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Residential Driveway Permit Application
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This form has been modified since it was saved. Please review all fields before submitting.
NOTICE
ELECTRICAL POWER AND CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL DRIVEWAY CONSTRUCTION AND MAILBOX PLACEMENT HAS BEEN APPROVED.
ROAD-MAINTAINER CONFIRMATION
Road-Maintainer Application
No county driveway permit is required if your attaching onto a state, city, or private road. Please use the link just above to confirm you property abuts a county-maintained roadway if you have not already done so.
ROAD SURFACE
*
Dirt
Paved
IS YOUR DRIVEWAY
*
New
Existing
DO YOU PROPOSE
*
Culvert
Swale
Curb and Gutter
Flat
BUILDING PROJECT NUMBER
APPLICANT NAME
*
APPLICANT TELEPHONE NUMBER
*
APPLICANT E-MAIL ADDRESS
*
PARCEL NUMBER
*
(If you do not have your parcel number, please visit http://www.srcpa.org/search.html. Parcel number is required.)
CONSTRUCTION ADDRESS
*
PROCEDURES ACKNOWLEDGEMENT
Driveway Permits
By submitting this application, the applicant acknowledges that they have read the Driveway Permits Page for procedures for residential driveway permits.
MARKING ACKNOWLEDGEMENT
By submitting this application, the applicant acknowledges the driveway location must be obviously staked, painted, and or marked clearly prior to the submission of this application.
MAILBOX ACKNOWLEDGEMENT
Ordinance Number 2006-03
I have read “Ordinance Number 2006-03”. I understand I must contact the property’s local post office regarding the allowance of a mailbox at the property.
PROPERTY OWNER NAME
*
(If different from applicant information above)
E-MAIL ADDRESS
MAILING ADDRESS
MAILING CITY, STATE, AND ZIP CODE
DISCLAIMER STATEMENT
The driveway(s) will be constructed in accordance with county regulations in effect at the time the permit is issued. The applicant will save and keep Santa Rosa 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 that the above description and attached sketch are true and correct and to abide by the driveway regulations of Santa Rosa County. By submitting this document, applicant acknowledges all terms and agreements herein.
REQUIRED CONSTRUCTION PLANS SKETCH
*
Please include property, street, and driveway with dimensions and plans.
REQUESTING FUTURE INSPECTIONS
Request a Driveway Inspection
The submission of this form will prompt your first inspection. For future inspections, please use form "Request a Driveway Inspection" just above.
If Public Works may assist you in the completion or submission of this application, please contact us at PublicWorksAdminTeam@santarosa.fl.gov
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