Get Re Roof Delray Beach Form

ROOF / RE-ROOF PERMIT APPLICATION 100 NW 1st Avenue Delray Beach FL 33444 561 243-7200 Fax 561 243-7221 Website mydelraybeach. com FOR OFFICE USE ONLY PROPERTY CONTROL ------ BLDG PERMIT ROOF PERMIT PLEASE PRINT PERMIT FEE JOB SITE ADDRESS PLAN CHECK FEE PROPERTY OWNER NAME MCR HOME PHONE CELL APPROVALS ROOF CONT R COMPANY NAME PLAN DATE ROOF CONT R ADDRESS P Z DATE CITY ST ZIP BUS* PHONE CELL FAX E-MAIL NOTE PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS* PLANS MUST BE ON THE JOB SITE FOR ALL INSPECTIONS* FINAL INSPECTION IS REQUIRED ON ALL PERMITS* PROJECT COST Labor and Material Check one NEW CONSTRUCTION RECOVER OVER EXISTING REMOVE EXISTING REPLACE R/R A/C UNITS Engineer s Letter Required Mech* Permit Required SINGLE-FAMILY MULTI-FAMILY COMMERCIAL MITIGATION REQUIREMENTS IF SINGLE FAMILY 1. YEAR BUILT check one BEFORE MARCH 2002 Go To 2 AFTER MARCH 2002 2. HOUSE VALUE MUST PROVIDE HOME INSURANCE SUMMARY SHEET OR IF 300 000 OR MORE NOT INCLUDING LAND VALUE COPY OF MOST RECENT TAX BILL OR GO TO 3 PROPERTY APPRAISER OFFICE WEBPAGE 3. SUBMIT RE-ROOFING MITIGATION DOCUMENT PACKAGE and BUILDING APPLICATION TYPE/COLOR OF ROOF MATERIAL REMOVED NOTE FOLLOW MANUFACTURER S GUIDELINES AND NOTICE OF ACCEPTANCE FOR SHINGLE INSTALLATION* ROOF TYPE CIRCLE FLAT SLOPED MANUFACTURER PRODUCT APPROVAL NUMBER SIGNATURE OF QUALIFIER CONTR* REGISTRATION WORKERS COMP STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day OR EXEMPTS FID /FEIN Personally Known Produced Identification Type of Identification Produced SEAL Signature of Notary Public Rvsd. com FOR OFFICE USE ONLY PROPERTY CONTROL ------ BLDG PERMIT ROOF PERMIT PLEASE PRINT PERMIT FEE JOB SITE ADDRESS PLAN CHECK FEE PROPERTY OWNER NAME MCR HOME PHONE CELL APPROVALS ROOF CONT R COMPANY NAME PLAN DATE ROOF CONT R ADDRESS P Z DATE CITY ST ZIP BUS* PHONE CELL FAX E-MAIL NOTE PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS* PLANS MUST BE ON THE JOB SITE FOR ALL INSPECTIONS* FINAL INSPECTION IS REQUIRED ON ALL PERMITS* PROJECT COST Labor and Material Check one NEW CONSTRUCTION RECOVER OVER EXISTING REMOVE EXISTING REPLACE R/R A/C UNITS Engineer s Letter Required Mech* Permit Required SINGLE-FAMILY MULTI-FAMILY COMMERCIAL MITIGATION REQUIREMENTS IF SINGLE FAMILY 1. YEAR BUILT check one BEFORE MARCH 2002 Go To 2 AFTER MARCH 2002 2. HOUSE VALUE MUST PROVIDE HOME INSURANCE SUMMARY SHEET OR IF 300 000 OR MORE NOT INCLUDING LAND VALUE COPY OF MOST RECENT TAX BILL OR GO TO 3 PROPERTY APPRAISER OFFICE WEBPAGE 3. YEAR BUILT check one BEFORE MARCH 2002 Go To 2 AFTER MARCH 2002 2. HOUSE VALUE MUST PROVIDE HOME INSURANCE SUMMARY SHEET OR IF 300 000 OR MORE NOT INCLUDING LAND VALUE COPY OF MOST RECENT TAX BILL OR GO TO 3 PROPERTY APPRAISER OFFICE WEBPAGE 3. SUBMIT RE-ROOFING MITIGATION DOCUMENT PACKAGE and BUILDING APPLICATION TYPE/COLOR OF ROOF MATERIAL REMOVED NOTE FOLLOW MANUFACTURER S GUIDELINES AND NOTICE OF ACCEPTANCE FOR SHINGLE INSTALLATION* ROOF TYPE CIRCLE FLAT SLOPED MANUFACTURER PRODUCT APPROVAL NUMBER SIGNATURE OF QUALIFIER CONTR* REGISTRATION WORKERS COMP STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day OR EXEMPTS FID /FEIN Personally Known Produced Identification Type of Identification Produced SEAL Signature of Notary Public Rvsd.