PERMIT~ 02-t567
WARNING TO OWNER:
"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
YOWR~N~TICE OF COMMENCEMENT." ~ate ~,led:
I NOTICE Prepared By:
TO THIS PROPERTY THAT MAY BI: I-UUNU tr~ ..c rur~-.~ n~,~
BE ADOmONAL PERMITS REQUIRED FROM OTHE
Permit No.:
Permit Type:
ROOFING PERMIT
II~SPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR
~ Range I Twnshp. f Secti°n t SubDvsn' tBlOck
,_~ ~5 ZO ZZ 007
Property Address
8Z7 MW 9TH ST
4;.'Z 6/'0~
GUIFARROC
%"Z6/'OZ
0Z00001567
REQUIRED INSPECTION.
Lot Plat/Book/Page
03ZO
Zoning
Legal Address
SKY LAKE PLAT NO III
Reviewed by
RA
Subdivision Name
OwnefsName/~dmss/~lep~ne
HART, WILLIAM D
8Z7 gTH ST MW
BOYNTOM BEACH
FL 3 ~.~ .-.b- Z 9
Contractor's Name/Address/License/Telephone
M & L ROOFING & CONSTRUCTION
630 iNDUSTRIAL AVENUE
BOYNTON BEACH FL 33~Z6
561 736-7Z11
Additional~scri~ion '"~eneral/Amhit~t/Engi~er
TENANT: SLOPE ROOF 5/i2 27 SQ
Construction BFE FFE FLZ
Occupancy Sq. Ft. Valuation
3 , 645
Schedule of Fees
Improvements
RE-ROOF
* THIS PERMIT FEE IS NOT REFUNDABLE
OTHER FEES:
N'OT I ......
IF THE WORK AUTHORIZED HAS NOT RECEIVED AN APPROVED INSPECTION FOR A PERIOD OF ONE HUNDRED AND E,GHTY 080! 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.
Address;
04/30/2002 tS:tt:02 20020~2OO46
OR BK t3658 PG 0t77
Palm Beach County, Florida
Dorothy H. Wilken, Clerk
Portal[ No, O_..~'
Tax F011o No,_
NOTICE: OF
Slate. of Florida '~ ..
County el Palm Beach J' . ''
The undersigned hereby gives notice that Improvemenis ,,',,ill be made to cerlaln re.al properlyl and In accordance wllh secllon
7~3,'13 01 Ihe Florida Statutes. l~e following In~ormalion is provided In Ibis HOTICE OF COMMENCEMENT.
Legal description of ProPerly (Include ~lre'et' Address~ If avnlloble)"
_ . .....
r l J,I!,o
Fee Simple Title holder (If other than owner)
Address_
Address 630 :l:ndus~rial_Avenue~. BoyDtor[
Surety
Address__
Any person making a 10on for the conslrucllon of lhe Improvements:
N.me. "tV/,4-
Amount of bond $
- !
Address '
Person wllhln the Slate of Florida deslgnaled by owmsr upon whom helices or otl~er documenls may be served as provided by
Section 713,13(1)(o)7., Florlda Statutes,
Name .' H & L R~Pfin~
A d d r e s s ~~t~~u~.,_~y~m a ~m~c h ,_ ~ 3.3.4 i~ __
In eddlllon lo hlmsell, owner designates H &'~ ~n~ & Cons[~c~on
'Of 630 Industrial Avenue, ~ton ~ach, F1 33426
Io receive a copy of the Llenor's Notice as provided In Section 713,~3(1)(b), Florida Statutes,
Expiration dale el Notice el Commencement (the expiration date Is 1 year Item the date °l recording unless o dlllerenl dole is
specified),
THIS SPACE FOR RECOROER'$ USE ONLY
PALM BEACH COUNI'¥, sTATE OF FLORIDA
I hereby certify that the ~egoing is a
OOROTH~f H. WII. KEN ~
C 'r 't rt
Prlnlecl Slgnalure el Owner
Sworn to and subscribed·before me t~ls ___~ day
r
.................... [~ ~ ~'i~-~ .............
-'~ E~es A~ ~ 2~5
My Commission 9xp~r~s ' -~ ·
'Fo:
Re:
Fro,n:
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
"- 0Z-t
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.O~- - [ ~'~ 7
M & b Roofing
630 Industrial Avenue,Boynton Beach,F1
(Contractor)
3 3 4 2 6(Contractor,s Address)
(Owner/s Name)
(Property Address)
CERTIFICATION SELECTION:
~ Certification of roof metal installation, flashing, underlaylnent.
[~-q Certification of re-nailing roof sheathing, and removal and replacement o f damaged or rotted wood.
F~ Other
i, Melvin L. Lowe , [] am an Owner/Builder, [] am certified as aroofing contractor
(License No. RBOOSOO23/U-10273 ) 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 9ffers progressive reroof inspections. I have notified the owner of the property of this
affidavit.
Signat[ff4 of Owner/~uilder or Qualifier ' / Da~'-e-e
STATE OF FLOPdDA, COUNTY OF PALM BEACH /~/
The foregoing instrument xvas acknowledged betbre me this date) by Melvin L. Lowe ., .who is personally
tMl~roduced (type of identification) as identification and who did (did not) take an
(SE~ E~e~ A~u~ ~, 2~5
Signature of person taking acknowledgement D~/II~_~
Name of officer taking acknowledgement--typed, printed or stamped
Title or rank Serial nmnber
DJ:rah 10/6/95, Rev WVll:mh 11/27/95, 1/12/96 2/5/96, Rev DJ:bg 11/29/99, 8/31/2000
~kCH~MAIN\SHRDATA~DEVELOPMENT\ POLICY ~L~NUAL. WP~POLICYMH~SPECCON~ROOFCERT. WPD
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
(ONE & TWO FAMILY DWELLINGS ONLY)
ROOFING CERTIFICATION
DECEMBER 1999
II.
PURPOSE
The purpose of this Policy is to provide a method for certifying installation of roof metal, roof underlayment
and re-nailing of roof sheathing on occupied or finished one and two family dwellings.
AUTHORIZATION
Ill.
Section 103.6 of the 1997 Standard Building Code and Boynton Beach Amendments, 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.
APPLICATION
Qualified applicants may certify the roof metal installation and re-nailing of roof sheathing by preparing an
affidavit certifying that the installation of the roof metal and re-nailing of roof sheathing complies with all
codes, ordinances, 'rules and regulations; that the qualifier or designee personally inspected the specific job;
and that the roof was installed according to the 1997 Standard Building Code, as amended, and the
manufacturer's installation instruction.
This affidavit must be presented to the inspector at the next scheduled inspection on-site or sent to the
inspection office.
When the roof metal and roof sheathing are not inspected at either a Sheathing, Tintag/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 affida6it 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.
Progressive reroof inspections may still be [equested by calling the inspection clerk 24 hours prior
to reroof at (561) 742-6355.
E~4
\~CH\MAIN[SHRDATA\DEVELOPMENT[POLICY MANUAL.WP~POLICYMH~SPECCON~ROOFCERT.WPD