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<br />PERMIT APPLICATION <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY <br />All information .!llYS: 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 />Address: <br />Unit#: <br />Parcel Identification Number: <br />4 26 21 0060 00 <br /> <br />CONTRACTOR: <br /> <br />Company: Wi nc'lt.r.:lrn Hnm::>!:: <br />Name: Tht""lT1(;ls L Spencer <br />Contractor's Ucense #: CBC125391 0 <br />Phone:813-885- 7744.. Cell: <br /> <br />E-Mail: m~;:nTrlgp@winc.lt.r.:lrr.lhnm::>!:: ,r-nm <br />Fax: A11-AAl)-2411 <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: Pearman/Berger /Carotti <br /> <br />Address: 2004 l)1rr'1 l.u,::>nlJ'::> East <br />State Ucense #: 44099/64003/64764 <br /> <br />Firm Name: Whpt-~t-nn,::> 'Eng;n~r;nl} & TestiTlI} <br />Citv:Brade.nton State: FL Zip: 14201 <br />Phoneg41_ 727 111A Cell: Fax: <br /> <br />. . <br />, . ~'J <br /> <br />Description of prqject <br /> <br />;;;.J;15LENGTH OF DRIVEWAY <br />j!J, -DNIDTH OF DRIVEWAY <br />~ EXCAVAl10N <br />~DEPTH _liNEAR FEET <br /> <br />CURB CUT REQUIRED <br />_YES _NO <br /> <br />CULVERTS NEEDED <br />( )RBNFORCEDCONC~ <br />( ) CORRUGATED MATERIAL <br />( ) BOX GJLVERT <br />( ) OTHER (EXPLAIN) <br /> <br />TYPE OF DRIVEWAY <br />~RESIDENTIAL DRIVEWAY <br />_COMMERCIAL DRIVEWAY <br />_PUBliC ACCESS DRIVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />~CONCRETE <br /> <br />HEADWALL REOUlRED? _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 />