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C'r-�wn �.S'�v�,�„� r7:s� <br /> �. ;; <br /> •= 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> 826548/TA70XC110 Building De artment <br /> Date Received r � J � Phone Contact for Pe itting 813 342 _ 3 8 5 2 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name CCTMO LLC(Crown Castle) Owner Phone Number 813-3 4 2-3 8 5 2 <br /> Owner's Address 4511 N.Himes Avenue,Suite 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 Street,Zephyrhills, FL 3354 -4312 <br /> JOB ADDRESS 38122 Henry Drive,Zephyrhills, FL 33542 LOT# � <br /> SUBDIVISION Tyson PARCEL ID# 02-26-21-0080-OOA00-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT X SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM X OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> Sprint to add(3)antennas,(3)RRU's,and low voltage hybrid fiber cable to existing tower <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $��'� �p VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> �MECHANICAL $ VALUATION OF M CHANICAL INSTALLATION � S� <br /> � <br /> QGAS Q ROOFING Q SPECIALT`( OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> . . . . . . . . . . . ._. . . . . <br /> ` �off Communications/James E. Go f <br /> BUILDER MP�Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address 671 26 Co East.Saras 34243 License# CGC 0 5 8 2 6 7 <br /> ELECTRICIAN �ry� � � OMPA Y �off Communications/Douglas -L .S ith <br /> SIGNATURE �/�"" �(/`'�h� REGISTER D Y/ N FEE CURRE� Y/N <br /> Address 6711 26th Court E. Sarasota, F. 34243 License# EC13004137 <br /> PLUMBER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIY11111 -- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivi ions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Require 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. (A/C upgrades ver$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be som one 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(PIoU urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />