NEW BUILD REPLACEMENT ROOF OVER
SQUARES: METAL SHINGLE
JOB COST: FL. PRODUCT APPROVAL CODE:
SQ. FT: JOB COST:
# OF OUTLETS: ANNUAL FIRE INSPECTION:
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work
or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be
secured for ELECTRICALWORK, PLUMBING, SIGNS, POOLS, AIR CONDITIONERS etc.
I understand all REQUIRED INSPECTIONS will be requested of the work permitted herein. Compliance will
be strictly enforced. This permit is VOID after six (6) months from issuance unless the work it covers has been
commenced and has had ongoing inspections. The Building Official may revoke this permit or remove service,
in such case as there has been any false statement or misrepresentation as to the material fact in the application
or plans, upon which this permit was based.
SIGNATURE OF OWNER / CONTRACTOR DATE