PERMIT APPLICATIONBP200101
CITY OF BOYNTON BEACH
Application Inquiry
3/04/02
13:40:25
Application number ..... : 01 00002969
Application status, date : CERTIFICATE OF COMPLETION 11/29/01
Property .......... : 20 E GLENS DR
PCN ............. : 08-42-46-01-18-000-1520
Lot Number ......... :
Zoning ........... : PUD PLANNED ZONED DISTRICT
Application type ...... : SA S/F - ADDITION-BLANKET
Application date ...... : 7/20/01
Tenant nbr, name ...... :
Master plan nbr, revwd by :
Estimated valuation .... :
Total square footage .... :
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 3959
SIDE PATIO ADDTION
WE
48000
0
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DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION Rec. #
(Please Print) '- ~
COMPLETE EACH BOXED ENTRY Permit # L/~" ¢~,TVU~ ~
(FOR SUB PERMITS ONLY)
PCN#
wn~wner's Name~ ~{/.,Z/-~/1//~/'~/
Address~ o,~
Fee Simple Title Holder's N~me
~ 57-
(Palm Beach County Property Control #)
IOwner's Phone ~
State Zip
(If other than owner's)
Fee Simple Title Holder's Address
Contractor's CompanyJ
Contact person and emergency phone
Company Address
~ob Nam~
~ob Addres~
JLegal DescriptionJ
tCompany Phone
Pager/Fax~
State F:/._. Zip
(If other than owner's)
Zoned
Bonding Company
Bonding Co. Address
Architect/Engineer's Name
City State
Architect/Engineer's Address
Mortgage Lender's Name
Mortgage Lender's Address
SINGLE FAMILY ~,/ DUPLEX__ MULTI-FAMILY__ HOTEL__ RETAIL OFFICE__ INDUSTRIAL
lDCheck one)
ESTIMATED VALUE OF CONSTRUCTIONI $ ~-O~, o~ 5N~
ETAILED DESCRIPTION OF WORK:t /'~OV'~ ~ ~.,,U~/~ ~¢;'/_.;~'C~_., /(.J~"~J/I::~/U ~ (/"/~/--U/~~' /~, ~/~'-~/
CHECK REVIEWER REQUIRED: ~
~ ~ ~ ~STRUCT~ ~FIRI~ ~OTHER~
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 YOUR NOTICE OF COMMENCEMENT.
Property Owner's or Agent's Signature Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this
who is personally known to me or who has produced
take an oath.
(date) by
as identification and who did (did not)
(SEAL)
Signature ofpersontaking acknowledgement Name of officer taking acknowledgement - typed,
o Serial Number, ~f any
printed or stamped '~ Title or~ank . ' '
Contractor's Sig nature ,~~. W~--- Date
' -~- ~ ACH
STATE OF FLORIDA, COUNTY OF PALM BE /-x ~. ·
Thefr ~ dged before me this ~-~5-~/ (date, b~ 4/~-~\~,~) ~ ('"~~
w~) i_~.ee.~on$~t~l~ll~lZlO(lat~il~ho ~as ~oduced ~ __ ~ ' as identifi~at~n and' ~;~'S' di~l (did not)
~ment~~~)L,~----~N..~~~~clcer taki~egria~CNk~u~leer!~;~nt - typed,
printed or stamped Title or rahk , Y __
(Certificate_of ComA.et,eh. c~' ~older)
Contractor's State Certification of Registration No.//~/~ ~ I?<~ ~-..~g~ (~5/~
Liability Insurance Expiration Date .~f/~ q/~/
Workers' Compensation Expiration Date . ~
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 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
S:\DEVELOPMENT~FORMS.DOC\PERMIT APPLICATION MOD.ADOC - Revised 6/18/97, 1114/97, 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/C)
# 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:
IF THIS BOX IS NOT COMPLETED, THIS PERMIT IS
SUBJECT TO A FINAL INSPECTION ONLY.
AUTHORIZED for CERTIFICATE OF OCCUPANCY:
Date
AUTHORIZED for CERTIFICATE OF COMPLETION:
Date
Recpt #
VALUATION
SINGLE FEE
Building
Clearing & Grubbing
Drainage
Electdcal
Excavation
Fill
Fire Alarm
Fire Sprinkler
Imgation
Landscaping
Mechanical
Paving
Paving/Drainage
Plumbing
Roofing
Sign
Site Lighting
SUB TOTAL
TOTAL
LESS PLAN FILING FEE
CK #
FEE
Cash Rec'd from:
Accepted by: (Initials)
BALANCE DUE
Recpt # CK #
Cash Rec'd from:
Accepted by: (Initials)
S:\DEVELOPMENT~FORMS.DOC\PERMIT APPLICATION MODA.DOC - Revised 6/18/97, 11/4/97, 12/98, 6/99, 8/99, 5/00, 8/00, 9/25/2000
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION Rec. #
COMPLETE EACH BOXED ENTRY Permit #/~/-- d-~?
PCN#
Owner's Name~
Owner's Address~
Fee Simple Title Holder's Name
Fee Simple Title Holder's Address
Contractor's Corn
Contact ~erson and
(FOR SUB PERMITS ONLY)
(Palm Beach County Property Control #)
IOwner's Phone ~
State /~-. Zip
Phone
(If other than owner's)
(If other than owner's)
Corn
Pager/Fax~ ~'~ -- ~/-'~
State ~(~,~ · Zip
al Descri
Zoned
Bonding Company
Bonding Co. Address
Architect/Engineer's Name
City State
Architect/Engineer's Address
Mortgage Lender's Name
Mortgage Lender's A~d~ess
SINGLE FAMILY ~_ DUPLEX __
MULTI-FAMILY HOTEL RETAIL OFFICE INDUSTR.[AL
check one)
ESTIMATED VALUE OF CONSTRUCTIONI $ ~ ~
DETAILED DESCRIPTION OF WORK:J _~_z___-.-~ '~J,,";~ ~-c'~C:-~7~ ~ ~-~ .-~/~,/.
CHECK REVIEWER REQUIRED: ·
~ ~ ~ ~TRUC'I1 IFIRE~ ~OTHER~
Application is hereby required to obtain a permit to do work and installations as indicated. I certify that no work or installation has
commenced pdor 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 YOUR NOTICE OF COMMENCEMENT.
Property Owner's or Agent's Signature
Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this
who is personally known to me or who has produced
take an oath.
(date) by
as identification and who did (did not)
(SEAL)
Signature of person taking acknowledgement
printed or stamped
Contractor's Signature ~~.~..~E'_~
Name of officer
taking acknowledgement - typed,
Serial Number, ff any __
,
'l~c foregoing ~ent was ac~owledged before me ~s --' ~,--~ (~,e) by
as idenfificahon ~d Who did[~
who is pe~onaHy ~o~ to me or who ~ produced
.~.My C~m~sion Cce79~7 ~ ~ t ~ - ~, '
Silage of person ~g ac~owledgem~ [ ~~kg ~ of officer ~king ~C~nwl~d~ement -
p~ted or s~ped Tide or ~ Sedal N~ber, if ~y
(Certificate of Competency..~older)
Contractor's State Certification of Registration No. z~r'-c_~
Liability Insurance Expiration Date "*'~',//'5*/,,~ ~ -- '
Workers' Compensation Expiration Date ~"~/
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 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
J:\SHRDATA\DEVELOPMEN~FORMS.DOC\PERMIT APPLICATION A.DOC- Revised 6118/97, 11/4/97, 12/98, 6/99, 8/99, 5/00, 8/00, 9/25/2000
APPLICATION Ct
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 (NC)
# 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
SU B-TOTAL
REMARKS:
IF THIS BOX IS NOT COMPLETED. THIS PERMIT IS
SUBJECT TO A FINAL INSPECTION ONLY.
AUTHORIZED for CERTIFICATE OF OCCUPANCY:
Date
AUTHORIZED for CERTIFICATE OF COMPLETION:
Date
Recpt Ct
VALUATION
SINGLE FEE
Building
Cleadng & Grubbing
Drainage
Electrical
Excavation
Fill
Fire Alarm
Fire Sprinkler
Irrigation
Landscaping
Mechanical
Paving
Paving/Drainage
Plumbing
Roofing
Sign
Site Lighting
SUB TOTAL
TOTAL
LESS PLAN FILING FEE
CK #
FEE
Cash Rec'd from:
Accepted by: (Initials)
BALANCE DUE
Recpt # CK #
Cash Rec'd from:
Accepted by: (Initials)
J :\SHRDATA\DEVE LOPMEN%FORMS. DOC\PERMIT APPLICATION A. DOC - Revised 6/18/97, 11/4/97, 12/98, 6/99, 8/99, 5/00, 8/00, 9/25/2000
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION
(Please Print)
COMPLETE EACH BOXED ENTRY
PCN#
Owner's
Own,er's
,, , ~ j State
Fee Simple Tiffe Holder s Name :_~/.4
Fee Simple Title Holder's Ad(~ess ?'/~. ._
Contractor's Company~ ~OV~ ~/~ ~~.
~C.ontaqt perso~ and emergency phone ~ .... '__
Company~ddre~s ~y~} ~ /~' ~¢~
City ~ ~ - State
Fob Navel __
Fob Address~ ~O ~/~ ~~
ILegal Descriptionl / ~'F ~ '~ ~/~
Bonding Company
Bonding Co. Address City
Rec. #
Permit# (A~/- ~~¢
(FOR SUB PERMITS ONLY)
(Palm Beach County Property Control #)
IOwner's Phone ~
~ Zip ~_--~" c/~'~ ~,
(If oth~r than owner's)
~lf other t~n owner's)
rCompany Phone ~ ~¢~ ¢~,y
Zoned
State
Architect/Engineer's Name
Architect/Engineer's Address
Mortgage Lender's Name/<.
Mortgage Lender's Ad.~s~s~
SINGLE FAMILY DUPLEX MULTI-FAMILY HOTEL RETAIL OFFICE INDUST IAL
(check one) --
ESTIMATED VALUE OF CONSTRUqTION
IDETAILED DESCRIPTION OF WORld..
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 YOUR NOTICE OF COMMENCEMENT.
Property Owner's or Agent's Signature Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this
who is personally known to me or who has produced
take an oath.
(date) by
as identification and who did (did not)
(SEAL)
Signature of person takin~ acknowled~ent
printed or stamped - ~ ? ~ ..~ --ff--/7-~itle or rank
Contractor's Signature
STATE OF FLORIDA, COUNTY OF PALM BEACH
foregoing instrument was acknowledged before me this
The
who is persona_g3Jly_~mvn to iii,~ ,,t ,~ho l,aa~4aduced
take an oath.
Name
of officer
taking acknowledgement - typed,
Serial Numb,~ ~fany -/t
Date ~('//7/(.~
(date) by
as identificati(cl/t an-d who did (did not)
(SEAL) ,,.~ / /
Signature ofperson taking acknowledgement "/L,}0J~]/ (._~D~/¢ ]~,._3 Name ot~offic~, t~,~~ed,
printed or stamped
(Cedific~te qf Compete~c~ ~l~r[ ~om~ .....
Contractor's State Cedification of Registration~. /~'/~ ~ ~/~ ~'-~ ~ > / ~3~ ~
Liabili~ Insurance Expiration Date
Workers' Compensation Expiration Date
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 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
J:\SHRDATA\D. EVELOPMEN'BFORMS.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:
LEFT
(THIS SIDE FOR OFFICE USE ONLY)
MASTER PERMIT #
APPLICATION ACCEPTED BY:
RIGHT 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/C)
# 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:
Recpt #
VALUATION
SINGLE FEE
Building
Clearing & Grubbing
Drainage
Electrical
Excavation
Fill
Fire Alarm
Fire Sprinkler
Irrigation
Landscaping
Mechanical
Paving
Paving/Drainage
Plumbing
Roofing
Sign
Site Lighting
SUB TOTAL
TOTAL
LESS PLAN FILING FEE
CK#
Cash Rec'd from:
FEE
Accepted by: (Initials)
IF ~HIS~OX IS NOT COMPLETED, THIS PERMIT IS
~;SUBJECT TO A FINAL INSPECTION ONLY.
AUTHORIZED for CERTIFICATE OF OCCUPANCY:
Date
AUTHORIZED for CERTIFICATE OF COMPLETION:
Date
BALANCE DUE
Recpt # CK #
Cash Rec'd from:
Accepted by: (Initials)
J:\SHRDATA\DEVELOPM ENT\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
"BUILDING DIVISION
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DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT REVISION APPLICATION
PLEASE PRINT
Om'GINAL PERMIT # 12) 1- MASTER PLAN #
PROJECT NAME: .~t~_t~./lpB /~J)I>/T'/o~d~/~g'~~DRESS: ,~J,O ? ~_~l~?~e~ ~)¥a
Contra'ctor's Name M,~'~'V'~k_x~T' ~ C.,o jc:'&g~ -Contractor's Pho/~e #' ~"eat ~r2YT,~b'a//4
TOTAL ESTIMATED VALUE OF THIS REVISION: $
DESCRIPTION OF WORK (Please specify in detail what is being revised from original permit):
BUILDING:
Value ofWork: $
CLEARING & GRUBBING:
Value of Work: $
DRAINAGE:
Value of Work: $
ELECTRICAL:
Value of Work: $
EXCAVATION:
Value of Work: $
FILL:
Value of Work: $
FIRE SPRINKLER:
Value of Work: $
IRRIGATION:
Value of Work: $
LANDSCAPING:
Value of Work: $
MECHANICAL:
Value of Work: $
PAVING:
Value of Work: $
PAVING/DRAINAGE:
Value of Work: $ :~C:153 ~
PLUMBING:
Value of Work:
ROOFING:
Value ofWork: $
SIGN:
Value ofWork: $
SITE LIGHTING:
Value of Work: $
I wish to revise the above referenced permit to perform the work described herein. I certify that all work will be constructed in
conformance with all laws, codes~ regulations, roles, etc. gove_~iag-~oynton Beach, and I certify that the above information is true
and correct. .
C ontractor'sSignature ~'~~ ~'
STAT
E OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this T t/,..,,/- (,'/[ (date) by f~'~----~/~/~.~e~;7~'./~who is personally known to me or who
has produced !
a .ho d, oath.
Signature ofperson taking acknowledgement ~"~X~~ ! ~.-.,'~ ~ ~l~l~~g~ent-typed printed or stamped
iAsPsPuLAINCcAETION APPROVED BY ~ ~~ Pe~z Sq//?/al
OF THIS REVISED PERMIT DOES NOT AUTItORIZE VIOLATION OF CITY CODES OR DEED REST~I~TIONk
FEES FOR REVISIONS ARE NOT REFUNDABLE
(THIS SIDE FOR OFFICE USE ONLY)
Application #
PCN #
(Palm Beach County Property Control #)
Z ONE:
Master Plan #
APPLICATION DATE:
RECEIVED BY:
TYPE OF CONSTRUCTION
OCCUPANCY TYPE
FENCE TYPE
ROOF TYPE
FLOOD ZONE
BASE FLOOD ELEVATION
FINIStt FLOOR ELEV. (PROPOSED)_
NUMBER OF UNITS
PARKING SPACES REQUIRED
PARKING SPACES PROVIDED
AREA SQUARE FEET (GROSS)
AREA SQUAP,~ FEET (NET)
NUMBER 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
REVISION #
Building.
Clearing & Grubbing
Drainage
Elects'leal
Excavation
Fill
Fire Sprinkler
Irrigation
Landscaping
Mechanical
__Paving
___.Paving/Drainage
Plumbing
Roofing
__.Sign
Site Lighting
SUB-TOTAL
VALUE
FEE
Permit# d9//'-~_'~ 9~,~,
Submittal Acceptance Date
Completed by _T.J...~..~4': Date to P&Z rO~
Utilities Police P.W. I Parks Forester j Dev. Dept [
Completed by. Date records
Date entered into Pein'fit Log q-VS'~{. Initials
Date called for conunents Initials
Permit # Review F H
Submittal Acceptance Date
Completed by. Date to P&Z records
Utilities Police P.W. I Parks I Forester Dev. Dept
[
Completed by Date records
Date entered into Permit Log
Date called for comments
Initials
Initials
LESS PLAN FILING FEE
TOTAL AMOUNT DUE
RECEIPT NUMBER
DATE PERMIT ISSUED
Permit #
Submittal Acceptance Date
Elec. Mech. Plumbing
Completed by_
Utilities ] Police
Review F H
Structural P&Z Eng. Fire
Date to P&Z records
P.W. Parks Forester Dev. Dept
Completed by
Date records
Date entered into Permit Log
Date called for conm~ents
Initials
Initials
\\CH\MAIN\SHRDATA\Development~FORMS.doc\REViSION APPLICATION.doc 12/98, Rev.
6/99, 8/2000, 8/25/00 new label attached to application
TOTAL
462994 PAGE: 2/15
MIAMI.
~tlAMI-DADE COUNTY. FLORIDA
METRO-DADE FLAGLER I~UILDING
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Vinyl Tech/Progressive Glass Technology
1070 Technology Drive
Nokomis FL 34275
BUILDING CODE COMPLIANCE OFFICE
METRO-DADE FLAGLER BUR.DING
140 WEST FLAGLER STREET, SUITE t603
MIAMI. FLORIDA 33110-1563
(305) 375-2901 FAX (305) 375-2908
CONTRACTOR LICENSING SECTION
(]05) 375-2527 FAX (305) 375-2558
CONTRACTOR ENFORCEMENT SECTION
(305) 375.2966 FAX (305} 375-2908
PRODUCT CONTROL DIVISION
Your application for Product Approval of:
Series F-6000 Alumhtum Fixed Window w/J/16 " Tempered Glass.
under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate I~laterials and
Types of Construction, and completely described in the plans, specifications and calculations as submitted by:
/lpplicant. (This NOA renetes NOA No. 94o1031.02.)
has been recommended for acceptance by the Building Code Compliance office to be u.~d in Dude
County, Florida under the spex:ific conditions set forth on pages 2 et. seq. and the Standard Conditions
on page 3.
This approval shall not be valid after the expiration date stated below. The Office of Code Compliance
reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for
quality control testing. If this product or material fails to perform in the approved manner, the Code
Compliance Office may revoke, modify, or suspend the usc 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 the
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 testing will be incurred by the manufacturer.
Acceptance No.: 98-0223.09
Expires: 10/31/01 Product Control Supervisor
TInS IS THZ COVZaSagET, SEE A DITIONAL PAGES :OR
BUILDING CODE COMMITTEE ,~.~'~
This application for product Approval has been reviewed by the Mctropo~anO. a~d* Cot/hty Building
Code Compliance Department and approved by the Building Code Committe~' to be used in Dadc
County, Florida under the conditions set forth above.
c.~tles Danger, r:.~r. -
Director
Building Code Compliance Dcpt,
Approved: 11/12/98 .... -.l.. .............. ~_~ ~tr~o. ~a~ D~ef~ol~~
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