R24-215 RESOLUTION NO. R24-215
2
3 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH,
4 FLORIDA, APPROVING A BUILDING PERMIT APPLICATION, NOTICE OF
5 COMMENCEMENT, AND PERMISSION TO INSTALL FORMS SUBMITTED BY BAXTER
6 ADVENTURES, INC., D/B/A FASTSIGNS LAKE WORTH, TO INSTALL A MONUMENT
7 SIGN IN FRONT OF THE BOYNTON BEACH ARTS & CULTURAL CENTER; AND FOR
8 ALL OTHER PURPOSES.
9
10 WHEREAS, the Art and Culture division of the City purchased a monument sign to be
11 installed in front of the Arts and Cultural Center. In order for the installation to be completed, the
12 City must sign the Building Permit Application, Notice of Commencement, and Permission to
13 Install forms submitted by Baxter Adventures, Inc., d/b/a Fastsigns Lake Worth; and
14 WHEREAS, the City Commission, upon the recommendation of staff, has deemed it in the
15 best interests of the city's citizens and residents to approve a Building Permit Application, Notice
16 of Commencement, and Permission to Install forms submitted by Baxter Adventures, Inc., d/b/a
17 Fastsigns Lake Worth, to install a monument sign in front of the Boynton Beach Arts & Cultural
18 Center.
19
20 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON
21 BEACH, FLORIDA, THAT:
22 SECTION 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
23 being true and correct and are hereby made a specific part of this Resolution upon adoption.
24 SECTION 2. The City Commission of the City of Boynton Beach, Florida, does hereby
25 approve a Building Permit Application, Notice of Commencement, and Permission to Install forms
26 submitted by Baxter Adventures, Inc., d/b/a Fastsigns Lake Worth, to install a monument sign in
27 front of the Boynton Beach Arts & Cultural Center, in form and substance similar to that attached
28 as "Exhibit A."
29 SECTION 3. The City Commission of the City of Boynton Beach, Florida, hereby
30 authorizes the Mayor to execute the forms. The Mayor is further authorized to execute any
31 ancillary documents as may be necessary to accomplish the purpose of this Resolution.
32 SECTION 4. The executed forms shall be provided to Craig Clark for further processing.
33 SECTION 5. This Resolution shall take effect in accordance with law.
34 ^-0( I_
35 PASSED AND ADOPTED this day of -l�.r✓► 2024.
36 CITY OF BOYNTON BEACH, FLORIDA
37 Y- NO
38 Mayor—Ty Penserga
39 6.
40 Vice Mayor—Aimee Kelley
41
42 Commissioner—Angela Cruz
43
44 Commissioner—Woodrow L. Hay
45 V
46 Commissioner—Thomas Turkin
47
48 VOTE 10
49 ATTEST
50051 A_. ��� AiryII
52 Maylee D,• Je , MPA, M Ty •en .r.: 1' Zo1'/
53 City Clerk —•• Mayor
rO F B�Y
54
55 f V; S.� 'S;• - APPROVED AS TO FORM:
56 (Corporate Seal)
ilN L
57 ff
7
5 8 1f, '•.1920 TED i� , MA j 04176
h 1 '�� I Shawna G. Lamb
59 0 IDA
60 City Attorney
September 4, 2024
To: City of Boynton Beach
PO Box 310
Boynton Beach, FL 33425
RE: Boynton Beach Arts & Cultural Center
This letter serves as authorization for Fastsigns Lake Worth and their
agents to install a sign at 125 E Ocean Ave, Boynton Beach, FL 33435. The sign
has the landlord's approval.
Thank You,
Signature: ,/ V2/2611
Print Name: T _ a. evt
STATE OF FLORIDA
COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this 97.25 ,?0, L,
(Date
by y � C ��y
(Name of person ackn ledging)
who is personally known to me or has produced
(Type of Identification)
ooko III11{111111//1/
as identification and who did /did not take an oath. �,���kteY t Stq,
�pSARYpG•!p''%
, I. ' Q.f/Y1' SF ��n:� s=
(Signature of pers.n taking acknowled ent) I ..EXp/C04,
Tammy L. Stanzione 3.25.202N . 1
(Name of person taking acknowledgment typed,printed or stamped � O �pP;
y� N�1
Instrument Prepared By:
Name: Chris Campbell
Address:2001 10th Ave N Ste 2
Lake Worth, FL 33461
PERMIT NUMBER: NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is
provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO NO(PCN).: 08-43-45-28-48-004-0000
Legal Description BOYNTON BEACH TOWN SQUARE PAR 4
125 E OCEAN AVE, BOYNTON BEACH, FL 33435
2. GENERAL DESCRIPTION OF IMPROVEMENT: INSTALLING NON-ILLUMINATED MONUMENT AND LETTERS
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a.Name and address: CITY OF BOYNTON BEACH,100 E BOYNTON BCH BLVD,BOYNTON BCH, FL 33435
b.Interest in property:
c.Name and address of fee simple titleholder(if different from Owner listed above):
4. a.CONTRACTOR'S NAME: FASTSIGNS LAKE WORTH
Contractor's address: 2001 10TH AVE N STE 2 LAKE WORTH, FL 33461 b.Phone number: 561-439-4700
5. SURETY(if applicable,a copy of the payment bond is attached):a.Amount of bond: b:Phone number:
c.Name and address:
6.a.LENDER'S NAME:
Lender's address: b.Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes:
a.Name and address:
b.Phone numbers of designated persons:
8.a.In addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b),Florida Statutes.
b.Phone number of person or entity designated by Owner:
9. Expiration date of notice of commencement(the expiration date will be 1 year from the date of recording unless a different date is specified): ,20
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 WITH YOUR LE I. ' OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
° .// /v 61 Ty Nt150(gp�(Signature I • . ner o e e,or I wner's or Le5715/10
(Print Name and Provide Signatory's Title/Office)
Authorized Officer I r or/Partner/Manager) \,,
tiouttori
State of County of Ra._ \'��� ' (' a``,������ 1 MMY iftS s
w'� e
..............• ,
The foregoing instrument was acknowledged before me by means of ®physical presence or 0 online notarization, YAG tit
this a5 day ofSQ[J\EJM\220 by \h/ 1 r5� . , 18:•V4,40, C•m zI (name of person) jitv� � ',
as WC \ for"-\\-\e, C a:)\ � ?Sj •
(name of party ct behalf of whom instrument was executed) (type of authority...e.g officer,trustee,attor ey in fact) OL% O
�• !20RIOP
sb
... NR HH 31"S
Personally Known • or Produced Identification ® Type of Identification Produced �r��.'•.arnifam......
,"
(Sig lure df Notary Public)
(Print,Type, is g_d Name of ry Public)
d nzione
Rev.08-15-22
UNIVERSAL COUNTY-WIDE/MUNICIPAL FOR OFFICE USE ONLY
BUILDING PERMIT APPLICATION FORM FBC Version: Permit Type:
January 2020 Edition Accepted By: Application Date:
Approved for use throughout Palm Beach County and Municipalities Application#:
t z
KIND of PERMIT(CHECK ONE): PROPERTY OWNER:BOYNTON BEACH CITY OF
❑O PRIMARY PERMIT TENANT:BOYNTON ARTS&CULTURAL CENTER
❑SUB-PERMIT-If Fee&Value of a Sub-Permit are ADDRESS: 100 E BOYNTON BEACH BLVD UNIT:—
covered under a Primary Permit,complete boxes 1 3 4.5.6 & BOYNTON BEACH FL 33435
8 only to apply.If not covered under a Primary Permit, CITY: STATE: ZIP
complete the entire application to apply. PHONE: 561-742-6392 FAX:--
PRIVATE PROVIDER:❑PLAN REVIEW['INSPECTIONS EMAIL:CLARKC@BBFL.US
3 4
TRADE(CHECK ONE): PROJECT NAME: BOYNTON BEACH ARTS&CULTURAL CENTER
❑STRUCTURAL ❑ROOFING 0 ELECTRICAL PCN: 0 8 . 4 3 - 4 5 . 2 8 . 4 8 . 0 0 4 - 0 0 0 0
❑MECHANICAL ['PLUMBING ['FIRE ❑GAS
❑x OTHER: SIGN LEGAL DESCRIPTION:BOYNTON BEACH TOWN SQUARE PAR 4 _-
PRIMARY PERMIT#: PROJECT ADDRESS: 125 E OCEAN AVE
CITY: BOYNTON BEACH
s
FURTHER WORK DESCRIPTION: INSTALLING NON-ILLUMINATED MONUMENT WITH ALUMINUM LETTERS
Type of Work: ['New ['Addition ['Alteration ['Repair ['Demo ['Temporary ['Other
VALUE: $11,369.35 PERMIT FEE: NET 5.F(for SFD's):
(SEE FEE SCHEDULE) (AS APPLIES) (AS APPLIES)
6
❑ OWNER BUILDER PER FL.ST.489(AS NAMED ABOVE,FOR CONTACT INFORMATION SEE BOX 2)
[' CONTRACTOR(CERT.HOLDER): TIMOTHY LASKOWSKI License#: CGC057034
DBA(COMPANY NAME): FASTSIGNS LAKE WORTH Contact Person: TIMOTHY LASKOWSKI
ADDRESS: 2001 10TH AVE N STE:2 CITY: LAKE WORTH STATE: FL ZIP:33461
PHONE: 561-439-4700 FAX: — EMAIL: 89FASTSIGNS@GMAIL.COM
Application is hereby made to obtain a permit to do the work and installations 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 ELECTRICAL
WORK, PLUMBING,SIGNS,WELLS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulatin construction and zoning.
7 ge2::÷ ‘—'. 40 r/2 0 V/ 4
(Signature of Owner or Agent)(iwerud contractor) (Signature of Contractor)
Print Name: / FxS A Print Name:
NOTARY REQUIRED IF$2,500 OR MORE,OR FOR ALL OWNER/ NOTARY REQUIRED IF$2,500 OR MORE,OR FOR ALL OWNER/
BUILDERS REGARDLESS OALUE STATE OF FLORIDA BUILDERS REGARDLESS OF$VALUE STATE OF FLORIDA
COUNTY OF VC:A<'r1 (2 . Q\ COUNTY OF
Sworn to(or affirmed)and subscribed before me this D Sworn to(or affirmed)and subscribed before me this
day of Se� _or\WA-20 a 4 ,by day of , 20 ,by
) V L �-
(Name of person making statement) _ (Name of person making statement)
401-7,Vine.4,041111 -1-2(Signature tlir,.Sx Z�ff flgr(da) (Signature of Notary Public-State of Florida)
ran(Print,Type,or Sta • C mmissioned Name of No Public) (Print,Type,or Stam Commissioned Name of Nota Public)
Physical Presence OR Online Notarization Physical Presence OR Online Notarization
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced ____
Page 1 of 2
FEE SIMPLE TITLEHOLDER,BONDING COMPANY,ARCHITECT/ENGINEER AND MORTGAGE LENDER INFO IS REQUIRED WHEN THE
AGGREGATE VALUE(TOTAL COST OF ALL IMPROVEMENTS&NOT JUST WORK AUTHORIZED BY THE INDIVIDUAL PERMIT) IS$2,500 OR
MORE(EXCEPT HVAC REPAIR/REPLACEMENT<$7500).PLEASE ADDRESS ALL ITEMS.
9 10
Fee Simple Titleholder's Name(If other than owner): Bonding Company:
Fee Simple Titleholder's Address(If other than owner): Bonding Company Address:
City: State: Zip: City: State: zip:
❑Same as Owner ['Not Applicable
Architect/Engineer's Name: Mortgage Lender's Name:
Architect/Engineer's Name Address: Mortgage Lender's Address:
City: State: zip: City: State: zip:
[Not Applicable ['Not Applicable
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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.
NOTICE TO CONTRACTOR: FOR A DIRECT CONTRACT GREATER THAN $2,500 (EXCEPT FOR HVAC SYSTEM REPAIR
OR REPLACEMENT LESS THAN $7500), FLORIDA STATUTES REQUIRE THE APPLICANT TO FILE WITH THE ISSUING
AUTHORITY, PRIOR TO THE FIRST INSPECTION, EITHER A CERTIFIED COPY OF THE RECORDED (BY OWNER)
NOTICE OF COMMENCEMENT OR A NOTARIZED STATEMENT (BY OWNER) THAT THE NOTICE OF
COMMENCEMENT HAS BEEN FILED FOR RECORDING, ALONG WITH A COPY THEREOF. IN THE ABSENCE OF A
CERTIFIED COPY OF THE RECORDED NOTICE OF COMMENCEMENT, NO SUBSEQUENT INSPECTIONS CAN BE
PERFORMED UNTIL THE APPLICANT FILES SUCH CERTIFIED COPY WITH THE ISSUING AUTHORITY. THE CERTIFIED
COPY OF THE NOTICE OF COMMENCEMENT MUST CONTAIN THE NAME AND ADDRESS OF THE OWNER, THE
NAME AND ADDRESS OF THE CONTRACTOR, AND THE LOCATION OR ADDRESS OF THE PROPERTY BEING
IMPROVED.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
FOR APPLICATIONS SUBMITTED UNDER THE PRIVATE PROVIDER PROVISIONS OF F.S. SECTION 553.791, THIS
APPLICATION IS NOT CONSIDERED COMPLETE OR SUFFICIENT FOR PURPOSES OF SUBMISSION TO THE BUILDING
DEPARTMENT UNTIL THE APPLICANT SECURES ALL NECESSARY APPROVALS FROM OTHER DEPARTMENTS OR
AGENCIES INCLUDING, BUT NOT LIMITED TO, PLANNING, ZONING, ENGINEERING, FIRE RESCUE,
ENVIRONMENTAL, AND THE FLORIDA DEPARTMENT OF HEALTH.
OFFICE USE ONLY BELOW THIS LINE
13 14
CODE EDITION/NOTES: USE (CHECK ONE):
1:11&2 FAMILY ❑TOWNHOUSE ['CONDOMINIUM
El MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL
❑AGRICULTURAL-BLDG CODE EXEMPT ['OTHER:
❑USE CHANGE:
Page 2 of 2