PERMITWARNING TO OWNER: 0 2 - 1 4 ? 5
"YOUR FAILURE TO RECORD A NOTICE OF CON- 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
YOI~R~I(YI'ICE OF COMMENCEMENT." Date Applied:
INOTICE I Prepared By:
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY SE ADDITIONAL RESTRICTIONS APPLICABLE I
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY I
BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENTI Date Issued:
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ~
Permit Type: Permit No.:
PLUMBING PERMIT
INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
City Range
08 43
Property Address
Twnshp. Section
I Sub Dvsn. I Block I Lot
i6 O~ 0~5
Z10 NE ZSTH CT
HAYSL
%/Z3/'0Z
0Z00001%75
R~/Book/Page
0090
Reviewed by
WE
Subdivision Name
Legal Address
ROLLING GREEN RIDGE 1ST ADD
Owner's Name/Address/Telephone
WASHINGTON MUTAL
9951 CIRBIM AVE
NORTHRIDGE
BANK
CA
Co~ractor'sName/Addre~/License/~pho~
FRANK GREEN WELL DRiLLiNG
~5~0 SW COTH ST
HOLLYWOOD FL
954 98~-9878
Addit~l~scri~ion Ge~ral/Amhit~t/Engi~er
TENANT: Z" WELL
Construction
Occupancy I Sq. Ft.
I
Schedule of Fees
FLZ
Valuation
THIS P~RM
BFE FFE
Improvements
wELL
T FEE i5 NOT ~FUNUASL~ ~
330Z3
OTHER FEES:
AUTHORIZED SIGNATURE ........
~,fOT/CF~ ~A[ f ?4?-6355 F~P THqPWCTT~Fq '~"- ~nrr~c ru ~n~w rnmwn~m ~.,nn ~ ~ ~
THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS Al-I P_.~ 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.