HomeMy WebLinkAboutSFRA2012-39687-
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.JOB ADDRESS:
BUILDING PERMIT APPLICATIO,N
PLLASE PRINT
LOT: BLOCK:
SUBDIVISION:
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS: 5950 Airport Frwy STE 300
CITY /STATE /ZIP
SUITE #
Fort Worth TX 76117 . P11:4 817- 546 -2000 Fax# 817 -546 -2022
PROPERTY OWNER:
NAME OF BUSINESS:
**Total Square Footage under roof:
Square. Footage of alteration/oddition:
I hereby certify, that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan revie.,, and inspection documcntation shall be made available to the Building Department (required for new buildings,
alterations and additions)
❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for I & Z family dwellings)
3 I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any Niolation of any code or ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND
THAT PLAN'S AND SPECIFICATIONS ARE NOT REVIENVED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL,'ONVNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROn1 THE APPIZOPI'ZIATL S7',,VI -L AJNI)
OR FEDERAL AGENCS)- y
PRINT NA1kIE: V) 0 SIGNATURE-
FAX #: t EINIAIL: (
D CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL
rpr,, RnT Lox ;!NC Tr, TO BF COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:
Permit Valuation: $ it
Setbacks
,
Approval to Issue
Occupancy Grou
Front:
Electrical _
Division:
Building Width:
Left:
Pl rllg
7ollin_
Buildingth_
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Right:
Iechanical
_—
� -_ - --
Plan Review roval
R
�— _—
Date:1� 1��
--
Rear:
Watt Availability Kate
_ --- —
-- --
�ite Plan Approval: �
-- - - - - --
Datc. —
Sewer Availability Rate
__
Firt Dcpartln TTt:
Date _ _�
Building Permit Fe
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Fr h..
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L�l7t l�l it:i j�7 i;ce: �
�ro;.-ct Information
!,Job "Wdiess
(Contractor name or
,Reqisieced Homeowner
' ,-hooso One. Change outs only - no change in framing size
,
Framing size increased / reduced-.
Fyictjnn -,i7� , nN §r- Proposed size — ------
N
Dray ,'; floor plan be
dow to be replaced, label room uses.
Qty
j< IN 10T
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W, H T N N
' ,-hooso One. Change outs only - no change in framing size
,
Framing size increased / reduced-.
Fyictjnn -,i7� , nN §r- Proposed size — ------
N
Dray ,'; floor plan be
dow to be replaced, label room uses.
— Letter Designation
Qty
j< IN 10T
Kly � I C
U-F a tc r
r H
Z()IMINI
Room use
W, H T N N
N TC)
Ac
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j73 111 i')ING �M N
C' 1
Rnr'""E- U V
p
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ALL
— Letter Designation
Qty
windo w/Door rough opening size
U-F a tc r
SHGC
Room use
Ac
Ae—
Maximum U-Factor bU I maximum -4u
NOV 1 2012
/�a'�'-'aarch 24, 20,11