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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 826548/A2GO082A <br /> Date Received Phone Contact for Permittingg 813 342-3873 NFL ermits crowncastl .Com <br /> 1 1 1 1 1 1 1 1 I l l i l <br /> Owner's Name Crown Castle USA, INC. for T Mobile Owner Phone Number 813-342-3873 <br /> Owner's Address 1 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 <br /> 5335 8th St Ze h rhills,,FL 33541 <br /> p Y <br /> JOB ADDRESS 38122 Henry Dr, Zephyrhills LOT# <br /> SUBDIVISION PARCELID# 02-26-21-0080-OOA00-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK TMO ANCHOR is proposing to swap (4) antenna for(4) FFHH antenna. add (3) <br /> I'. <br /> '-T. <br /> svvaprl <br /> II <br /> BUILDING SIZE ray cap f1r )S;��I Ica gA�PE add (2) by rid. add�f�; nded diplexer. <br /> BUILDING $ M 65,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �I > <br /> Uv v_ <br /> =GAS = ROOFING 0 SPECIALTY = OTHERS/' )S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER A'.+ rd-w ;•t COMPANY Goff Communications Inc./James E. Goff <br /> SIGNATURE - REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6448 arkland ' e arasota,FL 34243 License# CGC058267 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i -77 OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 /> CuUM_ntRCiAAttach 3 complete sets of-Bwldmg P and-s plus a Life Satety Page;(1)set of Energy Forms.R-0-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. j <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 Upgradesi A/C,. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public.roadways:.needs;ROWt;' <br />