PERMITWARNING TO OWNER:
"YOUR FAILURE TO RECORD A NOTICE OF COM- crrY OF-BOYNTON BEACR
MENCEMENT MAY RESULT IN YOUR PAYING TWICE BUILDING DIVISION
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC-
ING~.0~.SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOI~R~OTICE OF COMMENCEMENT." Date Applied:
NOTICE
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY
BE ADDrrlONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
HAYSL
Prepared By:
4/Z3/OZ
Date ~ssued:
0Z0000148~
Permit No.:
INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
C,~8I Ra~
Property Address
Lot
6i7i
P~atlBooklPage
Zoning Reviewed by
!£7 SW iOTH AVE RA
Subdivision Name Legal Address
BOWERS PARK
C/O THOMAS W. MCKEAN
BOYNTON BEACH
Construction I BFE
Occupancy I Sq. Ft.
Schedule of Fees
FL 33435-59
FFE I FI_Z
Valuation3,0 0 O
6Z5 AUBURN CIRCLE ~
1 DELRAY BEACH FL
56i ~96- ZOUc3
General/Architect/Engineer
OTHER FEES:
AUTHORIZED
MOTICE: CALL 742-6355 FOR INSPECTIONS
Z , S , C C : 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.
DEPARTMENT OF DEVELOPMENT .
BUILDING DIVISION 0 2 - 1 4 8 9
To:
Re:
From:
AFFIDAVIT
(ONE & TWO FAMILY DWELLINGS ONLY)
City of Boynton Beach, Florida
Department of Development - Building Division
Field Inspection Section
100 East Boynton Beach Blvd., P.O. Box 310
Boynton Beach, FL 33425-0310
Permit No.
(Contractor)
(Contractor's Address)
(Owner/s Name)
(Property Address)
CERTIFICATION SELECTION:
_~, Certification of roof metal installation, flashing, underlayment.
~--~ertification of re-nailing roof sheathing, and removal and replacement of damaged or rotted wood.
~ Other
I, ~/" -~~J~P~- , r-lamanOwner/Builder, el~J" am certified as a roofmg contractor
(License No.' ~ ~/ti O~'~',4.3 ) and do hereby certify that all roof work (as indicated above) has been
performed at the above address in accordance with Chapter 15 of the 1997 Standard Building Code. I understand that
the City of Boynton Beach offers progressive reroof inspections. I have notified the owner of the property of this
affi~~,
S!g~re (~Jt)wner/Builder or Qualifier /Dat~
STATE OF FLORIDA' COUNTY OF PALM BEACH (d~a ~%yf~
The foregoing instrument was acknowledged before me this /~/~F't'~ ~?,_te)by '~ ,who is personally_
known to me or who has produced (type of identification) as identification and who did (did not) take an
oath.
(SEAL)
Signature of person taking acknowledgement
Name of officer taking acknowledgement--typed, pr
Title or rank Serial number ~'~ ......
DJ:mh 10/6/95, Rev WVH:mh I1/27/95, 1/12/96 2/5/96, Rev DJ:bg 11/29/99, 8/31/2000
~ \ CH\MAIN~SHRDATA~DEVELOPMENT\ POLICY MANUAL. WP~ POLICYMH~ SPECCON~ROOFCERT. WPD
02-1489
City of Boynton Beach (~ /
ve,o, me.t a.me. ,/7 IIBIIIIIIflHIIIIIIIIIIIIIIIIIIIIIIIIIIllt
~ NOTICE OF COMMENCEMENT oE°~/19/~oo~R 13~4 p611 =46:~6~ 875 ~00~0~00487
State
of: ~o'ro[hy 1t. ~[ken, Cle'rk
THE UNDERSIGNEO her~y gives notice that improv~ent will ~ made to ~ffain real properly, and in a~rdan~ with
Chapter 713, Flodda StatUes, the follo~ng info~ation is provid~ in this Noti~ ~ C~m~ent:
1. L.ald.cHption ofp.pe~: ~' (or a,ach ~ga, descdpt~n) Lot
3. General descHp~on of improvement:
5. Contractor Information:
6. Suret
Name: .
Address:
Phone Number I Bond Amount $
7. Lender Information: f
Address:
Phone Number I Bond Amount
8. Pemons within the State of Florida, designated by O~mer upon whom notices or other documents may
be served as provided b~f Section 713.1,311)!.)~7), Florida Statutes:
Address:
Phone Number:. I Fax Number.
9. In addi'don to himself or herself, ovmer d~ignata~:
Address:
Phone Ntaflber: I Fax Number. ,
to receive a copy of the Lienor's Notice as provided in Section 713.13(,.)(b), Florida Statutes.
EXPIRATION DATE OF TJtlS NOTICe' , . (expires I year from date of recording unless a different date is specified)
Who is personally know to me or who has produced identification
Type of Identification: (Cerlified CoDy Seal)
Printed Name:
ry Seal)