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<br />PERMIT APPLICATION <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBUC RIGHT-Of-WAY <br />All information ID.US; 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 /> <br />CONTRACTOR: <br /> <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: Pearman/Berger / Carotti <br /> <br />Address: 2004 l:i~rn ~vpnllP R::t5t- <br />State License #: 44099/64003/64764 <br /> <br />Firm Name: Whph::t-nnp Rng; nppr; nl} 8- Test-; tll} <br />Citv:Sradenton State: FL J Zip: ~4?n~ <br />Phoneg41_ 77.7-1 nR Cell: Fax: <br /> <br />'.ll <br /> <br />DescriDtion of PnQect <br /> <br />~ LENGTH OF DRIVEWAY <br />\ ~o lWIDTH OF DRIVEWAY <br />.B.Q.Yla EXCAVATION <br />_DEPTH LINEAR FEET <br /> <br />TYPE OF DRIVEWAY <br />----X-RESIDENTIAL DRIVEWAY <br />_COMMEROAL DRIVEWAY <br />_PUBLIC ACCESS DRIVEWAY <br /> <br />CONSTRUCTION MATERIAL <br />_ASPHALT <br />-X-CONCRETE <br /> <br />HEADWALL REOUIRED? _YES _NO <br /> <br />CURB CUT REQUIRED <br />_YES NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT <br />( ) OTHER (EXPlAIN) <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 REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page 1 of 3 <br />