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<br />11/19/2007 11:48 <br /> <br />8137886773 <br /> <br />RYMAN CONSTRUCTION <br /> <br />PAGE 02/02 <br /> <br />/ <br /> <br />PERMIT APPUCATION <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION. <br />CONSTRUCTION WITHIN PUBLIC RIGHT-OFaoWAY <br />All information l!lU!t be filled-in completely <br />City of ZephyrhiJIs <br />5335 8th Street, Zephyrhllls, FL 33542 <br />Telephone 813.780,0000 Fax 813.780.0005 <br /> <br />Date of application: Processed By: <br />(gl'lV .... tor ,1I1l" use onlv) <br />DCopy to Bul/dlng Department <br /> <br /> <br />Permit #: <br />DCopy to Public WOrks <br /> <br />Address: c.. $ V: fl..) L-.'\. <br />UnIt #: <br />Parcel IdentIfication Number: <br />01-2<:.- .tl- 02. c). ~DOo _ 0 -z,c <br /> <br /> <br />Vo-f~:e <br /> <br />CONTRACTOR: <br /> <br /> <br />"I~,. <br />" 0: <br />E-Mail: ~"Of Ibe~ r fy.... "." ~'" r.frw "":{t...,. '''''' <br />Fax: '7 F1 ~ G7 .., <br /> <br /> <br />ARCHITECT I ENGINEER: <br /> <br />Name; <br />Address: <br />State LIcense #: <br /> <br />Firm Name: <br />City; <br />Phone: <br /> <br />State: <br />Cell: <br /> <br />Zip: <br />Fax: <br /> <br />~escrlDtion of Project <br />I' <br />~ LENGTH OF DRJvEWAY <br />'~WIOTl1 OF DRIVEWAY <br />&Q..W. EXCAVATION <br />_DEPTH _UNEAR FEET <br /> <br />CURB CUT RE~IED <br />_YES NO <br /> <br />CULVERTS NEEDED <br />( ) ~eINFOR.Ceo CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) SOl< CULVERT <br />( ) OTHER (exPLAIN) <br /> <br />TYPE OF DRIVEWAY <br />~RESIDENTIAL DRIVEWAY <br />-K....COMMEItCIAL DRIVEWAY <br />_PU8UC ACCESS DRIVEwAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />~CONCRm: <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 />