PERMITWARNING TO OWNER: 0 1 - 3 3 9 2
"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~R~I'ICE OF COMMENCEMENT." D,,e,,,~:
INOTICE Prepared By:
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDmONAL RESTRICTIONS APPLICABLE I
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY
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 PERMIT
INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
City Range
08 43
Twnshp.
45
15 01 02;8 02;30
8/21/01
GUIFARROC
8/Z1/01
010000339Z
Plat/Book/Page
Pmoerty Address Zoning Reviewed by
1950 N SEACREST BLVD RA
Subdivision Name Legal Address
ROLLING GREEN RIDGE iST ADD
Owner's Name/Address/Telephone Contractor's Name/Address/Lk:ense/Teiophone
FRANCOIS, CHIBiNE & ALLIETTE
1950 N SEACREST BLVD
BOYNTON BEACH FL 33435
COMPETENT ROOF SERVICE INC
7538 HAZELWOOD CIRCLE
LAKE WORTH FL 33467
561 433-9190
Additional~scription Ge~ral/Archit~t/Engineer
TENANT: 22; SQ~ 4/12 SLOPE
Construction
Schedule of Fees
BFE FFE FLZ
Sq. Ft.
Valuation
THIS PERM
Imprevemen~
IT FEE IS NOT REFUNDABLE
PAiD 47.04 DATE- 8/21/01 RECEIPT#- 0000010599 000000000
NOTICE: CALL 742-6355 FOR INSPECTIONS 24 HOURS IN ADVANCE (gEFORE 5:00 P.M )
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 prior 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.
To:
Re:
From:
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
AFFIDAVIT
(ONE & TWO FAMILY DWELLINGS ONLY)
City of Boynton Beach, Florida
Department of Development - Building Division
Field Inspection Section
100 East Boynton Beach Blvd., P.O. Box 310
Boynton Beach, FL 33425-0310
01-3392
(Contractor)
(Contractor's Address)
(Owner/s Name)
(Property Address)
CERTIFICATION SELECTION:
~ertification of roof metal installation, flashing, underlayment.
~'/Certification of re-nailing roof sheathing, and removal and replacement of damaged or rotted wood.
[----]Other
I, ~ 1/~~ , F1 amah Owner/Builder, [~amcertifiedasaroofingcontractol
(License N~o. ~( c ~ 3-~ ~ d ) and do hereby certify that all roof work (as indicated above) has beer
performed at the above address in accordance with Chapter 15 of the 1997 Standard Building Code. I understand thai
the City of Boynton Beach offers progressive retool inspections. I have notified the owner of the property of thk,
affidavit.
Signatur~of O;Jne~r Qualifier Date
STATE OF FLORIDA, COUNTY OF PALM BEACH <~/¢:~./..~ 7'~5 ~isg' ~ee
The foregoing instrument was acknowledged before ?e this (date) byeS;:~-~O E' 2)Eto~'7'/'/~"~' rsonally
known to me or who has produced -f/- 2>0~cvk''q-c Ag ~r 5'~,m (type of identification) as identification and who did (did not) take an
oath.
(SEAL)
Signature of person taking acknowledgement .
Name of officer taking acknowledgement--typed, printed or stamped
Title or rank Serial number
DJ:rah 1016/95, Re,,' \VVlt:mh I 1/27/95, 1112/96 2~5~96, Re'.' DJ:bg 11t29/99, 8f31/2000
k~CHkMAIHISHRDATA/DEVELOPMENT~POLICY MANUAL.WPIPOLICYMH/SPECCONkROOFCERT.WPD
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
(ONE & TWO FAMILY DWELLINGS ONLY)
ROOFING CERTIFICATION
DECEMBER 1999
II.
III.
I. PURPOSE
The purpose of this Policy is to provide a method for certifying installation of roof metal, roof underlayment
and re-nailing of roof sheathing on occupied or finished one and two family dwellings.
AUTHORIZATION
Section 103.6 of the 1997 Standard Building Code and Boynton Beach Amendments, 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 certifying that the installation of the roof metal and m-nailing of roof sheathing complies with all
codes, ordinances, rules and regulations; that the qualifier or designee personally inspected the specific job;
and that the roof was installed according to the 1997 Standard Building Code, as amended, and the
manufacturer's installation instruction.
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 Sheathing, Tintag/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.
Progressive reroof inspections may still be requested by calling the inspection clerk 24 hours prior
to reroof at (561) 742-6355.
\\CH~MAIN~SHRDATA\DEVELOPMENT\POLICY MANUAL.WP\POLICYMH\SPECCON\ROOFCERT.WPD
flug-O1-200101:17pa 01--3~'9707
ORB 12779 P§ 190
DOROTHY H. WlLKEN, CLERK PD COUNTY, FL
IIIIlllllllllllllllllllllllllll
01-3392
PALM BEACH COUNTY
PLANNING, ZONING & BUILDING DEPARTMENT
Building Division
Notice of Commencement Form*
State of
:. '
Cv,,ntyof ~,, .~'..3-~/~I~.Z,P' ~P~L..~-~. )o~ ~ .
TH[ UNDERSIGNED hereby oives no~ce ~at improvement ~11 be maoe m ceAain rem prope~, anu in accomanc~ ~ Chap[er
7~ 3, Florida 8~tes, ~e follo~nG info~a~on is p~ided iA~is No~ce of Cpmmencement:
1. Description of prope~: ~~ ~//~ ~-~ ~
2. General descnpfion of ~mprovement: ~- ~~ ~)~ ~~ -~ ~~~
A. Name . ~ [~' / ~
B. Address /~0 ~' ., ~~ ~ ~ ~/g~
C. Interest in prope~ /~"
D. Name and address of fee simple title holder
~/.//
4. ConUactor infomlatlon: Z /~ ~'
A. Name~--~ ,~"7 ~''~'~ 7~
B.
Surely:
,,. ..m..
B. Address
Lender informa~on: / /-
· A. Name /I /~.
B. Address. /'/' ' ~
7.Persons within the State of Florida de/signated by Owner
upon whom notices or other documents may be served as
provided by Section 713.13 (l)(a)C/), Florida Statutes:
(Name and address) .......
8.In addition to himself, owner designates
to receive a copy of the Lien or Notice as provided in
Section 713.13 (1) (b), Florida Statutes.
*This notice is being supplied by .Palm Beach County,
Planning, Zoning and Building az required by Florida
Statute 713.13 (l) (d).
9. Expiration date of Notlce of Commencement (the expiration
date is I year from the date of recording unless a different
date is specified) .......
(Jacld, L Dug,Id
My Commlssk~ CCa977~
Expires Noveml~er 20, 200~
o
(Name of person t~king acknowledgment typed, printed or stamped)
..:.~_~ Jackle L Duguld r
'lr~l~*~Y Cu,,,,,,;~,:-~ $C:%~.'-e ~ :'
(Title or R~nk) '~,~"~..~ Exnires November 20, 200t'
(Serial number, if any)
o
Signature of Owner
JIOO~A lr~lt/ian Avenue
West Palm Beach, FL 33406
(561) 233-$130
(561) 233-$144 FAX
· ADA alternative document
..... .~ ......... · ~ : u~, 7:'_:'5'. :.: '.Availeble by calliv, g
.; '.' ,;':!- i t.~reby c. fl..~itf that the foregoing is a (561) 233-5 ici