HomeMy WebLinkAbout11-12076 CITY OF ZEPHYRHILLS ./`
5335 - 8TH STREET
' • �ais��so-oozo 12076
BUILDING PERMIT
Permit Number: 12076 Address: 7050 GALL BLVD
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10500-0000
Improv. Cost: 97,216.00
Date Issued: 7/06/2011 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 740.50 Address: 7050 GALL BLVD
Amount Paid: 740.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/06/2011 Phone: (813)783-6189
Work Desc: OBSERVATION CENTER (WOMEN CENTER DEMO INTERIOR)
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REINSPECTION PEES: 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 commenceme "
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ONTRACTOR SIGN URE 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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_ _ . _
� � �- RODDA
CONSTRUCTION INC.
Gurowl Contr�clan 8 Canstruction Man�g�e
POWER OF ATTORNEY AND A UTHORIZATION TO
DRAW CONSTRUCTIONPERMITS
Date: July S, 2011 RE: Permits
I, John Rodda. President of Rodda Construction, Inc. hereby name, constitute, and appoint
of Rodda Construction, Inc my Attorney In-Fact for the purpose of applying for
and receiving permits in my name@ Seminole County..
� ature of Presi t, John Rodda
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Signat re of D�signated A rney-in-Fact
STATE OF FI ORIDA
COUNTY OF POLK �
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Subscribe and sworn to before me this / day of 2011.
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NOl YPUBI,IC
iurH�� s. Mor,�t,�t�
My Commission Expires: �'� ��
�TATE OF F�,pq�py�
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ExPlres 1/16/2p12
250 E Highland Drive Lakeland, FL 33813 0 863-669-0990 f� 863-667-3778 Lic. #CG-0061496
813-780-0020 City of Zephyrt�ills Permit Application Fax-8�3-780-0021
Building DepaRment
Da;e; ,e;i ;e; � 6 20 11 Phone ConWct for Permittin 863 669 0990 Niki
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owners Name Florida Hospital of Zephryh ll� W�er Phone Number
Owners Address 705� �idll BIVCl. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TitleholderAddress
JOBADDRESS 705 �111 B�-VC� Zephyrhills, F'1 LOT# ��
SUBDIVISION PARCEL ID/� 35-25-21-0010-10500-0000
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED B NEW COnlSTR 8 ADD/ALT Q SIGN Q � DEMOLISH
INSTALL REPAIR Interior OI11�7
PROPOSED USE � SFR � COMM Q OTHER
TVPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK Interior �T1011Sr1 Of Wa11S C�OOI'S fixtures C�1d1L' I' lIS � E� C, R
� Ck^ V "
BUILDING SIZE � SQ FOOTAGE� HEIGNT � �fl���l� \r.
l Jf ✓ �I' C1I I
1 1 1 1 � 1 1 11 1 � 1 1 � 1 1! 1 1 1 1 1 1 1 1 1 1 � T7
QBUILDING $ �� ��/_ VALUATIONOFTOTALCONSTRUCTION
Y/
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
QPIUMBING $ N/a �/(� �/I �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T' � i
QGAS Q ROOFING Q SPECIA�TY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER 7� COMPANY I1StY'L1Ct10I1 IT1C.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N
Address larid� fl ��3 CGC� 061496�
ELECTRICIAN N/a COMPANY
SIGNA7URE REqSTERED Y/ N FEE WRREN Y/ N
Address
License # ��
PLUMBER N/a � COMPANY
SIGNATURE REOISiERED Y/ N FEECURREN Y/N
Address �
License il
MECHANICAL COMPANY �
SIGNATURE N a REGISTERED Y/ N FEECURREN Y/N
Address
License #
OTHER N�a COMPANY
SIGNATURE REGIS7ERED Y/ N FEE W RREN Y/ N
Address
Licanse #
IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIillltlllllllllllll
RESIDENTIAL Attach (2j Pbt Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W PermR for new construdion,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpstar; SRe Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permk for newconstrudion.
Minimum ten (10) working days after submittal date. Required onsite, Conshuction Plans, Storrrm'ater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commerdal requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directlons:
Fiil out application completely
Owner & Contrector sign back of applicatlan, notar¢ed
If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500)
" 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 (Front of Application Onlyj
Rerooh H shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permft may be subject to "deed" restrictions"
which max 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 contrector 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 coMact 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 contrador(s) sign
portions of the "contrector Blocl�' 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 eMitled to permitting privileges in Pasco
Courrty.
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 dces not irnolve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthertnore, if Pasco County WatedSewer 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 applicarrt, 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 "owne�', I certi(y that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencemerrt.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortnation 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 pertortned to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land developmerd regulations in the jurisdiction. I also
certity that I understand that the regulations of other govemment agencies may apply to the irrtended work, and that it is
my responsibility to ideMify 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 ManagemeM District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of EngineersSeawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmerrtal Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection P,gency-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 pertnitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensafing 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 flll 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 permft issued under the attached pertnit application, for lots less than one (1)
acre which are eievated 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 ot the permitting conditions set forth in
this affidavit prior to commenang construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air cond'Rioning, gas, or other installations not specifically included in the appliqtion. 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 technicai codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a conection of errors in plans, construction or violations of any codes. Every permit issued shali become irnalid
unless the work author¢ed by such permit is commenced within six months of permit issuance, or if vwrk authorized by
the permit is suspended or abandoned for a period of six (6) moMhs 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 D TO OBTAI ANCING, CONSULT
R Y R R G
FLORIDA JURAT (F.S. 1�7.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or affirmed) before me this bsc ibed a d s to r fj befp a
b Y � b O
Who is/are personally known to me a haslhave produced Who is/ar onally known to me has/have produced
as identification. as identificadon.
Nopry Public otary Public
Commissbn No. Commission No.
Name of Noqry typed, printed or stamped Name of Nota • M��
ry typed, printed or stamped
NOTARY PUBLIC
STA7E OF FLORIDA
. Comrn# DD728233
Expires 1h8/2012
Pasco County Parcel: 35-25-21-0010-10500-0000 001 Page 1 of 2
�ata Current as of: Weekly Archive - Saturday, ]une 18, 2011
Parcel ID 35-25-21-0010-10500-0000 (Card: 001 of 004)
Classification 73 - Hospitals, Private
Mailing Address Property Value
ADVENTIST HEALTH SYSTEM/ Ag Land $0
SUNBELT INC Land $2,958,514
7050 GALL BLVD
ZEPHYRHILLS FL 33541-1347 Building $28,061,153
Phvsical Address - See All 5 addresses (First Extra Features $257,847
Shown) Market Value
7053 DAIRY RD $31,277,514
ZEPHYRHILLS FL 33541-1349 Assessed (Non-5 jhool Amendment �31,277,514
L@9dl D@SCI'IptlOn (First 4 Lines)
ZEPHYRHILLS COLONY CO LANDS Taxable Value ;0
PB 1 PG 55 FOLLOWING DESC PROP
LYING W OF DAIRY RD R/W AS NOW
LOCATED TRACTS 103,105,106,119
Land Detail (Card: 001 of 004)
Line Use Description Zoning Units Type Price Condition Value
�1 7300 HOSP PVT OOC3 11,000.00 SF $8.90 1.00 $97,900
�2 7300 HOSP PVT OOC3 39,000.00 SF $6.48 1.00 $252,720
�3 7300 HOSP PVT OOC3 1,113,124.06 SF $2.25 1.00 $2,504,529
� 9400 RIGHTOFWAY OOC3 6,167.94 SF $2.25 0.10 $1,388
5 7300 HOSP PVT OOOP 45,323.00 SF $2.25 1.00 $101,977
Additional Land Information
Acres 27.89 Tax Area 30ZH FEMA Code X Commercial Code MMED3DC
Buildinq Information - Use 85 - Hospitals, Public (Card: 001 of 004)
Year Built 1985 Stories 4.0
Enterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Asphalt Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 43.0
Line Description Sq. Feet Repl. Cost New
1 BAS 294,779 � $51,462,518
2 FST 9,740 $850,205
3 CAN 9,072 $475,207
Extra Features (Card: 001 of 004)
Line Description Year �Units � Value �
� 1 PAV ASP 1985 243,370 $49,283
� 2� PAV CON ��— 1985 2,304 � $864 �
3 SPRNKFP 1985 84,901 $63,676
4 CON PTO 1989 3,600� $1,350 —�
5 ELEVATR � 1985 3 $61,058
6 � SWC � 1985 — �� - 6,300 $2,363
7 ELEVATR 1985 2 $30,618
8 �� ELEVATR 1985 � 2 $33,067 �
Sales History
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21 &sbb=0... 6/20/2011
Pasco County Parcel: 35-25-21-0010-10500-0000 001 Page 2 of 2
I Previous Owner II N/A �
Year Month Book/Page Type Amount
1992 10 —� 3164 / 0724 (�C $0
1984 li 2051/0751 $0
1982 � Oi 1170 / 1881 $145,000 �
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21 &sbb=0... 6/20/2011
Map - Pasco County Property Appraiser Page 1 of 1
Pasco County, Florida 1.9 miles of Zephyrhills
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Links of Interest: , _ �
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Search tor propertv m Pasco
Map Sea-ch 3,933 Feet
MapIC« i2758319/4421
Street name information is maintained by the Pasco County BOCC GIS
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http://maps.pascogov.com/maps/showmap.asp?Name=PascoMap_New&mdi=12758319&... 6/20/2011
Exhibit A
Florida Hospital Zephyrhills
Women's Center - Demolition Only
6/22/2011
General Requirements
Builders Risk Insurance by owner
Supervision $ 11,250
Payroll - Overhead $ 7,500
Clean-up Payroll $ 5,000
Temporary Fence $ 3,000
Dumpster by owner
subtotal $ 26, 750
Demolition
Hazardous Material Survey $ 4,250
Selective Demolition $ 25,500
Concrete & Wall Cutting $ 5,500
subtotal $ 35,250
CarpentN
Temporary Walls / Dust Control $ 7,000
Rough Material and Labor $ 3,500
subtotal $ i0,500
Mechanical / Electrical
HVAC Demolition $ 4,020
Plumbing Demolition $ 5,925
Low Voltage Demolition $ 3,271
Electrical / Fire Alarm Demolition - T&M - Not to Exceed $ 8,000
subtotal $ 21,216
Subtotal - all line items $ 93,716
5% CM Fee $ 3,500
TOTAL $ 97,216
Not included in the above oroposal:
Permit, impact, connection, tap, water meter, utility relocation, or any other type
of governmental fee, fire sprinkler work, negative air, asbestos or any hazardous
other material removal
Dumpsters and temporary facilities are assumed to be provided by owner
Zephyrhills Fire Rescue
6907 Dairy Road, L.ephyrhills, I� L 3�5�?
I'icr Marshal L3us (8 ( 3) 780-0041
Kerry 13arnett I�ax (�31 ;) 780-00��
E-mail: kbarnett(�r,�.fire.Le�hyrhills.[l.us
Plan Review #: 1 ]-090 ���' � ..--..�_ ��~ ����
Project: Demo
Number of Pages: 1
June 30, 2011
1 have received and reviewed the plans for demolition for the new women's center located at
7050 Gall Blvd and will allow it to move forward. Paying for permit contractor acknowledges
complying with the items listed below. Should anyone have any questions, please do not hesitate
to contact the Fire Marshal's office.
1. Exercise safe construction practices in accordance to NFPA ].
2. If fire alann or fire sprinkler system is to be out of service for any reason (longer
than 4 hours) notify this authority. A fire watch will have to be established with
proper documentation provided to this authority showing it was conducted.
Paperwork will be given to the contractor by this authority for fire watch.
3. Ensure egresses from the construction area are unobstructed.
4. Ensure certifted fire extinguishers are readily available and accessible.
5. Post no smoking signs in the demo area.
Inspeetion Required: None, although a site inspection may be completed to ensure safe
practices are taking place.
KERRY RNETT, FIRE MARSHAL
***Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. it is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. Tn the event that further examination or site
inspection reveals areas of non-compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be m compfiance with all applicable NFPA codes and local ordinances.
� � ����:1��YL�M°iI�L.� �IF�E D��'AFt�'6iPIEl�`�
6907 l�airy Road. �ephyrhiits, FL 33542
f uE? (;hi�f Ke�ti� WiHidrr�s I�us (8'i3)780-OU41 ��x ($13)I30-00�1•4
FiRE SERVICE USER FEES
Occupancy No.: �
Plan No.: _�� ��Q' Contractor: ' � ( fa��
Busmess Name �'`� - Billi�g Address: 5 r" �� ��
Busmess Address. _ ��,���,,�,� � _ l �
Busmess Phone No Billing Phone No.: ��tS�'A ��_ ���
Business Fax No Billing Fax No.:
Contact� Contact: __ , ��
P�AN REVIEW FEES INSPECTION FEES PERMIT FEE FAI.SE ALARM FEE
S�te Ptan N!C Annual N/C Sprinkler $SO 1 st Alarm NIC
u11� O6 sf 1 st Re-inspection N!C Standpipes $SO 2�d Alarm N/C
( imum Char e$25 0 2nd Re-inspection $100 Fire Pump + a50 3rd Alarm N�C
� Plan evi iona DBL 3rd Re-mspection $250 Hoods '$50 4th Alarm g�pp
4th Re-Inspection $500 Fire Alarm �50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
8 0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per v�k $5p
STANDPIPE SYSTEM Hydro Undergrounds �45 Sparklers $�pp
� Per Riser $50 Hydrostatic Test $65 per syst�m Fire Works $500
FIRE PUMp Acceptance Test $4$ per system Camp Fire y25
� Per Pump $100 Hydrant Flow $75 Controlled Burn $100
FIRE ALARM SYSTEM Hood/Duct $5p
0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 System Acceptance $50 Fve Protection a�
SUPPRESSION SYSTEMS Recall ACCeptance $50 Flammable Application $50 Annual
We $50 OTHER Waste Tire Storege $50 Annual
�ry $50 Fire WaWSmoke Wall $15 Perwan Generata < KW $tpp
CO2 �50 LP Gas $25 per lank Generator >30 KW 15p
Other $50 Natural Gas $25 Pe, sy5c�m Bio-Hazard Waste aIOO Annual
KITCHEN EXMAUST Fumigation Tenting $50
� HoodlDucts $50 Tent 10'x10' or greater $15 ae� tent Torch PoUApplied $SO
OTHER Fire Pump 545 Haz. Materials $100 �o�„ai
LP Inslallabon pr.r tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 8 Exhaust Hood/Duct $30
� Nalural Gas Installatio� $50 Re-mspection DBL
( Per System ) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL �
and cancelled less than
24 hours
Construction Insp NIC
�_ Emergency Vehicle Ac� $50 FA�SE ALARM
PLANS TOTAL INSPECTION TOTAL �� PERMIT TOTAL
.� �____ I TOTAII _ I
GRAND TOTAL [���
CommPnfs
Date �' �C,� p !
Insq��ctor i �
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�a�`>y
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: d (� 11 �q� - �!/�-L
Date Received: � �Z ��/ �
Site: �CCC�S�d ����� � ���)
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Permit Type: �� �'�� e �- ��
Approved w/no comments: ❑ Approved w/the below comments: Y� Denied w/the below comments: �
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This comment sheet shall be kept with the permit and/or plans.
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Kalvin S tzer — Pl aminer Date Contractor and/or Homeowner
(Required when comments are present)
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118' = I' - 0' 114' - P -0' 318' = P -0' 314' - I' -0' 1' = 1' -0' 11/2' = I' -0' 3' = 1' -0' I' = 50' -0'
0 4 8 16 24 0 iii 12 24 0 ! 2 4 8 0 112 I 2 4 0 5 30 60 10 0 114 112 ! 2 0 118 114 112 0 25 50 100 150