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,�° ,. <br /> PERMIT APPLICATION ..Y� <br /> DRIVEWAY PERMIT APPLICATION <br /> CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY <br /> All information must be filled-in completely <br /> City of Zephyrhills <br /> 5335 8"'Street, Zephyrhills, FL 33542 <br /> Telephone 813.780.0000 Fax 813.780.0005 <br /> Date of application: z,—j — Processed By: �' , /`^y�y�p-,�y' Permit#: <br /> (gray area for staf►usConry) <br /> �Copy to Building Department �to Public Works Z-J q—(�f <br /> PRO7ECT/JOB SITE: PROPERTY OWNER <br /> Address: 36207 Shad Bluff Loo ,Ze h rhills,FL 33541 Name:IH Central Florida LLC <br /> Unit#: 11 Address:6522 Gunn Hi hwa Unit: <br /> Parcef Identification Number: 04-26-21-0060-00200-0110 Ci State Zi Tam a FL 33625 <br /> Phone: 813 886-2433 Fax: 813 200-1041 <br /> CONTRACTOR: <br /> Company: IH Central Florida, LLC <br /> Name: John Weston <br /> Contractor's License #: CBC1259539 E-Mail: shraew homebuilder-solutions.com <br /> Phone:(813)886-2433 Cell• Fax• (g131200 1041 <br /> ARCHITECT/ENGINEER: <br /> _Name: Jeremv .nuch FII'171 NaRI@' Tampa Civil Design <br /> Addl'@SS. 5289 Erltch Road CItV. Tampa State: FL <br /> State License #: �o65a Phone: (813)960-5685 ZIP: 33624 <br /> C211: FaX: (813)482-9128 <br /> Descriotion of Proiect <br /> TYPE OF DRIVEWAY ��LENGTH OF DRNEWAY �ULVERTS NEEDED <br /> X RESIDENTIAL DRIVEWAY 1(r, WIDTH OF DRNEWAY ( )REINFORCED CONCRETE <br /> COMMERCIAL DRIVEWAY R•O,W EXCAVATI�N, ( )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT <br /> CONSTRUCTION MATERIAL ( )OTHER(EXPLAIN) <br /> CURB CUT REO IRED <br /> ASPHALT YES NO <br /> �CONCRETE <br /> HEADWALL REOUIRED� YES NO <br /> NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings <br /> will be required. <br /> UTILITY LOCATIONS REQUIRED• CALL BEFORE YOU DIG: 1.800.432.4770 <br /> Page 1 of 3 <br />