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�, e��-�saoozo City of Zephyrhills P rmit Application F�-s��-�eaooz� <br /> 826548/A2G0082A Building Dep rtment <br /> �{ Date.Received O.-Z7�� Phone Contact for Pe itting 813 34Z — 3 8 52 <br /> Owners Name ��TMO LLC(Crown Castle) Owner Phone Number 813-3 42-3 S 52 <br /> Owner's Address 4511 N.Himes Avenue,Suite 210,Tampa,FL 33614 pWner Phone Number <br /> Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number <br /> Fee Simpte TideholderAddress 5335 8th Street,Zephyrhills,FL 33542 4312 <br /> JOB ADDRESS 38122 Henry Drive.Zephyrhills,FL 33540 LOT# � <br /> SUBDIVISION Tyson PARCEL IDq 2-26-21-0080-OOA00-0070 <br /> (OBTAINED FROM PROPERTY TAII 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 /> DESCRIPTION OF WORK T-Mobile los�fecw(3)Antennas and ad (3)RRU's to existing tower(No Ground Work) <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ 20,000 VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `�, �/}� <br /> Fr „"�_-- <br /> QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION �� �� ��C1 <br /> U <br /> QGAS Q ROOFING Q SPECIALTY OTHER � ��� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO O � <br /> � <br /> BUILDER � � OMPAN Crown Castle USA Inc/Richard Lee Cuilum ' <br /> SIGNATURE / '� REGISTER Y/ N FEE CURREt� Y/N <br /> Address 4511 N.Himes Ave.Ste 210 Tampa,FL 33614 License# CGC062125 <br /> ELECTRICIAN COMPA <br /> SIGNATURE REGISTER D Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPA <br /> SIGNATURE REGISTER D Y/ N FEE CURRFI� Y/N <br /> Address License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURREA Y I N <br /> Address License# <br /> OTHER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y J N <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 1 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 En rgy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Require onsite,ConsWcGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivi ions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(t)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormvrater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contrador sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgredes ver 57500) <br /> " Agent(for the contractor)or Power of Attomey(for[he owner)would be so eone 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(Plo urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />