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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 816298_MOD <br /> Date Received Phone Contact for Permitting 813 342 3852 <br /> Crown Castle USA Inc. 813-342-3852 \ <br /> Owner's Name Owner Phone Number \ <br /> Owner's Address 4511 N Himes Ave Ste 210 Tampa,FL 33614 Owner Phone Number <br /> Fee Simple Titleholder Name I Crown Castle GT Company Owner Phone Number <br /> Fee Simple Titleholder Address 4511 N Himes Ave Ste 210 Tampa, FL 33614 <br /> JOB ADDRESS 38522 A Ave.,Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 14-26-21-0010-01700-0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Install strucutral modifications to existing tower. <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> =BUILDING $95 029.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION vK <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS OD ZONE AREA =YES NO 1 <br /> 94— <br /> VAMPANY®r�U <br /> BUILDER Goff Communications Inc <br /> SIGNATURE REGISTERED / N FEE CURREK I CYJ/N <br /> Addre 64 P land Drive ra ta,FL 34243 License# I CGCO58267 <br /> ELECTRICIA COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Address I icense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllll <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 subdivisionsAarge 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. (A/C upgrades over$7500) <br /> Agent(for the contractor)Or Power of Attomey(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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />