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� 4 <br /> s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � _ .Building Department , <br /> 826548/10015984� <br /> Date Received � Phone Contact for Permitting 813 34Z I <br /> - 3852 <br /> Owner's Name CCTMO LLC(Crown Castle) - Owner Phone Number $13-342-3852 <br /> Owner's Address 4511 N.Himes Avenue,Suite 210,Tampa,FL 33614 Owner Phone Number <br /> Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number <br /> Fee Simple 7itlehoider Address 5335 8th Street,Zephyrhills,FL 33542-4312 <br /> JOB ADDRESS 38122 Henry Drive,Zephyrhills,FL 33542 LOT# � <br /> SUBDIVISION Tyson PARCEL ID# 02-26-21-0080-OOA00-0070 <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW cONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> AT&T 3C replacing 3 antennas in,Adding 3 RRU532,1 DC-6,2 DC-2's,1 Power and 1 Fiber cable. <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> TT7�TITT�TITTTITTTI"ITT �TT <br /> �BUILDING $ 20,000 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - � ��� <br /> i QGAS Q ROOFING Q SP ALTY � OTHER ,f',j' )f , <br /> i}" V <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO <br /> ��-•--•- ''} •--r�.--r�T.��T.-.-rr.-.--^r-.--.-i-:�- <br /> f-t ,� •nsco ssociates, <br /> BUILDER COMP� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 736 PARK N Blvd Ste 100 CLARKSTON,GA 30021 License# CGC1522785 <br /> ELECTRICIAN COM PANY <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# , <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for ali new projects.AII commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> -i-1-d-i-4.i-1-.4-1-4-1-1.-I-.1-1--L-I--F�1-�1-��4-�1--F�1-��1.-FI--F�' •..-r7.-r�.�l.-F�1--�1..1.-1-' •.-.-T�I--1-F-�--f-F-4-1..1--4- <br /> Directions: <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same <br />� OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />