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<br />PERMIT APPLICATION <br /> <br /> <br />'DRlVEWAY:PERMITAPPLlCATION <br />,CONSTRUcnON .WITHIN ,PUBLlCRIGHT-OF-WAY <br />All information~ befillecl-in completely <br />,City of ,Zephyrhills <br />5335 8th Street, Zephyrhills, FL 33542 <br />Telephone 813.780.0000 Fax 813.780.0005 <br /> <br /> <br />Address: <br />Unlt#: <br />Parcel Identification Number: <br /> <br />CONTRACTOR: <br /> <br />Company: (]c.../N<'C.,R <br />Name: <br />Contractor's License #: <br />Phone: <br /> <br />Cell :~b 7...sS 1-'-r'J ') <br /> <br />E-Mail: Wt,.J: iJd.J-b <P 'TI4M~14 1>>1v. ~10 QJV\ <br />Fax:~" '5- ~~ r-vY'~v <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: ~ <br />Address: <br />State License #: <br /> <br />Firm Name: <br />City: <br />Phone: <br /> <br />State: <br />Cell: <br /> <br />Zip: <br />Fax: <br /> <br />TYPE OF DRIVEWAY <br />V-RESIDENTIAL DRIVEWAY <br />_COMMERaAL DRIVEWAY <br />_PUBUC ACCESS DRIVEWAY <br /> <br />DescriDtion of Proiect <br /> <br />vLENGTH OF DRIVEWAY <br />v--W:rDTH OF DRIVEWAY <br />&QJ(L EXCAVATION <br />_DEPTH _UNEAR FEET <br /> <br />CONSTRUCTION MATERIAL <br />ASPHALT <br />~NCRETE <br /> <br />HEADWALL REOUIRED' _YES ~ <br /> <br />CURB CUT REO~D <br />_YES _NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT ~ <br />( ) OTHER (EXPLAIN) 'If <br /> <br />NOTICE TO APPUCANT: If actual work exceeds scope of this description, additional permits or drawings <br />will be required. <br /> <br />UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page 1 of 3 <br />