PERMITWARNING TO OWNER: U ~ - ! 4 ~,9
"YOUR FAILURE TO RECORD A NOTICE OF COM- C~TY 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
YOI3R~GTICE OF COMMENCEMENT." Date Applied: %/"Z 2./"0 Z,
NOTICE
lIN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE
IT0 THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY
IBE ADDDONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITLES SUCH AS WATER MANAGEMENT
~DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Permit T~pe:
RUiLuiNG PERMIT'
INSPECTIONS ARE REQUIRED:
City Range I Twnshp.
08 ,4`3r 4`5
Property Address
!3I~ E FAIRFAX CIE
SEE BACK OF PERMIT
Section
07
Sub Dvsn.
14`
Prepared By:
STiMPSONT
Date Issued: % / 30/" 02
Permit No.: O Z000014,6
Rev~wed by
CARD FOR REQUIRED INSPECTION.
Block I Lot Plat/Book/Page
000 J 0600
.IF
Subdivision Name Legal Address
LAWRENCE GROVE FL g
FL 334`36
Ow~FsName/Addmss/~lep~
FAEAH, MICHAEL B
1314` E FAIRFAX CIR
~OYNTON BEACH
Additional Description
'I'k-'N A N 'I': ARfJUND
Construction BFE FFE FLZ
Valuation
4 , 800
Contractor's Name/A~m~/U~n~/~o~
FLORIDA SCREEN, iNC.
1%5 SWAIN BOULEVARD
GREENACRES FL
56i %33-%i54
General/Architect/Engineer
I m_p_ro_ve_r n_e_n_ts .........
Sq. Ft.
33~63--OOOO
Occupancy
Schedu~ of Fees
CREDITED 16.80 DATE- 4`/30/02 RECEIPT~- 000001Z71Z 000000000
CREDITED 60.00 DATE- 4/30/02 RECEIPT#- 0000012713 0O0000000
OTHER FEES:
AUTHORIZED S IGNATUR -
NOTICE: CALL 74Z-635~ FOE IN.g_PECTI(3~S ?.,~ HO[¢P,.g ,fl' AnvAw, ICF. (R~..F',.-tW~. ~:DO P.M'. )
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.
Relurn to: (enclose self-addressed stamped envelope)
Name
Address:
I III1 11111111 11111111111111111111111 111 11111111
04130/2002 14:11:55 20020220240
OR BK 13658 PG 1039
Palm Beach County, Florida
Dorothy H. Wilken, Clerk
ate of Florida
Palm Beach County
Planning, Zoning & Building Department
Building Division
Notice of Commencement Form*
)unty of Palm ~.ach
tE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance
th Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement:
Description of property: /_~r~ ~ ~ ~ ~L ~ ~ b C~ [,, ~
General description of improvement: 5~ p~ ~~~
Owner information:
A. Name
f ; ,
B. Address. ( 3 ~ F~%, ff.., ~'r.-~. ~ .~'~-- ~,-~.-
C. Interest in property Res±dence
D. Name and address of fee simple title holder N/A
Contractor Information:
A~ Name Florida Screen: Tn~_
B. Address 145 Swain RI'vc]_ ?.r~pna~rp, R;
Surety:.
A. Name N/A
B. Address .
Lender Information:
A. Name
B. Address
Persons within the State of Florida designated by
Owner upon whom notices or other documents
may be served as provided by Section 713.13(I)
(a)(7), Florida Statutes: (name and address)...
in addition to himself, owner designates
Florida Screen. Inc.
145 Swain Blvd, Greenacres o FL
to receive a copy of the Lienor Notice as pro-
vided in Section 713.13(I)(b), Florida Statutes.
This notice is being supplied by Palm Beach County,
Planning, Zoning and Building Department as re-
quired by Florida Statute 713.13(I)(d).
Expiration date of Notice of Commencement (the
expiration date is I year from the date of re-
cording unless a differen~t d~ is specified)...
/ Signature of O~-6or
J STATE OF FLORIDA
COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this date_
~- Z~--o?.--by (Name of Person Acknowledging)
~-:~--~ . who iS p~~l:~e _or
who has produced Type of I.D. ' ,as identifi.
.... /% . ~ ., .
~, :. .,.,
~/,/,~SUC.
L~nn C. Lapsle¥
(Name of officer taking acknowledgment typed, printed o~ stamped)
Notary Public
(T'~le or rank)
(Serial number, if any)
100 Ai,.~'trol~n Avenue
~'est Palm Beach, Roflda 3340~
,'407) 233-5130
;4~7) 233-5144 Fax
ADA aXemo~ve documenl
avo~l~e by callng
(407) 233-,5101
PCF I ~7 Rev. 7194