HomeMy WebLinkAbout23-7465Complete pleas, Specifications add fey Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCYBEFORE o a
N OCCUPANCY BEFORE C.O.
C TRAC IRSIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUTINSPECTION
i '1[
813-780-oo2o City of Zephyrhills Permit Application Fa*813-780-0021
Building Department
Date Received �Fhye ��Contact for Pe I
itting
It a 4 a
Owner's Name 4Starli ht Homes FL LLC, Owner phone Number 8 13 - 8=1 a9- 0 1 �99
ow..e. Address 1 9720 Princess Palm Ave, Suite 1401 Tampa, FL 3361=9 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6156 PINA COLADA STREET Ze h
chills FL 3354 F-921
ICTI
SUBDIVISION Tyson Townhomas PARCELID#
02 26 21 0310 000000 0920
WORK PROPOSED NEW CONSTR fX ADD/ALT
INSTALL F-1 REPAIR
R35T1I.EO FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK New Residential Construction
BUILDING SIZE SO FOOTAGE
--------------
HEIGHT I 2T-10"
=BUILDING
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE
PROGRESS ENERGY a W,R.E.C.
=PLUMBING Is 8-4-OW.-O-0-1
7
=MECHANICAL E77P=507_0 VALUATION OF MECHANICAL INSTALLATION it
3.1.1
=GAS = ROOFING = SPECIALTY =
im to
OTHER
FINISHED FLOOR ELEVATIONS --- 1--3--8-6-77 FLOOD ZONE AREA
=YES NO
BUILDER COMPANY Starlight Homes FL LLC
SIGNATURE REGISTERED FEE CURREN I LY_J N
Address 9 Prince Im a, uire 14 pa, F License
COMPANY
ELECTRICIAN COMPANY I Edmonson Electric LLC
SIGNATURE
REGISTERED
0-_ - _F FEE.URREN
Address 5611 land 0 Lakes Blvd Land 0 Lakes FL Li ..... 9 1 EC13005408
PLUMBER EaoZ.: g & Air Conditioning
SIGNATURE COMPANY . � Plumbing,Heatin
REGISTERED LL.XJ NJ rEECURREN U, YJN_J
Address 8905 New York Ave Hudson FL 34667 License # CF
MECHANICAL COMPANY Bayonet�Plumbing Heating & Air Conditioning
SIGNATURE
REGISTERED U_LLN _J FEE CURREN LL.L "N
Address 8950 New York Ave Hudson FL 34667 License# F`C�AC058062
4
OTHER COMPANY Proformance Roofing
SIGNATURE ['"w ' a 7� REGISTERED Y N FEE CURREN
Address 27Q W Plant St #31 0 WG 34787 License #
CCC!330971
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 alter submittal date. Required onste, Construction Plans, StOrmwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster; Site Work Permit for subdivislonsferge 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 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.
Directions: - - - - - - - - - -
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2600, a Notice of Commencement Is required. (AX 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.,neads 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 wait, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009.
Furthermore, K 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, witi be identified at the lime of permitting. It Is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a 'cenificate 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—Homeownees 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 crinstallation 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 (hat 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, 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.
- 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 rill 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 inviolate, 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 AGENT
Subscribed and swo(n to (or
Who islare personally known to me or hasthave produced
as Identification.
Notary Public
Commission No, 138236
Tonya Pollard
Name of Notary type d—,p—rin—te-Tor —stamped
71
Subscribed and sworn to)(or affirm I
eq) be boo Me I Is
by _--, igiml You i;i
Who is/are personally known to Meor has)have produced
as id—tifilation.
Notary Public
Commission No. 138235
Tonya Pollard
ame of Notary typed, printed or sua—mped
fFk
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled -in completely
City of Zephyrhills
53358 th Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780,000;
Date of application: Processed By: Permit #:
— ®Copy to Building Department (gray area for staff use only) ®Copy to Public Works
PROJECT/JOB SITE:
:i 101U4 114 WK11111TITI 0 14 Im
Address: 6156 PINA COLADA STREET Zephvrhills, FL 33542
Unit #: 92 �
A [#L�M RWME II
Parcel Identification Number: 02 26 21 0310 00000 0920
Phone: 813-819-0199 Fax:
CONTRACTOR:
Company: . Starlight-flomes FL LLC
Name: Jeremy Young
Contractor's License #: CGC1534594 E-mail: ieremv.young(�b-starlighthomes.com
JhOW813-819-0199 Cell: Fax:
Name: Firm Name:
Address: City: State: Zip:
State License #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
-->C_RESIDENTIAL DRIVEWAY
—COMMERCIAL DRIVEWAY
— PUBLIC ACCESS DRIVEWAY
PM1101MM110 914014:110
ASPHALT
X_CONCRETE
Mwym' I -Loa
YES XNO
Description of Proigct
LENGTH OF DRIVEWAY
WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH LINEAR FEET
CULVERTS NEEDED
REINFORCED CONCRETE
CORRUGATED MATERIAL
BOX CULVERT
OTHER (EXPLAIN)-
NOTICE TO A[!PLICANT: If actual work exceeds scope of this description, additional permits or drawin
will be required. i
WRIVAKIff"T NU# Irl: riiiiiii
WE MUM
UTILITIES LOCATE CONFIRMATION NUMBER:
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)
works.asp)
APPLICATION 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 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)
W
Applicant Print Nam 6
ApO'cant igniat,Sie' Date
Permit Technician Signature (or) Notary SignbrtuiDate
Applicant is (personally known to me or produced
(type of identification)
as identification.
, aIN Notary Public State of FlorWa
Tanya Pollard
Expires 0610412025
My Commission HH 138235
VF G
Ng D
PUBLIC WORKS USE ONLY
Concrete (min. 6")
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 11/2'j
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
Visibility triangle o.k.?
Y
N
Side set back (3` min. R.O.W.)
Y
N
Plan Review Fee
0 01 -. I : : : -
Permit No, Parcel ID No 02 26 21 0310 00000 0920
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real properly, 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 13 Lot 92
Street Address: 6156 Ping Colada Street 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 . 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: Slarliqht Homes FL. LLC
Name
Tampa
FL
Address
city
State
Contractors Telephone No.: 813-819-)199
S. Surety:
Amount of Bond:
6. Lender:
City State
Telephone No,:
Address city 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(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
WITH YOUR LENDER OR AN
Under penalty of pequry, I declare that I have read the foregoing notice err—e' 7nd I �dth5Kcts.�tof6d therein are true to the best
of my knowledge and belief. C7 -
STATE OF FLORIDA
COUNTY OF PASCO
or Lessee. or Ownet's or
DarrxI Colwell -Authorized Representative
Signatory'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,I ust e, attorney . m fact) for
Starlight Homes FL, LLC — (name of pa qy an behalf was 'xaculed),
Personally Known 2 OR Produced Identification [I Notary Signature_
Type of Identification Produced Name (Print) Tonya Pollard
motalry Pum We Of F110"da
.. .. ou�
HH 138235
ally� 7
Tony$ "1 138235
My Commission(IAH
Lf?-jQ ?* :" /2 2-5 . Expires %6M/202
OF 10,
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