HomeMy WebLinkAbout116 Rockhill Dr (2)Cl7Y .U.F`
MAR 1 . 2018
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE PERMIT APPLICATION
Application No: 18 1 691l
Documented Construction Value: S __ 17
) r �N -
Job Address: I to Ly , I �( (1-� Historic District: Yes ❑ No El
. ParcelID:
Plan Review Contact Person: 1 i LGA q 3UMi CTitle; �2T (Y1 �+Tc ',
Phone: N'����'�}�y 40 Fax: Email: I1 Gla (Q M055T06L k-fe5
Residential Fence Information
Type of Fence: Wood Metal PVCVinyl ❑ Iron Other []
Fence Height:;._ .Feet #Gates: Total Linear Feet: t
Additional Information:
**Fences with a -height of over 6 feet will require signed & sealed structural engineering**
Property Owner Information
Name PSI f� Phone: 913 °-7'j` ,P,
Street: f �U6k I.W. Or. Resident of property? :
City, State Zip:3;77/
Fence Contractor Information
Name. d t-/ 0Gw &�e— Phone:.-71'l'gl Di d
Street: O�%�(JI!-I )alp r7 [G�11 �� Fax:
City, State Zip: �1�Q1'�.S 1 I
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
Applicatibn is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
ecrumcneed prior to the issuance of a permit'and that+;all; work will be performed to fnoet 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: 5'h Edition (2014) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictionsapplicable 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 ASFIDAVT I certify that all of the foregoing information is accurate and that all work will
be done in with all applicable laws regulating construction and zoning.
e
Signature of Owner/Agent Date Signature of Contractor/Agent ate
Print Owner/Agent's Name
Signature of NotaryState of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print CopfreFtorl�gent's Name 77
Jid,CommExpires
onNOTARY PUBLIC
STATE OF FLORIDA
+GG0636 2
1/1 021
Contractor/Agent is rsonally Kno o Me or
Produced ID Type o
BELOW IS FOR OFFICE USE ONLY
PLAN REVIEWAPPROVAL: PLANNING: 3-f3 71 4p HISTORIC:
COMMENTS:
Ok to install approx. 9LI linear feet of 6 foot high
privacy fence and _A_ gate(s) as shown on plan. Fence
shall be constructed with finished side facing outward. -
Effective: August 1, 2017
Building'& Fire Prevention Division
I 1 ) ra/ '(ill M lLpr"'- _ HEREBY AFFIRM THAT ALL OF THE FOREGOING
INFORMATION 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 I REPL D, RELOCATED OR REMOVED AT THE OWNER'S EXPENSE.
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.
COMPANY/
CONTRACT
CONTRACTOR: fi')A9LG^
OR SIGNATURE: _. DATE:. l
HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDERNAME ...
OWNER/ BUILDER SIGNATURE: DATE:
"PLEASE NOTE"
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 /
Sworn to and. Subscribed before me this %day of Cl� 20 k by:
►1�,�((1 �. i f 6�tE'✓ Who is �ersonallynown to me or has C Produced (type of
identif as identification.
- Shannon Frankenfield
ituregnaof Notary .ub ' °SPRY�o NOTARY PUBLIC
State of Florida a STATE OF FLORIDA
y' a Comm# GG063882
E19�e Expires 1/18/2021
Print/Type/Stamp Name
of Notary Public
Effective: August 1, 2017
,
s 3
370 Waymont Court • Lake Mary, FL 327.46 • Voice 407.b88.763 L •Fax 40Zai88'691 • frontdesk a w`erdloffpe ry.com
Legal Description
Lot 132. COUNTRY CLUB PARK (PH ); a rd,' to the plat
thereof, as recorded in Plat Boolk 54, 2r�4,) of the
r
Public Records of SeminoleCounty, FL. vVV GG��
Community number: 120294 Panel 0 65 �"�(..?.i
Suffix: F F.I.R.M. Date: 9 28120017 Flood Zone: X
Date offield'work: 312312017 Completion Date: 312412 17'
"
Certified to..:
Pamela M. Reid; Equitable Title of Wesr Orlando, LLC: Fidelity.
,
National Title Insurance 'Company: HomeBridge Financial Services,
'-
Inc.,. its successors Ok to install a pprox. linear feet of 6 foot high
SKETCH
—9
privacy fence and -L
LOCA77ON
gafte(s) as shown on plan. Fence
shall be constructed with finished
N°r7OSC"
side facing outward.
LOT'6
LOT'7 )'
N 89'42'33" E' 49� 93'
N 89'54'23" E 50t00�M'11
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LOT 132
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S 89"49.07" W 126.49" (M) PC
5 89'43'38" .W 126.50' (P) I'tr� " ,..
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S 89'59'19" W 50.33' (M)
ROCKHILL DRIVE
�
50' R/W (IMPROVED)
,
24'.ASPHALT PAVEMENT
Property Address:
This survey or the.: copies thereof are not valid
_ 116RockhillDrive
without the signature and the original_ raised
Sanford, FL32771
seal of a Florida licensed surveyor and mapper:
Survey number. SL 174626
, - 13.R ecertification does not indicate an upcate.
GENERAT 1VOTE ta. unless otherwise noted, flood zone.
Limited Power of Attorne
Date:.-Aq)_ 1 _.
hereby name and appoint: lc:(�(l .._ an agent of Mossy Oak Fence to be
my lawful attorney -in -fact to act forme to apply for, receipt for, sign for and do all things
necessary to this appointment for:
The specific permit and applicqjionfor work located at: A
License Holder Name:
Signature of License Holder:
STATE OF FLORIDA
,l
COUNTY OF
The foregoing instrument was acknowledged before me this Z may of & 20
by, '/� mol_ who ' ersonally known to e or who has
:produced identification and who did (did not) to ;a
Signa
Notary —BEN STALVEY
MY COMMISSION 9 FF 904766
EXPIRES: August 3, 2019
'•%tr ;;; •..d`' Banded ThN Notary Public UndenMritera