HomeMy WebLinkAbout3785 Crawley Down Lp; 18-3526; FENCE11 1 Vf
l 'j'((' F -t Building & Fire Prevention Division
RESIDENTIAL FENCE PERMIT APPLICATION
FIRE DEPARTMENT
AUG Y J` ,, 3 K
AU/{
t7i Application No:
Documented Construction Value: S 4112.00
Job Address: 3785 CRAWLEY DOWN LOOP Historic District: Yes No
Parcel ID: 17-20-31-5VC-0000-1230
Plan Review Contact Person: CAT H E R I N E G E R R O L Title: AS S T GM
Phone: 407-334-2493 Fax: 407-366-2335 Email: oviedopermitting@fenceoutlet '
online.com
Residential Fence Information
Type of Fence: Wood Metal PVC/Vinyl LX Iron Other
Fence Height: 6 Feet # Gates: 1 Total Linear Feet: 171
Additional Information:
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name GRIGSBY, TIFFANY Phone:
Street: 3785 CRAWLEY DOWN LOOP Resident of property? : YES
City, StateZip:
Fence Contractor Information
Name FENCE OUTLET / RAJUL PATEL
Street: 1724 W BROADWAY ST
City, State Zip: OVIEDO FL 32765
Phone: 407-542-8347
Fax: 407-366-2335
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 hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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 restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 willbedoneincomfiancewithallapplicablelawsregulatingconstru ' n and zoning.
all k 61l
Signat of wner/Agent Da Signature of Contrac VAgent Harp
Print Owner/Agent's Name
Signature of Notary -State of Fl •
a
F` K'4" DENDIEESILMiUN
EXPIRES: February 25, 2019
Bonded Thru t4ctary Public Undenaxriters
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Cont or/Agent's N fie
Signature of No ry-State of Florida Date
Contractor/Agent is ersonally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
PLAN REVIEWAPPROVAL: PLANNING: 00. /4, At) / —<., HISTORIC:
Or -
COMMENTS Ok to install approx. / 7/ linear feet
of G foot high ; n j, / fence and
L gate(s) as shown on plan. Fence
shall be constructed with finished side
facing outward.
ih:S'r,stnun rt !'re1 tcd Iry
Josrnh (- F.ussa. 1st;.
Joseph C, Russo PA
3708 Wcet Pnciid .Ave
Tampa,'11. 162')
Rcr m to
Victoria K. Acxit
NVR Settlement Seri toes, In,
1401) Tcch Blvd_. Suite 10"_,
Tampa H-33619
as a necessary incident to the fulfillment o conditions
mtamed in a title lrsantnce COIJMI totem tSsuer' by it
Property Appraisers Parcel I.D. (Folio) Number(s):
17 20-31-$VC-0000-12.0
File No.: 532-50326-18
SPECIAL WARRANTY DEED
This Special Warranty Deed made the _'4( day of '` 20 by NVI2, INC., a Virginia
corporation, whose post office address is 4307 Vineland Road, Mite H-16, , Orlando, FL 3231 L
hereinafter called the (irantor,
to Tiffany L. GRIGSBY and Michael Carlton GRIGSBY, Tenantsby the Entiretywhose post office address ;s
3785 Crawley [)ntcn Loop, Sanford, FL, 32773, hereinafter called the Grantee,' l' ITNESSF.
TIi: chat Grantor, for and in consideration of the suns of h10.00 Dollars, and other valuable considerations, receipt
of which is hereby acknowledged, by time presents does *rant, bargain, sell, alien, remise. release,
coriNcy and confirm unto Grantee, all that certain land situate in Seminole Count), Florida. viz: All
that
lot of land situate in Seminole County, Florida, more particularly descrihed as Lot 123 a. shown on
plat entitled.. "Ki NS1NUMN Rl-.S R VF ' and recorded with the Clerk of the Circuit Court, Public
Records of Seminole ( Iounty, Florida in Rook 81 Pages 86-92, TOGETHER with
all of the tenements, heredaaments and appurtenances thereto belonging or in anywise appertaining- j
I
Q HAVE ANI) D.) HOLD the same in fcc simple forever. AND Grantor
hereby warrants Die title !o said kmd and will def<md the semJc ,taint ,1w !awft 1 cla:nh of itl Persons claintin:;
by, through or under the said Grantor, but against none other. 04'hert,-
ver used herein the rerms "(;rcudhrr" and 'Gr.trfee" ill( hc,iCd 111! 1ha r <rr(in> Iris :11)t" umCrlf, theheirs, legal
representtrlives and assigns otradiiideals, :vid th,5it-'d,S•'- is ..ud!drtc o e n1 ,<apt,r nitrr Scanned by CamScanner
pp` -
91
IN WI HISS WHEREOF, the Grantor has caused these presents to be executed in its name, and its
corporate seal to be hereunto affixed, by its proper officers thereunto duly authorized the day and year first
above written.
NVR. Inc..
a Vir inia corporation
Name: 'ick Gargasz
Title: Vice President
Signed, sealed and
Zthepresenceof:
Witness Signature:
Witness Printed Name: _F.2/12-1-
Witness Signature: _ —
witness Printed Name-Ir
STATE OF FLORIDA
COUNTY OF - 0 K#""
The foregoing Instrument was acknowledged before me this _ z 3 day of J U L t
20_, by Nick CaarQasz who is the Vice President of N VR, Inc a Virginia corporation on behalf of the
corporation. He is personally known to nit or has produced a drivers license(s) as identification.
V
Printed Name:
NOTARY PLBLIC= "XYPu4 MEAGANLYNNEFOWLER
Serial No.: P ' " MY COMMISSION a GG 1 1)
My Commission expires:
o €XFIRES Jawary17,2P2t
FweaCr soncou rm audp t Notary %woes
Scanned by CamScanner
uo.era
Legal Description
LOT 123
KENSINGTON RESERVE
PB 81 PGS 86-92
Taxes
Property Record Card
Parcel: 17-20-31-5VC-0000-1230
Property Address: 3785 CRAWLEY DOWN LOOP SANFORD, FL 32773
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 0 i 0
Depreciated Bldg Value p
Depreciated EXFT Value
Land Value (Market) 52,000 14,000
Land Value Ag
Just/Market Value ** 52,000 j $14,000
i.._._.,
PortabilityAdj
Save Our Homes Adj 0 0_._.__.._.._
Amendment 1 Adj 0 0
P&G Adj 0 0
Assessed Value 52,000 14,000
Tax Am ount without SOH: $266.00
2017 Tax Bill Amount $266.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 52,000 ; 0 52,000
e . _
Schools 52 000 0 C 52 000
City Sanford 52,000 j _ 52,000
p .,
SJWM(Saint Johns Water Management)
ee_--____—_-__
0 52,000
County Bonds t 52,000 # 0 i 52,000
Description Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED i 3/1/2018 § 09106 1 0774 $132,000 { Yes i Vacant
FENCE OUTLET
www.fenceoutletonline.com
Proposal / Contract
OWN PROPERTY? YES NOD
OWNERS NAME (
E-MAIL &Pc, T, Z\ eepLV fir(-1OOiQ)t UATE
LJ 9671 S. Orange Blossom Trail " Orlando, FL 32837
Tel (407) 851.6660
j 1724 West Broadway St., Suite 100.Oviedo, FL 32765
y Tel(407) 359.9092
201 S. Falkenberg Road • Tampa, FL 33619
Tel(813) 651.3623
11507 US Hwy 19 " Port Richey, FL 34668
Tel(727) 857-7590
12984 Tamiami Trail S. " North Port, FL 34287
Tel (941) 346.6800
45 S. Wickham Road • Melbourne, FL 32904
Tel(321) 802-6480
1725 South Nova Rd., Unit N • South Daytona, FL 32119
Tel (386) 267-6760
PVC WOOD ALUMINUM 3 Rail Flat Top CHAIN LINK
PVC Feet
PVC COLOR
Wood Feet
Cypress PT Pine Pres. Plus
Aluminum Feet
El Chain Link Feet
Height 4' El BOB STKD VSB
Height 4' 5' El6' El Height 4' F 6'
Privacy Domed r.] Scallo Residential 3 Rail Box Spear Other Height
acy ithLattice Other Style Municipal ercial Residential /
dustiaOtherStyleHeight6'
Indusal
Black White LT Comm Ell
Gate_ S¢e Picket 1l2" x 4" 1" x 4"
Post S¢eGate_
it ear T pjR Galvan¢ed Black Vinyl
Runner
SizeGate_
2"
Green Vi
Gate
p Bal Cap
Gothic New Eng.
Coachman Tear Drop
e
Gate SizeGate_
GateS¢e othic
Top Traditional Top Other
Si
Gate_
Sizeil Gate_
Size Pool
Coe Gate
Sizea GateSize - Gate
Size Good
Side In Out Remove
existing FenceFt. No Fence
Line to be Cleared by Fence Outlet Fence
Line to be Cleared by Owner Corner
Lot Yes No X Permit
Needed XNo Y.es Jurisdiction
V Q4 0 Q Special
Instructions: l•
r
7
I12,P= am
NU M--t1110M of
slope Level top with slope Follow contour of ground Level top with rolling terrain N15
V6 tnAT-
V-<—
o 001I -
Fence
Outlet will assist the customer, upon request, in determining where the fence is to be erected, but under no circumstances does Fence Outlet assume any responsibility concerning property lines or in anywayguaranteetheiraccuracy. If property pins cannot be located, it is recommended that the customer have me property surveyed. n Fence
Outlet will assume the responsibility for locating underground cables and utilities, however, Fence Outlet is not responsible for any sprinklers or other unmarked buried lines or objects. Paymentisdueatthetimeofcompletionofwork, and a finance charge of 1 1/2%per month shall be applied to all accounts not paid in full vnihin 10 days of completion. All material will remain the property of FenceOutletuntilpaymentisreceivedinfull. Right of access and removal is granted to Fence Outlet in the event of nonpayment per the terms of this. contract. The customer agrees to pay all interest and any costsincurredinthecollectionofthedebtincludingreasonableattorneyfees. - If
the buyer refuses to allow the seller to begin work or complete work already begun, or to accept materials contracted for, Buyer agrees to pay Seller liquidated damages of a sum equal to 33 113% of entire contractprice, plus cost of materials and labor already furnished or in progress. Warranty may be voi Zif sign is removed. / CustomerassumesfullresponsibilityforobWmthomeownersassociationapprovalforthetypeandlocationoffence. ACCORDING
TO FLORIDA'S CONSTRUCTION HER LAW (SECTIONS 113.001-7I3.31, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND
IRE NOT PAID 11 FOR HAVE A RHINT TO ERFORCE THEIR CLAIM MR PAYMENT 060119 YOUR PROPERTY. THIS CLAIM IS RROWB AS A CONSTRUCTION LIED. IF YOUR
CONTRACTOR OR I SUBCONTRACTOR (AILS TO PAY SUBCONTRACTORS, SUB-CONTRICiORS, OR MATERIAL SUPPLIERS OR HEIIIECTS TO RAKE OTHER 961HY REQUIRED
PAYMENTS. THE PEOPLE WHO ARE OWED MONEY MAY IRON TO YOUR PROPERTY FOR PAYMENT, SUED IF YOU HAVE PAID YOUR CONTRACTOR IN EVIL IF YOU FAIL
TO PAY YOUR CONTRACTOR, YOUR'CORTRICTOR MAY ALSO HAVE A HER UN YOUR PROPERTY. THIS MEANS IF A HER IS FILED YOUR PROPERTY COULD BE SOLD AOIINS1
YOUR MIR TO PAY FOR LABOR, MATERIALS, OR OTHER SERUICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIOA'S CONSTRUCTION
HER LAW IS COMPIER IND IT IS RECOMMENDED iNIT WHENEUER A SPECIFIC PROBLEM IRISES, YOU CORSUIT IN ATTORREYP— Wood
fence materials are rough mill cut pieces. Wood fence has a tendon to sN0nk and PURCHASERS OF WOOD FENCES: tendencywarpinhot, humid weather and small gaps will appear between boards. Cracks in the wood are a common and acceptedoccurrence. Fence Outlet will only guarantee the workmanship on wood fences for one year. HAVE
READ AND UNDERSTAND THE ABOVE CLAUSE: CONTRACTAMOUNT: $
l l
DOWN
PAYMENT: 3 SOD BALANCE
DUE UPON
COMPLETION a 31 i 2 Q DATE
STARTED DATE COMPLETED I
APPROVED
AND EPTED FOR CUSTOMER 1 "
CUSTOMER DATE' 1
Zv Z ^D CUSTOMER
DATE Aq
A
GEPTED FOR ENCE OUTLET SALESPERSON
DATE INSTALLER
LABOR QUOTE VALID FOR 5 DAYS
DESCRTPTTON AS FURNISHED: Lot 12.3. KENSINGIDN. RESERVE, as recorded in Plot Book 81. Pages 86
0wough 92, Public Rocords of Serninole County, rtorido.
BOUNDARY FOR / CERTIFIED TO: rifrany Cr;gsbyr NVR Inc. dba Ryan Homes: Stewart Title Guaranty
Comoary: NVR Settlement Services, Inc:,, NI/RM
TPACt J
PONO-0
rY
N 00• N
40.U0'
Lot W
REC, 112" 1.R REc. 1/2" I:N?
NO W. NO I.O.
a
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a CRA
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WIDE PRFJAM R/W) b
PROPOSED -
nNSMM SPOT GRADE Rr AMWS FRONT - 25 PEA
ORUU NAGE PLANSPLOTAIAM AR AAR x r REAR - 20' PROPOSED DRAINAGE
FLOW IMP£RVAXIS COV£RACE ZOOM* SOWRE FEET OR 4J,4T SIDE - 5' F01: 40' LOTS LOT GRADING
I'M 8 LOT CONTUNS 4.600t SQUARE FEET SIDE 7.5' FOR 60' LOTS PROPOSED FINISH
FL" PER PLANTS - lI.I'0/0 LMNG AREA CONTAINS 1,353f SOVARE FEET SIDE W FOR 75 LOTS CoNcA ANM
PORCH CONTAINS 644t SOWR£ FEET SIDE StRar - 25' CRUSENMEYER —SCOTT &
ASSOC, INC. — LAND SURVEYORS 5a00 E
COLOWW OR, ORLANDO. Ft. J2807 (407)-277-3232 FAX (407)-658- 1436 MT Dr" •
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Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018092625 Book:9189 Page:272; (1 PAGES) RCD: 8/14/2018 11:32:08 AM
REC FEE $10.00
THIS OM E
Na11te:
Address:
NOTICE 1OF COMMENCEMENT
Permit Number: _ (( {{
Parcel ID Number' e-2 —" 1 C ^ • 17i
am.
r.
C=
N
D9
The undersigned hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. OESCRIPTION OF PROPE • (Legal description of the. roand street address if avail ble 2.
3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTgD FOR THE Name
and address. ,_ S '` L LA W dj 1. P1 Interest
In property:V Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name: rc PhoneNumber. Address:
L ( i ` t 5.
SURETY (ff applicable, a copy'ot thq payment bond Is attached): Name: Address:
Amount of Bond: 6.
LENDER:Name• %1' Phone Number: Address:
7.
Persons within the State of Floride Design.O atedbywnerupon whom notice or other documents may be served as provided by Section 71A13(
1)(a)7., Florida statutes. Name: '
r " J t Phone Number. Address' .
8.
in addition, Owner designates lyilof to
receive a copy of the Lienors Notice as provided -in Section 713.13(1xb), Florida Statutes. Phone number 8.
Expiration Date of Notice of Commencement (The expiration Is. 1 year from date of recording unless a different date Is specified) WARNING
TO OWNER_ ANY PAYMENTS MADE BY. THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED.
4MPROPER•PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND. CAN RESULT 114 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
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sitoni
SlgAuti
orlsed OfAosrlDlnAodP Owner'
s a Lessee's (Print Na a signs Tdw ) rMeMNenegeQ
state
County of The
foregoing Instrument-wqs ackn before me this day of U tA—(
6y
zg
of
7
d(
S `
Who is personally known to me OR maare
statement _ who
has produced Identification 0 type of identification produced:' TYLER
ESCUE MY
COMMISSICA-0F 954169 EXPIRES:'
February 20, 2020 tary ssgrroture Bonded
Thru Notary Pudo Undeffidlers
POWER OF ATTORNEY
Hate: q1/6 116
I hereby name and appoint:
of Fence Outlet to be my lawful attorney-inact, to act for
Company or Business)
me and apply to theBuilding Department fora Fence permit
for work to be performed at a location described as: Section -
Township Za Range Lot
Block Subdivision %,51 /L)G-rboj &-s(f 1— 3
Address
of Job) M
5 Owner
of roperty) and
to sign my name and do all things necessary to this appointment. ul
Patel (JCL #000.0953 TYPE
OR PRINT NAME AND LI OF CONTRACTOR) SIGNATURE
OF LICENSED CONTRACTOR) STATE
OF FLORIDA COUNTY
OF ORANGE The
foregoing Instrument was acknowledged before me this ( 6 day of Au
rl, 2018 by: Raiul Patel Who is personally known to me
or produced identification. Notary
Public, State of Florida ,,,,,o, W J. STAMN rMyCOWISMON0FFM71MIRK'
AWX s62o t ' ea, Th NotaryPW; uwe, bffl SigreofNotary) . Commission
No:
DFSCRIPTION AS FURNISHED. tot 123, 3fENSIwrON, RESERVE, as rocordod in Plot Book 8,1 i?oM $6 --
through 92, public Records of Scrr);nole County, Flor;do. ' i s a
BOUNDARY F'QR f CERTIFIED TO; rif(ony Grigsby; NVR Inc. dbo. Ryon Homes; Stewart T;tle,,Gy araQty
Company; NVR Settlement Services, Inc:; MVRM
M4Ct 4
AUG 16 J-ol g POND-
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0W 0' t 'I pry I•, r, 1 40:00, "
tar 117 v REC,
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Aa5'
r+.a• AC PAP
F CONC. 5 cj
fz
Ok to
install approx. /7/ linear feet of 6
foot high Vi fence and gate(s)
as shown on plan. Fence shall be
constructed with finished side' facing outward.
W M
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LR 13344 X00019,09" W 1 4596
40.00'
000 CRA
XLEY .
DOTYN LOOP W, War
PRNA1r R/W) Izz;ZZ)
Z A PROPOSED •
FIN91EO
SPOT GRAOE Et.r4MW5 ERROW -_25' PER ORMNACE
PUNS lvw PROPOSED
O"WE ROW t T
PUN 6M CALCUURONS RFAR : 20' toP£RwWSCOVERAGE ,..
I.WWTt SOLi RE iEEf OR tJ•4.K SIDE - 5' FOR 10' :OTS SIDE = 7.5'
FOR.. 60' LOTS LOT GRAOMO DTP£
6 LOT CONTAINS 6.6003 SQUARE rM LMNO AREA CONTMNS
t,JSJf SOITARE FELT SlliE TO' FOR 75" LOTS PROPOSED FIMSN FLOOR
PER PIAI S - J1.1' ,yT' CQNC/tAFNr/PORCN DOMAINS 6443 SQUARE FEET SM STREET,. 25' CRUSMMEYER-SCOTT ASSOC.,
INC. - .LAND SURMYORS 5400 E COLOMW
OR, ORLANDO, FL. J2007 (447)-277-32J2 FAX (407)-6$8- Ii38 I . wAr POW
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CITY OF
t Building & Fire Prevention DivisionFORD,
FIRE DEPARTMENT
RESIDENTIAL FENCE AFFIDAVIT
PERMIT #:
6 FEET OR LESS IN HEIGHT)
ADDRESS: 3 - V S- (MLJO Lt:,tl L j z1op
I K U 6 rc—& , 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 SITEPLAN. THE FENCE WILL BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACEOUT. 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 HAVINGTOBEREPLACED, 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 AFFIDAVITSTIPULATIONSASSTATEDONTHISDOCUMENT.
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:
F9/j CE btiucrf
DATE: V / /C 11,5
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 SUM ) fle L
Sworn to and Subscribed before me this day of V 6-d 5) 20 /6' by:
Who is Personally Known to me or has Produced (type of
idenDticion) as identification.
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
Wn zyqnd &-M tugj popuu0s',"
6109'tZlsn6ny:S3EIIdX3 L'
SM184" NOISSIWW00 A
lOdH3J3NId3H1Y0 'L,;r,1/
Effective: August 1, 2017