PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
2/08/02
13:35:16
Application number ..... : 01 00002644
Application status, date : FINALED
Property .......... : 2378 SW 8TH AVE
PCN ............. : 08-43-45-29-11-067-0110
Lot Number ......... :
7/20/01
Zoning ........... : R1AA SINGLE FAMILY (5.40)
Application type ...... : RR RE-ROOF
Application date ...... : 6/26/01
Tenant nbr, name ...... :
Master plan nbr, revwd by :
Estimated valuation .... :
Total square footage .... :
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 8729
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DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION Rec. #
COMPLETE EACH BOXED ENTRY Permit #
(FOR SUB PERMITS ONLY)
PCN# (Palm Beach County Property Control #)
Owner's NameL..~_~,,~",~ .,,¢/~,~-~ ]Owner's Phone~ .~/-
Owner's Address] ,.~.~j-"' ~:S"~..~ /~.ff~'~t,~
ICity I / state ~ zip ._~_~ r. fz. '~'
Fee Simple~itle Holder's Name /,//v,~ (If other than owner's)
Fee Simple Title Holder's Ad_dress /k', 4- (If other than owner's)
Contractor's Compan~ )r-~..I/te~ ~.,~t$~ .~'/~. ]Company Phone
Contact person and emergency phone ~
Company Address
City
ob Name
ob Addres~ -
egal Description]
Pager/Fax#
State /~"~...
__ ~ICE INDUSTRIAL
Bonding Company
Bonding Co. Address
Architect/Engineer's Name //.,/~,~ ·
Architect/Engineer's Address -------
Mortgage Lender's Name
Mortgage Lender's Address
SINGLE FAMILY .~ DUPLEX MULTI-FAMILY
HOTEL
City
(check one) --
ESTIMATED VALUE OF CONSTRUCTIONI $ .~..5'"~, o~
IDETAILED DESCRIPTION OF WORK':I ~,~r~,ov¢ ,o/_~7 ~ ~/~~ ~
CHECK REVIEWER REQUIRED:
Application is hereby required to obtain a permit to do work and insta~ations as in'cared. I ce~i~ that no work or installation has
commenced prior to the issuance of a permit and that all work will be pedormed 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 cedi~ 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 ~ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A~ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Property Owner's or Agent's Signature ~ ~~~~ ~ ~~ ~ Date
STATE OF FLORIDA, CO~TY OF PALM BEACH
The foregoing instrument was acknowledged before me this ~ / ~ (date) by ~g~
who is personally known to me or who has produced ~Z ~ ~ _ _ ~ O ~'~* ~ ~ -~~ ~nd ~(did not)
t~ath. Linda Buford Sm~h
/)
~j ~u~,200~ ~ ~ . ~ ~, ~
~'~e o~[~m~l~6~d~~~e or
printed or stamped Title or rank
S,.n.,u e
/
The foregoing ins~ment was ac~owledged before me this ~ ~~ (date) by
wh~ersonally ~own to me or who has produced ' ~ ' and who did (did not)
ta~e an oath. ~ / ~ ,~ LY~ ANN HAYS ~ '
Signa~re of person taking acknowledgement ~~~ledgement - ~ped,
printed or stamped ~ ~ff Title~ ra~ ............. - ~~ber, if any
(Ce~ificate of C~mpetency. Holder)
Contractor's State Codification of Registration No. ~ ~ ~ ~ O ~ ~
Liabili~ Insurance Expiration D~e~ ~--'~t ~ ~'~ ~ ~(0///
Workers' Compensation Expi~ate ~ ,~-- I ~ I ( f~]~ /
Application Approved By [ ~ ~ ~ ~rmit Officer Date:
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 starling. 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 Ci~ of Boynton Beach.
officer taking acknowledgement - typed,
Serial Number, ~ any
Date
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
J:\SHRDATA\DEVELOPMENT~FORMS.DOC\PERMIT APPLICATION MOD.A.DOC - Revised 6/18/97, 11/4/97, 12/98, 6/99, 8/99, 5/00, 8/00, 9/25/2000
APPLICATION #
APPLICATION DATE:
SETBACKS:
ZONE:
(THIS SIDE FOR OFFICE USE ONLY)
LEFT
RIGHT
MASTER PERMIT #
APPLICATION ACCEPTED BY:
FRONT REAR
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 (A/(~).,
# 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
OVERTIME FEE
SUB-TOTAL
REMARKS:
SINGLE FEE
Building
Clearing & Grubbing
Drainage
Electrical
Excavation
Fill
Fire Alarm
Fire Sprinkler
Irrigation
Landscaping
Mechanical
Paving
Paving/Drainage
Plumbing
Roofing
Sign
Site Lighting
VALUATION FEE
SUB TOTAL
TOTAL
LESS PLAN FILING FEE
Cash Rec'd from: ~_~J-?
Accepted by: (Inifi21_~ / .-'~'
h~.," L'J/'20d L [,1' ]4
} ',,,.,i ' 0L/23
D['rAMI-D:\D[ COUNTY. FLORIDA
MF. TRO-D&DK FLAGLEP. BUILDING
PRODUCT CONTROL NOTICE OF ACCEPTANCE
b'Ionier Lifetile I.,LC
135 NW 20 St.
Boca P, aton
FL 3343
Your application for Product Approval of:
IIUII, D[O'G COOE COMPLIANCE OF'FIC£
METKO.OADE FLAGLER BUILDt~G
t t0 xu'~ST FLrxGLER STREET. SUITE 1603
MiAMi. FLORIDA 33[30-1563
(505) 375-290l FAX (305) 375-2903
CONTRACTOR LIC~h'SI~G SECTIO~
(305) ~75-25Z7 ~AX (~05) ~75-2553
CONTRACTOR ENFORCE~t~NT SECTIONS
(305) 375-2966 FAX 005) 3~5-2903
PROOUCT CONTROL DIVISION
005) 3~5-2902 FAX (305) 372-6339
A t/azz th' ~'hake an d Slate Flat Profile Tile
under Chapter 8 of ihe Code of Miami-Dude County governing the use of Atternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami-Dude
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This approval shall not be valid a~er the expiration date stated below. BCCO reserves tSe right to secure this
product or material at an~ime from a jobsite or manuhcrurer's plant fo? qu-xlity control testing.
If this product or material fails to perform inthe approeed maimer, BCC0 may revoke, modi~', or suspend
tlxe use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined BCCO that this product or material fails to meet the requirements of the Sour Florida Building
Code.
The expense of such testing will be incurred by tF, e manufacturer.
Acceptancel'4o.:99-1012,07 (Revises No.: 98-0604.01)
Expires: 12/16/2002
'Chic[ 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 h~ been reviewed by the BCCO and approved by the Building Code
and Product Review Committee to be used in D~de County, Florida under the conditions set forth, above.
A!.L WORK I~VOLVED ON THIS MIT.SHALL CONFORM
~,~'i ;'.t-~ AI_L (;IT~ OF B/OYNTON BEACH I~UILDING CODES.
.lutern~t mall address: postm~tstcr~baitding¢odconliae*c°m
Director