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<br />'.. <br /> <br />PERMIT APPLICATION <br /> <br /> <br />DRIVEWAY.PERMIT APPUCATION <br />CONSTRUCTION WITHIN PUBUC RIGHT-Of-WAY <br />All information .IllYSt be filled-in completely <br />City of Zephyrhills <br />5335 8th Street, Zephyrhllls, FL 33542 <br />Telephone 813.780.0000 Fax 813,780.0005 <br /> <br /> <br />PROPERTY OWNER <br /> <br />nt enter Blvd 1050 <br /> <br />. CONTRACTOR: <br /> <br />Compan~'~H -- <br />Name: . ~ - b~ C:el' <br />Contractor's Ucense #:CBC12~ It) <br />Phone: R13-RR5-7744x24R Cell: <br /> <br />E-Mail: msava.ge!awinrlwrJrnhcmes . can <br />Fax: R13-RR5-2433 <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: Byron K Anderson/Tan Mille:Jfirm Name: Structural Enqineerinq ~ Ins~ons Inc. <br />Address: 1 f\1 Ot; I\T 14'1 nr; n", AVI;;> Otv: 1'clT1['a State: F[. Zip: ~ .~4~ <br />State Ucense #:' #60987/#56877 Phone:R13-R49-5769 Cell: Fax: 1 _ 49-5770 <br /> <br />Desaiption of Prqjed: . <br /> <br />"J::ll LENGTH OF DRIVEWAY <br />&::WIDTH OF DRIVEWAY . <br />~ EXCAVAnON <br />~DEPTH _UNEAR FEET <br /> <br />CURB ern: REOUIRED <br />_YES _NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT <br />( ) OTHER (EXPlAIN) <br /> <br />TYPE OF DRIVEWAY <br />-X-RE5lDENnAL DRIVEWAY <br />_COMMERClAI.. DRIVEWAY <br />_PUBUCACCESS DRIVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />--4.CONCRETE <br /> <br />HEADWALL REQUIRED' _YES _NO <br /> <br />NonCE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings <br />will be required. <br /> <br />UTILITY LOCATIONS REqUIRED: CALL BEFORE YOU DIG: 1.800.432,4770 <br /> <br />Page 1 of 3 <br />