PERMITWARNING TO OWNER: 0 2 - 1 4 0 4
"YOUR FAILURE TO RECORD A NOTICE OF COM- CITY OF BOYNTON BEACH
MENCEMENT MAY RESULT IN YOUR PAYING TWICE BUILDING DIVISION
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC-
ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOU~W(M'ICE OF COMMENCEMENT." Date Applied: 4,'"18/"0£
! LC RECORDS OF THIS COUNTY AND THERE MAY J
IBE ADOITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITLES SUCH AS WATER MANAGEMENT
~DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Date Issued:
Permit Type:
ROOFING PERMIT
INSPECTIONS ARE
City I Range
08 43
Property Address
!301 sW ZTTH PL
SubdMsbn Name
!30I SW Z7TH PL
-~OYNTON BEACH
,56'1 39£- Z4-~Z
GUIFARROC
Permit No.:
REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
Twnshp' ! Secti°n I SubDvsn' I Bl°ck I Lot Plat/Book/Page
-/'5 32' 03 0i2 02'40
Zoning R~.~-~;."~I by
RA
Owner's Name/Address/Telephone
Additional Descriplion
TENANT: TILE ROOF
Sq. Ft.
Construction
Legal Address
GOLF VIEW HARBOUR £ND SEC
AND FLAT
BFE FFE FLZ
Contractor'sName/~dre~/License/~lephone
ZC5 SE 5TH AVE
BOYNTGN BEACH FL
561 737-Z383
General/Architect/Engineer
334'35
4/i8/0:2
020000140%
Schedule of Fees
OTHER FEES:
AUTHORIZED SIGNATURE ........................
~0 T ' ' - ~ ~ .~ , ~ . . ,
THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ISSUANCE, OR
IF THE WORK AUTHORIZED HAS NOT RECEIVED AN APPROVED INSPECTION FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS.
Any change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit prior to starting. In consideration
of the granting of this permit, the owner and builder agree to erect this structure in full compliance with the Building and Zoning Codes of the City of Boynton Beach,
Florida. This permit fee is not refundable.
To:
Re:
From:
AFFIDAVIT
ROOF METAL AND ROOF SHEATHING INSTALLATION
(EXISTING BUILDINGS)
City of Boynton Beach, Florida
Department of Development- Building Division
Field Inspection Section
100 East Boynton Beach Blvd., P.O. Box 3 I0
Boynton Beach, FL 33425-0310
Permit No. 0 2 - 1 4 0 4
A.A.M. INDUSTRIES, INC.
.(Contractor)
225 SE 5TH AVE, BOYNTON BEACH, FL 33435
Christine Geffken
1301 SW 27th Place
CERTIFICATION SELECTION:
Certification of roof metal installation
Certification of re-nailing roof sheathing
Other
(Contractor's Address)
(Owner/s Name)
(Property Address)
0 '1404
I, ARNOLD A MORETTO /__/am an Owner/Builder,/X__/am cerli.fied as a roofing
Contractor (License No. CG
COO 1229 ) and do hereby certify that all roof work (as indicated above)
has been performed at the above address in accordance with the Section 103.1 of the Standard Building
Code and County -wide Amendments.
Signature of Qualifier Date
swo
No~Public
RoofCert. Aff. doc
My Commission Expires:
'' omc~N~Ys~ i
~u~ s w~rr£ I
N~y ~ ~A~ ~ ~R~A I
COMM~ION NO. CC~5~
MY COMM~ION EXP. A~. 5,~J
DEPARTMENT OF DEVELOPMENT
BUILDING DMSION
ROOFING CERTIFICATION
DECEMBER 1995
I. PURPOSE
The purpose of this Policy is to provide a method for certifying installation of roof
metal and re-nailing of roof sheathing on occupied or finished buildings.
H. AUTHORIZATION
Section 103.6, Page 5 of the 1994 Standard Building Code, as adopted by the City of
Boynton Beach, provides that requirements necessary for the public safety, health and
general welfare not.specifically covered by the standard or other technical codes shall be
determined by the Building Official.
Ill. APPLICATION
Qualified applicants may certify the roof metal installation and g-nailing of roof
sheathing by preparing an affidavit on his/her letter certifying that the installation of the
roof metal and re-nailing of roof sheathing complies, with all codes, ordinances, roles and
regulations; that the qualifier, owner, or designee personally inspected the specific job;
and that the roof was installed according to the 1994 Standard Building Code, as
amended, and the manufacturer's installation instruction.
This affidavit must be presented to the inspector at the next scheduled ir~pection on-site
or sent to the inspection office.
When the roof metal and roof sheathing are not inspected at either a Roof Metal or Final
Inspection, the Structural Building Inspector will either fail the inspection until certified
by the applicant or pass the inspection if the signed affidavit is present at the job site.
When a Final is the only scheduled inspection and an affidavit is supplied, the Inspector
shall add the comment, "CERTIFIED", and pass the inspection.
THIS POLICY IS FOR RESIDENTIAL STRUCTURES ONLY
ROOFING CERTIFICATION.doe
2~ 12/95 sd
Rmutn to: (enclose se(f-addressed ,stamped envelope
~.: ~2~ S.E. 5~h Avenue
B0Yn~on Beach, FL 33435
This lnst~ment Prepared b~:
N.me: Same
Addr~ls:
Appraisers PIreai
08-43-45-32-03-012-0240
IIIJlllllllllllllJ|llllllllJllllJ
04/19/a00~ 15:43:46 ~00a0~01416
OR BK 136~6 I~ 1~37
Palm Beach County~ Florida
Dorothy H. gilken, Clerk
02-1404
SPACB ABOVE THIS LINE FOB ItBCOBDLNG DATA
NOTICE OF COMMENCEMENT
Tax Folio No.
SPACE ABO~E THIS LINE FOR PROCESSING DATA
P.,,, No. - I 0%L
State of Florida ! 08 -4 3-4 5-3 2-03 -01 2 -0240
County of. Palm Beach
The undemlgned hereby gh~ noUee ~ Impm~ementa ~dll be m~de to cemln md Pm9~, end In ~d~nce ~h
keg~ desc~p~on o! papery (in~ude Street Address, ff available)
13.01 SW 27th Place~ Boynton Beach~ FL 33426
Golfview Harbour 2nd Sec Lot 24 Block 12
General description of improvements Reroof Tile & Flat Roofs
Owner's Name Christine Geffken
Address 1301 SW 27th Place, Boynton Beach, FL 33426
Owner's Interest in site of the improvement
Fen'Simple Title holder (if other than owner)
Address
C0ntm~0r A.A.M. Industries r Inc.
Addrm22~ SE 5th Ave.. Boynton Beacht
Surety N/a ,
Address
Lender's Name' N/A
Phone: Fax:
FLphone:561-737-2383 Fax:561-737-7888
Phone: Fax:
Amount of bond $,
Address: ' ' Phone: Fax:
Persona within the State of Iqoridl designated by owner upon whom notices or other doeumenta may he eerved i8 pro-'
vialed by ~4ction 713.13(1Xi)7, Florida Statutes.
N&me H/A
Address ~ Phone: Fax:
In addition to htmssH, owner designates N/A
Of Phone: Fax:
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. ·
Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a differant date ts q)ecilkld)
· ,..; . .;>'.."< .
~ PALM BEACH COUNTY, STATE OF FLORIDA ':. "''
ff, lliJiJ
'~; ~ Oo~ H.. ~LKEN~ ' : "...
.. ' · · cui uA. . : :...'
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