Laserfiche WebLink
:RERMIITAPRLTCATION <br /> >.DItIVE1NA'Y=PE�MIT.�RPLICIoi'ilOt�i <br /> C-ONSTRUCTI0N 1NITHIN P.UBLI RIGHT—:ClF�1N/�11 <br /> Ali information"must.be.f+lied-in compietely <br /> (Cii<y;of»Zephyrhiils <br /> -5335-.&Street,Zeph) hilis,'FL 33542 <br /> Telephone,81 780.0000 Fax 81'3780.0005 <br /> ' P <br /> •+i4Sr 'b:ir. k - .. �.. . ,.• 00�; <br /> S { Y4•two• '�`{`:Re '1C� .,.T''y � +"iw�%R_ .. 1-.mat .,JT sri. •,t:«. .. . z� <br /> PR4] CT .JOB;SITE: . PROPERTY'OWNER <br /> Address: Name: l" <br /> Unit#: Address: unit:. <br /> Parcel Identification-Number: C State �i �. <br /> _bil0 " �-O0 — Phone fh?: Fax: <br /> $15- to 4 7 <br /> :CONTRACTOR: <br /> Co"rn an .:. :er <br /> Narne: Y . <br /> C6nbact6f's License#: E-Mail: <br /> 'Phone. _ - O CeiL• <br /> O Fax: <br /> ARC4MCT/ENGINEER: <br /> Name:. Firm.Name: . <br /> Address: City. State: Zip. <br /> State-License#:' Phone: Cell:' Fax: . <br /> Description of Project <br /> PE OF DRIVEJ�IIAY LENGTH OFDRIVEWAY CULVERTSWEEDED <br /> DENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( }REINFORCED CONCRETE <br /> COMMERCIAL DRIVEWAY pCCAV T-ON ( )CORRUGATED MATERIAL` <br /> PUBLIC ACCESS DRIVEWAY DEPTH. 1L�IDNEAR FEET { }BOX CULVERT <br /> CONSTRUCTION MATERIAL CURB CUT�I { }OTHER(EXPLAIN) <br /> PHALT YES NO <br /> ;� S�NCRETE <br /> HEAM"LL REQUIRED2 YES �NO <br /> NOTICE TO APPLICANT:.If actual work exceeds scope of this description,additional permits`or drawings <br /> .will be required. <br /> UTILM-LOCATIONS REQUIRED: CALL BEFORE YOU DIG: I..800.43204770 <br /> Page 1 of 3 <br />