Laserfiche WebLink
.� � <br /> PERMIT APPLICATION " <br /> DRIVEWAY PERMIT APPLICATION <br /> CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY <br /> All information must be filled-in completely <br /> City of Zephyrhills <br /> 5335 8"' Street, Zephyrhills, FL 33542 <br /> Telephone 813.780.0000 Fax 813.780.0005 <br /> Date of application• Z-f '� Processed By. � Q� Pe �t#: <br /> �� (gray area or ft se y) �, � <br /> �yCopy to Building Department L�1Copy to Public Works Z���"�� <br /> PR07ECT/JOB SITE: PROPERTY OWNER <br /> Address: 36246 Delta Gold Ct., Ze h rhills,FL 33541 Name:IH Central Florida LLC <br /> Unit #: 0090 Address:6522 Gunn Hi hwa Unit: <br /> Parcel Identification Number: 04-26-21-0060-00100-0090 Ci State Zi Tam a FL 33625 <br /> Phone: 813 886-2433 Fax: 813 200-1041 <br /> CONTRACTOR: <br /> Company• IH Central Florida, LLC <br /> Name: John Weston <br /> Contractor's License #• CBC1259539 E-Mail: shraew(a�homebuilder-solutions.com <br /> Phone•(813)886-2433 Cell: Fax: (813)200-1041 <br /> ARCHITECT/ENGINEER: <br /> Name• Jeremy Couch FIfl11 NafT12: Tampa Civil Design <br /> Address: 5289 Erlich Road City: Tampa State: FL Zjp; 33624 <br /> State License #: '70558 Ph0t12: (813)960-5685 C211: FaX: (g13)482-9128 <br /> Descriution of Proiect <br /> TYPE OF DRNEWAY 3235' LENGTH OF DRIVEWAY CULVERTS NEEDED <br /> X RESIDENTIAL DRIVEWAY 16.0' �/�/IDTH OF DRIVEWAY ( )REINFORCED CONCRETE <br /> COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT <br /> ( )OTHER(EXPLAIN) <br /> CONSTRUCTION MATERIAL CURB CUT REOUIRED <br /> ASPHALT YES NO <br /> �CONCREfE <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 REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> Page 1 of 3 <br />