|
i j
<br /> �, o
<br /> � •
<br /> ..� ;
<br /> :s" d :
<br /> PERMIT=/APP.LYCATION . =' ° -<'�� �'��
<br /> DRIVEWA�1(:PERMIT:AP.PLTCAlION
<br /> �CONSTRU.C'fION'WI'THTN<:P.11BL7C RIGHT.OF=WAY
<br /> All information must be-filled-in completely
<br /> • �City.of;Zephyrhilis
<br /> "5335�8"'Street,Zephyrhiils,�FL 33542
<br /> Telephone.813.780.0000 Fax 813.780.0005
<br /> �t:, �.- ...>:�. .,.,.....,_w.��.«:...._Y,,.._. 5� _ _
<br /> ' „',.%:i:S°,Y= .:d^. �:%+s-.+%r a�.Y 4f=°'{:' ''�';::i:3;,a. .,'.i.r"�`.7. . ._. "ti';�._-:,':S,Ka:c.:;» � .
<br /> �f%":x'�;:��il7•n .s'�f:'°-�:r�,,s R-k;,'��,,�,{.�,..�x:''1.' ��`h-..p.r.-,-�b i���'}Y:x:^:�.:�,s:;,'1e.9.,',t.a.....�. ?�^;'N`;F..:'
<br /> ilf$3t1�� [Ld�DR.,. ..:�,�-,r. ;+�E��a_ ��;_ .�:..� �- ;c->., ��7#.,_ ,-..d,.: ;rri�� �.;='s.`.
<br /> � „�� ,s'',.`<�^r;. ,.t:}„!"��`.y'7.��E:�S�° ,�-+,r,�.,,�k�;;r.z,�6,<c:s�3:u S_i: ;'�b"..«-<��._ `as?i,i�.:�:."i�r:hfr:. ^!`-'x<�:4.">;s.
<br />� ., r,;yk.�y_ � x•,.r.1-�d...r.:.. �;.:,. „ ..a.; r _
<br /> :'u,'.s;. �,.�-:;�_ $;' .,+'W,,��.s..{�,.� ,;� ,:�fira;a,� �-'�,`'X.�hl.;�Yiz,Pr. ",:� �;:'z;.e:r3�:�:`I��:a �"4d„�;' ,�ti� ++"�
<br /> ;r�s.. ..;f:. ::'�;; �r.,,'r!z::"{;i'tC�':'.�:.'•".'2r1v`�ff:�� �_s,�"i ��Y.f.-�19�..81'CB�OI". .�,:.- `n:`•��:�:°j�3'�;�i..;:..�,fi'",r� ..:7=:., .r;,��F'i: �:;n,.,'-�a�7i,%?; 'J
<br /> .��,` `a��:Y
<br /> i�4'� �'2t.,h ,.n..s-w.,.�.. .,..:TS.ay.,,. ",,y.F;-r.. ,��,. ,. °-�:�,;^�l .:S;f%;i�,�2 ,..Y':._./< (-.G-�s�..�Y,�,`�.
<br /> ;zt:';�3"iY ssi� = �?3``,a,�;- ::�:'d., :°r.. :,.$:a:.=Y:�:. -�'_ s.'S��s^- ;%+�" ,z�''><`�:
<br /> x{��u'r` w'�f%"'�ti; •,�yn s�=�: _'"9. 'e4, �':� :s'S%:�K�-r" 3-3.>�z.':�;`
<br /> ;- :u "-' '.d.:;o r' " ���,, `� b�(.?�OT�6�°";": #" � ' "'
<br /> —<•:- .n�� ....,"
<br /> �'�.- --.r.:� „? ,���P1Gc�4g8'U"11E7tR9,�T,�3EPdF$T12�..:;%i:gf:��'�4:nr,.s'F,r -+;t:rt�:-:-�:;i�,�:�'�(%4?[3Y.�- � 1r'.�x;ev-.3,3�t;:��'::•::-:�r:w'�:�r.«s
<br /> PR07ECT .70B'SIT�: °PROPERTY�OWNER
<br /> Addres ° — Name: O
<br /> Unit#• .� °'�v Address: �D. Unit:
<br /> Parcel Identificatio �Number: Ci .State .Zi ,, '
<br /> o/i! Phone: Fax: �
<br /> �
<br /> �,CONTRACTOR: �
<br /> Com an : o�-J
<br /> Name:
<br /> Contractor's License#: �S'/ E-Mail: ✓ � �� i' �,�J � ,��,
<br /> �Phone• _ Ceil: Fax:
<br /> ARCHI'TECT/ENGINEER: . , �
<br /> -
<br /> �Name: Firm Name:
<br /> Address: City: State: Zip:
<br /> State License#: Phone: Cell: Fax:
<br /> Descriotion of Project
<br /> TYPE OF DRNEWAY .�C�LENGTH OFDRNEWAY CULVERTS NEEDED
<br /> _�RESIDENTIAL DRNEWAY �„[�WID7N OF DRNEWAY ( )RQNFORCED CONCREfE.
<br /> COMMERCIAL DRIVEWAY R.O.W. EICCAVATION ( )CORRUGATED MATERIAL
<br /> PUBLIC ACCESS DRNEWAY DEP'TH LINEAR FEEf ( )BOX CULVERT
<br /> ( )OTHER(DCPLAIN)
<br /> CONSTRUCTION MATERIAL CURB CUT REOUIRED
<br /> �PHALT YES NO
<br /> ONCREfE
<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 REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
<br /> Page 1 of 3
<br />
|