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PERMIT DOCUMENTS City of Boynton Beach Building Division DEMOLITION SIGN-OFF UTILITY AND CITY VERIFICATION I.GENERAL 215TX25uiBwf ADDRESS OF STRUCTURE TO BE DEMOLISHED/MOVED: TffBuubdifeQspqfsuzDbse LEGAL DESCRIPTION OF STRUCTURE TO BE DEMOLISHED/MOVED: OWNER’S NAME: _________________________________________________________________________________ 214:2CpzoupoCfbdiGM-MMD OWNER’S ADDRESS: _____________________________________________________________________________ 3351XGjstuTuTUF212-GpsuNzfst-GM44:12 CONTRACTOR AWARDED DEMOLITION/MOVING: _____________________________________________________ II.SIGN-OFFS A.- Public UtilityD.- Comcast Cable Account No.: Account No.: Water Meter No.: Date of Disconnect: Date of Disconnect: Verification Signature and Date Sewer Date of Disconnect: Verification Signature and Date E.- Natural Gas Date of Meter Removal: B.- Florida Power & Light Verification Signature and Date Account No.: Date of Disconnect: Verification Signature and Date F.- LP Gas Company Name: Account No.: C.- BellSouth Date of Disconnect: Account No.: Verification Signature and Date N/A N/A Date of Disconnect: Verification Signature and Date STEVEN STEFANO - AT&T OSP ENGINEER 10.MARCH.2021 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division AREA UTILITY SUPPLIERS To assist you in identifying potential utility holders, the following list is being provided. THIS LIST IS NOT INCLUSIVE AND OTHER ENTITIES MAY HAVE UTILITY RIGHTS. It is the applicant’s responsibility to identify all utility holders. CABLE: GAS: Comcast Florida Public Utilities Phone: 800-266-2278 Phone: 838-1768 Customer Service Fax: 838-1769 M-F 8AM-5PM M-F 8AM-5PM 7201 N Federal Hwy Attn: Engineering Boca Raton, FL 33487 401 S Dixie Hwy. West Palm Beach FL 33401 For form go to www.fpuc.com Your account services, demolition clearance request form Mailing: PO Box 3395, W P B FL 33402-3395 (Include self-addressed, stamped envelope) ELECTRIC: TELEPHONE: Florida Power & Light Company BellSouth Telephone Phone: 742-2000 Main Contact: 561-357-6410 Fax: 742-2016 Fax: 561-964-3499 M-F 7:30AM-4PM M-F 8AM-5PM 9329 S Military Trail 2021 S Military Trail (Between Forest Hills & Purdy Ln) Boynton Beach FL 33436 -2901 West Palm Beach FL 33415-6499 (www.fpl.com) Attn: Robert Lowen Note: The applicant can drop off the form in person but it will not be signed immediately, they will have to come back. WATER/SEWAGE: City of Boynton Beach Utilities Dept. Phone: 742-6400 Fax: 742-6299 M-F 7:00AM-4:00PM 124 E Woolbright Road Boynton Beach FL 33426-6040 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) March 10, 2021 CREIGHTON COMMERCIAL DEVELOPMENT ST 2240 WEST 1 ST SUIT 101 FORT MYERS, FL 33901 mdeangelo@creightondev.com TH Re: 114 SW 14 AVE BOYNTON BEACH; 106 SW 14TH AVE BOYNTON BEACH; 104 SW 14TH AVE BOYNTON BEACH Effective 03/08/2021, FPL has removed the meter and disconnected the FPL service wire to the above referenced address. However, before demolishing the structure, you should have the premises checked by a qualified individual to assure that electricity is not being supplied to the structure from any possible source. If there are any questions, or if I may be of further assistance in this matter, please contact me at the telephone number below. Sincerely, FRANCISCO AVILA-ORTEGA Associate Engineer 561-742-2007 A NEXTera ENERGY Company City of Boynton Beach Building Division DEMOLITION SIGN-OFF UTILITY AND CITY VERIFICATION I.GENERAL 215TX25uiBwf ADDRESS OF STRUCTURE TO BE DEMOLISHED/MOVED: TffBuubdifeQspqfsuzDbse LEGAL DESCRIPTION OF STRUCTURE TO BE DEMOLISHED/MOVED: OWNER’S NAME: _________________________________________________________________________________ 214:2CpzoupoCfbdiGM-MMD OWNER’S ADDRESS: _____________________________________________________________________________ 3351XGjstuTuTUF212-GpsuNzfst-GM44:12 CONTRACTOR AWARDED DEMOLITION/MOVING: _____________________________________________________ II.SIGN-OFFS A.- Public UtilityD.- Comcast Cable Account No.: Account No.: Water Meter No.: Date of Disconnect: Date of Disconnect: Verification Signature and Date Sewer Date of Disconnect: Verification Signature and Date E.- Natural Gas Date of Meter Removal: B.- Florida Power & Light Verification Signature and Date Account No.: Date of Disconnect: 1401903132 Verification Signature and Date F.- LP Gas Gsbodjtdp!Bwjmb.Psufhb Company Name: Account No.: C.- BellSouth Date of Disconnect: Account No.: Verification Signature and Date Date of Disconnect: Verification Signature and Date 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division AREA UTILITY SUPPLIERS To assist you in identifying potential utility holders, the following list is being provided. THIS LIST IS NOT INCLUSIVE AND OTHER ENTITIES MAY HAVE UTILITY RIGHTS. It is the applicant’s responsibility to identify all utility holders. CABLE: GAS: Comcast Florida Public Utilities Phone: 800-266-2278 Phone: 838-1768 Customer Service Fax: 838-1769 M-F 8AM-5PM M-F 8AM-5PM 7201 N Federal Hwy Attn: Engineering Boca Raton, FL 33487 401 S Dixie Hwy. West Palm Beach FL 33401 For form go to www.fpuc.com Your account services, demolition clearance request form Mailing: PO Box 3395, W P B FL 33402-3395 (Include self-addressed, stamped envelope) ELECTRIC: TELEPHONE: Florida Power & Light Company BellSouth Telephone Phone: 742-2000 Main Contact: 561-357-6410 Fax: 742-2016 Fax: 561-964-3499 M-F 7:30AM-4PM M-F 8AM-5PM 9329 S Military Trail 2021 S Military Trail (Between Forest Hills & Purdy Ln) Boynton Beach FL 33436 -2901 West Palm Beach FL 33415-6499 (www.fpl.com) Attn: Robert Lowen Note: The applicant can drop off the form in person but it will not be signed immediately, they will have to come back. WATER/SEWAGE: City of Boynton Beach Utilities Dept. Phone: 742-6400 Fax: 742-6299 M-F 7:00AM-4:00PM 124 E Woolbright Road Boynton Beach FL 33426-6040 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division DEMOLITION SIGN-OFF UTILITY AND CITY VERIFICATION I.GENERAL 215TX25uiBwf ADDRESS OF STRUCTURE TO BE DEMOLISHED/MOVED: TffBuubdifeQspqfsuzDbse LEGAL DESCRIPTION OF STRUCTURE TO BE DEMOLISHED/MOVED: OWNER’S NAME: _________________________________________________________________________________ 214:2CpzoupoCfbdiGM-MMD OWNER’S ADDRESS: _____________________________________________________________________________ 3351XGjstuTuTUF212-GpsuNzfst-GM44:12 CONTRACTOR AWARDED DEMOLITION/MOVING: _____________________________________________________ II.SIGN-OFFS A.- Public UtilityD.- Comcast Cable Account No.: Account No.: Water Meter No.: Date of Disconnect: Date of Disconnect: Verification Signature and Date Sewer Date of Disconnect: Verification Signature and Date E.- Natural Gas NO NAT. GAS Date of Meter Removal: 3-9-2021 B.- Florida Power & Light Verification Signature and Date Account No.: DIST TECH I Date of Disconnect: Verification Signature and Date F.- LP Gas Florida Piblic Utilities Company Name: N/A Account No.: N/A C.- BellSouth Date of Disconnect: 03/11/2021 Account No.: Verification Signature and Date Date of Disconnect: Manager, Propane Operations Verification Signature and Date 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division AREA UTILITY SUPPLIERS To assist you in identifying potential utility holders, the following list is being provided. THIS LIST IS NOT INCLUSIVE AND OTHER ENTITIES MAY HAVE UTILITY RIGHTS. It is the applicant’s responsibility to identify all utility holders. CABLE: GAS: Comcast Florida Public Utilities Phone: 800-266-2278 Phone: 838-1768 Customer Service Fax: 838-1769 M-F 8AM-5PM M-F 8AM-5PM 7201 N Federal Hwy Attn: Engineering Boca Raton, FL 33487 401 S Dixie Hwy. West Palm Beach FL 33401 For form go to www.fpuc.com Your account services, demolition clearance request form Mailing: PO Box 3395, W P B FL 33402-3395 (Include self-addressed, stamped envelope) ELECTRIC: TELEPHONE: Florida Power & Light Company BellSouth Telephone Phone: 742-2000 Main Contact: 561-357-6410 Fax: 742-2016 Fax: 561-964-3499 M-F 7:30AM-4PM M-F 8AM-5PM 9329 S Military Trail 2021 S Military Trail (Between Forest Hills & Purdy Ln) Boynton Beach FL 33436 -2901 West Palm Beach FL 33415-6499 (www.fpl.com) Attn: Robert Lowen Note: The applicant can drop off the form in person but it will not be signed immediately, they will have to come back. WATER/SEWAGE: City of Boynton Beach Utilities Dept. Phone: 742-6400 Fax: 742-6299 M-F 7:00AM-4:00PM 124 E Woolbright Road Boynton Beach FL 33426-6040 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division DEMOLITION SIGN-OFF UTILITY AND CITY VERIFICATION I.GENERAL 215TX25uiBwf ADDRESS OF STRUCTURE TO BE DEMOLISHED/MOVED: TffBuubdifeQspqfsuzDbse LEGAL DESCRIPTION OF STRUCTURE TO BE DEMOLISHED/MOVED: OWNER’S NAME: _________________________________________________________________________________ 214:2CpzoupoCfbdiGM-MMD OWNER’S ADDRESS: _____________________________________________________________________________ 3351XGjstuTuTUF212-GpsuNzfst-GM44:12 CONTRACTOR AWARDED DEMOLITION/MOVING: _____________________________________________________ II.SIGN-OFFS A.- Public UtilityD.- Comcast Cable Account No.: Account No.: Water Meter No.: Date of Disconnect: Date of Disconnect: Verification Signature and Date Sewer Date of Disconnect: Verification Signature and Date E.- Natural Gas NO NAT. GAS Date of Meter Removal: 3-9-2021 B.- Florida Power & Light Verification Signature and Date Account No.: DIST TECH I Date of Disconnect: Verification Signature and Date F.- LP Gas Florida Piblic Utilities Company Name: N/A Account No.: N/A C.- BellSouth Date of Disconnect: 03/11/2021 Account No.: Verification Signature and Date Date of Disconnect: Manager, Propane Operations Verification Signature and Date 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division AREA UTILITY SUPPLIERS To assist you in identifying potential utility holders, the following list is being provided. THIS LIST IS NOT INCLUSIVE AND OTHER ENTITIES MAY HAVE UTILITY RIGHTS. It is the applicant’s responsibility to identify all utility holders. CABLE: GAS: Comcast Florida Public Utilities Phone: 800-266-2278 Phone: 838-1768 Customer Service Fax: 838-1769 M-F 8AM-5PM M-F 8AM-5PM 7201 N Federal Hwy Attn: Engineering Boca Raton, FL 33487 401 S Dixie Hwy. West Palm Beach FL 33401 For form go to www.fpuc.com Your account services, demolition clearance request form Mailing: PO Box 3395, W P B FL 33402-3395 (Include self-addressed, stamped envelope) ELECTRIC: TELEPHONE: Florida Power & Light Company BellSouth Telephone Phone: 742-2000 Main Contact: 561-357-6410 Fax: 742-2016 Fax: 561-964-3499 M-F 7:30AM-4PM M-F 8AM-5PM 9329 S Military Trail 2021 S Military Trail (Between Forest Hills & Purdy Ln) Boynton Beach FL 33436 -2901 West Palm Beach FL 33415-6499 (www.fpl.com) Attn: Robert Lowen Note: The applicant can drop off the form in person but it will not be signed immediately, they will have to come back. WATER/SEWAGE: City of Boynton Beach Utilities Dept. Phone: 742-6400 Fax: 742-6299 M-F 7:00AM-4:00PM 124 E Woolbright Road Boynton Beach FL 33426-6040 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division DEMOLITION SIGN-OFF UTILITY AND CITY VERIFICATION I. GENERAL 217TX25uiBwf ADDRESS OF STRUCTURE TO BE DEMOLISHED/MOVED: TffBuubdifeQspqfsuzDbse LEGAL DESCRIPTION OF STRUCTURE TO BE DEMOLISHED/MOVED: MjfcfsnboKbdpc OWNER’S NAME: _________________________________________________________________________________ 215TX25uiBwf/-CpzupoCfbdi-GM44546 OWNER’S ADDRESS: _____________________________________________________________________________ CONTRACTOR AWARDED DEMOLITION/MOVING: _____________________________________________________ II. SIGN-OFFS A.- Public Utility D.- Comcast Cable Account No.: Account No.: Water Meter No.: Date of Disconnect: Date of Disconnect: Verification Signature and Date Sewer Date of Disconnect: Verification Signature and Date E.- Natural Gas Date of Meter Removal: B.- Florida Power & Light Verification Signature and Date Account No.: Date of Disconnect: 1401903132 Verification Signature and Date F.- LP Gas Gsbodjtdp!Bwjmb.Psufhb Company Name: Account No.: C.- BellSouth Date of Disconnect: Account No.: Verification Signature and Date Date of Disconnect: Verification Signature and Date 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division AREA UTILITY SUPPLIERS To assist you in identifying potential utility holders, the following list is being provided. THIS LIST IS NOT INCLUSIVE AND OTHER ENTITIES MAY HAVE UTILITY RIGHTS. It is the applicant’s responsibility to identify all utility holders. CABLE: GAS: Comcast Florida Public Utilities Phone: 800-266-2278 Phone: 838-1768 Customer Service Fax: 838-1769 M-F 8AM-5PM M-F 8AM-5PM 7201 N Federal Hwy Attn: Engineering Boca Raton, FL 33487 401 S Dixie Hwy. West Palm Beach FL 33401 For form go to www.fpuc.com Your account services, demolition clearance request form Mailing: PO Box 3395, W P B FL 33402-3395 (Include self-addressed, stamped envelope) ELECTRIC: TELEPHONE: Florida Power & Light Company BellSouth Telephone Phone: 742-2000 Main Contact: 561-357-6410 Fax: 742-2016 Fax: 561-964-3499 M-F 7:30AM-4PM M-F 8AM-5PM 9329 S Military Trail 2021 S Military Trail (Between Forest Hills & Purdy Ln) Boynton Beach FL 33436 -2901 West Palm Beach FL 33415-6499 (www.fpl.com) Attn: Robert Lowen Note: The applicant can drop off the form in person but it will not be signed immediately, they will have to come back. WATER/SEWAGE: City of Boynton Beach Utilities Dept. Phone: 742-6400 Fax: 742-6299 M-F 7:00AM-4:00PM 124 E Woolbright Road Boynton Beach FL 33426-6040 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division DEMOLITION SIGN-OFF UTILITY AND CITY VERIFICATION I. GENERAL 217TX25uiBwf ADDRESS OF STRUCTURE TO BE DEMOLISHED/MOVED: TffBuubdifeQspqfsuzDbse LEGAL DESCRIPTION OF STRUCTURE TO BE DEMOLISHED/MOVED: MjfcfsnboKbdpc OWNER’S NAME: _________________________________________________________________________________ 215TX25uiBwf/-CpzupoCfbdi-GM44546 OWNER’S ADDRESS: _____________________________________________________________________________ CONTRACTOR AWARDED DEMOLITION/MOVING: _____________________________________________________ II. SIGN-OFFS A.- Public Utility D.- Comcast Cable Account No.: Account No.: Water Meter No.: Date of Disconnect: Date of Disconnect: Verification Signature and Date Sewer Date of Disconnect: Verification Signature and Date E.- Natural Gas Date of Meter Removal: B.- Florida Power & Light Verification Signature and Date Account No.: Date of Disconnect: Verification Signature and Date F.- LP Gas Company Name: Account No.: C.- BellSouth Date of Disconnect: Account No.: Verification Signature and Date N/A N/A Date of Disconnect: Verification Signature and Date STEVEN STEFANO - AT&T OSP ENGINEER 10.MARCH.2021 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09) City of Boynton Beach Building Division AREA UTILITY SUPPLIERS To assist you in identifying potential utility holders, the following list is being provided. THIS LIST IS NOT INCLUSIVE AND OTHER ENTITIES MAY HAVE UTILITY RIGHTS. It is the applicant’s responsibility to identify all utility holders. CABLE: GAS: Comcast Florida Public Utilities Phone: 800-266-2278 Phone: 838-1768 Customer Service Fax: 838-1769 M-F 8AM-5PM M-F 8AM-5PM 7201 N Federal Hwy Attn: Engineering Boca Raton, FL 33487 401 S Dixie Hwy. West Palm Beach FL 33401 For form go to www.fpuc.com Your account services, demolition clearance request form Mailing: PO Box 3395, W P B FL 33402-3395 (Include self-addressed, stamped envelope) ELECTRIC: TELEPHONE: Florida Power & Light Company BellSouth Telephone Phone: 742-2000 Main Contact: 561-357-6410 Fax: 742-2016 Fax: 561-964-3499 M-F 7:30AM-4PM M-F 8AM-5PM 9329 S Military Trail 2021 S Military Trail (Between Forest Hills & Purdy Ln) Boynton Beach FL 33436 -2901 West Palm Beach FL 33415-6499 (www.fpl.com) Attn: Robert Lowen Note: The applicant can drop off the form in person but it will not be signed immediately, they will have to come back. WATER/SEWAGE: City of Boynton Beach Utilities Dept. Phone: 742-6400 Fax: 742-6299 M-F 7:00AM-4:00PM 124 E Woolbright Road Boynton Beach FL 33426-6040 100 East Boynton Beach Blvd, PO Box 310, Boynton Beach FL 33425-0310 Phone: (561) 742-6350 Fax: (561) 742-6357 S:\\Development\\Building\\Forms&Templates\\Demolition Sign-Off Utilities & City Verification (9/02,12/02,1/03,5/03,7/03,7/06,9/06,10/07,12/07, 11/08, 06/09)