HomeMy WebLinkAbout4617 Tampico Way� 4+ LE IT VU'r 7?
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CITY OF ' s,
JAN ' 9 2018 Building & Fire Prevention Division
iRESIDENTIAL FENCE PERMIT APPLICATION
FIRE DEPARTMENT BY' - le
�,Application No• 3VY
Documented Construction Value: $ `-1 �)U
Job Address: 4k0-1 TO M p l CO Vv a\( Historic District: Yes ❑ No LI
Parcel ID: 22-20-�)Q-S30 -WOC-O, l- O
Plan Review Contact Person: Title:
Phone:�-0'�03-(�-1 7s Fax:Email:) IYI.y 1G1�Y1Cel9U
of)1k r-n. o CC)m
Residential Fence Information
Type of Fence: Wood ❑ Metal [PVC/Vinyl ❑ Iron ❑ Other ❑
Fence Height: 4` 4 Feet # Gates: a
Total Linear Feet: 31
Additional Information: 3�� Q-� 4' 0 Pi1 QM Uu' a GgAeL S
"Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name \meek- P\I OtVYV S LLC,
Street: 4A0t 1 Tan pl co io�Yw
City, State Zip: SO4-D-For6 C—L -32113
Phone:
Resident of property? :
Fence Contractor Information
Name T-ence-. (0�,Ltw— "
Street: q L0- t It-) oe�T
City, State Zip: C)f � _nc10 V—L
Phone: 4CT� 2c�-!> 01,5g2
Fax: q 0� 2-0 � bSgZ
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 seethe 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
r
Application is hereby niade to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
conunenced prior to the issuance of a permit and that all work will be performed io meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work. plumbing, Signs,vwells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FB(' 105.3 Shall be inscribed with the (late of application and the code in effect as of that date: 5"' Edition (21114) Florida Building; ('ode
NUHCE: In addition to the requirements of' this permit, them may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional pennits required from other governmental entities such as water
ilia nagentent districts, state agencies, or federal agencies.
Acceptance of permit is verification thal I will notify the owner of the property of the requirements of Florida Lien Lane, 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.
�" Z�A, - //Y// %
Sh naturc ( wnedAgent Date
g,o1
Prit ier/Agent's to
n: ul Notary -Slate of arid❑ Date
Owner/Agent is Personally, Known to Me or
Produced ID 'I'ype of ID
ti;R�'>' •., RACHEL BLACKWELL
r°.�.`p Notary Public — State of Florida
' Commission # GG 166876
fury Comm. Expires Jan 12.2022
..,, Bonded through Nadonat Notary Assn.
Signature of )ntractndAgenl Date
i-�N V tCl4-
Print Contra or/Agenl's Name
igt cure of Nntaty-Stag tf Florida Date
Contractor/Agent is '' Personally Known to kle or
Produced ID Type of ID
...........JANNICE MARIE TORRES
.` Commission # FF 158171
,t Expires September 9, 2018
tj�rt . g°nMd nw I-r4h k1-800395-1019
BELOW IS FOR OFFICE USE ONLY
PLAN REVIEWArrnnPPROVAL: PLANNING: & I � ! �j HISTORIC:
COMMENTS: Vy h) M&( S Dk-F ut : 66M%�[>m 40Ce
4 -4�
E17rcukc. Aucust 1, 2017
I hereby name and appoint
POWER OF ATTORNEY
) \J1
(NAME)
(DATE)
of Fence Outlet to be my lawful attorney -
(COMPANY OR BUSINESS)
in -fact, to act for me and apply to the C�_�r�rd Building Department
for a Fence
(TYPE)
permit for work to be performed at a location described as:
Section Township Range
Lot Block Subdivision
4—(0 c ] �a x�n� C� ��C ►
(ADDRESS OF JOB)
(OWNER OF PROPERTY)
and to sign my name and do all things necessary to this appointment.
Raul Patel aCL 0953
(TYPE OR PRINT NAME AND LI(E NUMBER OF CONTRACTOR)
(SIGNATURE OF LICENSED CONTRACTOR)
Acknowledge:
Sworn to and subscribed before me by Rajul Patel, President of Fence Outlet, this
�J Day of J Pr13 , A.D. 20 ids .
SHERRI MEWBORN, NOTARY PUBLIC STATE OF FLORIDA
June 23, 2019
COMMISSION EXPIRES
:�fiM''fjS•. SHERRI MEWBORN
MY COMMISSION S FF 202484
EXPIRES: June 23, 2019
RAA.. Bonded Thru NoWry PUbk Underwriters
FINAL SURVEY
LEGAL DESCRIPTION:
LOT 36, REAGAN POINTE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK
81, PAGE 45 THROUGH 52, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
FLOOD INFORMATION:
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR WWW.FEMA.GOV,
THE PROPERTY APPEARS TO BE LOCATED IN ZONE X. THIS PROPERTY WAS FOUND IN CITY OF
SANFORD, COMMUNITY NUMBER 120294, DATED09/28/2007,
CERTIFIED TO:
DAVID WEEKLEY HOMES
-Site Benchmark Information-
,;�#1
Fnd. Nail & Disk " LB 2108".
Elevation. 51.53'
1;6 #2
Fnd. Nail & Disk "LB 2108".
Elevation: 45.30'
Lot 35el
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617 TAMPICO WAY, SANFORD, FLORIDA 32773
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\ O Fnd. Ya" Rebar
\ \-� �d \Ne2 & Cap "LB 7623"
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3l' c)f 4' H l u m L1
V�I Z ate S S 34°31'30" E 27.95'(P)
-Benchmark Information- J
Seminole County Control Point GPS
Name 0117, Designation 488120117- Elevation =
45.350'.
Gra hic Scale
(Elevations are based upon NAVD 88 Datum)
10' 20' 40'
Revision. Added Final Survey - 11/15/17
Scale: V=20'
Revision: Added Foundation Survey - 7/13/17
am&4.by:
EPD*,,Sll"*l
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810ED63FCAE64EB...
Field hate: 11114/2Cl'
Date completed: llnb/2o17
-NoTTs-
>SurveY la Bared upon VNe L"I De Pu Supplietl by Client.
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TrueeM CrRrect blto B®tpmy KnmMedae aM BeFet ea le�sMy Surveyed
ulMor my PmCbnmCntlale Slwnk eemd on lMom�ion henlatledmMe
Drawn By: R.S,
File Number.IS-36535 FI
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www.lrelandsurveying.com
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Fares -A- - ONUI Link F 1 An
-w�epac n -Delta(,. Alrele)
Office-407.678.3366 Fax-407.320.8165
CITY OF
S-------OPD
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FIRE
DEPARTMENT
Building & Fire Prevention Division
FENCE PERMIT SUBMITTAL CHECKLIST
(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 Land Development Regulations, Schedule F
C� 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).
l Indicate the number of linear feet, height, number of gates, and type of material on application.
�I Two (2) copies of site plan indicating where the fence will be located on the property.
Wi 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
CITY OF
Sk1N.1F0RDBuilding &Fire Prevention Division
FIRE: I)EPARTMENT
RESIDENTIAL FENCE AFFIDAVIT
(6 FEET OR LESS IN HEIGHT)
PERMIT #: v ADDRESS: `co I
I CL U I N V I cr-- , HEREBY AFFIRM THAT ALL OF THE FOREGOING
INFORMATION IS TR E 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.
Eg�FENCE CONTRACTOR
BY SIGNING THIS AFFIDAVIT, YOU ARE ACKNOWLEDGING YOU HAVE MADE THE HOMEOWNER AWARE OF THE FENCE AFFIDAVIT
STIPULATIONS AS STATED ON THIS DOCUMENT.
F _
COMPANY / CONTRACTOR: t-PYi( P . k V L�-t-'fi I KQC `.1\i IN
CONTRACTOR SIGNATURE: J�("J j )n
HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:
"PLEASE NOTE"
DATE: S—1 /g
DATE:
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 ( )`C'anExE—
Sworn to and Subscribed before me this �D day of 20E, by:
{ v 1 O U 1 C1L Who is\Kiersonally Known to me or has 0 Produced (type of
identification)
ture of Notary Public
of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
"•¢7.� JANNICE MARIE TORRES
?L,°t�Y Py _• ' Commission # FF 168 �718
# •�:
Expires September 91 0
,+ . �,r 9or� 7pn, Troy Fdn Inauranaa e09.7B9•i019
Effective: August 1, 2017