REVIEW COMMENTS
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PLANNING
'-' ,--- fo-.........,.... "V
& ZONING DEPARTMENT COMMEN SHEET
?~ "Z- "'? ~ eBA
/I - 1.-..,
DD permi t APplication No. :
Name of Reviewer
project Title J.....4A.J.Jln::~x:.l!;. I ~Jt~ J;:\j"A--re'..
Type of Review JA. J J. lolL 91P;V/()1J/FJCA-"1I~ U
The :application number listed above is the referenced number for your
proposed construction. prior to furtber processing on your project, the
comments listed below must be rectified. To discuss the comments it is
recommended that an appointment be set-up with the reviewer. For an
appointment, call (407)37S:~Obetween a A.M. and 5 P.M., MOnday thru
,Friday. After amending the plan(s) to show compliance with the comment(s),
return both sets of plans for re-review to the Building Department. To
expedite the review of the plans, the designer responsible for the drawings
may make line changes to the plan(s) at the Building Department (each line
change must be initialed and dated). Note: Additional comments may be
generated as a result of the review of amended plan(s) and/or documents.
....................................................~.......................
Applicant's Name and phone No. :
Date Called:
comments Received By (Print Name):
signature: Date:
Comments only: ans and Comments:
Date Reviewed: ~,
..................................... ......................................
1.
~~: ~~~~r:n~~~ an:. :~~~~: D~~~t~o~~ h~: determined that the work ShOW~l ~~
~li(O~E~:f~"~~ ~f;';.~;;OC1~': ~~~;;c~~~on .~~o: ~~i.r ~i:~
~~~f~~d~~~~ ~~ ;~~~iv~ ~R~~~~~~i~~ H92-2111. The fee is pavable to the
~-t~ o~ JjO~~tu;l ~ un ~ -~ the Plannina and zonina Departm~~t
~~ ~i ..~ ~~; ~t;---f~~a ~~d zo~i~a De~~rtment reviewer sianina-off ~~:
_~~~~~ 0 ..e _ . the proposed work. In order to facilitate the
a~u~h;af~f f~~; ~~~~~~i' present this comment sheet or a COpy of same
t_ ___ _l__n___ a__ ____~a Department staff when pavina for the review
fee.
3.
.
...................................................*....*.........*..**....~
. Departments required to review the project
.
.................*....................................*....................j
Page --L- of I
B U I L 0 I N G 0 E PAR T MEN T Qij ~ /;-;<.5-7
BUILDDIG PEIlHIT APPLICATION
_ (Ple.ase Print) ~-,. Permit /I
PCN .' () $(. V? YS ~ /'K'- /1, -0':0 - OCKJD T e; C"- (FOR SUB PERMITS ONLY)
(Palm Beach County Property ControW) c.olll~7 5 f .
Uwner's Name ~{r""': L<,--to. ()e.u.Jo~"",,.....+ i,^l. Owner's Phone Ill't<>1) 6<;7- -oH I
~er's'7)Address~ _........;."'_OD 1..,K.L. - _lvel..
C>ty 1..)"'1",-\;...-.. 'll,..~'" 11- 10-'1<1
State f'i ",,;.l. Zip
Fee Simple Titleholder's Name
(If other than owner)
Fee Simple Titleholder's Address
(If other
Name 'Id."le.\ 'i)e<..;.'~V"'\. lZl )',\('J
Address ;';'Iou "\- Pd 7 I
l-lJoV\.\""'l
than owner's)
Contractor's
Contractor's
City '-'"""-
State F (
Job Name L-all)(("V'\C"Q..
Job Address
City
Legal Description
\ n<"
Contractor's Phone /I
4,nclG.,)f'-S).J.).
Zip
''''3J(,,)
/::<c:i,-; --c,- ~, ,
" 'v
Lc~ p",.J"k<;
Bonding Company ( -
Bonding Co.Address City ~
Architect/Engineer's Name ~
Architect/Engineer' s Address'~"
Mortgage Lender's Name
Mortgage Lende;(:' s Address <:0
SINGLE FAMILY: DUPLEX:___ MULTI-FAMILY:___ HOTEL:___ RETAI
(check on )
ESTIMATED VALUE OF CONSTRUCTION: $ {PoGO
DESCRIPTION OF WORK: Lc.r',{<""n.~ Kc...."w,cA,"~ "~,.-"{r,,,,ce
,
County
FL
".
_.' '.,i
'.\
,-
, State
~;' ~-,' ,~. . ()'
.< "-
. . ....'
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 work
will be done in compliance with all applicable laws regulating construction and zoning.
WARNING ro 0WMJlIl.: YOUR lUlJ111R ro D)_II A MOTICB or CCHUIICIMIlIlT HAY lIBSllLT IH YOUR PAYING
TWICB FOR Dn'ROVI!KIIITS ro YOUR PIOPUrY, YOU DITIlID~O DIG. CONStn.T WITH YOUR
LENDER OR AN A'rIUIOID' ~ g...1I1IG Cl- .," (
Property Owner's or .....t;.. Slpatura _ . - .) Date jo/Zo/qy
STATE OF FLORIDA. COUNTY or PALM BEACH - , , I .
The foregoi!l8 i,l)st~t was acknowledged b/!fore e this ,;lOti diu.! 0.;1 1.)('.'(, '1'-1 (date) by
C1(1~cn.~\r-; \~,"2((V\OJ- . who is J:!erso~ nown to me or wno\lia..p~M
Fl. ~~~,.-~:'S~ 'Ilr/,"-/"LL'S lcype of identification) as identifica.tiOn andlWll~Idi.'d..;~'Vj1:td;n~.t),"1;,!,ke-i
oa n. E):,?,i-rS I "-.__.~:"1/~""":>"~f:
(SEAL) ," - \ ~-,' ~ ':,\'1'r.\"yr "~.'._,-,-_,,:~,.,..,~.,,,::~.~.;.."rU)R!i)t'
(')(\'/;;:, ' ' .-
~~~a~fr~fffc~~(~~~ki~~;~b~~re~w~~f-'':~~e . pr nC'e .,' . ,.,~",.~:~=~~,m:
Title or rank 'C'(\~~Li ~e I:" '. Serial number.
Contractor I s Signature "- Date /0 - Z[ )-'1'-/
ST)rT OF FLOR ,COUNTY OF pALM B CH
Tf fo:pltQ1.Rg 1$ ument was acknowledged before me this /t!/' -''iV' 9e'/ (date) by
~/ p~ t/.7-~ ,who is ~~rsgnally known to me or wno as proaucea
.... , riaentification) as ..tdentificati n and who did (did not) take
IYNrJ ANN HAYS' / A
(SEA ),",YfARYl'iiBLlC.STt:1EOFFl.Ol'!DA ----
Signa ure:(l!:!I..j 'Eii:'!io'IPfak'i'.fr1i ac nowledgement /!(.';/\
Name Y' ,. ".) c1t edgement--ty . pr n e 0
Title or rank Ser>al number. if
(Certificate of Compete
Contractor's State Certification or Registration No. /'
Contractor's Certificate of Competency No.
LIABILITY INSURANCE EXPIRATION DATE:
WORKERS' COMPENSATION EXPIRATION DATE:
APPLICATION APPROVED BY
~."
-'
,-" _ c -
Permit Officer
Date:
Any change in building plans or specifications must be recorded with this office. Anv work n
covered above must have a valid permit prior to starting. In consideration of the granting of
th~s ~ermit, the. owner and builder agree to erect this structure in full compliance with the
Bu>ld>ng and Zon>ng Codes of the City of Boynton Beach.
NOTE: This permit VOID after 180 DAYS ~NLESS the work which it covers has been commenced. e
Contractors must have valid State Certification or County Competency plus County and City
Occupat>onal Licenses prior to obtaining permit.
ISSUANCE OE THIS PERMIT DOES NOT AUTHORIZE VIOLATION OF DEED RESTRICTIONS
THIS PERMIT OR PLANS FILING FEE IS NOT REFUNDABLE
\J.L..J...1. v.... J,.;Iv ...J.._... _.L.II .-J--'.....__........
.. PLANNING & ZONING DEPARTMENT COMMENT SHEET
NaJrieof Reviewer J:x. ~T/I'-I M.IJ~ permit APplication No.: c; 4- - -tf-/'Sf
project Title ~~ LAJ:::J::: ):;>€/..I. lIVe.
Type of Review .M..L U ()fL... S J" M..OJ). LA~
The :application number listed above is the referenced number for YOUI
proposed construction. prior to further processing on your project, thE
comments listed below must be rectified. To discuss the comments it h
recommended that an appointment be set-up with the reviewer. For ar
appointment, call (407)37S:~Obetween a A.M. and 5 P,M., Monday thn
.Friday. After amending the plan(s) to show compliance with the comment(s),
return both sets of plans for re-review to the Building Department. T<
expedite the review of the plans, the designer responsible for the drawingl
may make line changes to the plan(s) at the Building Department (each linl
change must be initialed and dated). Note: Additional comments may bl
generated as a result of the review of amended plan(s) and/or documents,
......................*............*................~....................*..
Applicant's Name and phone No.:
Date called:
comments Received By (print Name):
signature: Date:
comments only: ~ plans and Comments:
Date Reviewed: J ,- ~ - __" 9"4
...............................~.....*..*..........*.......................,
1.
~~: 1J-o~~~~~ an:. :~~~~: D~~~~t~~~~ h~S determined that the work shown 01
~ : uU~~~'~f~: ;~;~.u;~~ "f~~~; ~rm1t application is a minor sit~
~~~ ~~~t~~"~~L$r' . ~ sociated with the minor site olal
~~~~f~fQ~~~~ ~~ ~;~~hO~ ~R~~~luti~~ H92-2111. The fee is oavable to thl
'~1~ u~ Du~~tv~, ~ . ~n - due in the plannina and zonina Deoartmen
P~;;i ~~ ~~; ~t; ;i~a ~~d zo~l~a Department reviewer sianina-off th,
o~~ t 0 _.. e for the proposed work. In order to facilitate th,
~ ...~~~af i~ f~~; ~~~~~st. present this comment sheet or a COpy of sam,
o 1 n a ~ina Department staff when pavina for the revi~
fee.
7-) ~~~~r::~~J~~~:I!~ o~~'!,!€ '::~~H ~
~-P~~sJ~~'Fb l-A-Nb~CAP/L1~
~ uc..e. ~ "DS/6'hAY7c~
fu~R..p,..A..J<2..E; LUA1 As S/,to w V " J.. ) $/1..,- ,. ,-,. (, -I f-~
'TJ-I-E Qc...A-.v7Lr~ I q(..44./IT~ A-IJ~ ~A/lJE.. of:
AI-~~-rl ulE. I ~""-iOSC~p .....'~ .~Ho v/l:> e;~LJA-
0;; E'l~E:1) ,-~ '~/OU~~ ~C~
AtJJ-r1 c::o t1/...) -r f\..I1:>'s 'E: F>/ N ,
"
~~
T::>14"iA
€
.*.....*.........*..***...........*. ...**..........*..*...................
* De~artments required to review the project ~~f~
.
......*...................*..........*....**...*..*.*..*...........*...*..*
Page
I
of ,
BUILDING DEPARTMENT
BUILDING PEIlKIT APPLICATION
_ (Please Print) Permit /I
PCN IJ v: '1"1 YS -/~/1-or:n - CXx:::rD 'P.~ (FOR SUB PERMITS ONLY)
(Palm Beach County Property Control /I) ~~
Owner's Name LCl.. 7-le.vdo ......,......t IV\. ~r' Phone /I ,y.,7) 6'l1-oHl
Owner' ~Address 1 v . S
City ~"'1 ","""""
State A <>.,;.1.
Fee Simple Titleholder's Name
Qij- '9/.5-'}/
Zip
(If other than owner)
Fee Simple Titleholder's Address
(If other
Namel~~~s 'Ve~'; 'R,,;\,j
Address ~I <,\-. I
\U)v -\..\~
than owner's)
I.....c-
Contractor's Phone /I
4cJ7-QG>5i" S'..lU
Contractor's
Contractor's
City ,--,,4
State ~ (
Job Name
Job Address
City ~
Legal Description
Zip
."..,<.f~")
County
('\ ~r-:'""-,~
(
L<~
/'
.111\,
<!
" ' .....\
r --~:
Bonding Company
Bonding Co.Address City
Architect/Engineer's Name
Architect/Engineer's Address
Mortgage Lender's Name
Mortgage Lendet:' s Address <D
SINGLE FAMILY: DUPLEX:_ MULTI-FAMILY:_ HOTEL:_ RETA
(check on )
ESTIMATED VALUE OF CONSTRUCTION: $ (ooOO
DESCRIPTION OF WORK: LaY1d~rn.~ -Kp.YltlV"c,ho.." of ?Y\.+rQ~l':e
I
State
OFFICE: INDUSTRIAL:
Application is hereby made to obtain a permit to do the work and installations as 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 done in compliance with all applicable laws regulating construction and zoning.
WARNING TO 0llNBIl.: YOUR PATTJ1IlI! m JIICI"'" A NOTICE OP ~ MAY RllSULT III YOUR PAYING
TWICE FOR IMPROVDIJIlft'S m YOUR PIOPDTY, YOU :nrrJRD m 0 ING, CONSULT WITH YOUR
LENDER OR All AnUllllll.Y BU\aIIi JIICo_n[llG ~ ..' .
Property Owner's or ......t.. Sipatu:re ") Date /o/Zojqy
STATE OF FLORIDA, COOHTY OJ' PALM BEACH J
The foregoi i,n.st~t was acknowledged b fore e this ..::>ott dt'-L( 0 [)C-" '1 (date) by
C C' 0 ('I.- \',.e r v, OJ-. ,who is I?erso nown to me or w 0 a. .pr ,
FI-- ~'a '. C.i'-~(:1S ype of identification as identification and rn~':,;~;,~iY~;~
:\'cYfN'.v rc;nu< (T,'.'r~~ (iI; FLORIDA
.,(U{.l"~:~;, iC::J uo. '.X:2:J9815
,.. ','of"""
by
an
oa
nowledgement
edgement--ty
Ser
(Certificate of Compet
Contractor's State Certification or Registration No.
Contractor's Certificate of Competency No.
LIABILITY INSURANCE EXPIRATION DATE:
WORKERS' COMPENSATION EXPIRATION DATE:
APPLICATION APPROVED BY
Officer
Any change in building plans or specifications must be recorded with this office. Any work nol
covered above must have a valid permit prior to starting. In consideration of the granting of
this ~ermit. 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 ill.LESS the work which it covers has been commenced. At
Contractors must have valid State Certification or County Competency plus County and City
Occupational Licenses prior to obtaining permit.
ISSUANCE OE THIS PERMIT DOES NOT AUTHORIZE VIOLATION OF DEED RESTRICTIONS
THIS PERMIT OR PLANS FILING FEE IS NOT REEUNDABLE
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CITY OF BOYNTON BEACH
PLANNING & ZONING DEPARTMENT COMMENT SHEET
Name of Reviewer :~}t.o~V Jvt.o~ Permit Application NO.:~
project Title .t...AW'fU:eJa.c: !-A'f(E "DE.V- \ ~c..
Type of Review L-A"",bSCflt:Pe "R(;\.)O\J~OU or:: e.~1l:A-d't::: WAY
'I'he application number listed above is the referenced number for your
proposed construction. Prior to further processing on your project, the
comments listed below must be rectified. To discuss the comments it is
recommended that an appointment be set-up with the reviewer. For an
appointment, call (407) 375-6260 between 8 A,M. and 5 P.M., Monday thru
Friday. After amending the plants) to show compliance with the comment(s),
return both sets of plans for re-review to the r:lUilding Department. To
expedite the review of the plans, the designer responsible for the drawings
may make line changes t~ the plants) at the BUilding Department (each line
change must be initialed and dated). Note: Additional comments may be
generated as a result 01; the review of amended plan('s) and/or documents.
*M**.~...*...**.*****.*.******.***.**************************.**************
}.\j?plicant I s Name and Phone No. :
Date Called:
Comments Received By (print Name):
Signature: Date:
Comments only: ~ Plans and Comments:
Date Reviewed: 10- '-4- f:
*****************.**********************************************************
, ,) -rJI-! S g~:BMI77~1 IS A I-AtSb~c..I+I'E
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(MIN\ 1)
(~ ~e.e, ,,~s.~ A~A~.
***..********..***************************************.*********.**..***.w~*
* Departments required to review the project
'h:>fZEE.,T6!2- C l,eee -;r \ *
fv1 /}/tJfJ&atAav I ) *
*
~**..*..*.**..***.*.******.****w.******w.******.**...*.*******************.*
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