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<br />PERMIT APPLICATION <br /> <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 />CONTRACTOR: <br /> <br />~~~~~n~h:;::W;.~n ;=:r <br />Contractor's License #: CBC125391 0 <br />. ./ <br />Phone:813-885- 7744 'iQ. \.:; Cell: <br /> <br />. ('b--uc\~~ '~hO" .com <br /> <br />E-Mall:- R;U;:::l"-R9~€lw I [lC1Wi-iT (lI-u 111_:-1 rrm <br />Fax: R11 RRt) 7411 <br /> <br />.; <br /> <br />ARCHITECT/ENGINEER: <br /> <br />Name: pearman/Berger /Carotti <br /> <br />Address: 7004 t)1rn ~upmlP 'Eoc::t <br />State License #: 44099/64003/64764 <br /> <br />Firm Name: Whpt-c::t-nnp RnlJi nE?PrinlJ & TP9tiT"'} <br />City: Bradenton State: FL Zip: 14701 <br />Phonel141- 77.7-111R Cell: Fax: <br /> <br />.' <br /> <br />I:" <br /> <br />Description of Proied <br /> <br />t"'!'"') /' <br />C>(>(. ~ LENGTH OF DRIVEWAY <br />\(0' WIDTH OF DRIVEWAY <br />&o.w. EXCAVATION <br />~EPTH _LINEAR FEET <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 />_COMMEROAL DRIVEWAY <br />_PUBliC ACCESS DRIVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />-X-CONCRm <br /> <br />HEADWALL REOUlRED? _YES _NO <br /> <br />CURB CUT REQUIRED <br />_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 />