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P <br /> l <br /> ?ERMIT APPLICATION " C' <br /> r <br /> DRIVEWAY PIERMIT APPLICATION. <br /> CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY <br /> f All information must be filled-in completely <br /> f City of Zephyrhills <br /> 5335 8th Street, Zephyrhiils, FL 335,42 <br /> Telephone 813.780.0000 Fax 813.780.0005. <br /> pafe of.application:! r , %` Processed B:ye: i., D Permit,;#: ; <br /> (graya(044Gstafr�us' n(y)- <br /> ' >Copy,toBuiltlfng�Departmenfi'',.'.-, ,'_..:=..`.:'_• - ' �opyao;PublicVlfoiks . ' <br /> PROJECT 70B SITE: PROPERTY OWNER <br /> Address:.-- : `/Y l . ss' )T Name: - <br /> Unit#: Address: ,?.4i;x Unit: <br /> Parcel Identification Number:/ - 4-Zf-o0 6 e-- City, State, fc <br /> moo 00 -cy za Phone:`r,-�. Fax: <br /> CONTRACTOR: <br /> Company: yrcs 4 C <br /> Name: <br /> Contractor's License-#: 6"/9C 0 E-Mail: <br /> Phone: Cell,J1' 3 i/77 GYM Fax: <br /> ARCHITECT/ENGINEER: <br /> Name:/-n/c/Od �'►'� �w .�G" Firm Name: -r;q-,,C <br /> Address:3%y �7 S State: Zip: <br /> State License Phone:3Jz- Cell- Fax: <br /> Description of Project <br /> TYPE OF DRIVEWAY `��� LENGTH OF DRIVEWAY CULVERTS NEEDED <br /> PRESIDENTIAL DRIVEWAY ZIL'WIDTH OF DRIVEWAY ( )REINFORCED.CONCRETE <br /> COMMERCIAL DRIVEWAY R:O.W. -EXCAVATION ( )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY l" DEPTH -0/ LINEAR FEET ( )BOX.CULVERT <br /> ( )OTHER(EXPLAIN) <br /> CONSTRUCTION MATERIAL CURB CUT REQUIRE e <br /> - ASPHALT YES NO <br /> _CONCRETE <br /> HEADWALL REQUIRED? YES -NO <br /> NOTICE TO APPLICANT: If actual woric exceeds scope of this description,additional permits or drawings <br /> Will be required. <br /> UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> ,f <br /> t Page 1 of 3 <br /> i <br /> t <br />