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HomeMy WebLinkAbout109 Brushcreek Dr - BR17-003047 - FENCEp CITY OF S--------ORD FIRE DEPARTMENT Building & Fire Prevention Division og 1 b 2017 RESIDENTIAL FENCE PERMIT APPLICATION ApplicationNo: - Documented Construction Value: 00, eJ Job Address:' &js i Cry k 'Dr- . Historic District: Yes No Rr Parcel ID: Plan Review Contact Person: Phone: b - Q Fax: Title: Email: MCOa mCclN!liuGIkoo .Cay Residential Fence Information Type of Fence: Wood f Metal PVC/Vinyl Iron Other Fence Height: Feet # Gates: % Total Linear Feet: 1 .56 1 Additional Information: Fences with a height of over 6 feet will require signed & sealed structural engineering" Property Owner Information MQ,- wN ameCOmmPhone: Street: ( 61-11kcJsheu Or-, Resident of property? : cues City, State Zip: sq ri Q) 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 9 Sk ORD FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL, FENCE AFFIDAVIT PERMIT #: 1 1-7 - 3 OH I 6 FEET OR LESS IN HEIGHT ADDRESS: m `JS RK )r- I me' - \ 1 \,C lJoW , 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. ElFENCE 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: dHOMEOWNER (OWNER/BUILDER) OWNER/BUILDER NAME: OWNER / BUILDER SIGNA PLEASE NOTE" DATE: DATE: / ©- 1 6—1 q 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 C. Q d— 20 F7 by: Ata, I D, Who is 0 Personally Known to me or has T Produced (type of identification) E[ as identification. Signature of Notaryc.y F: State of Florida ANNETTE BLAND oPaYPa., Notary Public - State of Florida commission # GG 060623 Print/ Type/Stamp aF M Comm. Expires Jan W 2018 yof Notary Public "11"„ Effective: August I, 2017 AppNaat aP4 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: 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 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. 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. 00 164'lt Signature of Owner/Agen Date A Name of Notary -State ANNETTE BLAND Notary Public - State of Florida Commission # GG 060623 My Comm. Expires Jan 16, 2018 Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature ofNotary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY a PLAN REVIEWAPPROVAL: PLANNING: j0 - I a - 0 _ HISTORIC: COMMENTS: Ok to install approx. L.SO linear feet of G' high privacy fence and _I,___gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. Effective: August 1, 2017 1 BOUNDARY SURVEY LEGAL DESCRIPTION. LOT B7, COUTRY CLUB PARK (PHASE 11). ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK q4, PAGES '22-24. OP THE PUBLIC RECORDS OF SEMINOLE COUNTY FLORIDA. P NEW UPSALA G P.S. 1; PC. 67) N 0017112' E 50.b0'[PJ ra yfl `1. SGAGE. 1 ' =20' 4 nRl Mi a a: L0T:86 CURVE:.TABL e LT/RVE RADYUS LLTIGTN .DELTA: VNE TABLE L4W.1 4ENCIN: 1.. ,BFARlNC Lt• dQ02'P.:S'S9:i8:16.''E 12:: J..T2 P NS1IW26--W s ' a 3 9 LYwa . G L12C; ia.` ws 5j j,.sl: Pi\ Ok to install approx. I 0 linear feet of 6' high privacy fence and 1 gate(s) as shown on "°°°` , v>mo Pac.-_rrorTi mmorcnrlxrRpO. :CAPY=P,tiLL-: 'PDaYr,lW tbYE: plan. Fence shall be constructed with :.Q PRG.PpNr q(IEy17tg:L}AgyFri340WNNCBrlsolEssPR'L. '' PER{!ANET%F:REFEROIL£ finished side facing outward. LE>+Tisr2ami;;z:- eowr:p rANCEgr N - RADrrrscANDtxsr - wAz PC- PGArrOFOURVAnIR£ 5 SOI11I( F.EE Fy,OSIBD 3tUDR EIEYARON pGC - ANLwr QMVAri1RE U.E WX/TrE SSWENr Q toWmTCAnav? nsr P. •lRCJI PIP£ ptLg,_ p `MOOD iR+r£ worts _.. - - ... .. 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