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<br />"'--.";:;-~.-<:- <br /> <br />PERMIT APPLlCAnON <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBUC RIGHT-Of-WAY <br />All information ID.!JS.t 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 />compan; ~ ~ n <br />Name: ~ ; ~ s::::x <br />Contractor's License #: CBC125391 0 <br />Phone:813-885-7744~,~\S Cell:I}<'bI- 3BQ s" <br />L "'ll_~, <br /> <br />~'om d~.A (@ KMb" .. Go'f<'\ <br />E-Mail: m"":~9"~!.':'~~JR'I"PlR~~~ rnm <br />Fax: R11-nnr;-7411' 4--':>5- <g70/j <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: Pearman/Berger / Carotti <br /> <br />Address: 2004 J:;":lrn ;lI.vpnll~ 'P.ast <br />State License #: 44099/64003/64764 <br /> <br />Firm Name: Whph::::rnnp "Rngi nppri n'J 80- T~st ; n'J <br />Citv:Bradenton State: FL Zip: ":l4?0":l <br />PhoneH41-727-1nR Cell: Fax: <br /> <br />(,\1 <br /> <br />Description of Prqject <br />-/ <br />;(.1).) LENGTH OF DRIVEWAY <br />~WIDTH OF DRIVEWAY <br />BJl.Wa EXCAVATION <br />_____DEPTH _____LINEAR FEET <br /> <br />TYPE OF DRIVEWAY <br />----X..-RESIDENTIAL DRIVEWAY <br />_COMMEROAL DRIVEWAY <br />_____PUBUC ACCESS DRIVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />-X-CONCRETE <br /> <br />HEADWALL REOUIRED' _YES _____NO <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 />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 />