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@ <br /> f � <br /> 4� � <br /> C� � <br /> City of Zephyrhills <br /> BUILDING PLAN REVIEW COMMENTS <br /> 0 <br /> ' - � - <br /> �ontractor omeowner: � � <br /> Date Received: ;� -�� ' �� - <br /> s�te: � ��-� ����`� �'� , <br /> , <br /> , �Permit Type: ( �- _�,.�.�_...- � <br /> Approved w/no comments: Approved w/the b lo comments: ❑ Denied w/the below comments: ❑ <br /> This comment sheet shall be kept with the permit and/or plans. <br /> � r <br /> � � <br /> Kal in Plans Examiner Date Contractor and/or Homeowner <br /> (Required when comments are present) <br /> � �Type of Identification Produced _ Name(print) �r y ����� ',, ,✓''. <br /> Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that <br /> the facts stated in it are true to the best of my knowiedge and belief. <br /> NOTARY PCBL�C-STATE OF FLORIDA <br /> FORMS/NOC,rvsd2007 g`��������' R�hard C. BflI'�@tt Signature ofNatural Person Signina ati���> <br /> �j.Comt�,ission#DD878490 au�a s o'NEIL,Ph D PASCO CLERK & COMPTROLLER <br /> %,,�,',,.••`Expires: JULY31,2013 �J2/08/12 0:29am 1 of 1 <br /> saxnmr��n�n.�.�-ncao��n�vaca,n�c. OR BK ���� PG 3��� <br />