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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE JAMES E. RIGJARll) <br />OWNER'S ADDRESS 5234 VINEYARD SIREEI' ZErnYRHIIlS, FL. 33541 <br /> <br />PHONE 813-782-4114 <br /> <br />JOB ADDRESS 5234 VINEYARD SIREEI' ZErnYRHIIlS. FL. 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION SHADY REST'MAP <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration .....!..-Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: ~Single Faaily ~M/F _, of Units -LM/H <br /> _eo-ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant &: Health Department Approval <br /> <br />DESCRIPTION OF WORK: REROOF M)BILE In1E lOCATED AT 5214 VlNF.YARD ~. wrrn SThfHi: PLY RIlRRF.R MJ<MRRANR <br /> <br />BUILDING SIZE: 14 <br /> <br />X 53. 742 <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />3100.00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECBAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />RIITUlER <br /> <br />Signature <br /> <br />NA <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />F.T .RGTRICIAN <br /> <br />Si2Wlture <br /> <br />NA <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />NA <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />NA <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />OTRF.R ~ COMPANY crnstMR ~ SAVERS mr. <br />~~ 0 ~ State Cert. or Regist.' CCC057196 <br />Signature ~~~ ~ City License Registration' RR5 <br />- <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />