HomeMy WebLinkAbout18-19625 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-Od20 19625
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION,INFORMATION
Permit#:19625 Issued: 4/27/2018 Address: 37729 NEUKOM AVE LOT 122
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,400.00 Total Fees: 50.00 Subdivision: GRAND HORIZONS
Amount Paid: 50.00 Date Paid: 4/27/2018 Parcel Number: 34-25-21-0090-00000-1220
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JN ELECTRIC OF TAMPA BAY INC Name: GALYEN KATE L &ARTHUR W
Addr: 2441 OD CYPRESS ROAD Address: PO BOX 104
LAND O'LAKES, FL. 34639 CHILDS MD 21916-0104
Phone: (813)948-1608 Lic: Phone: 443-945-5596
Work Desc: REPLACE METER PEDESTAL
APPLICATION FEES
ELECTRICAL FEE 50.00
IN E IONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL `1
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 4/27/2018 Phone Contact for Permitting 813- 48-1608_
7—ITt l—ITr
Owner's Name Kate&Arthur Gal en owner Phone Number 443-945-5596
Owner's Address 1 37729 Neukorn Avenue Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 37729 Neukom Avenue LOT# 122
SUBDIVISION Grand Horizons I PARCELID# 34-25-21-0090-00000-1220
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK Replace Meter Pedestal
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 1'400 00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY N Electric of Tampa Bay, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address 41 Old Cypress Creek Rd,Land O'Lake 34639 License# EC0002478
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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 w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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,Stonmwater Plans w/Silt Fence installed,
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 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 Attomey(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
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 properly 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 I, 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, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03
OWNER OR AGI NT CONTRAC
S q q d a d s to(or affirmed),before me is Subscribed an,: wHi n to(or affirmed)before me this
0�/�`// Ul�hy ohn P.Narcisi 04/18/2018by John P.Narcisi
Who is/are personally known to me or h Who is/are personally known to me
as identi 'a ion. . ntificatio
Notary Public Notary Public
Co is on Na. Comm'sion o
Name of Notary typed,printed or stamped Name off4otary typed,printed or stamped
JOYCE E.NEWUWD ,%;a °e?, JOYCE E.NEWLAND
MY COMMISSION#FF 192411 * My COMMISSION#FF 192411
EXPIRES:February 11,2019 " EXPIRES:February 11,2019
-I Ao1•�O Bonded Thm Budget Notary Senkes '�oF no�`O Bonded Tluu Budget Notary Servkes
A
JI V E'LECTRW of Tampa Bay, Inc.
April 27, 2018
City of Zephyrh ills
FAX.- 813-780-0021
RE: EC0002478
John P. Narcisi
Dear Licensing:
This is written authorization for the following to pull permits for my
company. This list Supersedes all other list.
Thomas E. Towner./ T560-825-55-096-0
Brian Wherry ✓ W600-061-63-263-0
Dewie "Butch" Silver✓ S416-172-52-254-0
Richard Allen ✓ A450-746-60-027-0
Tim Rein,1 / R500-810-81-424-0
Roddy Bernard `/ B656-720-73-062
Don Davis s ✓ / D120-192-60-349-0
Brenda Buckley / B240-98-498-467
If you have any questions or need any additional information, please
call me @ 813-948-1608.
Sincerely,
John P. Narcisi
STATE OF FLORIDA
CO UNTY OF PASCO
Sworn to and subscribed to before me this April 27, 2018 by John P. Narcisi, who is
personally known to me.
v JOYCE E.NEWLAND
k * My COMMISSION#FF 192411
EXPIRES:February 11,2019
o c E. ewland: Notary NOR-
CustomFOFW.� BoededThru134elNotaryServkea
Residential•Remodeling•Commercial
Phone(813)948-1608 • Fax(813)948-1805 • 2441 Old Cypress Creek Road •Land O'Lakes,FL 34639
www.jnelectric.net•State Certified#EC0002478 9 Bonded 9 Insured