Laserfiche WebLink
° e <br /> � a � <br /> �� � �f <br /> PERMIT APPLICATION �� �'"''°=,�' <br /> _ DRYVE1lVAY PERMIT APPLICATION <br /> Ct?NSTRUCTICIN WITHIN PllBCIC RIGHT-OF-W,t�Y <br /> All information must be filled-in completely <br /> City of Zephyrhitls <br /> 5335 8"'Street, Zephyrhills, FL 33542 <br /> Telephone 813.780.Q000 Fax 813,780.0005 <br /> _.,... _.....__�::...� .. _ ._ . �_ . _ ._... -�- - - - , - _ - <br /> rDate"of applicatian: '�_��- --Proeessed_By:., , ..�' Permif#,: , - = _ _ <br /> :G:-��7 _ _ :�g��� t�� . ��,��;r�:.�x, ��;- :4:: . - ,:�.ft / �_-� <br /> u - - - _ - - - -- �► - <br /> o �Ruti ie Nlorks, <br /> ui� ~enf�`~" !fo I °Z''R`. <br /> ;. CoF ',to'B Idin D`e arim - f���c�JC:.�p.`-�'f�i .�`� <br /> , <br /> _ , <br /> � :,_=:4'.- �'°;..v` i� <br /> Ci Pv � _P :1�.px.. � <br /> PRQ3ECT aOB TE: , PROPE TY OINNER <br /> Address: �.- ^ ' - - Name: ' („ � " <br /> Unit#: � Address: Unit: <br /> Parcel Iden ' icatio Number: ' Ci State Zi ' '� <br /> ` Phone: - LO Fax: - <br /> I <br /> CCINTF�ACTOR: <br /> Com an : <br /> Name: ��� `� <br /> Contractor's License#: ` E-Mail: � � f � G� <br /> Phone: - -�lC• CeR: Fax: " ' C''-� <br /> ARCHiTECTJENGINEER: <br /> Name:�!l}l i � '�'� �-�'�`lL Firm Name: � <br /> Address: ( 'i Ci : � � State: Zi : <br /> State License#: Phone: - Cell: °�-f Fax: - <br /> � <br /> Descriotion of Proiect <br /> PT�ZVENtAY ��ENGTH OF dRNEUVAY CULVERTS IYEEDED <br /> RESIDENTIAL DRTVEWAY WIDTH OF DRNEWAY O REINFORCED CONCREfE <br /> COMMERCIAL DRTVEWAY R.O.W. EXCAVATION { )CQRRUGATED MATERIAL <br /> PLt8E1C ACCESS DRIVEWAY DEPTH �TNEAR FEEf ( }BdX CULVERT <br /> ( )OTHER(EXPLAIN) <br /> CONSTRUCTIOi+!MATERIA! CdJRB CkiT REQUIRED <br /> ASPHALT YES �NO <br /> �CONCRETE <br /> FIEADWAC!REOUIRED? YES � NO <br /> NOTECE TO APPL.ICANT: If actual v►rork exceeds scape of this descripfiion,additianal permits or dr�wings <br /> will i�e res�aired. <br /> UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.80Q.432.4770 <br /> Page 1 of 3 <br />