PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
1/28/02
14:21:02
Application number ..... : 01 00002445
Application status, date : FINALED
Property .......... : 12 E TARA LAKES DR
PCN ............. : 08-43-45-30-16-000-0120
Lot Number ......... :
8/22/01
Zoning ........... : PUD PLANNED ZONED DISTRICT
Application type ...... : RW REPLACE WINDOWS
Application date ...... : 6/13/01
Tenant nbr, name ...... :
Master plan nbr, revwd by :
Estimated valuation .... :
Total square footage .... :
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 9709
4 REPLACEMENT WINDOWS
RA
2326
0
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DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION Rec. #
(Please Print)
Permit #
(FOR SUB PERMITS ONLY)
(Palm Beach County/Property..Contrql gL
Owner's Phone #
~-~ Zip
{If oth~ than owner's)
lDf other than owneEs)
Owner's Name ~'~V e.,
Owner's Addl-essLj' ['J~ V"~.~ 'T-~'.c,('~
City t~ -(~,,- j,~ .... State
Name
Fee Simple T'~I~' Hbld~r'~ .....
Fee Simple Title Holder's Ac~dress .
Contractor's Company
Contact person and e~r~ncy ahone
Company Address ~ ~0. ~ ~ ~~ ~ ~ Pager/Fa~
Ci~ ~ ~'b ~ - State ~'~ Zip
JobNam~ ' ~ -.-
Job Address ~ ~ -~[~ f~ ~L[~ ~,
Legal Description
Bonding Co. Address IQ // City
Architect/Engineer's Name /
Architect/Engineer's Address
Mortgage Lender's Name //" ......
Mortgage Lender's Ad/dress BUILDING DIVISION
SINGLE FAMILY V DUPLEX MULTI-FAMILY HOTEL LETAIL OFFICE LNDUSTRIAL
(check one)
ESTIMATED VALUE OF CONSTRUCTION $ ~ ~:~ (~. EX::)
DETAILED DESCRIPTION OF WORK:
Application is hereby required to obtain a permit to do work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all codes, laws, rules and
regulations governing construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL, PLUMBING,
SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS AND AIR CONDITIONING WORK, ETC.
OWNER'S AFFIDAVIT: I certify 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 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING ~I:JR NOTICE OF COMMENCEMENT.
Pr°perty Owner's °r Agent's Signature -~-'-'~ d Date ~_-~ /~/~/
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this ~/~/c~ r' (date) ~gc~t_~-~'' '~'~' ' ,~ ,~ ~ ,/~
who is personally known to me or who has produced /-~ 4- ~/~ /. / c~ ~/' as identification and who did (did not)
take an oath. vR¥ P4,~ JOHN BELGARD .
ff t~ ~ COt,Ual,SS,ON # CC 677801 /t
(SEAL) ~ ~[[ ~ EXPIRESSEP7,2tX31 . ;/ ,~ //
Signature of person taking acknowledg~d~ ........ Jm.m.2f.H2~,~//~/~/~l~ame of officer taking acknowledgement - typed,
printed or stamped ~'~ ~ ...... ~ ...... ~i~J~'-0~ ~lii~l~ Serial Number, if ally __
Contractor's SIgnature . .... ,/ Date (,~! ~
STATE OF FLORIDA, COUNTY OF PALM BEACH ·
The foregoing instmment was acknowledged before me this L0!~!r'~ [ (date) by F~"- ~,~_. [_.[)L~[~L~
who is personally known to me or who has produced .... : ..a~ i~ltj~tion and who did (did not)
take an oaths. ----- ,,,_~o_:'.~,,,, n,~.~st.m.e
C' . ~.~omm~on # PuC 8724g9
= ": Ex~ires 8ep. 21. 2003
(SEAL) ., ; ,
printed or stamped [(..~.<~. [ .~_ ~.~ Title or rank_ __ Serial Number, if any
..~.:~,,. ~nstine ~eibert
Contractor's State Certification of Registration No. (Certil...~.,~(..,(./)~,~_.) ~l [,~,{ID~older)fllsa~ of~omoeterlc.,v hi
Lz,
Workers' Compensation Expiration D/~~ t Officer Dai;:" ~'~':¢ .~.
Application Approved By [ c/ ~, ~
Any change in building plans or specifications must be recorded with this offic'~. ~Any work not covered above must have a valid permit prior
to starting. In consideration of granting 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.
NOTE: This permit VOID after 180 DAYS UNLESS the work which it covers has commenced. All Contractors must have
valid State 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
\\CH\MAIN\SHRDATA\DEVELOPMENT~FORMS.DOC\PERMIT APPLICATION.DOC - Revised 6/18/97, 1114/97, 12/98, 6/99, 8/99, 5/00
APPLICATION #
APPLICATION DATE:
SETBACKS: LEFT
ZONE:
(THIS SIDE FOR OFFICE USE ONLY)
MASTER PLAN #
RECEIVED BY:
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
VALUATION
REMARKS:
SINGLE FEE
Building
Cleadng & Grubbing
Drainage
Electrical
Excavation
Fill
Fire Sprinkler
Irrigation
Landscaping
Mechanical
Paving
Paving/Drainage
Plumbing
Roofing
Sign
Site Lighting
REAR
FEE
SUB-TOTAL
REQUIREMENTS for
CERTIFICATE OF OCCUPANCY
CERTIFICATE OF COMPLETION
FINALS:
SITE SIGN
FIRE __ FENCE/BUFFER WALL
DRAINAGE
PAVING OTHER
SITE LIGHTING ~ OTHER
AUTHORIZATION for CERTIFICATE OF OCCUPANCY:
Date
AUTHORIZATION for CERTIFICATE OF COMPLETION:
Date
TOTAL
LESS PLAN FILING FEE
TOTAL AMOUNT DUE
RECEIPT NUMBER
DATF- ;SSU~.D
# of Units
Commercial:
INTERIM SERVICES FEE CALCULATIONS:
Residential:
X =
Applicable
Monthly Fee
# of Sq. Ft
Divided by 1,000
(rounded to
Nearest tenth)
Base Sq. Ft
X
Applicable
Monthly Fee
Interim
Services Fee
Base Sq. Ft
Rate
Interim
Services Fee
METROPOLITAN DADE E;OUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE DEPARTMENT
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Vinyl Tech/Progressive Glass Technology
1070 Technology Drive
Nokomis FL 34275
SUITE 1603
METRO-OADE FLAGLER BUILDING
t40 WEST FLAGLER STREET
MIAMI. FLORIDA
(305) 375-2901
FAX (305) 375-2908
Your application for Product Approval oE
Series 4000 Aluminum Single Hung IVindow (3/16" atmealed glass)
under Chapter 8 of the Metropolitan Miami-Dade County Code governing the use of Alternate Materials and
Types of Construction, and completely described in the plans, specifications and calculations as submitted by:
Applicant, along with drawings prepared by Mr. Robert L Clark, P.E., and test reports
prepared by Fenestration Testing Laboratory, Inc.
has been recommended for acceptance by thc Building Code Compliance office to be used in Mimni-Dade
County, Florida under the conditions set forth herein. This approval contains 3 pages.
This approval shall not bc valid af~cr thc expiration date stated below. The Office of Building Code Cmnpliance
reserves the right to secure this product or material at anytime from ajobsite or manufacturer's plant for
quality control testing. If this product or material fails to perform in the approved manner, the Building Code
Compliance Office nmy revoke, modify, or suspend the use of such product or material immediately. The
applicant shall re-evaluate this product or material should any ammendments to the South Florida Building
Code be enacted affecting this product or material. The Building Code Compliance Office reserves thc
the right to revoke this approval, if it is determined by the Building Code Compliance Office that this
product or material fails to meet the requirements of the South Florida Building Code. The expense of
such tearing will be incurred by thc manufacturer.
Acceptance No.: 98-0218.02
Expires:08/20/2001 Product Control Supervisor
1'HIS IS THE COVERSIIEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Metropolitan Dade Cot/~t~ Building
Code Compliance Department and approved by the Building Code Committee to be u~'d:i'~adc
County, Florida under thc conditions set forth above.
I of 3
Approved: 08/20/1998
EUILDIN~ DIVISION
ger, t'.~. -
de Compliance Dept.
' Dade County
MIAM[-DAD£ COUNTY. FLORIDA
METRO-DADE FLAGL£R BUILDtN(i
PRODUCT CONTROL NOTICE OF ACCEPTANCE
PGT Industries
1070 Technology Drive
Nokomis
FL 34274
BUILDING CODE COMPLIANCE OFFICE
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STREET. SUITE
MIAMI. FLORIDA
(305) 375-2901 FAX (305) 375-29~8
CONTRACTOR LICENSING SECTION
(305} 375-2527 FAX (305} 3'/5-2558
CONTRACTOR ENFORCEMENT SECTION
(305) 375.2966 FAX (305} 375-2908
PRODUCT CONTROL l)l¥1SlON
Your application for Product Approval of: (305) 375-2902 FAX (305} 372-633§
Series HS201 Aluminum Horizontal Rolling Window
under Chapter 8 of the Code of Miami-Doric County governing thc use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by thc Miami-Doric
County Building Code Compliance Office (BCCO) under thc conditions specified herein.
This approval shall not be valid after the expiration date stated below. BCCO reserves thc right to secure this
product or material at anytime from ajobsite or manufacturer's plant for quality control testing.
if this product or material fails to perform in the approved manner, BCCO may revoke, modi~, or suspend
the usc of such product or material immediateIy. BCCO reserves the right to revoke this approval, il'it is
determined BCCO that this product or material faiIs to meet the requirements of thc South Florida Building
Code.
The exp~nse of such testing will be incurred by the manufacturer.
Acceptance No,: 99-0324.01
Expires:06/27/2002
Chief Product Control Division
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building Code
and Product Review Committee to be used in Dade County, Florida under the conditions set forth above.
Approved: 07/01tl 999
I of 3
~ .~Quintana,'R.A.
Director
Miami-Dade County
Building Code Compliance Oftqcc