PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
1/25/02
13:33:20
Application number ..... : 01 00002339
Application status, date : FINALED
Property .......... : 148 OCEAN CT
PCN ............. : 08-43-45-29-03-007-0200
Lot Number ......... :
7/05/01
Zoning ........... : R1AA SINGLE FAMILY (5.40)
Application type ...... : RR RE-ROOF
Application date ...... : 6/06/01
Tenant nbr, name ...... :
Master plan nbr, revwd by :
Estimated valuation .... :
Total square footage .... :
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 3699
20 SQS TILE 3/12 SLOPE
4575
0
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'DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION
Owner's N~me -~}}~ ~, ~T~
Foo 8impldli~l~ Holder's ~mo
Fee Simple Title Holder's Address
Contractor's Company H & ~ Roo~
Project Manager and emergency phone ~ 561-736-7~1 1
Company Address 630 Industrial Avenu~
(Please Print)
Permit # O I - ~,"~ 7 (~
(FOR SUB PERMITS ONLY)
State
Company Phone #
(Palm Beach County Pro_o_o_o_o_o_o_o_o_~oer_[y ,Con!r.ol, ~) ~
Owner's Phone #
(If other than owner's)
(If other than owner's)
.561 -736-721 1
Pager/Fax# 561-736-1977
.. City Boynton Beach State F1 Zip 33426
Job Name ["~_ '- ~'O0-~ ~ 101~ec:~, ~r--.~"/~'_ _
Le ~al Descri '~, ~
Bonding Company
Bonding Co. Address [ ~ Cit State
Architec~Engineer's Name
Architec~Engineer's Address .U ~J
Mortgage Lender's Name
Mortgage Lender's Ad~s m ]ILDING DEPARTMENT
IL OFFICE INDLISTRIAL
(check one) "-- --
' ESTIMATED VALUE OF CON.STRUCTION $ /-J~.~ '7.~',~.)--D - ,
D S. CR PT ON OFW?K: ff'),,m?,O (r- O/* F/a, TL 7"i
Application is hereby required to obtain a permit to do work and installations as indicate~ ~ C~di~ t~ h'o'work ~r"i~st~ll~tion 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, Ties 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 AWORNEY "EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Prope~y Owner's or Agent's Signature ~~ ~ ~~ Date
/
STATE OF FLORIDA, COUNTY OF PALM BEACH
~6'~{~1~'%~-~'~~o has ~rod,c~ -- ~; g~ ¢ 'S ~ ' as identification and ~h~did (aid ndt)
(~;~ My Co~ission Exp. 08/mV200l ( -- / .~'
S~qm~f~seaa~ka~emen~~. ~(~ame of omc~ taking acknowledgement ~ typed,
printed or stamped
......... ,,, /~' ~~o~ _ Serial Number, if any __
Contractor's Signature // / W Date
STATE OF FLORIDA, CO~TY OF PALM BEACH
th¢~g~j~g;i~Wg~L~,,~l~dged before me this ~-~ ~ (ddt,) by '~elvin L,
~~?nall~mt~,~ ~o ~as produced ........ as identification and who did (did not)
ta~ No~ hJblic, $~t~ of b'loa~
:]~ g~ Commission No. CC 669738
~e or officer taking acknowledgement - t~ed,
printed or stamped Title o~nk Serial Number, if any
(Coflific~te of Compot~ncy Holder)
Contractor's 8tato Co~ifieation of R~istmtion No.
Liabill~ Insurance Expiration Date~ J~--~ 3A
Workem' Compensation Explrat~te ~ . ' ~. ~ ~
Application Approved By /~~ ~ - Permit Officer Date: ~
Any change In building plans or specifications must be recorded with this office. Any work not covered above must have a valid pe~it 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.
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,DOC-Revised 6/18/97, 11/4/97, 12/98, 6/99
APPLICATION #
APPLICATION DATE:
SETBACKS: LEFT
('THIS SIDE. FOR OFI-IL;,~ USE ~JNLY)
MASTER PLAN #
RECEIVED BY:
ZONE:
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
RIGHT FRONT REAR
REMARKS:
ADDITIONAL FEE
BCAIF
PARKS FEE
PENALTY FEE
PUBLIC BLDG. FEE
RADON FEE
ROAD IMPACT FEE
SCHOOL FEE
SEWER FEE
WATER FEE
FIRE DEPT. FEE
SU~,:TO~AL
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
FEE
REQUIREMENTS for
CERTIFICATE OF OCCUPANCY
CERTIFICATE OF COMPLETION
FINALS:
SITE ~ SIGN
FIRE ~ FENCE/BUFFER WALL
DRAINAGE
PAVING OTHER
SITE LIGHTING__ OTHER
AUTHORIZATIONforCERTIFICATE OF OCCUPANCY:
Date
AUTHORIZATION for CERTIFICATE OF COMPLETION:
Date
TOTAL
LESS PLAN FILING FEE
TOTAL AMOUNT DUE
RECEIPT NUMBER
DATE ISSUED
# 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
Applicable
Monthly Fee
73.20
Interim
Services Fee
Base Sq. Ft
Rate
Interim
Services Fee
P, 05
METROPOLITAN DADE COUNTY', FLORIDA
............. METRO.DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
M~T.O.DXO~ FL^OLin BUI~,NG
PRODtJCT CQi~ITROI. NQ_~LC.,~.OF ACCEPTAN(~° WEST FLAGLER STflEET, .qUITE 1603
............ MIAMI, FLORIDA 33100.1563
,lohns Mnnvllle (305) 375.2901
ILO, Ilex 5108 FAX (305) 375.2908
Denver, CO. 802 t7
Your application For Product Approval of'.'
Johns Manville Conventional Buill Uh Roofing SYstem over Wood l)cc~
.Mcr Chapter 8 ortho Miami,Dade County Code govurning the'~msc of Alternate Matorials and Types
of Consrrncdon, and completely desc~:ibcd in tim plans, spec(Ilea[ions ~nd c~m:.lattons as submitted by:
Factory Mutual l{e~earch CorporatiOn, Undenvriters Labor~Hories~ Inc. nnd Dynntech
)'Ingenecring, Inc,
has bcun recommended for acceptance by the Building Code Compliance Office to he used in Dado
County, Florida under tho speei~c conditions set fo~h on pages 2-25 and the standard conditions on
page 26.
PRODUCT CONTROl. OIVISION
(305) ~375.2902
FAX (305} 372-6339
TI~is approval shall not bo v~)id ~her the expiration dat~ stated below. Thc Building Cede Compliance
OFlic(~ r~serves :he right to secure this product or material at any time from a jobsite or manufacturer's
plant For quality control ~csting, I~ this product or m~teria~ fails to p~rtorm in th= approved manner, thc
Building Co(lc Compliance Oflic~ may r~voke, modify, or suspend the use oF such product or material
h'nmedfaldy, The Buildh)g Code Comp~innce OF~cc reserves the right to revoke this approv~'l,
d,'tcm~incd by the Bu~)dln~ Codo Compliance Office that th~s prodtmc~ or mn[erin[ ~ails to mee~
Thc expense of such testing ,,rill be i,curred by tl~e manufacturer.
ACCEPTANCE NO.: 98-0424.06 Revises and
Renews,. 95-0500,0l
EX. PIRES: 0g/27/01
Raol Rodriguez'"
Product Control Division
Supervisor
~OND. ITION~
.<nLv[Na COD p [TTEE PRODUCT APPROVAL
ON FILE IN
Compliance OFfice and approved by the ~u}~ ~de Corotar
under (ho cond{i{ons set fomh above,
ALL'"W0RK:':'::~:; ;":1~1'~0 :~ r. ' His sHALL CoNFORM'_,_
WITH ALL Cl)'Y % BOYNT0. BEAC~J~UILDING CODES,
"to~ u.~ ' Dado Cq~nt~, Florida
Director
Building Code Compliance Dept,
Miami-Dad¢ County
Intern,et m,~{I address: postmastar~bulldJngcodeonllne,eorn (~ Homeplge:'http://wv
b 2001
BUILDING DEPARTMENT