PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
Application number ..... : 02 00001612
Application status, date : FINALED
Property .......... : 406 NE 13TH AVE
PCN ............. : 08-43-45-21-20-001-0100
Lot Number ......... :
5/09/02
12/i8/02
13:05:12
Zoning ........... : R2 DUPLEX (9.68)
Application type ...... : SR SHUTTERS
Application date ...... : 4/30/02
Tenant nbr, name ...... :
Master plan nbr, revwd by :
Estimated valuation .... :
Total square footage .... :
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 6428
8 ACCORDIANS
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DEPARTMENT OF DEVELO'PM -
BUILDING DIVISION
1612
BUILDING PERMIT APPLICATION
(Please Print)
Permit # ~)~ Q ~ [ ~
(FOIl SUB I'ERMITS ONLY)
PCN# O?-~$ - ¥~'"- ~,l - ~. 0
Owner's Name
Owner's Address
Fee Simple'ilia ~lder s Name
Fee Simple Title Holder's Address
Contractor's Company
Contact person and emergency phone,
Company Address
Job Address
Legal Description
(Palm Beach County Properly Control #)
Owner's Phone # .~-& ! - ~- 3 z. - Ah ? 5--7-
Slate ~/_
· Company Phone fl
q~"¥- y'Z_J"- oz-o*~
Pager/Fax#
Stale F/---
Zip
(If other than owner's)
(If other Ihan owner's)
Zip ,
Bonding Co. Address
Architect/Engineer's Name ~P?. 3 .n 2002
Architect/Engineer's Address
City
Slale
Mortgage Lgnder's Name
Morlgage Lender's Address
· FILE COPYe
I~UII. DIN(~ DIVISION
SINGLE FAMII,Y ~ I)tllq.F.X .... MULTI-FAMILY ____ HOTEL____ RETAIL
(check one)
ESTIMATED VALUE OF CONSTRUCTION $
DETAILED DESCRIPTION OF WORK: _
OFFICE INDUSTRIAL
Application is hereby required to obtain a permit to do work and installations as indicated. I cedify Ihal no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meal lhe slandards of all codes, laws, rules and
regulations governing construction in Ihis jurisdiction. I undersland Ihat a separale permit must be secured for ELECTRICAL, PLUMBING,
SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS AND AIR CONDITIONING WORK, ETC.
OWNER'S AFFIDAVIT: I cedify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
codes, laws, rules and regulations governing construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS' TOeYOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Property Owner s or Agent's Signature ",,, Date~....----~
STATE OF FLORll)A, COUNTY OF PALM BEACII ~
Thc foregoing inshumcnl was acknowl~gcd before mc Ibis . ...... ~ .. . (ti;Itc) by
who is. i,c,'son',lly, know,, lo ,ne or whh~pl' *,'o~,ccd .... .............. ~d~c~i~i; ~,n~ W~;-di, iwhu
,,,..no,,,,.
Signature of person ,aki,,g ack~o$~edget, ent Name or officer taking acknowledgement- t~ea,
printed or stamped ~~ .... ~ Serial Numar, irany
Contractor's Signaturek~ Date ~ Y~3
STATE OF FLORII)A, COUNT~LM BEACII ~ ff
Thc lbr%~as acknowledged[ bcror~ mc II,is Oq/~/~ ~<'$~lc) by ~~
who ~ally ~ me a who has produced .... ' / --~:~ ~ COMMlSS~;~c$~ and wh~d (did not)
(~)
Signature of person laking
prinlcd or slampcd ................... Tide or rank .
(Certificate of Compolonc~ Holder)
Contractor's Slalo Geflifi~alion of Registration No, ~ ~ ~ o.~ ~ ~ ~ /
kiabili~ Insurance Expiration Dato a .~¢/o ~
Workers'Compensalior, Expiration~ ,~'/~1/ o~ ~/'0/0~__
Application Approved By _ __~~ ' '¢ . Permil Officer Date:
Any change in building l)lans or specifications must bo rocorde(I with Ihls otlice. Any work riel covered above musl haw) a valhl permll prior
to starling, in consideration of granting this permit, the owner and builder agree lo erect this structure in full compliance wilh the Building
and Zoning Codes el the City of Boynton Beach.
of officer taking acknowledgement - typed,
............ Serial Nmnhcr, il'any ........
NOTE: This permit VOID after 180 DAYS UNLESS the work which it covers has commenced. All Contractors must have
valid Stale Certification or County Competency plus County and City Occupational Licenses prior to obtaining permit.
ISSUANCE OF THIS PERMIT DOES NOT AUTHORIZE VIOLATION OF DEED RESTRICTIONS
FEES ARE NOT REFUNDABLE
APPLICATION # MASTER PLAN #
APPLICATION DATE: RECEIVED BY:
SETBACKS: LEFT
ZONE:
RIGHT
FRONT
TYPE OF CONSTRUCTION
OCCUPANCY TYPE
FENCE TYPE
ROOF TYPE
FLOOD ZONE
BASE FLOOD ELEVATION
FINISH FLOOR ELEV. (PROPOSED)
NUMBER OF UNITS
PARKING SPACES REQUIRED
PARKING SPACES PROVIDED
AREA SQUARE FEET (GROSS)
AREA SQUARE FEET (NET)
# OF STORIES
# OF BEDROOMS
ADDITIONAL FEE
BCAIF
PARKS FEE
PENALTY FEE
PUBLIC BLDG. FEE
RADON FEE
-ROAD IMPACT FEE
SCHOOL FEE
SEWER FEE
WATER FEE
FIRE DEPT. FEE
SUB-TOTAL
REMARKS:
SINGLE FEE
Building
Clearing & Grubbing
Drainage
Electrical
Excavation
Fill
Fire Sprinkler
Irrigation
Landscaping
Mechanical
Paving
Paving/Drainage
Plumbing
Roofing
Sign
Site Lighting
SUB-TOTAL
VALUATION
REAR
FEE
REQUIREMENTS for
CERTIFICATE OF OCCUPANCY
CERTIFICATE OF COMPLETION
FINALS:
SITE
FIRE
DRAINAGE
PAVING
SITE LIGHTING
SIGN -
FENCE/BUFFER WALL
OTHER
OTHER
AUTHORIZATION for CERTIFICATE OF OCCUPANCY:
Date
AUTHORIZATION for CERTIFICATE OF COMPLETION:
Dale
TOTAL
LESS PLAN FILING FEE
TOTAL AMOUNT DUE
RECEIPT NUMBER
DATE ISSUED
INTERIM SERVICES FEE CALCULATIONS:
Residential:
X
# of Units Applicable
Monthly Fee
Commercial:
# of Sq. Ft
Interim
Services Fee
Base Sq. Ft
x
Applicable Interim
Monthly Fee Services Fee
,J:~SHRDATA\DEVELOPMENT~FORMS.DOC\PERMIT APPLICATION.DOC - Revised 6/18197, 11/4/97, 12/98, 6/99, 8199
Divided by 1,000 :
(rounded to Base Sq. Ft
Nearest tenth) Rate
PREPARED 4/30/02, 15:02:30 PAYMENTS DUE RECEIPT
CITY OF BOYNTON BEACH PROGRAM BP820L
APPLICATION NUMBER: 02-00001612 406 NE 13TH AVE
FEE DESCRIPTION AMOUNT DUE
OZ-1G12
BUILDING PERMIT 36.72
TOTAL DUE
Please present this receipt to the cashier with full payment.
Date: 5/8~/8~ 8~ Receipt no:
To~al f, ende~cl
To~) pe)~ent
MIAM
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
MIAMI-I),\DE CO[JNT¥. FLORII)A
METRO-I)AI)I'~ FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI. FI.ORIDA 3313{1-1563
(305) 375-29~1 FAX (3051 375-2908
AABCO Storm Shutter Manufacturing, Inc.
1577 SW 1st Way E-8
Deerfieid Beach, FL 33441
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product
Review Committee (BCPRC) to be used in Miami Dade County and other areas where allowed by the Authority
Having Jurisdiction (AH J).
This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the
AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality
assurance purposes. If this product or material fails to perform in the accepted manner, tile manuf,'tctur{~r will incur
the expense of such testing and the AHJ may immediately revoke, modify, or suspend tile use of such product or
material within their jurisdiction. BCPRC reserves tile right to revoke this acceptance, if it is determined by
BCCO that this product or material fails to meet the requirements of tile applicable building code.
This product is approved as described herein, and has been designed to comply with the South Florida Building
Code, 1994 Edition for Miami-Dade County or Florida Building Code.
DESCRIPTION: ASSA/Economy Aluminum Accordion Shutter
APPROVAL DOCUMENT: Drawing No. 98144, titled "ASSA/Economy Aluminum Accordion Shutter", sheets
1 through 9, prepared by Walter Tilit, P.E, dated 6/5/98, bearing the Miami-Dade County Product Control
Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product
Control Division.
MISSILE IMPACT RATING: Large and Small Missile Impact
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its dist,-ibutors
and shall be available for inspection at the job site at tile request of the Building Official.
This NOA renews NOA # 99-0115.01 and consists ol'this page I as well as approval clocument mentioued above.
The subn~itted documentation was rcx;iewed by I~.aul Rmlrigucz
NOA No {}2-0122.06
Expiraliou l)atc: February 13, 2006
Approvali)nte: Feb,'ua,'y 13,21)02
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