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s <br /> 813-78041020 City of Zephyrhills Permit Application Fax-813-78MMI <br /> 8265481132419 2. Building Department <br /> �Data�-e�d 2"✓ Phone Contact for Perm ng_ 813 3423873 <br /> Owners Name Crown Castle USA as agent for Venzon Owner Phone Number 813.342,I873 <br /> owners address 4511 N Himes Ave,Ste 210 Tampa FL 3361 Owner Phone Number <br /> Fee Simple Titleholder Name I City Of Zephyrhills Owner Phone Number <br /> Fee Simple Titleholder address 1 5335 8th St Zephyrhins,FL 33540 <br /> JOB ADDRESS 38122 Henry Dr;Zephyrhills,FL 33542 LOTS <br /> SUBDIVISION PARCEL ID# 02-26-21-0080-0GA00.0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED B NEW CONSTRR ADDIALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q <br /> DESCRIPTION OF WORK RIZON LTE is proposing to swap(3)antennas for(3)[KRY with integrated radios],add(d)RRUS,(1)0VP and(1)hybrid <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> <5 =BUILDING $ <br /> r J 20,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION w'L <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO C/ ja <br /> V f <br /> BUILDER COMPANY Ascend Wireless Networks /�,} 1a <br /> SIGNATURE - REGISTERED I YIN I FEE CURREN .Y/N j •j " <br /> Address `56 Business Park Blvd.,Winter Garden,FL 34787 License#FCGC15211965 V' 1)I / <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I YIN I FEE CURREN L.XjNj <br /> Address License# ��• <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN -1 FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED .Y/N -FEE CURREN I Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN LZ/N <br /> Address I License# <br /> III111111tillIIIIIIIIIIIRillIIIIII1111.111111IfIIf111111111111111111 <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/Sift Fence Installed, <br /> Sanitary Faculties&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;Stormvrater Plans w/Sit 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 /> DireeUons:• <br /> FBI out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notim 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />