PERMIT WARNING TO OWNER: ~o~s~o" :_=0 2 "1 4 1 3
"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
YOBR~OTICE OF COMMENCEMENT. Date Applied:
I NOTICE J Prepared By: c
IN ADOITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE I
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY~
BE ADOITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITLES SUCH AS WATER MANAGEMENT I Date Issued: /
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. I 6
Permit Type: Permit No.: 0 ?- O 0
REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
P~,u~e~M A~ess
Lo~
!619 ME ~TH ~T
Plat/Book/Page
Subdivision Name Legal Address
ROLL !.krG
Owner's Name/Address/Telephone Contractor's Name/Address/License/Telephone
Rev~,~;.';d by
.S E D
BIRCH FIDELITY TRUST
£326 lOTH AVE !'f W '+03
LAKE WORTH
Additional Description
....... iTT
4!5Z W BLUE HEROt,[ BLVD ~'!I'!i
WEg'T PALM ~EACR FL 33404
56~ 8~-ZZZ7
General/Architect/Engineer
TENANT:
Construction
BFE FFE
Occupancy [ Sq. Ft.
Schedule of Fees
fFLZ
Valuation
!99
Improvements
BURGLAR ALARM
- - ~ FEE !~ NOv REFUNDABLE
CREDITED
OTHER
TYPE- PLAN CHECK FEE
DATE- 6/27/02 RECEIPT#- 0000013055
000000000
~,[O~T~tT- ~z,r r ?~,7- ~'2~ ~q~ T~.rcl3~,,.~.T, Trn.~rc, .~.
THIS PERMIT SHALL BECOME NULL XND V(~D UN[ESS-I=H~-V~ORI~ ,K.U-TH-ORI2-EI~ IS ~OM-M~N-CED'-I~(THI'~ ~)N'E:ICi[.J'N-~'ED ~d~%'~EFG~'~ ~i80)~Di',m~'{FTE~R'I~.~0A~CE, 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 pdor 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.