM Rcpt: 2578254 Rec: 10,00 IDS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. Parcel 10 No
NOTICE OF COMMENCEMENT
State of Florida 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 4 Lot 26
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 State
4. Contractor: Starli ht Homes FL LLC
Name
9720 Princess Palm AveTampa FL
Address city State
Contractor's Telephone No.: 813-819-0199
S. Surety:
Name
Address City State
Amount of Bond: Telephone No.:
6. Lender
Name
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:
Nana
Address city State
Telephone Number of Designated Person:
& in addition to himself, the owner designates NIA Of
to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(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 C,'OMMFNr.IN(' WORK ()P Pr(-.0Pr)1Mrz vnl ID-MnnP. —
Under penalty of perjury, I declare that I have read the foregoing notice,, sm
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Sign. Owner or Lessee, or Ovviie s or Lessea's Authorized
Officer/Director/P artner/Manager
Darryl Colwell -Authorized Representative
Signatory's Title/Office
The foregoing instrument was acknowledged before me this 24thday of April 20 ?3 by Darryl Colwell
as Authorized
(type of authority, a. . officer, trust a, attorney in fact) for
.I
nice attorney
Starlight Homes FL, LLC (name f pa on behalf of wh m ln�stnt was �execute'd).
Personally Known 0 OR Produced Identification El Notary Signature
Type of Identification Produced - Name (Print) Tonya Pollard
['W NotarY Pubk State of Floddia
TO.Y8
My CopoI'ssion HH '136235
0 _5
412 2
Thn ExPir0s OM412025
wpdate/bcs/noticecommencement_pcO53048
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
- E]Copy to Building Department (gray area for staff use only) ®Copy to Public Works
PROJECT/JOB SITE:
PROPERTY OWNER
Address:•51 DAERR RlqG�ESTRE�ETZ
—Name. -St—a—rFig-ht Aomi�s--F=G
26
Address9720 Princess Palm Ave, Unit: Suite 140
Parcel Identification Number: 02 26 21 0310 00000 0260
MI a ampa,
SW
jAK
Phone: 8137819-0199 Fax:
CONTRACTOR:
re jui i X:
C ITECT/ENGINEER:
Name: Firm Name:
Address: City: State: Zip:
State License #: Phone: Cell: Fax*
TYPE OF DRIVEWAY
X RESIDENTIAL DRIVEWAY
—COMMERCIAL DRIVEWAY
—PUBLIC ACCESS DRIVEWAY
CONSTRUCTION MATERIAL
ASPHALT
--X—CONCRETE
YES X NO
Descrit)tion of Ptoje
LENGTH OF DRIVEWAY
WIDTH OF DRIVEWAY
R.O.W. EXCAVATIOD!
—DEPTH —LINEAR FEET
go, 0 1 EM
CULVERTS NEEDED
REINFORCED CONCRETE
CORRUGATED MATERIAL
BOX CULVERT
OTHER (EXPLAIN)_
NOTICE TO A_PPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
W-1kiffilKozaluo MIR 0 1 10
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THI�-:
AFFIDAVU: Application is hereby made to obtain mpermit 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 overall
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
eq,F.S.71l
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply tothis property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design
Standards (if appUiceble). (Public Works Design Manual online link: w*w.ci.zephy,hiUs.Mus/pubUc_wurksasp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY 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 stmrmwatertreatment and /wrconveyance.
PROPERTY OWNERS: 8ysigning this application: Icertify that lhave read and understand the owner/builder disclosure
statement.
All
-''-�
Applicant Print Name Apokant §ighat "I e Date
Oil
Permit Technician Signature (or) Notary`§igrii� Date
Applicant is known tomenrproduced
(type of identification
as identification.
I N
Concrete (min. 6`)
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 1112')
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