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PERMITWARNING TO OWNER: "YOUR FAILURE TO RECORD A NOTICE OF CON- C~TY 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 YOI)R~(~TICE OF COMMENCEMENT." Date Applied: 9/-"Z 6/0 t ] NOTICE Prepared By: "S HA,., L I 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 ]BE ADDmONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT Date Issued: ~ .s~.~s. S~ATE A~E.C,ES. OR FEOE"*' A~E.C,ES. Permit Type: 0 1 ' 3 8 ~l~it No.: ROOFING PERMIT INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION. City I Range 08 43 Property Address 9/Z6/'01 0~0000384~ Lot Plat/Book/Page 0040 Zoning Reviewed by 7 E CHESTERFIELD DR JP Subdivision Name Legal Address BOYNTON LAKES PL ~ Owners Name/Address/Telephone PORTNOY, CELIA A 7 CHESTERFIELD DR #E LAKE WORTH 954 Z55-9859 FL 3346£ Contractor's Name/Address/License/Telephone RANGER ROOFING CORP. JAMES & LAWRENCE LOFTUS LAKE WORTH FL 561 396-4167 Additional~scri¢ion General/Amhit~t/Engineer TENANT: REROOF ENTIRE ROOF FFE I FLZ 3,£i0 Construction [ BFE Ft. Improvements RE-~uuu' 33461-3£07 Schedule of Fees * THIS PERMIT FEE IS NOT REFUNDABLE PAiD 51,36 DATE- 9./26/0i RECEIPT#- 00000iii20 000000000 AUTHORIZED SIGNATURE NOTICE: CALL 7'~.2-6355 FOR INSPECTIONS ~+ HOURS IN A - THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED ,S COMMENCED WITHIN ONE HUNDRED AND El'l~fl~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. 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 Permit No. ()[ 0 ~l~/~ (-~i'V~{~ r I t (Owner/s Name) 5 .... ~k~ 0~~-~0 (~_ ~, ~O (Property Address) 01-3844 (Contractor) (Contractor's Address) CERTIFICATION SELECTION: ~'~ Certification of roof metal installation, flashing, underlayment. [-~ Certification of re-nailing roof sheathing, and removal and replacement of damaged or rotted wood ~-~ Other ~%~ I,L.~. ~,-'~ , VlamanOwner/Builder, ~l:~ am certified as a roofing contractox (License No. {,J[~-[t.~'2~. ) and do hereby certify that all roof work (as indic~ated abo__yve) 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 reroof inspections. I have notified the owner of the property of this affidavi, i,i~ / Si~ of Ow~uilder Or Qualifier The foregoing instrument was acknowledged before me (date) by . . , who is personally known to me or who has produced (type of i~ation) as identification and who did (did not) take an (SEAL) f ~'~ \ Signature of person taking acknowledge~..,fl/.....~)t,?,.,~ Name of officer taking acknowledgemed--tyt~~~~ Title or rank ~~k{ ¢~_tf~/_ t | ~.. Serial ~uum~~ DJ:rah 10/6/95, Rev WVH:mh I 1/27/95, 1/12/96 2/5/96, Rev DJ:bg I 1/2 \\CH\MAIN~SHRDATA~DEVELOPMENT\POLICY MANUAL.WP\POLICYM/~\SPECCON\ROOFCERT.WPD ~'~ ~ 5ep-17-2001 ~3:16pm 0 1--40~014 . . ORB 1~E~90~ P§ 1876 ~,~repared by and Return to. ~0R0mY ,. ~L~EN, CLE,~ P~ C0~T~, ~L ~~GER ROOFING CORPORA~O~ IIIII ~ I~ ~ III II ~1 ~ I~ ~ III IIIII ~ I~ I III ~ ~ I IIII ~550 2~"° AVENUE SOUTH, 5U~E ~ 8 ~?" NOTICE OF CO~MENCEME~ 0 1 - 3 8 ~ ~ ~-I'ATE OF FLORIDA COUNFFY OF PALM BEACH /~;The undersigned hereby gives notice that improvement will be made to l~l~ertain real property, and in accordance with Se~ion 713 13 of the Florida ~~'~e~al Description (include ~reet address, if available): Ea~ Cheste~eld Drive, Boynton Beach, Florida 33~26 Boyn~n ~kes, Plat ~, INPB ~9, P179 ~ Prope~ Control No.: 08-~3-~5-08-06-006-00~0 General Description ~Improvemen~: Re-Ro~ ~ne~ Celia Po~noy ~ Address:~ 7 East Cheste~eld Drive, Boynton Beach, Florida 33~26 '~ner's Intere~ in site of the improvement: Fee Simple Simple Title Holder (if othe~ than ~ner): N/A Contra~ors Name: RANGER ROOFING CORPORATION Address: 3550 23~d AVENUE SOUTH, SUITE ~ 8, ~KE FLORIDA 33~61-3207 Any person making a loan for the construction of the improvements: Person with in the State of Florida designated by Owner whom notices or other documents may be se~ed as provided by Section 713.3 (1) (a) 7., Florida Statutes: In addition to himself, Owner designates: dat~4s_~t (1) year from the date o.f r~e~}rding unless ,a different ~t~ized in ,EXPIRATION DATE OF NOTICE OF COMMENCEMENT (the expiration I HEREBY CERTIFY that on this day, before me, an officer duly ~~,ii(:, the State aforesaid and i~the County aforesaid to take acknowledgments, appeared (l~/_~l ~( ~~ ~ I personally known to me or ~who have pr;d~i;;'d.~-DL~ ~<~-IL~~(~(~~~VL~ -- as iden~ication and who acknowledged executing the foregoing instrument. ~:':~,,: ~' ~N~5 ray. nd and o~ se '-- nd State ro .sa,d, ,s .