PERMITWARNING TO OWNER: CITYOF BOYN~T~)N I~(}~~
"YOUR FAILURE TO RECORD A NOTICE OF COM-
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~I~OTICE OF COMMENCEMENT." Date Applied: 8/g0/01
CONKL INC
Prepared By:
NOTICE '1
ITHE REQUIREMENTS OF THIS PERMIT THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE|
IN ADDITION TO ' LIC RECORDS OF THIS COUNTY AND THERE MAY
PERTY THAT MAY BE FOUND IN THE PUB
RE ADI)rrlONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTI ~
TO THIS PRO TIES SUCH AS WATER MANAGEMENT
~ ~I~STRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ·
D~elssued:
8/Z0/01
0100003380
Permit No.:
Pmparty Address
110 SE ZZND AVE
~ Legal Address
CRESTVIEW - BOYNTON BEACH
ne
110 SE ZZND AVE
ROYNTON BEACH
561 Z54-31ZZ
Additional .Descri tion
FL 33435
Contractor'sName/~dress/IJcense/~phone
2900 N DIXIE HWY STE Z0Z
FORT LAUDERDALE FL
954 3Z1-5550
General/Architect/Engineer
33334
Construction BFE FFE
FLZ
Occupancy Sq. Ft. Valuation_
~hedu~ofF~s
PAID 4~.80 DATE- B/Z0/01RECEIPT~- 000001058Z 000000000
PAID 4~,80CR DATE- 8/Z0/01 RECEIPT#- 000001058Z 000000000
CREDITED ~4.80 DATE- 8/'Z0/01 RECEiPT~- 32079 000000000
ncc is in the file
AUTHORIZED SIGNATUR -
NOTICE: CALL 7~Z-6355 FOR INSPECT 0 Y (' ' ~SSUANOE, OR
THIS ~ER~LL BE-=~ NULL AND VOID
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. ,n consideration
of the granting of this permit, the owner and buitder 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.
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
To:
Re:
From:
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
01-111180
(Contractor)
(Contractor's Address)
(Owner/s Name)
(Property Address)
CERTIFICATION SELECTION:
~"Certification of roof metal installation, flashing, underlayment.
~-~Certification of re-nailing roo£sheathing, and removal and replacement of damaged or rotted wood.
~-~ Other
I, ~'ZOC'~&~' /'~. d~,a~'.t~' , [-l am an Owner/Builder, ~g- am ce,ified as a roofing contractor
(License No. ~.,~ lDt. l"~d.~[O ) and do hereby certify that all roof work (as indicated above) has been
performed at the above address in accordance with Chapter 15 of the 1997 Standard Building Code. I understand that
the City of Boynton Beach offers progressive retool inspections. I have notified the owner of the property of this
affidavit.
~S~gnature of Owner/Buqld~r,~ Qualifier
~D"ate
STATE OF FLORIDA, COUNTY OF PALM BEACII
The foregoing instrument was ackno,vledged before me this ~/22/C~ ~ (date)by ~~/~, ~t/G,AjF_q' ,who is
personally
r who has produced (type of identification) as identification and who did (did not) take an
oath.
(SEAL)
Siunature of erson takin acknowled ement P~"~ ~/~
Name of officer takln~ acknowled~emeut--typed, printed or stamped
Title or rank Serial number
~.. ~g ~L MAT ~,ZUOZ
DJ:mb 10/6/95, Rev WV} t:mh 11/27/95, 1/12/96 2/5/96, Rev DJ :bg 11/29~99, 8/31/2000
~CH~MAIH~SHRDATA~DEVELOPMENT[POLICY MJZHUAL.WP~POLICYMH\SPECCON\ROOFCERT.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 re-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 j ob site.
When a Final is the orily scheduled inspection and an affidavit ]s 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.
E-4
\\CH~MAIN~SHRDATA\DEVELOPMENT\POLICY MANUAL.WP\POLICYMH~SPECCON~ROOFCERT.WPD
Permit*#
PCN fl
State of:
cou.ty
City of Boynton Beach f~--"
Development Department
Building Division F
NOTICE OF COMMENCEMENT
A~-20-2001 08:27am 0 1--35cj 1 27
ORB 1 ~:>8~2 P§ <:_ac_aS
DORD1HY H. WILI~EN, CLERK PB COUNTY, FL
IIIII I1 III II III II III II III II III II III II III II III II III I IIII
03.
01-3380
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance wiit~
Chapter 713, Florida Statutes, the following information is provided in ti]is Notice of Commencement:
1. Legal description of property:
(or attach legal description)
2. Street Address
Lot Block
3.General description of improvement:
4. Owner Information:
Phone Number: ~ '- ~ 5q -- ~/ Z7 ] Fax Number:
Interest in properly: ~~/'
Name & Address of
Fee simple titleholder
(if offmr than Owner )
5. Contractor Information:
6.Surety Information: tif requir~ d)
Name:
Address:
PboneNumber . [ BondAmount 1 $
7. Lender Information:
Lender Name:
Address:
8. Persons within the'State of Florida, designated by Owner upon whom notices or other documents may
be served as provided by Section 7!3.13(1){a)(71, Flor.!da Statutes:
Name:
Address:
Phone Number: ' [ Fax Number:
9. In addition to himself or herself, owner designates:
Name:
Address:
Phon,e Number: I Fax Number:
to receive.s3_~opy of tbeLienor's I~oti~le i~ provided in Section 713.13(a)(b), Florida Statutes.
EXPIRATION D/~ O~ TIHI~"~' I\ /[ / F1 (expiresl year/rom date ofre~ordin.q unless a different date is~si~ecified)
Signalure of Owner: ~~~~ ~ /~ PrinledName: I~L.~"~--~J~J ~'~.~"('-'~/('~
o_is.pe~sonally know to me.br who has produced identification
'~. Type of Ide~ti~icaJJBni
Signature of Notary: ~.~ V ~f~'/-~b' /3 T~
O' 'G-' .......
~\CI I\M A IN\SI II~.l)Al'A\l)cvclolm~Cut\FO R M S.d.c\Notice tff ('ommenccmcnl
da'
I
certify this_document to be
a tru~.'~.~of the record in
,,