Laserfiche WebLink
�y 0 <br />� d' <br /> r <br /> i <br /> PERMIT APPLYCATION N r <br />� <br /> DRIVEWAY PERM T APPLICATII�N <br /> �{3NSTRUCTI{)N WITHIN PUBI.IC RIGHT-{)F-1NAY <br /> All informatian must b filled-in completely <br /> City of Ze hyrhitis <br /> 5335 8"'Street, Ze hyrhills, FL 33542 <br /> Telephone 813.780.000 Fax 813.780.0005 <br /> y,.. - ,x;r,,r .,: -, 7• , -. . „ , , <br /> Date,of�a�iplication:.�-�(p��.�"'" �. . -:Processed�By:,� ` ' �,; .�. ' , .�Permit#:`,` . r` . .�' :: � <br /> , �9�Y area�'or:''ffluse oiiS}�} . �_ ... - , _�..�� , <br /> �'D�RPY'to Buiiditig Depar,trrient __ - �-qpy.fo Pub�ic Works_ "'-�'•���.'. .; <br /> PRQJ GTj�QB E: PRUP�R 4V4tNER <br /> Address: Name: <br /> Unit#: Address: "` nit: <br /> Parcei Identification Number: Ci State Zi <br /> Phone: , " '� '� ( x: ( <br /> C{}NTRACTOR: <br /> Coman : <br /> Name: <br /> Contractar's License#; E-Mail: ! 5 � �� <br /> Phone: r - Ce11: �-r—� Fax: --j <br /> ARCHITECT/ENGINEER: <br /> tVame: ( � ' Firm Name: �, <br /> Address: Ci St te• Zi <br /> State License#: Phane: — � -�"""� Fax: <br /> Descri tion of Pro"ect <br /> TYPE OF DttZVEWAY LENGTH flF D EWAY CULVERTS NEEDED <br /> ,_RESIDENTIAL pRIVEWAY WIDTH OF D EWAY O REINFORCED CONCREfE <br /> COMMERCTAI DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( }BOX CULVERT <br /> ( )OTHER(EXPLAIN) <br /> CONSTRUCTIQI►i MATERIAL CURB CUT RE U RER <br /> ASPHALT YES NO <br /> �CONCREfE <br /> HEADWAU.REOUIRED? YES �NO <br /> NOTICE TO APPLICANT: If actual work exceeds scope of fihis description,additianal permits or drawings <br /> will be required. <br /> UTILITY LOCATIONS REQUIRED: C LL BEFQRE YOl! DIG: 1.80a.432.4770 <br /> Page of 3 <br />