PERMIT APPLICATIONBP200101 CITY OF BOYNTON BF2%CH 8/24/01
Application Inquiry 11:12:56
Application number ..... : 98 00002352
Application status, date : APPROVED 5/29/98
Property .......... : 2301 NW 2ND ST
PCN ............. : 08-43-45-16-01-021-0410
Lot Number ......... :
Zoning ........... : RI SINGLE FAMILY (7.26)
Application type ...... : PD PAVING
Application date ...... : 5/29/98
Tenant nbr, name ...... : WIDEN DRIVEWAY
Master plan nbr, revwd by : LAH
Estimated valuation .... : 1440
Total square footage .... : 0
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 6899
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D~P;~'~{ ~ C.F D]~-~,-]~LOp~~I'~
BUIT.~-)I~--(~ DIVISION
BUI~ING P~T ~PLI~TION
(Please Print) Pe~it ~
(FOR ~ P~ITS O~Y)
PCN %
(Palm Beach Cou~ Pro~y Con~1%)
o~er's N~e (~~ ~~~',~ O~er's Phone %
O~er'~address ~]/ ~; ~~
City ~/~)~J ~~ - -
State / ~ C - Zip.
Fee Simple Titleholder's N~e
(If other than o~er)
Fee Simple Titleholder's Address~ ,
~~/~ ~~o~e than o
Contractor's N~e /' ~~ 's
ontractor Phone
Contractor's Address ~~ ~/~ ~ '
Job Name ~ .:
Job Addre
City.
Legal Desc .ption "--
Bonding Company. ~"
Bonding Co. Address City.
Architect/Engineer' s N~e
Architect/Engineer' s Address
Mortgage Lender' s N~e
Mortgage Lender ' s Address
SINGLE F~ILY:__ DUPLEX: ~LTI-F~ILY:__ HOTEL: ~TAIL: OFFICE:__ I~USTRI~:
(check one)
DESCRiPTiON OF WO~: ~' ~~.
Application is hereby made to obtain a pe~it to do the work and installations as indicated. I
certify that no work or installation has co~enced prior to the issu~ce of a pe~it and that
all work will be perfo~ed to meet the standards of all laws re~latin~ construction in this
jurisdiction. I underst~d that a separate pe~it must be secured for ELECTRIC~ WORK,
PL~BING, SIGNS, ~LLS, POOLS, FU~ACES, BOILERS, H~TERS, T~S, ~d AIR CO~ITIONERS, ETC.
O~ER'S AFFIDAVIT: I certify that all the fore~oin~ info~tion is accurate ~d that all' work
will be done in compliance with all applicable laws re~latin~ construction and zoning.
W~ING ~ O~: YO~ FAIL~ ~ ~CO~ A N~ICE OF CO~C~ ~Y ~T IN YO~ PAYING
~CE FOR I~RO~S ~ YO~ PROP~. IF YOU ~ ~ OBT~ F~C~, CON~T ~ YO~
L~ OR ~ A~~ B~O~ ~CO~G YO~ N~ICE OF CO~C~.
Property ~er' s or ~t's Si~t~e Date
STATE OF FLORIDA, CO~ OF P~ B~CH
The fore~oin~ instr~ent was ac~owled~ed before me this (date) by
, who is personally ~o~ to me or who has produced
(t~e of identification) as identification ~d who did (did not) take an
oath.
(S~n)
Signature of person takin~ ac~owled~ent
N~e of officer takin~ ac~owled~ement--t~ed, printed or st~ed
Title or rank _ _ __ ~; ~Se~al~er, if any
. D~g~ ,'
~rm~Qin~jn~r~ent' was ac~oW%edged before me this ~ ~ /~ (date) by
;~/~.//~~ ~ , wh~is persona~ly ~o~ to me or ~o has produced
- ~t~>, ~om%~o~9~m~dentificati~) as identifi~tion and wh~ ~t) take an
oath. ,~~ .~c · - ,7 ~7 // /~ //'
Signature son taking ac~owled~emen~)~ ~
Name of officer taking ac~owledgement--t~d, printed or st~ed ( ~/~ ~
Title or rank Serial n~er, if any
, (Certificate of Competency Ho~de~)/ %' ~.
Contractor s State Certification or Registration No. (~~ %~
cOntractor's Certificate of Competency No/ ~O~ ~
wo~m~s' CO~mNS~W~ON ZX~W~ON O~W~: ~/~7 ~ ~
APPLICATION APPROVED B~f~.g~.',---//~J~ Permit Officer '~ate: .~'
~y change in building plans or specifications must be recorded wi~ this office. ~y work not
covered above must have a valid pe~it prior to starting. In consideration of the granting of
this pe~it, the o~e= and builder agree to erect this structure in full compliance with the
Building and Zoning Codes of the City of Boston Beach.
NOTE: This permit VOID after 180 DAYS ~LESS the work which it covers has been co~enced. All
Contractors must have valid State Certification or County Competency plus County ~d City
Occupational Licenses prior to obtaining pe~it.
ISSU~CE OF THIS PE~IT DOES NOT AUTHORIZE VIOLATION OF DEED RESTRICTIONS
THIS PE~IT OR P~S FILING FEE IS NOT ~F~LE
(THIS SIDE FOR OFFICE USE ONLY)
Application #
Master Plan $
APPLICATION DATE:
RECEIVED BY:
SETBACKS: LEFT RIGHT FRONT REAR
ZONE:
ROAD IMPACT FEE
TYPE OF CONSTRUCTION SEWER FEE
OCCUPANCY TYPE WATER FEE
ROOF TYPE .PARKS FEE
FENCE TYPE SCHOOL FEE
AREA SQUARE FEET PUBLIC BLDG. FEE
FLOOD ZONE LAW ENFORCEMENT FEE
BASE FLOOD ELEVATION RADON FEE
FINISH FLOOR ELEVATION BCAIF
NUMBER OF STORIES ADDITIONAL FEE
NUMBER OF UNITS PENALTY FEE
PARKING SPACES.REQUIRED
PARKING SPACES PROVIDED. SUB-TOTAL
# OF BEDROOMS
# OF BATHROOMS
SINGLE FEE
__Site Impr.
__Building
__Electrical
__~echanical
__Plumbing
REMARKS: Roofing
Drainage
__.Excavation
__.Landscaping
Paving
Sign
Sewer
SUB-TOTAL
LESS PLAN FILING FEE
REOUIREMENTS FOR CERTIFICATE OF OCCUPANC~ TOTAL AMOUNT DUE -~-/
CERTIFICATE OF COMPLETION__ RECEIPT NUMBER I~(~~
__.SITE FINAL ,SIGN FINAL DATE PERMIT ISSUED
__FIRE FINAL OTHER INTERIM SERVICES FEE CALCULATIQ~$
__PAVING FINAL ,OTHER Residential:
X =
__DRAINAGE FINAL # of units applicable Interim
monthly fee Services Fee
__?ENCE/BUFFER WALL FINAL
Commercial:
__.SITE LIGHTING FINAL .divided by 1,000 =
# of sq.ft. (rounded to base sq.
nearest tenth) ft. rate
C.O. OR C.C. AUTHORIZATION
X =
base sq.ft, applicable Interim
Signature Date rate monthly fee Services
Fee
A:PE~/~lTAP.WPL-2/92, rev.7/93, 4/95-bh