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Home My WebLink About154 Country Club Cir (4),CITY OF SXNFORD pjrjAy 0 ' 2013 FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL FENCE PERMIT APPLICATION Application No: / 2 Zf Documented Construction Value: $ Job Address: _ , r' Y�i�/ It J% C'd Pa rcel ID: Historic District: Yes ❑ No ❑ Plan Review Contact Person: Q &V►7 6 ��r� Title: Phone: , 003-cji-W&Y Fax: Email: .Euq'tnwPR.re�5(o�i2Qn \jA00-Ohl Residential Fence Information Type of Fence: Wood 14 Metal 0 PVC/Vinyl ❑ Fence Height: !-- , r Feet Additional Information: # Gates: F L- G ate C ; Iron ❑ Other ❑ Total Linear Feet: "Fences with a height of over 6 feet will require signed & sealed structural engineering" 1 Property Owner Information NameQ�P Street: 15q v ( n�tJ�I CIA cv* City, State Zip: Name Street: City, State Zip: Phone: q07 - 6 � l — 9'Y6 Resident of property? : 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 OF SXY F RD �: �a�' � c �� Building & Fire Prevention Division FIRE DEPARTMENT _ — RESIDENTIAL FENCE AFFIDAVIT (6 FEET OR LESS IN HEIGHT) PERMIT 4: ' �— ADDRESS: I U'A`�1 Gb �E A �" , HEREBY AFFIRM THAT ALL OF THE FOREGOING INFORMATI N 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. El 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: DATEY 05/ C d El HOMEOWNER (OWNER/BUILDER) OWNERBUILDER NAME: 4 lt— way) iO 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 20 by: Who is ❑ Personally Known to me or has ❑ Produced (type of identification) as identification. Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public Effective: August 1, 2017 _App)ication 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: 5" 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. Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date ANNETTE 1`1 SLAND Notary Public — State o Florica c CorrmisstoritGG'� �� 22 Ntv comrc. Expires ar^ . asr Owner/Agen i, ea�l"y�!KEF6 or t"� Produced ID BELOW IS FOR OFFICE USE ONLY Contractor/Agent is Personally Known to Me or Produced ID Type of ID PLAN REVIEWAPPROVAL: PLANNING: SA-15 HISTORIC: COT Ok to install approx. 157 linear feet of 4 foot picket fence as shown on plan. No more than 4 foot high shall be placed between the front building line and the front property line. Fencing and gate within front 3 yards shall be decorative and semi -transparent and"shall not be solid or shadow-boxed. Chain link fencing is prohibited within any front yard. All fences shall be constructed with the finished side facing outward. Effective: August 1, 2017 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 I do not have a plicense. 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 l j 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 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. Y/ 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 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. 1 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 and materials. I, as an owner -builder, may beheld 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 - N 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 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, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also np 1 understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 1 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 p 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 iY n listed below. 1 agree to notify the building department immediately of any additions, deletions, or changes to any of the n f' 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 n coverage. Property Address: A 5 L f I, 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. Signature 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 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 Boundary / Survey / SET12'IRON / ROD & CAP LB 8121 7O6 �Q1 1 SS8 r4 °p LOT 6 p 9 BLOCK A ON F( 0 (M Qs� `� � J o° �Oh °a 2° �^ 7 `�A�B, SET 12' IRON ROD & CAP d• 1 J / - LB 8121 73h SET 12' IRON ROD &CAPLOT / LB 8121. -/. ON BLOCK FND 112• / QT ,•wb IRON ROD/ SHED ORr 'A s '�`�' 7°0• a i• / ySVe°Oy 3p„ OC7 CONC 77 �y ryA . DAV / (,y`k, $ r1V NO ° •� ^ , • ADO2oa� 8' OQ �� v ... ON J0.LOT 8 3g� �M 'es 8 • • `/ �� BLOCK ¢ A J r � M 09 •ti/ L-1 FND 12. 90• �^ o� N36°25'00"E(P) IRON ROD ' ��r" . 4e; 3.62 19 6� / ��i'N N36°18'31"E(M) .�0 Q1 p' 'C'Q�QCi .� 3.62'(M) ENG. QEPT, 157 linear feet of 4 foot ok to install approx. Ian. No more than 4 , o fence as shown on p z picket foot high shall be placed between the front ,• 30' GRAPHIC SCALE NOTE: - - - I i "PR`PERTY LINE building. line and the front property fine. ` 0 15 30 - 71 MONUMENTS FC. ])COMPUTATIONS 4) ACCURACIES Of and` gate within front yards shall e k . RLS #: R:17.06-0387 75W.tCOMMl Fencing 5) PRIOR TO SURV h PUBLICLY PU. decorat ive. and semi7tranS.parent a'nd shot not CLIENT#: 12671-2436535 iS CORNER REC. _ S)IFONLYADIOIT. is shadow. -boxed. OIDIT&SUfl Chain link fencing FIELD DATE: 06127/17 �uB be solid Or oRIVE any front yard. All fences shall ' DRAFTER: SDS prohibited within 1-7fi02 the finished side facing APPROVED: BHH ' be constructed with J: (AS FURNISHED) SCALE: 1"=30' Outward. _ —v cLU6 MANOR UNIT 2, ACCORDING TO THE PLAT THEREOF, _. c:LJ—IN PLAT BOOK 11, PAGE(S)100, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. BASIS OF BEARINGS: BEARINGS SHOWN HEREON ARE BASED ON THE'EAST LINEOF LOT7, BLOCK A, BEING S 31'55'30" W. PER PLAT LIST OF POSSIBLE ENCROACHMENTS: FENCE AS SHOWN h 1 A M E R I feeMyN�ew6ire.1 ..,,��.07 .y Deal Land Surveying, LLC 1530 Trople Park Drive First American sa117"87e 711 Title Insurance Company " INFO doallendaorvo In com SURVEYOR FILE NUMBER: - -0170SURVEYOR'S CNA -Comer NotAaeslhle' •BuIldln7 Seibatk Una CERTIFICATE THE SURVEYING COMPANY: DEAL LAND SURVEYING CERTIFIES THE A/C -Air Conditioner E/P - Edgo of Pavement C -Calculated _ PIE • Pool Equipment I HEREBY CERTIFY THAT THIS SKETCH OF SURVEY WAS MADE UNDER MY ACCURACY AND SUFFICIENCY OF THE SURVEY PROVIDED HEREON, r - • Cenlerllne N.R. - Non-Radlal CONIC -Concrete CHU - Overhead Ullllly Line RESPONSIBLE CHARGE AND TO THE BEST OF MY KNOWLEDGE AND BELIEF SAID -SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA COV -Covered PC • Point of Curvature D - Description P,O.S. - Point of Beginning DE • Drainage Easement BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 5J•17 FLORIDA ADMINISTRATIVE CODE. FURTHER, THIS DOCUMENT IS ELECTRONICALLY SIGNED AND CERTIFIED TO: (AS FURNISHED) EUGENIO EDUARDO PEREZ RODRIGUEZ P•O.O• -Point of Commencement DUE • Drainage & Utility Esmt PP . Power Pole SEALED PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTES AND CHAPTER 5J•17 OF THE FLORIDA ADMINISTRATIVE CODE, U.S. BANK NATIONAL ASSOCIATION FIRST AMERICAN TITLE INSURANCE COMPANY DAY • Driveway PRC • Point of Reverse Curvature ESMT •Easement VE -Utility Easement •• FND -Found WM -Water Meter M • Measured Wood/PVC Fence +''� DATE OF FIELD WORK: 06/27/17NOT ES 1. Surveyh on legalN&D by nnach •o• - -Nall & Disk 4 •Chain Unit Fence DATE SIGNED: 06/28/17 roNAoaaad :. Awaav wopenks note not Iwan,ne.rd,sa fa. vapf. ovadaps. uwlor how not brow dt Uses, Nat. , 3.inm011a WMF,AC.51017-0.4Sa14-E.0location ofeosom:Z dehtS-d—y oI,a=d, oawr Ywn awl° on ramrded plats. If roqufed, Brit Wo 11m muaf b• NMshedlome Nmoyerendmoppe, =PIsnofdelemined ( FOR INFORMATIONAL PURPOSES ONLY) SUBJECT PROPERTY SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD ZONE X. AREA OUTSIDE OF THE 100 YEAR FLOODPLAIN, SURVEYOR'S NAME: BILL H. HYATT LS4838 DEAL LAND SURVEYING LLC LB 8121 a, Feneam S. No uadap,aund lmprorameni—tract rn,v Ncmedtarwh-wy, PER F.I.R.M. PANEL NUMBER 12117C 0070F LAST REVISION DATE OM8107 6Neff —y Ihnatad s.7hlrmneyflwuw,wlaoufodlortoINfax d)—rpesoa 7. Myfapae ron4 a,drolnfoW bmuanf la bimd)oro approdmob NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND. AUTHENTICATED ELECTRONIC SEAL � � �- R E S I D E N TI �A L FOR ALL INOUIRIES CONTACT: RLS .THIS SURVEY IS PREPARED. FOR THE EXCLUSIVE DATE REVISION DATE REVISION USE AND BENEFIT OF THE PARTIES LISTED HEREON. . LIABILITY TO THIRD PARTIES MAY NOT BE LAND �S ER VI C E S rls.Infor� j m No.: c 0132900 57.787 TRANSFERRED OR ASSIGNED, Reviewed & Accepted by: Date / Date