PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
2/07/02
13:46:47
Application number ..... : 01 00002639
Application status, date : FINALED
Property .......... : 162 SE 28TH CT
PCN ............. : 08-43-45-33-08-007-0060
Lot Number ......... :
6/29/01
Zoning ........... : R1AA SINGLE FAMILY (5.40)
Application type ...... : RR RE-ROOF
Application date ...... : 6/26/01
Tenant nbr, name ...... : 8 SQS FLAT
Master plan nbr, revwd by : RA
Estimated valuation .... : 2490
Total square footage .... : 0
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 3629
Press Enter to continue.
F3=Exit F5=Land inq
F10=Fees F11=Receipts
F7=Appl names
F12=Cancel
F8=Tracking inq
F13=Val calcs
Fg=Bond inquiry
F24=More keys
DEPARTMENT OF DEVELO' MENT
BUILDING DIVISION
_Own:e~s Name .;: )EZ~ ~,,,J,~c.c~ez
ownets~AdBIress _~ ~-. ~
City?~~
Fee Simple ~itle Holders Name
Fee Simple Ti~e :Holder's~ddress
Contract°c'Sc°mpany ~ ~ ~.
Contacf'~eFsdh 'a~d' emergency phone
CompanY Address ~ ~ ~.
City: ~~. ~
Job Name'. W~ t
Job Address. (~ 5~e. ~ ~
.ERM,T APP',C^T,O.
(Please Print) Permit # ~("' "~6 ~ C~
(FOR SUB PERMITS ONLY)
(Palm Beach County Property Control #) Owner's Phone # ~,~-
Slate ~-c_ Zip '
(If other than owner's)
(If other than owner's)
Company Phone # ~t, t - ')5") -
Pager/Fax# ~,~-
State .FL.- Zip , r. Tj~ ~'-SH .~
Legal Description ~,c.f~.%'T
Bonding Company
Bonding Co~.ddress
Arch~tect/Engineer's Name
Architect/Engineer's Address
Mortgage Lender's Name
SINGLE FAMILY ~ DUP~:..
(check one)
State
RETAIL OFFICE __ INDUSTRIAL
ESTIMATED VALUE OF CONSTRUCTION $ ,~.gc.~ o
DETAILED DESCRIPTION OF WORK: .'7~p~ ~ "~-~-~ -T~,~' ~,~ {~ ~ ~ p~ ~
' " -
AppliCOn is hereby r~uired ~ ob~in a pe~it to do wo~ a~ installaaons as indentS. I ce~ ~at ~ ~o~ or ins~llaaon has
commenced pr~r to the issuance of a permit and ~at all wo~ will ~ p~o~ed ~ meel ~e s~ndards of all ~es, laws, roles and
regul~t~on~*g0vemi~'~ns~c~on in ~ls judsdic~on. I unders~nd ~at a ~parate ~it must be s~ur~ for ELECTRICAL, PLUMBING,
SIGNS,'WELLS, POOLS, FURNACES, BOILERS, H~TERS, TANKS ~D AIR CONDITIONING WORK, ETC.
OWNER',S'~FIDAVIT: I Ce~ that all the forgoing info~a~n is a~mte and ~at all wo~ w~l be done in ~mplianca wi~ all applicable
codes, laws,' roles ~d r~ula~ons governing ~ns~c~on and zoni~.
WAR'ING TO owNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING ~ICE FOR IMPROVEMENTS TO YOUR PROPERS. IF YOU INTEND TO OBTAIN FINANCING, CONSULT'
WITH YOUR.LENDER OR AN A~ORNEY B~ECORD~G YOU~NOTICE OF COMMENCEMENT.~
Prop~'OWneCs~or Agent's Signature ~/~, ~~ : Date ~:~
STATE OF FL~
Contractor's Signature Date ~/~/~
STATE OF FLO~DA, CO~TY OF PALM BEACH
who is persona
take an oatE'. ~ e~flNDY ~R~RIGHT as identification and who did (did not)
SEAL ' ~
Signalufeorp.r a~ ' ~' , Name of o~cer ~akin~ acknowledgement -
Pti.lcd ur .,ampcd ,~~ ..... 'l'id¢ or rank Scri.l Numb.r, il'any __
Certificate of Competency Holder)
Contractor's Slate Certification of RegistraUon No. ~ c~ 3"7oo~
Liability InsuranCe Expiration Date ..-./~ .
WOrkers' ComPensation Expiratioj~j{j~ --'"-~ # /.,~ /(~
Application Apkroved By ~/:~_.,!,_.,~/,J~' Permit Officer Date: ~ ~
. ----I - '1 f ·
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 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 RI~TRICTION$
FEESARE NOT REFUNDABLE
' 'q~"~f~'TA'r~c:~./EI OP~IFN'P. FORM.'g ~/',(-"PFC~.%41T APPLiCAT'C1N DOC, - Rev, seal 6/18197 11¢4.'97 12/98 6/99 8/99
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511AMI-D-~[;~F_. CC_,UN'i Y. I:LOR ~I)A
ME'!'RQ-DADE F,'..AGI..E~ BUILDING
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Pioneer Concrete Tile
1340 S.~,¥'. 34 Avenue
Dccrfield Beach
.FI_. 3~
Your a. ppiication for Product Apprcva[ of:
Nor.4ic Flat Roof Tile
BUILDING CODE CO31PLIA~C[ OFFICE
bIETR.3.DADE FLAGLER BUILDING
:4n wEST FLAG',.~R SIRE~. SU~T~ i602
MIAMI. FLORI1DA 33i30-1562
CO~T~aCTOR LICENSING 5ECTIOh
(305) 375.2527 F~X (305) 375-2538
CO~TRACTOR ENFORCEMENT 5ECT[O~
005) 375-2~66 FAX ',305) 275:?)08
PRODUCT CONTROL DIVISION
~205~ 375-2902 F&X (3053 27~ ~.U,~
under Chapter 8 cf the Code of .MiaJni-Dade County governing 0~e use cf Alternate Materials and T>-Fcs of
Constrtiction, ~d completely described here/n, has been recarm'nended fi)r acceptat~ce by the Mia.m}-Dade
County Building Code Ccmpli&ncc O2]ce (BCCO) under the condi~icns specified he:ein.
This approval shall not be valid after ~e expiration date stated beto;v. 8CCO reserves ~e r:ght to: secure
product or material at ~ytime from ajobsite o~ m~ufac~rer~s plmnt fbr qualiU control testing.
If ~.is product or material hils ~o perfom~ in the approved rammer, BCCO may revoke, modi~', or suspend
the use of such product or material immediately. BCCO resemes ~he right to revoke &is apFr;val, if it is
dete~ined BCCO that tiffs product ,or material/ails to meet the requirements of the So~ F[o:'{da
Code.
Fhe expense of such testing will be ixcuned Icy the masmfacturer.
Acceptance No.;99-0803.04 (Revises No.: 98-0901.05)
Expires: 12/'16/2002
Chief Product ,~..ontc_~' ni Division
THIS IS THE COVERSHEET, SEE. ADDITIONAL I'AGES FOR SPECIFIC ,AND GENIe;RAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
'.?hi_x application for Product' Apt~rova]. has been reviewed by' the ~C:o .CO' rind approved b), the Building Co, de
~ 4
~.n, Product RevSev., C'ommittee to be used in Dade County. Florida under the ccnditions set for-th above.
PRODUCT APPROVAL
ON FILE IN
BUILDING I)EPAI ENT
Approved: 12/.16/1999
Director
.Miami-Dado County
3uiI,Jing (.:ode "' " ' O~.:.
WITH ALL~iTY ~F BOYNTON IIEAC~I.~I}~IIUNNG CODE~,,