PERMIT WARNING TO OWNER: - 0 1 - 0 5 4 9
)UR FAILURE TO RECORD A NOTICE OF COM- C~TY OF BOYNTON BEACH
:ENCEMENT MAY RESULT IN YOUR PAYING TWICE BUILDING DIVISION
3R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC-
,qG, CONSULT WITH YOUR LENDER OR AN AIIORNEY BEFORE RECORDING
YOL~R'"flO~ICE OF COMMENCEMENT." Date Applied:
r NOTICE I Prepared By:
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 ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT I Date Issued:
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Permit Type: Permit No.:
ROOFING PERMIT
INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
City I Range
O@ 4,3
Property Address
TwnshP.45 I Section gE[ I Sub Dvsn.10
Block Lot
Z/08/01
PAGLIARULO
Z/08/O1
0100000549
Pk~t/Book/Page
Zoni~ Revlewed~
130 W OCEAN AVE JP
Su~Msion~me Legal Address
BOYNTON HEIGHTS ADD REVISED PL
Owner'sName/~dmss/~lep~ne
WELLMANN, LISA
130 W. OCEAN AVENUE
BOYNTON BEACH
407 736-1393
FL 33435
Addit~nal~ecri~ion
'[~NAN'I': ~'LA'I' ~UU~' ~-~UU~'
Construction
Schedule of Fees
BFE FFE
Sq. Ft.
FLZ
Valuation
Contra~or'sName/~dm~/License/~lephone
WELLMANN, LISA
130 W. OCEAN AVENUE
BOYNTON BEACH FL
407 736-I393
General/Architect/Engineer
Impmvernen~
RE-ROOF
~'~;'~ iS NOY REFUNDABLE
33435
PAID 35.0C) DATB:~- Z./08./'01 RECEIPT~- 0000007Z6~ 000000000
NOTICE: CALl, 74Z-6355 FOR INSP)i~CT]'C)NS Z4 HOURS IN ADVANCE (BEFORE 5:00 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 pdor 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 Oir DEVELOPMENT
BUILDING DIVISION
(ONE & TWO FAMILY DWELLINGS ONLY)
ROOFING CERTIFICATION
DECEMBER 1999
- 01-0549
II.
III.
I. PURPOSE
The purpose of this Policy is to provide a method for certifying installation of roof metal, roo£underlayment
and re-nailing of roof sheathing on occupied or finished one and two family dwellings.
AUTHORIZATION
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/RoofMetal, or Final
Inspection, the Structural Building Inspector will either fail the inspection until certified by the applicant
or pass the inspection if the signed affidavit 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 requested 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
DEP'AR 'MENT OF DEVELOPMENT
BUILDING DIVISION
AFFIDAVIT
(ONE & TWO FAMILY DWELLINGS ONLY)
To:
Re:
From:
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.5{ 0 [ - ~{/C~
(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
',ti, L/$ ~ /A/~ffd/k/ , ~am an Owner/Builder, [] am certified as a roofing contractor
(License No. ) and do hereby certify that all roof work (as indicated above) has been
performed at the above ad&ess 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
affidavit.
Signature of Owner/Builder or Qualifier
17
Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this ) ('5~-/"]'~ate) by L4'~_ [ ~,w~_.~, w,,who is personally
__ ,(t~e of identification) as identification and who did (did not) take an
oath.kn°wn to me or wh9 has produced ~.,,'~}..,
(SEAL, n~ C
Signature of person taking acknowledgeme
Name of officer taking acknowledgement--typed, printed or stamped
Title or rank Serial number
DJ:rah 10/6/95, Rev WVH:mh 11/27/95, 1/12/96 2/5/96, Rev DJ:bg 1 t/29/99, 8/31/2000
\\CH\MAIN\SHRDATA\DEVELOPMENT\POLICY MANUAL.WP\POLICYM/q\SPECCON\ROOFCERT.WPD