PERMIT APPLICATIONBP200101 CITY OF BOYNTON BEACH 5/14/02
Application Inquiry 11:47:56
Application number ..... : 01 00004666
Application status, date : FINALED 12/20/01
Property .......... : 2709 SW 5TH ST
PCN ............. : 08-43-45-33-01-003-0130
Lot Number ......... :
Zoning ........... : R1AA SINGLE FAMILY (5.40)
Application type ...... : RR RE-ROOF
Application date ...... : 11/30/01
Tenant nbr, name ...... : 25 SQS TOTAL SLOPE & FLAT
Master plan nbr, revwd by : RA
Estimated valuation .... : 5340
Total square footage .... : 0
Public building ...... : NO
Work description, qty . . . :
Pin number ......... : 0921
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0 1 -46 66
DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
BUILDING PERMIT APPLICATION
(Please Print) Permit fi ~)/-
~ ( IrOR St I1~, I'ERM rrs ON I,Y)
PCN~ ~ -~5-~5]-~/-~ (Palm Beach Cdunty Property Control ~)
Owner's Name ~ ~~ .... .Owner's. Phone ~ ~ ~ - ~ -~0 ~
city , (- state np '
Fee S[~le Titl~Holder's ~ame ~ ~ ~ (If other than owner's)
Fee Simple Title Holder's Address ~ , ' (If other than owner's)
Contractor's Company ~~~ ' ~~~ompany Phone ~ C~/~~ -
Project Manager and~rge~ p ~e ~ ~ _ --
City ~~, ~, ~., State ~k~ Zip
Job Name ' ~~ ~ ~ .... / . . ~1' '
Job Address , '~'~ ' ~, ~ . ~ ~ . , __
Legal Description ~ /~ ~. ~ ~,~ ~'/~
~onding Company A[/ ~ ~, ~ ~ . fir I '~ ,
Bonding Co. Address Cit~:~ ~ ':~ ~ :. >'~', ~
ArchitecFEngineer'sName ~ //~ ~"" '" ..... ~:: ~ [~~ ~ ~ ~
ArchitecFDngineer's Address ; { ~ ,, , , ,~ [,~, ~
Mortgage Lender's Name ~ L' "~:~ .... ,, ~
Mortgage Lender's ~ss ~~' ~ ~ 'J['~ ~r ~ ~"""'~uUI
SINGI,E FAMILY ~ DUPLEX ~ MULTI-FAMiI,Y .... ~.IO~E,L :-~ ..... RI:I:AII, C FFI~]?.[JZ$:!'RIAi.,
(check one) ~ . ~ ~ ~ ......... .... ~ ,, ,,C'",: -' .... :.. ~ _D
ESTIMATED VALUE OF CONSTRUCTION $ ~~'.O~: ~ , ~:::~.--":~:~ ~:"' z,~,~
Application is hereby required to obtain a permit to do work and installations as indicated. I cedi~ thai no work or installation has
commenced prior to lhe issuance of a permil and lhal all ~ork will be pedormed !o meet lhe slandards of all codes, laws, rules and
regulations governing construction in this jurisdiction. I undersland that a separate permit must be secured for ELECTRICAL, PLUMBING,
SIGNS, WELLS, POOLS, FURNACES, BOILERSt HEATERS, TANKS AND AIR CONDITIONING WORK, ETC.
OWNER'S AFFIDAVIT: I cedify that all the foregoing information is accurale and thal all work will be done in compliance wilh all applicable
codes, laws. rules and regulalions governing construclion and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING ~ICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A~ORNEY BEFORE~ECORDING YOUR NOTIC~ OF COMMENCEMENT.
Thc foregoing instrt,4~~~a before mc thi~ ~ Y ~a~ O/ (da,c) by
who is personally kn~~~t~ [ as identification aha who did (did
take an oath. i
(SEAL)
Signature of person taking acknowledgement~~ Name of o~cer laking acknowledgement - l~cd,
printed or stamped /~~~k'~ S~rial Number, if any /~/0/~]' /-'
Con,r.c,o 'sS, na,ur./_ !/ _
The fi~rcgoing instrument was ackno~ Ihis (dale) by'
who ia i~c~so;;a~ly known to mc or who !:as produced .... )
take an oath.
Signam[eofperson~akingacknowledgement ~ame of office~ taking acknowledgement - t~ed,
printed or stamped Title or rank t ~ ~~ S~rial Number, if any
{Ce~c~t~oLCom~te~y Holder)
Contractor s State Cedification of Registration N~ U~I ~~
Liabili~ Insurance Expiration Dat~ ~ s ~ " ] ' ~ ~ 11
Workers' Compensation Expirat~te ~ ~ . i - ~ '
Application Approved By (d~ ' ' Permit Officer Date: / Z
Any change in building plans or specifications must be recorded with this office. Any work not covered above musl have a valid permit prior
to starling. In consideration of granting this permit, the owner and builder agree to erect this structure in full ~mpliance with the Building
and Zoning Codes of the Ci~ of Boynton Beach.
NOTE: This permit VOID after 180 DAYS UNLESS lhe work which it covers has commenced. All Conlractors 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
FEES ARE NOT REFUNDABLE
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· 01-4666
· ~iA~ t, , ' MIAMI-DAD£ COL'NTY. FLOR[DA
METRO-DADE FLAGLER BL'ILD[NG
BUILDING CODE COMPLIANCE OFFICE
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STREET. SUITE I~
PRODUCT ~ONTROL NOTICE OF ACCEPTANCE ~30s~ 375-2901 FAX ~305)375-2~8
G.A.F. Materials Corporation CONTRACTOR LICENSING SECTION
1361 Alps Road (30~ 375.2527 FAX (305) 375.255S
Wayne NJ 07470 CONTRACTOR ENFORCEMENT SECTION'
(305) 375.2~6 FAX (305~ 375-2~S
PRODUCT CONTROL OlVISIOS
Your application lbr Product ApRroval off (30~) 375.2~2 FAX (305) 372-6339
Original Timberline Asphalt Shingles.-
under Chapter 8 of the Code of Mimi-Dade County governing the use of Alternate Materials and Types ot
Const~c[ion, ~d completely described herein, h~ been .recommended for accept~ce by the Miami-Dade
Count~ Building Code Compli~ce Office (BCCO) ~der the conditio~ s~cified herein.
This approval shall not be valid after the expiration ~te stated ~low. BCCO ~se~es the right to secure
product or material at ~ytime from a jobsite or m~ufactumes pl~t for quality control testing.
If this product or material fails to perfom in the approved m~er, BCCO may revoke, modit~, or suspend
the use of such product or material immediately. BCCO rescues ~e right to revoke this approval, if it is
dete~ined BCCO that this product or material fails to meet the requirements of the South Florida Building
Code.
The expense of such testing will be incu~ed, by the manufacturer. ~~
Acccp ta nee No.: 00-0105.02 .~~
//~~)
. cx~,,llT SET 'Raul ~od~iguez U ~
Expires:O4/22aO03 SHEET OF
,. ~0 ~0~ ~E~0VE c~i~r~o~ co~o~
m~s ~s T~ COV~aS.~T, S~ ~mX~O~L ~C~S ~O~ Se~C~g~C ~
CONgiTIONS
BUILDING CODE & PRODU~' REVIEW COMMI~EE
This application for P~oduct Approval h~ been reviewed by the BCCO ~d approved by the Building Cod~
and Product Review Committee to be used in Dade County. Florida under the conditions set ~brth above.
~PPRO~L
PRODUCT
On FiLE IN ,, ,
DEPARTMENT '~ '~ '~ ''"~
~ L J ,imctormnCisc° I. Quintana. R.A.
BUILDING
Approved: 04/2,~/~0~ ._, Buildin~ Code Compliance 0
, ~ WITH A~ CI~ OF BOYNTON B~BUI~G CODES.
C(.' F,~ ~ .':.'~' Er)
integer mail nddress: po~tmn~ter~buildingcodeonline.eom ~ ~omepnge[ http://w~w.buiidingeodeonline.com
D£C-05-OO TUE 08:35 A.,"I AEC SUPPLY LK NORTH FA,"( NO. 5615854657 P, Of
![~" ~:~[~ Mr-TRO-DADE FLAOLER OUILDL~G
METRO. OADE. FLAGLER OLHLDI.~G
140 v,'I-~$T FL,.',GLER STREET. SUITS
I)lt~;) i') I SC't" CC) NTR O L NOTICE O I;' A, CCE PTANC E (301~ 3?s.zgol Fax (.~osl
G.A. 1., ~,l a t erl a Is £.u fpo r:l lion CO~CTOS UC~.XS~x(;
FROOt'CT COh'YiOI.
u~dur Ch,lptcr g oI Ih...(. oc,c of Miami-Dado Caun[y aovcming thc usc ol'.Ahcrna[c Matcri~ls and 'ryl~i
Conslrucdon, mtd compldety clcscribcd herein, has been rccommm~dcd tbr acceptance by ti~¢ Miami-Dado
C:oumy 'Duildi~ Code Coml3limtcc Office (aCCO) under tl~e condilions specified heroin.
'l'hi,] apf;mv;d shall not be v:did after the expirndoa date slated below, aCCO rcsewcs dte right to secure tills
pcoduc[ or mactilt a[ anydm~ From a-jobsiic or manufi~cturar's plnnt tbr quality coitirol l~tin~.
1~' lifts procluc~ or material/~ils [o perform in the approved mnnncr, aCCO may revoke, modify, or suspend
thc ~,~c oC~uch product or material imm~lia[cly. DQCO reserves thc right [o revoke d~is approval, il'i~ is
de~cmfi~;od aCCO tl~at tlzis producl cr material flails Io meet tI~c r~quirements o¢ Iht Soulh Florida l]uildin8
-.' 'l'l~e CXpCu~C of sucH t,:sti,lg will bc incurred by t[,c manulitctumr.
Accel)la ~lcc No.: {~?0331.08 ~~ -
Chief l)roduc[ Coniroi Division
'I'll[:; I~ 'i'l[E COVEIISllEET, SEE AI)I)[TIONAL PACES FOR SPECIFIC AND GENIal{AL
CON I) ITI()N8
UUII.I)ING COl)Fi ~ PRODUCT REVIEW COM:~II~EE
'l'hi:~ ;:ppl~c:don for Produce[ Ap2rova~ has bccn reviewed by thc ~CCO and approved by Iht Duildin~ C~c
and Product Review C~m~mittca to b~ used in Dade County, Florid~ under [hc comlkions se~ forth above.
bO'~rOT RE) IOVE
I o [' ~ 5 M i am i-Dacl~ Co unty