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<br />PERMIT APPUCAnON <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBUC RIGHT-Of-WAY <br />All information ~ 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 />CONTRACTOR: <br /> <br /> <br />~ru.J~(Q?k~~,GotV\ <br /> <br />ARCHITECT/ENGINEER: <br /> <br />Name: Pearman/Berger /Carotti <br /> <br />Address: 2004 l:}1ni 1:\.vPnlJP l<'.o5r <br />State License #: 44099/64003/64764 <br /> <br />Firm Name: Whph:~rnnp Rngi nF>PTi nlJ & TE'stj nlJ <br />Citv:Bradenton State: TI. Zip: 14 ?Oi <br />Phoneg41_ 727-111R Cell: Fax: <br /> <br />',11 <br /> <br />Description of Proiect <br /> <br />TYPE OF DRIVEWAY <br />---X-RESIDENTIAL DRIVEWAY <br />____COMMEROAlDRIVEWAY <br />____PUBUC ACCESS DRIVEWAY <br /> <br />LENGTH OF DRIVEWAY <br />____WIDTH OF DRIVEWAY <br />.B.Q.W. EXCAVATION <br />____DEPTH ____UNEAR FEET <br /> <br />CURB CUT REOUIRED <br />____yES ____NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT <br />( ) OTHER (EXPlAIN) <br /> <br />CONSTRUCTION MATERIAL <br />____ASPHALT <br />~CONCRm <br /> <br />HEADWALL REOUIRED? <br /> <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 />