HomeMy WebLinkAbout610 Palmetto Ave - BR17-003217 - FENCEN o 2 CU17
vSj i FORD Building &Fire Prevention Division
RE FDENTIAL FENCE PERMIT APPLICATION
FIRE DEPARTMENT
Application No: / 1.%
Documented Construction Value: $ .
Job Address: ( S . G Historic District: Yes H No
Parcel ID:
Plan Review Contact Person: S SI` Q I-C, (n Title:
Phone: 4DLf 10-(' Fax: EmaiL•$SI' .1 ( f'n G(1
Residential Fence Information
Type of Fence: Wood [a Metal PVC/Vinyl Iron
Fence Height: Feet # Gates:
Additional Information:
Other
Total Linear Feet: q0
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name F_—(nd SSl t (Jll f_S/ Phone: 40-U 901 G%
Street: & W (-. PW n Resident of property?
City, State Zip: S ao O( a 57'4
Name
Street:
City, State Zip:
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
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 ofthis 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.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
nu Owne ent Date
nt O er/Agent' e
r
S' nature of of -State ofFlorida ate
LISA ANTONINI
Notary Public - State of Florida a
My Comm. Expires May 21,,g2018isCommiersonaljyKiown to Me or
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature ofNotary -State ofFlorida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: 11-2- )'I fiUTILITIES:
ENGINEERING:
COMMENTS:
I -
Revised: June 30, 2015
FIRE:
n Q
r o"
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
r
Permit Application
Job Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title:
Phone:
Name
Street:
City, State Zip:
Name
Street:
City, State Zip:
Fax: Email:
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail: _
Mortgage Lender:
Address:
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.
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 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
Revised: June 30, 2015 Permit Application
Boundary Survey
Legal Description:
The South 50 feet of Lot 3, Block 8, Tier 2, Florida Land and
Colonization Company Limited E.R. Traffords Map of the Town of
Sanford, according to the Plat thereof as recorded in Plat Book 1,
Page(s) 56 through 64, Public Records of Seminole County, Florida.
Flood Zone: X Panel: 0070F
Community Number: 12117C Date: 09/28/07
CERTIFIED TO:
Florance I. Gillian t First Title of America d/b/a All Florida Title
fflestcor Land Title Insurance Company Partners Federal Credit Union
Lot 2 IBlock "8"
The N 14' of
Lot 3, Block
Not Included
1'0 . S 89°27'12" E(M) 117.18'(M) Fnd. %" Rebar
Fnd. Y=" Rebar 117.00'(P) (No Identification)
No Identification) 1.I' 0.0' ' 0: dH, 0,2•
0.3' .
4 1.5'
o Wood Shed J, Ua' on wood __ i162 16.4':::iii:: ' - K
0 1.2'
0 W m (D `— Steps
N
mr toLoo
CL 0 O
J
z
I t
Fnd. 'I/T Rebar if
No Identification) o
0
r,.5'
WII
W One Story WoodEnd3.0 :.a.o ::...... Frame Residencen:•:;:•::::.................
Porch :::..................................................................... MYY
38.0' i::: ::: i::•i ..... _ 6 :•::: 27.0 ....: i::::::•::
The S 50' of
23.2'
Lot 3, Block "8" , 5'
N 89°29'52" W(M) 117.17'(M) Fnd. %" Rebar
No IdentiBB" 117.00'(P)
fication)
Lot
8" o
d i Block
o to o I
o
rn o
T
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I
O I
I
0
O Ito
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SW Corner of
Lot 5, Block 8
Fnd.',r7" Rebar
No Identification)
I N
cIN
I Q
15.5' r- N
I Q E m
ON
Concrete in O
N O
E t o
Fa -c-- CM
Sidewalk
0
O CDBiCntoaLO
O Q N Q
D i,l Co Qfnla1d "
U d Cl)
m I EL4CD
IN
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toI
IN
of0
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SE Comer of
Lot 5, Block 8
Fnd. YT Rebar
No Identification)
SCPA Parcel View: 25-19-30-5AG-0802-0030 Page 1 of 2
Property Record Card
tPAPPOff Parcel: 25-19-30-5AG-0802-0030
R Owner: GILLEN FLORENCE L
scn.co<x,.vry F cxmn
Property Address: 610 PALMETTO AVE SANFORD, FL 32771
Parcel Information
Parcel 25-19-30-5AG-0802-0030
Owner GILLEN FLORENCE L
Property Address 610 PALMETTO AVE SANFORD, FL 32771
Mailing 610 PALMETTO AVE SANFORD, FL 32771-
Subdivision Name SANFORD TOWN OF
Tax District S1-SANFORD
DOR Use Code 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT
Exemptions 00-HOMESTEAD(2014)
Seminole County GIS
Legal Description
S 50 FT OF LOT 3 BLK 8
TR 2
TOWN OF SANFORD
PB 1 PG 59
Taxes
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 119,816 112,955
Depreciated EXFT Value 1,145 1$1,178
Land Value (Market) 17,000 17,000
Land Value Ag
Just/Market Value " 137,961 131,133
Portability Adj+
Save Our Homes Adj i $19,359 1 $14,970
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 118,602 116,163
Tax Amount without SOH: $1,709.12
2017 Tax Bill Amount $1,424.06
Tax Estimator
Save Our Homes Savings: $285.06
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 118,602 1 50,000 ; 68,602
Schools 118,602 25,000 93,602
City Sanford 118,602 1 50,000 68 602
SJWM(Saint Johns Water Management) 118,602 50 000 68,602
County Bonds 118,602 50,000 1 68,602
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 1 11/1/2013 08164 i 0376 150,000 Yes y Improved
WARRANTY DEED 5/1/2013 08047 1 1093 75,000 ; No Improved
WARRANTY DEED 4/1/2005 05699 0164 j 218,000 ' Yes Improved
WARRANTY DEED 4/1/2004 05282 1 1031 130,000 j Yes j Improved
QUIT CLAIM DEED j 12/1/1998 03556 1 1803 ; 100 ' No Improved
WARRANTY DEED 1/1/1973 01002 11038 11,000 ; Yes Improved+
Find Comparable Sales
Land
Method Frontage Depth Units ' Units Price Land Value
FRONT FOOT & DEPTH 50.00 ; 117.00 0 $340.00 $17,000
Building Information
Is Bed/Bath count incorrect? Click Here.
http://parceldetail. scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AG08020030 11 /2/2017
SCPA Parcel View: 25-19-30-5AG-0802-0030 Page 2 of 2
A Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective I
1 SINGLE 1928/1980
FAMILY i
6 3 L5 ; 1,514 1,914 1,514 ' SIDING $119,816SGRADE3
i $145,673 Descriptionp Area
SCREENj
3
PORCH 40.00
i FINISHED
I
SCREEN__...__._
PORCH 140.00
FINISHED
I OPEN
PORCH 220.00
FINISHED
Permits
Permit # Description Agency Amount CO Date Permit Date
01686 PLUMBING
01625 REROOF SHINGLES(
l_._ ... .__.._. .__- ._ _.
0- 2210 CHANGE TO A/C & HEAT W/DUCT WORK
SANFORD
SANFORD
SANFORD
6,360 i
6 159 r
3,500 i
6/15/2016
6/12/2013
6/3/2004
r
Extra Features
Description Year Built Units Value New Cost
PATIO 6/1/2004 1 325 500
SHED 6/1/2004 1 220 ! 500
FIREPLACE 1 6/1/1930 1 1 I $600 1,500
http://parceldetail. scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AGO8020O3O 11 /2/2017
CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
FENCE PERMIT SUBMITTAL CHECKLIST
RESIDENTIAL ONL I)
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Fences must be compliant with the City Land Development Regulations, Schedule F
I Fence Permit Application completed and signed. Application must include correct address and complete
arcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value (if the contractor is the applicant)
Copy of the Business Tax Receipt (if the contractor is the applicant).
OwnerBuilder Statement/Affidavit out6
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
L1 Indicate the number of linear feet, height, number of gates, and type of material on application.
01
wo (2) copies of site plan indicating where the fence will be located on the property.
Fence Affidavit, signed and notarized
Repairs
No Permit is required for Fence Repairs. A Fence Repair is qualified by one or more ofthe following:
Replacing individual slats; no more than 10% of the entire fence
Replacing a section; no more than 3 sections of the entire fence. A section is defined by the fencing
material between 2 posts.
Replacing a post; no more than 4 posts total. Posts must be placed in or directly around the removed post
without encroaching on neighbor's property.
Replacing a gate
Please contact the Building Division if you have any questions on Fence Repairs"
These guidelines were compiled to assist the applicant in preparing afence permit application and may not be
complete. The applicant is required to meet all City ofSanford codes and requirements.
Effective: August 1, 2017
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, 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
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
for the is hiring licensed to responsibility. V responsible construction and not a contractor assume
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.
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
V 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
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 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
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
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
j 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.
Property Address: ill l0 5, Paf Mv V A-Wn,,I,
I, e %ji-e V , do hereby state that I am qualified
andcapable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
LSiglh'atdre of OwnerID61der Date
Form of Identification CL ¢6 C,
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
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Flossie Gillen
for
610 S. Palmetto Avenue
Sanford, FL 32771
DATE ISSUED:
October 25, 2017
DATE EXPIRES:
April 26, 2018
BP#18-70
Approved to remove existing chain link fence on Northeast side of structure and
replace with 6' wood fence to match existing wood fence as depicted on Survey
provided.
4 A01
Russ Gibson, Planning & Development Director
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating development.
IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? 1YES NO Building
Department Representative
o,I
APPLICATION # N 'l 0
FOR A CERTIFICATE OF APPOPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not
be reviewed. If you have questions about application requirements contact the Historic Preservation Officer
at 407.688.5145 to ensure your application is complete.
General Information
j(
Downtown Commercial Historic District Residential Historic DistrictL"J Is this a retroactive request? Yes[] No
Is this application filed in response to a Notice of Violation from the C de Enforcement Department? Yes[] Nog
Proposed improvements will affect the following elevations: North South East West
Property Address: (D 11) S - falm' 00 G2
Property OwnerInformation Print
Name: tom '/ o%l (f d Mailing
Address: (`- Phone:
Qj30-4- log? -Email: Applicant/
Agent I/nformation Print
Name: G 0' S(lU ! l Mailing
Address: (21 15 - V(A Phone:
T 9047Email: _ BY
SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE
OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE
IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT
IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW,
YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE
AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. J
Signatur
Date: _ PWould
you like to receive emails regarding Historic Preservation and Community Planning within your community? Description
of proposed work Completely
describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish
ythe jproposed
work. For large projects an itemized /list is required.. U sethe reverse side if necessary. d
v L I G—riGC Y 1..,1' 4 `
V (.-
i'/ ./."Ti•Vc/( G.1" / l. ''" ,-rT— HISTORIC
PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
APPLICATION #
FOR A CERTIFICATE OF APPOPRIATENESS
Supplemental Information - Please use the space below to provide additional details regarding proposed work.
Description of proposed work (continued from previous page):
Site Details
Please use the space below to illustrate site details.
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HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
CITY OF
SkNF0RD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT
PERMIT #: , ADDRESS: (Q l 0
I r to! C Gil 1 ( , 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.
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:
HOMEOWNER (OWNER/BUILDER)
DATE:
OWNER/BUILDER NAME: 10 (
OWNER / BUILDER SIGNATURE: DATE: I I
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'(Lt' day of 20 by:
Who is Personally Known to me or has Produced (type of
rcation).
as identification.
re -of-
St7c,of
LISA ANTONINI
Idly Public - SI to of FloridaPrint/Ty/
of Nota i"' ' ry Comm. Expires May 21. 2018
OF Commission # FF 125242
1111w
Effective: August 1, 2017