PERMIT WARNING TO OWNER: 0
"YOUR FAILURE TO RECORD A NOTICE OF COM- C~TY OF BOYNTONBEACH
MENCEMENT MAY RESULT IN YOUR PAYING TWICE BUILDING DIVISION
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC-
ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOI)R~([~ICE OF COMMENCEMENT." Date Applied:
NOTICE I Prepared By: A R M O g D
I IN ADDITION TO THE REQUIREMENTS 0F THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE I
IT0 THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY I
lEE ADOITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTreES SUCH AS WATER MANAGEMENTI Date Issued: I. g/'0 5/'0 1
~ DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Permit Type: Permit No.: 0
ROOFING PERMIT
INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
Property Address Zoning Reviewed by
2709 SW 5TH ST RA
Subdivision Name Legal Address
SEACREST HILL~ ;~UB PBZSPT~
Owner's Name/Address/Telephone Contractor's Name/Address/Ucense/Telephone
CULPE?PER SU.~AN A GUSTAF$ON INDUSTRIES, iNC.
2709 SW 5TH ST 7!6 S.E. !ST STREET
BOYHTON BEAC'H FL 33~_35 BOYNTON BEACH FL 33~35
Additional Description General/Architect/Engineer
TENANT: Z5 SQ$ TOTAL SLOPE & FLAT
Occupancy I Sq. Ft. Valuation Improvements
I
~ ,340 _~: ~_~- ROOF
Schedule of Fees * THIS PERMIT FEE IS NOT REFUNDABLE
OTHER ~E.~$: <~-~ ,'-"
NOT%CE: CALL 7~?~-6355 FOR i~.fgPECT',~ > h,,~,!~RS ~ Ai"tVA,~(i~7 (R,~:~O:;',%~ ~ .nn P ~f I
THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER 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.
1@/26/'2~0 89:16 5617426357 ,]lTV OF BOYNTON BLDG PAGE 01
DEPARTMENT OF DEVELOPMENT
BU.ILDING DI~SION 01 -.4 6 6 6
AFFIDA~T
(ONE & TWO FAMILY DWELLINGS ONLY)
To; CiW of Boston Beach, Florida
Dep~ent of Development - B~lding Division
Field Inspecfi~ Section
100 E~t Bo~to~ Beth Blvd., P.O. Box 3~0
Boston Beth, FL 33425-0310
CERTIFICATION SELECTION:
I~~C~ficafion of roof metal installation, flashing, underlayment.
~cation of re-nailing roof sheathing, and removal and replacement of damaged or rotted wood.
. Other
I, ~ I ~J~a_~ .l ~. ~D ~ q~ ff~ 0O [] am aa Owner/Builder, ~ certified asa roofing contractoz
(License No. -~.109 O"L- ) and do hereby certify that all roof work (as indicated above) has been
performed at the above address in accordauce with Chapter 1 $ of the 1997 Standard Building Code. I undersUmd that
thc City of Boynton Beach offers progressive reroof inspections. ] have notified thc owner of the property of this
affidavit.
Signature of Owner/Builder or Qualifier
The fc~r¢,o;n§ instramcnt was acknowl~dgcdl:~for¢ = ~i, ~ (dar,) by .~ '~[~[_ ~.~T~, w~o~'~
is personally
~ to me or w~o has Fro~ced ~ ~ (~ of identification) as id~e,ficauon ~i who &d (&d not)
oath.
(SEAL)
Si~t~e o~ p~son ~kmg ac~ow;eUgement ~ ~- ~
N~ of officex t~g ae~owledgement--~ed, p~ted or