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Rrflfl City p of Ze hy rhilis
PERMITNUMB.ER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001305-2020
Phone: (813)780-0020
Fax: (813) 780-0021 Issue Date: 12/31/2020
Permit Type: Building General Residential
x Property'Num dress
s 152621 017E 00700 OOAO 4532 Blossom Boulevard
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j :Ownelrinformation ..: Pelrmit Information Contractor Information
Name: JOHN THIES LIVING TRUST Permit Type:Building General(Residential) Contractor: BAYONET PLUMBING
Class of Work:HVAC Changeout HEATING &AC INC
Address: 4532 Blossom Blvd Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)997-4947 Mechanical Valuation:$6,888.00
Plumbing Valuation:$0.00
Total Valuation:$6,888.00
Total Fees:$74.44
Amount Paid:$74.44
Date Paid: 12/31/2020 11:52:1OAM
Pro ect Descri tionXa.,._ - . T . ��
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A/C CHANGE OUT 2 TON
Application F,ees4 �• : �., ;x ,_. 't°. ,1
Mechanical Permit Fee $74.44
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.
c
CONTRACTOR SIGNATURE PE Im.
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-813-780-0021
Building Department
Date Received Phone Contact for Permitting ( r]oZ 1 ) &
Ia4141
Owner's Name j -TI, Owner Phone Number ( g (3 fj " ,qq 44
-17
Owner's Address 14532 1-3I o sso m O V d Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address rr 7
JOB ADDRESS y15 3 2 L�(o.55 6 13j 1 Vc[ G.e r h; ( (5 'FL 3-iS42-: LOT#
SUBDIVISION IN/A PARCEL ID# iJO'Z( "611 E - 60-700--DDA 00
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL
DESCRIPTION OF WORK EQ((-a-( 14 VAC- C1n,-Ln e-rU--+
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 30
=GAS ROOFING Q SPECIALTY = OTHER '
FINISHED FLOOR ELEVATIONS f FLOOD ZONE AREA =YES NO
- 64
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL �fe a COMPANY �a�one-4-
SIGNATURE, REGISTERED Y N FEE CURREN Y/N
Address ggSG t4twl gorK ike-,'-iv UdSon, FL License# �g0 2—
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
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i7FCInGMT1A1 Aff—H/71 PW IDI--19%—fc of R„ilrainn PI—c•/11—t of P—rn"P—m-R-(1-\A/ID—if fnr nnu,—nefn,rfinn
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 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 W" 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 Y OTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) f
OWNER OR AGENT CONTRACTOR i
Subscribed and sworn to(or affirmed)before me this Subscr' ed and sworn t, r affirm fore me this
by ?�
Who is/are personally known to me or has/have produced Who is/are rsonally known to me or ha`�/have produc d
as identification. as identification.
p'�, ALICE L.BELLAS
Notary Public MY COMMISSION#GG945% ryPublic
,;dP EXPIRES:January U9,NU
rnmmiccinn Nn C:nmmiccinn Nn
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Bayonet Plumbing,Heating&Air Conditioning,LLC
& 8950 New York Ave.,Hudson,Florida 34667 United States
— (727)868-4636
PLUMBING ill dLI'NG 4-HEATING'.
BILL TO
Jack Thies
4532 Blossom Boulevard
Zephyrhills,FL 33542 USA
ESTIMATE
71111793 �-
JOB ADDRESS Job:71097023
4532 Blossom Boulevard
4532 Blossom Boulevard
Zephyrhills,FL 33542 USA
ESTIMATE DETAILS
Carrier option:Install a new Carrier condenser and air handler to match.Includes a new Honeywell thermostat,new
sub panel for air handler and clean dryer vent
TASK DESCRIPTION CITY PRICE TOTAL
CARSC- Carrier Straight Cool Condenser and Air Handler(1): 1.00 $6,688.00 $6,688.00
A/H(1)
• Description
Carrier(E) Air Conditioners with Puron(D refrigerant
provide a collection of features unmatched by any other
family of equipment..The environmentally sound
refrigerant allows you to make a responsible decision in
the protection of the earth's ozone layer.
This product has been designed and manufactured to meet
Energy Star(g) criteria for energy efficiency when matched
with appropriate coil components.Refer to the
combination ratings in the Product Data for system
combinations that meet Energy Star(j) guidelines.
STANDARD FEATURES
Efficiency
■ 14-16.5 SEER/11.5 -13.5 EER
■ Microtube Technologyfirul refrigeration system
■ Indoor air quality accessories available
Sound
■ Sound level as low as 72 dBA
c' a
Comfort
■ System supports Edge® ThermidistatMO or
standard thermostat controls
Reliability
■ Puron® refrigerant--environmentally sound,
won't deplete the ozone layer and low lifetime
service cost.
■ Scroll compressor
■ Internal pressure relief valve
■ Internal thermal overload
■ Filter drier
■ High and low pressure switches
■ Balanced refrigeration system for maximum
reliability
Durability
WeatherArmorM protection package:
■ Solid,durable sheet metal construction
■ Louvered coil guard
■ Baked-on,complete outer coverage,powder paint
STANDARD FEATURES
■ Corrosion-resistant,all aluminum coil
■ Thermostatic Expansion Valve (TXV) refrigeration
management maintains proper flow to help insure
reliable,efficient operation
■ Fully insulated cabinet
■ Sloped,corrosion-free drain pan design helps reduce
mold and bacteria build-up
■ Non-ozone depleting Puron® refrigerant
■ Standard 10-year parts,2 year labor warranty
OPTIONAL FEATURES
■ Optional labor warranty available
1 To the original owner,when product is used in an
owner-occupied residence,a 10-year parts limited
warranty upon timely registration of your new equipment.
Warranty period is 5 years if not registered within 90 days.
Jurisdictions where warranty benefits cannot be
conditioned on registration will automatically receive a 10-
year parts limited warranty.See warranty certificate for
complete details.
DC-AC- Dryer Vent Cleaning up to 25% 1.00 $200.00 $200.00
100 Clean dryer vent in wall at dryer connection and clear throughout
venting line to remove dust,debris and particulate which accumulates
there.It is imperative that this be done annually or more frequently to
maintain dryer performance and remove household hazards.
MEMBER SAVINGS $364.00
SUB-TOTAL $6,888.00
TAX 0% $0.00
TOTAL DUE $6,888.00
EST. FINANCING $121.23
BALANCE DUE $6,888.00
Thank you for choosing Bayonet Plumbing,Heating&Air Conditioning,LLC.Don't forget to Like US on Facebook.:)
CUSTOMER AUTHORIZATION
My signature below indicates my approval of the both the price and work explained to me in this estimate.
Furthermore,I acknowledge that I am the individual responsible for authorizing the work at 4532 Blossom Boulevard,
Zephyrhills,FL 33542 USA both financially and legally.My signature serves as my agreement to pay for the work
performed and recognizes the right of the seller to retain title to all work and equipment if payment is not rendered.
Seller has the right to remove equipment if payment is not submitted for work in agreed upon time period and is not
liable to damages incurred during said removal.
J
Sign here Date 12/22/2020