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a�saaaoozo City of�Zephyrhilis Permit Application Fax-813-780-U021 <br /> • �Building Department <br /> 815298_59059 u� <br /> Date Rocoived � 1 � <br /> PhoneContactforPermfttin n1' 3a� 3352 <br /> Crown Castla GT Company LLC ior t'arizon E1�-3^.�-3�5= <br /> Owner's Name Ownor Phone Number <br /> 4511 t7 Himas hve, Ste 210, Tampa, eL 3"s619 <br /> Owner's Address Owner Phone Number <br /> Cra::n •�aa.1e GT Comcany L..., <br /> Fee Simple Titleholder Namo Owner Phone Number <br /> :G.`�{Jr1�SHING39ti AD Ptd'r 3S',i, u � <br /> FeeSimpleTlGeholderAddreas 2;� 1SUARIY PA 15?i�-25zo <br /> JOB ADDRESS 3&522 A ave , Zephythills, FL 33542 LOT# °' �' b 9 <br /> -2c-'_1-OC10-017C0-OJGO <br /> SUBDIVISION PARCEl10# i� <br /> i (OBTAINED FROM PROPERTY TA7C NOTICE) <br />, WORKPROPOSED B NEwCONSTRe ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />, PROPOSED USE Q SFR Q COtdM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR.4ME � STEEL Q <br />�, 'Je�i�on Wireless proposirg co install a neu trcpane gzne:ato_ •.rich an e�.ternal 500 gal <br />, DESCRIPTION OF WORK tar.}: vs?n a 10' x S' tar.k oad. -� <br /> BUILDINCi SIZE SQ FOOTAGE� HEIGHT � <br />' QBUILOING S �u,000 VALUATIONOFTOTALCONSTRUCTION <br /> ELECTRICAI S AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> � � 0 <br /> QPLUMBING $ � s <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION � ` � � ' <br /> �IiAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 1 � J. Crompton Eiectric, Inc. <br /> BUILDER � � �i ✓ COMPRNY <br /> SIGNATURE RE6ISTERE� Y/ N FEE CURaEn Y/N <br /> �4C Old Ccna -,,., .,.�. �.�,,,, Falr.� Sc--h,F.. 37�C3 CGC629i. <br /> Address " a 1 � License# <br /> ELECTRICIAN � b • COMPANY S. Crompcon Electric, Inc. <br /> SIGNATURE PEGI9TERED Y/ N F'e'e CURRE� Y!N <br /> AddfC55 ��OG 0_d Jc gtes= ?. _, 'rles: Palm 9=ach,FL 339 5 LfC8�58# I �L�3Db28�TZ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License� <br />' MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y 1 N <br /> Addross License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERE� Y! N FEE CURREA Y/N <br /> Addresa License� <br /> RESIDENTIAL Attech(2)Plol Plans;(2)sets of Building Plans;(t)sel af Energy Forms;R•O-W Pertnit fa new conslruction, <br /> Minimum lon(10)wortcing days after su6mittal date. Roquired onsile,Construction Plans,Stormwater Plans wl Siit Fence tnstalled, <br /> Sanilary Facililies&1 dumpster;Sile Work Pertnit for subdlvisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Fortns.R-O-W Pormit for new conshuclion. <br /> Minimum ten(10)woricing days atter submittel date. Required onsite,Construclion Plans.Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facililies 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PCRMIT Attach(2)sets of Enginaared Plans. <br /> ""PROPERTY SURVEY required forall NEVt'coneWction. <br /> ................................... ......................... ......._ <br /> Dlrecdons: <br /> Fill out application complelely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notica of Commencement Is requlred. (A/C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Altomey(for the ovmer)would be someone with notarixed letter trom ownar authorizing same <br /> OVER THE COUNTER PERMIT7fNG (Front of Applicalion Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFoolage) <br /> Driveways-Not over Counler it on public roadways..needs ROW <br />