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<br />PERMIT APPUCATION <br /> <br />. <br /> <br /> <br />DRIVEWAY PERMIT APPUCATION <br />CONSTRUCTION WITHIN PUBUC RIGHT-Of-WAY <br />All information l!lYSt be filled-in completely <br />City of Zephyrhills <br />5335 8th Street, Zephyrhllls, FL 33542 <br />Telephone 813.780.0000 Fax 813.780.0005 <br /> <br />Address: <br /> <br />CONTRACTOR: <br /> <br />Compan~ : ~~ : <br />Name: 'h: s =:r <br />Contractor's License #: CBC125391 0 , <br />Phone:813-885 7744 Ii ';<1'5 Cell: '1)(1... 3:&2~ <br /> <br />. ~~@. ~hoJ ,u::r{) <br />E-Mail: _M.~:;:~~n~~l.~..;I).1.fN1.III..... ~ <br />Fax: R11 RR 4~ ..- ~101.o <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: Peannan/Berger /Carotti <br /> <br />Address: 2004 C;1m ~V(::>mJP Fast <br />State License #: 44099/64003/64764 <br /> <br />F~rm Name: Whph::t-l"'lnp Fngi ~~ri nlJ 8- Te9~~n~ <br />C1tv:Sradenton State: E! ZI....: ~4701 <br />Phoneg41-77.7_111R Cell: Fax: <br /> <br />''\1 <br /> <br />Description of PrQject <br /> <br />~.S-~ENGTH OF DRIVEWAY <br />i U I WIDTH OF DRIVEWAY <br />&Q.W. EXCAVAnON <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 />TYPE OF DRIVEWAY <br />-X-RESIDENTIAL DRIVEWAY <br />_COMMEROAL DRIVEWAY <br />_PUBUC ACCESS DRIVEWAY <br /> <br />CONSTRUCTlON MATERIAL <br />_ASPHALT <br />--.x..CONCRETE <br /> <br />HEADWALL REOUIRED' _YES _NO <br /> <br />NonCE 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 />