HomeMy WebLinkAbout91-1922
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
6 -.5---- cTV 1-813-788-6611
Type of Permit .Q CJ - Gr"b
~ILD~ (ELE~ ~ M~~
Property Owners ~ame: ~ ~.e-.LQ.
Job Address: '- S 7"/? - _ _ _~_
PermitN~ 1922 A
Date / / - J d.- - ;; /
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI: J! - O1t - eJ-/ -
Description of Work ft?JA "':J
00/ -O/.3..S-- DOOO 2;- / 0
al I~L-~~ qL- 4.[2
Energy Code Readout:
~::,
)/~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ~;:; 67 b. 00
OCCUPATIONAL LICENSE #
Fee: rV.5 -: CO
SIGNATUR~
COMPANY
ADDRESS
TELEPHONE #
(I~~
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
a)/'> ^":~ ~
CBWlDI~--:>
Pre SLB
Lintel
FRM.3-~ 6tl2l
Insul.CL
WL
PL~~c- ~:~
SLB Tp.Serv.
Tub Set Rough In 3 -l.J ..,~'L &t-
Water Meter Can'
Sewer Canst. Pole
Final Pool
Pre-Meter
Final
~L~1t.- c ~i:.. 5--2b.1Z- ~~
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits wiIl be issued to the person owning same.
M~NICAL
~
Breakers
Ducts Insl.
Compressor
Final
Driveway
~ l .:.( '~"" ~ .4
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
B~!LDING DEPARTMENT
.
APPLICANT ThomQs b. 'R.e~L.,'
ADDRESS 5Y:l.9 q-lli 8+re~+~.:..__
OWNER --r Vlo f'flO c.." . h J ., K eQ:5'~:"
JOB L~CATION541 q q+!l ~-I-r-~f.
LEGAL DESCRIPTION: LOT(S)~I t ~
PARCEL I.D.t~ It-.! 'PeAT ~# I
)/ J...~)...'C'()I()( 3S000010' ./
WORK PROPOSED:_New Construction _1/' Addition
PHONE (<6<6-:{o&2o~
'.
LOT SIZE X AREA SQ,FT.
BLOCK 1':3<:;; SUBDIVISION -roW N O-f- L.EP t.t "IR...l-l/l L S
?A(~5~_JJ1.kJ'c.. i<~OKDS> I~ Pa.sc.o (1, HoeiD4
_Alteration
_Repair
_Install
_Sign/Temp.
PROPOSED USE: ~Singl~ Family
--,,:,Sign
_Hove
_Demolish
.~/F
__J~ of Units
,._M/H
_Commercial
~Indust,
_Swim,. Pool
Other
_Restaurant & Health'Department Approval
BUILDING SIZE: (i5,14!L!L,
.42-3
Square Feet,
/4'
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILpING PLANS & (1) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
VBUILDING
PERMITS REQUESTED
9. ~ @ (; . &U.Valuation of Total Construction
/
:',"'.
$
_ELECTRICAL
AMP Service" .
Plorida Power Corp.
_W,R.E,C. .
~ L. \::. ",
_MECHANICAL
$
"Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
~Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: ~T..
******************************************
CONTRACTOR SECTION
Company
State Cert, or Regist. 0
City License Registration n
******************************************
BUILDER
Signature
Si!:!:nature
Company
State Cert, or Regist. n
City License Registration n
******************************************
ELECTRTCTAN
Company
State Cert, or Regist. ;1
City License Registration n
******************************************
. PLUMBER
Signature
Company
State Cert. or Regist. U
City License Registration {f
******************************************
MECHANICAl.
Signature
'.
'i.
Company
State Cert. or Regist. 0
City License Registration 1
OTHER
Signature
*****************.************************
APPLICATION APPROVED BY ~ t2.d1 _ p/1-1'lL-t,r . PERMIT OFFICER.
CONDITIONS;O~.PERMIT AFFIDAVIT
A.
NOTICE OF DEED RESTRICTIONS
.
lh'",'.r.','" "..,'1.,., Ih.1 Ihl, ,.,.'1 "y b. .'bl,et " '.... r.,I,'el'.,,' ,h'ch "y b. ..,. ,.,Ir'cl'" Ih.' C'ly
rl!guhtlonl', The undersigned aUUIU!S respDnslblHty:;for...colpHance Ilith any applicable deed re>>trictions,
, ',ut' " . . ' ,
'. . l,...;'
B. ~NLICENSED CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES
.
If tho ",., h.' hi,.. . c"lr.ct" .r ",t,.ct", t, "..,t.t. "'" 'th.y "y b. ,."".. t. b. "c.".. ., .ee""'" ,.th
s\ate and local regulaHons, If the .contractor 11 not liCl!nnd as required by law, both the Olfner and contractor uy be
cited for a .isdeleanor violation under statl! law.; If the ollner or intended contractor are uncertain as to what licensing
r",'r.."I, ..y ."Iy for th, .,t,n',' "r', th'y ,r' ..,.,.. I, e"t,et th. C"y ,f Z"h"h'll, ','1"', ,.,.'1."., "'31
7BB-('('11. ::'.,>
",Ih.r."" .f tho ",.r h., h'r.' , ",I"et,r .r ,.,t"et,r" h. i, ,.,.,.. ,. h'" 'h. ",.,.,I,rl,' ,i" ,.,Ii." .f th,
'Contractor Sections' of this application for which they will be responsibll!. If you, as the owner sign as the contractor,
Y" ". i,'ie.ti" Ih.1 "" r,'h.r th,' tho ,.,t",t,r, ,r' ,."",ibl. f.r th' ",., 'f Ih. ",'r.et,r ,i,h., y" t, ""
as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I e.rlify 'h" I, Ih. ."'ie,,I, h'v' b.., ,r.vld.d ,ith , ,.,y .f 'FI.,i"" C"""eti" L'" L., . ",...".,', p,.,.eli.,
',i'" ".,.,.. by tho FI.ri" ,.,.,I..,t ,f ",Ic,tl". .,d C.",..r Aff,'r" 'f 'h, ,p,lic"t ., ,...". .'h.' 'h,' 'h.
. ."or', I w \I fy th.1 I h'" .bt" "d , e'" .f th. ,bov. d",db.d doc,,,,, ,,,d ,,,,..i" i" good f .I\h I. '.Ii '" 1\ I. lb.
'ollner' prior to cOI~encement.
"'1 "{ .-:~. ': I. : :
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I ,.rl.fy Ih., ,II 'h. ',f.,..li.' ., 'h" ,pp1\""" i, ."",1. ,.d Ih" .11.", "II h, d'" i, ,,'pl'.,c. ,ilh .11
applicable laws regulating construction, 20ning, and land developaent,
Appli"'i., " h.,.by .". I. .bl.i, , p.r.i. I.'d. I.rl ,.d ",',II,li.. ,,','i,.,.d, 1 ,.rlif, Ih.' " "r' .,
i"t,lt.li,' h" ,....".d pr'.r I. ...,..e. .1 , p.,.il "d Ih,' ,II ",' ,'11 b. p,'f.r.,d I' .,.1 ,I.,d"" .f ,II I."
"g,lali '9 "ns'roc Ii.., Cily co,,,, ,on' ,g "gulali.." ..d l..d 'ml.p"" cog".1 ',ns i, 'h. ,,,.,0; elion, t ,I so
c.,lify th,l I "d.r,t,,,, Ih,t Ih. r.g,I,li.., .f ,'h.r glv.r.,..,.1 ,g.o,'" .., '?P'y'" the "I,o',d ,.r', .,d Ih.1 ,. '5
,y ...,,,,,ibil ily I' "..I ify ,h,t aclion' I ",t to" .. b. .. CI.p Ii "'., ",. .,.., i.. i "d ". to,,' ". '" I l' ,,,., t"
...
. ,.."t..;. .f E,v'r;".,i,1 R..ul,"" - Cypr." B'Yh.,d', "'1,., Ar." ,nd En.""".I.", ,.,s"'" L,.d.,
Water/Wastewater Treatment
. Southwest Florida Water. ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering HalercQurses
I ArlY Corps ~f EnQineers - Sea~alls, Docks, Navigable Waterways
. j...r',," .f H.,llh , ',h,b'I'I,I'V' S.r.l,." E~"",..I,I ".,llh D," . ".11', ..",..1" 1'..,..." ,.,1" 1'0"
I US Envinnllental prc.tectie.n AQency" - Asbestos. abatement
I ,Iso wli fy lb.l, i I fill ..I.d,l \, ., b. ,sod i. m.d 'on' 'A' or 'A, .Ie. " " " ""0" loe,' It". · ",' "'g' ,1"
,ddr."i., ' 'c.."","" ,,1,..' ..It b. "b.itl.d ,hieh " p,.p,r.d by , p,.f"si",1 ,,,,'0'" ",..I",d i. Ih. 51.,. of
Florida prior to perlllit issuance.
A p.,.il i,s," sh.11 h. ,."Ir,.d I. h. , Ii,..,. I. ""..d ,ith Ih. ,.r' .", ",I ,. ,,,'h,,il, " .i.,.,., "",1 .'1.', .r
,., ",d. ,'y pr"i.i'., ,f Ih. l.eh.",1 e,d.., ..r .h,11 i..",e. .f . p".i' ".,.'1 Ih. ',ildi", Offi,i,I f," Ih.,..tl.r
re," r'" ' .."er Il" ,f ."or' in ,1 "'; ,,,,tr" Ii,", or v"I.Il'" .f "y ..d., ,,," ,,,,1\ ,,,,,,d ",.11 hero" i ~.11d
"I." Ih. ",' "th"i',' by ",h p,r.il i' ,....n,.' ,ilhin ,i. ."Ih' .f i..,.nc., " .f .." .,I'M ,..d b, 'h. ,.,.il ..
".",d" .r .."d,..d f" , p,ri., ,f ,.. .,,'h' ,fl,r 'h. II.. th. ,.,. i, ,...."c.d, 0.... d., ".,..,., ,f Il.., "y b.
,11.,.d f., Ih. p.r.i' ,'Ih f,. ,h,r,' ,t "5,'" lh. ..1".." ,h,11 b. ,.,...t,' " ",i'i", " 'h, ',ild", Dff',i.l, A'
.,pr."d ..,p.cll" .,.1 b. 1.".d ',ri" ."h ,i. ..n'h ,.ri.d, ., Ih' p""c' ,i" h. "".'d.,.d ,h,,,d,,,,d,
WARNING TO OWNER. VDUR FAILURE TO RECORD A NOTICE OF Co~MENCEMENT MAV
RESULT IN VoUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH VoUR LENDER OR AN ATToRNEV
BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
SIGNATUR~~'.=-.~~..D~-.~OR-AG~~-~~~--
I' ;, i. /,~
DA TE _____._.!..J-LJZ...l':ll.--------------.-------
~~~~~yO~SA~~NT~~~=----
Notary Public, State of Florida
MY COMMISSION EXPIRES~~~~~_~lli~~~~yQ~~~--
SIGNATURE______________________________
CONTRACTOR
DATE
-----------------------------------
NOTARY AS TO
CONTRACTOR_____________________________
MY COMMISSIDN EXPIRES
------------------
FORM 1000-C-91
SMALL ADDITIONS
AND RENOVATIONS
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 10 - Residential Prescriptive Compliance Method
Department of Community Affairs
Climate Zones
CENTRAg 5 6
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1 OOOC-91 FOR ADDITIONS OF 600 SQUARE FEET OR LESS. AND RENOVATIONS
TO SINGLE AND MULTIFAMILY RESIDENCES. ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A-91 or 9OOA-91
--;- -' , BUILDER: n G () <{ ~
PROJECT NAME
AND ADDRESS: PERMITTING CLIMATE 4 ,.
OFFICE: ZONE:
PERMIT ~/.,;;l JURISDICnON
NO.: ~ NO.:
OWNER: ... .1-- I
t-"'-~., ~ ~. ~-
{, - ...
I..::'-t:'-C
5060
UJJI1illQ1Q]
~ CONDITIONED ~ SO NEW GLASS AREA AND TYPE
RENOVATION -. TINTFILM.SOLAR SCREEN
IF MULTIFAMILY. NUMBER OF FLOOR AREA I FT CLEAR
ADDITION UNITS COVERED BY PREDOMINANT lliJ.lSJ FT SINGLE ITIIJ SO SINGLE- CI:I1Q SO
EAVE OVERHANG
D [IIJ LENGTH PANE FT PANE . FT
MULTIFAMILY ATTACHED THIS SUBMITTAL
PORCH OVERHANG m 0 DOUBLE - ITIIJ SO DOUBLE- ITIIJ SO
SINGLE-FAMILY DETACHED D LENGTH . FT PANE FT PANE FT
WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLooF: TYPE AND INSULATION
FOR ADDITIONS ONLY: WOOD FRAME MASONRY UNDER ATTIC: rn.o WOOD MASONRY
PERCENTAGE EXTER~O~ [ill]. D EXTE~O~ rn.D Rc RAISE~ = [[1J. 0 RAISE~ = m.D
OF GLASS m.o
TO FLOOR ADJACRE~ rn. D ADJA~E~T rn. D SINGLE ASSEMBLY COM~O~ [[I D COM~O~ ITlD
R =
m% COMMRO~ rn. D COMMON: m~n COMMON: rn.o SLAB-ON- _ rn D
R = . I Ro GRADE. R - .
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN D CENTRAL D NONE D ELECTRIC STRIP D HEAT PUMP ELECTRIC D SOLAR
UNCONDITIONED 0ROOM D NATURAL GAS D D NATURAL GAS D
SPACE: R = ROOM/PTHP HEAT RECOVERY
m.D D PTAC [i1" OTHER FUELS D NONE D OTHER FUELS D OED. HEAT PUMP
IN CONDITIONED D NO NEW SYSTEM o NO NEW SYSTEM WfltdimV .[[1 SF/EF = D.rn
SPACE: R = ~.[g COP/HSPFIAFUE =0. SYSTEM F -
rn.D SEER/EER = .,~~= rn
NUMBER OF BEDROOMS =
I hereby certify that the
Florida Energy Code.
n are in compliance With the
PREPARED BY:
DATE
/ l-S" -11
BUILDING OFFICIAL
OWNER AGENT:
DATE
DATE
TABLE10AI MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 Minimum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass cloors). 'X
EXTERIOR & 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. ^
ADJACENT DOORS
EXTERIOR 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. ~
JOINTS & CRACKS
SOLE & TOP 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. X
PLATES
INFILTRATION 903.2 Infiltration barrier must be installed in exterior walls & raised wood floors. y
BARRIER
INTERIOR 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. "'A
JOINTS/CRACKS
FIREPLACES 903.2 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. Pff
EXHAUST FANS 903.2 Exhaust fans vented to unconditioned space shall have dampers. except for combustion /111-
devices with integral exhaust ductwork.
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (electric) JJ-4
or cutoff (gas) must be provided. External or built-in heat trap required.
SWIMMING 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a /iJ1J
POOLS & SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
HOT WATER 904.4 Insulation is required only for recirculating systems, including heat recovery units. In such cases, II/It
PIPES piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. J)P
HVAC DUCT 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanicall~ attached, ~
CONSTRUCTION, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned
INSULATION & space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92).
INSTALLATION
HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. Y-
RENOVATIONS 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. .'Z
ONLY GLASS
-1 -
CLIMATE ZONES 4 5 6
TABLE 10B. Prescriptive Requirements lor Small Additions (600 Sq.Ft. and Less) and lor Renovations to Existing Buildings.
EQUIPMENT MINIMUM INSTALLED
EFFICIENCY EFFICIENCY
1991 1992
...J
0 Central AlC SEER = 9.0 10.0 SEER =
0 = ~/)
() Room unit or PT AC EER = 8.5 8.5 EER
C) Electric Resistance ANY
z
~ Heat Pump HSPF = 6.4 6.8 HSPF = -
W
:I: Room unit or PTHP COP = 2.6 2.7 HSPFI =
w HSPF = 6.1 COP -
() 6.1
<(
a.. Gas, natural or propane AFUE = .70 .78 AFUE
en =3X
Fuel Oil AFUE = .76 .78 AFUE
a:
w Electric Resistance EF = .88 EF =
I- -
<(
s: Gas, natural or propane EF = .54 EF =
I- -
0
:I: Fuel Oil EF = .54 EF =
COMPONENT MINIMUM INSULATION
INSULATION INSTALLED
Concrete R-5 1Z JI
<I) , Wood frame. 2' x 4'" R-1l
..... .
..... wood frame. 2' x 6' R-19
c
~ Common. Wood frame' R.1l
Common. Masonry' R-3
<I) Under attic. R-30 i. 3D
CI
z Single assembly R-19
:::i
iLi Common. Wood frame' R-l1
(.)
.
<I) Slab-on-grade No Minimum R
a: Raised wood R-ll 11
0 ,
9 Raised concrete R-5
LL Common. Wood frame' R-l1
ti In unconditioned space 1991 1992 ~/ If
~ R-4.2 R-6
Q In conditioned soace No Minimum
'Common components are those which separate two conditioned living units in a multifamily building.
TABLE 10C, Prescriptive Requirements lor Glass Areas in ADDITIONS ONLY (Renovations see 3 below)
Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. See below. Maximum Installed c;
%= ,-D %= .I
GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UP TO 30% UP TO 40% UP TO 50%
Single Double Single Double Single Double Single Double
OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC
l' - 1.0 0' - .90 2' - 1.0 l' - .90 3' - 1.0 2' - .90 4' - 1.0 3' - .90
3' - .86
0' - .86 l' - .86 0' - .70 2' - .86 l' - .70 2' - .65 2' - .70
0' - .65 l' - .65 0' - .50 l' - .45 l' - .50
0' - .45 0' - .35 0' - .40
Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single-paned clear
SC = 1.0, double-paned clear SC = .90, and single-paned tint SC = .86.
Form 1000C may be used to comply the following types of construction:
SMALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form The prescriptive
requirements in Tables 10A, 1 OB and 10C apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must
be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from
conditioned spaces must meet the prescribed minimum insulation levels.
RENOVATIONS. Residential buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form. The
prescriptive requirements in Tables 10A and 1 DB apply only to the components and equipment being renovated or replaced.
GENERAL DIRECTIONS:
1. On the left side oITable 1 OB in the column titled "INSULATION INSTAllED", indicate the R-value of the insulation being added to each component. On the right side oITable 1 OB indicate the
efficiency levels of the equipment being installed in the column titled "EFFICIENCY INSTAllED". All R-values and efficiencies installed must meet or exceed the minimum values prescribed
in the preceding column for that component. Components and equipment neither being added nor renovated may be left blank.
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass panels in
doors which are more than '/3 of the area of the door. Double the area of all non-vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or
enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the
addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 1 QC. For example, 29% glass would qualify for the "Up to
30%" column Prescriptives are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). Any pair within the selected "Up To "
category is acceptable. For a given glass type and overhang, the maximum shading coefficient allowed is specified. Indicate the category into which the percentage falls in the box at the top
titled "Maximum % = " In the next column titled "Installed", indicate the calculated percentage of glass in the addition. Actual glass windows and doors previously in the exterior walls
of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 10C. All new glass in the addition must meet the
requirements for one of the options in the glass percentage category you indicated The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly
under the outermost edge of the overhang.
3. RENOVATIONS ONLY. Only glass areas which are being replaced as part of the renovations need to meet the following requirements. Any glass type and shading coefficient may be used
for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this
criteria must be either single-pane tinted, double-pane clear, or double-pane tinted.
4. Complete the information requested on the top half of page 1.
5. Read "Minimum Requirements for Small Additions and Renovations", Table 10A on page 1, and check to indicate your intention to comply with all applicable items.
6. Read, sign and date the "Owner/Agent" certification statement on page 1.
2
.. '1('-
CITY OF ZEPHYRHILLS BUILDING DEPARTI\ffiNT
OWNER --n;-~ ,( t( rf1' ---.
JOB LOCA ~ION _2il c., < ' . ).
LEGAL DESCRIPTION/SUB DIV.
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