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<br />I I r"~^'~---~l 0 <br />COMPUTER 1.li/II/I.III:I.IIIII:111111 0 <br /> <br />1181 ~ A_. Suite 110 Eul <br />JacaoIwtIIe. Florida 32204-21187 <br />P<* 0Ilk:e Box 2388 <br />JacaoIwtUe. Florida 3223H:1076 <br />lI04j3liO-1<<lO <br /> <br />A. CUSTOMER DATA <br /> <br />Personal Earth Station <br />site Survey Report <br />Barnett ComDutinq <br /> <br />CUstomer Name <br />PES site Name <br />Customer Address <br /> <br />BARNETT BANK <br />TOWNVIEW SOUARE OFFICE <br />7344 GALL BLVD <br />TOWNVIEW SO SHOPPING CTR <br />ZEPHYRHILLS . FL 33541 <br /> <br />Bank# 51 Branch' 11 <br /> <br />City / state / ZIP <br />County <br />Primary Contact <br />Alternate Contact <br />Alternate Contact <br /> <br />TOM CORONA <br /> <br />Phone <br />Phone <br />Phone <br /> <br />( ) <br />(813)225-2284 <br />( ) <br /> <br />Does Barnett own the building? No <br />If No, complete page #6 <br /> <br />Yes --X- <br /> <br />B. SITE ELEVATIONS/DISTANCES <br /> <br />Rooftop (Number of Floors) <br />Roof Lines (Height of Building in feet) <br />Comments: <br /> <br />1 <br />15 <br /> <br />Distance to nearest site property boundary(feet) <br />North 30 South 30 East 30 West 30 <br /> <br />C. ANTENNA AND MOUNT TYPE <br /> <br />Antenna Size 1.8M -X- or 2.4M <br /> <br />NOTE: Indicate three options , if possible, by inserting option <br />number after the mount type. <br /> <br />Short Pole xtl Tall Attached Pole Tall Free Standing Pole__ <br />Wall Mount Non-Penetrating Mount ___ <br />NPM : Manufacturer Location : Roof Ground <br /> <br />Tethering available on roof? Yes-X- No___ <br />Comments: TETHERING IS NOT NEEDED FOR THE POLE HAS ALREADY BEEN <br />CONSTRUCTED AS PART OF THE BUILDING. THE POLE RUNS FROM THE <br />CENTER BASE TO AND THROUGH THE ROOP. <br /> <br />D. SITE ACCESS <br /> <br />Check method of installation/delivery of PES antenna/hardware. <br /> <br />Crane/boom <br />Exterior ladder ~ <br />Freight elevator <br />Other Explain <br /> <br />Stairs Scaffold <br />Hoist truck -X- Interior ladder <br />Ceiling hatch dimensions: <br /> <br />(, \ <br />