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l����^.+�rin� �C <br /> J <br /> sis�ao-oozo City of Zephyrhills Permit Application Fax$1&780-0021 <br /> 816298/A2G0757A Building Department <br /> Date Received 3— 2� 3 <br /> Phone Contact for Permittin 813 342 _ 3874 <br /> -rrrrr rrr <br /> Owner's Name Crown Castle GT Company LLC pW�e�phone Number 813-342-3874 <br /> Owner's Address 510 Bering,Suite 500,Houston,TX 77507 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tdtleholder Address � <br /> JOS ADDRESS 38522 A Ave.,Zephyrhills,FL 33542 <br /> lOT N 6,7,&8 <br /> SUBDIVISION PARCEL ID# 14-26-21-0010-01700-0060 � <br /> (OBTAINED FROM PROPERTV TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT QX SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM XQ OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> Swap existing T-MObile antenna's,add boosters and hybrid cable up tower <br /> DESCRIPTION OF WORK <br /> BUILD�NG SIZE S�FOOTAGE� HEIGHT � <br /> �BUILDING $20,000.00 VALUATIONOFTOTALCONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBWG $ � i �q�'� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I f <br /> �GAS Q ROOFING Q SPECIALTY � OTHER ,�Q C j S�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO_ �__ � ��' ��� <br /> / � � <br /> U ons ru ion ervice , ' Seslar <br /> BUILDER ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 6375 Harney Road,Suite 107,Tampa,FL 33610 L' ense# CGC060018 <br /> ELECTRICIAN ,���hA�� DI R��� COMPANY •C{r G�- /n <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Address License# � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE GURREA Y/N <br /> �d�gg License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construdion, <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.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 Pertnit 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 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgredes over 57500) <br /> " Agent(for the contractor)or Power of Attomey(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(PIOUSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />