Loading...
PERMIT DOCUMENTS ..I . UNIVERSAL COUNTY-WIDE/MUNICIPAL FOR WEE MOM' ' -1 BUILDING PERMIT APPUCATION FORM FOC V Permit Type: July 2013 Edition Accepted Bp. Application Date: Approved for use dwoughout Pads Beach County and Mintidpalities APPlicatial fr i - "I b184 ©a KIND of PERMIT(CHECK OWE E 0 N/ E D PR ) OPERTYWNER: L-4 in PA4v (YlP n a e Q h4 e hit- .-.1-'44 0 ❑➢BINARY PERMIT TENANT: t ISI n1' \j DQi .2v'@ SUB-PERMIT-If Fee&Value of a?It er7pq 4914 ADDRESS: (5-50 SW UNIT: covered under a Primary Permit complete troves Li 4.5.6.A a: 0) Q STATE: F( vP: •x,9)14 240 A only to apply.If not covered under,"TpiterEP®atPY 41 complete the entire application toap ILDING DIVISION PHONE: • _. ', , • 0b FAX: - - - � EMAIL .. .1 • _AA u � . . 11 w - ! ale •Com TRADE(CHECK ONE): PROJECT NAME: ki,pkg.-AO-7 1644'4 ShC 0/STRUCTURAL ❑ROOFING ❑ELECTRICAL Pa: Qt- (j. a- } 'IGj - L -1) al MECHANICAL n PLUMBING n FIRE o GAS J r1 o OTHER: LEGAL •• • fs .. • . 1 le c%vI. 10 ! e i D, PRIMARY PERMIT 0: ADDRESS:41)S cSt.O r •41-1 Gilt. 1 CITY:a'_ a( 3- aa_' I FURTHER WORK DESCRIPTION: esti _ _ - I. i..- L 11D✓I Ll • I e is Type of Work o New a Addition ii ' eaten a Repair o Demo o Temporary o Other VALUE: PERMIT FEE: NET S.F(for STD's): ISE,FEE SOMME) IAS Warts) MS APPUU) a Q OWNER BUILDER PER FL.sr.4g, (AS NAMED AteE,FOR CONTACT INFORMATION SEE BOX 2) �CwOER AACTOR(CT.HoLOER)( \a ,er tibE,C -r IFP7 • - bCA-C/Oo /7a 70 ORA(COMPANY NAME): 'Ir • . • r ( 44-f to, S Pj,/ : r.c . •. /�yADDRESS: • . - .. . STE:—Cm:e..-,.% t STATE: -'" ZIP: _tee PHONE. • _ .f1:�:7JL an n. a _a EMAIL: ate., I . II L,b - 01414 Application Is hereby made to obtatn a pennk to do • - work and . -,- - • i !. Indicated.l •. •• 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. OWNER'S AFFIDAVIT:I certify that all the foregoing information Is accurate and that all work will be done In compliance with all applicable laws regulating construction and zoning. , SIIJ --1J\ Igtarne.ofO,nvmMend?Sudn<matr.•md ,,. .:.10.I Print Name: fig: OP 1 N u e CareiP, VC-4E �j. . NOTARY REQUIRED IF$2,500 OR MORE,OR FOR ALL OWNER/ NOTARY • , r'i, r IF$2,500 OR MORE,OR FOR ALL OWNER/ BUILDERS REGARDLESS OF$VALUE STATE OF FLORIDA BUILDERS , .r0 >t , �- VALUESTATE OF FLORIDA COUNTY OF COUNTY OF " A (il • I Sworn to for affirmed)and subscribed before me this Swan to . . -•)and subscribed broga me tills.�3 day of , 20 .by day of 1 , 20 ' `/ ,by Wass apemenetithe,y�e �p Vat.4 _IE WWI .., I� p a,.:,,.., ' ;ewert (Signature of Notary Public-state of FbAda) A. off Notary - of Ronda) (Print Type,or Stamp ConuEdssloned None of Notary Pubes) .,'j'Type, .. - ... Mame of Notary Public) Personally Rnown_OR Produced identification Type of Identification Produced Personally Known Produced Identification Type of Idem iat Produced �,,yy,�,,� PATRICIA d 1NEYfERTPeg of 2 ( ,7 'x,. Rotary Pubye•stM 01 HerNe r f L+ F My Comm.Etplres Nar IS.7017 •. ' S'afa n. Commisskn I ff seta.•n 1 1'v 0A "WARNING TO OWNER: YOUR FAILURE TO `r! RECORD A NOTICE OF COMMENCEMENT MAY CITY OF BOYNTON BEACH 1 �( RESULT IN YOUR PAYING TWICE FOR BUILDING DIVISION °y\� '+ IMPROVEMENTS TO YOUR PROPERTY. "TUN 0 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." BP400L3 . 0 Date Applied: 3/27 / 14 NOTICE IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL Prepared By: B Y B 2 C S M RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY AND:THERE MAYBE ADDITIONAL PERMITS REQUIRED FROM. OTHER GOVERNMENTAL ENTITIES SUCH AS•WATER MANAGEMENT DISTRICTS, STATE Date Issued: 7 /24 / 14 AGENCIES,OR FEDERAL AGENCIES. --Permit Type: PIN 1834894 396816 PermitNo: 1400001284 MECHANICAL PERMIT INSPECTIONS ARE REQUIRED: SEE BACK OF PERMIT CARD FOR REQUIRED INSPECTION. City Range Twnshp. Section Sub Division Block Lot Plat/Book/Page 08 43 45 29 32 000 0020 Property Address Zoning Reviewed By 1550 SW 8TH ST CSM Subdivision Name Legal Address STAPLES BOYNTON BEACH Owner's Name/Address/Telephone Contractor's Name/Address/License/Telephone LANDER MANAGEMENT INC MECHANICAL A/C SERVICES INC 641 REINANTE AVE 1037 EGREMONT DR MIAMI FL 33156 WEST PALM BEACH FL 33406 561 632 - 7275 CAC1817270 EXEMPT Additional Description General/Architect/Engineer BUILD CHLORINE ROOM & 3 OFFICES STONE LYON BUILDING & RESTORAT GENERAL EXHAUST FAN,S Construction BFE FFE FLZ NA Occupancy Sq.Ft. Valuation Improvements 0 10 . 000 COMMERCIAL REMODEL . INT/EXT Schedule of Fees * THIS PERMIT FEE IS NOT REFUNDABLE * OTHER FEES : TYPE - COPIES 61 . 50 July 21 , 2014 1 : 34 : 34 PM byb2fa TYPE - COPIES SALES TAX 3 . 69 CERT/REC NOC RECEIVED TYPE - DBPR BLDG CODE ADM & INS 3 . 45 TYPE - DEPT COMMUN AFFAIRS SURC 3 . 45 TYPE - FIRE AND LIFE SAFETY FEE 252 . 00 TYPE - GREEN BUILDING FEE 1 . 10 „far Alt AUTHORIZED SIGNATURE NOTICE : CALL 742 - 6355 FOR INSPECTIONS 24 HOURS IN • D A ti ;EFORE 4 : 00 P . M . ) THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED t'--IN 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 stating.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-