PERMITWARNING TO OWNER:
"YOUR FAILURE TO RECORD A NOTICE OF COM- CITY OF BOYNTON BEACH
MENCEMENT MAY RESULT IN YOUR PAYING TWICE BUILDING DIVISION
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC-
ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOL~RtNEfflCE OF COMMENCEMENT." Date Applied:
I NOTICE I Prepared By:
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE]
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY I
BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT~ Date Issued:
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ~
Permit Type: Permit No.:
ROOFING ?ERMIT
INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
City Range
08 43
ITwnshp.
Section 3Z
113 0160
8/14/01
CONKLINC
8/15/0!
0100003Z95
Sub Dvsn. Block Plat/Book/Page
Property Address Zoning Reviewed by
?.019 SW 16TH AVE RA
Subdivision Name Legal Address
PALM BEACH LEISUREVILLE
Owner's Name/Address/Telephone Contractor's Name/Address/License/Telephone
BAUMWELL, ROBERT & JUNE
Z019 SW 16TH AVENUE
BOYNTON BEACH FL
561 736-74Z1
33426
M & L ROOFING & CONSTRUCTION
630 INDUSTRIAL AVENUE
BOYNTON BEACH FL 334Z6
561 736-7Zi1
Additional Description General/Architect/Engineer
TENANT: RE-ROOF FLAT
Construction I BFE
Sq. Ft.
FFE FLZ
Valuation
1
THIS PERM
Schedule of Fees
Improvements
iT FEE IS NOT REFUNDABLE
CREDITED 35,00 DATE-
8/15/'01 RECEIPT#- Z7531 000000000
NO INSP UNTIL CERT/REC NOC IN FILE
AUTHORIZE~ SIGNATURE --~BEF~ ~
NOTICE: CALL 74Z-635§ FOR INSPECTIONS Z4 HOURS IN ADVANCE R
THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ISSUANCE, OR
IF THE WORK AUTHORIZED HAS NOT RECEIVED AN APPROVED INSPECTION FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS.
Any change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit pdor to starting. In consideration
of the granting of 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,
Florida. This permit fee is not refundable.
AFFIDAVIT
ROOF METAL AND ROOF SHEATHING INSTALLATION
(EXISTING BUILDINGS)
To:
Re:
From: M & L Roofinq
C[t7 of Boyntoa Beach, Florida
Deparanent of Development - Building Division
Field Inspection Section
100 East Boynton Beach Blvd., P,O. Box 310
Boynton Beach, FL 33425-03 I0
630 Industrial Ave., B,B, 33426
CERTIFICATION SELECTION:
(Contractor)
(Contractor's Address)
.(Owner/s Name)
(Property Address)
Certification of roof metal installation
Certification of re-nailing roof sheathing
Other
I, Malv~n r,_ rc~w~_ /~---/'am an OwnerfBuilder, ~__'~am certified as a roofing
Contractor (License No.I~[t~Mt~la/IJ*10 )gt~nd do hereby certify that all roof work (as indicated above)
has been performed at the above address in accordance with the Section 103.1 of the Standard Building
Code and Coun~.~wide A~n~ts.
./S~ature o 'Qualifier
SWORN AND SUBSCRIBED BEFORE ME THIS
Date
DAY OF
~/'b~*~ .~lJ.~~ My Commission Expires:
~otary PuSilc
(7-*
RoofCen.Aff. doc
Daywalt
o6, 2oo5
: III.
':."':'DEPARTMENT OF DEVELOPMENT
BUILDING DMSION
ROOFING CERTIFICATION
DECEMBER 199~
IhtYRPOSE
The purpose of this Policy is to provide a method for certifying installation of roof
metal and re-nailing of roof sheathing on occupied or finished buildings.
II. AUTHORIZATION
Section 103.6, Page 5 of the 1994 Standard Building Code, as adopted by the City of
Boynton Beach, provides that requirements necessary for the public safety, health and
general welfare not specifically covered by the standard or other technical codes shall be
determined by the Building Official.
AppLICATION_
Qualified applicants may certify the roof metal installation and re-nailing of roof
sheathing by preparing an affidavit on his&er letter certifying that the installation of the
roof metal and re-nailing of roof sheathing complies with all codes, ordinances, roles and
regulations; that the qualifier, owner, or designee personally inspected the specific job;
and that the roof was installed according to the 1994 Standard Building Code, as
amended, and the manufacturer's installation: ~tmction;~h..-~.:',
This affidavit must be presented to the inspector at the next scheduled inspection on-site
or sent to the inspection office.
When the roof metal and roof Sheathing are not inspected at either a Roof Metal or Final
Inspection, the Structural Building Inspector will either fail the inspection until certified
by the applicant or pass the inspection if the signed affidavit is present at the job site.
When a Final is the only scheduled inspection and an affidavit is supplied, the Inspector
shall add the comment, ',CERTIFIED", and pass the inspection.
THIS POLICY IS FOR RESIDENTIAL STRUCTURES ONLY
ROOFrNO CERTIFICATION.doc
2/1!/98 sd