HomeMy WebLinkAbout15-16733 CITY OF ZEPHYRHILLS
. • 5335-8TH STREET
(si3)�so-oozo 16733
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16733 Address: 5335 6TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: , Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12300-0060
Improv. Cost: 3,330.00 OWNER INFORMATION
Date Issued: 11/10/2015 Name: BAUGUS CENDI RUTH
Total Fees: 82.50 Address: 5335 6TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 11/10/2015 Phone: (813)779-5419
Work Desc: REROOF TPO
CONTRACTOR S APPLICATION FEES
ALA 'S ROOFI G INC REROOF RESIDENTIAL 82.50
�
Ins ctions Re uired
DRY IN ROOF INSP
TAPE JOINT OOF INSP
FINAL �
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 maybe 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 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.
� 7
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
LIC.#CCC046942
L���� "Home of the FREE Roof Inspection"*
ROOFING, INC.
11/10/15
To Whom It May Concern:
I, Alnn J. Field, hereby grant authorization to Alicia Field, to act on my behalf with City of
Zephryhills Building Depnrtment while conducting nctivities related to obtaining permits nnd
contrqctors licensing. These activities specificolly include signing all documents requiring signnture
of "contrnctor".
Alicin Field is to be considered an agent of my business and therefore the signnture of snid agent is
binding and cnuses me to assume all responsibilities connected to or associated with the signature
ns they may relate to my roofing business.
If you huve nny questions regarding this matter, please do not hesitnte to contact me.
Sincerely,
Alan J. Field
h �•`er�.h�� 20 (S, by
The forgoing instrument wns acknowledged before me this�dny of �
Alnn Field,who is personally known to me and did not tnke an oath.
(Seal)
��� -
No ar Signature :_°''�`�`����: ��§�� �-����
'• Iv1Y COMMISSIOt�#FF227169
:�� •r�
'�i•..•�(P:
''.�ar�n; EXPIRES fviay�5,2�19
�4Cr�;f."vC-C b9 Ficntlallo:a�y5eroico.r.•:,n•
Commercial&Residential
Hemando:(352)686-3330 • Citrus:(352)341-1400 • Pasco:(727)816-9278
Toll Free:(800)309-5667 • Fax:(352) 754-8902
www.alansroofinginc.com
I •Restrictions Apply
813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0 �
� Building Department �
' 1�-�
Date Received � � � (�
Phone ContactforPermittin � � - �
Owner's Name � Owner Phone Number 1 �� � Y�7
Owner's Address �� �J� 1�-�-� �e-. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S S �\�. LOT# �
SUBDIVISION PARCEL ID# ` � l � t�/J l` O L�l��
(OBTAINED FROM PROPERTY TAX NOTIC� �
WORK PROPOSED B NEw CONSTR e ADD/ALT 0 SIGN 0 0 DEMOLISH � CZ�
INSTALL REPAIR
PROPOSED USE Q�FR Q COMM � OTHER
NPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �e' r �c{�� D �- t(�"�C��I ��t��,-CI�2 �� �� 7 /�{r�\ Q
��:x
BUILDING SIZE �(D � SQ FOOTAGE� HEIGHT k
UILDING 3 }� ` VALUATION OF TOTAL CONSTRUCTION
lJ
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
�PLUMBING $
C'�/�U� //
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / /
��i�i��'-. �/
�GAS Q ROOFING • SPECIALTY 0 OTHER � ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � 3�
�•1 �� ��
BUILDER pANY \�(�S ✓/"��"'" '
SIGNATURE REGISTERED Y/ N FEE CURR A Y/N /i( � .
C%'
Address LicQnse# - - - �
ELECTRICIAN COMPANY `'
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll
RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Buiiding 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 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(�0)working days aRer submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster Sita Work Permit for all new projects.Ail commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out appiication compietely.
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 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 A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�ILQN'S �OOF(NG INC. �'- �ONTRACT Hernando: (352) 686-3330
� "�� �,�, Commercial 8� Residential (352) 754-8880
14498 Ponce De Leon Blvd. � r��'',�.`,�'�t� "Home of the FREE Roof Ins ection" Cltt'US: (352)341-1400
Brooksville,FL 34601 p
� �` ��' www.alansroofin inc.com Pasco: (727) 816-9278
,c�. x . �= �r . 'w�.:�.., �� 9
r' ��`�� LICENSE NO. CCC046942 Toll Free: (800)309-5667
�. Fax: (352) 754-8902
.�;..� . ,�^�, � �:r .
Please Print F-.:__, . - -. .
NAME �rv :?w.; �,�. „ S PHONE � } � .� � '* • ,j`p? '7 DATE �'�`�. f �~
ADDRESS `'• ��� `Y � :-j—e� - - CITY �r_ fl;� .2 F-=•.�`ti ZIP .S S �r�T�
� M.HOME �OUSEP>
SALESMAN � -ya' CONTACT PHONE .S.;L. •���d C• `e'f �` OTHER COMNIERCIAL JOB#
BRANDAND DESCRIPTION �._. ,
OF PRODUCT ��� COLOR ��%=":: ;-� PITCH l� ��
1. PULL A �`� CIN OR COUNTY PERMIT `�-L'��—�'�'=�SQ.RENAIL WOOD
0-.
Q' 2. TEAR OFF. SQ.OF OLD SHINGLES SQ.OF FLAT ROOF SQ.OF OLD TILE
� 3. DRY IN:REINFORCED FIBERGLASS UNDERLAYMENT _1 LAYER _ 2 LAYERS PEEL&SEAL
� 4. INSTALL: GALV VALLEY METAL LF SELF ADHERING VALLEY LINER LF METAL OVER RIDGE LF
❑ 5. INSTALL: ALUM.DRIP EDGE LF_ STEEL DRIP EDGE LF PAN FLASHING LF _L.FLASHING LF COLOR
❑ 6. INSTALL REPLACE. LF OF R.V PLUGS COLOR FT VENT SURE
❑ 7 REPLACE. 1 1/2 IN. 2 IN. 3 IN. LEAD BOOTS 4 IN.GRV'S_10 IN GRV'S ELEC.RISER
❑ 8. STARTER ROLL STARTER STRIPS CIRCLE ONE
❑ 9. LAY SQUARE OF NEW FIBERGLASS SHINGLES CAP 3—TAB l PERF / HIP&RIDGE
❑ 10. INSTALL. SM.DEAD VALLEY LG.DEAD VALLEY MODIFIED LIBERTY
0� 11 INSTALL. - TPO ''� � LAYER OF INSULATION ���T' TBAR/SERtif TAPE.:a -,4,; ° '� r�„_t ';'
❑ 12. INSTALLIREPLACE: 2 X 2 2 X 4 4 X 4 SKYLIGHTS ACRYLIC�' SFA FIXED GLASS
DOMES CM CLASSIC
0� 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
Q' 14. ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL u �;;�;,;; - �., �., . .�--
i '�'� � i:y �L.4�r=v ;+': �--=-
ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TO
0 15' CONDUCTANY OR ALL INSPECTIONS THAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW
� 16. SPECIAL INSTRUCTIONS '�-�.,.�a� �Y �t� :
;,^i�i-.�_<...�..�a `f
';..�:����.,_.; �: �. •�' r�b°_� • � ,:.'�
TOTAL CONTRACT AMOUNT � ,�j �'�•;; — �
Price is good for 30 days DEPOSIT ���,c: "`
ACCESS:Customer agrees lo allow access lo the property and realizes that heavy equipment is being used.
Contractor shall not be liahle for,without limitation,damage ta driveways,sidewalks,lavms,sprinkler syslems,gardens,septic systems and any gALANCE DUE UPON
other structures lhereof,as a result ot rooftop or job deiiveries. ,! �,
DAMAGE ETC..Customer shall be responsible for removal,reinstallation and recalibration of satellite dishes. Should customer 6ecome aware C�M PL���N � "��' 7 'J
of damage to property by Contractor,his agenls,or employees during lhe course of installation of the roof,said damage shall be brought to the
attention of the Contraclor prior to the time ot payment for the roof in queslion. It Customer fails to notify Contractor of said damage,within 5
working days of occurtence,then shall waive all rights egainst Contractor conceming said damage. Alan's Roofing is not responsible for roofing nails penetrating A/C lines in lhe attic. Customer agrees to secure and
protect their assets including sheives,ceiling fans,tools and other vaivabies to avoid damage from vibretion,breakage and/or detachment of parts,etc.
DELAYS,ETC. Hereby acknowledges that Conlractor may he subjecl to delays occasioned by inclement weather,labor disputes,and material supply shortages or other causes which are beyond the control o(the
Contractor and hereby accepls detays occasioned by one or all of lhese circumslances in the installalion of lhe roof.
� PAYMENT OF CONTRACT Customer hereby agrees that aIl amounls due for this work shall he paid upon comptetetion of inslallation.Any amounts unpaid will bear interesl at a rate of 1 1l2%per month.Contraclor shall
be en[itled to all costs ot collection including attomeys'fees.
RIGHT TO CANCEL,if lhis ia a Home Solicitation Sale,and if you do not want the goods or services,you may cancel this agreement by providing written notice to the seller in person,by telegram,or by mail.This notice
must indicate that you do not want the goods or service and must be delivered or postmarked before midnight ot the third business day afler you sign this agreement.If you cancel this agreement,the seller may not keep
all or part o(any cash down payment. �s
IF THIS IS NOT A HOME SOLICITATION CONTRACT Once it is signed,you are bound to it by lhe laws of lhe State of Florida.If in[he event you breach or attempt to cancel this contract,the Conttactor shall be ,
entitled to all lost profils from the contract. fr''
f ����_-�
ACCEPTANCE PROPOSAL. The above prices,specifications and condilions are satisfaclory and hereby accepted. 1==��1,.f . ��/
All contracls are suhject to Alan's Roofing,Inc.management approval.Customer agrees to allowAlan's Roofing,Inc. SALESMAN SIGNATURE 'j`' s�'
I lo use photos,letlers of recomendation,satlsfactions forrqs,etc.lo be used for advertisfng purposea � �
f !//
CUSTOMER SIGNATURE" Y (,���✓�'�� ������'���1`�'� DATE �Y�� -� MANAGEMENTAPPROVAL
Construction Industries Recovery Fund: Payment m�y be available from the construction industries recovery fund if you lose money on a project performed under contract,where the
loss results from specified violations of Florida Law by a State Licensed Contractor. For information about the Recovery Fund and filing a claim,contact the Florida CILB at the following
telephone number and address:850�387-1395. Florida Construction Industry Licensing Board,1940 N.Monroe Street,Tallahassee,FL 32399. 15-06
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SUPPLEf�lEh1TAP� SPEC4AL lMSTRUGTIONS:
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11111111�11�Ifl{l 11111 Illfl 11{Ii 11111 illl!IIIII Illll[Ill III�
201517?606
Rept:1725069 Rec: 10.@@
Key No�,_ Permit No DS: 0.00 IT: 0•00
11/04l2015 D. B. , Dpty Clerk
N�?10E tJF CtJMMENCEMENT ' .
' PRULR S 0'NEIL,Ph D PASGD GLERK & GOMP7ROLLEF
� THE UNDEKSiGNEO hereby gives notice that improvement wifl be 11/04I2015 08:�{ a111 1 f 1
Made to certain,and in a�cordanCe v�nth Ghapter 713,Fiorida State OR BK �2�� PG ��g�
Statves, ihe lollowing into�malion is provided in this NotiCe ot - - - -
Commencernent: `
1 Description of Property Parcel No � �' 'a���'�` "��1 � "� '����""�``��.>
{l.egal description of the property and street address �f availabte)
2 Genera� Description of lmprnvement
cQ..-
3 Qwner'.nformation Name. r�
Addres=.; J`"�3s Lo�l..c�t-c'e..e._� Gity�p �, 5 State Zip a�,�"�CJc
4nterest in Property� Fee Simple
Name and Address af Fee Simple Titlehalder(!f other than owner�
d Contrac:tor Name Aian's ftaafinq, Inc
� Address 14498 Ponce De Leon Blvd City Brooksvilie State FL Zip 34809 �
i Phone No 352-686:3330 Fax No 352-75489Q2
� 5 Surety Name Amount of Bond $
� Address Ciry State�Zfp
� Phone No Fax No
6 Lender Name
Address City State�Zip
Phane No Fax No
7 Persons within the State of Fiorida designated by Owner upan whom notices or other dacuments may be
� served as provided by Section 713 43{1)(a)(7) Flarida Statutes
� Name •
Address Gity State �Zip
Phone Na Fax No
8 In addit�on to himself or herseif, Qwner designates N!A of
Ta rece�ve a copy of the �einor's Notice as provided in Sectian 713 13(1}(b}, Flor�da Siatutes
, 9 Expiration ciate of Notice of Commencemsnt {the expiration date is 1 year of recording unless a differ�nt
date is specified )
WARNtNG T(3 OWNER:ANY PAYMENTS MApE 8Y THE bWNER Af7ER 7HE EXPIRA7IQN OF THE NOTICE OF COMMENCEMENT ARE
CONSI�EREU�MPROPER PAYMBNTS UNOER CNAP7ER 713,PART 1,SEC 713.13,Fl.ORIDA STAIU7ES,AN4 CAN RESULT IN YOUR
PAYING TWICE fOR IMPROVEMENTS?O YOUR PROPERTY A NOTICE OF COMMENGEMENT MUST SE REGOFtDED AND POSTED QN THE
JOB 5lTE BEFORE THE FIRST INSPEC7ION.IF YpU INTENO TQ 08TAIN FINANCING,GONSLttT WITH YDUR IENdER OR AN A7TORliEY
85fORE GOMMENCING WORK d RECORDlNG YQUR NOTICE OF COMMENCEMENT.
vui,
�L.—� �� __—_______.�_.
S�gnawr o.`Owner ar Qwnnr•s iluthonee KrCeNp�reCtorlFartnerlManager SigngtOry'S Tdl@/Q�{'tC2^
Signat re Required by same eiow by'X"mark•'•
I Stale al \: �_ Cgunty of UJ �Y�A_�Y.._----._..
i
, The torgoinc;instrument was acknowledged before me lhis � day oC a�.,2d�by GCS _
� (Pnntetl name of p r on ackn�wtetlg�ng}
as for
� (Type ol thor��y e g oKce trustee ai rney�n taci) (Name ot paRy o�4eha!!oJ who mstrument was execuled)�M
S na r �!��Prinl � . ��v� �, C�"� ( O�l.lsc�._._._-•-•--- ----�-
I 9 7 , ype or S1am kame o�Notary
er ona�ly known QR P ced Iqent�ficalian v�'"'�r
i T e di ident�ficatron Producetl ,
I Veritication pwsuant to Section 92.525,Fiaritla`Statutes:vnder Penaltios o(pe�jury,)declare thal I have read Ihe fo�ogoing and that ihe faCts
� stated in it erc true to the best my knowie0ge and treliel. �i 1 !�'1 !� � . �
� .r _.
t Signatur o!Natural Person + ning ve ' , ' �� . .
� " . ` :;'y`•'a�,;"�i:: - LISA M.LEIdOX
� '= M1'COMMISSIqN�!FF22Tt69
":''''o�'d''p` EXPIRE
S May 05,2�i5
�J�:t 1`Ifi•� J.�i FiwrclaNu:.ry5r3^.A:::.:?ar
...-- -— -•--
�.k�5i�e:!�,
S'�A�`��i��i��7�9Y�A, CC�UIdTY OF PA�SC� � �'�`''�°; ���6-
TNIS I�'1'0 C�F2TI�Y TNATTFtE FOR�GOING ISA � . �' �'�`�l �• ��
TRUE A,ND CQRRECT CQPY OF THE DOCUMENT �" •� ��
�`�"�`' i�
ON FILE�R QF PUBI.IC RECORD IN THi5 OFFICE ' -^.�ca
,�JiTNESS MY HAND AND OFFICIAL SEAL THIS ~ • ,�� �'"°�ur , .}c �
�__DAY,QF '�{'�Lj 2 O� �t,� ,
PAULA S.O'NEiL,'GLERK&COMPTROLLE �;,. •� �
• �,
''��
� � �. DEPUTY CLERK �`y ' ' . �
�'�'dc�nr�y�
Florida Building Code Online Page 1 of 2
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Florida Departmentd B�IS Home � Log In ; User Registratlon I Ho[Topla � Submi[Surcharge � Stats&Fac[s I Publiwtlons � FBC Staff I BCIS Site Map � Links � Search I
Busines � -
a�� ::: Product Approval
Professi I ��USER:Public User
Regulation
Produc[Aooroval Menu>Produc[or Aoolica[ton Search>Aoollcatlon List>Application Detail
• « . I FL# FL12772-R3
� " Application Type Revision
Code Version 2014 ,�*��
Application Status Approved f�' �AT��
p�V �,�� $,qLL C
Comments
C�DE,A���ODES,FLO Zy WITI�,qLL
Archived � CITyOF NALELEc RIDABv�D
ZEp��L ����DE��
Produd Manufac[urer Mule-Hide Products Co.,Inc. �
� Address/Phone/Email 1195 Prince Hali Dr �ANCE�
Beloit,WI 53511-5481
� (608)365-3111 EM 809
Ilndareith@trin ityerd.com
���V/
, Authorized Signature Timothy Mc� ��op`�
Iindareith@trini r c�r �
L�A. /" I' �
Technical Representadve Tim McFarl�d "S��n _ •�
Address/Phone/Email 1195 Prince Hall Dr ���y��Ai� ���`�
Suite A �'� � ��.
Beloit,WI 535115481 I
' (608)365-3111 �
tim,mcfarland @mu leh ide.com
Quality Assurance Representative
Address/Phone/Email
Category RooFlng
Subca[egory Single Piy Roof Systems
Compliance Me[hod Evaluation Report from a Florida Registered Architect or a Licensed Florida '
Professionai Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed the Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contrac[ExpiraUon Date 06/OS/2016
Validated By )ohn W.Knezevich,PE
� Validation Checklis[-Hardcopy Received
Certificate ofIndependence FL12772 R3 COI 2015 OS COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2008
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equtvalence of Product Standards
CertiFled By
Sec[ions from the Code
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsmFBcODh9XI... 11/6/2015
�.. Florida Building Code Online Page 2 of 2
Product Approval Method Method 1 Op[ion D
I
i
Date Submitted 03/20/2015
Date Validated 03/27/2015
Date Pending FBC Approval 03/31/2015
Date Approved 06/22/2015
Summary oP Products
FL# Model,Number or Name Descriptlon
� 12772.1 Mule-Hide TPO-c Single PI Roof Systems Thermoplastic olyolefin sfngle ply roof s stems
Llmlts oP Use Installation Instructions
Approved for use In HVH2:No FLi2772 R3 II 2015 03 FINAL A1 ER MULE-HIDE TPO-c FL12772-
Approved for use ouLside HVH2:Yes R3.odf
Impact Resistant:N/A VeriFled 8y:Robert Nfeminen PE-59166
Design Pressure:+N/A/-495 Created by Independent Thfrd Party:Yes
Other:1.)The DP noted in this application pertains to one particular Evaluatlon Reports
assembly.Refer to the ER appendix for all assemblies and DP's.2.)Refer FL12772 R3 AE 2015 03 FINAL ER MULE-HIDE-TPO-c FL12772-
to ER section 5 for Limits of Use. R3.odf
Created by Independent Third Party:Yes
0 �
�, ConWc[Us::1940 North Monroe S[reet.Tallahassee R 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Coovrlaht 2007-2013 State of Florida.::Privacv Statement•:Accessibilitv Statement Refund Statement
� Under Flodda law,email addresses are pubtic records.If you do not wan[your e-mall address released In response ro a pubtirrecords request,do no[send eleccronic
mall to[his en[Ity.Instead,contac[the office by phone or by tradltional mail.If you have any questions,piease contac[850.487.1395.'Pursuan[to Sectlon 455Z75
' (1),Fiorida Stacures,effective October 1,2012,Iicensees Ilcensed under Chapter 455,F.S.must provide the Departrnent with an ematl address If they have one.The
emalls provided may be used for official communicatlon wl[h the licensee.However emall addresses are public record.If you do not wish[o suppty a personal address,
' please provide the Department with an emali address whlch can be made avallable to the public.To determine if you are a Iicensee under Chapter 455,F.S.,please
cilck here
Praduct Approval Accepts:
� � eCheck �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
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Date Received: ��— � ( �
Site: �J� �q � ��
Permit Type: �L°i''� ���
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment shee ,shall be kept with the permit and/or plans.
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Kalvi e lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)