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I ' <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8162 9 8/TA3 3 XC 0 4 7 Building Department <br /> Date Received Phone Contact for Permitting 813 342 _ 3873 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> owner's Name Crown Castle USA Inc.for Sprint Owner Phone Number 813-342-3873 <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 = = DEMOLISH <br /> INSTALL I x REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL = <br /> SPRINT MIMO-Removing 2.5 equipment and replacing with integrated MIMO Antenna units.Adding(3)Ericsson Air 6488 <br /> DESCRIPTION OF WORK 1(l)per sector Ruji MA on PxwqtinA mount to vprify Capacity <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $20,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE ��/�Q PROGRESS ENERGY Q/� W.R.E.C. <br /> =PLUMBING $ *1j 0 lg`�'RO <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `/ V <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVAT NS FLOOD ZONE AREA =YES N <br /> BUILDER / 1 r COMPANY Ericsson, Inc. <br /> SIGNATURE / l REGISTERED I Y/ N FEE CURRD LILN <br /> Address W GACY DR PLANO,TX 75024 License# CGC1518237 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <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 CURRD Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRD Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />