REVIEW COMMENTS
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CUY OF BOYNTON BEACH REVIEWER'S NAME
/ ~ANNING & ZONING DEPARTME/4fIf1V --
COMMENT SHEET ~~A'i~ 3
C!T. ~ DATE I'f'- - t-J
c..o RECEIVED.: (- - 3~~ r
PROJECT NAME ,'3~D;t1 WOC:>() H-oM"a.u~'\ STARTED REVIEW. ::: - ;t..~
C RETURNED 7-"3
APPROVED
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TRACT/SUBDIVISION
ZONING DISTRI~.~:~
COMMERCIAL R SI __
MMSP SPWV - -PERMIT
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PROJECT ADDRESS I()() e>~'77'Q"u WtJO() )....,AJ.A:r
PERSON RETRIEVING COMMENTS AND/OR PLANS
signature
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Print Name
DATE PICKED UP
Plans - comments
FILE NO 0,.....,
7.J .- ,0
FE&.!;() 0
DESCRIPTION
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The permit number identified above is the referenced number for your proposed
improvement(s) Prior to further processing on your request, the documents that
you submitted illustrating the improvement(s) shall be amended to show compliance
with the below listed comment(s) To discuss the comment(s) it is recommended that
an appointment be set-up with the reviewer identified in the upper right hand
corner, (407) 375-6260 between 8 A M and 5 PM, Monday thru Friday Please
reference the project name and permit number when corresponding with City's Staff II
After amending the plan (s) to show compl iance with the comment (s), return both sets
of plans for re-review to the Building Department Please note that additional
comments may be generated as a result of reviewing the amended plans All comments
shal rectified prior to staff review approving the documents
* Departments required to review the project
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C-VrY OF BOYNTON BEACH REVIEWER'S NAME
/ ~ANNING & ZONING DEPARTME~/ 1:
COMMENT SHEET rlrV'fi~A'~~
~ ~ ~ DATE
~ RECEIVED (." - :3 0 ~ r
PROJECT NAME .3~DA'( u..Joc:>() H-oMt;.C4I'l!ic :~~~~:~DRE~~~ ?q1- .~
TRACT/SUBDIVISION APPROVED
PROJECT ADDRESS I()() e>~'77'Q"u WtJO() )....,AJ...Ji:r
PERSON RETRIEVING COMMENTS AND/OR PLANS
Signature
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Print Name
ZONING DISTRI~ i:~:~
COMMERCIAL R SI __
MMSP SPWV - -PERMIT
DATE PICKED UP
Plans - Comments
FILE NO 0,.....,
7.J .- ,0
DESCRIPTION
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(, U) "B IDc... I 570
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The permit number identified above is the referenced number for your proposed
improvement(s) Prior to further processing on your request, the documents that
you submitted illustrating the improvement(s) shall be amended to show compliance
with the below listed comment(s) To discuss the comment(s) it is recommended that
an appointment be set-up with the reviewer identified in the upper right hand
corner, (407) 375-6260 between 8 A M and 5 PM, Monday thru Friday please
reference the project name and permit number when corresponding with City's Staff 'I
After amending the plan(s) to show compliance with the comment(s), return both sets
of plans for re-review to the Building Department Please note that additional
comments may be generated as a result of reviewing the amended plans All comments
shal rectified prior to staff review approving the documents
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JCITY OF BOYNTON BEACH
PLANNING & ZONING DEPARTMENT
COMMENT SHEET
J~I~q/
REVIEWER'S NAME
TRACT/SUBDIVISION
PROJECT ADDRESS I()() e>~77'Q"u WtJoO )....,AJ.A:r
PERSON RETRIEVING COMMENTS AND/OR PLANS
DATE L '1- "?> - q ~2
RECEIVED (." -- :3 0 ~ S-
STARTED REVIEW. ~?L.~
RETURNED 7-"3-rJ
APPROVED
PROJECT NAME .3~DA'( u..Joc:>() H-oMt;.C4IA.I~
~C
DATE PICKED UP
I Plans - Comments
FE&.!;{) 0
signature
I
Print Name
DESCRIPTION
VELtJ
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(, U) "B IDe... I 570
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The permit number identified above is the referenced number for your proposed
improvement(s) Prior to further processing on your request, the documents that
you submitted illustrating the improvement(s) shall be amended to show compliance
wi th the below listed comment (s) To discuss the comment (s) it is recommended that
an appointment be set-up with the reviewer identified in the upper right hand
corner I (407) 375-6260 between 8 A M and 5 PM, Monday thru Friday Please
reference the project name and permit number when corresponding with city's staff I'
After amending the plan(s) to show compliance with the comment(s), return both sets
of plans for re-review to the Building Department Please note that additional
comments may be generated as a result of reviewing the amended plans All comments
shall be rectified prior to staff review approving the documents
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* Departments required to review the project
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page
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of
DSP.A.R:rMBNT OF
BUILDING
DEVELOPMENT
DIVISION 9- '7
o "'d7VtB
BUILDING PBRMIT APPLICATION
(Please Print)
Permit #
(FOR SUB PBRMITS ONLY)
PCN # 06-~3 .-l./,s- - /g-O.y ~ (y()<;-tbOO
(Palm Beac county Pro~erty Co~trol #)
Owner s Name ~~c. "~C,\l""')'~" ~ \'\f) ""e. O......),<.P'" '>
~ner'~Address 10'-' ',~..J'\_>~~~.J".J(~ C....,,(.
Cl.ty \~c:"",-\-,),... r;>. h
State Fj
Fee Simple Titleholder's Name
(~>x')t
Owner s Phone # 73;;;) -(;77)
Zip .33(/3~
>-.11. -1
(If other than owner)
Fee Simple Titleholder's Address ') "'l-{
~ (If other than owner's)
Contractor s Name -K.)"'V}.O ~ ~~" "'" ~'; 1/,'.,) Co"ff,l,k,
contra~o~ s Address </1(, 1 / J: ~'? -1" ;., _" (
City -1- ..L (Co;'. '-)'-' II r
State .7;-]' Zip )_~ :r
Job Name
Job Address
City ;;L
Legal Descri
Contractor s Phone # ~~C )/oy(,
~/:.;~~l
"t--" ....
tion
City
State
Bondl.ng Company
Bonding Co Address
Architect/Engineer's Name
Architect/Engineer's Address
Mortgage Lender's Name
Mortgage Lender's Address
SINGLE FAMILY DUPLEX MULTI-FAMILY
(check one)
ESTIMATED VALUE OF CONSTRUCTION S
DESCRIPTIQN OF WORK /If'^-> ',//r
<...q.5<<. mer:.t
HOTEL
RETAIL
OFFICE
INDUSTRIAL
Application is hereby made to obtain a permit to do the work and installations as indicated
certify that no work or installation has commenced prior to the issuance of a permit and that
all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction I understand that a separate permit must be secured for ELECTRICAL WORK,
PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT I certify that all the foregoing information is accurate and that all wor'
will be done in compliance with all applicable laws regulating construction and zoning
WARNING TO OWNERz YOUR- FAILURB TO RECORD A NOTICB OF COMMBHCBMBH'r MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVBlODlTS TO YOUR PROPBRTY IF YOU IHTBHD TO OBTAIN FINANCING, CONSULT WITH YOU:
LENDBR OR AN AT'rOlUOIY BEFORE RECORDING YOUR NOTICB OF COMMBNCBMBIIT
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. 1): '.....~iguatur.
'OF PALM BEACH
nt was acknowledged before me this
, who is personally known to me or who has produced
(type of identification) as identification and who did (did not) take
oath
(SEAL)
Signature of per
Name of officer
Title or rank
Date
Property awner'. or
STATE OF FLORIDA,
The foregoing ins
(date) by
-1
I ~ J~N t / 1995 ~
On taking acknowledgement
a~ing adRnowledgement--typed, printed or stamped
Serial number, if any
Contractor'. Si9natu~. . Date
STATE OF FLORIDA, COU~~ ~_ F PALM BEACH
The foregoing instrum t was acknowledged before me this (date) by
, who is personally known to me or who has produced
(type of identification) as identification and who did (did not) take
oath
(SEAL)
Signature of person taking acknowledgement
Name of officer taking acknowledgement--typed, printed or stamped
Title or rank Serial number, if any
(Certificate of competenc
Contractor s State Certification or Registration No
Contractor s Certificare of Competency No
LIABILITY INSURANCE EXPIRATION DATE
WORKERS COMPENSATION EXPIRATION DATE
APPLICATION APPROVED BY Permit
Any change in building plans or specifications must be recorded with this office Any work
covered above must have a valid permit prior to starting In consideration of the granting 0
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
NOTE This permit VOID after 180 DAYS UNLESS the work which it covers has been commenced
Contractors must have valid State certification or County Competency plus County and City
Occupational Licenses prior to obtaining permit
ISSUANCE OF THIS PERMIT DOES NOT AUTHORIZE VIOLATION OF DEED RESTRICTIONS
THIS PERMIT OR PLANS FILING FEE IS NOT REFUNDABLE