HomeMy WebLinkAbout10-10874 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10874
BUILDING PERMIT
Permit Number: 10874 Address: 5507 8TH ST
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 10000 -0050
Improv. Cost: 3,800.00 , B- :
Date Issued: 8/31/2010 Name: EARY, LOWELL D
Total Fees: 50.00 Address: 3343 WILLISTON LP
Amount Paid: 50.00 LAND 0 LAKES FL 34639
Date Paid: 8/31/2010 Phone: (813)929 -9442
Work Desc: REROOF SHINGLE
L. _s. 1 1 ' .. - ' IAL 50.00
i 0/LV
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gaef
TA RfOF g.P /' 1
FIN JOINTS G t / J ! (f
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 cording your notice of commencement."
/ /_,.. 4 /1...gel ii,,,e..-- /Or 44 3.
1
/ CONTRACTOR SIGNATUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021
Building Department 4 /99
Date Received
Phone Contact for Permitting a 1 3 -1 a Z -O9Z 0, .
Owner's Name EP( Y L O W E L L Owner Phone Number
Owner's Address 3 3 f,J t L.L t STO wl L P L 0 L Owner Phone Number C 113 - qZ Gl - 4 z{ z/Z
Fee Simple Titleholder Name . Owner Phone Number
Fee Simple Titleholder Address L
JOB ADDRESS 550/ 8 +h 3' LOT #
SUBDIVISION , PARCEL ID# 1 1 Z (A Z 1 00 1 0 1 0000 - 005 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I 1 SFR n COMM 1 OTHER 1 I
TYPE OF CONSTRUCTION n BLOCK n FRAME 1 I STEEL 1 1 1 1
DESCRIPTION OF WORK G r c O.c 1/4s1-1 1-1 1 nc 16,
BUILDING SIZE SQ FOOTAGE Q Q ° HEIGHT
1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION C
1 (ELECTRICAL • $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C.
1 1PLUMBING $
FT MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
1 1GAS n ROOFING n SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO
BUILDER COMPANY At-LL SGH APE I2 1200 I Jo SUC
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1
Address 0,9 Lk9 &GL t I f loci 2/h / >' is License # I C G L 0 5 8 L 3 L
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREt, 1 Y/ N 1
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREh 1 Y/ N 1
Address License #
OTHER COMPANY
SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y/ N 1
Address License #
11111111 I11111111111111111111111111IIIIii11111I11111111111111111111111111II11111I H 11111111111i11111111II Iiit itIitiiIIIII111I1iiI Iiiiiii1It
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new protects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
* ** *PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE'OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with 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 Pasco County Building Inspection Division — Licensing Section at 727 -847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and
90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner ", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
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.
US Environmental Protection Agency- Asbestos abatement.
Federal Aviation Authority- Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is 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.
FLORIDA JURAT (F.S. 1 .03) ,
OWNER OR AGENT , � � � , �� � i
�< CONTRACTOR
Subscribed and swo or . ffirmed) before me this Subscribes - • • .`« to (or affirmed) before me this
b
Who is /are pe' onally • to me or has /have produced Wh• Is /are persona known to me or has/have produced
as identification. as identification.
_
A_ ...... ..- max. �, • v V 4 Notary Public
Cpmmissl , n o t "a= P " "�''- Public - State of Florida ommissi SUZANNE DOUGLAS -ALLEN a
. : -�► = Notary � o aY P , •,
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1"1'41' °` Commission # D0714319 ; • : My Commission Expires Oct 25, 2011
Name of Notary typed , •' ; $r gierd irSt" rough National Notary Assn. Name of Not a j ted d1gAStispied # DD714319
,.:,, , • ° Bonded Through National Notary Assn.
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,- _ ' .
Shingle Re- roof C4:
,
S c.h ;4. fi el R.0 15 filt 4.3 1- :rtrti Q1 li i'S”
4 AI; work aliall be caicfullt -.-Tuper -anti completed b; workmen - i n method: needed to
pock- le hi Quality work_
cTite job rite shall be kept clear tle41:-._ ft the duration of the job and the ,eround:, :hall be left clean nf all roof related
detlitE after c ample tiMl.
C The V'alel slik,11
1 :1 - 1c! tont I:hail pt 0,i il e loermit.., --,--:- orknian corolf:en-satiOil, iing general lial itruranc el '
,
4Carpentry, authotizeti thanee. orden 9.nd , ,vork, whit:b. ore not t overed under the stiopl,:::of ‘kiiitlf-:ottEnce`tti ilc:feAil, Shall -..r%
. .
Veil On 3. time and material baziF ulileKs otiterwize. a.4fEe 6 upor
RE R .k. clii,: (,),N T RA C I OR W A F RA N TY I'S 1
on I: fmni.31 eti on Qf the work and. 1-3-ayrrient of all #13311i E..SI owed, Contractor .,hall t sate.
i . A __. \---;- _ V. Ti; iiffatit' fOi workmanship limited to leake, .7_,a ::=17,V ail!," 'nfilpritiefit in ed by the contra ttor.
2 „ Shine manuf attire! 'Atilt provide a 3C year limited warranty.
IELA.C!T PR IC
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:,: Shin,F,le Re-roof as described herein-
Nlodifications t, 1
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TOTAL ACRFID - UPON CONTRACT PRICE, LABOR AND NIATaziAL----------- --------- 1= 1 _Li .,, . ,
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C Oqe.eti ail CO: if elny I:open - with interel. ,-, -thall be ridded to the cDritrt 1,;iice it dPieeait ockill'F.
C,:ancriletiOn i)71 c C a.ftet the, '1241011r gnf.":e pd - qili 1r5 ,,7.1=1:. ,, i, ft - ..1 . 1;a.1 fee
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/ $chatief. Roofing, hH. RepfeliefitatiVT
I aeceo the Eihe pr:ce and terms; - von art ataittori7ed to begin work:
Signed Date
Signe d _ .T7'''''> f:'
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Date: _.F.51 1 1241 0 - Ph 0/let Clif / "'" 7 C. (2 / - 4 7 Viir,,ZE
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We hiefeby pi: opose. if.r.• funish nmtefial E, an Icite Cif i i',..'. C.: 2SSEAN fer the compietseta
. .
Shingle Re-roof
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-......„,........
i. For the S h 140 e d pott 3 ons of the ham e... rani ove .: roofing fit tterials to thri'-..f.n: tak nag precatthons To
protect the building and the lancbcaping. Groom Ehe Jeck and reset the exismI.: -necking fiai iL',.
2. Replace bad wood other than herein al.:..' re: t 0 a — CD• (2)
'S 3:e'' 121011. an p el 111 an -h7lit
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materials rn'im up at a .;.;: '-) oerc en t I: c
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30 -
4 „In st all ( - - :‘ , 71. k . i ay ar(s ;. of A.STM,I.57-lb asphalt shingle Da der i ayrn ent
5. Install qa.ivatni7ed valley metal for the ienth of All . s7211eys. Vail CV ,...4 will be el
6. Instt Dew lead boots over vent pipe.. :in ci replace metal Venn vvitn nevv.
7 Chalk lines: shall be F.trick to assitre proper shingle exposure.
'list 5- — Year
7 - ' . ••,..`_,C C"
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/ :-_,, C.1 Et:4S., a self-sealing fatit.a13 reS : i 'g ant fiberglw s J.:tingle.
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c.orre on re '.4i. A ant il ai ls ...:11all be inftalled per nl an LlfCtl! rens ill =1; citilt i ,.. ,.._ , t-, :on , , 5-__
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9_21i on :3
i4lity lc an e -;.,. 1 th-e da.,1z to the ratiers tf.. , cu.rrent SE_ill code. 't •
instal I _.
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— — - — --- -
STATE OF FLORA v !OF PASCO 1111111111111111111111IIIII IIIII Ilill IIIII IIIII IIIII IIII1111
THIS IS TO CERft.-Y TH `f THE'PQ IEGotNG ISA 2010124727
TRUE AND CORRECT COP1''OF-TE DQCUMENT
ON FILE OR Or PUBLIC AECbRD THIS t FFICE
WITNE MY:HAND AND eFFI'2tAL SEAL'THIS Rcpt :1323416 Rec: 10.00
•
3`,>7/ DA''Y OF_ "", 2 ' /U DS : 0.00 IT : 0.00
i l C O 08/31/10 K. Garcia, Dpty Clerk
PAULA S. :N CLERK`' COMPTROLLER
PAULA S.O'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER
BY t DEPUTY :CLERK 08/31/10 10 :53am 1 of g 1
•' • OR BK 8409 PG i 7'T
NOTICE OF COMMENCEMENT
State of FLORIDA County of
Property Identification No.: 11-26-21-001
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Section
713.13 of the Florida State Statutes, the following information is provided in this Notice of Commencement:
1. Description o `property (legal description:) CITY OF ZEPHYRHILLS PB 1 PG 54
5507 8TH ST
Street Address: WLY 65.00 FT OF SLY 15.00 FT
OF LOT 4 & WLY 65.00 FT OF
ZEPHYRHILLS FL 33542 -4109
+ 2. General Description of Improvement: RE R. o F LOTS 5 & 6 & NLY 15.00 FT OF
o
3. Owner Information: EARY LOWELL D
a) Name and address: 3343 WILLISTON LP
b) Name and address of fee simple titleholder (if other than owne ,AND 0 LAKES FL 34639 -4756
c) Interest in property: Owner
ft 4. Contractor: Paul Schaper, 8949 Gall Blvd., Zephyrhills, FL 33541 — Ph: (813) 782 -0920, Fax: (813) 715 -4875
5. Surety: Bauer & Associates, 12210 Highway 301 N. Dade City, FL 33525 - $5,000 bond
ty g Y tY,
6. Lender: Name /Address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: N/A
a) Name and address:
b) Telephone No.: Fax No. (Opt)
8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes: Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541 — Ph: (813) 782 -0920 — Fax: (813) 715 -4875
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA .
COUNTY OF PASCO /Ale
Signature of Owner or Owner authorized ' officer /Director/Partner /Manager
v
Print Name
The foregoing instrument was acknowledged before me this Z'1 day of AL,u (i.. k —t— , 2 , by - --,
as (type of authority, e.g. officer, I tee, att ey in fact) for
(name of party on behalf of whom instrument was ex. cuted)
Personally Known OR Produced Identification Notary Signature Aim& / OP Type of Identification Produced E /,Ark ° 2, 31 2413 _
Verification pursuant to Section 92.525, Florida Statutes, Under penalties of perjury, I declare that I h. = read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
./� .— �/
...a...,,,— .0...„, _.,„a ,„ Y- -- -- —_ . sin. ire of atural Person Signing Above
Notary Public: u��°NleuOAeNU dnayjpepuog `1- Ti " "41.
Print, or Stamp Na of 161 O # uolsslwwo3 , a �'�� �,:
(Type, P �� �� ni ' ^_ • .. �..
110Z'BZ PO sa,ldx3 uoias!wwoO ANI • SUZANNE DOUGLAS -ALLEN
ephold to aim - oggnd AreloN 4, d ( ` , ss \ ''' P°e<�, Notary Public - State 01 Florida
N3lld SVl�f104 3NNVZf1S "m +"
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S ;; � �� o Commission # DD 714319
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A
• • . •JURI`SDI•CTIONjOF YOUR CHOICE
• -.BUILDING {EPARTMENT - • ;
RE: Permit# 10E,1 �! 9/17/07
Inspection Affidavit • - . - - •
•
rr ^ ) eer /Architect;
• - I I c.l, \ < . jL \ l -4 " . v 7J ,li a(n Co ntr actor* /Fngin
(please punt name and circleLic. Typ ! FS 468 Building Inspector
License #.; C-CG 05 S 3 � . •
• - On or about SE. P I (4, Z o f L` • , I did Personally inspect - the roo - .
mate 8afitie) ..
d •k n ailinz.and/or secondary water barrier , work at � J' 5 0 - I B '
•
. -( circle.. grit)_ - _ -
...._ .............. . _._._ __- �J (Job Site Address)
Based upo = "�.• t �', .... • tion I have determined the installation was done according to the •
Hurricane i ■ • on Retrofit Manual Based on 553.844 F. S _)
JO
.......... ..., iv/ 4k . . •
►
- Signature ; i .
STATE OF FLORIDA Z v C;
COUNTY OF r
• Sworn. to and subscribed before me this 14 day. of ') E 1 'FE 11 fJ c l' . 2OO
P
-
Notary Public, State of Florida
,,,,„,,., SUZANNE DOUGLAS -ALLEN
' * a of ommission ,'res • 3 , 2011
'
;,, .47, Commission # 0D714319
1 %;a,'.,,,,•. ,, ,I ,, National N . Assn.` •
Personally known or
Produced Identificatiorn i -
. • Type of identification produced. - . •
* General. Building, Residential, or Roofing Contractor or any individnal certified and 468 F.S. to make such an
insp —tioa Include photographs of each plane of -the roof With the permit # or adders # dearly shown marked on the
deck for each inspection.
T00/T00121 XV3 ZS :8O OTOZ /6T /60