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<br />PERMIT APPLICATION <br /> <br />(e/::.;:..~\\ <br />L ., \ <br />I." . . --'"77::1. :;:J <br />. ;~:.~~~ ' <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBLIC 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 />Date of application: f \-'1 -t) 1 <br />py to Building Department <br /> <br />Processed By: <br />(gray area ror staff use only) <br /> <br />Permit #: <br />l!Ic:opy to Public Works <br /> <br />1-"1-07 <br /> <br />Address: ~ S V: t u '-1'"1. <br />Unit #: <br />Parcel Identification Number: <br />Ol'-~(:,-~\- OA 0 -00000- oo2..-a <br /> <br /> <br /> <br />r vo4-r (( <br /> <br />'-f Unit: .. <br />Ft rr->1/ <br />78 g - ftJ77S <br /> <br />CONTRACTOR: <br /> <br /> <br />ARCHITECT /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 />DescriDtion of PrQiect <br /> <br />~ LENGTH OF DRN'eNAY <br />~WIDTH OF DRIV'eNAY <br />~ EXCAVATION <br />_DEPTH _UNEAR FEET <br /> <br />CURB CUT REOUIRED <br />_YES 4NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT <br />( ) OTHER (EXPLAIN) <br /> <br />TYPE OF DRIVEWAY <br />RESIDENTIAL DRIVEWAY <br />x: COMMEROAL DRIVEWAY <br />_PUBUC ACCESS DRIV'eNA Y <br /> <br />CONSTRUCTION MATERIAL <br />ASPHALT <br />X 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 />