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<br />PERMIT APPLICATION <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBUC 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 /> <br />CONTRACTOR: <br /> <br />Company: Wi nciw.::lrn H()l'T1f:>s <br />Name: Thrvnas L Spencer <br />Contractor's Ucense #: C8C1253910 <br />Phone:813-885- 77 44.. Cell: <br /> <br />E-Mail: m!';n~gp@wi nciw.::lrrTh()l'T1f:>!'l l"'"rIn <br />Fax: R1 ~-RRC;-?4~~ <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: Pearman/Berger /Carotti <br /> <br />Address: ?004 C;~rn ~v""m~1'> Best <br />State Ucense #: 44099/64003/64764 <br /> <br />~r. <br /> <br />Firm Name: Whpt-!'lt-r'ln"" Bngi nj:>j:>,.-j ng & TE'stinl} <br />Citv:B:radentan State: FL Zip: ~4 ?n1 <br />Phonel:}41-727_113R Cell: Fax: <br /> <br />> , <br />, ~fl <br /> <br />Description of PnUect <br />I <br />:3La1 LENGTH OF DRIVEWAY <br />11L-WIDTH OF DRIVEWAY <br />&Q& EXCAVAnON <br />_DEPTH _UNEAR FEET <br /> <br />CURB CUT REOUIRED <br />_YES _NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX QJLVERT <br />( ) OTHER (EXPlAIN) <br /> <br />TYPE OF DRIVEWAY <br />--X-RESIDENTIAL DRIVEWAY <br />_COMMERCIAL DRIVEWAY <br />_PUBUC ACCESS DRIVEWAY <br /> <br />CONSTRUcrION MATERIAL <br />_ASPHALT <br />~CONCRErE <br /> <br />HEADWALL REOUIRED? _YES _NO <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 />