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Home My WebLink About20-164 s r u'air City of Zephyrhills PERMIT NUMBER - 5335 Eighth Street Zephyrhills, FL 33542 BGR-000164-2020 Phone: (813) 780-0020 . Fax: (813) 780-0021 Issue Date: 05/27/2020 Permit Type: Building General (Residential) Property Number Street Address 15 26 21 0170 01000 OOAO 4511 Blossom Boulevard Owner Information Permit Information Contractor Information Name: DOUG&ANITA FERNANDEZ Permit Type:Building General(Residential) Contractor: SCHMITT INC Class of Work:HVAC Changeout Address: 4511 Blossom Blvd Building Valuation:$0.00 ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 Phone: (813)453-9940 Mechanical Valuation:$4,638.00 Plumbing Valuation:$0.00 Total Valuation:$4,638.00 Total Fees:$63.19 r�� Amount Paid:$63.19 i I Date Paid:5/27/2020 2:07:04PM t l Project Description A/C CHANGE OUT 2.5 TON Application Fees Mechanical Permit Fee $63.19 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 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 permit 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 add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application- Fax-813-7e0-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name Q ZL Owner Phone Number 3 453'`lQ�f Owner's Address � t/ O S50 13 f V Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address j� JOB ADDRESS 4-111 Blog SQ Ala LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM = OTHER Cjn a to, TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 DESCRIPTION OF WORK 1Mc e-hq h e Ou r C;I rr)er Z•�T S eer ffP BUILDING SIZE SQ FOOTAGE HEIGHT _Iuk*-I€€ILXS= L.a[€W.JL€WW.W-XILW.e:-W-€€jeWW[A-tia[ILs€x;J.WW.W.W.ICRiEJLX0-ILXALI&..€ LL8T.€£X.A..€3[WL-£ILW.ILXI =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. =PLUMBING $ r MECHANICAL $ G 3 VALUATION OF MECHANICAL INSTALLATION ` (� T=GAS �, ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER - COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# ELECTRICIAN . COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# MECHANICAL (UC/"' COMPANY SIGNATURE /� REGISTERED Y/N FEE CURREN Address 7 7 J� U S tS"4V Nu�f O/) 3Q(P67 License# `I�C 8 S&Z OTHER COMPANY = I SIGNATURE REGISTERED Y/N FEE CURREN Address License# / 1114 1#2 a." lE.a.lI 1 x 11 a 1[12"I a:a Ilia"11E 1 1.1<I'"JI 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,Stormwater 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. .•••oon0M=W o::oaov......,:...a s,....0 ni�.ni...............:.... 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. UNLi'CENSED 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 of 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 properly licensed and is not entitled to permitting privileges in Pasco County. CQN$TRUCTION LIEN LAW.(Chapter 713, Fiorida-Statutes,as amended): If valuation of work is$2,500.00 or more, I certify that 1, the applicant, hove been provided with a copy of the "Florida Construction Lien Law--Homeowner's Protection Guide" prepared by the Florida Deportment of Agriculture and Consumer Affairs. if the applicant is someone other than the"ownee, ice that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior tq commencement, CONTRACTOR!SfOWNER!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. Appiication is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has c6mmenced'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 governm ility ent agencies may apply to the intended work,and that it is my responsib to identify what actions I must take to be in compliance. 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 OTICE OF COMMENCEMENT- FLORIDA JURAT(F.S. ) OWNER OR AGEN CONTRACTO.I±: 2G�� t f �J�S bscri d and sworn or a ed)before me this $ bscr bed and sw to(or affirmed)befo me this �bby �i�nm)k.Sclr,teiit:L -1 by t 1 �:�,�- Who islare personally known ° me or hasthave produced Who Ware personally known to rhe or hasihave produced as identification. as identification. cY�V Ai rn o,y.4a Notary Public r2AC�Ao a a_I - \J F h�^t 1 i�S3� Notary Public Commission No. aC�Ic Commission No. a r I . Vtt.X+rill-e►� i-ein /94LC_�, t UP,r vYS e V-1 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped of Rachael L.Vermeulen t o NOTARY PUBLIC got vAQ NOTARY PUBLRachael L. IC ulen -4STATE OF FLORIDA 4'r t' Comm#GG245404 STATE OF FLORIDA e Expires 8/512t}22 Comm#GG245404 1 Expires 815/2022 • • 17935 U.S. Highway 19 • Hudson, Florida 34667 www.schmiftine.com Pasco: (72:7)868-9531 Hillsborough: (813)514-1569 Hernando: (352)683-7606 Citrus: (352)563-0065 Pinellas: (727)938-1212 Toll Free: (800)572-0150 Fax: (727)862-9999 i 05/20/20 O C� To whom it may concern: C 0 V Jim Cave is authorized to sign on behalf of Schmitt Inc./Daniel K Schmitt for the .� City of Zephyrhills. c� a� W Lie#CAC1815629 bA C .o Thank you, s~ V Daniel K Schmitt ago a� c x S�)scrlberJ• -ft> ( of O��Cc�,nned� e-fa(-e me ss a�L-i a1' �� , �O a0 �y �ar•i et �. $cha�r.:�.�. W n� i S dxs s c�c�cL.11� 1 o�pSk yA Rachael L.NOTARY PUBLIC IC oe -STATE OF FLORIDA �( C.• V4��t1 ��Comm#GG245404 ONCE 1 Expires 8/5/2022 A/C=CAC1815629- ELEC. ER0000579 7?� - 2 37 LtSZ-6 Pasco: (727) 868-9531 Schmitt, Inc. Hernando: (352) 683-7606 Air Conditioning • Heating • Electrical Contractors Pinellas: (727) 938-1212 17935 U.S. 19 NORTH Fax: (727) 862-9999 HUDSON, FLORIDA 34667 Install Date: 5/ZO j-7 c7 FL. LIC.#ELECTRIC- ER0000579 • A/C- RM0017343 - www.schmittinc.com Customer Name AtefTA r-EQN& DES Phone q513 LA53-g9.q%ate I o Address 45 1k g 1 r,9 C�I� U Job Address SAME City, State, Zip G.z jp�AY(_ HILLS, Email Address PADZLL24A NrA t s boq.ep We will furnish all the required materials,which we guarantee will be specified, and we will perform all the labor requ ed for the completion of the option selected below. (Please select one option) Equipment Specifications OPTION#1 OPTION#2 ❑ OPTION#3 ❑ ` Make CA l220 1E(L Make Make Cond. Model 5 H EtG 52H AM? Cond. Model Cond. Model A/H Model HCN qozsz- A/H Model A/H Model Htr. Size Htr. Size Htr. Size Other II -b WAJP-)�(A1Fj I Safi Other Other Seer i (:,—.& Seer Seer Year Parts Warranty Year Parts Warranty Year Parts Warranty Year Labor Warranty Year Labor Warranty Year Labor Warranty Year Compressor Warranty Year Compressor Warranty Year Compressor Warranty Price: $ ''f 'a , b Price: $ Price: $ Annual Maintenance is required to maintain any extended labor warranty. Installation shall include: tS o`er & ;TK I � Al R Ie :�-F Nent-DeD 'New Amp disconnect Eg Evacuate refrigerant system ❑ Fire dampers ❑ New Amp electric service R'Remove existing equipment from premises ❑New condensate drain system ❑ New low voltage wiring [ Install energy saving digital thermostat Insulate drain line E,�j New electric whip IN ' . OUT [Charge to manufacturer's specs. ❑ New condensate pump ❑ New weather resistant equipment stand [ ?Make air tight plenum transition to existing ducts ❑ Install aux.condensate drain pan ❑ New reinforced equipment pad ❑ New duct run to ❑ New high efficiency air filter New vibration isolation pads ❑ New plenum ❑ New return air filter grill ( 'New properly sized refrigerant lines ❑ Balance for uniform supply air distribution ❑Crane Service ❑Tie into existing refrigerant lines KOverflow float in drain line ❑Meet all code requirements ( Insulate refrigerant suction line (s) XClean work area to customer's satisfaction ❑Complete system start up [�Install refrigerant drier(s) LI SL ❑ Metal shroud to cover duct work Proposal void if not accepted in t days. Total Investment$ Li Balance Due upon Completion $ The above prices,specifications and conditions are accepted. Payment will be made as set forth above. We acknowledge that acceptance of this proposal constitutes a contract. It is agreed and understood by the parties that all equipment and parts which are sold pursuant hereto shall NOT become fixtures or part of the real estate where they are placed. Sold parts and equipment shall at times remain personal property and the title hereto shall remain in the seller until payment in full is received. Buyer hereby agrees that all parts and equipment may be repossessed in the event of non-payment. I have authority to order the work as outlined abov . I agree to pay all costs and reasonable attorney's fees if this Proposal is placed in the hands of an attorney for collection. Acce to , G /off er) Schmitt, Inc. By I I�/ Date Datesl 19 ac,&Q ByP.,k Date , i