PERMIT DOCUMENTS UNIVERSAL COUNTY-WIDE/MUNICIPAL FOR OFFICE USE ONLY
BUILDING PERMIT APPLICATION FORM FBC Version: Permit Type:
July 2013 Edition Accepted By: Application Date:
Approved for use throughout Palm Beach County and Municipalities Application 9:
KIND of PERMIT(CHECK ONE): PROPERTY OWNER:Darryl Jr Sanders
o PRIMARY PERMIT TENANT:
P SUB-PERMIT- If Fee&Value of a Sub-Permit are ADDRESS: 2001 NW 2ND ST UNIT:
covered under a Primary Permit,complete boxes 3 3 4,5.6 & CITY: BOYTON BEACH STATE: FL ZIP:33435
8 only to apply. If not covered under a Primary Permit,
complete the entire application to apply. PHONE: 561-410-3275 FAX:
EMAIL:
a
TRADE (CHECK ONE): PROJECT NAME: SANDER'S PV
o STRUCTURAL ❑ ROOFING P ELECTRICALPCN: 08 - 43 - 45 - 16 - 01 -021 . 0720
o MECHANICAL o PLUMBING o FIRE ❑ GAS
o OTHER: / LEGAL DESCRIPTION:ROLLING GREEN RIDGE 1ST ADD LT 72 BLK 21
PRIMARY PERMIT#: .7 0 —v 3q ADDRESS: 2001 NW 2ND ST
CITY; BOYTON BEACH, FL 33435
f
FURTHER WORK DESCRIPTION: ELECTRICAL PORTION OF A SOLAR PV INSTALLATION
Type of Work: o New o Addition o Alteration o Repair o Demo o Temporary o Other
VALUE: PERMIT FEE: NET S.F(for SFD's):
(SEE FEE SCHEDULE) (AS APPLIES) (AS APPLIES) --
S
OWNER BUILDER PER FL.ST.489(JAS NA ED ABOVE,FOR CONTACT INFORMATION SEE BOX 2) L
CONTRACTOR(CERT. HOLD R): Ah, ' f a Q Z. License JJ:G C 1300 65-30
DBA(COMPIINYNWE): is Winne tits-Cott. tact P-rson: vest Oar)f%SfKO5
•
ADDRESS:L4� 11 r t . r, r• STE: CITY: h STATE: �-{ ZIP : 33461PHONE:.J6/- - / &' FAX: EMAIL: 0 0!. h r A,vtrrQ Q,1ec htcIk1e.Cl/l'f1
Application is hereby made to obtain a permit to do the work and installations as indicated. 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 regu ing construction and zoning.
SI: � e of Owner or A:ent (Including contractor) Si_nature of 0SIM!j di.:con allirr
Print Name: Darryl Jr. Sanders Print Name:
NOTARY REQUIRED IF$2,500 OR MORE,OR FOR ALL OWNER/ NOTARY REQUIRED IF$2,500 OR MORE,OR FOR ALL OWNER/
BUILDERS REGARDLESS OF$VALUE STATE OF FLORIDA BUILDERS REGARDLESS OF$VALUE STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
Sworn to(or affirmed)and subscribed before me this 0Sworn to(or affirmed)and subscribed before me this da'
day of September , 20 20 ,by day of^September 20 tO b
Darryl Jr. Sanders P (op�
y
/ '
(Name of person ma mg statement) (same of rsCN making statement)/
�'—v` _r AE Notary Public Stato of FbMa
t N Pubbc Stam a Fbnda i'
(Signature of Notary Publi - Flgq° Martinez Horaoo Martinez
(Signature of Notary Public- ' Igr id$Commua,yt GG 358497
(Print,Type,or Stamp Com.•-.:A• dthr�01pnciryQru 7 (Print,Type, StampAa tiorniee3w4�Bbiic)
a _ Expires 07/242 or Corn t'.. o m
Personally Known b•; • •• ,• . '-a _ _ - Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
SSW. Upy kti 141 0
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
Fee Simple Titleholder's Name of other than owner): Bonding Company:
Fee Simple Titleholder's Address Of other than owner): Bonding Company Address:
City: State:_Zip: City: State:_Zip:
Same as Owner A Not Applicable
n r:
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 A 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.
OFFICE USE ONLY BELOW THIS LINE
U ]a
CODE EDITION/NOTES: USE (CHECK ONE):
o 1 & 2 FAMILY o TOWNHOUSE o CONDOMINIUM
o MULTI-FAMILY o COMMERCIAL o INDUSTRIAL
o AGRICULTURAL- BLDG CODE EXEMPT o OTHER:
o USE CHANGE:
U
DATE:
Permit Officer..,...,i 'l... • ��.. .• .,•✓,r�i',r�r.^.•.�.r•..�.^.:-l-
AUTHORIZED FOR CERTIFICATE OF,OCCUPANCY:r - " • r DATE
} • 1 ' R •Building Official or Designee t '• -
AUTHORIZED FOR CERTIFICATE OF COMPLETION:
Building Official or Designee
Page 2 of 2
MARINA & ASSOCIATES, P.A.
Consulting Engineers
717 Ponce de Leon Blvd., Suite 329
Coral Gables, FL 33134
Telephone (305) 444-4550 Fax (305) 444-9696
October 15th, 2020
City of Boynton Beach
100 E. Ocean Avenue
Boynton Beach, FL 33435
RE: Process # 20-4392 2001 NW 2nd Street
Dear Sir:
Please see the following responses to the comments for the above referenced project.
Comment:
1. On Plan Page E-2, Electrical Riser Diagram Shows a#6 grounding conductor electrode, as per NEC 250.66 for 2/0
service conductor the ground conductor shall be#4.
Response: Ground conductor has been revised to #4. Please refer to revised sheet E-2.
Comment:
2. Provide electrical application including scope of work and cost, FBC 105.1, FS 489.
Response: Contractor will provide all requested information.
Please feel free to contact me if you have any questions on this matter.
Sincerely,
G\OR :h hM4 a"o,
" 4 ,. No. 48539
-0.. STATE OF
G. Marina, P.E., President �0'• o Ick-
Victor ;'
Florida Registration Number PE0048539 '% � 0 R IO P.:
/0/,;VONAl t\T\\`
'1l11,1111hhllh��\\
/ flf RD LI.Jcri der Installation
most Solar 04, r3i Ll Dov-wkRsraernart
Francisco X. Acevedo CVC57071
Name: Darryl Jr Sanders
561-410-3275 r
Phone: e-Mail:
Name: .._ ____ .- _ - ..
Phone: r e-Mail _
Customer's Address: 2001 NW 2ND ST
BOYTON BEACH
City: . State: FL Zip: . 33435
Project Address: SAME
City: _ State: ' Zip: .,
Solar Specialist:..ACP Phone / e-Mail:.
Solar System 7.6 kW Size
•
Solar Panels:
Number# 19 Brand /Type JINKO JKM400M-72HL-V
Number# .0 Brand / Type .
Inverter(s) / Optimizer(s):
Number# 19 Brand /Type ENPHASE IQ7PLUS-72-2-OUS
Number# Brand /Type _
Roof and panels:
Number# Tiles(flat/barrel) / Metal(ribbed/tiles)/Shingle Flat
Number# . Tiles(flat/barrel) / Metal(ribbed/tiles)/Shingle; Rat
5 years installation warranty included
Special provisions-
Total Contract g 7,600.00
OWNER ACCEPTANCE -The prices, specifications and conditions within this agreement are satisfactory and are hereby accepted.
Contract Amount is based on Site,Structure and System parameters outlined in the PV System Calculator;the owner agrees to these
parameters; any changes to these parameters may result in a Change Order and possible additional charges or credits.
Date Place Customer Signature Solar Specialist
NRGWonder is the DBA name from NRGWonder SE LLC, 1200 Stirling Road. Unit 4 B.Dania Beach,FL 33004 -Solar License nrs 57071 - 57075
MARINA & ASSOCIATES, P.A.
Consulting Engineers
717 Ponce de Leon Blvd. Suite 329
Coral Gables, FL 33134
Telephone (305) 444-4550 Fax (305) 444-9696
October 15th, 2020
City of Boynton Beach
100 E. Ocean Avenue
Boynton Beach, FL 33435
RE: Process # 20-4392 2001 NW 2nd Street
Dear Sir:
Please see the following responses to the comments for the above referenced project.
Comment:
1. On Plan Page E-2, Electrical Riser Diagram Shows a#6 grounding conductor electrode, as per NEC 250.66 for 2/0
service conductor the ground conductor shall be#4.
Response: Ground conductor has been revised to #4. Please refer to revised sheet E-2.
Comment:
2. Provide electrical application including scope of work and cost, FBC 105.1, FS 489.
Response: Contractor will provide all requested information.
Please feel free to contact me if you have any questions on this matter.
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Ai
Sincerely, AAS
/ �}- p�jJ4 , ���R G.
* ; No. 48539 :
10I,512o90
•
'•• STATE OF :*
Victor G. Marina, P.E., President = '•.
Florida Registration Number PE0048539 '���'��0 R 10 P•'���",
/A'''SS/ANAL E*G\\`‘.
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