PERMIT DOCUMENTS
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"WARNING TO OWNER:. YOUR FAILURE TO RECORD A CITY OF BOYNTON BEACH
NOTICE OF COMMENCEMENT MAY RESULT IN YOUR BUILDING DIVISION
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF
YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
'B'EFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Date Applied:
NOTICE
IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE
TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND THERE MAY
BE AOOlTIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
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Prepared By:
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Date Issued:
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INSPECtiONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION.
City Range Twnshp. Section Sub Dvsn, Block Lot Plat/Book/Page
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Property Address Zoning Reviewed by
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Subdivision Name Legal Address
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Construction BFE FFE FLZ
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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.
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CITY OF BOYNTON BEACH
DEPARTMENT OF DEVELOPMENT
PLANNING AND ZONING DIVISION
Permit #:
cJG~, 2"2 <g9
100 E. Boynton
Beach Blvd.
Boynton Beach, FL
33435-0310
(561) 742-6265
(561) 742-6259 FAX
PLANNING & ZONING PERMIT APPLICATION
Permitting of requested improvements does not imply conformance with Florida Building Code.
Please print. All lines MUST be completed. If not applicable. write N/A.
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All submittals shall include:
Surveyor site plan (indicating setbacks), Photos/drawings, Dimensions, and Type of material.
Refer to checklists for specific submittal requirements.
Cost of Improvement:
Site Address:
L1CATION and are NON-REFUNDABLE NON-TRANSFERABLE
Date Cr - 13 ()
roduced
Reviewed by:
Date:
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Signature: 'J~ (" /)~.i?
Permit # () 9 . ? 2 ~9
Planning & Zoning Dept.
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