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RESIDENTIAL DRIVEWAY PERMIT BAY COUNTY ROADS AND BRIDGES DIVISION Application/Payment (850) 248-8301 Inspection/Processing (850) 248-8810 Date Paid: _ Receipt Amount: Name of Applicant: Address for Permit Mailing Address if different from Address for Permit Daytime Phone: E-mail Is proposed driveway flagged and address posted? YES NO I HEREINAFTER TERMED THE APPLICANT REQUEST PERMISSION TO CONSTRUCT A RESIDENTIAL DRIVEWAY LOCATED AT THE ABOVE ADDRESS. LENGTH/DIAMETER OF PIPE REQUIRED NUMBER OF MITERED ENDS/DIAMETER NUMBER OF BANDS/DIAMETER OTHER SPECIAL REQUIREMENTS (If sod is in drainage ditch, you must get grades set) Office Use PERMIT # ALL DRIVEWAY PIPES MUST BE ASPHALT COATED OR REINFORCED CONCRETE MEETING FDOT COVER REQUIREMENTS. MITERED ENDS MUST BE SEPARATED FROM THE ACTUAL PIPE. NO MITERED ENDS SHALL BE CUT ON EITHER SIDE OF THE ACTUAL PIPE. THE PROPER CONSTRUCTION OF ROADSIDE SWALES IS THE RESPONSIBILITY OF THE APPLICANT. SWALE OR SOD GRADES WILL BE ESTABLISHED AND CHECKED FOR CONFORMITY AT THE SAME TIME THE DRIVEWAY STAKING/INSPECTION IS BEING PERFORMED. IF OWNER IS INSTALLING: 1) OBTAIN GRADES SET 2) OBTAIN UTILITY LOCATES 3) MUST INSTALL PIPE, SOD & CEMENT PRIOR TO FINAL INSPECTION. IMPORTANT: YOU MUST HAVE A FINAL INSPECTION ON ALL DRIVEWAYS BEFORE WE CAN RELEASE TO THE BUILDING DEPARTMENT. IT IS RECOMMENDED THAT YOU CALL US AT LEAST ONE-WEEK PRIOR TO REQUESTING YOUR PERMIT INSPECTIONS FROM THE BUILDING DEPARTMENT FOR YOUR HOME. THE DRIVEWAY CULVERT WILL BE CONSTRUCTED IN ACCORDANCE WITH BAY COUNTY REGULATIONS AND WILL BE SUBJECT TO INSPECTION BY COUNTY REPRESENTATIVES. THIS APPLICANT WILL SAVE AND KEEP BAY COUNTY HARMLESS FROM ANY AND ALL DAMAGES, CLAIMS OR INJURIES THAT MAY OCCUR BY REASON OF THIS CONSTRUCTION OF SAID FACILITY. THE APPLICANT BINDS AND OBLIGATES HIMSELF/HERSELF TO CONFORM TO THE ABOVE DESCRIPTION AND ABIDE BY THE BAY COUNTY LAND DEVELOPMENT REGULATIONS. APPLICANT SIGNATURE DATE: PERMIT GOOD FOR 1 YEAR FROM DATE OF PURCHASE SIGN