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826548/A2G0082A <br /> 813-780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> Building Dep Ament <br /> s" <br /> D;�e Received <br /> Phone ConWct for Pe itting 813 34z 3 8 52 <br /> /Owners Name CCTMO LLC(Crown Castle) Owner Phane Number 813-3 4 2-3 8 52 <br /> Owners Address 4511 N.Himes Avenue,Suite 210,Tampa,FL 33614 p�er Phone Number <br /> Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number <br /> Fee Simple TitleholderAddress 5335.8th Street,Zephyrhills,FL 33542 4312 <br /> JOB ADDRESS 38122 Henry Drive.Zephyrhills,FL 33540 LOT# � <br /> SUBDIVISION Tyson PARCEL ID1F Z-Z6-21-0080-OOA00-0070 <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B NEW CoNSTR e ADD/ALT 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 /> DESCRIPTION OF WORK T-Mobile to replace(3)Antennas and ad (3)RRU's to existing tower(No Ground Work) <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ ����� VALUATION OF T AL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE EA QYES NO <br /> Atlas Solutions Inc./John D Mann <br /> BUILDER COMPAN <br />' SIGNATURE REGISTERE Y/ N FEE CURREt� Y/N <br /> Address z077 58th Avenue(;ircle East.Bradenton,FL 34203 License# CGC060425 <br /> ELECTRICIAN COMPAN <br /> SIGNATURE REGISTE Y/ N FEE CURRFI�' Y/N <br /> Address License# <br /> PLUMBER COMPAN <br /> SIGNATURE REGISTE o Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPA <br /> SIGNATURE REGISTE o Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPA <br /> SIGNATURE REGISTE o Y/ N FEE CURRFI� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En y Fortns;R-O-W Permit for new consWction, <br />, Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili6es 8 1 dumpster;Site Work Permit for subdivi ions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety age;(1)set of Energy Fortns.R-O-W Permit for new consWction. <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 projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out application completely <br /> Owne�&Contractor sign badc of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades ver$7500) <br /> " Agent(for the contrector)or Power of Attomey(for the owner)would be so one with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of ApplicaGon Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoU urvey/Footage) <br /> Driveways-Not over Counter if on public roadwdys..needs ROW <br />