PERMITWARNING TO OWNER:
"YOUR FAILURE TO RECORD A NOTICE OF COM- 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
YOUR~(~TICE Of COMMENCEMENT." Date Applied:
NOTICE I Prepared By:
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE I
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY /tNB THERE MAY I
BE ADDmoNAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTreES SUCH AS WATER MANAGEMENT I Date Issued:
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. -- . J
Permit Type: 7 0 I 3 8 6 4 Permit No.:
9/Z6/01
HAYSL
9/Z7/0I
0100003869
II~~O-~iI:~E REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
Plat/Book/Page
95 3Z 03 OZ7 0060
City I Range
08 93
Property Address
Zoning Reviewed by
I360 SW Z, TTH PL RA
Subdivision Nome Legal Address
GOLFVIEW HARBOUR Z. ND SECTION
Owner's Name/Address/Telephone Contractor's Name/Address/License/Telephone
E III
EDWARDS MARION & EUGENIE
1360 SM ZTTH PL
BOYNTON BEACH FL 33~Z6
M & L ROOFING & CONSTRUCTION
630 INDUSTRIAL AVENUE
BOYNTON BEACH FL 33~Z6
56i 736-72il
Addit~nalDascdption Gener~/Amhit~t/Engineer
TENANT: 35
Construction
SQUARES SLOPED & FLAT
BFE FFE FLZ
Sq. Ft.
Valuation Improvements
~,770 RE-ROOF
~hedule~F~s * THIS PERMIT FEE IS NOT REFUNDABLE *
CREDITED
OTHER FEES:
'76,~3 DATE- 9/Z7/'0i RECEiPT~- 295Z2 000000000
AUTHORIZED S IGN'ATURE ........................
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.
01-3864
AFFIDAVIT
ROOF METAL AND ROOF SHEATHING INSTALLATION
(EXISTING BUILDINGS)
To:
City of Boynton Beach, Florida
Department of Development - Building Division
Field Inspection Section
100 East Boynton Beach Blvd., P.O. Box 3 l0
Boynton Beach, FL 33425-03 I0
Permit No. ('Q ! --.~ ~ ~/~
From: M & L Roofinq
(Contractor)
630 Industrial Ave., B.B. 33426
(Contractor's Address)
(Owner/s Name)
(Property Address)
CERTIFICATION SELECTION:
Certification of roof metal installation
Certification of re-nailing roof sheathing
Other
I, Melvin T,. rc~w~ /-Tam an Owner/Builder,/__"~am certified as a roofing
Contractor (License No.l~OB~/~l~d-~ 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 Cou~ :wi ?' '~ dment~.
SWORN AND SUBSCRIBED BEFORE ME THIS , ,.
Date
/I) DAY OF
]
~q~tary Public
My Commi~ioa Expire~:
RoofCert. Aff. doe
Address:
Sep-26-2001 ii:lOam 01--418045
ORB 12936 P§ 635
DOROTHY H. WILKEN, CLERK PB COUNTY, FL
01-3864
Permit No, ,
Tax Folio No.
NOTICE OF.. COMME. NCEMENT
State, of Florida
County 01 Palm B~ch . . · ·
' · 'Tho undersigned hereby glges notice that Improvemenis wiJl be made to cerlaln rea'l property; and In 'ac~°tda 1ce wllh'sectlon
' 7t0,'13 ol II~e Florida S~atules, the Iollowlng Inlormaflon Is provided hi Ihls ·NOTICE OF COMMENCEMENT..
.
· Legal description of'proPerty (In·clu'd~ Street Address: If available).
General desCription.of Impr'o;,,ements
'Owner l> v CO
Address
Owner's Inletest In slte o[ the ImprovemenL
Fee Simple Title holder (1~ olher than owner)
Name ~ I ~
I
Address
Contractor. H ~. T, Noof~ng--&--Co~sJ~cuction..
Address. 630 Industrial Avenuff,
Surety
~o_Y~_...t:pn Beach,--~._.334 ~.~.
Address
~_..__._ · ., Amount of bond $
Any person making a 10an for the construcllon of the Improvements',
Name: "/ii 4
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713,13(1)(a)7,, Florida Statutes,
Name- H & L Roofing ~ Construc~iD.D..
In addition to himself, owner designates. H &'L Roo~inq & Constrict'ion
Of 630 Industrial Avenue, Bo}q~ton Beach, F1 33426
to receive e copy of the Llenor's Notice as provided hl Section 713,13(1)(b)0 Florida Statutes.
Expiration date el Notice el Commencement (me expiration
specified),
THIS SPACE FOR FIECO/:IOER'S USE ONLY
date Is 1 year from/l~e'~date of recording unless a different date Is'
////- '/~--~-~'~,,,~2W .~~~ / ~. lic.," .