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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 826548/86775 <br /> Date Received 7-I b Phone Contact for Permitting 813 342 _ 3852 <br /> Owners Name Crown Castle for Verizon Owner Phone Number 813-342-3852 <br /> Owners Address 1 4511 N Himes Ave,Ste 210 Tampa FL 3361 Owner Phone Number <br /> Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number <br /> Fee Simple Titleholder Address 1 5335 8th St Zephyrhills,FL 33541 <br /> JOB ADDRESS 38122 Henry Dr,Zephyrhills LOT# <br /> SUBDIVISION PARCEL ID# 02-26-21-0080-OOA00-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL r <br /> DESCRIPTION OF WORK Replacing(9)antennas with(9)new,adding(1)hybrid,(6)RRUs 32's and(1)CIVP. ]r <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> =BUILDING $ 20,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 3�� <br /> =GAS = ROOFING 0 SPECIALTY = -OTHER YYY <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO a V� <br /> BUILDER COMPANY Ascend Wireless Networks <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address 756 Business Park Blvd.Winter Garden,FL 34787 License# CGC1521965 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllillllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> r <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />