APP-FenceCITVOFDELRRVBERCH FENCE PERMIT APPLICATION
100 NW 1®' Avenue Delray Beach FL 33444
(561) 243-7200 Fax: (561) 243-7221
Welisite: delravbeachfl.pov
PROPERTY CONTROL #: 12-43-46-28-03-000-3740
PLEASE PRINT
JOBSITE ADDRESS
PROPERTY OWNER NAME
HOME PHONE (561- ^ 762-9749 CELL 561-762-9749
PROPERTY OWNER ADDRESS 933 IRIS DR
FAX E-MAIL jrmrcol24@hotmail.com
CONTRACTOR (COMPANY) NAME_ By Owner
CON PRACI OR (COMPANY) ADDRESS
CITY ST ZIP
BUS. PHONE (_
FAX
J_CELL
E-MAIL
FOR OFFICE USE ONLY:
ALDANA JOSE R & ROJAS MAGDA M
BLDG PERMIT#: _
FENCE PERMIT#:
PERMIT FEE:
PLAN CHECK FEE:
MCR#:
APPROVALS:
PLAN: DATE:
LAND: DATE;
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): $ L60Q.00
RESIDENTIAL FENCING WILL REQUIRE TWO COPIES OF PROPERTY SURVEY AND MAY REQUIRE ADDITIONAL LANDSCAPING.
COMMERCIAL FENCING WILL REQUIRE TWO COPIES OF PROPERTY SURVEY AND APPROVED LANDSCAPE PLAN.
DESRIPTION OF WORK:
RESIDENTIAL X COMMERCIAL NEW:. X REPLACEMENT:
POOL BARRIER? YES X NO
TYPE (WOOD, CHAIN LINK, ETC)All PVC Resin IF CHAIN LINK, IS IT VINYL COATED?
STYLE (SHADOWBOX, BOARD ON BOARD, ETC.) Tongue and Groove Privacy
HEIGHT 6' \ LENGTH ^1'
SIGNATUR F QUALIFIER CONTR. REGISTRATION #
OR
WORKERS COMP U EXEMPT (FID /FEIN) #
STATE OF
COUNTY OF _ Pov)lO
The foregoing instrument was acknowledged before me this JIM day
of jJwAf , 20 ZH by RiCftrjo .
^T/pLjUC'
Signature of Notary Public
Personally Known
OR
Produced Identification
Type of Identification Produced
OFfv:
.ii>i ai ifc ^ ^
Maximiliano Moline
Commission # HH 408664
Commission Expires 06-08-2027
Bonded Through n Cynanotary
Florida - Notary Public
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