PERMIT WARNING TO OWNER:
"YOUR FAILURE TO RECORD A NOTICE OF COM- CITY OF BOYNTONBEACH~
MENCEMENT MAY RESULT IN YOUR PAYING TWICE BUILDING DIVISION
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC-
NG, CONSULT WITH YOUR LENDER OR AN AIIORNEY BEFORE RECORDING
fOLIR~GTICE 0fCOMMENCEMENT." Date Applied: ! ~/'30/0 .~
NOTICE ~ Prepared By: C 0 N K L Z N C
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE|
TO THIS ~OPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY!
BE AD0m0NAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT! Date Issued: 12. ? 0 ?/'O i
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES ..... /
% 0 i "' ~ ~ U ~ Perm. No.: 0~Cic:004, fi65
Permit Type:
INSPECTIONS ARE ~'~iRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
Property Address Zoning Reviewed by
389 N CONGRESS AVE WE
SubdMsion Name Legal Address
19-%5-%3, FBTP!9
Owner's Name/Address/Telephone Contractor's Name/AddresslLJcenselTelephone
BOYNTCN BEACH DEVELOPMENT ASSO .S'FRiNB:LERNATIC FiRE PROTECTION
47~5 TALLEYBROOK DRIVE 3211 N 7%TH AVE %S'
757 366-4-,000 954 98~- 1106
Additional Description General/Architect/Engineer
TENANT: ADD & RE.r. OC, A~E HEADS
Construction I BFE FFE I FLZ
Occupancy Sq. Ft. Valuation Improvements
1,500 FiRE SPRiHKLERS
Schedule of Fees :~ THIS PERM T FEE iS NOT REFUNDABLE *
CREDITED 3~=00 DATE- ik/07/Oi RECEIPT#- 0000011873 000000000
TYPE- _~'rRE AND LiFE ..SAE~'~'~: _~'~:,"': :i. 5.00
AUTHORIZED SIGNATURE ~~~
NOT~CE: CALL 7~Z-635.5 FOP !N~P?,CTT~DN~ Z~. HQf[~S lb[
THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS A~rP-.R 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.
IilBIIIIIIIIIIiIIIIIIHIIIIIBIIIIIIIll
12/04/2001 11:53:33 20010534345
· · Palm Beach County, Florida
OF 0 1
State of Florida, County of P~lm
real property, and in nccordance with Section 713.13 of the Florida Stntnte~
the following information is provided in the Notice of Conunencem~t.
Subdivision
2. Geherni Description of Improvement: Re-ropf
Address (if different): Same as above
Interest in Property: (X) Fee Simple ( )
Name and Address of Fee Simple titleholder (if other than owner):
4. Contractor Name and Address: Gustafson Industries, Inc.,
PO Box 832
BoyntonBeach, Florida 33425
~. Surety Name and Address: N/A Amount of Bond: None
6. Lender Name and Address: N/A
7. Persons within the State of Florida (Names and Addresses) designated by Owner upon whom
notices or other documents may be served as provided by Section 713.13(1)(a), FL.Statutes:
8. In addition to himself, Owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), FL. Stntutes.
9. Expiration Date of Notice of Commencement:
(the expiration ante is one year from an(,~ of recording unless a different dat~~)
Printed Name: ~'~'4 S/'/A/ ~,?/'7=
so. cc ~7~..~4] Signature of Owner:.
who is personnily know to me and did not take an oath. '
PO Box 8B2 8oyn~on 8~o¢h, Fto~do 33425