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<br />PERMIT APPLICATION <br /> <br />..,..',...........,.... <br /> <br />. , . . . . ...,'. <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUcnON WITHIN PUBLIC RIGHT-Of-WAY <br />All information must be filled-in completely <br />City of Zephyrhills <br />5335 8th Street, Zephyrhills, FL 33542 <br />Telephone 813.780.0000 Fax 813.780.0005 <br /> <br />Ve. Unit: <br />PL 33542 <br /> <br />CONTRACTOR: <br /> <br />Com an : <br />Name: VI <br />Contractor's License #: <br />Phone: <br /> <br /> <br />E-Mail: <br />Fax: 7 7 'iJ'f6-37 <br /> <br />ARCHITECT I ENGINEER: <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 />Description of Pro;ect <br /> <br />TYPE OF DRIVEWAY <br />\/ RESIDENTIAL DRIVEWAY <br />_COMMERCIAL DRlV8NAY <br />_PUBLIC ACCESS DRlVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />_CONCRETE <br /> <br />HEADWALL REOUIRED? _YES _NO <br /> <br />_ LENGTH OF DRlVEWAY <br />_WIDTH OF DRlVEWAY <br />R.O,W. EXCAVATION <br />_DEPlH _LINEAR FEET <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT <br />( ) OTHER (EXPlAIN) <br /> <br />CURB cur REOUIRED <br />_YES _NO <br /> <br />NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings <br />will be required. <br /> <br />UTIUTY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page 1 of 3 <br />