HomeMy Public PortalAboutPRR 14-10861086
Your original request. dated June ?8. 1014. is reproduced in the space below:
From Kimba Nuenra [mailto:knuestra@gmail.comj
Sent: Saturday, June 28, 2014 820 AM
To: Bill Thrasher
Subject: record request of permit for pcn ... 0110
This is a public record request made pursuant to Article 1,
Section 24 of the Florida Constitution and Chapter 119.07 of
the Florida Statutes 1 wish to make a public records request of
your agency for the following records:
The first page of any permit application for the property
identified as PCN 20434603000030110 received by the Town
during the last eight months.
If you contend that any of the records I am seeking, or any
portion thereof, are exempt from inspection or disclosure
please cite the specific exemption as required by §119.07(1)(e)
of the Florida Statutes and state in writing and with
particularity the basis for your conclusions as required by
§119.07(1)(f) of the Florida Statutes.
Please take note of §119.07(c) Florida Statues and your
affirmative obligation to (1) promptly acknowledge receipt of
this public records request and (2) make a good faith effort
which 'includes making reasonable efforts to determine from
other officers or employees within the agency whether such a
record exists and, if so, the location at which the record can
be accessed." I am, therefore, requesting that you notify every
individual in possession of records that may be responsive to
this public records request to preserve all such records on an
1086
immediate basis.
If any records are readily available, please produce those
records first without waiting for all responsive records to be
available. Produce the less readily available records as soon
as they are available.
If the public records being sought are maintained by your
agency in an electronic format please produce the records in
the original electronic format in which they were created or
received. See §119.01(2)(f), Florida Statutes.
If records responsive to this request were lost, destroyed or
disposed of in any way, please produce the disposition record
related to that record.
If you anticipate the production of any of these public records
to exceed 51.00 please notify me in advance of their
production with a written estimate of the total cost. Please be
sure to itemize any estimates so as to indicate the total
number of pages andlor records, as well as to distinguish the
cost of labor and materials. If any records may be produced for
less than S1.00, please produce those records first while
waiting to obtain authorization from me to produce more
costly records. Do not incur any costs that you expect me to
pay which are greater than S1.00 until first obtaining my
authorization to do so.
All responses to this public records request should be made in
writing to this email address: knuestra @gmail.com
P- IFrv�, T 4, H l q cl .:�0 D
TOw�iOFGItT,FWREAM086
-
UNIVERSAL COUNTY- WIDE /MUNICIPALU3
,1 ,V 11 11;1 ; -°„ '.I`
II11tialSFOROF. - USE LNLlyr.
BUILDING PERMIT APPLICATION FORM
FBCVersion: Permit Type:
July 2013 Edition
Accepted By: Application Date:
Approved for use throughout Palm Beach County and Municipalities
Application M
r
KIND of PERMIT (CHECK ONE):
r
PROPERTY OWNER: G-
c PRIMARY PERMIT
TENANT:
SUB- PERMIT - If Fee & Value of a Sub - Permit are
ADDRESS: % Y O / N. Ors IGA'a(. UNIT:
covered under a Primary Permit, complete boxes _ 4,5, 6 &
/ / p s
6
8 only to apply. If not covered under a Primary Permit,
OI,TM u T�.c 9""r
! r" STATE: FL ZIP: 3 3 Y93
complete the entire application to apply.
PHONE: SG / - .2, 7 8 ' O 3 % Z FAX•
EMAIL:
3
4
TRADE (CHECK ONE):
PROJECT NAME:
_ STRUCTURAL c ROOFING C ELECTRICAL
r MECHANICAL c PLUMBING a FIRE c GAS
PCN: 7. Cl- _j 73 y ( 4 Y- O O- O O ¢ 1 Q
G OTHER:
LEGAL DESCRIPTION:
PRIMARY PERMIT #:
ADDRESS:
CITY: Gu 3
s _ /
FURTHER WORK DESCRIPTION:_ 752. Gr 17cn�/cc� G A1,1/1 rfisio[ ,S 11 o.lory Aox-�C +cG
Type of Work: c New c Addition c Alteration r Repair o Demo r Temporary c Other
VALUE:ISi 9OO PERMIT FEE: NET S.F (for SFD's):
(SEE FEE S(NEDUM V3 APPUESI LAS <PP!IESI
6
C OWNER BUILDER PER FL. 5T. 489 (AS NAMED ABOVE, FOR CONTACT INFORMATION SEE BOX 2)
D
r CONTRACTOR (CERT. HOLDER): 6 c rQ1c1_ l• / /�Piir q er License k: �G C o 2 2 0
79
/Y6
DBA(COMPANY NAME):f 71h,iw9 _n FC�J LC Contact Person: Je /� C��- %K er
ADDRESS: /;LO 7 $. S r. /a w 4f,c STE :_ CITY: 1) c 1f4 i /.3cn /.3c STATE: L ZIP. 33�^j
PHONE: FAX: EMAIL:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance
with all ap ' able laws regulating construction and zoning.
� r
e
S nature ofUmer /arA ent (Including n al
Print Name: f� rvle r R el
afore of oim ro /r —_t -F, dudine cv R/•
-'ef#6
Print Name:
NOTARY REQUIRED IF $ 2,500 OR MORE, OR FOR LL OWNER /
NOTARY REQUIRED IF $ 2,500 OR MORE, OR FOR ALL OWNER /
BUILDERS REGAi � VF $ VJ�,}lESTATE FLORIDA
COUNTY OF f� / /� n
BUILDERS ppEGAfj�LyS� OF $yam SjpTE OF FLORIDA
_
r i /3 n
Sworn to (or affirmed) and subscribed before me this
day day of 20 l `� by
Swom to (or affirmed) and subscribed before me this :3
tE
,
day of je rl 20 / by
* =�"''`�: RICHARD LOSS
.n.e Person m, ene mlem
Thru 4otyy Futwc!1N1 =
M-SE7,7e EX'riflES: May 2^ cab
4r '?crjeo
'. ''a;` EXPIRESM,3?,.: ''r, a -ate -. y27. 2(Signature
p.,ar„m_
of tary Publ an a
(Sign a of Notary Public. Sta e ;
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known '/— OR Produced Identification
(Print, Type, or Stamp Commissioned Name of Notary Public)
_
Type of Identification Produced
Personally Known°t OR Produced Identification
Type of Identification Produced
Page 1 of 2
i
a
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i'CiJJH 7?' cttji: ?.l 't (:I' Q. ?d F . ;7 j-:
. i T �:_.T1-t;t Tt,l_rnitl:nl
[BY
BUILDING PERMIT APPL
ray Beach, FL 33444
Fax (561) 243 -7221
mydelraybeach.com
APPL DATE c tj F.B.C. VERSION
ACCEPTED BY
PERMIT NO q
OWNER INFORMATION
CONTRACTOR & DESIGNER INFORMATION
Name ] CecrY, 5akoo
❑ Check if Owner /Builder (See
Address-31D 00 &Ql il- CCCV'l a
-IPage 13
Contractor License No. uI -f,1jT�
Workers' c�ompNo.IA)CSy0007- 1�Zc%2.DM
City,G:L- S){ c,tvlState_Zip,33463
Home Phone ( )
Companyf \ M e l c cs\ C— Lc' -.55 �o 11l1
Cell Phone ( )
Address-12-00
S (C->5-�sC.r 5
Fax No. ( )
City 6D(- cl�`tJY�Statef-Lzip 33 Y &7
Email Address
Phone Fax ,5 iy I Z- -Jl ,,5c)q
Cell
PROPERTY INFORMATION
EmaiIC�0. r 9 {' 1 LJU Cc • C y�
Property Control NuU%1ber:
a.(i-y_3 - r- �-OD -aDj -0020
Architect/En Ine s ame
g
Address of P�roposed Work
Floo O Lsul
Address
_._� ....._..._ . .......... _.................................
FRR PERMIT ENPERITERS ONLY iferpermit pick -upl:
Legal Description
Y.37R-Pt -o `I�5•ZI
0FSL L, l03
o GoV LFI
Contact Name
Phone Ext.
r io g f
Project Name (if applicable)
Cell
ADDITIONAL INFORMATION
Fee Simple Title Holder (if other than owner)
Address
City State Zip
Mortgage Lender
Bonding Company
Address
Address
City State Zip
City Stale Zip
DESCRIPTION OF PROPOSED IMPROVEMENTS
D cription of the proposed work (New Const coon, Addition, Interior
/Exterior Alteration, Windows /Doors, etc.)
v U
Is this a City or Rehab project? ❑ Yes
o Is the building
served with an automatic fire sprinkler system? ❑ Yes ❑ No
Current Use or Occupancy Is this a change in the Use or Occupancy? ❑ Yes ❑ No
PERMIT VALUATION
For Impact Fee Credit, Existing or Previous Structure Demolished? ❑ Yes ❑ No
Type of Structure Demolished: ❑ SFR ❑ Commercial
❑ Commercial Accessory Building
PLEASE CHOOSE ONE OF THE FOLLOWING:
111ir-
NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE I'
MISCELLANEOUS PERMITS - FEE SCHEDULE
COS T OF CONSTRUCTION TO INCLUDE:
STRUCTURAL,
ALTERATIONS & GENERAL CONSTRUCTION - SCTOTAL
TOTAL COST OF CONSTRCTION: S �-$L{g
I
ROOFING, ELEC, MECH, PLBG
COST OF CONSTRUCTION WITHOUT TRADES:
$
NOTE:
OTHER ASSOCIATED TRADES TO BE FEED SEPARATELY
UNDER FEE SCHEDULE II OR III.
NOTE: $
ALL SUB - TRADES TO BE FEED SEPARATELY. THESE
THESE INCLUDE: LOW VOLTAGE, HOOD /SUPPRESSION
INCLUDE ELEC, MECH, PLBG, ROOFING, LOW VOLTAGE,
HOOD /SUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION,
SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING,
LANDSCAPING, PAVING, ETC.
PAVING, ETC.
-1-
'SEE BUILDING PERMIT FEE SCHEDULE FOR DETAILS
0
z
r'lly OF MAP NEW
100 NW 1" Avenue Delray Beach FL 33444
(561) 243 -7200 Fax: (561) 243 -7221
Website: mydelraybeach.com
FENCE PERMIT APPLICATION
v RECEIVED TOWN OF GULF STREAIM
Appro e'd frlr Permit Suhmiitaj
inivais�-
UN ') " IJ14
PROPER TY CONTROL #: -_ p c . -CC4 - b Cac)
PLKASE CALL
984 -540 -7665
PLEASE PRINT 4 "ber. Ree./
JOBSITE ADDRESS _ 3(� O1 e: L-�h= u'l- tLLyv� i
PROPERTY OWNER NAME
HOME PHONE ( 4-. I ) �71�. _. CELL
PROPERTY OWNER ADDRESS o--p 6;(
CONTRACTOR (COMPANY) NAME C-1 L�Cd�. t Y-! al.< r _Z (-L Lc c
CONTRACTOR (COMPANY ADDRESS (i c � C CIt+:1v: -1.ee_ �• V }
CITY 21 0-i\ ST 41 ZIP
BUS. PHONE a7Jj'— I T I CELL / FAX 1(t I 7 a' I a 3 E•bfAIL Cp' crnt
FOR OFFICE USE ONLY:
BLDG PERMIT #:
FENCE PERMIT #:�
PERMIT FEE: 6
PLAN CHECK FEE:
MCR #:
ttY +it }aa + # }aa aaaa } #ttti#at + #ti+ +tit
APPROVALS?
PLAN : DATE:
LAND: DATE: /Y
P & Z: DATE:
FIRE: DATE:
ENG: 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,
PROJECT COST (LABOR AND MATERIAL): $ 31a
RESIDENTIAL FENCING WILL REQUIRE TWO COPIES OFPROPERrYSURVEYAND MAY REQUIRE ADDITIONAL LANDSCAPING.
COMMERCIAL FENCING WILL REQUIRE TWO COPIES OFPROPERTY SURVEYAND APPROVED LANDSCAPE PLAN.
DESRIPTION OF WORK:
RESIDENTIAL COMMERCIAL L/ NEW: REPLACEMENT:
POOL BARRIER? YES NO 6�
TYPE (WOOD, CHAIN LINK, ETC) C (rte IF CHAIN LINK, IS IT VINYL COATED? r ge L Ul(. Lye'
STYLE (SHADOWBOX, BOARD ON BOARD, ETC.) _ I- pp .. RNAC� A-F5 0
`, I U-7 Lj=
HEIGHT 1 LENGTH ?Z LF
t ---a
SIGNATURE OF QUALIFIER CONTR. REGISTRATION 4
STATE OF C\��
COUNTY OF
The foregoing instrument was acknowledged before me this day
of L--ry , 201L by K1, i �LVJtl�
f.
Sy Ct�, a,-,2, 46;110R
WORKERS COMP # EXEMPT (FID /FEIN #
Personally Known v
OR
Produced Identification _
Type of Identification Produced
Signa of . Public )
REf te M Florida E 797 535 76
Rvsd 3/10
�a
y1
CRY OF DELAA4 BEACH
100 NW 1 "Avenue Delray Beach FL 33444
TOWN OF GULF STREAM
. t:itllr..�r•r�✓I*, -r Pi --rmit Submittal
FENCE PERMIT APPLICATION
(561(243 -7200 Fax: (561) 243-7221
Website: mvdelravbeach.com
PROPERTY CONTROL #:20 .43 -46 :73 -0 = -- 001_0020__:)
PLEASE PRINT
JOBSITE ADDRESS 3600 GULFSTREAM RD
PROPERTY OWNER NAME GULFSTREAM SCHOOL INC
HOMEPHONE(_) 506 -9194 Joe CELL
PROPERTY OWNER ADDRESS 3600 Gulfstream Rd, Delray Beach, FL 33483
CONTRACTOR(COMPANI]I NAME Natural Beauty Wood Products, Inc
CONTRACTOR (COMPANY) ADDRESS 1120 SE 1" Street
CITY Boynton Reach ST FL ZIP 33435
BUS. PHONE IS61 1 737 -n774 CELL
FAX 561- 777 -0744 E -MAIL rrr,ativcmotak4att nar
FOR OFFICE USE ONLY:
BLDG PERMIT l::
FENCEPERMIT4:
S
PERMIT FEE:
-OD
PLAN CHECK FEE:
MCRY:
♦.w.n...... ... • ................
APPROV -
PLAN: ,- �
DATE: � �E�/
LAND:
DATE: L0 Ir4
P 8: Z:
DATE: /
FIRE:
DATE:
ENG:
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.
PROJECT COST (LABOR AND MATERIAL): $ 2,980.00
RESIDENTIAL FENCING WILL REQUIRE TWO COPIES OFPROPERTYSURVEYAND MAYREQUIR
COMMERCIAL FENCING WILL REQUIRE T TWO COPIES OF PROPERTY SURVEYANO APPROVED I
DESRIPTIoN OF WORK: Replace existing fence with new 6' tall chain link per LWDD fence /gate specs
V V
RESIDENTIAL COMMERCIAL
POOL BARRIER? YES NO X
TYPE (WOOD, CHAIN LINK ETC) aluminum
STYLE (SHADOWBOX, BOARD ON BOARD, ETC.)_
HEIGHT 64" @ arch+ /- LENGTH 86" wide
NEW: REPLACEMENT:
IF CHAIN LINK, IS IT VINYL COATED?
12790 013255888/201408
OF QUALIFIER CONTIL RECISTRATION# WORKERS COMP# EXEMPT(FID/FEIN)#
STATIJF .FLORIDA
(.. COUNTY OF PALM BEACH Personal) Known X
�X Y
The foregoing instrument w ac wled ed before me this day OR
ofj A,.�_, 14 y nneth 1. Aaron Produced identification
Type of Identification Produced
1 Signature of t Public (SEAL)
'\\ e • •" Notary TERESq AIELLO Rvsd 3110
Pu611E .
MCommissExpIr st Nov 7. Florida
Bonded Throu on # EE 127105
9h NaI;�.. .. .
[IT4 OF OURY BERTH
100 NW 1`t Avenue Delray Beach FL 33444
(561) 243 -7200 Fax: (561) 243 -7221
W b IO 1 h
WO&MECHANICAL PERMIT APPLICATION
(HVAC, REFRf6ERATS, SUPPRESSION)
!! ` '104 Approv r Porm
ID;ti %115 - Ic / 9
e site. my d a rav 6
eac .com ,r ,r ". iillliStfca
PROPERTY CONTROL #: ? a - --Y4 - -P
PLEASE PRINT:
JOBSITE ADDRESS 3600) &JTS6a41,, - 067J
PROPERTY OWNER NAME l7(�1 Siitoarti �(itioD� SNC .
HOME PHONE( .S% I) Z- o-S�-IZS CELL Q7B- OW- L17oZ
PROPERTY OWNER ADDRESS 3� Ga.I a oVO &A, &442tY B'183
MECHANICAL CONT'R (COMPANY) NAME 477I -'6c, -PE iz�t allioN
MEC LAICA L CONT'R (COMPANY) ADDRESS �Z55 /t1 PJ- I7 AEI
CITY IRA zeaci ST—R=— ZIP 33
sus. PHONE (Sb I ) 279-11-9-7 CELL 56(- QDIo-(0 CQobHV��
FAX 5/e1 -27U -03'13 E -MAIL l�G an4 Q
FOR OFFICE USE ONLY:
BLDG PERMIT H:
ME PERMIT
PE 5 Ijl �LdJ
PERMIT FEE: :
PLAN CHECK FEE:
MCR H:
♦tf Yttt Yttlttt Htttit YYt YLYtYt Y4•
APPROV S:. �'L�K -I C/10 MECH: DATE: 7�y
PLAN: DATE
FIRE: 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: / 7g�/q� '� g
DESCR TION OF WORK: _RESIDENTIAL C RCIAL q iS N Ste,./
NEW PLACEMENT %pN eyo�WSV-e Fog ARY 12,V,�
HVAC: * *ANYTHING OVER 5 TONS MAY REQUIRE FI E DEPT. REVIEW /APPROVAL ** /,D //la'j S7/DN e'oN
c�1013y11 W =73327yo OR "//A
I NAT E OF QUALIFIER CONTR. REGISTRATION H WORKERS COMP EXEMPT (FID /FEIN)
STATE OF loR�t Personally Known_\//
COUNTY OF 'P p` M EA( v \p1tH1111flN /pl OR
The foregoing instrument was acknowledged before me this day `�JQ�0,04
I,Ny roduced Identification _
--�^ 11 �( N� p A' /1 : Q sN / t o of Identification Produced
of 11111 20 I 1 by In�+AEI E. Ir4 L�flr.�N�4,2oljr : sAllw 1<NBwiJ
�r *AV ;g3
)
Signature of ary u t �' y i��: E� Rvsd 3/10 n
LWO yy�V111 ��p11�8L10 P`���
11111111111 \ \ti �
C/U MODEL N0. & C/B SIZE 25CL&j3Lr-1- t- ///A
KW N/A
A.H.U. MODEL NO. & C/B SIZE VA C/B SIZE
BTUH CAPACITY 60 DOD S.E.E.R RATING 1— PACKAGE UNIT:
DUCTWORK: (Y) (N)
<\
PROJECT COST (LABOR AND MATERIAL):
REFRIGERATION
PHO9ti4LF$fWWA2,lftH,%LOWER osFrsoFeurvs o)
Equipment Type:
Spray Boo
C.U. Model No.:
Hoods:
SUPPRESSION SYSTEMS L 'S OF S REQD)
H.P. or BTU /HR:
E.V.' P. Model
Halon: H2O
Effic' ting:
Dry Chem: Wet Chem :
RO 'CTwCO$TIABOR aND nATERIAL).
p CI•�COST (LABOR AIQD MATERIAL):
c�1013y11 W =73327yo OR "//A
I NAT E OF QUALIFIER CONTR. REGISTRATION H WORKERS COMP EXEMPT (FID /FEIN)
STATE OF loR�t Personally Known_\//
COUNTY OF 'P p` M EA( v \p1tH1111flN /pl OR
The foregoing instrument was acknowledged before me this day `�JQ�0,04
I,Ny roduced Identification _
--�^ 11 �( N� p A' /1 : Q sN / t o of Identification Produced
of 11111 20 I 1 by In�+AEI E. Ir4 L�flr.�N�4,2oljr : sAllw 1<NBwiJ
�r *AV ;g3
)
Signature of ary u t �' y i��: E� Rvsd 3/10 n
LWO yy�V111 ��p11�8L10 P`���
11111111111 \ \ti �