HomeMy WebLinkAbout04-2766
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2766
2766
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Squar$ Feet:
Est. Value:
Improv. Cost: 33,395.00
Date I$sued: 2/23/2004
Total Fees: 325.60
Amouot Paid: 325.60
Date Paid: 2/23/2004
Wor Desc: ROOM ADDITIOr-.r----
Address: 39139 OLD MILL LN
ZEPHYRHILLS, FL.
Township: Range: Book:
I Lot(s): Block: Section:
I Subdivision: SUMMERHILL
I Name: CHARLIE ANN & JOSE HERNANDEZ
Address: 39139 OLD MILL LN.
ZEPHYRHILLS, FL. 33542
Phone:
ZEPHYRHILLS ELEC. SERVICE
SOUTHERN COMFORT ENT. INC.
MECHANICAL FEE
43.20 RADON
4.90
,I -/ /-I S6
,Jq,/ ofr Lf/~f)'1
S(ltb ~ 0 ;J:SO
U D
PRE-S~LA. I CONSTRUCTION POLE : DUCTS INSULATED / l/-2(-OY Hvo
LINTEL /9-11 f/ 1-FJ"6 i PRE-METER . FINAL MECHANICAL
FRAME' 1-2(-'~ ~.I MISC MISC
INSULA ION WALL,I Cf-2{-Olf I~ MISC I MISC. MISC.
INSULATION ,CEILING I MISC. MISC. MISC.
DRIVEWAY MISC. . I MIsc. i FIRE DEPT. FINAL
--_.~~-----' . __. __ =-l""'_~__~.______---,--__",____,_______~,___~
I REINSPE,..,I.LON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
I" Th~eaym!, ~t_of in_sp~9:iollfees _s.~all ~"~ ma~e_~before any further:.. pe~its will~e is.s.ued t~ the person ()wning same_n_
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improve..ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before r~ording your notice of commencement."
-"--~--'-~--'---'-------'---------Com-plete Plans/'-'Specifications andFee Must Accompa-ny ApplicatI~- -----.-------------~-_.
~~!I ~()rksh~!!.E~f>erf()rmed i!1 accordanc~_withCity c:()c!.~_C3!1d OrQinances .. __ _~_ ____
NO OCCUPANCY BEFORE C.O.
____.n....___ _ ___.______ _________._._____ .______________ ____...____~_'___.._..._____...,______.,_.
~
L~RACT RSI ATURE PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
~ -It -of
PHONE CONTACT FOR PERMITTING
OWNER'S NA.ME c.. HA R..L I f:: AN N ~ ~5 ~ I-l!;:?PNAN DEz.. PHONE
JOB ADDRESS 371:)9 0 LD MIll.. LANE ~EPH YRI-t ILLS F L ~3V)4 2.-
LEGAL DESCRIPTION: LOT(S) 2>4
SUBDIVI S ION 5U!v\ MER. 1-+1 L-L.
BLOCK
PARCEL ID # J2-2"-2../-0100-COo(')o-o340
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION aa:ADDITION [JALTERATION D REPA,IR D INSTALL
[JSIGN DMOVE 0 DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS D MOBILE HOME
o COMMERCIAL o INDUSTRIAL [J SWIMMING POOL [J
OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~~
BUILDJtNG SIZE
SQUARE FOOTAGE 331 . LI vllw fXR HEIGHT 5' c.LG
(
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUHDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ BUILDING
R'ELECTRICAL
$433.3Cr5OO
I
VALUATION OF TOTAL CONSTRUCTI
PERMITS REQUESTED
AMP SERVICE
D FLORIDA POWER
o W.R.E.C.
[J PLUMBING
g MECHANICAL
$
[J GAS
[J ROOFING
[J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
TYPE OF CONSTRUCTION: ~ BLOCK
FINISffiED FLOOR ELEVATIONS
D FRAME
[J STEEL
D OTHER
YE~ ~~g
Q)
IS PROJECT IN FLOOD ZONE AHEAD
BUILDIllR
SIGNATURE1v L..
COMPANY HARTWiG CON'6rRUCTION LLC.
/,
/
;~
STATE CERT OR REGIST # CBc. 02-2-119
******************************************************************
ELECTaICI~
SIGNATURE
COMPANY Z. ~~ \. L.L>
ELEc\ Sen..u. LL C-.
STATE CERT OR REGIST # () c:JU ?..lC.. g- () IL
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECllAljllCAL I' U
SIGNAtURE1~J. ~
******************************************************************
COMPANY ~(jCJTH~<.f (]~F<Jt!...,r Eh/T
STATE CERT OR REGIST # CJr:\-c t 1113679
*****************************************************************
OTHER
COMPAi>.JY
SIGNA ttJRE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to udeed restrictions" whicll
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be li censed in accordance ,.lith state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of uFlorida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally SeIlsitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted whicll
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. .JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
lj)~ ~.
SIGNATURE: OWNEJ OR AGENT
-:"")
r:?-< ~~t7 ~
. lJL~ ~
SIGNATURE: C TRACT~R
STA'fE OF' FWRJDA"9 '
COUNTY OF \._._ f;"' "j"u)
The foregoing instrwent w s a'
Before me tlJi I~ 'i'daY. of
by . 'L..
STATE OF FLORIDA
COUNTY OF
The foregoing
Before m thi
by
, (name of person
\t;(who is personally
~o
Dwho has produced
,(type of identification)
and who "lIxi. id ~id not take an oa,th
. / 'l' ('. // ,1 "
'.._~~,-- .:~'/b.9Jd/dPZ#.~
Signature of person taking acknowledgment
Dwho has produced
('(.t"YP,e Of. iden.tificatiOn)
and di not)ta_ke an oath.
. . J <..... {i rr~1
Signature of person taking
"'MI.'" Bo~' S l~
Name ~~fb.'1f;~ RM:oo~ffiCli9 as
~.~~~ Februory 22, 2004
....:r.P.f:.r.,~'. BONDED THI1U TROY FAIN INSURANCf. INC.
Name t
. :Mr~10N I:e; ~RES
F.bruarv 22, 2004
~QNOfO THtu TROY FAIN 'NSUllAHQ; IHe
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CITY OF ZEPHYRHILLS
CONTRACTOR CERTIFICATE
5335 8TH ST.
ZEPflYRHIUS, FL 33542
PERIOD COMMENCNG OCT. 1, 2003 TO SEPT. 30, 2004
Type: REGISTERED ELECTRICAL
Certified: CERTIFIED Qualifier: RICHARD DUFFIELD Expires: 8/31/2004 Ph: (813)782-1313
Registration: ER 0002168
Fee Paid:
20.00 10/07/2003
_,.W -'.'_,"-",
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"- ...~-- -
ZEPHYRHllLS ELECTRIC SERVICE 53 ~
~E~~~XH:~~S, FL 33539 ~ 1&.-dE:~I~t:NA?;(Fr- v:..~
This registration expires each year on septti:am:;s:::: ':- ".: ':~ .
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PAGE 02
FLORIDA ENERGY EFFICIENCY CODe FOR BUILDlNQ CONSTRUCnON
FORM ""'-01 -... Lllnl.... ..........._ P....cltpU... lIolhod C ceNTRAL' . .
...., ....... ......... . hIlII"" .w-..... ,
-...-...-....-....-""'....-........0IIC4t.._..._.........__.__..
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P CT NAME: ttIA -' ~ z... 8UII.Df!A: I L. 'T W .~
AND DRESS: }... Yt? L..L.. L.I\.J ING
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OWN R, H Jl. ~ "" '2... _lie. _..., C!:Cl::1JJ
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1. R.Vation. Addition, New Sy.tem Ot M.nufactu~d Home
2. Single family de_heel or Multifamily attached
3. If lliultffllmltv-No. of unlta Covered by thl. .ubm',,'on
4. eo"dttJonec:t floor.... (Iq. ft.)
5. ""',omlnant ..w ov...h.ng (ft,.)
ct Ga... ..... end typ~
a. Clear glass
b. Tint, film or solar screen
7. Pe~.ntage of 81a.1 to floor area
a. F10clr type and 'naul.Uon:
a. $lab-on.grade (A-Value)
b. WOod, raised (R-value)
c. WOOd, common (R-value)
d. Conorete. raiSed (R~vaJue)
e. Concrete, common (R-value)
S. Wall itype ana lnaur.tlon:
a. exterior:
f. Masonry (Insulation A-value)
2. WOOd frame (InSUlation R-value)
b. A1dJacent:
1. Masoory (Insulation R-value)
2; WOOd frame (Insulation A-value)
c. Marriage WalLs of Multiple Units' (Yea/No)
10. CaI~ type and Ineu'atlon:
.. U~r attic (lfMlulati<m R-vwuliI)
b. Sil'lgl. Uaambly (Inlulation R-value)
11. Coo..ai-e aYltltm*
(Tt~; cantr.. room unit, package terminal A..C., $lll$, ..ting, none) 11.
12. tMlltJl1g aYMern*: (TYPte= 11ft! P\IITll. _. altip. natllralllN, L.P. gae,
SIll /l.p.~ room or PTAC, ,ldIting, ~l
13. Air D4.trlbutlon 5y.....:
a. 6aFkflow ctamPltr Of $Ingle packcag. Iystem.- (VeaINo)
b. ot on mlllriage wall. adequately SHied. (Yes/No)
14. Hot wter .y.am:
(T)Iptt. ... IMltur~ gu, other. tldating. none)
* P"""'1o ~'1l.1fllCk.lrect homea wAA IIt.'n.talled oompofNtnll.
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~ /~d c:..:.
Single Pan.
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aq. fL
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R= ___ 93,S"
IIn. ft.
Iq. ft.
sq. ft.
'.'Q. ft.
&Q. ft.
DoUble Pan.
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sq. ft.
ea,
lb.
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sq. ft.
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sq. ft.
R.. .30
A",__
'f? 2.. sq. ft.
1'1. ft.
Type: C' (;JUT R ~l-
SEERlEER: ~ /0, ()
12. Type: 14({ 1ft. 7" l' c...,""\~
WSPf/COP/AfUE,= {, . g
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FLORIDo\ aUlLbJHo CODe - IUII.DING
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Climate lOt'" 4 !5 6
TAIU Ie.t ~ PI\ESCfllI>tI'IE R~ll FOIl WAll. ALlOiTlONI (100 Iq. FL IIId LIM).IIEHO'IATiCHS TO UI$TIHQ aDlNGS ~ SITf-lNllTALLIO COMPONEN11IJf MAlliFACT1.IRm'HOME$
UINIMUM INIUUTIOH ...... IMSTAWD
COMflONtHT INSULA TIOfoI . INSTALLID ICIUIPWEIlT EFFlClINCY iPFICtIftCY
Con"~ elOCk R.S ... Conlral AIC . 8pI~ SI!Efl - 10,0 SEER = ~-
~ FraIM,;2' x 4' R-11 ---.- ~ .Sillgla Pkg. SEER . e.7 seeR ..
~ Frame, 2' x 6' R.1Q -
~ CClmI'l\QfI, Frame R.11 Room unit 01 PT AC EER . 8.5" EER '" -
~,~nry R.3
Under Attic R-30 ~o l"'lllCtrlc Reslstane", ANY ~
(Q Single ",*embly: EndOllllO - Heat pump. Spill HSPF .. 6.8 HSPF ..
i FrlYl'\e R.19 --~ ~ ' SlngIG Pk~ HSPF .. .8.5 HSPF .. -
;;;! Metal Paq R'13 - Room I.mil or PTHP COP .. 2.7. HSPFI ..
~ Single Auenlbly; Open A-IO --
Cc:mmon. Frame R.11 ~ COP
Ii: lJu, Mlurlll or propane AI=UE = .78 AFUl: -
I/) :$Iatl-on-grado No Minimum O. - w --
@ AaIl&lId Vi ood R.11 Fuel 011 AFUE = 71 AFUe = -
Raised ConerOIlJ R-S -.----.-
..J Common, Frame FI'11 . Eltc\fia RelIlalllnCe EF .88 EF : IP'tJ
u.. ~~ ..
~ In unoondltlolled apace ~.8 ..0 ~ Cia,; Nalural or L.P. EF = .54 EF
---
In OQnC;lMlooed apace No minimum FUlIIOiI EF .. .54 . SF '"
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2'. .07 ,'. .70 3'. .87 2', .75
0".75 ,'. .75 0', .61 2'. .75 1'. .111 3'..15
0'.57 1'. ,67 0'. ,44 2' . .fiT
0'. .39 I'. ,39
3'. .7'
2'0.01
1'. ..w
0'- ,35
CJeI ~8d SHGC from 1M manuflKll~rcll or USI default.: SlllQIe clear SHGC = .87, doublt el811r $-iOC . ,78, II'\d II II lint SHaG. ,75.
T~'1.I1Co1 MINlMUM MOOIRfMeNTS FOR ,\I.L PACKAQES
E~ "WI. IlHl
ComI>ualkm 606.1 ,v14
! W.., MaMera 1112.1 V-
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13.204 Fl.OFlIQA BUILDING COOE - BUILDING
.,
.~-~----_."."_..,.~---~.._'---.- ,-_.""
1111111111111111111111111111111111111111111111I11111111I1111
2004030547
NOTICE OF COMMENCEMENT
State of
FLORI 0/\
County of PASCO
THE ImOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 12.-2..~-2.I-OI<.JO-C?c)OOO-O':)40
39; 39 OLD MILL LAN~ ZEPHYt<J-+IUS P-c 33542-
(Legal description of the property and street address if available)
2. General Description of Improvement ADD lTI ON OF 2. BEOf<..cC)M~ AN D A
PoRCH
Rcpt: 758209
DS: 0.00
02/23/04
Rec: 6.00
IT: 0.00
Dpty Clerk
3. O\VDer Information: Name CH'ARLlE ANN ~ .JC6E H.t:I<NAN.Dt::.-z..
l~ddress 3'}13<} OLD MILL LANE" City "ZEPHYRt+ILLS
State FL 3'3542-
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN PASCO COUNTY CLERK
02/23/04 1Q1 : 40am 1 of 71
OR BK 5736 PG 58
Address
City
State
'~, .
Contractor: Name HARtwiG Co~5TR.0CTIOJ\j LLC
Address POPOx 12.::>-Z-
City "ZEPH-VRHILLS
State Fl .33539
5. Surety: Name
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
71J.13(1)(a) (7), Florida Statutes:
tkme W WILLiAM H-AR-:TWIG .Ji2..
Address POBOX 1252-
City LEPi-tYRJ-tfLLS
StateFL 33:;:, 3q
8. In addition to himself, Owner designates \.IV VJILLiAM HAR:..tu,JI/S- .Jt<
of HARTWl6 Cc/vSTi<.lX.....T/Cf-] LLC to receive a copy of the
Lienor's Notice as provided in Section 713.1J(1)(b), Florida Statutes.
9. E:ixp1.rllt i'm dM t.e of tlot.ice of Commencement. (the explration date is 1 year
fF~m the date of recording unless a different date is specified.)
I
I
1 .
SignatureofOwner: ~ 0.... ~.
Sworn to and subscribed before me this e::(.3 day of
--r<r' ':<00 f. ...------- ~ / ) ./
Not"rYI Public: ( )~ W.d~
MyComi;/issionExpires: cP- /~- ,2 o oS-
~~~/
~
R berta '.,j~;;':'...;'
':"."'''''' 0 t Florida
..,. .~, ~CJIJ .'" . State 0 I
:.;.-:<>~.~......!--,<,~~ '"-'o\a'" publiC, t 1 "'0 ZOOS .
",..". ..." \~ " E P I\.ugus I ,
g'~~ " :c~ My comm. )(. 0050735
-;0-;..... /!i];:: comm. No. 0
<>;;;,;~I r;""~~_,~ f\"~":.~
""'i_~.inr&.\'
PC93053048
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS
~ /3 '} olrl M~\ LtAV1f 2 2~ 0
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
New ~ ~ w~ \ ( -to ~P;) +: ., ~lo ~ l We \ \ de~~~ \
_-f.~r it <; rel:><>r -l-o Joe d,; lie! c.~eI cp efot y d
\.,(.Jc.. \ \1
PERMIT ."
J7~
(0 II s-
;..., ~c./
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR 1)/11 It- (fIh
I
It is unlawfu for any Carpenter, Contractor, Builder, or other persons, to
cover or ca se to be covered, any part of the wor1<: with flooring, lath, earth
or other ma rial, until the proper inspector has had ample time to approve
the installati n.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.