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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 816298/A2G3021A Building Department <br /> Date Received Phone Contact for Permitting 813 342 ;3873 <br /> Owner's Name Crown Castle USA Inc.for T-Mobile owner Phone Number 813-342-3873 <br /> Owners 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 iLOT# <br /> SUBDIVISION I PARCEL ID# 14-26-21-0010-01700-0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW <br /> CONSTR ALL e REPAIR SIGN = = DEMOLISH <br /> INSPROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL = <br /> DESCRIPTION OF WORK TMO ptopo1igt e�.mm..a(3,lDSwt�rma.�ulawx.wu mx,.e.re �*µ..mmNun�.amumeaws.aamwcow.�..rnWbwa.aam� mcma mmp�.w <br /> BUILDING SIZE I i SQ 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 <br /> I <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY HighPoint Industries LL'C <br /> SIGNATURE REGISTERED I Y! N FEE CURREN 11 Y/N <br /> Address atermill Cir,Tarpo rings,FL 34689 License# CGC1513127 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I I Y/N <br /> Address License# <br /> I <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 ,Y/N <br /> Address License# <br /> I l l l t l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l 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,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivis(ons/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,Stonnwater 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$2600,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 roadways..needs ROW <br />