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REVIEW COMMENTS .........'-'........~__.a.............:r .a.-..i...L V -L~..1..\...JL-'" ;1"6- - 3c'OY BUILDING PERMIT APPLICATION (Please Print) Permit # ('OR SUB PERMITS ONLY) PCN # OB_L/?J 1.(& 0-10:6 ODD 0;) { ~ (Palm Beach County Propert~ Control #) OWner's Name ,\.t.-;)""--N~'l ''''' ~~\\""N~ ~C OWner's Addres 2... ~ "", 5;:)\::> ,,-, ~ ~N "I \ City ~~~\.-....'\ State_ ~ Zip D,..~C\\7 Fee S1mp e T1tleholder's Name (If other than owner) OWner's Phone #<:'\~-/~~-:?'Sl (p Fee Simple Titleholder's Address (If other than owner's) Contractor's Name Contractor's Address City State Job NameCl'''~~) ~,k''""'1 Job Address 7 City >l ~c:f~~,<::l Legal Description~ Contractor'. Phone' Z,ip {. ~E!-A-( '=I WG..-\O~ 'CJ !~.5,.."" \.-.... "" " ~ 't County Bonding Company Bonding Co.Address ArChitect/Engineer's Name-11~~ ~IC^\ Architect/Engineer's Address '2.(piY2-- -;" d,.." """ Mortgage Lender's Name Mortgage Lender's Address SINGLE FAMILY: DUPLEX: (check one)' ESTIMATED VALUE OF CONS RUCTION: DESCRIPTION OF WORK: I City f-.lw'-f State wel';> MULTI-FAMILY: HOTEL: . RETAIL:v OFFICE: INDUSTRIAL: G:" ~IINT M",~1l.D 5', Qt'DlA \(Q SITE. erG Li), v 4 "I(J:;..,-.) ~H 'r~ ,.., $-1 Z,0p~v !) aClC.AO' o I : ,.1)(" 't l ~ App 1cat1on 1S to obta1n a perm1t to 0 the wor certify that no work or installation has commenced prior to all work will be performed to meet the standards of all laws regulating construction in 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 work will be UUCld in compliance with all applicabLe laws regU!atLng construction and zoning. WlUUfING TO OlfHBR. YOUR FAILURB CORD OF COIlIIBHCIDOlIlT MAY DSULT IN YOUR PAYING TWICB FOR IMPROVlDOlllTS TO YOUR P BRTY. TO OBTAIN FINANCING, CONSULT WITH YOUR Ll!:HDER OR AN ATTORHBY BBP'ORB DCORD C \ Property owner'. or .ligeDt'. Signature Date ~ \a.... \~ ~ STATE OF FLORIDA, COUIITY. 'OF PALM BEACH ,1- fl'S- ' ~he forego~?9 i9stru.eQti.~s acknowledged before me this 7<f _ ~ (date) by -v'~~ . who is personally known to me or who has roduced ~ype of iden~~fication) as identification and who did (did not) take ar o~th. Jut 1 () ',99:1 II> (SEAL) ." ~ - _ /:' 0 ..----- Signature of person tak~ 9<l,acl&'iowledgement a......:.kA A~~~ ~R Name of officer taking n,?wledgement-,.typed, prGte!""~ stamped Nnrlll'l PlIRIlr. ~TAn (11; m4ln Title or rank "' 'I,' I ' " Serial number, if any IYmlllIlSSIONEXPIRES NO't8. 1. ,;::. -TIT.." \"" \, ;, Contractor'. Signature ~.' \ Date STATE OF FLORIDA, COUNTY OF PALM BEACH The foregoing instrument 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 aJ 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 Competency Holder) ..........Ul.....a...........1I. ~ ~:...Qi...;, Certification or Registration No. Contractor's CertificaTe of Competency No. LIABILITY INSURANCE EXPIRATION DATE: WORKERS' COMPENSATION EXPIRATION DATE: APPLICATION APPROVED BY Permit Officer Date: Any change in building plans or specifications must be recorde6 with this office. Any work no 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. NOTE: This permit VOID after 180 DAYS UNLESS the work which it covers has been commenced. Ai 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 " 13'~~- )C:EJ?ffl!J' W,tHF! It: 0 " CITY OF BOYNTON BEACH O/Gl1'E:" ~\~ PLANNING & ZONING DEPARTMENT COMMENT.SHE[T " ".!le of Revie"er ..ntJ1ZtY1-."t ~Per.it APpUaation No. I q~- ~Of projeat Title :D .JIU/<' NJ ' ~~ Id-r\: 'rype of nevie" .ro' U 0(1..-- S, Tl!E riA-A) K€V/~ / ,TO I BuU,Uno Oepartment plans Analyst L.y.,vJU ./17#15 Date identified on the Building Department Date Stamp marking on the It)-~ ~r- application.' ' -,. ~ Date Planning and Zoning Department received the documents for sbove- I ~ referenced Permit Application Number. _. ".. 0 ~ - 9..( Date this Determination Sheet was given to the Building Department. /0 - ~ -9{ The follo"ino is a list of the Technical Review Committee departments that are required to review the above-,referenced p'Ulni t docUlllents prior to the permit being issued: s ~ /ff!li-c tfef) fJfJiP/r (' A-I/O,u 141> D>>-rel) .; () - (p ,q r;.- 'By ItPP// ( 4,A/T - '171P~'S -- ~T PI 10,.(.. -9S BUILDING FIRE ENGInEERInG UTILITIES POLICE PUBLIC WORKS PLANNING . 10NINa RBCREATION . PARKS FORBSTER IIOT&S: Ke:vIeJ.A/Gn , MSt:::TI'J /" -t, -9-1 -- . . ------- R~IJ'.s"-'l a#&" Jt~vI.re:O .rft/f'S',t-V/St'b ~MfS- f?~UU~D 9(''0(<75 .........'-'........~__.a.............:r .a.-..i...L V -L~..1..\...JL"'" ;1"6- - 3c'OY BUILDING PBRMIT APPLICATION (Please Print) Permit I (FOR SUB PERMITS ONLY) PCN I OB_L/?J 1.(& 0-10:6 ODD O;){~ (Palm Beach County Propertr Control I) OWner's Name ,\.t.-;)""--N~'l ''''' ~~\\""N OWner's Addres 2..~ "", 5;:)\::> ,,-,~ ~N"I\ City ~~~\.-....'\ State ~ Zip D,..~C\\ 7 Fee S1mple T1tleholder's Name ~c OWner's Phone I<:'\~-/~~-:?'Sl G, (If other than owner) Fee Simple Titleholder's Address (If other than owner's) Contractor "s Name Contractor's Address City State Job NameCl)~~) ~'-'""'1 Job Address __ 7____ _ City >l ~~'t~,<::l Legal Description~, Bondi;"g Company Bonding Co.Address Architect/Engineer's Name H~~ ~IC.\ Architect/Engineer's Address '2.(po 2.- -;" d.-L r;;.' Mortgage Lender's Name Mortgage Lender's Address SINGLE FAMILY: DUPLEX: (check one)' ESTIMATED VALUE OF CONS RUCTION: qESCRIPTION OF WORK: , Contractor's Phone I Z,ip {. ~e.1.-( '=I WG..-\O~ 'CJ ~~s;..\.-.... ",",,, ~'t County City f-.lw'-f State We.." MULTI-FAMILY: HOTEL: RETAIL:L OFFICE: INDUSTRIAL: G:" ~I/NT M",~1l.D 5', Qt'DlA \(Q SI Tf. LrG "+ 'I (J:;.. , ~H'~' ,.., \Z,0,~ !) aclC.AO .. o :..1)(" 't l ~ App 1cat1on 1S y ma e to obta1n a perm1t to I certify that no work or installation has commenced prior to all work will be performed to meet the standards of all laws regulating construction in 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. Li)IV OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be UUUt:l in compliance wit:h all applicabLe laws regu!at1.ng construction and zoning. WlUUfING TO OWHBR. YOUR FAILURB OF COIlIIBHCIDOlIlT MAY RBSULT IN YOUR PAYING TWICB FOR IMPROVlDOlllTS TO YOUR PR BRTY. TO OBTAllf FINANCING, CONSULT WITH YOUR Ll!:HDER OR AN ATTORHBY BBP'ORB RBCORD C \ Property owner'. or .IigeD~'. Signature Date ~ \ a.... \:;- ~ STATE OF FLORIDA. COUIITY,OF PALM BEACH ,1- 'it'S- ' ~he forego~?9 i9str~~Qti~s acknowledged before me this ~<Q ~ (date) by -v'/~ ~ ,who is personally known to me or who has roduced ",~ype, ,', of ~d,e')tifi,cation) as identification and who did (did not) take ar o,",:h. '" ,JllI 1 '} 1915 II> , (S",AL) ," . ~~ -_ /:' 0 _______ Signature of person tak~ g,)aclC'nowledgement ~ _~~T~ AMSER N~e of officer taking~ n~,~l,edgement~rty~ed, pr1.nt ,0 stamp.a Ntrr.lWptIRIIt. ~TAUnJ;n~ln TLtle or rank '~'" ,::' ...'Ser1.al number, l.f any IIYCOIIIII!ll:!ll:1ftN WIRES NOll&. 199& Contractor'. Signature STATE OF FLORIDA, COUNTY The foregoing instrument ~ n::r\\ \ : OF PALH'SEACH 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 a, Date (date) by 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 Competency Holder) .......u'-...g,............ Q' ",'-Q,,-i=# Certification or Registration No. Contractor's Certificare of Competency No. LIABILITY INSURANCE EXPIRATION DATE: WORKERS' COMPENSATION EXPIRATION DATE: APPLICATION APPROVED BY Permit Officer Date: Any change in building plans or specifications must be recorded with this office. Any work no 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. NOTE: This permit VOID after 180 DAYS UNLESS the work which it covers has been commenced, Al 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 '. ~ ~J€ /o~-r+~, CITY OF BOYNTON-BEACH . 1(aJ1EJ.U -------" REVIEWER'S NAME: PLANNING & ZONING DEPARTMENT COMMENT SHEET PROJECT NAME:.J::t."ok.J U ',))(jkJu"TS PERMIT NO. : TRACT/SUBDIVISION: PROJECT ADDRESS: .:3 70 IS, fiiI> ' l-l--iUy. PERSON RETRIEVING COMMENTS AND/OR PLANS: DATE PICKED UP: I plans - Comments 1 2 ZONING DISTR:>?: c. ~ _(" COMMERCIAL/RESIDENTIAL MMsP't-- SPWV PERMIT FILE NO.: 'f1.!=7 J Signature I Print Name 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) 37~-6260 between 8 A.M. and 5 P.M., Monday thru Friday. Please reference the project name and permit number when corresponding with City'S staff. 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. 'I '> '"2.') ii';;:~f1.rii~1f;~~/( ~~~~~ PJ!!C';'1<<' * Departments required to review the project: ~ Q&lG. ~ ~IIEF7 ... Jl:IVl l-U-'!I .: pueOMMT. UN Page f.- of ~ - A ^l ~~ - ~l / e: 3 ~ I:EJ../ /E/,,(/ q -2(.. - ~ \' CITY OF BOYNTON BEACH PROJECT NAME: DVA/)(../N 'Do ~v"T(" . REVIEWER'S NAME: DATE "tt::f-~~~ RECEIVED: - U i STARTED REV EW: 9'" r RETURNED: _-,2,4:__ APPROVED: PLANNING & ZONING DEPARTMENT COMMENT SHEET TRACT/SUBDIVISION: PROJECT ADDRESS: 370 I S '~ED. If-r.,vt COMMENTS AND/OR PLANS. PERMIT NO. : 00 REVIE~( CIRCLE) : 1 2 ~ 4 REVISION PERSON RETRIEVING signature I Print Name ZO MMSP DATE PICKED UP: I Plans - Comments FILE DESCRIPTION: ~-q,~../~ R - X ()Jf ~f,~/ SJf The permit number identified above is the referenced number for your propose( improvement(s). Prior to further processing on your request, the documents tha1 you submitted illustrating the improvement(s) shall be amended to show compliancl with the below listed comment(s). To discuss the comment(s) it is recommended thai an appointment be set-up with the reviewer identified in the upper right hane corner, (407) 375-6260 between 8 A.M. and 5 P.M., Monday thru Friday. Pleas, reference the project name and permit number when corresponding with city's Staff After amending the plan (s) to show compliance wi th the comment (s), return both set: of plans for re-review to the Building Department. please note that additiona comments may be generated as a result of reviewing the amended plans, All comment: shall be rectified prior to staff review approving the documents. .~ t1 ?~ I'!, - -- 37("- (,2.. G::,O ~I.J~ JR.1Y1 A-~ ~~; ,4~U!;:;r7" r/a ~JAJ"" ~.z:;a,}-r tu/'T"N J~~~~ ~~ , * Departments required to review the project: It.v: 2-11-95 1I1P.7:eOMMT.PItM Page I of J , CITY OF 2..."-1)::> BOYNTON BEACH PLANNING & ZONING DEPARTMENT COMMENT SHEET / v::::b~ eel V) PROJECT NAME:lh#JJ;::.,1J ~1Uc...i7"('A," ~'t>j'5 TRACT/SUBDIVISION: PROJECT ADDRESS: 370 IS, b,x/tc"_ ,l-lU,,1' PERSON RETRIEVING COMMENTS AND/OR PLANS: I signature Print Name DATE PICKED UP: Plans - Comments DESCRIPTION: ( k.) Te:..I2-, 0 /L, I2x re:1l.J 0 IL ~( 12.t=1=v~ I.JH "Ke; ,aL<) REVIEWER'S NAME: bo DATE RECEIVED: STARTED RE RETURNED: APPROVED: <:) 1/.., <;.. SIIc... p IDQ "'~lJ{{.J ,- Ij/A- The permit number identified above is the referenced number for your propose( improvement(s). Prior to further processing on your request, the documents tha1 you submitted illustrating the improvement(s) shall be amended to show complianc. with the below listed comment(s). To discuss the comment(s) it is recommended tha1 an appointment be set-up with the reviewer identified in the upper right han( corner, (407) 375-6260 between 8 A.M. and 5 P.M., Monday thru Friday. PleasE reference the project name and permit number when corresponding with City's Staff After amending the plan(s) to show compliance with the comment(s), return both setl of plans for re-review to the Building Department. Please note that additiona: comments may be generated as a result of reviewing the amended plans. All commentl shall be rectified prior to staff review approving the documents. .~ I. /-fE. pi, c... ,g. N 0 Ifo IA.J 11 o '() ~~o/~~o~.~ ~~~~S-r.r~~:;~f:4~m~k VL~6 , c().u-r flU U E: '-.J1= ')( T ~ C-_ E . / * Departments required to review the project: C; €:.1; o(L, (; j)~T. ~/lEEI' R.V: 2-16-'5 Il.:PUCOMMT.'IlM Page I of .3 ~ Q.') EA-e./<...-LI; AlA...lu IAJC : ~ Rt,1.~J u;:Jffi=~ ~~ :~~~{) Jr ~ otA I+.JL.D \ t-J6 LIG.J.J..-rt:; IS A-I'TF~~~ ~ ft-~ r fI- I Tee.. 1(...1 R... N Des I ~ 4J ,1fH.r J '\ ~Jsn1J6 1.-., , ;~~~Y~AJ(7 ~~~Y/~~T~~~~~l/dAI 8 c G.vT. o .) C i-E:Y'r It. ''f IUc:.iV ( I 1-1 :::, I Y L..t:::. . { 3 ~.. ~R~/ p.t"!:" S""-o C #.A.D ~ ENc.J 0 S u RJ: ~ v ~1I~ }{~~};/ ~~ I ~ ~~i::Jc.t=:;:{~ f:.-uc/~S.()J!-~ A-t-IV~ ~ ~ I~ CITY OF BOYNTON BEACH q - /"3 -q~ .t, \~\',~ <<; REVIEWER'S NAME: PLANNING & ZONING DEPARTMENT COMMENT SHEET PROJECT NAME: ~ufL' u :t:>o kJu-,:::s DATE RECEIVED: STARTED RE RETURNED: APPROVED: TRACT/SUBDIVISION: PROJECT ADDRESS: ~~O/ ~ .. ~b. I+w'i / DATE PICKED UP: I Plans - Comments NO. : W (CIRCLE): 3 4 REVISION PERSON RETRIEVING COMMENTS AND/OR PLANS: signature I Print Name FILE NO.: DESCRIPTION: t lo-) -re!!1t.../ 0 fL "R.e - ~ 'tHe.. I ~X7 t:::fl./ olU ~ti::.- -,=-'-'il'-:al S/"I 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 P.M., Monday thru Friday. Please reference the project name and permit number when corresponding with City's Staff. 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, .~ ( /o..J ..s. -rE ~ €J...; / e I , * Departments required to review the project: S~ ()~I c:: . bc::T~II./Irf7<' If.) ~ ltIy: z.tI.n aIPnCOMMT.JIlM Page , of / ~ A./~ 'Pi! tE, q -J r- - ,r- CITY OF BOYNTON BEACH ~~ REVIEWER'S NAME: PLANNING & ZONING DEPARTMENT COMMENT SHEET / 'M:;i-;I1 G'Je/ V PROJECT NAME:.D..,IJJ::.. kJ 't.:blUc..iT<:.\." t..<....e~jt>r5) TRACT/SUBDIVISION: PROJECT ADDRESS: 370 IS, b,x/.c- ~i" PERSON RETRIEVING COMMENTS AND/OR PLANS: DESCRIPTION: ( U Te./2.../ 0 Il- f2. X re1<.-J 0 fL.. , ~( h::."fV"R.. ~ I SrI 1:>0 DATE RECEIVED: STARTED RE RETURNED: APPROVED: I Signature Print Name DATE PICKED UP: Plans - Comments 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 hane corner, (407) 375-6260 between 8 A.M. and 5 P.M., Monday thru Friday. Please reference the project name and permit number when corresponding with City's Staff, After amending the plants) 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. I. HE.. pI, C!..- S \...Jo !-hIAJ ~ '{) ~~~O/~~~~~"~ r ~~;:~S~~U~!;Rf:p~m~L U/~6 . C() v-r IIlJ U €IE "--'~ ')( ;- ?-E- r_ E . , * Departments required to review the project: Il:IV: 2~U-'! .t"ICOMMT.'ItM Page I of ';> ~ Q. , ) BPl-e/<..- L'T AIAJU 11J~ : ;:Jr ~~~J(.En~~ ~-r, t~~~D 1+ ~OV€ Jt~D \ t-J6 Llc.JoJ.-r\ IS A-/""'P-~~~ ~ ft-R.c.H- I -rEC..:,u R.. AI Des I ~ U -, i~r J l\ E;>'-lsnf.}G, ~, . ;~~~A~(:r ~~yJ~~-r~~~~~7/~AJ 8 !....UN I . \..00 ') L ~, ,~. 't I ....'-,~ ,.' I -, I -..... .. ~R.eP1 fU. ~ s -rOC P:A.D ~ et-Jc.J 0 S u R.F ~V::II~ ~f{{;/~' ~~tJnc~;:;~~kx/os.()~~ S7 promotion of the public health, safety, comfort, convenience, order, appearance, prosperity or general welfare. C. Whenever the regulations and requirements of this chapter are at variance with the requirements of any other lawfully enacted and adopted rules, regulations, ordinances or laws, the most restrictive shall apply. Section 8. Appeals. IJf/EA/S Appeals may be taken by any person aggrieved by a decision of the Planning and Zoning Department within thirty (30) days of such decision. There shall be an application fee as adopted by resolution of the City Commission for appeals of administrative decision. The process for appeals shall follow the same procedure set forth in Chapter 4, Site Plan Review, Part III, Land Development Regulations. Section 9. General Intent. A. Buildings, structures and site elements are not required to match surrounding existing developments, but shall be in visual harmony with surrounding developments. B. Buildings or structures located on separate parcels and buildings or structures part of a present or future multi- building complex, shall achieve visual unity of character and design concepts through the relationship of building style, texture, color, materials, form, scale, proportion and location. Section 10. Site Criteria. A. Building Location. 1. Outbuildings, either located on the same parcel or an adjacent parcel as the principal building, shall not be located so as to totally block from the street, the visibility of any tenant space within the principal building on the site. Blocking shall be considered to occur if at the street frontage, the head-on view of a tenant space within the principal building is not partially visible. 2. Buildings shall be designed and sited to fully utilize the site and avoid unusable or inaccessible open space or parking spaces. 3. Siting and orientation of buildings must respond to the pedestrian and/or vehicular nature of the street on which it is located. B. Vehicular and Pedestrian Circulation. 1. Separate vehicular and pedestrian circulation systems on a site are encouraged. 2. Vehicular and pedestrian circulation systems on adjacent properties shall be linked to encourage cross-access. Adopted March 11, 1995. Ordinance 095-0~ Rev1..d June 16 1995 (Scrivener'. error corrected) 9-3 J~ \qS CITY OF BOYNTON BEACH signature I Print Name REVIEWER'S NAME: ~G" DATE ;r ,_ -- RECEIVED: 1-l-t-9S STARTED REVIEW: 7-~~-~- RETURNED: 7-2. ~- CfJ.. APPROVED: PERMIT NO.: CfS"- 3 ~ ~VIEW (CIRCLE): lJV 2 3 4 REVISION ZONING ~S~RICT: C.3 ~'COMMERCIA1)RESIDENTIAL MPt6P ,,' SPWV PERMIT PLANNING & ZONING DEPARTMENT COMMENT, SHEET \ ___ _. ._1 N'e..V-J'" V::', LC: 1 (~ PROJECT NAME: ...j;v1U#!.nJ' .1::b~ 1. t"-AJ6c.V , ,4-) WaJO'l .:s 7 TRACT/SUBDIVISION: PROJECT ADDRESS: ,"3710 I S. FE]). I:j'Gf(wI'>j PERSON RETRIEVING COMMENTS AND/OR PLANS: DATE PICKED UP: I Plans - Comments FILE NO.: 9t"- 71 DESCRIPTION: --iJj ~'''''' ~'f. ~O, 'RE . ~oJ:>E:.1 ~'SH The permit number identified above is the referenced number fOl- your proposed improvement(s). Prior to further processing on your request, the documents that you submitted illustrating the improvement(s) sha+l 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 B A.M. and 5 P.M., Monday thru Friday. Please reference the project name and permit number when corresponding with City's Staff, After amending the plants) 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. ~-,~ ,.y tJ 0" -I. W~~7~~~~ ~~~~I:iJ/I~~ !z.~~\:~/:'~~:~~70~ ~, eD.,..Mp.nCIAI n,~f2'CT f?t::r-.vrxmt:n. J" ~ u!;lE PP~U,S'i!:J N 11. 3 v " . ~'e#tA~~~ ~~~~~ti"r~:::f;A}'U~ ~7S--~ "L~O _ ,,/?'7j M.ItoN ;::: , ...... * Departments required to review the project: NotJE:, ""1" -rHI~ ..,. \ tv.. t=::. , It.v: J.1I.9!!1 a:P6.COMMT.rIlH Page --+-- of I ..t;;a.u -"-~ ........1-,.\0"",;1 --- - -----....... -....... /,0 - .:;J(jV7 BUILDING PERMIT APPLICATION (Please Print) Permit I (FOR SUB PERMITS ONLY) PCN I OS--LI?> 1.(& 0-10:6 ODD 0;) { ~ (Palm Beach County propertr Control I) I ^"' I OWner's Name*' \.t.-;)""-~~,\: ~ \~~~\\""N~ '-~C OWner's Phone IG:,\~-/'o,-""Sl VI OWner's Addresli'l""''2...~''a "", 5;:)\::>-2='_ <<:-'~N \J,<,_ ~\:::l. City ~~~\.-....'\.....:l State ' ~ Zip D,..~\7 Fee S1mp e T1tleholder's Name (If other than owner) Fee Simple Titleholder's Address (If other than owner's) Contractor's Phone I Contractor "s Name contractor's Address City State Job NameCl)~~ ~'-'""'1 Job Address__ 7____ _ City >l 'O.c:;'\.~,<::l Legal Description~ Bonding Company Bonding Co. Address Architect/Engineer's Name ~~ ~/C'J Architect/Engineer's Address '2.(pO '2-- -;" 0,"" r;;.' f-.lllJ'-f Mortgage Lender's Name Mortgage Lender's Address SINGLE FAMILY' DUPLEX. MULTI-FAMILY. HOTEL: , (check one)' - - ESTIMATED VALUE OF CONS;rRUCTION: $_' Z,0,o.:x::> DESCRIPTION OF WORK,I~orL. ~..M!)OT /:... I ~.x-"l?:.A...IOrL Z,ip (~e.l..('=I W~o~ 'CJ ~"'"-....\.-.... """,, ~'t county City State We.." RETAIL:V' OFFICE: INDUSTRIAL: ~1U2.1C.IJ Application is hereby made to obtain a permit to do the work and installations .s indicated. I 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 work will be dum! in compliance wil:.o all applicabLe law. regU!8t1.ng construction and zoning. WlUUfING TO OIfllBR. YOUR FAILURB OF COIlIIBHCIDOlIlT MAY RBSULT IN YOUR PAYING TWICB FOR IKPROVBMBHTS TO YOUR P BRTY. TO OBTAIN FINANCING, CONSULT WITH YOUR Ll!:HDER OR AN ATTORHBY BBFORB RBCORD C '\ Property owner's or .IigeD~' s ,SiCJDature Date ~ \ a.... \~ c:::-. STATE OF FLORIDA, Cvulut 'Q' PALM BEACH fl'S- ' ,-!he forego' instrlmeQ ',w s acknowledged before me this ~... . (date) by -vr~ ' who is personally known to me or who has ~roduced _. type of ide'}t~fication) as identification and who did (did not) take ar " Jut 1 () 'tINS II> , _. , q,),actno~t.dgeme~t ~ .k~-L. ' - -:,..~ ~-.L...~R ~n~\OIletigement-,.typed, prin;-~bgs~:'~:::~ ;:~:,~ , 'I .'/ I:: . ".'Serial number, if any 1IY1NI"1e.t:InIlW1RESNO'L~U9I ~~TI7~\"\'\; Date OF PALM BEACH 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 a, Contractor's Signature STATE OF FLORIDA, COUNTY The foregoing instrument Oath. (SEAL) . Signature of person ta Name of officer taking Title or rank (date) by 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 competency Holder) .:Vill....Q............. '.0 ';~ci.L,;;, Certification or Registration No. Contractor's Certificare of Competency NO. LIABILITY INSURANCE EXPIRATION DATE: \OIORKERS' COMPENSATION EXPIRATION DATE: APPLICATION APPROVED BY Permit Officer Date: Any change in building plans or specifications must be recorded with this office. Any work no 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. NOTE: This permit VOID after ISO DAYS UNLESS the work which it covers has been commenced. Al 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 '"