PERMIT DOCUMENTS CITY OF BOYNTON BEACH
i ��� DEVELOPMENT DEPARTMENT I BUILDING DIVISION
° 100 East Boynton Beach Boulevard• Boynton Beach,FL 39435•(561)742-6350• Fax(561)742-6357
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EARLY START CONSTRUCTION AUTHORIZATION FORM
Permit App#: 16-4730 Fee:$500.00 Accepted by: Request Date:
- OWNERIINFORMATION r . .,t ti, 7 CONTRACTOR:INFORMATION .
Owner's Name TooJays Contractor License No. C&C O y 119 Z
Address 3654 Georgia Ave. Company Industrial Commercial Structures. Inc
City West Palm Beach State FL Zip 33405 Address 933 Lee Road
Phone(561 ) 659-9011 Fax(561 )659-9703 City Orlando State FL Zip 32810
Phone(407 ) 629-5431 Fax(407 )645-2035
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k q, Y x co M t?ROPOSED�IMPROVEMENTrLOCQTION;f.'' •t 1 t `� of f
Address of Improvement
376 North Congress Ave
Subdivision
Block Lot
PCN# 08-43-45-20-01-000-06W
Project Name TooJays Restaurant
Project Description Tenant improvement to accommodate a new 5.293s1 TooJays restaurant
77°C 7
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�._ APPLICATION REQUIREMENTS -t.1' , 0-fi
In accordance with the Boynton Beach Amendments to the Florida Building Code Section 105.12, construction
work may be authorized to commence pursuant to this authorization at the above referenced address. Work
done pursuant to this authorization shall not be concealed but shall remain open for inspection. Work can only
proceed to the point an inspection is required. Applicant is responsible for knowing when inspections are
required and may not rely upon representation of the City or its employees for such information. An inspection
shall not be made for any construction trade until a building permit has been issued for the project.The use of a
special inspector is not authorized for this type authorization.
Approval of this authorization does not constitute permission to violate the building code and does not provide
any guarantee that construction plans will be approved as submitted. All work done pursuant to this
authorization shall be at the contractors risk and any work done contrary to the approved permit shall be
corrected at the contractors expense. The City of Boynton Beach shall not be held liable for any damages or
losses resulting from this work. Failure to comply with any of the foregoing conditions shall constitute a violation
of the Florida Building Code.
'Fee paid for Early Start Construction Authorization are not refundable and not applied towards regular permit
fees.
"All contractors and/or subcontractors must be registered with the City of Boynton Beach Building Department
prior to commencing any work.
ss AUTHORIZATION CERTIFICATIONANDACKNOWLEDGEMENT ::..1 v'
• Business operations cannot commence without an occupational license.
• The contractor cannot disconnect any life safety systems or connect any new electrical, plumbing or
mechanical systems.
• Inspections of any type cannot be obtained or issued including all required and courtesy inspections.
• The contractor cannot use the Architect, Engineer, or any third party firm for Inspection purposes.
• Work may not be concealed. Any work that is concealed will be required to be removed for inspection once
a permit is issued.
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•
• If the point is reached where an inspection is required and the building permit is not issued, the work must
cease.
• The process number that Is issued to the regular permit application cannot be allowed to expire. The initial
duration is six(6) months with ninety(90) day extensions upon written request.
• If the building permit cannot be approved and issued, this authorization shall be revoked, and any work that
has commenced must be removed under a separate demolition permit with all costs of demolition and
permits to be paid by applicant.
• If the permit application cannot be approved as submitted, any work that was installed must be modified or
removed at the owner/tenant or contractor's sole expense. The City shall not be held liable for any damages
or losses resulting from this work.
• Applicant must post a copy of the approved Early Start Construction Authorization in a conspicuous place.
• The consequences for not complying with the aforementioned guidelines will result in revocation of this
authorization and an issuance of a Notice of Violation and declaring the premises unsafe. Proceeding
beyond the scope of this special permit will be considered a violation and will be processed to the full extent
of the law. In addition, owner/tenant and/or contractor and sub-contractors will not be allowed to participate
in this program in the future.
• This authorization shall not create any vested rights, nor shall it serve as a basis to prevent enforcement of
the building codes. This permit shall not be relied upon by the applicant as evidence that the contemplated
improvements that are the subject of the building permit are permitted or meet applicable codes.
• In the event the City is compelled to enforce the terms of this permit, applicant shall be responsible for the
City's cost of enforcement including, without limitation, attorney's fees and costs in the event the City
prevails.
I(We) the undersigned hereby understand the above conditions as read and/or explained to me(us). I(We)
agree to abide by these conditions and will not violate the intent of the Building Code or the Early Start
Program. I(We) furthermore hold the City and its staff harmless and not liable for any damages or losses
resulting from this program.
PROPERTY OWNER/LESSEE CO r : C 1 s '
STATEXL FL A,COUNT a F,P EACH STA1O s :t I A,COUNTY OF?WI BEACH
II
Signature of Owner/Lessee Date/ 5': ureofQualifier Date / /
STATE OF FLORIDA,COUNTY OF PALM BEACH STATE OF FLORIDA,COUNTY OF PALM BEACH
The following instrument was acknowledged before me The following instrument was acknowledged before me
this eallbk day of Ierznuan..) ,20 n , this B7* day of re 29 17 ,
by Man NUr1(aP ( C/Print Name), by l�.tl P. oho5p to Name),
who iersonally knownto a or who has produced who i ersonally known torn r who has produced
(rya of ID)as identification (7)pe atm)as identification
and who did/did not take an oath. and w did/di not tak an oath.
,� !�'.e .!•► _ I., �C�[.PRS ? r I v f J.0/LJ
S i,hire .' Notary Public Stale of Florlds Signature of Notary
Jenne°M Piccoloz�,ea
� Ai MY commWbn FF 1779e7 .' ••.•,11e SHELA REYNOLDS
aex Expires 11/19/2018 t4YC91VA199loNFfP2(pBy
Print Name o 7 Print Name of iii V +
El(PIRES:Jurle 5,2019
Seal Seal a%,co' Bolded Thou Budget Noel,Sento
Ir(Foi.OffiaUla Ooly)s•is s 7--_,r: T,7T,_. a,>.T -;-7."1:w1;::-.-.7:77-2-7,7-
AUTHORIZED for EARLY ART CONSTRUCTION: /
Name: -} ir_�� Date: 2%/( 7
B . g4ffical.rDesignee
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