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<br />PER1MIT APPLICATION <br /> <br /> <br />DRIVEWAY.PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY <br />All information llliISt 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 /> <br />PROPERTY OWNER <br /> <br />ter Blvd 1050 <br /> <br />. CONTRACTOR: <br /> <br />Compan~ ~.=== . <br />Name: b ~ i ~ .~' <br />ContraclDI'sUcense #: . ~~~msava.~q.can <br />Phone: 81 J-885-7744x248 Cell: Fax: 811-885-2431 <br /> <br />ARCHmCT/ENGINEER: <br /> <br />Name: Byron K Anderson/Tan MilleJRrm Name: Structural Enqineerinq and Inspections Ihc. <br />Address: 1 Fi1 nl:j N. 1i'1 nr; n::l 2\,= CIty: T::IlT1flC . State: FE, 'Zip: 331:j4q <br />State Ucense #:' #60987/#56877 Phone:813-84Q-5769 Cell: Fax: 813-849~5770 <br /> <br />Description of Prqjec:t: . <br /> <br />~NGTH OF DRIVEWAY. <br />&.:....WlDTH OF DRIVEWAY <br />&Q.Wa EXCAVAllON <br />~DEPTH _UNEAR FEI:r <br /> <br />CURB CUT RECUIRED <br />_YES _NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX OJLVERT <br />( ) OTHER (EXPLAIN) <br /> <br />TYPE OF DRIVEWAY <br />--X-REStDENTIAI.. DRIVEWAY <br />_COMMERCAI.. DRIVEWAY <br />_PUBLlC ACCESS DRIVEWAY <br /> <br />CONSTRucrION MATERIAL <br />_.ASPHALT <br />~<DNCRETE <br /> <br />HEADWALL REQUIRED? _YES _NO <br /> <br />" <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 REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page 1 of 3 <br />