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Home My WebLink About423 Fairfield Dr; 17-3039; FENCELI I Y Vt- ft _ F, Building & Fire Prevention Division R- RESIDENTL4L FENCE PERMIT APPLICATION FIRE DEPARTMENT Application No: %-3 9 Documented Construction Value: S i e Job Address: 1J Akvvu o Historic District: Yes No Parcel ID Plan Review Contact Person: Title: Phone: i fy - 7 i L 91f Fax: Email: Residential Fence Information Type of Fence: Wood Metal PVCNinyl Iron Other Fence Height: Feet # Gates: • 2— Total Linear Feet: Additional Information: Fences with a height of over 6 feet will require signed & sealed structural engineering** Name Street: City, State Zip: Property Owner Information Fence Contractor Information Phone: Fax: 14 0 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 Application 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 construFt-*n 4," 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: 51h 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. lb- L Signature of Owner/Agent v Date Signature of Contractor/Agent Date Pr' t wner/Agent's Name Print Contractor/Agent's Name U_A . , - db. Signature of Notary - State of F ri Date Signature of Notary -State of Florida Date ANNETTE BLAND Notary Public State of Flor oa i Commission # GG 060623 p Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID — Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY INoC4^ PLAN REVIEWAPPROVAL: PLANNING: 1b-16-1-7 '"'" HISTORIC: CONE +NTS: Ok to install approx.17,C) linear feet of 6' high privacy fence and _2__gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. Effective: August 1, 2017 I 11 1/1 11 OWNER BUILDER STATEMENT/AFFIDAVIT 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, 1 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 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 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 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. 7 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. I 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 be held 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 - 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 financialVyrisk. Rev. 9.14.2009 I 1j NA 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 understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I 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 Stakes 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 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 listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the Y V 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 coverage. r Property 1, , 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. Form of Identification Must be Photo ID) ate A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 Legend of Symbols and Abbreviations; REROD: Steel Reinforcing Rod Boundary Line Brg. Bearing Field Field Measured P.C.P. Permanent Control Point P.T. Point of TangencyCenterlineCalc. Calculated Pnd. found P.I. Point of Intersection R Radius Righl•ol•way Line C.B. Concrete Block Gov't.: Government P.L.S. Professional Land Surveyor R.L.S.: Registered Land SurveyorOverheadUtilityLineCh. Chord L:B. Licensed Business P.O.B. : Point of Beginning RAN Right-of-wayEasementLineConc.: Concrete O.R. official Records P.O.C. Point of Commencement Sec. Section q Central Angle Cons[.: Construction Pav'1.: Pavement P.R.C. : Point of. Reverse Curve S/T Septic Tank ARC : Arc Length cls : Concrete Slab P.C. Point of Curve P.A.M. Permanent Reference Monument T.B.M.: Temporary Bench MarkBlk. : Block Es•/ Elev. : Elevation P.C.C.: Point of Compound Curve P.S.I. : Point of Street Intersection W/ With Boundary Survey: 0 h Scr%za w o • / •6r/FsrJo. /'3orrri/ p/ei)ln.tf,GE EF SSH uTs dbq y 60 Pss_ 75 or 7,9 C urii•.dgx,>d%i;iYj !;u} i,vxi rlcyi'- Qi .,.'•.Ai RRIkl is NITN Xl i i O UTiG/TY G r SFT S..r.E/IGto „• t YEA Z.Srae}' F..r's/d6NGE 23 roavc.ERc>G1¢ A7-1z :ea ec,o w iR4S-sR,473;-- ry iliorES .' I11 U O izo Aoo2.Ess ry N E/vrP GTCi /.dv,.eSj^sTF i o h/ATE2 /l JE>E2 Go•=•ATEo O 1V1592 LEFT',ONT G07 Q Co2 u6 2, As S/rown/. i So' s' Alf 7. ; :} a ' • .gal— s /;P jAV s/c w,gv S Z1 2$ y1 AVZA .\It.. .SO.ao' Tlf"r[y Il..—.ze.oS' _ii rX FTAB, GS-Z'Y' . +: Lt frjOL3 c/P Fi+rv.P.K•N\ Pc. R' Ar R T, •a 7 /CiR/?F/EL.i> i2/t/ 373E p'%i+r P. C , (ol'_ ` I r U is i o" ''? i Z4 4,ONgzT ~T. w/z' cbwa G rrscr f,2. 9 FLOOD CERTIFICATION: U. •.l - GJ. According to the Federal Emergency Management Agency's 'Flood Insurance Rate Map'; Community Panel Number 12oz94-,00GS- , N G. DE- %'' 9p- . Revised A or :/ 77, 1"5 ; the property described and depicted hereon Kies in Zone 'X' ("Areas determined to be outside 500 year Flood plain"). dnex not fie within any `Special F?hxxl Hazard Area'. E Ok to install approx._linear feet of 6' high LC privacy fence and _gate(s) as shown on q sar30ivrsios/ uo,e.v T T plan. Fence shall be constructed with Ros 0 BEM/oLE V77>, f•e o.5+ CERTIFIED finished side facing outward. , I hereby certify that this map depicts a survey performed under my super sion, and Is correct to the best of my knowledge and bellel; and that 11 survey meets the minimum technical standards set forth by the Fiori 1c -r c Board of Professional Land Surveyors in Chapter 61G17.6. Flori Administrative Code, pursuant Section 472.027, Florida Statutes. AG/:: z Ff ic c.y SMITH DRAFTING & SURVEYING, INC. -. 311 E. RICH AVE. DELAND, FL DELTONA, FL Sla y E. Smith 386) 734.7047 (386) 789.2855 -QL—gislered Land Surveyor DRAWN BY: S SA7 7N REVISIONS: 22 R f/19.4uw; Certificate Number 3736 CREW CHIEF: NOT VALID UNLESS SEAL IS EMBOSSE SCALE: // r t 7i yG emu¢ 6Y, e 6vv rior S: 2O . a lE/YlG3E2 /3 2G»!o jG Note: No instruments o1 record reflecting easements, limitations, own DATE: ships, reservations, restrictions and/or right-of-ways, if any, have been p ovEMgFR 7;2005 vided to [his surveyor, except as shown. No underground installations WO 9 1/1_Q/_77_utilities have been located, except as shown. CITY OF Buiiding & Fire Prevention DivisionfarSki4FORD FIRE DEPARTMENT RESIDENTIAL FENCE AFFIDAVIT 6 FEET OR LESS IN HEIGHT) PERMIT ADDRESS: J LM d /T-- -5 I AL L u \ a t 140q 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 REPLACED, 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: t0MEOWNER (OWNER/BUILDER) O ERBUILDERNAME: OWNER / BUILDER SIGNATURE: _1G(L(l 'g .. 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 -25 t t - Sworn to and Subscribed before me this l lit day of Oc—boA r 20 77 by: i LQ Pv d h l L4 Who is 0 Personally Known to me or has Produced (type of identification)) -V L D Z as identification.. Signature of Notary Public WERENNETTEBLANDStateofFloridaPublicStateofFloridaission # GG 060623m. Expires Jan 16, 2018Print/Type/Stamp Name of Notary Public Effective: August 1, 2017