HomeMy WebLinkAbout309 Borada RdCITY OF
kFBuilding & Fire Prevention Division
i �" i� �,'L RESIDENTIAL FENCE PERMIT APPLICATION
ORD
FIRE DEPARTMENT � j !
JAN 3 0 2018 Application No:
B ocumente`d Construction Value: $ 0 0
Job Address: �20 460/'K A, 1J Historic District: Yes ❑ No W
Parcel ID:
Plan Re/view Contact Person:
Phone:(% 1-106- 7 Fax:
Type of Fence: Wood Metal
Fence Height: ( Feet
Additional Information:
�7 Title: eowl)e'!�
I ,a Email: 10610 J �rN ,� q f�'<• ►
Residential Fence Information
PVC/Vinyl Iron Other
# Gates: Total Linear Feet:
�2f6
"Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
�- �' i �� � �✓ �y417 .
Name � Phone��(�
Street: D a
Resident of property? : fi
City, State Zip: 5LY7 / 3,17 7 3
Fence Contractor Info
Name
Street:
City, State Zip:
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: 51h 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.
r
ignat e of Owner/Agent Date Signature of Contractor/Agent Date
Print wner/Agent's Name
PLV,�(a Z 0/-
Signature of Notary -State of Florida Date
DEBBIE BLANTON
MY COMMISSION ik'rr 178W
`o EXPIRES: Febrij ry 25, 2019
Bonded Thru Notary Pt lic Urdenvri;er>
Own( r/A n 1s ersonall K n to Me or
Produced I D Type of ID �� L
ey. /
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: 7—HISTORIC:
COMMENTS:
Ok to install approx."l linear feet of 6 foot high
privacy fence and'Z gate(s) as shown on plan. Fence
shall be constructed with finished side facing outward.
Effective: August 1, 2017
271 Southridge Industrial Drive
Tavares, FL 32778
407-900-2940
Fax:888-864-2785
4640 North US1
Melbourne, FL 32935
321-255-1020
Fax: 321-255-1036
www.mossyoakfences.com
FOR INTERNAL USE ONLY
DATEINSTALLED:
INSTALLER:
LOCATES #:
LOCATES DATE:
SPECIAL INSTRUCTIONS:
NAME HOMEPHONE
STREET 41
WORK PHONE
r
CITY ^ O FAX
JOB NAME/ADDRESS CELL
CONTACT EMAIL r,� / ✓ v
PVC
FOOTAGE
ALUMINUM /STEEL
FOOTAGE
HEIGHT Lj
HEIGHT
STYLE
STYLE
COLOR
COLOR
RAILS
GRADE
PICKETS
POSTS
POST CAPS
LINE POSTS
PICKETS
TERMINAL STS
PICKET CAPS
GATE PO S
OPTIONS: ❑
OPTIO ❑
WOOD
CHAIN LINK
❑ CYPRESS [CEDAR
FOOTAGE
FOOTAGE
TYPE
HEIGHT
HEIGHT
GRADE
STYLE DI
TOP RAIL
PICKETS
LINE POSTS
RUNNERS r'
TERMINALP STS
POSTS V
GATE PO S
GATE POSTS XG
GATE AMES
OPTION$❑
OPT NS: ❑
GATES
QTY
SIZE
TYPE
ARCHED
RACKED
SWING
HINGE
5
1
Ely ON
❑Y❑N
❑IN❑OUT
OIL FIR
❑Y ON
❑Y ❑N
❑IN []OUT
❑L OR
❑Y ❑N
❑Y ❑N
❑IN ❑OUT
❑L OR
❑Y ❑N
❑Y ❑N
]IN ❑OUT
❑L ❑R
❑Y ❑N
I ❑Y ❑N
❑IN ❑OUT
❑L OR
OPTIONS: ❑
z
IMPORTANT INSTALL INFORMATION
❑ FENCE TO FOLLOW GROUND CONTOUR ❑ FENCE TO TOP LEVEL
REMOVAL & DISPOSAL OF EXISTING FENCE FT ❑ NO
.CLEARING OF FENCE LINE NEEDED ❑ YES ❑ NO
CLEARING TO BE DONE BY ❑ OWNER ❑ MOSSY OAK FENCE
OPEN POOL ❑ YES ❑ NO
HOA APPROVAL REQUIRED ❑ YES ❑ NO
PERMIT REQUIRED 2 YES ❑ NO
ALL DIMENSIONS AND SPECIFICATIONS ARE APPROXIMATE
9.�
4 6V-1-t. sc
4 q
1,.9 b VOL
W h L %
Y'zit--t
T ff ur
DO
' OPTION
OPTION
PROPOSAL AMOUNT:
$
PROPOSAL AMOUNT:
$
DISCOUNT:
$
DISCOUNT:
$
TOTAL:
$
TOTAL:
$
DEPOSIT AMOUNT:
$
DEPOSIT AMOUNT:
$
BALANCE DUE
BALANCE DUE
UPON COMPLETION:
$
UPON COMPLETION:
$
Purchaser agrees that final price will be CONTRACT AMOUNT: $
UNDERGROUND SYSTEMS: Mossy Oak Fence will perform locates for power, telephone,
determined by total footage installed, and
and cable lines. Purchaser agrees that Mossy Oak Fence will not be held responsible
may be different than estimated. Purchaser
DEPOSIT AMOUNT: $
for damage to any sprinklers, underground pipes, drains, foundations, or any other
also agrees that all products delivered and
unmarked underground systems.
installed remain the property of Mossy Oak BALANCE DUE
WOOD PURCHASE NOTICE: Mossy Oak Fence shall not be liable for any labor or similar costs, or for
Fence until full payment is made. UPON COMPLETION: $
any costs or damage which may be associated with the natural characteristics of wood. Wood fences
have a tendency to shrink, split, warp, crack and twist in hot, humid weather. Small gaps will appear
between boards and are a common occurrence that does not constitute failure of the wood.
ACCEPTED BY PURCHASER
RIGHT TO CANCEL: Per Florida and Federal Consumer statutes this contract may be cancelled by
either the buyer or,the seller in writing by midnight of the third business day after signing, or by
postmarked no later than 3 business days after signing.
CONTRACT DATE
;y
CITY OF
.. Building & Fire Prevention Division
Ski!40RD
FENCE PERMIT SUBMITTAL CHECKLIST
FIRE DEPARTMENT (RESIDENTIAL ONLY)
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Fences must be compliant with the City band Development Regulations, Schedule F
❑ Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
❑ Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value (if the contractor is the applicant)
❑ Copy of the Business Tax Receipt (if the contractor is the applicant).
❑ Owner/Builder Statement/Affidavit
❑ Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
❑ Indicate the number of linear feet, height, number of gates, and type of material on application.
❑ Two (2) copies of site plan indicating where the fence will be located on the property.
❑ Fence Affidavit, signed and notarized
Repairs
No Permit is required for Fence Repairs. A Fence Repair is qualified by one or more of the following:
• Replacing individual slats; no more than 10% of the entire fence
• Replacing a section; no more than 3 sections of the entire fence. A section is defined by the fencing
material between 2 posts.
• Replacing a post; no more than 4 posts total. Posts must be placed in or directly around the removed post
without encroaching on neighbor's property.
• Replacing a gate
"Please contact the Building Division if you have any questions on Fence Repairs"
These guidelines were compiled to assist the applicant in preparing a fence permit application and may not be
complete. The applicant is required to meet all City of Sanford codes and requirements.
Effective: August 1, 2017
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I 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
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
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
(�1
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
a
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 you 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
overage.
Property Address:)r Z9 A ✓'
I''
�41,vi do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
r
Signature of Owner -Builder
Form of Identification
(Must be Photo ID)
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 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
OWNER 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 ;
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 1 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. 11
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
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 builtg 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
�J 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. N
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
wrier -builder permit that erroneously implies that the property owner is providing his or her own labor
nd materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries 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.
understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
of licensed to perform the work being done. Any person working on my building who Is not licensed
ust 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.
1'
BOUNDARY SURVEY.
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RECORDED IN PLAT BOOK 24 PAQES 15-17, OF THE PUWC R£CARDS' OF SEMINOLE COUNTY, FLORIDA.
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privacy fence and 2—gate(s) as shown on plan. Fence
shlail he constructed with finished side facing outward.
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M.P. BRETT 386-668-0613 Office 386-66&8491 Fax 5144
CITY OF
SANS®,-� Building. &Fire Prevention Division
FIRE DEPARTMENT
RESIDENTIAL FENCE AFFIDAVIT
(6 FEET OR LESS IN HEIGHT
PERMIT 4: — l�� ADDRESS: 5 b 9 (��--
sa , �.', o(-
61, /� /j , HEREBY AFFIRM THAT ALL OF THE FOREGOING
'�
ORMATION IS TRUE AND ACCURATE. THE FENCE WILL BE INSTALLED IN THE APPROVED LOCATION AS SHOWN ON THE APPROVED SITE
PLAN. THE FENCE WILL BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACE
OUT. IT IS THE HOMEOWNER'S RESPONSIBILITY TO VERIFY THE FENCE IS PLACED WITHIN THE PROPERTY LINES AND ANY DISPUTES
BETWEEN ADJACENT HOMEOWNERS WILL BE A CIVIL MATTER. I UNDERSTAND THAT FAILURE TO PROPERLY FOLLOW THESE GUIDELINES
AND ADHERE TO ALL CITY CODES (SANFORD LAND DEVELOPMENT REGULATIONS, SCHEDULE F) COULD RESULT IN THE FENCE HAVING
TO BE REPLACED, RELOCATED OR REMOVED AT THE OWNER'S EXPENSE.
ElFENCE CONTRACTOR
BY SIGNING THIS AFFIDAVIT, YOU ARE ACKNOWLEDGING YOU HAVE MADE THE HOMEOWNER AWARE OF THE FENCE AFFIDAVIT
STIPULATIONS AS STATED ON THIS DOCUMENT.
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
HOMEOWNER (OWNER/BUILDER)
O ER/BUILDER NAME: V
OWNER / BUILDER SIGNATUR
F. a,/c1 1
"PLEASE NOTE"
DATE:
DATE: O/, 130. / ,�-
THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON RESIDENTIAL FENCES. THIS
AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL
SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE FENCE.
STATE OF FLORIDA COUNTY OF
'fit
Sworn to and Subscribed before me this day of 20
bf Ca n 0,
Who is ❑Personally Known to me or has Kproduced (type of
identification) �� r�I(9s identification.
Si nature of Notary Public
State of Florida- - — —
Print/Type/Stamp Name
of Notary Public
u1E BLANTON
_ „01,0,11SSION # rr 178648
— EXPIRES: February 25, 2019
o "F Bonded Thru Notary Public underwriters
Effective: August 1, 2017
1111111111111 Jill
- 71HIS INSTRUMENT PREPAREO gn"
Name: MOSSY OAK FENCE, LLC
Addr*": 271 SOUTHRIDGE INDUSTRIAL DRIVE
TAVARFS FL 32778
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number.
Parcel 10 Number
GRANT NALOn -SENINOLE COUNTY
CLERK OF CIRCUIT COURT & CONI'TROLLER
u" !•J 9 ''04 t 1f'9c
CLEk"Si5 AV2it18010987
RECORDED 01 f?,i1/2018 J]1 :.7 ;17 I,N
RE'CORDII•dG FEED 1Ct,ilti
RECORDED L'..',h� evore
The undersigned hereby gives notice that improvement Vall be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement;
DESCRIPTION OF PROPEI�9TYY: (Legal descriptiveryypp�ft�a property and street address if available)
�vCl (-c) CEt cla /Ld
GENERAL DESCRIPTION OF IMP/ROVEMENT:
(o ( 0 ✓C T� T" '—
OWNER INFORMATION: / f
Name: !�
Address: �►
Pee Simple Title Holder Of other than owner) Name: f'j— yn
Address -
CONTRACTOR.
Name- MOSSY OAK FENCE, LLC
Address: 271 SOUTHRIDGE INDUSTRIAL DRIVE TAVARES FL 32778
Persons within the State of Flortdat Dexiynated by Owner upon whom notice or other documents may he served,
a% provided by Seaton 713.13(1)(b), Florida Statutes.
Name-
Address:
In Addition to himself, OwnerOesignates of
To receive a copy of the Liencer Notice as Provided In
Section 713.13(1)(b), Florida Statutes.
Expiration Data of Notice of Commencement (The expiration date is 1 yearfrorn date of recording unless a
different date is specified)
WARNING TO OWNER ANY PAYMENTS MADE.BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT. ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1. SECTION 713,13,
PLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties etju , I declare at I have read the foregoin d thatthe facts stated iri:' are true
to the best of 0 e f,
g'ah m Oscars Ponta i Name
Flakin Sta Wte 713.13(1ltg} • The senor must Wgn the tur3w of 1:Crn718nCWdr4 and hp one arse may be p:-rmitied to sign In ht9 or her steed
State of County of + _
The foregoing Instrument was acknowledged before me this day of Zq 1 p
by '.Who to personally known to me
Nsme of pet:ari maWny xt
OR who has produced identification type of identitica on produced: }� e v-0 ; ,
4My ��a
r DEBBIE BLAPJTON
My
COMMISSION # Fr' 176648
EXPIRES:
;lF .
......
; f,`,
Febnrary 25, 2019
Bonded Thru Nolary PubFC Undenmters
73