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� sis-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-00 ` <br /> 82653£S �iODS Building Department �j 2��� <br /> Date Received � "' phone Contact for Permittin 813 342 3874 <br /> Owner's Name Crown Castle Owner Phone Number 813-342-3874 <br /> oWners nddress 4511 N.Himes Ave Ste 210,Tampa,FL 33614 Owner Phone Number �� <br /> Fee Simple Titleholder Name CITY OF ZEPHYRHILLS Owner Phone Number �� <br /> Fee Simple Titleholder Address 5335 8TH ST ZEPHYRHILLS FL 33542-4312 � <br /> JOBADDRESS 38122 HENRY DR ZEPHYRHILLS FL 33542 LOT# �� <br /> SUBDIVISION TYSON pARCEL ID# 02-26-21-0080-OOA00-0070 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR x� COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q �� <br /> DESCRIPTION OF WORK Install Modifications per attached plans to existing cell tower �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $22�680.00 VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION �Ll�" I 1 " � � <br /> -i� <br /> �GAS Q ROOFING � SPECIALN � OTHER � �� v / n l I �i'�''�-�-��'tl <br /> ! 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO /�} C�� �C �G <br /> \� <br /> �� <br /> BUILDER A�Y Multiband Engineering and Wireless Southeast Inc. <br /> SIGNATURE '��� REGISTERED Y! N FEE CURREA Y/N <br /> Address 2017 Cattleman Rd,Sarasota,FL 34232 License# CGC1517870 � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# �� <br /> OTHER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> Illlllllllllllllltlllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permitfor new construction, <br /> Minimum ten(10)working days after submittal dale. Reqwred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/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 submirial 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. <br /> '""'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out applicahon completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <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(PIoUSurvey/Footage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />