Okay. If the starter is just spinning, either you have a damaged flywheel or more commonly, the Bendix on the starter is bad. The Bendix is what forces the starter gear outward to engage with the flywheel and turn the engine. If you could record the sound and upload it for me to hear, I would be more certain. However, it does seem you need a new starter.
Here is a link that shows in general how one is replaced:
https://www.2carpros.com/articles/how-to-replace-a-starter-motor
Here are directions specific to your vehicle for starter replacement. The attached pics correlate with the directions.
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2003 Ford Truck F 150 4WD Pickup V8-5.4L SOHC VIN L
Procedures
Vehicle Starting and Charging Starting System Starter Motor Service and Repair Procedures
PROCEDURES
REMOVAL
WARNING: WHEN CARRYING OUT MAINTENANCE ON THE STARTING SYSTEM, BE AWARE THAT HEAVY GAUGE LEADS ARE CONNECTED DIRECTLY TO THE BATTERY. MAKE SURE PROTECTIVE CAPS ARE IN PLACE WHEN MAINTENANCE IS COMPLETE. FAILURE TO FOLLOW THESE INSTRUCTIONS MAY RESULT IN PERSONAL INJURY.
1. Disconnect the battery ground cable.
2. Raise and support the vehicle; refer to Maintenance/Service and Repair.
WARNING: THE ELECTRICAL POWER TO THE AIR SUSPENSION SYSTEM MUST BE SHUT OFF PRIOR TO HOISTING, JACKING OR TOWING AN AIR SUSPENSION VEHICLE. THIS CAN BE ACCOMPLISHED BY TURNING OFF THE AIR SUSPENSION SWITCH LOCATED IN THE RH KICK PANEL AREA. FAILURE TO DO SO MAY RESULT IN UNEXPECTED INFLATION OR DEFLATION OF THE AIR SPRINGS WHICH MAY RESULT IN SHIFTING OF THE VEHICLE DURING THESE OPERATIONS.
pic 1
3. Remove the starter motor solenoid terminal cover.
pic 2
4. Disconnect the starter motor electrical connections.
1 Remove the two nuts.
2 Remove the battery cable.
3 Remove the starter solenoid wire.
NOTE: The 4.2L engine is shown; the 4.6L and 5.4L engine, are similar.
pic 3
5. Remove the nut and the starter motor ground cable.
NOTE: The 4.2L engine is shown; the 4.6L and 5.4L engine, are similar.
pic 4
6. Remove the stud bolt, bolts and the starter.
INSTALLATION
WARNING: WHEN CARRYING OUT MAINTENANCE ON THE STARTING SYSTEM, BE AWARE THAT HEAVY GAUGE LEADS ARE CONNECTED DIRECTLY TO THE BATTERY. MAKE SURE PROTECTIVE CAPS ARE IN PLACE WHEN MAINTENANCE IS COMPLETE. FAILURE TO FOLLOW THESE INSTRUCTIONS MAY RESULT IN PERSONAL INJURY.
pic 5
1. Connect the cable and install the motor nut.
NOTE: The 4.2L engine is shown; the 4.6L and 5.4L engine, are similar.
pic 6
2. Connect the starter motor electrical connections.
1 Position the starter solenoid wire.
2 Position the battery cable.
3 Install the nuts.
NOTE: The 4.2L engine is shown; the 4.6L and 5.4L engine, are similar.
pic 7
3. Install the starter motor solenoid terminal cover.
4. Connect the battery ground cable.
5. Lower the vehicle.
NOTE: If equipped with air suspension, reactivate the system by turning on the air suspension switch.
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Please understand. I am basing this diagnoses on the idea that the starter is spinning but not turning the engine. If you can record it so I can hear it, I can be sure.
Take care and let me know if you have questions or need anything.
Joe
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Sunday, December 29th, 2019 AT 5:19 PM