HomeMy WebLinkAbout23-7468Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
N OCCUPANCY BEFORE C.O.
IZ
A4E JTOFFFCE�
CONT 'CTORS NATURE P
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
813-780.0020 City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
Date Received r
t e t t[ t t t 6 Phone Contact for Permitting
Owner's Name Starll ht Humes FL LLC
$1, -819-0199
Owner Phone Number
Owner's Address
9720 Princess Palm Ave, Suite 140 1 Tampa, FL 33619
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
81g4 PINACOLADASTREET
ze h rhills FL 3354
95
T�
LOT #
SUBDIVISION Tyson Townhamas
PARCEL
ID#
02 26 21 0310 000000 0950
I -STAINED FROM FROFERI TAX .TICE)N
����**��qqy
WORK PROPOSED NEW CONST ADD/ALT
El
SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR ® COMM
OTHER
TYPE OF CONSTRUCTION BLOCK ® FRAME
STEEL ® 1
DESCRIPTION OF WORK
New Residential Construction
i �
=PLUMBINGi• 1i'i
•
GAS Q ROOFING Q
FINISHED FLOOR ELEVATIONS 1 _op_+
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY 0 W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY L_I OTHER
FLOOD ZONE AREA ®YES
BUILDER �. "" COMPANY Starlight Homes FL LLC
SIGNATURE i'"^�
` REGISTERED FEECURREN N �®
Address 9 Prince Im a, uite 14 _ a, FL 33619 License #
--=� _ P � CGC1534594 �
ELECTRICIAN COMPANY Edmonson Electric LLC
SIGNATURE REGISTERED N FEECURREN --)
Address 5619 Land 0 Lakes Blvd Land 0 Lakes FL License# E613005408 I
PLUMBERf '` �� COMPANY Bayonet Plumbing Heating &Air Conditioning
SIGNATURE r .: ` %v r / _!
REO}STEREO N®FEECURREN Y N
Address 8905 New York Ave Hudson FL 34667 License# CFC042998 _�
MECHANICAL
(I a COMPANY Bayonet Plumbing Heating &Air Conditioning
SIGNATURE t �. Cr .'•� +� REGISTERED Y EN N FEECURRN
Address �8950 New York Ave Hudson FL 34667—�
r — >
License # CAC058062
OTHER (�« .+'� ,r ' COMPANY F Proformance Roofing
SIGNATURE F +•'• T +^ REGISTERED Y N FEECURREN YIN
Address 270 W Plant St #310 WG 34787 License# CJ3.30971_�
ttltt[titttit/t[ttt[tt[Ettttt[t[[ttCt[tttt[tt[tltEt[i[ttttt[[[t[ti[t
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 onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsltarge 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 instated,
Sanitary Facilities & 1 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 at 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 Altomey (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 permitmay 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. 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 IMPACT/UTILITIES 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 idenfified 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.
CONTRACTOWSJOWNER'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 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, Water/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 "\/" 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.
JURAT (F.S. 11.17M)
OWNER OR A(
Subscribed and
vvttu -at c puf3unany Known tome or haSthave produced
as idert ' Iffication,
Notary Public
Commission No.138235
Tanya Pollard
Name of Notary typed, printed or stamped
Subscribed
Notary Public
Commission No, 138235
Tonya Pollard
Name of Notary typed, printed orstamped
-"a'y Pubft Slat' Of Flioddla
TOnYa Pohrd J
My Commission HH 138235
Expires 06AX12()25
— —F% ves O HOW Determined
LII� Y FED
Land Account _ Land Credit
Land Total
Facility Account Facility Credit
Facility T®tal
Exempt Yes No HOW Determined
Total Amount
RSRC FEE
ERJ
Total Amount
O CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNnL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMrrTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORD, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
NM
RECEIPT N
EM
INSTR#2023167956OR BK10888 PG3967 Page 1 of 1
09/20/2023 11:32 AM Rcpt: 2626137 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 0950
County of Pasco
THE UNDERSIGNED hereby gives notice that improvement wit 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 13 Lot 95
Street Address; 6144 Pina 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, I-I-C
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
4. Contractor: Starlight Homes FL LLC
Contractor's Telephone No.: 813-819-0199
S. Surety:
Name
Ad —dress
Amount of Bond:
6. Lender:
Name
Address
Lenders Telephone No,:
State
Tampa FL
City State
City
Telephone No,:
State
State
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:
Name
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
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 0�111` COMMENCEMENT.
Under penalty of periury, I declare that I have read the foregoing not ted therein are true to the best
of my knowledge and belief. —,5w�-f9p. 711�As �p
STATE OF FLORIDA
COUNTY OF PASCO
Signature -Of Owner or Lessee, or Ownet's or
OfficertDirector/Partner/Manager
Darryl Colwell -Authorized Representative
Signatory's Title/Office
The foregoing instrument was acknowledged before me this 24thday of April 20 L-3 by Darryl Colwell
at, Ito
as Authorized Representative (type of authority .officer, st a �aftomey in fact) for
`rc :
Starlight Homes FIL, LLC b h If T ins; ru ax...ted).
—(nameqfpa�yon o a of�&
Personally Known 10 QR Produced Identification El Notary Signature
Type of Identification Produced Name (Print) Tanya Pollard 11-�
-S
Notary Public StM Of FtQrtdA
To," pollard
My CommiWon HH 138235
PR Expires 06X1412025
wpdatalbcstnoficecommenrement _pcO53048
PERMIT APPLICATION
A P 1P 1 0 0 A 0
City of Zephyrhills
5335 81:11 Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813,780.0005
Date of application: Processed By: Permit #:
®Copy to Building Department (gray area for staff use only) Elcopy to Public Works
PROJECTIJOB SITE:
PROPERTY OWNER
Address: 6144 PINA COLADA STREET Zel)hyrhills, FL 33542'
g o F�
Name. SlarlimesFE
Unit#: 95
i -
Address9720 i5-rincess Palm Ave, Unit: Suite 140 0
Parcel Identiftation Number: 02 26 21 0310 00000 0950
Tampa,_ -FL 33619
Ji
Phone: 813-819-0199
CONTRACTOR:
- •I I
VR111�r4rA11kTA"#11l
contractor's License #: CGC1534594 E-Mail: jere�iy.ioun-�starlighthomes.com
Phone: 813-819-0199 Cell: Fax:
ARCfl1TECTTEWG_jNEER-
Name: Firm Name:
Address: City : - State: Zip:
State License #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
--X—RESIDENTIAL DRIVEWAY
—COMMERCIAL DRIVEWAY
- PUBLIC ACCESS DRIVEWAY
ASPHALT
CONCRETE
In V
9 W1. I iago gy1j4%
YES X NO
Descrigtion of Project
LENGTH OF DRIVEWAY
WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH —LINEAR FEET
•
NOTICE TO APPLICAN : If actual work exceeds scope of this description, addonal permits or drawings
will be required.
11 11141VAKODMO 0 A_ . I I
imm-MENMW
alapjffj�i
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)
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)
Applicant Print Name App fgiant 'gnat t�e Date
—7 Z
Permit Technician Signature (or) NotarySignbturb> Date
Applicant is (personally known to me or produced as identification,
(type of identification)
Notary Public State of Florida
Page 2 of 3 Tonya Pollard
15 My Commission HH 138235
NOF Expires 06/04/2025
Concrete (min. 6)
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 1112')
Y
N
Length (min. IT)
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