HomeMy WebLinkAbout24-7463Complete plans, Specifications add fee Must Accompany Application. All work shall be perforated in
accordance with City Codes and Ordinances. NO OCCUPANCY FOC.O.
0 OCCUPANCY BEFORE C.O.
`NTRAC R SIGNATURE PE IT OFFICE
PERMITIINSPECTION
tilt Nrx 5 �;
813-780-0020 A City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Ph... Contact for Permitting
a I , a '. .
Owner's Name Starlight Homes FL LLC Owner Phone Number 813-819-0199
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
I
JOB ADDRESS
6164 PINACOLADA STREET Zephyrhills
90
LOT#
SUBDIVISION
Tyson Townhom..
PARCEL [D#[:
0:2 2 :21 0310 000000
0900
_6:�
(OBTAINED FROM PROPERTY TAX NOTICE}
WORK PROPOSED NEW CONSTR ADD/ALT
SIGN
DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR COMM
OTHER E_
TYPE OF CONSTRUCTION BLOCK Q FRAME
STEEL
DESCRIPTION OF WORK New R nstruction
BUILDING SIZE F SQFOOTAGEM91
HEIGHT r_2T_10_'�
=BUILDING
LL3=,03838
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE =PROGRESS ENERGY = W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS lqq= FLOOD ZONE AREA =YES NO
BUILDER COMPANY Starlight Homes FL LUC
SIGNATURE REGISTERED FEE CURREN
�Vjl , �wt.11 p., FL 33619 License #
Address 49Prince Im 1.594
ELECTRICIAN -- COMPANY n Electric LLC
SIGNATURE
REGISTERED U YJN FEE CURREN
7�--�
Address E5611 Land 0 Lakes Blvd Land 0 Lakes FL License #F—EC13005408
PLUMBER
1
COMPANY B ayonet Plumbing Heating & Air Conditioning
SIGNATURE
ZE:= REGISTERED
Address 8905 New York Ave Hudson FL 34667 License 9 CFC042998
MECHANICAL• COMPANY B�yionet Plumbing Heating & Air Conditioning
SIGNATURE• REGISTERED L_U N _J F..cunke.__�N
Address 8950 New York Ave Hudson FL 34667 License# [CAC058062
OTHER COMPANY Proformance Roofing
SIGNATURE REGISTERED U—JYN FEE CURREN
Address License # - ; 2�_� i-I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pennit for new construction,
Minimum ton (10) working days after submittal date. Required ensile, Construction Plans, Stormwater Plans w/ Sill Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsilarge 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 & 1 clumpster. 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,
virecttons:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7S00)
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 AIG 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 contractor(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 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 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,
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
must take to be in compliance. Such agencies Include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland 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 "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 Penn!( 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. It work ceases for ninety (90) consecutive days, the job is considered
abandoned.
M 0.
HIN 111!11A.
H."0110110, 111111P.111A.40i MMwig tIN 4 Nil 1#1101 MAIM 1111m][111:40:11,11
I M W m 1-i—m 1.1 Z. a, FA I it lwr�,
OWNER OR A(
Subscribed and
islare Personally known to me
Subscribed and
as ide Ifficalion, as ident' anon.
Notary Public Notary Public
Commission No. 138235 Commission No. 1382-35
Tonya Pollard Tonya Pollard
Name o Notary type , printed or stamped Name of Notary typed, itinted or stamped
} u"
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION"
CONSTRUCTION PUBLIC RIGHT-OF-WAY
Allinformationfilled-in
City ofZephyrhills
•
Telephone 813.780.0000 Fax 813.780,0005
Date of application: Processed By: Permit #:
(gray area for staff use only)
[Copy to Building Department []Copy to Public Works
PROJECT 70B SITE:
PROPERTY OWNER
Address: 6164 PINA COLADA STREET Ze h rhills FL 33542
Name: Starlight Homes FL LLG
Unit #: 90
Address9720 Princess Palm Ave, Unit: Suite 140
Parcel Identification Number: 02 26 21 0310 00000 0900
City, State Zib I ampa,
Phone: 813-819-0199 Fax:
CONTRACTOR:
vklmm�mamm•
Contract• 94_ _ • s • • • - •
• i + + 99 Cell:
ARCHITECT/ ENGINEER:
Name: Firm Name:
Address: City: State: Zip:
State License #: Phone: Cell: Fax:
TYPE OF DRIVEWAY
—.^RESIDENTIAL DRIVEWAY
COMMERCIAL DRIVEWAY
PUBLIC ACCESS DRIVEWAY
CONSTRUCTION MATERIAL
ASPHALT
—X_CONCRETE
HEADWALL REQUIRED? YES X NO
Description of Project
LENGTH OF DRIVEWAY
®WIDTH OF DRIVEWAY
R.Q.W. EXCAVATIQN
DEPTH LINEAR FEET
CULVERTS NEEDED
( ) REINFORCED CONCRETE
( } CORRUGATED MATERIAL
{ } BOX CULVERT
{ ) OTHER (EXPLAIN)
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will • ` required.
9
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.cizephyrhills.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 Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not after I
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. lease initial)
Applicant Print Name
Ap-14;-11 ant §g'nat e Date
Permit Technician Signature (or) Notary -Signbtw� Date
Applicant is (personally known to me or produced
(type of identification)
as identification.
Pt& Notary Public State of FlorkJa
Tonya Pollard
My Commission HH 138235
Expires 0&0412025
IMI
PUBLIC
WORKS ONLY
Concrete (min. 6`)
Y
N
Asphalt Base (min. 6")
Y
N
Asphalt (min. 1112`D
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
Permit No. 7
Builder Name/Owner Name Date Permitted
Control #
County Parcel No, 6) 0 0) �o boot) 6 SubDiv:
Address/Location�Yw- �Co c�z-
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:. Sq. Ft Unit:—L3-616
Exempt [:::]Yes El No How Determined —
Impact Fee Annount$_ 3qeo Zone No. TAZ:—
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount 153
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKSAND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit
Zone
Exempt =Yes = No How Determined
Recreation Total
Total Amount
LIBRARY FEE
Land Account Land Credit Land Total
Exempt El Yes El No How Determined
Facility Total
— Total Amouln��-'
RESOURCE FEE ERU
RMOEMIM
OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIFTED 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 BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
mm
RECEIPT NO DATE BY
INSTR#2023167945OR BK10888 PG3918 P-g-,,fl
09/20/2023 11:31 AM Rcpt: 2626130 Rec: 10,00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk& Comptroller
Permit No. Parcel ID No Q2 26 21 0310 00000 0900
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 13 Lot 90
Street Address: 6164 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, LLC
Name
9720 Princess Palm Ave Suite 14t) 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: Starlight Homes FL LLC
Name
9720 Princess Palm Ave, Suite 140 Tampa
FL
Address city
State
Contractor's Telephone No.: 813-819-0199
5. Surety:
Address city State
Amount of Bond: $ Telephone No,:
6. Londer:
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:
City State
Telephone Number of Designated Person:
8, In addition to himself, the owner designates N/A of — to receive a copy of the Lienors 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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y:;OrU! ,7R44QTI., FCOMMENCEMENT,
a
fi,j c 'I is at
Under penalty, of perlury, I declare that I have read the foregoing noticethe ds st ad therein are true to the best
of my knowledge and belief. j — /
STATE OF FLORIDA
COUNTY OF PASCO
or Lessee, or ownels or
Darryl Colwell -Authorized Representative
SignatorVsTigelOffice
The foregoing instrument was acknowledged before me this _24thday of April 20 Z3 by Darryl Colwell
as Authorized Representative — (type of authority, fficer, trust ce, attorney in fact) for
Starlight Homes FL, LILC (name qf paqy on b haffof wh m trist t was executed),
Personally Known 121 OR Produced Identification 0 Notary Signature
Type of Identification Produced Name (Print) Tonya Pollard
�d
N4otaqy Pulok SrWe of Flooda
, poilard
rhij., HH 13o235
My Ctm
Expires 0610412M
wpdata/bcs/noticecommencemenf—pcOS3048