HomeMy WebLinkAbout232 Belgian Way (2)CITY of 'l Building & Fire Prevention Division
t ; jk+ � JUN 15 201JESIDENTI4L FENCE PERMIT APPLICATION MFORD
L�
FIRE DEPARTMENT &7230�
— ���Application}��tD �
Documented Construction Values $ C►'
Job Address •/( C �` historic District: Yes ❑ No
Parcel ID:
Plan Review Contact Person: f1L�1,\06;; Y71 l � Title:
Phone:'' Fax:
Email:A"r.-Vi �t�1{1'i b"j I�i-r VT�c*r'.
Residential Fence Information
Type of Fence: Wood ❑ Metal ❑ PVCNinyl [& Iron ❑ Other
Fence height: ^ ` Feet # Gates: Total Linear Feet: Le l
Additional Information:
**Fences with a height of over 6 feet will require signed & sealed structural engineering**
Property Owner Information
C� �(i S
r
t (t
Phone:
3�2 30
Name
Street:
Resident
of property?
City, State Zip::��:nU
I
Fence Contractor Information
l{ li L �1'(1C'-S
�' f
c i'7 tG� Phone:
Name 1
Street:'31 S: � 5 � 1 �eJrc� � Fax;
City, State Zip: U I - VI 131
.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.
)affective; August 1, 2017
Application is hereby made to obtain a permit to do the work and installations as.ndicated. 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. 1 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: 5tn 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 7.13.
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.
D
Signature of Owner/Agent Date Signature ontractor/Agent Dat
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
{; �' -rxJ,,) )
Print Contractor/Agents Name
---y�
Ur
Signature of Notary -State of Florida Date
V Personally Contractor/Agent is y Known to Me or
Produced ID Type of ID
DONNA MA RIE BILL
*YP ;State of Florida -Notary Publi
+= commission # FF 242.742
to; My Commission Expires
% ;1 ' AuQust`05, 2019
PLAN REVIEWAPPROVAL: PLANNING: ✓,.2/_ ,2-c> HISTORIC:
COMMENTS: Oy 74o /" .S64// C eZl-yX . G �/ /1 e` v- 14"Jo a G Avi`
Effective: August 1, 2017
CITY Of
S��FORD
'FIRE D.EPA RTMEN 1.
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
(6 FEET OR ]LESS IN HEIGHT,)
PERMIT#: f l ADDRESS: P 139 C I
I ) V , 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 TIIAN 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.
ENCE 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 / CONTR
CONTRACTOR SIGN
El HOMEOWNER
ACT
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:
DATE:
`**LEASE 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 OF1, J u�
Sworn to and Subscribed before me this 1W day of �` 20 ( by:
Who is Personally Known to me or has 0 Produced (type of
ide ification) as identification.
iJ 1MgA'6 r , _u
Signature of Notary Public-
StateofFlorida IE BILL
•°'e' c t Et0 iC{ NOI2tY Pubt
242iC
f� .ta.e
t 14(�li�'iN�tl�M �ii� 1 �• .� \r _ C�imm;s� on 1! FF ��
1+iy famr scion CAP '
Print/Type/Stamp Name. 'o; 10 n5y1_
of Notary Public
Effective: August 1, 2017
r
BOUNDARY SURVEY
LEGAL DESCRIPTION:
LOT 42, BAKERS CROSSING PHASE I, AS'P,ER PLAT THEREOF AS RECORDED :IN -PLAT BOOK 60,
PAGE 27-29 OF THE PUBLIC RECORDOF 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 -%'THIS PROPERTY WAS FOUND IN CITY OF
SANFORD,;COMMUNITY NUMBER 120294, DATED 9/28/2007.
Page 2 of 2
Thissurvey is not full and complete without the attached survey report, Page 1 of 2.
Fnd. '/,' Relbar
& Cap. (illegible)
/4 -,234 /
I
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I
1 I
D.r I
I
Lot 41
a.
O N
O p
UJ
CD iD
cV
CV -a
Not Platted
S 89*36'15" E -5000'(P)
S 89'21'31" E 49.99'(M)
1' D.1
Lot 42
a0,0
(Asphalt Road)
Belgian Way — -
(50' Platted Private Right -of -Way)
BELGIAN W.AY SANFORD, FI-ORIDA 3'- 13.
Fnd.,:'A" Rebar
& Cap_(illeglible)
0.3'
, 3' - - --- - -.
W E
D.r
s s
S
n
Lot 43
PC located
on Lot 43
Fnd. Y," Rebar
(No Identification)
Foc-Z," Rabat
(in AT&T Pedes:ai)
& Cap -L8 6623"
S 89°35'29" E 37.07'(M)
-= S.89°36'15" E 37.01'(P)
Graphic Scale
102 4D'
Scale; 1"=2U
rwio
va,e: i9/a4ei6
Uate Completed: ta,N20,a
-NO!aS-
Ihe.^ c Hy i e U..ry s yol urea .o, ..; c ,Pay
Drawn By:.$P_ File
NumbenIS-322001
>Survey _is eased uoon the legal Description Supphod by Giant.r
>AbunirgProperties Deeds have, NOT been Researchco rot Gaps:
t r ate v h d Ike . lest b ,.,
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calculated
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Pg Page
B a irg Ba I how 1 ereon is Assi ea tl Based upon the trine
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-
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Building InS are NOT to oo used to teconstructProperry Lines.
a
on
Cone.
P O.L. Po.iunin
arc
Ow —ship Is delerlrined
rd!
ion
PP P aPU
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R t Oerh g Udargru Utilitiespntllor Fa- RVCT
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fCU asa.v.ro4neni
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been fcalad UNLESS othet,visteraea.
Patrick K. Ireland, `- - ,P +6637 LB 762
F,C NA Fad al C pgo Y
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Pr Poll cf 1'aigenry
Sepat Tanks a d/or Dralnfleld Ioa runs are appre.1mate and MUST
ed� ✓.��
This Survey is Mark: R((,Y,JpI & VSe at S21d Certi"liil Paves
ttE
g genc7
FI ished Floor Elevation
H RdLs
R RMW
be verlged by app palate Utility Lo (Ion Conpurdea.
Tha SIrre NOT VAJDUhgES, S aid cmbossed wito Sun 's Sea]
Fran
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Fouts
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Liability to It Sur eyor. No hl g H reo shall be Coitrued to gF+e
i 1 be
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ANY Rlgnls o Ba @Ills Ib Anyona Olna! It .: hose CertMcd.
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R.I. cap `Le yaav'
Flood. Zone Det I ration Shown Heron IS Glven as a Coupes : and'
Y:
Is SubjeniFinalAppiaal
1301 S. International ParkwaySuite 2001
W.R.Noli
ORB
,taclrl
- Ofbelar Reavds Beek
lyp.-Typux_
JC utairy Lawman
by F.El.AA. ThIs9aterminndonnnry be'
affocled by. Flood a n— a alor other lnfp etatbn NEITHER Into vr:
Lake Ma Florida 32746
ry-
P
-Plat
WN velar. ocer
by NOR gI a t ih SUneylrp Colnparrye the time Ol Nis rgdaypr,
N".VN,IfelandSUNeyInQ.CAm
P.a
o-
- %at eeok
wpM Fence
G Jalta (Gera➢» An:b)
-0- chain Link Faua
IfeWnd & As-ol Survey) g kK: and ItM sIqning StWeytt'195u1re
No Llabg:y ro the Accuracy a;his beterhaion
Office-407.678.3366 Fax 407.320.8165