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g4ro <br /> :PERmr r APP.ucATION <br /> F�Rt19E1A6A"Y PEFBN� i�iPPL AT10K <br /> C®iN5`TR1 �81 'Vt� fMZN V- B1I��=i�IGHT G.IF-WA'�If <br /> All information n=be-flltecHn completely' <br /> :City-0f.40hyrh111s <br /> 5335:e Street,:ZephyNiis,"F,L 33542 t ' <br /> 7-elephone.813.7.80:6000 Fax 813.780.0005. E <br /> S�'72'•Uf.r'd 'Iic�O` - �•_ " '�?rQC9eSSE��~;:rai•c — .'�TYn�__p <br /> �:.'f .ssrK.;.�.•.:5:.• '_ ..2 :,�-� 1���= -�. _ �,� _a-,}j .;t<. ;:c,• <br /> t=_i,--_r<' ,,,ram - ..i1�Ti;-9_•a F-"=i.':-�.-5 t.t _ __ 'i". ,i:: `f,' <br /> ,'�st. `.i':"• =. �-- ,� !`)i'.:- ,. <br /> ,wP ctD3Bnfldt fI1: ibne Y; zy„.• :. ;' .,=: '~ <br /> 10R03ECT'J4?B`SITE: -PROPERTWOWN <br /> Address:': CU v Name: e. cLu curt,! <br /> .Unit#: Address: . Co•?S' . c' Unit. _ <br /> Parcel.IdentiFication'Nurnber: Ci State-Zi ..cto(p- )—� <br /> Phone: <br /> ;CONTRACTOR: <br /> 77 <br /> Company:, <br /> Name: <br /> Cohtractor's License#: E-M611: <br /> 'Phone:. 'Cell: Fax' <br /> ARCiiITECT/ENGINEER.-. <br /> 'Name: Firm Name: <br /> Address: City: Stater DO: <br /> State License#: Phone: Cell: Fail: ' <br /> i <br /> lies+ rit�tion of ProjecC <br /> j TYPE OF DRIVEWAY '' jLU LENGTH OF DRiVEVJAY Q �- CULVERTSWE-EDED <br /> / RESIDEM'IAL DRIVEWAY WIDTH IMF DRIVEWAY r 2' ( )REINFORCED.CONCRETE <br /> COMMERCIAL DRIVEWAY - W FKCAVATEO111 ( )CORR.UGATM MATERIAL .. <br /> ,,,PUBLIC ACCESS DRIVEWAY DEPTH: .- LINEAR FEET ( )BOX CULVERT <br /> COt1 MUMON MATERIAL _CURB CUT RE ( )OTHER(EMI ATN) <br /> ---ASPHALT YES NO , <br /> .CONCRETE (` � hriVeWayt . <br /> IiEADNPALi[ REOUxREDT YES /. NO fq o t O t` �, I <br /> N=i=TO APPLICANT:_If actual work exceeds scope of this description,,additional permits or draivaings <br /> will be required. <br /> UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG.-1.800.432.47,70 <br /> Page 1 of 3 <br />