HomeMy WebLinkAbout213 Fairfield Drr
CITY OF } '$
MAR 1 U 2018 : Building & Fire Prevention Division
ORD
€ RES DENTIAL FENCE PERMIT APPLICATION
• FIRE DEPARTMENT
Application No:
Documented Construction Value: S Q ac-ta- a
Job Address: �13 Historic District: Yes ❑ N
Parcel ID:
Plan Review Contact Person: J F-LCI,8QCj 0C>(— Title:
Phone: 7 _(� Fax: Email71-r cc, etno55y eak--�/t"CL.cm
Type of Fence: Wood ❑ Metal ❑
Fence Height: & f Feet
Additional Information:
Residential Fence formation
PVCNinyl a Iron ❑ Other ❑ .
# Gates: -411 1W, Total Linear Feet:
a� t-�f
"Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
361_
Name 'n 614covielf,* Phone:
Street: 15 t_r-( i -e[ V-- Resident of roe ? :
p p1'h' • _.....�
City, State Zip: ����/'�� t 3-9-7? %
Fence Contractor Information
Name / r N�S (%t �� Phone:
Street: �7i S'�dr �S�i'l�Q Lil' Fax:
City, State Zip:
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
Appficatibn is hereby made to obtain a perrnit to do the work and installations as indicated. I certify that no work or installation has
ceminenced prior to the issuance of a permit and that All work will be performed to meet standards of all Iaws 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) FloridaBuilding Code
NOTICE: In addition to the requirements of this permit, there may additional restrictions applicable to this property that may be
found in the public records of this county, and there maybe 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 con ruction and zoning.
Signature of Owner/Agent Date gnature of Contr for/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Contractor/Agent is C., Personally Known to Me or
Produced ID Type of ID'.
�otNty Shannon Frankenfield
o� NOTARY PUBLIC
STATE OF FLORIDA
Y a� Comm# GG063882
•s�'1'CE19�� Expires 1/18/2021
BELOW IS FOR OFFICE USE ONLY
t1_-2 1
PLAN REVIEWAPPROVAL: PLANNING:06 HISTORIC:
COMMENTS:
Ok to install approx. -75linear feet of 6 foot high
privacy fence and Z gate(s) as shown on plan. Fence
shall he constructed with finished side facing outward.
Effective: August 1, 2017
�j
d 1 —
Scanned by CamScanner
MOSSY OAK FENCE, LLC
THIS SISTRUMENT PREPARIM VVI
AOdron. 271 SOUTHRIDGE INDUSTRIAL DRIVE
TAVARES FL 32778
NOTICE OF, COMMENCEMENT
State of Florida
County of Seminole
GRANT NALOYY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 9092 Pq 1928 (1Pqs)
CLERK'S 'T' 2018029237
RECORDED 03/1612018 02-25"4-7 F'N
RL(',-0!1*%*';)1NG FEES $10.00
RECORDED BY jack'ei-iro
Permit Number: Parcal 110 Number. -two
The wxlersigned hereby gives notice that 4mp7mment will, be Made to certain real property, and in amordence %ft
Chapter 713, Florida S.tawtas, the Wowing infomiation Is provided in Nr Notice of Commerscernent.
GENERAL DESCRIPTION OF MMOVEMENT:
OWNER INFORM IN.
Name- Ch,r-, ' Ili r/I"
Fee.Sknple Tide Holder (d obw #m awner) Name;
CONTRACTOR:
Nwna. MOSSY OAK FENCE, LLC
Address: 271 SOUTHRIDGE INDUSTRIAL DRIVE TAVARES FL 32779
Persons W". the State of Florida Designated by Owner upon whom notice or odw documents nmy be served
as provided by Section 71 3.13(l)(b),'Flarlds Statute&
Name:
Address: -
In addition to himself, Owner Designates of
To receive a copy of the LieWs Notice as Provided 1n
Section 713.13(1)(b),.F;ofta StaMeL
Expiftfion Date of Notice of Comimencerneftt (TTic expiration date is I yew from date of recording unless, a
dbTarent date Is Wcftd)
WARMNG TO OWN45Z' ANY PAYMENTS MADE By THE OWNER AFTER THE EXPIRATIOWOF THE NOTICE OF
COMMENCEMENT' ARE CONSIDERED IMPROPER PAYMENTS UNDER CKAPTER 713.,PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINIG TWICE FOR Mm'ROVEMENTS TO YOUR PROPERTY. A
NOTICE OF. COMMENCEMENT MUST BE RECORDED AND POSTED ON THE josom 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 commEwsmrzw.
I have read the foregoing and dud the facts stated in it we true
0~S P*"d Nwm
7113-130W ' The bmW T"M 04n tare nOfto of cwmnw=wW4 and no area Ma may M pw"ftW to a* In pft or 1w stead.`
State of County of
The foregoing Instrument was acknowledged before mevus 172 day of 41A '14
by
Nine
OR who has prooduced identification Erpyp' of id"M
BEN STALVEY
MY COMMISSION #1 FF 904766 t � ]ffi �:Ojq
EXPIRES: August 3,2019
Danded Thru Wtwy Public UrW�derwrftbers
Limited Power of Attorney
Date: 3
I hereby name and appoint: Cctc&" , ,.' an agent of Mossy Oak Fence to be
my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for:
The specific permit and application for work located at:
3 tj Qv i
License Holder Name:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of____, 20
by who is personally known to me or who has
_....... _.
produced identification and who did (did not) take an oath
-p1emino Dune; @pis payslulj 411m pal:)njlsuo:) aq llegs
a@ua3 'veld uO LJMOys se (s)@IeB Z pue a:)uaj A:)enud
421.4 100j y jo;aa; leauq Z� Ixoldde Ilexsui of �o
'nS d ft dMYH "7 N037 f
•Pna �+na•alFrr�.oY''� �j .. 7Ar0 4 endlg7
pro LtlrelMf P�'7 ,bteLtF V s N RC VSrW )er
rpspw:r v!rnea Vrr"'ilY 'rN !7 lotll Pw V°fi�RP
!a arv. ,eM+r me Awrnr wu aH Alma l
R ar+ .o4nug prurerl
ognrA a /o P^ Gee/oi
m ,v pw fiwga.7e
MJren �� .yl p.e
o�arr a 7^oYlM P� JeN (9
were
ro 7da>rr Pej." �9 —4
aFin n gwirwranAY ^N (S
waV+ n Jd-- Pet—1 � .
tltnyrMe - &n, eN (h
•tll Z WtN —4 wyr A
m+r m Je
ab.d iorvlr++o-+ri ,oe R7 (f
•,7n m 7aAIo � W
wrw v o>.r rn m P.; Pyre
q w�V u.ou. Pwl m Pp
4.. —Y s -,u
Jou reV ,ere.wg �'rfl7
,wrL •Yr
As nmro,d r, wn4� �;
w �e +r inn nvt (r
S310N
1Y7d Had r11 .Zf,
O.00 N ON139
3M+7 S77.114 N2Y31S3M
3NI7831N30 3{I
NOd-7 07SYS 3HY NO3H
N WOHS SDNWV29
3arQ1 aaa't
Y
39AW co
4S
�—
JtrJtr MSY
"Jx7 .Z11 LT;: O
3+A7t
3mm COCA S'ffi
N4FCEY3 AllJSun -
H11M 105 - S S
,tYe .,v JFlkN - ,l✓a
Shwa - a
33
LK3NYRllb - 'RXd
31Nt7
KN3N aO JMOd - ON'd
3M7 NO JNAd - 'V d
JhOMMUMAV0,0
LNtad - aV'd
a
3e .A7 JMOd -'RO'd
Pn ALH3„Oad - 7'd
Mklkl 7n
JN3NY1'raUd - dV'd
3FrI1I YA6Vt7
" �O JNrOd - 5V'd
3by
IVA".ic JNIOd - n"d
Jrld - d
as4 arY wN - ow
HIMON - m
- n
aawl
aoA3,afIs rs oxr'7 - s1
SS3N
aNu'N MeY7OW - 73'1
.A7 7 Oaa NOW - j7l7
QIa AVM - 7r7
add NOW -'d7
AOIl Yalavm" - VI
AVU VAJ
OIA'Ud - aW
3 WO1J a3Fsrw - 3!'3
JSY3 - 3
1
.37Yr+'✓Y3 - 3'a
crm -a
31.ilR)NOa - 7NOa
1
.M3R 313aONOa IN
3M71arW!
XJO79 3t320A0a - S8�
awav3a aaoru -'ems
rIAW -xa
iVa[ - 9
my
JraAnuxtrna ary - aAY
qwa
&CLI
a1.41 1'lON37 3Nr7. -.� --N6Q Jx%7
%Y� sTc 4L JVi7 [d] 378b'1 3N1'
[d),00'OS 3 .6t,fh6f S [nJ.Corou x"
-31I2/Q GULMIV-4 N 3 �st r ar S
4 4 "
N ri�4.
�(7n� vt
:r ss
rtt��n rn
p U
O
O O
--t
66107 :k
6 � o
AHOIS _;No
:k 101107
�o O
o O
bg
b
ao
,OS
.PVr
,h
001107
3
,��
[d],00 09
M .6ffY.6f N
n
E01 107
X.2Ivn,;�; Xjopunoa
5l/LO/b0
?I Ya CM
ttt�
ON A3
LO/8ryZ/wwri
3AV7 a
06
46ZC
-IN .0 Nnl
'7!'_0 ANYdNCO T i t i
rMA03m) V%,FtOl4 !
i7t an.a
113218 I 8Z q
;49 a3)MPO rAd Nkfkd
mo.7' 3u!f_m.ensNuaJarn
SLL6-OEE•L04 cx�
91L6-0££-LOb10 LIL6-OCE-LOt, ��Ig
9bLZ.E'1J -UF4V aT
ElIr?0 a.1.3t ?CJRIl?AEVI j
l Jz "IW R7
„ 2urn'atirnt Inua,7ploH uJ RvrrlPp>tdc„
•ouI `�ut(tan.rns .duo
71T
-& 'OHOjN'
3A1d0 013132WV4 f
ro0IH07!
;1LN000 370NJFY3S 30 SOH003H On6
3HJ 30 "9L-SC S3OYd '19 YOOG
1 Y7d NI 03GY0,13H SY 'JV- f3H1 I
3H1 Ol ONICHOJOY 7 3SYNd S3A
AH3730 001 107 -*NOILd/HOS30 7Y;
Building& Fire Prevention Division
DEPARTMENTFIRE
I ; 15fa nd 07111 e
INFORMATION IS TRUE AND ACCURATE.
HEREBY AFFIRM THAT ALL OF THE FOREGOING
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
;OB�ER PLD, 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/CONTRACTOR
CONTRACTOR SIGNATURE
DATE..
❑ HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDERNAME: _ .....
OWNER/BUILDERSIGNATURE:..... _...._
"PLEASE NOTE"
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 .
Sworn to and Subscribed before me this 20'� by:
L� Who is ersonall Known to me or has ❑ Produced a of
iG Y ' t �� y (rig
identification)
___ _ as identification.
AigllutVri of Notary P 1 c
State of Florida
o�WY Shannon Frankenfield
NOTARY PUBLIC
-
—STATE OF FLORIDA
Print/Type/Stamp Name
�'a Comm# GG063882
of Notary Public
4 CE IsExpires 1/18/2021
Effective: August 1, 2017