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<br />PERMIT APPLICATION <br /> <br /> <br />DRIVEWAY PERMIT APPUCATION <br />CONSTRUCTION WITHIN PUBUC RIGHT-Of-WAY <br />All information .IIlYSt 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 />Address: <br />Unit#: <br />Parcel Identification Number: <br />4-26-21-0060 0 <br /> <br />CONTRACTOR: <br /> <br />Company: Wi ncThr.:lrn HnrI'll?!=: <br />Name: 'J'nnmas L Spencer <br />Contractor's Ucense #: CBQ125391 0 <br />Phone:813-885-7744 Cell: <br /> <br />E-Mail: m!=:r1vngp@wincThr.:lrnnC1l11P!=: (""("}IT1 <br />Fax: R11-RRC; 7.411 <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name:Pearman/Berger/Carotti <br /> <br />Address: 7.004 C;1rr'1 ~m::>mJI'>> F.aSr <br />State Ucense #: 44099/64003/64764 <br /> <br />Firm Name: wnph:~rnnl'>> Rngin~rjnl} & TE'stinl} <br />Citv:'BradP..nton State: FL ~ Zip: 14701 <br />Phoneg41-727_111R Cell: Fax: <br /> <br />. , <br />, ~ll <br /> <br />Description of Pl"Qject <br /> <br />?:l--5 LENGTH OF DRIVEWAY <br />IIn I WIDTH OF DRIVEWAY <br />.B&.W.. EXCAVATION <br />_DEPTH _LINEAR FEET <br /> <br />CURB CUT REQUIRED <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-RESIDENTIAl DRIVEWAY <br />_COMMERaAL DRIVEWAY <br />_PUBLIC ACCESS DRIVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />~CONCRETE <br /> <br />HEADWALL REOUIRED' _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 />UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 . <br /> <br />Page 1 of 3 <br />