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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - /3 i in �' 6 1 J � -- (b"') <br /> /� Gj (3 Phone Contact for Perm1 1 u 1_i 1 1 1 1 ) <br /> 1 1 1 1 1 1 1 1 <br /> Verizon Wireless <br /> Owner's Name Owner Phone Number <br /> Owner's Address 14055 Riveredge Dr., Suite 600,Tampa, 33637 Owner Phone Number <br /> City of Zephyrhills Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address 5335 8th Street, Zephyrhills, FL 33542 . <br /> JOB ADDRESS 38122 Henry Drive, Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 02-26-21-0080-00A00-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD/ALT X SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR IT COMM OTHER IC1rC.L1o'E0../ I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME STEEL n I I <br /> DESCRIPTION OF WORK Replacement of antenna and coaxial cables on existing communication tower I,L��A)!r144.1 NG0 C<-GEC.,° <br /> OLLW AbAhrt <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 12,000.00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 000--' AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING $ <br /> e �/ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j 4 ( <br /> El GAS n ROOFING IT SPECIALTY OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> 111111111111111111IIIIII1111tp IIIIIIIIIIII11111111111111111111111111 <br /> BUILDER , / j\ 'I o-. COMPARNY 6EE CURRE1tu L I Y/N <br /> SIGNATURE V /J l <br /> Address 3615 E LP kit fin, -F�' J z/6 License# C,(3 Ciq 4o' t3 i <br /> - �, EGG COMPANY Col 1'.�V L r��/ <br /> SIGNATURE �2� E /� REGISTERED I Y/ N I FEE CURREI� I Y/N I <br /> Address �p 1' l� Ae 4.1L License# (..Z i 3005i 72- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN I Y/N I <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I •FEE CURREN I Y/N I <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 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,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 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. <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. (NC 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 />