REVIEW COMMENTS
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M~I) CITY OF
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BOYNTON BEACH
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REVIEWER'S NAME: 37:5> - ~.3S-"
PLANNING & ZONING DEPARTMENT
COMMENT SHEET
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DATE
RECEIVED: ~~~~
STARTED REVIEW: ~.~~S-
RETURNED: +-.').qt:;'
APPROVED:
DATE PICKED UP:
I Plans - Comments
FILE
PERSON RETRIEVING COMMENTS AND/OR PLANS:
Signature
I
Print Name
DESCRIPTION: 8'/ X 1'2-'.6K ::g ~(.," WlI-I ( FoR- A $/<:;;1.)
WI'r<;
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The permit number identified above is the referenced number for your proposed
improvement(s). Prior to further processing on your request, the documents that
you submitted illustrating the improvement(s) shall be amended to show compliance
with the below listed comment(s). To discuss the comment(s) it is recommended that
an appointment be set-up with the reviewer identified in the upper right hand
corner, (407) 375-6260 between 8 A.M. and 5 P.M., Monday thru Friday. Please
reference the project name and permit number when corresponding with City'S Staff.
After amending the plants) to show compliance with the comment(s), return both sets
of plans for re-review to the Building Department. Please note that additional
comments may be generated as a result of reviewing the amended plans. All comments
shall be rectified prior to staff review approving the documents.
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* Departments required to review the project:
Bv,/,D/NC-
ItBVI ;1:-16-'5
II ',UCOHMT. '''14
Page
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BUILDING DEPARTME
BUILDING PEI!IfIT APPLICATION
(Plea.~e Print)
PCN.O(y'. - OOy'()
(Palm Beach Co~ty Property ~o!'trol,' II) "/:) '/ ~"
Owner's Name f..!..cIr-, v'--" 4~cJ~ E/ ,f;:cJJG<. . Y~L.
Owner's ddress.3 =- ~. :::}c... c.-'~<il7 .-blvd.
Ci ty "',., Ul-cL,
State d/.
Fee Simple Titleholder's Name
N T
9:J ~/a;JK
Permit 1/
(FOR SUB PERMITS ONLY;
Owner's Phone II
Zip
3$ f/3S
Fee Simple Titleholder's
(If other than o~ler)
Contractor's Name ifJAt-J '" ~
/contractor's esl'_ '/S-5:1.
City ""'" ~ f-zv. ,
State CJ~, . ... . ,
Job Name .? d.'^
Job Add ess 3C.5<:'~. ~(!:,..--"- ~i-
City
Legal
&4 <JR.
Bonding Comp y
Bonding Co.Address . .A")( ;:'7 /fJdC'" /4,1..~
Architect/Engineer's Name 6.1'0-<0:<'
Architect/Engineer's Address 2<'!c.,3 )./..w. ()c," J::::6./-z,~ /d/v.!. ;j....k/IZ
Mortgage Lender's Name
Mortgage Lender's Address
SINGLE FAMILY: DUPLEX: MULTI-FAMILY: HOTEL:
(check one) C!/..v,ZZ- =-
ESTIMATED VALUE OF CONSTRUCTION: $ ,) CoO -
DESCRIPTION OF WORK: g" CHid IV,: 1 'f-"~ .71
othef.than o~e.r's)
Ut:/~r::-..r
t. ~ . 'c..., :Jr.
Contractor's Phone 1/
Zip-.,,3,3 .y C' 8
State F/d/'-d~
AdCJ. /4,4.-., PI. 33 '1.3/
RETAIL:
OFFICE:
INDUSTRIAL:
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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.
OWiiil:R I.:; J..:r'7IuAVI"i: I cercif:t that a~.l Lhe for~going 11nOrula.tl.on is accurate and th;lt all work
will be done in compliance wlth all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RRCORD A NOTICE OF C<MmNCI!KKNT HAY RESULT IN YOUR PAYING
TWICE FOR DIl'ROVI!HENTs TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE IlKCORDING Y~ NOfIfE OF C<MmNCEMIlNT.
Property Owner's or =li:~..s~'-"" ure . ~c::rt[;h-/fJtba.~,.;;:..., , Date 3/;4/7-$"
STATE OF FLORIDA, 6"OF pAtl{! CH
The foregoing ins r):u{~~t'Aiii.S:''A'Q~~ ged before me this (date) by
'1/,":",: :'kWOO"S ersonally kno~ to me or wno nas proaucea
.' '..' .,> 'ype of ide, . ication) as identification and who did (did not) take an
, . ,'".' "")' .1.1
('.1 l.!>', I ~) 1:;'\ ~; ti;. .'j
H~~fuJ:a of pe~c,~h t11ltitl'FatiknO'O!le ament
!J;;une of offlcer '-',al,t'ng:,)Wkriow.l.edg : t--typea, pnntea.or stampea
I'1tl" Ot Lank \:' ..,'" . Serial number, lf any
C"ntr...ctor's Si;;natl11:a, _. _ Date '5'-;/- 'l.s-'
STATE O.~ FWRJ>~lll~~. 1!-P -=-- , _ . ,..
The foregoi' ~ was acknowl~ged"befo'-"'_Dle_this /~ 1/ '/..:' (date) by
. /..1.11 ..... '<- ,who:ili; I'ersonally knowil'Joo me or wn nas p~aucea
:-, ..'" '9, ~'. pe of ident'ffl,-aU6R-;-8S id!!ntification and who'~(did not) take an
oatn == .~~ "0''1:1'.::
. :*: ..... :*=
(SEAL) %z,\ ICC353739 l;;j 22f" ~~' \L.: .
Signature ~~, '~~"R acknot'ledgement -, '/I..A:.1?cUu../ . ~--'4-<.:n~
Name of off%::~..;:! "~~K wI d ement--ty~j:nn e or{,St:ampea . ,c(;-/."-'<,'I.-r L:/,v"'+y/Lb
Title Or ranie'll, " f- Serlal l'umber, if any , _
(Certificate of Competency Holder)
Contractor's State Certification or Registration No. C~: {- 0 '7- 7, , '7.:::?
Contractor's Certificate of Competency No.
LIABILITY INSURANCE EXPIRATION DATE:
WORKERS' COMPENSATION EXPIRATION DATE:
APPLICATION APPROVED BY Permit Officer Date:
oatn.
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 ~ermit, the o~er and builder agree to erect this structure in full compliance with the
Buildlng and Zoning Codes of the City of Boynto~ Beach.
NOTE: This permit VOID after 180 DAYS UNLESS the work which it covers has been commenced. All
Contractors must have valid State Certification or County Competency plus County and City
Occupational Licenses prior to obtaining permit.
ISSUANCK OF THIS PERMIT DOES NOT AU1HORIZE VIOLATION OF DEED RESTRICTIONS
'T'HTC: Dl"'OMT'T' f"\T'l nT ~~~..... T:'T~ -~._ ~.,.....
NEW
CITY
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OF BOYNTON BEACH
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REVIEWER'S NAME:
PLANNING & ZONING DEPARTMENT
COMMENT SHEET
o
PROJECT NAME: --::5"'IE.&U;:;!5 w,r~~es
KI t..J a:. l)O"1 #19-1
TRACT/SUBDIVISION:
PROJECT ADDRESS: 3G.3~ oS. ,(?,~p~\-
PERSON RETRIEVING COMMENTS AND/OR PLANS:
DATE
RECEIVED: ~~~~
STARTED REVIEW: ~.~~S-
RETURNED: + -,')-qt:;'
APPROVED:
PERMIT NO. :
VIEW (CIRCLE):
2 3 4 REVISION
Signature
I
Print Name
ZONING DISTRICT: I
COMMERCIA SIDENTIA
DATE PICKED UP:
I Plans - Comments
FILE
DESCRIPTION:
..., '1 X ,.. , I'
Q _ 1'2-.() K ::g ,(.,
WlJ-1 (
FoR-
A
$/<:;;1.)
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 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.
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* Departments required to review the project:
Bc.....,/,DINC-
.IVl 2-16-515
fol"ICOMMT.rltM
Page
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of
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