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PERMIT APPLICATION <br /> DRIVEWAY PERMIT.APPLICATION.. <br /> CONSTRUCTION WITHIN.PUBLIC RIGHT-OF-WAY-All Information us e filled-in completely <br /> City of � Its <br /> Zephyrhi <br /> .5335 a Street,Zephyrhllls,:FL 33542 <br /> Telephone 813.780.0000.- Fax 819.780.0005. . <br /> Dette of.appitcation: Prooessedy(Ifw Wei e, <br /> �CoPY'to'Buildln9 DeDeRment :: �CflPY_h .011c Works <br /> cWruseonry)' <br /> -PR03ECT 30B SITE: . . . PROPERTY OWNER <br /> Address:4638 1eln street <br /> Name:Compton,John Men.A Gvweo N. : <br /> Unit#: .: : Addresscas3t�1sthstreei Unit:' <br /> Pamel:IdahUfi atlon Number: 1446-21=0010a05110 OdW Cl :Sthtej Zip Zephymols.F133rAg <br /> Phone:.:B%7e2-e137. Fax: <br /> CONTRACTOR: <br /> Company:B d H Cnnsenaton w CaimW'Pio U[ne <br /> Name:Grey Bmbe <br /> Contractor's License.*: Cecosriei E-Mails :Per wflj;Gwmonst ctlonyccyin <br /> Phone: .B,a�ez-,oea Cell:: Fax: . <br /> ARCHITECT/ENGINEER: <br /> Name:'D&mwsmn,px. Firm Namec'.FeoPiaa: ftswvm.,1m. <br /> Address:am Abbottsm,o,once ua t-idf City: zeFft au'.: . <br /> State Fl Zip aasaz <br /> State Ucense#: Phone:w3408-W'M Fax: <br /> pescriptlon of Proiect <br /> TYPE OF DRIVEWAY - ar .LENGTH OF DRIVEWAY CULVERTS NEEDED <br /> X RESIDENTIAL DRIVEWAY :' Ly WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE <br /> COMMERCIAL DRMVIIAY.. K.O.W. EXCAVATION (. )CORRUdATED MATEWAL <br /> . PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( YBOx CULVERT <br /> ( )OTHER(EXPLAIN). - <br /> CONWRUMON MATERIAL CURB CUT REQUIRED - <br /> _MPHALT <br /> CONCRETE <br /> HEADWALL REQUIRED? YES X NO <br /> NOTICE TO APPLICANT: If actual work exceeds scope of.his description,additlonal permits or drawings <br /> Will be required. <br /> UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> Page 1 of 3 <br />