PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
2/27/02
13:42:22
Application number ..... : 01 00002906
Application status, date : FINALED
Property .......... : 14 FENWICK PL
PCN ............. : 08-43-45-08-05-024-0140
Lot Number ......... :
iO/i8/Oi
Zoning ........... : PUD PLANNED ZONED DISTRICT
Application type ...... : RR RE-ROOF
Application date ...... : 7/16/01
Tenant nbr, name ...... :
Master plan nbr, revwd by :
Estimated valuation .... :
Total square footage .... :
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 0359
27 SQS SHINGLE 4/12 SLOPE
RA
2700
0
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PCN# {~- ~ '~
Owner's Name ~,~
Owners Address /
City t~ ~ ~' ~ '~ ~-. ~ ~ ~ State
Fee Simple Titleholders Name
Fee Simple ~tleholde¢s Address
Contractor's Name
ContractoCsAddres~ ~ ~~ ~H ~ ' Bee~e~/Fax
Ci~ bA
Job Name
Job Address I ~
Ci~ CounW~.
Legal Description ~~
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION
(FOR SUB PERMITS ONLY)
Zip
(If other than owner'..
(If other than owner'..
Bonding Company
Bonding Co. Address City State
Architect/Engineer's Name
Architect/EngineePs Address
Mortgage Lender's Name//
Mortgage LendePs Ad.gl~ss
SINGLE FAMILY: v' DUPLEX:
MULTI-FAMILY: HOTEL: RETAIL: ~ OFFICE: ~ INDUSTRIAL:
(check one) ~..~ ~
ESTIMATED ~/ALUE OF CON~_TRI.~CTION: $ ~' '/~' /~,
DESCRIPTI()N OF WORK:_ ~0~ ~-~ . ~ ~.~ ~a'~ ~J~ ~ ~
Appli~tion is hereby r~ui~ t~ob~in a ~rm~ to ~o ~e wo~ and ins~llafions as (n~t~. I ~ ~at no wo~ or installation ha~
commenced prior to the issuan~ of a ~ an~ ~at all wo~ will ~ ~~ to ~t ~e s~ndards of all codes, laws, rules an(
regulations govern{rig cons~cfion in this jud~on. I undem~nd that a separate ~ffn~ must be s~ur~ for ELECTRICAL
PLUMBING, SIGNS, ~LLS, POOL~, FURNACES, BOILERS, H~TERS, TANKS and AIH CONDITIONERS ~RK, ETC.
OWNER'S AFFIDAVIT: I certi~ ~at all ~e ~ng ingrain is a~umte and ~ all wo~ will ~ done in compliance with al
applicable cod~s, laws, role5 and r~ula~ons governing ~ns~on and zoning.
~,..~ ..~ ~ I~O1'1,. ,~ ~i ~O~?,:~E~.C, ~* RESULT IN YOUR PAYING ~ICE FOF
IMPROVEMENTS TO YOUR PROPERS. IF YOU I~ND TO OBTAIN FINANCING, CO[~SULT ~ YOUR LENDER OR AN A~ORNE~
BEFORE RECORDING YOUR ~O~CE OF COMMENCEMENT.
f
The fo~oi~ n .......... g~ ~m ~ ~is / 1~ /~ (date) by H · ~[~~
~o~L) ~~' EXPhtES ~R 01.2~:~ ~ A ~ ~
Sgna~reof r ~n a , ,
~~~~~~ '~,a~ or o~r ..ng ~kn~l.ge~nt-~ped, pnntec
or stamp~ ~~ ri~e or
~. ~ - ' ..... . ~Ue o~ ~ Sedal numar, i~ any_/ .
Contmcto,,Slgna~m~/~~__~Da~ '~~' .
The for~n~.9. ~re me this 2~~~ (da~) bye- L ~ ~
who is .... ~': "~ ~ ' ..... '
g. m ~ pe~!~g.,z,_..~.~ .~nt ~ Na~ ~r o~i' ~king a~n~l~bement-~p~, print~
or smm~. ' ....... ~fle or rank ~ S~al numar, if any
(Ce~:~ of Co~ n~tonw
ContinUoUs S~te Ce~fl~fion of R~is~fion No. __ .~_.~~
Liabili~ Insumn~ Expiration ~
Wo~em' Compensa~on ~~n.Dat~
/.
/
Appli.tion Approv. By _Fl Y~( -- Pe~. O~r Da.: 7("
Any chan~e in ~uildin~ plans or s~i~on~ must ~ ~ wi~ ~i~ o~. ~y w~ n~ ~v~ a~ve must have a valid peril
prior to stain0 ~n conside~on of O~n~n~ m~ ~ ~e ~ner and builder a~r~ to er~ ~is st~re in MI compliance with the
Buildin~ and Zonino Codes of the Ci~ of Boynton Beach.
NOTE: ~is p~ VOID after ~0 DAYS uNLEsS the wo~ w~ich it ~ve~ has ~mmen~. All Con~to~ must have valid
Ce~fiea~on er Coun~ Competency p;~s Coun~ an~ Ci~ O~upa~onal Li~n~ p~r m obminin~ ~
~UANCE OF THIS PERMIT DOES NOT AUTNORIZE VlO~ON OF DEFD~
~ ARE NOT REFUNDABLE
A:',BOYNTON WPD Revised 6118/9 7 mh
(THIS SIDE FOR OFFICE USE ONLY)
Application #
Master Plan #
SETBACKS:
ZONE:
LEFT
RIGHT
APPLICATION DATE:
RECEIVED BY:
FRONT
REAR
TYPE OF CONSTRUCTION
OCCUPANCY TYPE
ROOF TYPE
FENCE TYPE
AREA SQUARE FEET
FLOOD ZONE
BASE FLOOD ELEVATION
FINISH FLOOR ELEVATION
NUMBER OF STORIES
NUMBER OF UNITS
PARKING SPACES REQUIRED
PARKING SPACES PROVIDED
# OF BEDROOMS
# OF BATHROOMS
ROAD IMPACT FEE
SEWER FEE
WATER FEE
PARKS FEE
SCHOOL FEE
PUBLIC BLDG. FEE
LAW ENFORCEMENT FEE
RADON FEE
BCAIF
ADDITIONAL FEE
PENALTY FEE
SUB-TOTAL
REMARKS:
SINGLE FEE
Site Impr.
Building
Electrical
,,, Mechanical
Plu~nbing
Roofing
~ Drainage
Excavation
Landscaping
___ Pr;ving
Sign
Sewer
SUB-TOTAL
REQUIREMENTS for - -
CERTIFICATE OF OCCUPANCY
CERTIFICATE OF COMPLETION
FINALS:
..... SITE ,_ SIGN
~ FIRE FENCEJBUFFER WALL
. DRAINAGE
__ ._ PAVING . OTHER
SITE LIGHTING OTHER ~
AUTHORIZATION for CERTIFICATE OF OCCUPANCY:
Date
AUTHORIZATION for CERTIFICATE OF COMPLETION:
Date
TOTAL
LESS Pt P,N FILING FEE
TOTAL ~;MOUNT DUE
RECEIPT NUMBER
DATEISSUED
INTERIM SERVICES FEE CALCULATIONS:
Reeidentlal:
X =
# of Units Applicable Interim
Monthly Fee Services Fee
Commercial:
divided by 1,000 =
# of Sq Ft (rounded to Base Sq Ft
nearest tenth) Rate
X -"
Base Sq Ft Applicable Intenm
Rate Monthly Fee Services Fee
ASPERAPL.WPD
Revised 6/18,97 mh
'0 S1561791~1
P. Oi/EM
?
PRODUCT CONTROL NOTICE OF ACCEPTANC~
Owens (-"orning/Mnrtvilt'e Sales Co. :.~
Fiberglas Tower, T/16
Toledo OH 43669
Your application for Product Approval
Owens Corning Sglprem¢ AR
MIAMI.DADE COUNTY. FLORiD,~
METRO-DADE FLAGLER BUiLDiNG
ilUtLOtNG CODE COblPLIANCE oFlrlc£
METRO-O^DE FLAOLER BUILDING
I~0 WEST FLAGLER STREET. SUITE
M1AML ~ORIDA 33130.($63
(305) 37~-2~1 PAX OOS} 375.290~
. {3~ 37S-2S21 FAX (3051)76-'~S~
': FROD~ C~TKO[ D~ISION
Code.
Tlxe expense of such testing will bc incurred by the manufacturer.
under Chapter 8 of d'~e Code of Miami-Dade County governing the 6s' of Ahemate Material:~ and Types of
Constructim~, and completely described herein, h~ been ~¢commen~e :1 for accep[ance by thc Miami-D~de
County Building Code Compliance Office (BCCO) under ~e cond~ic.ns specified ~erein.
This approval shall not be valid after ~hc ~xpirat~n date stated ~IoW. -3C~ reserves the right to $ecur~ this
product or material at anytime from ajobsite or mmaufactureffs pl~(l{:r qoality control testing.
[f this prOdUct or material fails tO perfom~ in the approved m~ner, ~ ~0 may revoke, modify, or st~pgnd
:he use of such product or material imm~iatety. BGCO r~etv~'th~r~ :Iht to revoke this approval, if ii i~
dc/ermined B CCD that this product or material fails to meet tile req~r,::ments of the South Florida Building
u! Rodnguez (.J
Ch{el Product Control Division
Acccpeance No.: 00-0524,07
Expires: 08/21/2003
TI-IlS IS THE COVIgRSREET, SEE ADDITIONAL pAGES FOR SPECIFIC AND GENERAL
CONDITIONS '~
ilUILDING CODE & PRODUCT REVIEW~OMMITTEE
This application for Product Approval has been reviewed by the BC~C': alld ~pproved by the 13uildin,.._, Code
and Product Review Committee to be used in Dade County, Florida ~r.der the conditiotls set tbrth above.
.- L,~ ancisco l'. QOirltana, R.A.
Director