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Home My WebLink About219 Odham Dr&o Building & Fire Prevention Division RESIDENTIAL FENCE PERMIT APPLICATION Application No: Documented Construction Value: $ / �" 6 s9 10 v U-053Address: ?- I I o L kyv I,/- Historic District: Yes ❑ No Parcel ID: Plan Review Contact Person: Phone: Fax: Type of Fence: Wood H1111metal ❑ Fence Height: 69 Feet Additional Information: "Fences with a height of over 6 feet will require signed & sealed structural engineering" Email: Residential Fence Information Title: PVGVinyl ❑ Iron Other ❑ # Gates: I Total Linear Feet: 1001 ` =Property Owner Information,-- '- i Name S ue, ��T o Phone: 10-)- W.O. kl S I Street: ('� �.0 �✓ Resident of property? City, State Zip�A j,la-i Name Street: City, State Zip: Fence Contractor Information Phone: Fax: Please Note: The Building Department does not perform site inspections on Residential Fence permits. A signed and notarized Fence Affidavit is required to be submitted along with this permit application. Please see the attached Fence Permit Submittal Guidelines. WARNING TO OWNER: YOUR_FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO. OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Effective: August 1, 2017 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 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5th Edition (2014) Florida Building Code NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Print Owner/Agent's Name no ignature of Notary -State of Florida_,---�.�ase� c a 4;'6 o DEBBIE ELANTON I ' MY COMMISSION # FF 178648 EXPIRES: February 25, 2019 'v:o Bonded Thru Nolan) Public Underwriters Owner/Agent is Personally K to.Me or Produced ID Type of ID 3// I �5 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY PLAN REVIEWAPPROVAL: PLANNING: COMMENTS: HISTORIC: Effective: August 1, 2017 i ®WNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood_, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for t an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a. license. -- I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I -, may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed > in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. . I understand that I may build or improve a one -family or two-family residence or a farm outbuilding: I .,� may also build or improve a commercial building if the costs do not exceed $75,000. The building or > j residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise v persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor Winjuries and materials. I, as an owner -builder, may, be held liable and subjected to serious financial risk for any sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is TV not licensed to perform the work being done. Any person working on my, building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under. the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, 1 will --requirements; -govern- -well--as- I abide by all applicable Iaws and that owner=builders-as employers. also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I.understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial r Services, and the Florida Department of Revenue. I also understand that I may contact the Florida. for Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally_ and financially responsible for the proposed construction activity at the address listed below: I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If ryou contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss --' (� that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee . of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor; .you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: � 1 -1 (J and capabl of performing the regt conditions specified above. �22 do hereby state that I am qualified ion involved with the permit application filed and agree to the tW6re of Owner -Builder Date Form of Identification (Must be Photo. ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding I year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 Ok to install approx. 100 linear feet of 6' high PLAT OF SUl privacy fence and \gate(s) as shown on ,Po yrnor7ol 0/70/ , plan. Fence shall be constructed with DE5CRIP finished side facing outward. � ��n Toe Southwester-1_r .'7.00 feet of Lot 20 Block "E", REPLAT OF SANORA Ut"ITS 1 recorded in Plat Book 17, `'aues '11 dad 1;' Public Zecords of Seriinole County, Florida, said Southlgesterly feet t,ein, it uasured oernendicular to the Svllthl'/eSte_rly liiw of said Lot :0. ALSO 1.ot 19 Block "E" of said `2EPLAT OF SANCIRA. UNITS 1 .& 2. LESS the Soutill•jesterl�r 32.00 feet of said Lot 19 Block "E", said 5outht,ester-ly 3 .00 feet beirr,l pleasured ner•Pendictllar• to the Southwester-ly line of Said Lot. 19. ALSO LESS: Begin at the most Easterly corner of said Lot 19 Block "E", thence S51"32'55"W, 63.12 feet along the Southeasterly line of said Lot 19 Block "E" to the Southerly line of lot I i thence West 6.00 feet along said South line; thence North 19.97 feet; thence so,rrtiEas7�a� 5 5[-.3s-:,Fs,"ri P170''49' 3511E, 58.69 ft. iJ,t:E LOT ZD�' OUTs�EJDST EPL V / 3./2 to the Point of 9CIA - o -_ ,yor S�.Beginning. Q 94 � --�.. � T Uj V I 0S� D` ti (` Q `r •4 0 9JF Via. 'v �Q L it Mlu L -' C �' rf r 1 4A 1 Ij r a Z4 Q EncbSCd U o /99' PPbrt-, 7SD in 5798 Ld ro NOr�1E STOT.tY CONG. gtj�K -V C!< v �ti U Qry IaO�+ 3.3 C /� 1 9 a7 53i 4� 0 0 S Vl T n C..Qr-�-i-Fi+ec1 -FO: e w�c CI �Q1 LAWi'EQ'S ITLE rtJSIJRArJCE ------ Z700 / NOTEs: G U T 1 L . ES M N T / / 3Z oo , -- -. -—_/-__Q �iconct/4►s'SP% !%4 iron / pOe /v/%6 cow /1/0 2005 �,giC. = Co�L,. •Z7� � : Z® J z Prof oi'.bou/lo�oryS:�rvey 0- 17°50" 22•" CNopp-6Z o f3.�Q� 3 BPo�i,n bosedo/) or G1�DQDDELIRING= SJ`2`O .� 3'Zg yy Based on the federal Emc r.<an3CGncnl Agency flood hamr 92-6 e N pcdd ress : 2 !g boundary map, the bur.dlng $ite_ Q w /� shown hereon DOES N07 LSEg H IV 1 ! 1 & within the 1o0 year Rood haiard `41 ` V �OicK/.b.ZL�OS area. ANDLAND SURVEYORS 7-24-� FINAL 0/ - O7 - 8' FOC#WD4T./ON __ _ CEai�F,cAiE NOiE' 80 STAKED AV6N E 11\ C INC. DATE 12 - 19 - SCALEJC • A/at valid unless a00Aed / GERTMED CORRIECT r7 848 E. LAKE STREET (S. R 427) M/ rh on 0"flossed SINNsect. LONG WOOD , FLORIDA32T50 Tn1>; „rve-1 „ey m mean me miniftlum IKAI,ICO) �' `�� L ��~�'�"'•'- flL.E?riOidE' (505) 831-3633 jIandald% let forth oy the Nrldo eoord t OMMICK F. CAVONE of Land Surveyor,, our*uanf ro Section REGtSTR4TION No. %C L`E' 472.027, Flondo 51a+u1ee. - F/no/ K336- 3