PERMIT WARNING TO OWNER:
"YOUR FAILURE TO RECORD A NOTICE OF COM- CITY OFBOYNTON 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
YOU=IR'NOTICE OF COMMENCEMENT." Date Applied:
NOTICE I Prepared By:
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE i
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECDRDS OF THIS COUNTY AND THERE MAY I
BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT~ Date Issued:
~ DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. I
Permit No.:
Permit Type:
BUILDING PERMIT
iNSPECTIONS ARE
City f Range
08 43
Property Address
REQUIRED: SEE BACK OF PERMIT
45 2,~ 03
208 NE iST ST
Subdivision Name
Owner'sName/~dmss/~lephene
JENNIFER RAMER
LAKE WORTH
FL 3346?
Additional Description
Construction BFE FFE FLZ
Oc~y ~. Ft. ~lu~ion
i,~uu
Schedule of Fees '1
01-0735
ARMOLDR
2/gl/O1
0100000733
CARD FOR REQUIRED
Block f Lot
003 O~ 17..
Zoning
INSPECTION.
Plat/Book/Page
Reviewed by
RA
Legal Address
OWN OF BOYNTON
Contractor's Name/Address/License/Telephone
3ENNIFER RAMER
LAKE WORTH FL 33,~67
General/Architect/Engineer
Improvements
FENCE
'1' ~'~ 15 NL)'I' ~(PJ~'UNI)AHLK x
PAID 35.00 DATE- Z/gl/01 RECEIPT#- O000007~lg 000001174
N 0 T I THIS PERMIT SHALL B UP&ICE, 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.
P ,ep'nit App~o.
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
OV4NER-BL~DER AFF1D AV1T
Bu#din$
Planning .e Zonit~g
Occ,,pationalLicet~es 0 1 . 0 7 3 8
CotntnttniO, Red~,elop.~ent
Neighborho~ ~ciM~t
I hereby apply for a Building Permit in the City of Boynton Beach, Florida, and will personally
supervise and control the permitted construction and will observe all the requirements of the
Building, Electrical, Plumbing, Mechanical, Zoning and other technical codes as adopted and
enforced by the City of Boynton Beach.
WHEN ISSUED, I UNDERSTAND THAT THIS PERMIT IS FOR CONSTRUCTION OF
IMPROVEMENTS EXEMPT UNDER 489.103 (7) OF THE FLORIDA STATUTES, AND
CERTIFY THAT I AM THE BONA FIDE OWNER OF SAID PROPERTY. I ALSO
UNDERSTAND THAT:
State law requires construction to be performed by licensed contractors. I have applied for a permit
under an exemption to that law. The exemption allows me, as the owner of my property, to act as my
own contractor even though I do not have a license. I must supervise the construction myself. I may
build or improve a one-family or two-family residence or a farm outbuilding. The building must be
for my own use and occupancy. It may not be built for sale or lease. If I sell or lease more than one
building I have built myself within one (1) year after the constnmtion is complete, the law will
presume that I built it for sale or lease, which is a violation of this exemption. I may not hire an
unlicensed person as my contractor. My construction must be done according to building codes and
zoning regulations. It is my responsibility to make sure that people employed by me have licenses
required by state law and by county or municipal licensing ordinances.
I certify that I have not completed a residence or duplex under an o;Vner-builder permit within
the past hvelve (12) months.
I, THE OWNER OF PROPERTY DESCRIBED AS
DO HEREBY CERTIFY THAT I HAVE READ THE FOREGOING, AND AM AWARE
OF MY RESPONSIBILITIES AND LIABILITIES FOR CONSTRUCTION WORK ON
THE ABOVE DESCRIBED PROPERTY AND DO HEREBY COVENANT AND AGREE
TO ABIDE BY ALL OF THE AFORESAID STIPULATIONS. I FURTHER
UNDERSTAND THAT ANY FALSIFICATION OF THE ABOVE STATEMENTS
CONSTITUTES FRAUD AND MAY RESULT IN CANCELLATION OF THIS PERMIT
AIq)D 'F~-IE I~MPOSI'I~N OF OTHER PENALTIES AS PRESCRIBED BY LAW.
STATE OF FLORIDA, COUNTY OF PALM BEACH
The fc~Oin.g instrument w~ckno~dged .before me tl~e)
by <~:;Z~:7~-~ ~,r~~~ , wh~-t~m~a~e or xvho has produced
. t/] "' ' (ty~e ofidentificahon) as identification and who did not) take an oath.
Signature of person taking acknowledge~6r~..."~--n~U,.~-'~_~'''-- -
Narne of officer taking acknowledgeF~fi-yLtyped p, rinte'~or stamped /
Title
,,~.~?, doiqn A Pagtiarulo
~t~,kMy Commission CC663030
Revised 6/00 - J:XSHILDATAq3evelopmentWORMS.doc\Owner-Builder Affidavit. doc. 8/24/2000 *%~,,¢~,,,' E.x~roa July la, 1001 .
America's Gateway to the Gulfstream
! DO East Boynton Beach Blvd., P.O. Box 318 Boynton Beach, Florida 334250310 Phone: (561) 7424350 Fax: (561) 7424357
01'0733
November 25, 2002
Kathlein Ambridge
208 NE 1st Street
Boynton Beach, Florida 33435
Re: Permit 01-0733
To whom it may concern:
I would like to request an extension to Fence Permit # 01-0733. The area to be
fenced has taken us much longer to clear than first anticipated. Please extend
the permit until December 31, 2002.
k._ incer¢ly' -
K~t. hlein Ambridge d --
Subscribed. to and. sworn bede me th~s 25th day of November 2002