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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 816298/A2G0757A <br /> Date Received _ Phone Contact for Permitting 813 342 3852 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name [Crown Castle USA Inc. for T-Mobile Owner Phone Number 813-342-3852 <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 4017 WASHINGTON RD PMB 353, MC MURRAY PA 15317-2520 <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 e NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL Ix I REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q <br /> T-Mobile Proposing to replace 2 antennas with(2)SBNHH-1 D45C antennas,add 2 new Commscope diplexers,1 <br /> DESCRIPTION OF WORK new FHFB, 1 FRIJ.Will install VFA12-HD mount used with the MSFAA <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> BUILDING $20,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS, <br /> ROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER -T1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> IQ[ <br /> BUILDER COMPANY Goff Communications Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Addr ss 64 Pa and Drive S sota, FL 34243 License# 1 CGC058267 <br /> ELECTRIC N COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER - - - COMPANY — <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIitlllllllllllllltllllllltlllllllllllll <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. (A/C 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 /> Driveways-Not over Counter if on public rdaaways..needs ROW <br />