HomeMy Public PortalAboutPRR 21-2826
Renee Basel
From:Kenneth Woliner <kw1478@mynsu.nova.edu>
Sent:Tuesday, January 19, 2021 11:37 AM
To:Rita Taylor; Kenneth Woliner
Subject:Public Records Request from Ken Woliner to Gulf Stream (Building Dept.)
\[NOTICE: This message originated outside of the Town of Gulfstream -- DO NOT CLICK on links or open attachments
unless you are sure the content is safe.\]
January 19, 2021
Custodian of Public Records
Rita Taylor, Town Clerk
100 Sea Road, Gulf Stream, FL 33483
rtaylor@gulf-stream.org
561-276-5116
To the public records custodian:
1. This is a public records request to receive CERTIFIED copies of public records. See §§ 119.07(1)(a); 119.07(4)(c),
Fla. Stat.
2. These public records may be emailed to me (e.g., electronically), if that is an option. Otherwise, paper copies is
acceptable.
3. I realize that the search below may yield a result of: "No Records Responsive". Ahead of time, I attest to you
that I accept and agree that I am responsible for reimbursing your municipality/county for any special service
charges incurred for extensive "search time."
4. You are likely to find these records (or evidence of absence of these public records) in your municipal BUILDING
DEPARTMENT and/or Planning, Zoning, or Code Enforcement Departments. These requests relate to permits
for HVAC, Air Condition, A/C Installation, or A/C change-out repairs.
5. Please provide the following:
A. For the time period of 01/01/2010 until present day, provide copies of all BUILDINGPERMITS or
LICENSES/CERTIFICATIONS for air conditioning services (A/C repair, A/C install, A/C change-out,
etc.) or otherwise, requested by, issued on behalf of any contractor services or work done by:
B. "JUAN CARLOS IGLESIAS", a/k/a
"JUAN C. IGLESIAS", a/k/a
"CARLOS IGLESIAS", a/k/a
"AIR BOCA, INC.", a/ka/
1
"FL DBPR Certified Air Conditioning Contractor LICENSE NO. CAC048041.
C. For the time period of 01/01/2010 (or, if your records do not go back far, as far back as you
have records for), until the present day, for any document described in paragraph "A", above,
that is no longer in your possession, custody, or control, provide the records disposition
document that describes the disposition of any such document described in the aforementioned
paragraph "A", above, that has been disposed of.
6. Please promptly acknowledge the receipt of this public records request, and inform me that you are responding
to this request in good faith by making reasonable efforts to determine from other officers or employees at in
your municipality and/or county public entity, whether such records exist, and if so, the location at which these
records can be accessed.
7. If any portion of the records requested are exempt or confidential under Art. I, s. 24(a), Fla. Const., or Chapter
119, Fla. Stat., please redact the portion of the record(s) to which an exemption has been asserted and validly
applies, and produce the remainder for inspection and copying. See § 119.07(1)(d), Fla. Stat.
8. For all exemptions asserted, please state the basis of the exemption that is contended to apply to the record(s),
and indicate the statutory to an exemption created or afforded by statute. See § 119.07(1)(e), Fla. Stat. Further,
state with particularity, and in writing, the reasons for the conclusion the record (or portion of the record) is
exempt or confidential. See § 119.07(1)(f), Fla. Stat.
9. I request these records in electronic form, if these records are maintained by your agency in that medium, or
routinely used in that medium by your agency, (i.e., exist in electronic form). See §§ 119.01(2)(e),(f);
119.07(2)(a), Fla. Stat.
10. I attest to you that I am willing to provide payment for these records, up to the amount allowed by law, of $1
per copy of a certified copy of a public record; $0.15/per one-sided copy of pages actually duplicated onto
paper; a service charge for remote electronic access (which is in lieu of fees for printing paper copies of
documents, see, § 119.07(2)(c), Fla. Stat.); and, should extensive use of information technology resources or
extensive clerical or supervisory assistance of personnel of the agency is involved, a special service charge which
shall be reasonable and shall be based on the cost incurred for such extensive use of information technology
resources or the labor cost of personnel providing the service that is actually incurred. See §119.07(4), Fla. Stat.
11. Note well, venturing to an off-site storage or retrieving documents from back-up documents, is not chargeable
as a special service charge. "\[T\]he decision by the police department to store its older records off-site relates to
the nature of the record itself, so as to justify the imposition of the special service charge. Instead, the
determination to store its older records off-premises would appear to be a policy decision by the public agency
as to how to maintain its public records in light of certain space restrictions. ... \[W\]here a specific fee has not
been prescribed by a statute, a municipal police department may only charge the actual cost of duplication for
copying public records and may not charge for travel time and retrieval costs for those records stored off-
premises." Fla. Att'y Gen. Op. 90-07 (1990)Op. Att'y Gen. Fla. 90-07 (1990) (police department may not charge
for travel time and retrieval costs for public records stored off-premises); Op. Att'y Gen. Fla. 88-23 (1988) (state
attorney is not authorized to impose a charge to recover part of the costs incurred in production of a training
program; rather, fee to obtain copy of videotaped program is limited to actual cost of duplication of the tape);
85-03 (1983) and 89-93 (1989).
2
12. Nor can special service charges be applied for time spent redacting documents. Op. Att'y Gen. Fla. 84-81 (1981)
(stating that the special service charge may not be routinely imposed; thus, the special charge could not be
imposed merely because the records requested contained exempt material). See also Op. Att'y Gen 76-34 (the
right of citizens to inspect public records may not, in the absence of a statute, be conditioned upon the payment
of search fees).
13. "When calculating the “actual costs of duplication,” charges may not be made for labor costs or associated
overhead costs. ... The fact that the request involves the use of information technology resources is not
sufficient to incur the imposition of the special service charge." Fla. Att'y Gen. Op. 2013-03 (2013). The statute
clearly provides that if an agency maintains a record in a particular medium and that medium is requested for
the copy, the agency “must provide a copy of the record in the medium requested\[.\]” The statute also provides
that “the agency may charge a fee in accordance with this chapter.” Id. As no charge has been established by
law for providing copies by electronic mail in lieu of photocopying, section 119.07(4)(a) 3., Florida Statutes,
authorizes “the actual cost of duplication of the public record” to be charged. “Actual cost of duplication” is
defined in section 119.011(1), Florida Statutes, to mean “the cost of the material and supplies used to duplicate
the public record, but does not include labor cost or overhead cost associated with such duplication.” Id.
14. Please promptly provide an invoice for any charges expected to be greater than $25.00, so that I can remit
payment ahead of time, as per your public records request policies, of a portion, or the entire expected charges.
See, Woodard v. State, 885 So.2d 444, 445–46 (Fla. 4th DCA 2004) ("When a custodian receives a written
request by mail for public records and for information regarding copying costs, the custodian has a duty to
respond with the amount of the fee and, once the requester has forwarded the fee, to produce the records.");
see also Wootton v. Cook, 590 So.2d 1039, 1040 (Fla. 1st DCA 1991).
15. However, “requiring payment before an invoice cannot excuse the delay in providing \[public\] records.” Office of
the State Attorney for the Thirteenth Judicial Circuit of Florida v. Gonzalez, 953 So.2d 759, 765 (Fla. 2d DCA
2007).
16.
An unlawful denial of access can occur in many different ways, including delay. See, e.g.,
Tribune Co. v. Cannella, 458 So.2d 1075, 1079 (Fla.1984) (“The only delay permitted by
the Act is the limited reasonable time allowed the custodian to retrieve the record and
delete those portions of the record the custodian asserts are exempt.”); see also
Barfield v. Town of Eatonville, 675 So.2d 223 (Fla. 5th DCA 1996) (“An unjustified delay
in complying with a public record request amounts to an unlawful refusal under section
119.12(1), Florida Statutes.”). It may also occur by excessive special services charges.
See, e.g., Carden v. Chief of Police, City of Clewiston Police Dep't, 696 So.2d 772, 773 (Fla.
2d DCA 1996) (“An excessive charge could well serve to inhibit the pursuit of rights
conferred by the Public Records Act.”).
Morris Pub. Group, LLC v. State, 154 So. 3d 528, 533 (Fla. 1st DCA 2015).
17. "Providing access to public records is a statutory duty imposed by the Legislature on all records custodians and
must be accomplished in a manner that is consistent with the purpose and intent of the Public Records Law and
that does not unreasonably infringe upon the public's statutory and constitutional right of access to public
records." Fla. Att'y Gen. Op. 2013-03 (2013).
3
18. I look forward to receiving copies of these records promptly. Please call or email me if you have any questions
about this request!
Stay safe!
Kenneth N. Woliner
23086 Island View, #6
Boca Raton, FL 33433
954-770-6009
kw1478@mynsu.nova.edu
4
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
January 20, 2021
Kenneth Woliner [mail to: kw1478@mynsu.nova.edu]
Re: GS #2826 (Building Permits)
1. This is a public records request to receive CERTIFIED copies of public records. See
§§ 119.07(1)(a); 119.07(4)(c), Fla. Stat.
2. These public records may be emailed to me (e.g., electronically), if that is an option.
Otherwise, paper copies is acceptable.
3. I realize that the search below may yield a result of: "No Records Responsive". Ahead
of time, I attest to you that I accept and agree that I am responsible for reimbursing your
municipality/county for any special service charges incurred for extensive "search time."
4. You are likely to find these records (or evidence of absence of these public records) in
your municipal BUILDING DEPARTMENT and/or Planning, Zoning, or Code
Enforcement Departments. These requests relate to permits for HVAC, Air Condition,
A/C Installation, or A/C change-out repairs.
5. Please provide the following:
A. For the time period of 01/01/2010 until present day, provide copies of
all BUILDINGPERMITS or LICENSES/CERTIFICATIONS for air
conditioning services (A/C repair, A/C install, A/C change-out, etc.) or
otherwise, requested by, issued on behalf of any contractor services or
work done by:
B. "JUAN CARLOS IGLESIAS", a/k/a
"JUAN C. IGLESIAS", a/k/a
"CARLOS IGLESIAS", a/k/a
"AIR BOCA, INC.", a/ka/
"FL DBPR Certified Air Conditioning Contractor LICENSE NO.
CAC048041.
C. For the time period of 01/01/2010 (or, if your records do not go back
far, as far back as you have records for), until the present day, for any
document described in paragraph "A", above, that is no longer in your
possession, custody, or control, provide the records disposition document
that describes the disposition of any such document described in the
aforementioned paragraph "A", above, that has been disposed of.
6. Please promptly acknowledge the receipt of this public records request, and inform me
that you are responding to this request in good faith by making reasonable efforts to
determine from other officers or employees at in your municipality and/or county public
entity, whether such records exist, and if so, the location at which these records can be
accessed.
7. If any portion of the records requested are exempt or confidential under Art. I, s.
24(a), Fla. Const., or Chapter 119, Fla. Stat., please redact the portion of the record(s)
to which an exemption has been asserted and validly applies, and produce the remainder
for inspection and copying. See § 119.07(1)(d), Fla. Stat.
8. For all exemptions asserted, please state the basis of the exemption that is contended
to apply to the record(s), and indicate the statutory to an exemption created or afforded
by statute. See § 119.07(1)(e), Fla. Stat. Further, state with particularity, and in writing,
the reasons for the conclusion the record (or portion of the record) is exempt or
confidential. See § 119.07(1)(f), Fla. Stat.
9. I request these records in electronic form, if these records are maintained by your
agency in that medium, or routinely used in that medium by your agency, (i.e., exist in
electronic form). See §§ 119.01(2)(e),(f); 119.07(2)(a), Fla. Stat.
10. I attest to you that I am willing to provide payment for these records, up to the amount
allowed by law, of $1 per copy of a certified copy of a public record; $0.15/per one-sided
copy of pages actually duplicated onto paper; a service charge for remote electronic
access (which is in lieu of fees for printing paper copies of documents, see, §
119.07(2)(c), Fla. Stat.); and, should extensive use of information technology resources
or extensive clerical or supervisory assistance of personnel of the agency is involved, a
special service charge which shall be reasonable and shall be based on the cost incurred
for such extensive use of information technology resources or the labor cost of personnel
providing the service that is actually incurred. See §119.07(4), Fla. Stat.
11. Note well, venturing to an off-site storage or retrieving documents from back-up
documents, is not chargeable as a special service charge. "[T]he decision by the police
department to store its older records off-site relates to the nature of the record itself, so
as to justify the imposition of the special service charge. Instead, the determination to
store its older records off-premises would appear to be a policy decision by the public
agency as to how to maintain its public records in light of certain space restrictions. ...
[W]here a specific fee has not been prescribed by a statute, a municipal police
department may only charge the actual cost of duplication for copying public records
and may not charge for travel time and retrieval costs for those records stored off-
premises." Fla. Att'y Gen. Op. 90-07 (1990)Op. Att'y Gen. Fla. 90-07 (1990) (police
department may not charge for travel time and retrieval costs for public records stored
off-premises); Op. Att'y Gen. Fla. 88-23 (1988) (state attorney is not authorized to
impose a charge to recover part of the costs incurred in production of a training
program; rather, fee to obtain copy of videotaped program is limited to actual cost of
duplication of the tape); 85-03 (1983) and 89-93 (1989).
12. Nor can special service charges be applied for time spent redacting documents. Op.
Att'y Gen. Fla. 84-81 (1981) (stating that the special service charge may not be routinely
imposed; thus, the special charge could not be imposed merely because the records
requested contained exempt material). See also Op. Att'y Gen 76-34 (the right of citizens
to inspect public records may not, in the absence of a statute, be conditioned upon the
payment of search fees).
13. "When calculating the “actual costs of duplication,” charges may not be made for labor
costs or associated overhead costs. ... The fact that the request involves the use of
information technology resources is not sufficient to incur the imposition of the special
service charge." Fla. Att'y Gen. Op. 2013-03 (2013). The statute clearly provides that if
an agency maintains a record in a particular medium and that medium is requested for
the copy, the agency “must provide a copy of the record in the medium requested[.]” The
statute also provides that “the agency may charge a fee in accordance with this
chapter.” Id. As no charge has been established by law for providing copies by
electronic mail in lieu of photocopying, section 119.07(4)(a) 3., Florida Statutes,
authorizes “the actual cost of duplication of the public record” to be charged. “Actual
cost of duplication” is defined in section 119.011(1), Florida Statutes, to mean “the cost
of the material and supplies used to duplicate the public record, but does not include
labor cost or overhead cost associated with such duplication.” Id.
14. Please promptly provide an invoice for any charges expected to be greater than $25.00,
so that I can remit payment ahead of time, as per your public records request policies, of
a portion, or the entire expected charges. See, Woodard v. State, 885 So.2d 444, 445–46
(Fla. 4th DCA 2004) ("When a custodian receives a written request by mail for public
records and for information regarding copying costs, the custodian has a duty to respond
with the amount of the fee and, once the requester has forwarded the fee, to produce the
records."); see also Wootton v. Cook, 590 So.2d 1039, 1040 (Fla. 1st DCA 1991).
15. However, “requiring payment before an invoice cannot excuse the delay in providing
[public] records.” Office of the State Attorney for the Thirteenth Judicial Circuit of
Florida v. Gonzalez, 953 So.2d 759, 765 (Fla. 2d DCA 2007).
16. An unlawful denial of access can occur in many different ways, including delay. See,
e.g., Tribune Co. v. Cannella, 458 So.2d 1075, 1079 (Fla.1984) (“The only delay
permitted by the Act is the limited reasonable time allowed the custodian to retrieve the
record and delete those portions of the record the custodian asserts are exempt.”); see
also Barfield v. Town of Eatonville, 675 So.2d 223 (Fla. 5th DCA 1996) (“An unjustified
delay in complying with a public record request amounts to an unlawful refusal under
section 119.12(1), Florida Statutes.”). It may also occur by excessive special services
charges. See, e.g., Carden v. Chief of Police, City of Clewiston Police Dep't, 696 So.2d
772, 773 (Fla. 2d DCA 1996) (“An excessive charge could well serve to inhibit the
pursuit of rights conferred by the Public Records Act.”).
Morris Pub. Group, LLC v. State, 154 So. 3d 528, 533 (Fla. 1st DCA 2015).
17. "Providing access to public records is a statutory duty imposed by the Legislature on all
records custodians and must be accomplished in a manner that is consistent with the
purpose and intent of the Public Records Law and that does not unreasonably infringe
upon the public's statutory and constitutional right of access to public records." Fla. Att'y
Gen. Op. 2013-03 (2013).
18. I look forward to receiving copies of these records promptly. Please call or email me if
you have any questions about this request!
Dear Kenneth Woliner [mail to: kw1478@mynsu.nova.edu]:
The Town of Gulf Stream received your public records request on January 19, 2021. You should
be able to view your original request at the following link:
https://portal.laserfiche.com/Portal/DocView.aspx?id=174003&repo=r-430100cc
The Town of Gulf Stream is currently working on a large number of incoming public records
requests. The Town will use its very best efforts to further respond to your public records
request in a reasonable amount of time.
Sincerely,
Reneé Rowan Basel
As requested by Rita Taylor
Town Clerk, Custodian of the Records
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
February 4, 2021
Kenneth Woliner [mail to: kw1478Amynsu.nova.edu]
Re: GS #2826 (Building Permits)
1. This is a public records request to receive CERTIFIED copies of public records. See
§§ 119.07(1)(a); 119.07(4)(c), Fla. Stat.
2. These public records may be emailed to me (e.g., electronically), if that is an option.
Otherwise, paper copies is acceptable.
3. I realize that the search below may yield a result of "No Records Responsive". Ahead
of time, I attest to you that I accept and agree that I am responsible for reimbursing your
municipality/county for any special service charges incurred for extensive "search time. "
4. You are likely to find these records (or evidence of absence of these public records) in
your municipal BUILDING DEPARTMENT and/or Planning, Zoning, or Code
Enforcement Departments. These requests relate to permits for HVAC, Air Condition,
A/C Installation, or A/C change -out repairs.
S. Please provide the following:
A. For the time period of 0110112010 until present day, provide copies of
all BUILDINGPERMITS or LICENSES/CERTIFICATIONS for air
conditioning services (A/C repair, A/C install, A/C change -out, etc) or
otherwise, requested by, issued on behalf of any contractor services or
work done by:
B. "JUAN CARLOS IGLESMS", a/kla
"JUAN C. IGLESMS", a/k/a
"CARLOS IGLESIAS", a/k/a
"AIR BOCA, INC. ", a/ka/
"FL DBPR Certified Air Conditioning Contractor LICENSE NO.
CAC048041.
C. For the time period of 0110112010 (or, if your records do not go back
far, as far back as you have records for), until the present day, for any
document described in paragraph "A", above, that is no longer in your
possession, custody, or control, provide the records disposition document
that describes the disposition of any such document described in the
aforementioned paragraph "A", above, that has been disposed of.
6. Please promptly acknowledge the receipt of this public records request, and inform me
that you are responding to this request in good faith by making reasonable efforts to
determine from other officers or employees at in your municipality and/or county public
entity, whether such records exist, and if so, the location at which these records can be
accessed.
7. If any portion of the records requested are exempt or confidential under Art. I, s.
24(a), Fla. Const., or Chapter 119, Fla. Stat., please redact the portion of the record(s)
to which an exemption has been asserted and validly applies, and produce the remainder
for inspection and copying. See § 119.07(1)(d), Fla. Stat.
8. For all exemptions asserted, please state the basis of the exemption that is contended
to apply to the record(s), and indicate the statutory to an exemption created or afforded
by statute. See § 119.07(1)(e), Fla. Stat. Further, state with particularity, and in writing,
the reasons for the conclusion the record (or portion of the record) is exempt or
confidential. See § 119.07(1)(1), Fla. Stat.
9. I request these records in electronic form, if these records are maintained by your
agency in that medium, or routinely used in that medium by your agency, (i.e., exist in
electronic form). See §§ 119.01(2)(e),(1); 119.07(2)(a), Fla. Stat.
10. I attest to you that I am willing to provide payment for these records, up to the amount
allowed by law, of $1 per copy of a certified copy of a public record; $0.15/per one-sided
copy of pages actually duplicated onto paper; a service charge for remote electronic
access (which is in lieu of fees. for printing paper copies of documents, see, §
119.07(2)(c), Fla. Stat.); and, should extensive use of information technology resources
or extensive clerical or supervisory assistance of personnel of the agency is involved, a
special service charge which shall be reasonable and shall be based on the cost incurred
for such extensive use of information technology resources or the labor cost of personnel
providing the service that is actually incurred. See §119.07(4), Fla. Stat.
11. Note well, venturing to an off -site storage or retrieving documents from back-up
documents, is not chargeable as a special service charge. "[T]he decision by the police
department to store its older records off -site relates to the nature of the record itself, so
as to justify the imposition of the special service charge. Instead, the determination to
store its older records off -premises would appear to be a policy decision by the public
agency as to how to maintain its public records in light of certain space restrictions....
[W]here a specific fee has not been prescribed by a statute, a municipal police
department may only charge the actual cost of duplication for copying public records
and may not charge for travel time and retrieval costs for those records stored off -
premises. " Fla. Att' Gen. Op. 90-07 (1990)0p. Att y Gen. Fla. 90-07 (1990) (police
department may not charge for travel time and retrieval costs for public records stored
off -premises); Op. Att y Gen. Fla. 88-23 (1988) (state attorney is not authorized to
impose a charge to recover part of the costs incurred in production of a training
program; rather, fee to obtain copy of videotaped program is limited to actual cost of
duplication of the tape); 85-03 (1983) and 89-93 (1989).
12. Nor can special service charges be applied for time spent redacting documents. Op.
Att y Gen. Fla. 84-81 (1981) (stating that the special service charge may not be routinely
imposed; thus, the special charge could not be imposed merely because the records
requested contained exempt material). See also Op. Att y Gen 76-34 (the right of citizens
to inspect public records may not, in the absence of a statute, be conditioned upon the
payment of search fees).
13. "When calculating the "actual costs of duplication, " charges may not be made for labor
costs or associated overhead costs.... The fact that the request involves the use of
information technology resources is not sufficient to incur the imposition of the special
service charge. " Fla. Att y Gen. Op. 2013-03 (2013). The statute clearly provides that if
an agency maintains a record in a particular medium and that medium is requested for
the copy, the agency "must provide a copy of the record in the medium requested[.] " The
statute also provides that "the agency may charge a fee in accordance with this
chapter. " Id. As no charge has been established by law for providing copies by
electronic mail in lieu of photocopying, section 119.07(4)(a) 3., Florida Statutes,
authorizes "the actual cost of duplication of the public record" to be charged. "Actual
cost of duplication " is defined in section 119.01 ] (1), Florida Statutes, to mean "the cost
of the material and supplies used to duplicate the public record, but does not include
labor cost or overhead cost associated with such duplication. " Id.
14. Please promptly provide an invoice for any charges expected to be greater than $25.00,
so that I can remit payment ahead of time, as per your public records request policies, of
a portion, or the entire expected charges. See, Woodard v. State, 885 So.2d 444, 445-46
(Fla. 4th DCA 2004) ("When a custodian receives a written request by mail for public
records and for information regarding copying costs, the custodian has a duty to respond
with the amount of the fee and, once the requester has forwarded the fee, to produce the
records.'); see also Wootton v. Cook, 590 So.2d 1039, 1040 (Fla. 1st DCA 1991).
15. However, "requiring payment before an invoice cannot excuse the delay in providing
[public] records. " Office of the State Attorney for the Thirteenth Judicial Circuit of
Florida v. Gonzalez, 953 So.2d 759, 765 (Fla. 2d DCA 2007).
16. An unlawful denial of access can occur in many different ways, including delay. See,
e.g., Tribune Co. v. Cannella, 458 So.2d 1075, 1079 (Fla.1984) ("The only delay
permitted by the Act is the limited reasonable time allowed the custodian to retrieve the
record and delete those portions of the record the custodian asserts are exempt.'); see
also Barfield v. Town of Eatonville, 675 So.2d 223 (Fla. 5th DCA 1996) ("An unjustified
delay in complying with a public record request amounts to an unlawful refusal under
section 119.12(1), Florida Statutes.'). It may also occur by excessive special services
charges. See, e.g., Carden v. Chief of Police, City of Clewiston Police Dept, 696 So.2d
772, 773 (Fla. 2d DCA 1996) ("An excessive charge could well serve to inhibit the
pursuit of rights conferred by the Public Records Act.').
Morris Pub. Group, LLC v. State, 154 So. 3d 528, 533 (Fla. 1st DCA 2015).
17. "Providing access to public records is a statutory duty imposed by the Legislature on all
records custodians and must be accomplished in a manner that is consistent with the
purpose and intent of the Public Records Law and that does not unreasonably infringe
upon the public's statutory and constitutional right of access to public records. " Fla. Att y
Gen. Op. 2013-03 (2013).
18. I look forward to receiving copies of these records promptly. Please call or email me if
you have any questions about this request!
Dear Kenneth Woliner [mail to: kw1478(a)mynsu.nova.edu]:
The Town of Gulf Stream received your public records request on January 19, 2021. You should
be able to view your original request and response at the following link:
https://portal.laserfiche.com/Portal/DocView.aspx?id=l 74003 &repo=r-43 0100cc
The City of Delray Beach serves as the Town's building official and issues all building permits
for construction in the Town. We submitted your request to the City of Delray Beach to provide
these records and they provided the records that can be found at the above link. If you want
certified copies of any of these records, the cost is $1.00 per page.
If we do not hear back from you within 30 days of this letter, we will consider this request
closed.
Sincerely,
As requested by Rita Taylor
Town Clerk, Custodian of the Records
IM OF MMY Wr 12 Q
.0;. hh,
100 NW 1$' Avenue Delray Beach FL 33444
(561) 243-7200 Fax: (561) 243-7221
Website: delravbeachfl.4ov
MECHANICAL PERMIT APPLICATION
(HVAC, REFRIGERATION, HOODS, SUPPRESSION)
PROPERTY CONTROL #: Hai-----1�-�00
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HOME PHONE ,gjZ_CELL
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CITY aoco % Q40 fU ST ZIP
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FAX S(o I —1143D 3cj0DQE-MAIL _ 0—ar ((�S �)i ��i_- Co< 'YJ
FOR OFFICE USE ONLY:
BLDG PL-RMIT #: _
MLCH PERMIT �,Ll' 7 —D
PERMIT FEE:
-A 4
MCR #:
APPROVALS:
MEC'H: DATE•
PLAN: DATE
NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION — CHECK ALL THAT APPLY FOR THIS CONTRACTOR:
DESCRIPTION OF WORK: u RESIDENTIAL NEVIIS THIS AN EXACT CHANGE -OUT?
COMMERCIAL r1' REPLACEMENTYES NO
L
HVAC: "ANYTHING OVER 5 T S AY QUIRE FIRE DEPT. REVIEW/APPROVAL**
C''U MODEL NO. & C"B SIZE K ' /O
A.H.U. MODEL NO. & C B SIZE_ Z SIZE
BTUH CAPACITY ?W400 S.E.E.R RATING _ PACKAGE UNIT:
DUCT WORK: (Y) )!e- (N)
TOTAL PROJECT COST (LABOR AND EQUIPMENT): $ Before Rebates
REFRIGERATION
Equipment Type:
C.U. Model No.:
H.P. or BTUHR:
F..V.A.P. Model #:
Effic'y Rating:
PROJECT COST (LABO
$ n /
A DI qO-A BESC PTLSI NAT LIFIER
ST TE r'L cta
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COUNTY OF g I ✓ -%--
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SUPPRESSION SYSTEMS 0 SETS OF PLANS REQD)
--- ---- -- Halon: H2O
- Dry Chem: Wet Chem:
D MATERIAL): PROJECT COST (LABOR AND MATERIAL):
s
Ct"J--40 LI 0 OR
CONTR. REGISTRATION # WORKERS COMP# EXEMPT (FID [FEIN) #
The foregoing instrument was acknowledged before me this S } day
of D'r4hL C ✓_- j,20 &1 by n�1
4S
Signature oi Notary Public
Personally Known ✓
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Produced Identification
p `=o
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GleFy Pa
Commission p GG 254529
(d�tYnmmission Expires
"a " `pep ember 03, 2022
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MECHANICAL PERMIT APPLICATION
MY OF DELRR4110 N �,,,,, ,WEFRIGERATION, HOODS, SUPPRESSION)
100 NW Is' Avenue Delray Beach FL 33444
(561) 243-7200 Fax: (561) 243-7221 j U N d
Website: mydelraybeach.com
FOR OFFICE USE ONLY:
PROPERTY CONTROL M ta- - Y. D BLDG PERMIT #: -
PLEASE PRINT: FILL 1 OMPLET'E-LjY. IN ICATjE" A_" WHE E APPLICABLE. MECH PERMIT: �_-.3y
JOBSITE ADDRESS ��/ �` ht/E �c/'7" PERMIT FEE: _
PROPERTY OWNER NAME �N� G �.70� PLAN CHECK FEE:
HOME PHONE (%91//��) 7:DI Slo70 CIA L MCR #:
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PROPERTY OWNER ADDRESS ZJ97,!�'Lv�� ,�.�1 �7' APPROVALS:
MECHANICAL CONT'R (COMPANY) NAME .�L+/�i7/Q.+ MECH: DATE:
MECH CAL NT'R (COMPANY) ADDRESS- PLAN: ST PLAN: DATE:
CITY ST ZIP Z FIRE: DATE:
BUS. PHONE Z.S CELL�YI" Z39i13Z ' INDICATE IF
FAXS ''�7'V-tvtAlL .SMOKE TEST IS REQUIRED
NOTE: PERMIT EXPIRES IF WORK /S NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECK ALL THAT APPLY FOR THIS CONTRACTOR:
DESCRIPTION OF WORK: _RESIDENTIAL NEW IS THIS A T CHANGE -OUT?
COMMERCIAL REPLACEMENT S NO
STA
HVAC: **ANYTHING OVER 5 T N MAY REQUIRE FIRE
// DEPT. REVIEW/APPROVAL** �Z J
CIU MODEL NO. & C/B SIZE n/ KW
A.H.U. MODEL NO. &�,C//B SIZE C/B SIZE
BTUH CAPACITYZ ! �S.E.E.R RATING Pf /
DI tCT WORK: (Y) C (N) / x j /W �11
TOTAL PROJECT COST (LABOR AND EQUIPMENT): $ �J �/ Before Rebates ��--
REFRIGERATION
Equipment Type: _
C.U. Model No.:
H.P. or BTU/HR:
E.V.A.P. Model #:
Effic'y Rating:
PROJECT COST (LABOR AND MATERIAL):
X
HOODS - EXHAUST- BOOTH - BLOWER (3 SETS of PL.AVS READ)
Spray Booth:
Hoods :
SUPPRESSION SYSTEMS (3 SETS OF PLANS REQD)
Halon: H2O
Dry Chem: Wet Chem:
PROJECT COST (LABOR AND MATERIAL):
S
OR
ONTR. REGISTRATION # WORKERS COMP#
EXEMPT (FID /FEIN) #
Personally Known
COUNTY OF J/A LM 6,Q C Vj OR
The foregoing instrument was acknowled ed be o me thisdey`- Produced Identification
of M� g 20� by Type of Identification Produced
k, Qr �+•..� 11(i4ov
Commission I► B9
Signature of Notary Public My Commission Expires Rvsd 11 17
pm November 28, 2020
16- /07d-j
11
EITY OF DELRAY
100 NW 15t Avenue Delray Beach FL 33444
(561) 243-7200 Fax: (561) 243-7221
Website: mvdelravbeach.com
PROPERTY CONTROL #: w --(4 3-
PLEASE PRINT:
ECEI ANICAL PERMIT APPLICATION
( REFRIGERATION, HOODS, SUPPRESSION)
EB 2 2
1 s
JOBSITE ADDRESS Sl L41)651L ZA1.
PROPERTY OWNER NAME CjkQ Cam
HOME PHONE ( ) 5"IC S— CELL
PROPERTY OWNER ADDRESS e+S C4 i0-Q I i L(�G_� VLQ
MECHANICAL CONT'R (COMPANY) NAME 1l
MECHANICAL C T'R (COMPANY) ADDRESS
CITY CGj W ST
BUS. PHONE CELL
51,1, 2i� 8 FAX —3 L�1�E-MAIL Air 7CG 1/G Lih Cd
NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
FOR OFFICE USE ONLY:
TYPE OF INSTALLATION — CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: _RESIDENTIAL COMMERCIAL
NEW // REPLACEMENT
X
BLDG PERMIT #:
MECH PERMIT #:�
PERMIT FEE:
PLAN CHECK FEE:
MCR #:
APPROVA
MECI•I: DATE: 2 -Z7' S
PLAN: DATE:
FIRE: DATE:
INDICATE IF
SMOKE TEST IS REQUIRED
HVAC• **ANYTHING OVER S TONS MAY REQUIRE FIRE DEPT. REVIEW/APPROVAL**
CIU MODEL NO. & CB SIZE 1L-JJO
a M,2I KW
A.H.U. MODEL NO. `& CB SIZE 9 41"i ,Q q I Y1.IQ CB SIZE
BTUH CAPACITY`! 066 S.E.E.R RATING t— PACKAGE UNIT:
DUCT WORK: (Y) X (I)
PROJECT COST (LABOR AND MATERIAL):
REFRIGERATION
Equipment Type:
C.U. Model No.:
H.P. or BTU/HR:
E.V.A.P. Model #:
Effic'y Rating: _
HOODS - EXHAUST- BOOTH- BLOWER to sETs OF PLANS REQD)
Spray Booth:
Hoods :
SUPPRESSION SYSTEMS (3 SETS OF PLANS READ)
Halon:
- Dry Chem:.
COST (LABOR AND MATERIAL): -•- I -I-PROJECT
S$NA QIIALI /ER CONTR. REG
STAT + OF +��
CO TY OFr'91ll-) 6(-A
The foregoing instrument was acknowledged before me this day
of 20j_S- by MA C4I In C zQ-P 1q_
Sig4aof Notary Public
H2O
Wet Chem:
FOR AND•MA�T•EERIIAL):
OR
WORKERS COMP# EXEMPT (FID IFEIN)
Personally Known
OR
Produced Identification
Type of Identification Produced
MYE. LUZADO
My SS
Rvsd 9/10
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�CYTI NICAL PERMIT APPLICATION
1IT4'OF OElAAi� BEptH '�I
APR 1 J �j�C FRIGERATION, HOODS, SUPPRESSION)
100 NW 1" Avenue Delray Beach FL 33444
(561) 243-7200 Fax: (561) 243-7221 BY:
Website: mtrdelratrbeach.com
FOR OFFICE USE ONLY:
PROPERTY CONTROL #: ) 2. -42 41 -Z4 -) Q zro DOQZ� BLDG PERMIT #: !1-1,J30 "�'l
PLEASE PRINT:
JOBSITEADDRESS 051 C081-tsa)r101 (ram
PROPERTY OWNER NAME M) h H07W
HOME PHONE (} CELL SG7/ _ Cl
PROPERTY OWNER ADDRESS (/_Lhy
MECHANICAL CONT'R (COMPANY) NAME �/� CC ii C
MECHANICAL CONT'R (COMPANY) ADDRESS -/ n N-t� %C '7 (S C
CITY J;&) (47''t ,�G M ST Ft ZIP 3�,V 3,.
BUS. PHONE ( /50 ( /�� I'�P�� CELL(5611) �39 -113�
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MECH PERMIT;*:
PERMIT FEE: "
PLAN CHECK FEE:
MCR #:
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APPROVALS:
DATE:
NOTE: PERMIT EXPIRES IF WORK /S NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL COMMERCIAL
NEW REPLACEMENT
El
HVAC: **ANYTHING OVER 5 TONS MAY REQUIRE FIRE DEPT. REVIEW/APPROVAL**
C/U MODEL NO. & C/B SIZE KW
A.H.U. MODEL NO. & C/B SIZE C/B SIZE
BTUH CAPACITY S.E.E.R RATING PACKAGE UNIT:
DUCT WORK: (Y) (N)
PROJECT COST (LABOR AND MATERIAL): $
REFRIGERATION
Equipment Type:
C.U. Model No.:
H.P. or BTU,'HR:
E.V.A.P. Model #:
Effic'y Rating:
PROJECT COST (LABOR AND MATERIAL):
y HOODS -EXHAUST- BOOTH - BLOWER p SETS of PLANS REQDI
Spray Booth: OC
Hoods: DJGI L'Q'% cLJ� % /'J /�i]chgn
SUPPRESSION SYSTEMS (3 SETS OF PLANS READ)
Halon: H2O
Dry Chem: Wet Chem:
. S PROJECT COST (LABOR AND MATERIAL):
ADDITIO AL�ESCRIPTION /{iS%C/l" lJCt 1I0rCl -f?. i I/� lCAe, ] o0
SI 170'�
O UAL PER CONTR. REGISTRATION # WORKERS COMP# EXEMPT (FID /FEIN) #
STAF 1(+C(Gt
Personally Known
COUNTY OF ` OR
The forgoing instrument was acknowledged bef fe me this day Produced identification
of i 20 by Jt )� g/% (i(� f Type of Identification Produced
MYRA E. PR��Qj�j "
SignaMr f Notary Public M tR $AION q DD7s4z1I
I,p u8uu IZ 2012 Rvsd 9r'l0
• I�DJ330TMY. , -&Y Vk 1.W Ax=Ca.
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3 1 2ONVA REFRIGERATION, HOODS, SUPPRESSION)
100•NW 1g' Avenue Delray Beach FL 334
(561) 243-7200 Fax: (561) 243-7221 �� �//� •
Webslte: mydelraybeach.com
PROPERTY CONTROL #: 12 - 4 54 0q- 2q-Grso )4o
PLEASE PRINT: &WA)
JOBSITE ADDRESS IPJ
PROPERTY OWNER NAME
HOMEPHONE ( CELL
PROPERTY OWNER ADDRESS V
MECHANICAL CONT'R (COMPANY) NAME 717
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MECH AL�NT'R (COMPANY) ADDRESS � N IAO-C
CITY �' /r-S ST FZ- ZIP
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FAX/-
FOR OFFICE USE ONLY:
BLDG.PERMIT #:
MECH PERMIT #:
PERMIT FEE:
PLAN CHECK FEE:
MCR #:
APPROVALS:
MECH: DATE:
PLAN: DATE:
FIRE: DATE:
^111.
NOTE: PERMIT EXPIRES IF WORK /S NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL COMMERCIAL
NEW REPLACEMENT f�%� •
ADDITIONAL DESCRIPTION: N61,0
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HVAC: **ANYTHING OVER 5�T/ONS MAY REQUIRE FIRE DEPT. REVIEW/APPROVAL**
GU MODEL NO & CB SIZE T 7/ ,C!pvKW
A.H.U. MODEL NO. & C/B SIZE 1 CB SIZE
BTUH CAPACITY S.E.E.R RATING 410 PACKAGE UNIT:
DUCT WORK (Y) (N)
REFRIGERATION
Equipment Type: —
C.U. Model No.:
H.P. or BTU/HR:
E.V.A.P. Model #:
Effic'y Rating: _
HOODS — EXHAUST- BOOTH — BLOWER (3 SETS OF PLANS REQD)
Spray Booth:
Hoods :
SUPPRESSION SYSTEMS (3 SETS OF PLaNS REQD)
Halon:
H2O
Dry Chem: Wet Chem:
J690�Vl' D33 OR
CONTR. REGISTRATION # WORKERS COMP#
STATE OF r b-cre-toll&-
COUNTY OF
The foregoing instrument was acknowledged before me this a
of 20� by JV -ctfi CCw (tx. I U-,�''s
Signature of Notary Public
V
Personally Known
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Produced Identification
T e of Identification Produced
ENNEI- LERTOMASl1lJ
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MECHA ICAL PERMIT APPLICATION
LIT4 OF DELRA4 BEA[H F ' AC, RE RIGE F{�bS'SUP_PRES ON�+tkIMM
100 NW 14t Avenue Delray Beach FL 33444 i ' % R
(561) 243-7200 Fax: (661, 243-. 221 _
Website: mydelraybeach.com
FOR OFFICE USE ONLY:
PROPERTY CONTROL #:-----Q�-ID BLDG PERh1IT#: —
PLEASE PRINT: �,e
V1ECFlPER.\71T#:
JOBSITE ADDRESS �//`7 PERMIT FEE:
PROPERTY OWNER NAME Ajoldth PLAN CHECK FEE:
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HOME PHONE &I ELL KYMr�4rY�1«���i�trr���rrsy�rM
PROPERTY OWNER ADDRESS _ _ _ APPROVALS:
MrCHANICAI. CONT'R (COMPANY) NAME CT C MECH: DATE:
MECH L NT'R (COMPANY) ADDRESS- _� .1I AN: DATE:
CITY PG' S'f ZIP ol��Z FIRE: DATE:
BUS. PHONE C _) D CELL A , ^'III/�Z. INDICATE IF
FAX f'Q �„� �dDyl(V1AIL �� ;1�1lST IS REQUIRED
NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR /F ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION /S REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECK ALL�AT APPLY:
DESCRIPTION OF WORK: 'RESIDENTIAL _COMMERCIAL
NEW REPLACEMENT
HVAC: **ANYTHING OVER 5 TONS MAY REQUIRE FIRE DEPT. REVIEW/APPROVAI **
C/U MODEL NO. & C/B SIZE KW
A.H.U. MODEL NO. & C/B SIZE CIR S1ZF.
BTUH CAPACITY S.E.E.R RATING PACKAGE UNIT:
DUCT WORK: (Y) (N)
PROJECT COST (LABOR AND MATERIAL): $
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REFRIGERATION
Equipment Type: _
C.U. Model No.:
H.P. or BTU/HR:
E.V.A.P. Model #:
Effic'y Rating:
PROJECT COST (LABOR AND MATERIAL.):
HOODS- EXHAUST- BOOTH - BLOWER (3 SETS OF Pr.ANS RF.0n)
Spray Booth:
Hoods
SUPPRESSION SYSTEMS (3 SETS OF PLANS REQD)
I lalon: 1420
Dry Chem: Wet Chem:
PROJECT COST (LABOR AND MATERIAL):
S
O-Ano�l 90R 11
CONTR. REGISTRATION # WORKERS COh P# l EXEMPT (FID /FEIN) #
Sif`ATE OF # 10 at-
COUNTY OF
The forgoing instrument was acknowledged before me this JE day
Of h V-4 20_L.5 by IL A V1 e.`>'A S
1 A A , . M
Signature of Notary Public
Personally Known
OR
Produced Identification
Type of ldcntification Produced
,n"fit MRJE M. DOW
MEaXP ES:Atay17,2014
' d BadWR-Bmy kbySd6xd9/l0
iV MECHANICAL PERMIT APPLICATION /
QTY OF DELRp4 BBi[li JUL 17 201-WAG REFRIGERATION, HOODS, SUPPRESSION)
100 NW 1st Avenue Delray Beach FL 334"
(661) 243-7200 Fax: (661) 243-7221 LBX:
Website: mydelraybeach.com
PROPERTY CONTROL #:
PLEASE PRINT:
JOBSITE ADDRESS (Y_� __ I •�'!
PROPERTY OWNER AME
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HOME PHONE
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MCR #:
APPROVALS:
MECH: DATE:
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Z FIRE: DATE:
Z INDICATE IF
TEST IS REQUIRED _
NOTE: PERMIT EXPIRES /F WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION — CHEC L THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL COMMERCIAL
NEW REPLACEMENT
HVAC: **ANYTHING OVER 5 TONS M Y REQQUIRE IRE DEPT. REVIEW/APPROVAAL****
C/U MODEL NO. & CB SIZE a(D/� W ` v
A.H.U. MODEL NO. & CB SIZE B SIZE 1141
BTUH CAPACIT�:9R4';0 S.E.E.R RATING PACKAGE UNIT:
DUCTWORK: i� (Y) (N)
PROJECT. COST (LABOR AND MATERIAL):.
❑ REFRIGERATION
Equipment Type:
C.U. Model No.:
H.P. or BTU/HR:
EN.A.P. Model #:
Eflic'y Rating:
PROJECT COST (LABOR AND MATERIAL):
REGISTRATION #
HOODS - EXHAUST- BOOTH - BLOWER (3 SETS OF PLANS READ)
Spray Booth:
Hoods :
SUPPRESSION SYSTEMS (3 SETS OF PLANS READ)
Halon: H2O
Dry Chem: Wet Chem:
PROJECT COST (LABOR AND MATERIAL):
It
STATE OF I!ct
COUNTY OF
The foreg ng instrument was acknowledged before me this day
of 61, 20 % i by
PIAAAk�
Signature oYNotary Public
OR
WORKERS COMP# EXEMPT (FID /FEIN) #
Personally Known
OR
Produced Identification
Type of Identification Produced
?�„a;•'6 ANNEM W
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EXPIRES: May 17, 2014 Rvsd 9/10
Baded Tlwu Budget Nfty Swm
OB�4 /�- E+ TV �.�+AY12 , HANICAL PERMIT APPLICATION
100 NW 1" Avenue Delray Beach FL 33444
JUL S d 2013 (HVA , REFRIGERATION, HOODS, SUPPRESSION)
(561) 243-7200 Fax: (561) 243-722
Website: mydelraybeach.com
FOR OFFICE USE ONLY:
PROPERTY CONTROL #• M -/ BLDGPERMIT9:
PLEASE PRINT: lacli PERMIT #:
JOBSITE ADDRESS I V // W� PERMIT FEE:
PROPERTY OWNER NAME 0 4W/ PLAN CHECK FEE:
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MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL COMMERCIAL
e NEW REPLACEMENT
HVAC:—ASN'YTHING OVER ' --"- MAY REQUIRE FIRE DEPT. REVIEW/APPR9t4L�
C1U MODEL NO. & C/B SIZE. , _ - 'IV +
A.H.U. MODEL NO. & C/B SIZE C/B SIZE
BTUH CAPACI G0O S.E.E.R RATINGPACKAGE UNIT:
DUCT WORK: (Y) (N)
PROJECT COST (LABOR AND MATERIAL):, S ��
❑ REFRIGERATION HOODS - EXHAUST- BOOTH -BLOWER n SETS OF PI. NS xEQu)
Equipment Type:
Spray Booth:
C.U. Model No.:
Hoods
H.P. or BTU/HR: SUPPRESSION SYSTEMS (3 SETS OF PLANS READ)
E.VA.P. Model 4: Halon: H2O
Effic'y Rating
Dry Chem: Wet Chan:
PROJECT COST (LABOR AND MA CERIAL) — - —
PROJECT C COST (LABOR APiD-
MATERiAL),
S
ADDITIONAL DESCRIPTION
OR
SIGNATURE OF QUALIFIER CONTR. REGISTRATION N WORKERS CON1PN EXEMPT (FID NMI) N
STATE OF l [/t u- Personally Known
1 COUNTY OF OR
3 The f, going instrument %%%s aclmo ledged before me this day Produced Identification
V� of cJ\ b t / 3 U Type of Identification Produced
20 by
(SEAL)
Signatu.UfWotary Public Rvsd 9/10
° MYRA E. LUZA00
MY CONSRSSION N MIS"
EXPM S: Da0mber 13.2016
AAAAMAM
JUL 31
vA-�F /--
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ECEOV HANICAL PERMIT APPLICATION
r�t� of oF�A� eM � ] 1� , REFRIGERATION, HOODS, SUPPRESSION)
100 NW Is Avenue Delray Beach FL 33
(561) 243-7200 Fax: (561) 243-7221 BY,
Website: mydelraybeach.com
PROPERTY CONTROL #:
PLEASE PRINT:
JOBSITEADDRESS009!V5• 0
PROPERTY OWNERNAME
-Mn—
HOME PHONE 4W )
PROPERTY OWNER ADDRESS 7 P
MECHANICAL CONT'R (COMPANY)
MECHANICAL WNT'R (COMPANY)
FOR OFFICE USE ONLY:
BLDG PERMIT #: I "j -- I y? (9- r
MECH PERMIT #:
PERMIT FEE:
PLAN CHECK FEE:
MCR #:
!7� APPROVALS:
MECH.: DATE:
Z PLAN: DATE:
CITY _yL7' _ ST TL• ZIP FIRE: DATE:
BUS. PHONE C-!V) D Z CELL Z" �_•32- • INDICATE IF
FAX �% �i�"� fy ��-MAII lihi �y SMOKE TESTIS REQUIRED
_ jt;_0'NOTE; PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR 1F ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
• CELL
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TYPE OF INSTALLATION — CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: _�C RESIDENTIAL COMMERCIAL
NEW REPLACEMENT
P
❑1♦
IiVAC: **ANYTHING OVER 5 TONS MAY REQUIRE FIRE DEPT. REVIEW/APPROVAL**
C/U MODEL NO. & C/B SIZE KW _
A_H.U. MODEL NO. & C/B SIZE C/B SIZE
BTUH CAPACITY S.E.E.R RATING PACKAGE UNIT:
DUCT WORK: —I `) (N)
PROJECT COST (LABOR AND MATERIAL): S
REFRIGERATION
Equipment Type:
C.U. Model No.:
H.P. or BTU/HR:
E.V.A.P. Model #:
Effic'y Rating:
PROJECT COST (LABOR AND MATERIAL):
HOODS -EXHAUST- BOOTH -BLOWER (3 SETS OF PLANS REQD)
Spray Booth:
Hoods :
SUPPRESSION SYSTEMS (3 SETS of PLANS REQD)
Halon: H2O
Dry Chem: Wet Chem:
PROJECT COST (LABOR AND MATERIAL):
dl�90 '�/
SIG A W Of yQU I ER CONTR. REGIS TION #
STATE OF rLt t '�eGc GIB �`
COUNTY OF ak AA ItIeC'Ct
The foregoing instrument was acknowledged before me this 0(' ` day
of r' �! 20 by �ku A C 'Em
Public 'BRA E. LUZAM
MY Col"SSI Emwo
d
8?)0 J3.S1 R OR
WORKERS COMP# EXEMPT (FID /FEIN) #
Personally Known
OR
Produced Identification
Type of Identification Produced,,�'U
(SEAL)
Rvsd 9/10
i �
[IT4 OF OELRA4 BEA[H tt�'
100 NW 1$' Avenue Delray Beac FL 33444 2012
(561) 243-7200 Fax: (661) 2431 3�T_;
MECHANICAL PERMIT APPLICATION
(HVAC, REFRIGERATION, HOODS, SUPPRESSION)
PROPERTY CONTROL #:
PLEASE PRINT: '2
JOBSITE ADDRESS
PROPERTY OWNER NAME-' W��!
HOME PHONE 0 CELL'
PROPERTY,QWNER ArDDRESS
MECHANICAL CONT'R (COMPANY) NAME l k ��^
MECHAN AL`CONT'R (COMPANY) ADDRESS 4175A)w fos!
CITY'/ ST ZIP
BUS. PHONE �/ , 'J CELL �/" Z/% J •Z-
FAxS l" �QV�7 / E-MAIL
Y:
BLDG PERMIT #: _
MECH PERMIT #,;e
PERMIT FEE: _
PLAN CHECK FEE:
MCR #:
APPROV
- l
MECH: DATE:
PLAN: DATE:
FIRE: DATE:
INDICATE IF
SMOKE TEST IS REQUIRED
NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS,
TYPE OF INSTALLATION — CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL COMMERCIAL
NEW REPLACEMENT
E'/
HVAC: **ANYTHING OVER 5 TONES jMAY REQUIRE FIDEPT. REVIEW/APPROVAL"*
C/U MODEL NO. & CB SIZE 7 �w� �—' KW /to
A.H.U. MODEL NOS&jC, B SIZE S/ CB SIZE
BTUH CAPACITY.. % �tO S.E.E.R RATING //0 PACKAGE UNIT:
DUCT WORK: (Y) T (N)
PROJECT COST (LABOR AND MATERIAL): $ '
REFRIGERATION
El
Equipment Type:
C.U. Model No.: �^"tr'-1
t,�+
H.P. or BTU/HR: toq t�l i'AAki
E.V.A.P. Model
Effic'y Rating:
ROJECT COST (LABOR AND MATERIAL):
STATE III
COUNTY
HOODS — EXHAUST- BOOTH — BLOWER (3 sETs of PLANs REQD)
mTREIS!_
oSUPN SYSTEMS (3 SETS OF PLANS REQD)
Halon: H2O
Dry Chem: Wet Chem:
PROJECT COST (LABOR AND MATERIAL):
S
REGISTRATION# WORKERS COMP#
OR
EXEMPT (FID /FEIN) #
Personally Known
OR
May 07 10 11:29a Air B0C* lrtc 561-368-3416 P.2
h�NY O ? 2D'O
rffv MECHANICAL PERMIT APPLICATION
(HVAO, REFRIGERATION, HOODS
, SUPPRESSION)
100 NW 1`' Avenue Delray Beach FL 334t4`
(561) 243-7200 Fax 213-7 1 „ e�
Webske: mvdelravbe*cb.vm ' Vu
FOR OFFICE USE ONLY:
PROPERTY CONTROL S:-----
PLEASE PRINT: j! .rf
IOBSITE ADDRESS 3.Z 6 /.v� i t e 1' t � S) �"• )T t
PROPERTY OWNER NAME b 66rKT 02P af$
HOME PHONE (3ro 1 ) (g . 1- +%38 CELL (J 3 I -' 70 20
PROPERTY OWNER ADDRESS .5m m G.
MECHANICAL CONT'R (COMPANY) NAME
MECHANICAL CONT'R (COMPANY) ADDRESS
CITY boa, Aj&K ST�_
BUS. PHONE (QF 1 ) 07-Q- 11,945' CELL JIiI ��9" 1�3L
FAX &1-3(9- 2>418 E-MAIL 4R-r60cn'1 690• 60M
BLDG PERMIT #.
\TECH PER411T #:
_
1 —�^l
kt ro j Fee' ate. C) D
APPROV
MECH
DATE:
PLAN:
DATE.
FIRE,
BATE:
NOTE PERWT EXPIRES IF WORK IS NOT STARTED WITHIN 10"AYS OR /F ACTIVITY LAPSES FOR 1W DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQIHRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECxL THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL __COMMERCIAL
NEW REPLACEMENT
HVAC: "ANYTHING OVER 5 TONS MAY RMU IRE FIRE DEPT. REVIEWrAPPROVAL'"
C(U MODEL NO. & GpB SIZE ;,1 -A -20 T� B 1 D O 0 KW _ ik
A.H.U. MODEL NO. & C/B SIZE njf G 10 �0 ;r8 ` C/B SIZE - _----
BTL'H CAPACITY S.E. .R RATING I,? LTI)T:
DUCT WORK: (Y) .i (N) * # f Xt 00144.
PROJECT COST (LABOR AND MATERIAL): S .?� �JD ' , r I). V%4 LL,A-� 7-
0 REFRIGERATION
Equipment Type:
C.U. Model No.:
H.P. or BTU/HR:
E.V.A.P. MModdel 0:
=22LWaLMM AND
7
REGISTRATION p
HOODS - EXHAUST- BUQTH - (A Sf IS Of n-ANS aEQD)
Spray .I-
Hoods
SUPPRESSION SYSTEMS (3 SETS OF PLANS REQUI
H3lon: H2O
Dry Cbem: _ u_ Wet Chan:
FVAUE.CC COST (LABOR AND MATLRIAL):
S
OR
WORKERS COMP# EXEMPT (FID /FEIN) a
STATIOP - - jn l illtivlf- _
COUNTY OF � 1 trr+ earl, V -
The `foxoing instrument was acknowledged before me this day
1 of �'t 'a 20 10 by .T"K C GSidsS
Siinattle of Notaiy-Public C!§i:D
C.
�
Personally Known
OR
Produced Identification
Typc of Identification Produced
(SEAL)
Rvsd 3110
14+
6
my OF mq � MECHANICAL PERMIT APPLICATION
'�` I "U/14HVAC, REFRIGERATION, HOODS, SUPPRESSION)
100 NW 1t' Avenue Delray Beach FL 33444.
(561)243-7200 Fax: (561)243-7221
Website: mydelraybeach.com
PROPERTY CONTROL #:-----Z'
PLEASE PRINT:
JOBSITE ADDRESS 1 !,} liy111 Ct
PROPER? Y OWNER NAME L jIC�
HOME PHONE{ �)3,40 —
PROPERTY OWNER ADDRESS I'i
MECHANICAL CONT'R (COMPANY) NAME
MECHANIC L CON `R {COMPANY) ADDRESS _ +f
CITY �lJt� �m ST L ZIP_ 1V 4;L
BUS. PHONE (5(D1 ) 0 " 1 �C"ELL �
FAX E-MAIL
FOR OFFICE USE ONLY:
BLDG PERMIT 4:
MECH PERMIT a;Ko_ Ia.89,50
PERMIT FEE: _,. 10' _0 _
PLAN CHECK FEE:
MCR:
••srrrstsrartsstsrrsrtsrtststsss
APPRO
MECH: DATE: b�
PLAN: ATF
DATL.
NOTE: PERMIT EXPIRES IF WORK IS NOT STARTEC WITHIN iw.DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECtrONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS.
TYPE OF INSTALLATION - CHECK ALL THAT APPLY:
DESCRIPTION OF WORD: ✓RESIDENTIAL WMMI Rt IMI
FW° -� RI PI \C I \11 \ t
ADDI1ION AL DES :RIPTION: ae / I
HVAC: "ANYTHING OVER S TONS MAY REQUIRE FIRE DEPI. RE\ IEN1APPROVALr•
CIU MODEL NO. & CB SIZE &� r? _ --- Kw
A.N.U. MODEi \0 A C A SIZE p(I C7—Or O 71-4 C B SIZE
BTUH CAPACITY/ S.E.£.R RATING �j PACKAGE t"SIT:
DUCT WORK: _--- _ . (Y) (N)
PROJECT COST (LABOR AND MATERIAL): 3
REFRIGERATION
Equipment Type: _
C.L. Model No.:
H.P. or BTU%HR:
E V-A.P. Model x:
EfliCy Rating:
1.ATFJUAL)-
—tll.ViiLK 0St to Of Pt %SSRtt)W
Hocxi,
SUPPRESSIONS) STEMS t3 SCINOF Pt a\REQDI
Halon: H2O
Dry Chem: _ %'et Chem
PROJECT COST (LABOR AND MATERIALi:
r WORKERS C011P0
STATL'OF
COUNTY OF
The f egoing instrument was acknow edged re this jj days r
of 20 b}' Sail/ 1 L 1L lU3 . �1�t3
Signatttr of Notary Public
CONTR. REGISTRATION k
OR
EXEMPT(FID IFEIN) M
Pers)nall% Known -
OR
Produced Identification
7 ypr of Identification Produced
y'RA (. PRESTON
Xnr C tSMON M DD744211
F"itUs IL 2o12
CEI�TED
201G� ECHANICAL PERMIT APPLICATION
MR OF �MY �MM
HVAC, REFRIGERATION, HOODS, SUPPRESSION)
st
100 NW 1 Avenue Delray Beach FL 33444
(561) 243.7200 Fax: (561) 243-7221
Website: mvdelravbeach.com
PROPERTY CONTROL #: I - A I
PLEASE PRINT: } P
JOBSITE ADDRESS L51 1
PROPERTY OWNER NAME ¢/
HOME PHONE c c /) CELL
PROPERTY OWNER ADDRESS i
MECHANICAL CONT'R (COMPANY) NAME 1CAXG4. //Cr
MECHA C�tAL CO 'R (COMPANY) ADDRESS 35- / v GV
CITY v LAC &AJYI ST ZIP3
BUS.f H N� CIS �I ) -766 — Z CELL %w �� I
FAX���IJC1(p0 %15 E-MAIL ar OCCc2 V4G-hQO-'Ca
FOR OFFICE USE ONLY:
BLDG PERMIT #:
MECH PERMIT #:
PERMIT FEE:
PLAN CHECK FEE:
MCR #:
APPROV
MECH: ATE:��Z�
PLAN:
FIRE: DATE_:
INDICATE IF _ {[
SMOKE TEST IS REQ `UI UM
NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180-DAYS OR /F ACTIVITY LAPSES FOR 180 DAYS. PLANS
MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL INSPECTION IS REQUIRED ON ALL PERMITS,
TYPE OF INSTALLATION - CHECK ALL THAT APPLY:
DESCRIPTION OF WORK: RESIDENTIAL COMMERCIAL
NEW =REPLACEMENT
X
101
HVAC: **ANYTHING OVER 5 TONS MAY REQUIRE FIRE DEPT. REVIEW/APPROVAL**
C/U MODEL NO. & CB SIZE
KW
A.H.U. MODEL NO. & CB SIZE CB SIZE j�
BTUH CAPACITY S.E.E.R RATING PACKAGE UNIT: I ty/ / C609 MM,4
DUCT WORK: (Y) (N)
rRQJECT COST (LABOR AND MATERIAL): $ 7 -r t
REFRIGERATION
Equipment Type: _
C.U. Model No.:
H.P. or BTU/HR:
EN.A.P. Model #: 11 "11
Effic'y Rating: IV
PROJECT COST (LABOR AND MATERIAL):
HOODS - EXHAUST- BOOTH - BLOWER (3 SETS OF PLANS REQD)
Sp B
H
I S S TE S (3 SETS OF PLANS REQD)
CONTR. REGISTRATION #
Halon:
H2O
Dry Chem: Wet Chem:
PROJECT COST (LABOR AND MATERIAL).-
STAY OF i!TitC�
COUNTY OF �s.�,.
The oregoing instrument was acknowledged efore me this day
of
Notary Public
WORKERS COMP#
A
V%.NatsiY
OR
EXEMPT (FID /FEIN)
Personally Known
OR
Produced Identification
Type of Identification Produced
(SEAL)
Rvsd 9/10