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<br />PERMIT APPLICATION <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY <br />All information LnYSt be filled-in completely <br />City of Zephyr hills <br />5335 8th Street, Zephyrhllls, FL 33542 <br />Telephone 813.780.0000 Fax 813.780.0005 <br /> <br /> <br />CONTRACTOR: <br /> <br /> <br />l t"fl,\ -3%l.S <br /> <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name:Pearman/Berger/Carotti <br />Address: 2004 l:i1rn ~vpmJP Eost- <br />State License #: 44099/64003/64764 <br /> <br />Firm Name: Whpt-!'::t-nnp 'Rng; nP4?r; nl} g. Testint] <br />City: Bra.denton State: FL Zip: 14?01 <br />Phoneg41_ 727-1118 Cell: Fax: <br /> <br />{.II <br /> <br />Description of Pl'Qject <br />, <br />;l1."l!3 LENGTH OF DRIVEWAY <br />ita. . WIDTH OF DRIVEWAY <br />.RJl.W& EXCAVATION <br />_DEPTH _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 CURB CUT REQUIRED <br />_ASPHALT _YES _NO <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 REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page 1 of 3 <br />