HomeMy WebLinkAbout11-11680 CITY OF ZEPHYRHILLS
, , 5335 - 8TH STREET �"'
(si3)�so-oozo 11680
BUILDING PERMIT
Permit Number: 11680 Address: 5009 GALL BLVD
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Nurriber: 11-26-21-0010-2088-0060
Improv. Cost: 850.00
Date Issued: 3/23/2011 Name: BRUNS, DAN & MARY E
Total Fees: 60.00 Address: 5820 CYPRESS ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/23/2011 Phone: (813)780-2005
Work Desc: REROOF TPO SYSTEM WHITE
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TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � plans not at job site g) work not accessible.
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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BUILDING PRODUCTS � 4
UltraPlyTM TPO
DESCRIPTION: STORAGE:
Firestone UltraPly TPO is a flexible Thermoplastic . Store away from sources of punctures, and physical
Polyolefin roofing membrane that is produced with damage.
polyester weft-inserted reinforcement. This heat . Assure that structural decking will support the loads
weldable TPO membrane is available in 45 mil (1.1 mm) incurred by material when stored on rooftop. The deck
and 60 mil (1.5 mm) thicknesses in 8' (2.4 m), 10' (3 m) load limitations should be specified by the project
and 12'4" (3.76 m) widths. The colors available are designer
white, tan or gray. This reflective membrane is suitable Store away from ignition sources as membrane will
for a variety of low slope applications. • burn when exposed to open flame
METHOD OF APPLICATION: PRECAUTIONS:
1. Firestone UltraPly TPO membrane is installed as Exercise caution when lifting, moving, transporting,
continuous roofing or waterproofing layer on the roof. � storing or handling membrane rolls to avoid sources of
Rolls are overlapped (side laps and end laps) prior to punctures and possible physical damage
the heat welding of the seam areas. Contact your Firestone Technical Coordinator at 1-800-
2. Install the UltraPly TPO Roofing System in � 428-4511 for specific recommendations regarding
accordance with current Firestone UltraPly TPO
specifications, details and workmanship chemical or waste product compatibility with Firestone
requirements. UltraPly TPO Membrane.
3 Please contact your Firestone Technical Coordinator • Refer to Material Safety Data Sheets (MSDS) for safety
at 1-800-428-4511 or visit the Firestone Technical information
Database for additional information at LEED INFORMATION:
www. fi resto n e b q co. co m
Post Consumer Recycled Content: 0%
Pre Consumer Recycled Content: 15%
PRODUCT DATA: Manufacturing Location(s): Wellford, SC
Thickness. 0.045" (1.1 mm) Tuscumbia, AL
0.060" (1.5 mm)
Width: 5 ft to 12 ft 4 in (1.5 m to 3.75 m)
Length 100 ft(30 5 m) F�restone
co�ors: white, Tane pAT,� _ '
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MEMBER
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This sheet is meant to highlight Firestone's products and spec'rficaGons and is sub�ect to .••�� �=
change without notice. Firestone takes responsibiliry for fu�i�hp uality matenals,
which meel Firestone's pu6lished product specRcahons. 'Fi�f�(�r� nor�lts
representatives practice architedure. Firestone oHers no o �
disdaims any responsibility for the soundness of any stru f`�,
hability for structural failure or resultant damages. Co C�L� rr
engineer prior to installation rf the structurel soundness o. �/� �� �I resto '' , LLC
support a planned installation is in question. No Firestone �� �� j, 250 W 96"' Street, Indianapolis, IN 46260
vary this disclaimer � /� '�I�s: (800) 428-4442 . Technical (800) 428-4511
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S723-RFS-012
Firestone Building Products Company
Material Safety Data Sheet
September 24, 2009 Page: 1
SECTION 1: PRODUCT IDENTIFICAT
Product Name• Firestone UltraPlyT"' TPO Membrane
Chemical Name / Synonym• UltraPlyT"' TPO Thermoplastic Membrane (White, Tan, Gray),
UltraPlyT"' TPO XR Thermoplastic Membrane (White, Tan,
Gray), UltraPlyT"" TPO (MD) Thermoplastic Membrane (White,
Tan, Gray), UltraPlyT"" TPO Reinforced Cover Strip (White,
Tan, Gray), UltraPlyT"" TPO Reinforced Curb Corners (White,
Tan, Gray), TP018" Curb Flashing (White, Tan, Gray);
UltraPlyT"" TPO Custom Accessories (White, Tan, Gray);
UltraPlyT'" TPO Reinforced Split Pipe Boots (White, Tan,
Gray)
Chemical Family: Thermoplastic Polyolefin
24-Hour Emergency Phone. (800) 424-9300 CHEMTREC
Manufacturer's,Name Firestone Building Products Company
Manufacturer's Address� 250 West 96`" Street, Indianapolis, IN 46260
NFPA Hazard Rating: Health 1, Flammability 1, Reactivity0
HMIS Hazard Rating Health 0, Flammability 1, Reactivity 0
SECTION 2: CHEMICAL COMPOSITION
Common
Ch Na Na CAS #: %(by wt) Expo Limits:
Nonhazardous as per 29 None None 100 None Established
CFR 1910 1200.
SECT 3. H AZAR D I DEN TIF ICA TI O N
Primary Route of Exposure. None
Signs and Symptoms of No known adverse effects
Exposure�
Medical Conditions Aggravated None known
by Exposure�
Chronic Effects: No known adverse effects
Carcinogenicity: None
SECTION 4: FIRST AID MEASURES
First Aid Procedures: No special action necessary.
SECTION 5: FIRE FIGHTING PROCEDURES
Suitable Extinguishing Media Carbon dioxide, foam, sand/earth, or dry chemicals.
Hazardous Combustion Products: Carbon dioxide and carbon monoxide, oxides of nitrogen,
sulfur dioxide, partial�y burned carbon.
Recommended Fire Fighting Wear impermeable protective clothing and self-contained
Procedures: breathing apparatus. Toxic fumes and vapors may be
evolved.
Firestone Building Products Company
Material Safety Data Sheet
September 24, 2009 Page: 2
Unusual Fire and Explosion None known
Hazards:
SECTION 6 PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken in Case Not Applicable
Material is Released or Spilled
Precautions to Be Taken in No special handling precautions. Store where materials are
Handling and Storing not exposed to excessive heat, cold or moisture.
SECTION 7. EXPOSURE CONTROLS / PERSONAL PROTECTION
Ventilation: Store and use in well ventilated areas.
Respiratory Protection None required
Eye Protection None required
Skin Protection None required
Other: None
Work / Hygienic Practices. Wash exposed skin prior to eating, drinking or smoking and at
the end of each shift. Wash contaminated clothing prior to
reuse.
SECTION 8 PHYSICAL AND CHEMICAL PROPERTIES
Appearance and Odor: Black and white sheet, white and gray sheet, tan and gray sheet, gray
and gray sheet, white sheet with fleece back membrane, white sheet,
grey sheet, or tan sheet. Essentially no odor.
Flash Point: Not Applicable Lower Explosive Limit: None
Method Used: Not Applicable Upper Explosive Limit: None
Evaporation Rate: Not Applicable Boiling Point: None
pH (undiluted product): Not Applicable Melting Point: Unknown
Solubility in Water: Insoluble Specific Gravity: 0.94
Vapor Density Not Applicable Percent Volatile: Unknown
Vapor Pressure: Not Applicable
SECTION 9� STABILITY AND REACTIVITY
Thermal Stability� Stable
Hazardous Polymerization. Will not occur
Conditions to Avoid: None known
SECTION 10: TRANSPORTATION
Regulatory Agency� Not Regulated
Proper Shipping Name� Not Applicable
Hazard Classification Not Applicable
Identification Number: Not Applicable
Labels Required� Not Applicable
Other Requirements: Not Applicable
Firestone Buiiding Products Company
Material Safety Data Sheet
September 24, 2009 Page: 3
SECTI 11: MISCELLANEOUS INFORMATION
Additional Comments: This product is considered an article as per 29 CFR
1910.1200 and is, therefore, exempt from the requirements of
the Hazard Communication standard.
Date of Previous MSDS: April 22, 2009
Changes Since Previous MSDS: Additional product added under section 1.
Telephone Number for Additional (317) 575-7190
Information:
DISCLAIMER
The information contained herein is based on data considered accurate which has been obtained from
other companies and organizations. However, no warranty or representation is expressed or implied that
the information, is accurate, complete or representative. Firestone Building Products Company, a
subsidiary of Firestone Diversified Products, LLC, assumes no responsibility for injury to the buyer, the
buyer's employees, or any third persons, if reasonable safety procedures are not followed. Additionally,
Firestone Building Products Company assumes no responsibilityfor injuryto buyer, the buyer's employees,
or any third persons caused by abnormal use of this material, even if reasonable safety procedures are
followed.
s�s-7so-oozo Gity ot Lephyrhilis F�ermit Application rax-ais-�au-ooz�
. Building Department
Date Recelved , �j °��—� � Phone Contact for Permittin —
Owner's Name �ca r! , a�` r�.�. r'1 S Owne� Phone Number / 3 Z1 � p�� ��+"
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Owner's Address ��7 yGa ba{'T�'4 � 1 L. �v .7r Owner Phone Number - � e�— �(� �'�- �
Fee Simpie Titlehoider Name Owner Phone Number
Fee Simple TitleholderAddress
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JOB ADDRESS �D C� `� .� � �� c.� � �, LOT # E� A
SUBDIVISION , PARCEL ID# � � � �% ��O / Q � � DU �a L7
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
B INSTALL REPAIR
PROPOSED USE Q SFR � COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q
DESCRIPTION OF WORK Q /t, 1�C f'.,� f' t� �+ Y ST1
BUILDINGSIZE �.Z?�Y�' SQFOOTAGE�� HEIGHT �— %�L �
r QBUILDING �96 -- `,�lR VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C.
QPLUMBING $ �
�_
QMECHANICAL $ VALUATION OF MECHANICAL INS7ALLATION �
Q GAS �— ROOFING Q SPECIALTY Q OTHER �� I �� v
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �� � t �" e COMPANY � � � �` �
SIGNATURE C.X REGISTERED Y/ N FEE CURRE� Y/ N
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 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense # �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTfAL 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 FaaNties 8 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Ene�gy Forms. R-O-W Permit for new construcaon.
Minimum ten (10) woricing 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.
*"'PROPERTY SURVEY required for all NEW constructlon.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over j2500, a Notice ot Commencement is requlred. (A/C upgrades over 57500)
** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTINO (Front of AppUcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on pubUc �oadways..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.
UNIICENSED 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, ff 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 p�ivileges 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. Fu�thermore, if Pasco Cot�nty Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with appiicable 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-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 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 �II:
- 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 Fiorida.
- 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 fiil will not adversely affect adjacent
properties. If use of �II 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 Iots 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 const�ued 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) �
OVYNER OR AGENT �-- 1..-'� CONTRACTOR�" —
bscribed and swom to r afflrmed before�e this
Subscxibed and swo to (Qr afflrmed) b re me this � �
3-/�f -( ( b " � . � �'r�' � � byd l�� � Lsrcc �
Who is/ar personally known to me or hasJhave produced Who is/are personally known to me or hasRiave produced
;(�c ,15� as Ident�ficatlon. � i C P.� So as identification.
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,,,,, � Notary Public � Notary Public
_'� # EE 040520 � s Commission # EE 040520
Co I Com �o •
' � gariadtlrutm/FehNwa
Banded Tlwi TmY FaM N1MeNOel049B670t9 �''��„P. �. �
Name of Notary ryped, prfnted or stamped Name o ary typed, printed or stamped
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L 2009046601
Cor orate Warran Deed " 1a.5°
s Rept:123604 Rec:
p � ftF p5: 462.0 IT: p 00 Clerk
S � „_ .'».,�i 04/03/09 _ --- -
This Indenture, made Apri12, 2�09 A.D. Torn� _
Beriveen $ ' � �'-��` - - -
PPULR 5 0 IJE1L PRSCO GIERK & GOMPfROLLtR
CENTERSTAT� BANK, N.A. whose post office address is: 04/m3/0s 8 0��� 1 P �° � 2 �5
6390 GALL BLVD, ZEPHYRHILLS, FL 33542 , a OR BK
corporation existing under the laws of the State of Florida, Grantor
and DAN L. BRUNS and MARY E. BRUNS, husband and wife
whosepostoffice address is: _5820 CYPRESS ST, Z�PHY�tHILLS ,
Grantee, F L 3 3 5 4 2
Witnesseth, that the said Grantor, for and in consideration of the sum of "fen and No/100
Dollars ($10.00), to il in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has
granted, bargained and sold to the said Grantee forever, the following described land, situate, lying and
being in the County of Yasco, State of Florida, to wit:
Lots G and 6A, Block 208, CITY OF ZEPHYRHILLS, in Section 11,
� Township 26 South, Range 21 East, according to the map or plat thereof as
recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida;
LESS existing road right-of-way.
� � Subject to taxes for the cunent year, covenants, restriclions and easements of record, if any
� � �
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�
�' $� Parcel Identification Number• l 1 26 21 0010 20800 0060
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And the said Grantor does hereby fully warrant the title to said land, and will defend the same
against the lawful claims of all persons whomsoever.
Prepared by
Sunstate Title Agency, Inc.,
13937 7th Street
Dade Ciry, Florida 33525
Pile Numbcr 5-27726 — -
" oR BK 8055 PG 966
z of z
In Witness Whereof, lhe said Grantor has caused this insYrCzmcnt to �be�executed in its name by
its duly authorized officer and caused its corporale seal to bc affix d the day and ye first above written.
CENTER5T T BANK, .
Signe� and ,Sealed ' Our Presence: By: _
� Timothy
L Its: Pres"
wim.o �� N.�• i
� � -
2L �CC�rJ (Corporatc Seal)
W��M., �,�� r.m�� ✓ly111 �A�� �R r�� _
TWO WITNESSES
State of Plorida
County of Pasco
The foregoing inshvment was acknowledged before me this ���� day of Aprii, 2009, by Timothy A. Pierson, the
President of CENTERSTATE BANK, N.A. , a wrporation existing under the ]aws of the State .of Florida, on behalf of the
corporation. He/She is personally known to me or has produced driver's icense as identification
MARY K. HENDERS(,�. ✓ Qa u�CJ2g8y` �(Seal)
'"� r � •<�"C- NoYary PubGC - Sta�e ot Fbritla I/
�� ��' •:iAyCommissanExplrasFeb70,2(I10 Notary nntedName _�/Q_/ 11 E�'���
':�„��a Commissqn # DD 512869
�''•;:. �:.� �`` Bonded By Na�ional NOfery Asm.
My Commission �xpires: ,�
(Notary Seal)
Prepazed by� .
Sunstatc Title Agency, Inc.,
13937 7th Strect
Dade City, Florida 33525
File Number 5-27726
�
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 1 n �-� U/u �
Date Received: �� -� � s � �, �
site: � 0 C� � �4 �� �� V�
1
Permit Type: �.�, �� �P(� � � � �
x �
,-
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.��-lpproved w/no comments: Ap�roved w/the below comments: Denied w/the below comments:
� �
t' - . �i��:��!a� � � " �
: -.. ��- ��sa� � Z � � �7 P�''� � �- I� • l i
This comment sheet shall be kept with the permit and/or plans.
I�a.� ,,,�w��, �-a�l1
� ��'��-
Kalvin Switzer - Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)