PERMIT DOCUMENTS t'.
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CITY OF BOYNTON BEACH .
6P= DEVELOPMENT DEPARTMENT BUILDING DIVISION
e u 100 East Boynton Beach Boulevard•Boynton Beach,FL 33435•(561)742-6350•Fax 7426357
ATO N 6
APPLICATION FOR: ❑ EXTENSION ® **REINSTATEMENT
SELECT ONE: 8 Permit ❑ Permit Application (max of(3) three extensions)
Project Name: CEDARWOOD VILLAS
Permit # 16-3295 Job Address: 2400 SW 19TH AVE UNIT 125-132 BOYNTON BEACH FL 33435
Contractor of Record: TRUSTED CONSTRUCTION, INC
Phone: 561-582-5758 Email: trustedconstruction@gmail.com
Mailing Address: 3677 23rd Ave S C-101
City Lake Worth State: FL Zip Code: 33461
Detailed reason for the extension: At first the HOA didn't have sufficient funds then we reinstated
permit and it expired 8/8/17 we need to schedule final insp.
I, the undersigned, am requesting an extension/reinstatement for the item indicated above. I understand that
submittal of this form does not constitute in itself approval of the extension/reinstatement.
Qualifier/Authorized Agent .— _ Ad10—OPP 8/17/17
e Date
Urszula Debiec
Printed Name
FOR OFFICIAL USE ONLY C
Date of Expiration: 3 �S ( Processing Technician Initials:
Application Extension(max of(3)three extensions): 17115`$50.00 1112nd$75.00 ❑3rd$100.00
Permit Extension: ❑1"$50.00 ❑2nd$75.00 ❑3rd$100.00 ❑Extension beyond 90 days$250.00(Requires
Building Board of Adjustment&Appeals Approval)
Permit Reinstatement Fee: Total Permit Value:
Under 180 days of inactive status t $75.00 Times 2.3 %
Over 180 days of inactive status ID $75.00 or Permit Fee:
Over 180 days of inactive status ❑ 30% Times 30% 4 --7- a7
(Whichever is greater) Reinstatement Fee: l
, Approved,extended for ' days ❑ Denied **Additional Impact Fees may apply
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Reviewed by Building Official Date
S:\Development\BUILDING\Forms-Templates-Signs\Application for Extension-REVISED 1-20-2016.docx
/6 - 3 z9 r4971 Atamaa St
Boca Raton, Florida 33428
R.O.S ilva Phone: (954)614-3345
e-mail: rsilvengaaol.com
August 9, 2017
Building Division
City of Boynton Beach
100 E Boynton Beach Blvd
Boynton Beach, FL 33425
Attn: Chief Building Official
RE: Permit # 16-3295
2400 SW 19th Ave. Units 125-132, Boynton Beach, FL 33435
Dear Building Official,
In regard to the above permit, we have examined the re-nailing of roof sheathing, tin caps, metal,
and in progress (see pictures below).
All work inspected complied with the 2014 (5t Edition) Florida Building Code, and the .
manufacturer's installation instructions.
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11'yauhaGe . y ilue'sftOn"s, please contact us at (954) 614-3345.
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