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HomeMy WebLinkAbout12-13420 CITY OF ZEPHYRHILLS « � 5335-8TN SIREET (si3)�so-oozo 13420 BUILDING PERMIT Permit Number: 13420 Address: 7446 GALL BLVD Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-08800-0010 Improv. Cost: 27,335.00 Date Issued: 9/05/2012 Name: SYBEA,INC.(ARBY'S) Total Fees: 175.00 Address: 7446 GALL BLVD Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/05/2012 Phone: Work Desc: REROOF 28 SQ OF GENFLEX TPO �� C/" r-� �n . � �_., , TAPE JOINTS OOF INSP FINAL (; �"I� 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. "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 reoording our notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONT R SIGN T RE PERMIT OFFI R PE IT EXP ES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 35-25-21-0010-08800-0010 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, September O1, 2012 Parcel ID 35-25-21-0010-08800-0010 (Card: 001 of 002) Classification 23 - Financial Institutions Mailing Address Property Value ST FLORIDA PORTFOLIO III LLC Ag Land $0 919 E MAIN ST FL 14 Land $249,861 DELANO Building $273,328 RICHMOND VA 23219-4622 Physital Address Extra Features $38,166 7446 GALL BLVD )ust Value #561,355 ZEPHYRHILLS FL 33541-4310 Assessed (Non-School Amendment 1) $561,355 LeSlal D6SC�IDtl0�1 (First 4 Lines) ZEPHYRHILLS COLONY COMPANY Taxable Value #561,355 LANDS PB 1 PG 55 POR OF TRACTS 73 &88 DESC AS FOLL: COM AT NW COR OF SW1/4 OF SEC TH ALG Land Detail (Card: 001 of 002) Line Use Description 2onin� Units Type Price Condition Value 1 2300 FINANCIAL OOC2 11,000.00 �F $8.10 1.00 $89,100 � 2300 FINANCIAL OOC2 22,965.81 � $7.00 1.00 $160,761 Additional Land Information Acres 0.78 Tax Area 30ZH FEMA Code X i PAR2A Buildin9 Information - Use 23 - Financial Institutions (Card: 001 of 002) Year Built 1991 Stories 1.0 Euterior Wall i Common Brick Exterior Wall 2 None Roof Structure Flat Roof Cover Built-Up Tar and Gravel Interior Wall i Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 Quarry or Hard Tile Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl.Cost New 1 BA�S 4,230 $420,462 2 �AIV 1,704 $50,793 Extra Features (Card: 001 of 002) Line Description Year Units Value 1 PAV A P 1991 22,630 $4,583 2 �� 1991 1,230 $538 3 DRINWIN 1991 1 $2,791 4 PNEUTUB 1991 2 $13,082 5 VAU�T 1991 220 $3,240 6 NITEDEP 1991 1 $3,073 7 VAU LTDR 1991 1 $10,859 Sales History Previous Owner SUNTRUST BANK Month/Year Book/Page Type Code Condition Amount 01/2008 7752/0804 Warranty � Improved $0 Deed 02/2002 4864/0068 � Improved $650,000 Warranty http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21&sbb=0010&bl... 9/5/2012 8�s-�eaoozo City of Zephyfiiils Permit Application Fax-813-780-0021 Building Department Date Received �•- �Z) •- phone Contact for Permittin �� I c�. — C9 O°1� Owner's Name �„L Owner Phona Number Owner's Add►ess e � Ow�er Phone Number � (�}I�nt19 ►� b Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � �� . . '1�, �.S LOT� � SUBDIVISION PARCEL ID# � -c��• ' � � � °� i (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NSTALLST�8 REPAIR � �G�� 0 DEMOLISH PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK F � �S BUILDING SIZE SQ FOOTAGE� HEIGHT �BUILDING $�� � C �°— VALUATION OF TOTAL CONSTRUCTION J DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 QPLUMBING $ � �jU QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� `� � QGAS � ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECHANICAL COMPANY SIGNATURE � EGISTERED Y/ N FEE CURRE� Y/N Address � � License# � OTHER COMPANY � �� IU(�11�?� �1 T.�- SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � c License# � � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new consUuctio�, Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaGllUes&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Buflding Plans pius 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,Constructlon Plans,StoErnvwater Plans w/Silt Fence installed, Sanitary Facilities 8�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. Directions: Fill out applicatfon completely. Owner&Contractor sign back of application,notarized If over s2500,a Notice of Commencement Is requirod. (A!C upgrades over i7500) '" Agent(for the contractor)or PoweFOf Attomey(for the ovrmer)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTiNG (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) Oriveways-Not over Counter if on public roadways..needS ROW NOTICE OF DEED RESTRICTIONS: The unders(gned understands that this permit may be subject to"deed" restrictions" which may be more �est�ictive than County regulations. The undersigned assumes responsibility for compiiance with any applicabte 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 Ifcensed in accordance with state and local regulatfons. 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 Ifcensing 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/Sewe� 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 ce�tify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Depa�tment of Agricuiture and Consume�Affairs. If the applicant is someone othe�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'SIOWNER'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 instailation 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/Wastewate�Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays. - Department of Health 8 Rehabilitative Services/Environmental Flealth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmentai Protection Agency-Asbestos abatement. Federal Aviafwn Authority-Runways. I understand that the foilowing restrictions apply to the use of flll: Use of fill is not allowed in Flood Zone"V"unless expressiy 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 materiai 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 flll 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 Buiiding 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 fo�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: YOU�EN'TS TO YOUR PROPERTI(.TIF YOU INTE DETO OBTAINnFI�NANCSNG C'ONSULT PAYING TWICE FOR IMPROVE NT. WITH OUR L R R AN ATT EY FOR ECORDI G YOUR NO IC OF FLORIDA JURAT(F.S.11 .03) OWNER OR A(3BNT CONTRACTOR ��S Subscribed and swom (or Subscrfbed and swom to(or affl d efore thf by by Who Is/are perso nown to me or has/have produced Who fs/are personally known to me or hasfiave produced � as idendficatlon. as identlflcaUon. i f •, � Notary Public Notary Public ,�i�"'�, JACQUEU E BOGE Com ssion _ � Commission No. �; �: ••.:��•.. % Expires December 12 Name of Notary typed�printed or stamped Name of Nota • 80°�°�7019 , Invoice Number:080712 Purchase Order: FLC909-5906 ������''""" , �l�es,�ep.: Jason Morphet � ��CbSe�Date: 08/07/]2 Residential Division Due Date: 09/07/12 Page Number: 1 of 1 License#CGC 1517771 - — -- - - INC. Customer: 94] Location: RTM Operating Company, LI,C Arby's Unit#5906 1155 Perimeter Center West, 6th Flr 7446 Gall Blvd. Atlanta,GA 30338 Zephyrhills, FL 3514 Quantity Unit Description/Part Number Unit Price Tx Price Extension � pp 27,335.0000 27,335.00 WE PROPOSE TO FURNISH MATERIAL AND LABOR-CONRPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF: $27,335.00(T`venty- Seven Thousand Three Hundred Thirty-Five Dollars&00 Cents)We Hereby Submit Proposal for�he following project and specs: remove existing EPDM roof to metal deck,install 3.1" R-19.1 ISO Insulation board mechanically attached with 3" steel plates&#]5 HD screws, install 60 mil TPO membrane over 8S0 with 2 3/8" plate&#15 HD screws. All TPO seams will be heat welded. Install new scuppers,drains,vent flashing,and metal wall coping cap. Wall flashing will be fully adhered on all vertical walls and or surfaces. Price includes all warranties, labor, materials,permits, inspections,and debris removal. Warranry: 20 year No Dollar Limit Manufactures warranty/5 year contractor warranty Exclusions: metal deck replacement,gutters,downspouts, interior mold or damage due to existing leaks Im�oice Net 27,335.00 36413 SR 54• Zephyrhills, Florida 33541 • Telephone: 813-782-0825• Fa�c 813-,788-6773 www.rymanconstruction.com � f-Floric�a Building Code Online Page 1 of 2 ,,5�� " �. p� ;,.g. P z .� 4 �. Q � 9 y �. - www114... �w.e�.-.,�. � _ � C i.v..... . _ . a.- _ . .:'"i�e"__ _.ac __0.� .�����LYAR��4K� I� �:� Finrida�par�r�,Ci IL`" BCIS Home Log In � User Registration 'Hot Topics ' Submi[Surcharge I Stats&FacLS Publications � FBC SWR ;BQS Site Map !Links Search ' Busines "' � '� , �' Product Approval `_. Professi�n�af 1� � USER:Pub�itUSer � � Reg�lation , � s�� � ��n�i Produc[Aooroval Menu>Product or Aoolication Search>A�`Iicat(on List>Appliwtio�Debil J ���Q����S�?11� �� 1.� fL# PL6943-R3 �s, ��71�8 yQ�O ��?�1�rd32�d�ZI ��� �g� Applitdtion Type Revision :� ��J�IM� 7� ,S�Q.O �r,t6'��Q � r., �,�`--•�� i : . Code Version 2010" , 1d�VQ� ��/�1 � �� �~�,�.��>�• ' � �?b,ys��M�1�d Application Status Approved ` comments � 77b' Archfved r "`�------�� ��U/� T, �►'UpT� , Product Manufacturer GenFlex Roofing Systems,LLC Cl I r oF z � ' Address/Phone/Email Suite 50 96th Street p`�iN����HYRH���� Indfanapolis,IN 46260 ��� / (317)816-3806 "�...`��� mcquillentim@flres[onebp.com ''—�� Authorfzed Signature tim mcquillen m cq u i I l e n ti m@ fl resto neb p.c o m Technical Representative Tim McQuilien Address/Phone/Email 250 West 96th Street Indianapolis,IN 46240 (800)443-4272 Ext 53806 mcqui Ilend m�Flrestonebp.com Quality Assurance Representative David Wally Address/Phone/Email 393 Denton Circle Tuscumbia,AL 35674 (256)386-8383 david.walley@omnova.com Category Rooffng Subcategory Single Ply Roof Systems Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professionai Engineer P' Evaluation Report-Hardcopy Received Flo�ida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE-59166 Qualfty Assurance Entity Underwrtters Laboratories Inc. Quality Assurance Contract Expiration Date 03/30/2013 Validated By John W.Knezevich,PE � Validation Checklist-Hardcopy Received Certificate of Independence FL6943 R3 COI Trinitv ERD Q-Nieminen.odf Referenced Standard and Year(of Standard) Standard Year ASTM D6878 2006 FM 4470 1992 FM 4474 2004 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu%2foRM43 U... 3/14/2012 Yage l oi L • .,Floria�Building Code Online TAS 114 2011 UL1897 2004 Equivalence of Product Standards CertiFled By Sections from the Code Product Approval Method Method 1 Option D Date Submttted 12/12/2011 Date Validated 12/14/2011 Date Pending FBC Approval 12/20/2011 Date Approved O1/31/2012 Summary of P�oducts FL# Model,Number or Name Dascri tion 6943.1 GenFlex TPO Single Pty Roof Thermoplastle polyolifln,single-ply roof systems 5 stems --- Limits of Use Installation Instructions Approved for use lo HVHZ:No FL6943 R3 II A1 er120911FINAL GENFLEX Approved for use outside HVHZ:Yes TPO FL6943-R3.odf Zmpact Resistant:N/A Verifled By:Robert Nieminen PE-59166 Design Pressure:+N/A/-292.5 Created by Independent Third Party:Yes Other: 1.)The DP in this appiication refers to one Evaluation Reports i speciflc roof assembly. Refer to ER Appendix for all FL 943 R AE er120911FINAL GENFLEX TPO FL 43-� �assemblies and max design pressures. 2.)Refer to ER ��d by Independent Third Party:Yes Section 5 for Limits of Use. Back Next ConWCt Us 1940 North Manroe Stree[ Tallahassee FL 32399 Phone:B50-487-1824 The State of Florida is an AA/EEO employer.Ce�:•:iaht 20074030 State of Florida.::Privacv Statement: Ac���sibilitv Statement.:Refund Statement Under Florida law,e-mail addreues are public records.If you da na[want your e-mail addras reteased in respo�se to a public-records request,do not send electronic maii to Chis entity.]nstead,contact the office by phone or by tradiUonal mail.If you have any questions regarding OBPR's ADA web accessibility,please contact our Web Masfer at wabmaster�dbor.state.fl.us. Produd Approwl Aceapts- � � ECM1cc � 5C'(.'tlttl� V�t151g�w T�ustad v[nic+� http://www•floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu%2foRM43 U... 3/14/2012 ��bv5 `�t�� Rffxtive: 6cto6er 1,20I1 I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII II�II IIIII IIII IIII etum to: NOTICE F CORp�gIVC'�� Siate otFlo p'Qa � County of ,��J�('� Permit No. _ ����� 7 ax Folio No. 77re undersigncd hereb�,gives notia tha[�mpro�ement wiit be made[o certyin real property.and in acwrdance wrth Chap[er 7l3,Florid Statuhs,th�following infprmaYOn�s p vided in this No' �_` the � �1��m S 1'�- C'c_ f� /� � �fb°°o�Pro ����cri on oC m �. ��� Z a3 �6 i `+�.�',,,' 'J •g i� �P a�l'a"d �favaitable). �3�'1'► e �w L•CJ�.✓l �fi>>! 2. General d� a.« � L j. n esuiRtion f�mprorement�: � ���f✓r�111�� � ��/ � ( 3 �'nrortn a t i o n o r�o�y�����5��contradedfor the improvement e Name and Address: p�'i b. Ineerest in Properry�� � � � 'rlt"CY�V C`�J 1' ,y,� c. N addrus of fee simple tiNeholder(ifdifferent from � T7T i,o�1�r!�, f�-��C��g`���? �,�=�ff m•��¢'1 '�1+r � ,O,iwnerlistedabove): 4 Contractor/�'�'S (��5.}p-;,yur.�i— ��t�upe�-+r; r���� (�.��'u�.�tiv��S� �t�:��.1���T�. � ' y, a. Name and Address: j� 3��� -�� \"► � TN'Y�i_. �1``'�2�_I b. Phoce number- �M}��'^���, 33��:.t'r , 5 S�rery(ifappiicablqa �� wpyofpaymart a ��: a Name and Addnss: b Phonenumber: Rcpt:1457833 Ree: 10.00 -- D5: 0.00 IT: 0.00 ""'°""�°fb°"a: a 08/30/12 D. Boni 11a, D t 6. Lenda �---- P y C l erk PqULR S 0'NEIL,Ph D PqSCO CLERK 8, COMPTROLLk a Ne'�`�,°"°°'�: 08/30/12 09:41am 1 b. Phone numbc: -------.-- OR BK ���'� � q ��'T � a«s�t.hn,m a�e smfe orFl«�a.aa� PG 1 urved as provid�ea Sy secuon 71 s.13�lxa)7.Flor;Q,St�:�"�d b�"p��0"wlam na;as«oaw docn,,,rnts,nay 6c a. Name�d addras: b. Phc.me numbas of designmed pay�: 8. a. In addidon to h+mxlf or he+sdf,Ownv daignsfet Staaae.c. ��eive a copy oft6e Liqqr•S��q P��idod m—Seq'.�ian 7 j1 33 j Ky).Florida b. P�wne number of Pe+sa�or auity desi�bY owiw: �__ 9 �P��ion date ofnotice of�qmrt�v� castruction and final pay���,bW will 6e!Year from Me date of (the ocpiration date may nal be before the comp�aim of recording ufdess a diffaent daoe is specified) W'��T�0��: ANY PAYMENI'S Mqpg BY THE OWNgR qFC�R 71iE E�,���OF,�,�NOTICE OF ����ENT ARE CONSmERED ONpROPE1t PAYMh1d7S(nNDFJt�{qp�R 713.PA}tT I.SECTION 713.13, F[ARIDA STA"iLJ'I'ES.,qNp CqN f��.p m Y�PAYING'f1VICE FOR IMpROVEMF]JTS TO YOUR pRpPE(t7'�• A NO')'�E OF COMMETJCg�g��S'i BE RE(„'pRpE[�qNp POS.i.E�ON THE JOB SITE BEFORE'iyE FIIt� �P�T�ON. IF YOU INTENp TO OBTAfN FM�Q.rG.CpNSULT BEFORE (_ �TM'Y���DER OR AN q77p�y �MMETJCMG WORK OR RECpRDp�G YO�Np77CE Op Cp�g�. � Under prnalties of 0�7�ry,1 declare that 1 have rwd the faegoing Notia of Comrtien j truc W Uie best uf mY�mowled . �tf�attltl��EE faas staled'm it are ge and bdief. ���1` / — �V J � Ow�w cr Lessee.or Ownu•s or Autlwri p�ar���a Lessee's s,���sT��-�: V���� Q. Jones, Jr. STA7EOF_(���, ate Counsel COUN7V OF�.�,�t.y..v.� r `,,,�1 1 11 f f I// �Y The laegoinB��sWment wss aclmowkd !�` \� 1,O� 4� �I �fa� �� sw e��,.:m�.2�; �,,� m�n�,�ii�rr 4t��ne� �.�� y� . � . . b . Ci.:wnst� " –'—_` � � -� � � : �'•'����$�j�'�,'��: ..�, � ' . O � I PasonallylCnown-.�'L���[ -----— p���dNarnc•�ateof ^ ie. = : SIOZ`�'iJ • . TYP�of Idrnrificuion Prod�cdOR Produced(da��ficazim !''r... _ `� w��.r\,� ' •1�.l�O,T� , —i:La� . �Z� - � � Mrc:«nm�sconFxqres ��S�y���11�p� � � S3a1dX3 � � 1�=== i ; � : �"��b.y U�.• : � %,��,y� 5���,d;�: � �������i�+`� STqT�OF FLQRIDA, COUI�TY C7F p,qS�;� THIS IS TO CERTIFy THAT Th'E Fp;��G�;�rG!S A C�I�C�j� TRUEAND CORRECTCOPy 0�7'NF .��};.,�UE - �J� • ' �' OIV FILc OR OF PUBLlC RECpr�p ��7yi� ' Ni � •,� WITNESS MY HAND A; ����CE � OFFfC!kL SE,<kL TI�Ji� 4�.,,.. * PA �AYI �r�,. a , �d ` � ' * BY F'`K OMP�'R�L—� # � ' �,� DEPUTY CLERK � * � n;�v c ✓'z: �.n. ! � LS;�'�?i1 -j�C.fC� ' Ft.�[RiflR� �3.,� . � � �� x �� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS , ' � �� ontract omeowner: � _....- - . Date Received: ,�f - �U -�� f � Site: � � Permit Type: � ? .:�ff ,� � �_J���,��''--E'� ��J Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comm t shee s 1 b kept with the permit and/or plans. `l"� 3� �z Kalvin 'tz s Exaxniner Date Contractor and/or Homeowner (Required when comments are present)