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Rule 1496, FAC. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040.18 <br />DRIVEWAY CONNECTION PERMIT SYSTEMSPLANNPaWage 1 f3 <br />P 1 of 3 <br />FOR ALL CATEGORIES <br />PART 1: PERMIT INFORMATION I <br />APPLICATION NUMBER: 2018-A-490-010 <br />Permit Category: H - Safety Upgrade Access Classification: 5 <br />Project: 43rd Street Improvements <br />Permittee: James Ennis <br />Section/Mile Post: 88060 / 20.100 <br />State Road: 60 <br />Section/Mile Post: / State Road: <br />PART 2: PERMITTEE INFORMATION <br />Permittee Name: James Ennis <br />Permittee Mailing Address: 1801 27th Street <br />City, State, zip: Vero Beach, Florida 32960 <br />Telephone: (772) 226-1221 ext. <br />Engineer/Consultant/or Project Manager: <br />Engineer responsible for construction inspection: <br />NAME <br />Mailing Address: <br />City, State, Zip: <br />Telephone: FAX, Mobile Phone, etc. <br />PART 3: PERMIT APPROVAL <br />P.E. 9 <br />Fax: /Mobile: <br />The above application has been reviewed and is hereby approved subject to all Provisions as attached. <br />Permit Number: 2018-A-490-010 <br />Department of Transportation <br />Signature: Nesa Harden <br />Department Representative's Printed Name Nesa Harden <br />Title: DISTRICT PERMIT COORDINATOR <br />Temporary Permit [] YES Q NO (If temporary, this permit is only valid for 6 months) <br />Special provisions attached ❑ YES NO <br />Date of Issuance: 5/8/2018 A p p <br />If this is a normal (non -temporary) permit it authorizes construction for one year from the date of issues' e'► h—w ca A onl. be t <br />extended by the Department as specified in 1496.007(6). 2 L.t , 5- `� ` <br />t Ica i <br />— ................� r...�........ �.........�....... ter....,.......—.._._.._ <br />5/8/2018 1 <br />U <br />