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HomeMy WebLinkAbout1601 Forest Dr - BR18-004459 - FENCECITY OF 4 S FORD 20QwQ Building & Fire Prevention Division RESIDENTIAL FENCE PERMIT APPLICATION Application No: `g Vq S Documented Construction Value: $ Job Address: O I FO re 5-4 0 r Historic District: Yes No Parcel ID: 3 /- 5a y- /_ O 0 J U O t 0 Plan Review Contact Person. b O LP d S/K / V e-f- Title: Phone: ,3&- cZl 9 - S 51 / Fax: 3?(0- 789- 0-7q , Email: SCII \JeJJPrxe e!9i?a rr)a(' <, Com Type of Fence: Wood [Metal Fence Height: Feet Additional Information: A q o I Residential Fence Information PVC/ Vinyl Iron Other Gates: 02 Total Linear Feet: A410 t Fences with a height of over 6 feet will require signed & sealed structural engineering" Property Owner Information Name PCLtt) i n e, K a t S e r Phone: k/O 7._ 52 S- 9 93 9 Street: 11 L0/ FU re S f TD r' Resident of property? City, State Zip: SQ h 4D r` -1 Fence Contractor Information Name boL\j C , S TP r-) C e- Street: P•v- go X S 30 Mfg 9 City, State Zip: be ru, F-L 3 753 Phone: 3 E(-- " du $ - 55 !t Fax: 789- D q C, Please Note: The Building Department does not performsite 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 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 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. Signature ofOwner/Agent Print Owner/Agent's Name Date S&tur ctor/Agent Date D"ID 141Pl Print Contractor/Agent's Name L4Q e'e CaAQt, 10 Zq —/O Signature of Notary -State of Florida Date Signature ofNotary ly Known to Me or ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Owner/Agent is Personal Produced ID Type of State of Flo Date 1+6, o J,Y DARLEtJE L. DEBOCK MY COMh11SS10N # GG 028429 EXPIRES: tJovetober 18 2420 rjrrcc Noarg IP alic ur+ lI F Jn ac or Agent is Personally Known to Me or 5'e-/ A PLAN REVIEWAPPROVAL: PLANNING: /l 6, f q HISTORIC: dor COMMENTS: Ok to install approx..?'VO linear feet of 6 foot high Wo_.oT fence and A gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. Effective: August 1, 2017 IPO BOX 5304S9 l 1OFEiCE 386-789-1700 DEBARY FL 32753-0487 i '9 , ` .$.. 1 ti+ltivv r.davesfencei,ic.00rn INS TALLATii N AND REPAIRS ON A.LI TYPES OF IFFENCING Proposal Submitted to: PAULI KRIS`=R ob Name: SAME Date: 09/27/18 Street; 1601 FOREST DR. heb Location: SAME City, State, and Zip: SANFORD, FL. 32771 Contact: Home Phone, ;Bus. Phone: Celt: 407-595,-9939 IFax: We Hereby Submit Specifications and Estimate For: FURNISH AND INS TALL APPROXIMATELY 240 ' OF 6' HiGH HEAVY D }TY, SITE I UILT ),MOOD FENCE. 11NCLUDES 14,11-_0' DID GATES. GATE POST TO BE 4X6X10, 4' IN GROUND. DAVES TO ApCIi Y INITIAL WATER TRE. I I ENT TO BOTH SiDES OF FENCE. FUTURE TREATMENT AT OWNERS EXPENSE. GPVC Vinyl Aluminum `Wood PRS TRT PINE Chan Link styli ist le Stv e BOB Gal Black Green lHe•sght Ne?ght iHeight 6` Height Color 1color Pici:s 5/8 'X6 'X6` IResid LghtCom Comm Post lGrade Runners 2` MX8` orminais Caps raps host 4"X4"X8` Line Post Walk Gate Walk Gate jGate Past 4"X6'X10' To-) Rail _ Double Gate Double Gate WalK Gate 1-4' WIDE Faoric jGate lGate 1Gate 1-10 DD BottLrn T-wire j . Vvood fence has a 24, Tear man.ufu<z:re, v ar-anty against rot; Walk Gate Double Gate fdecay, and termites. Warranty does not cover warping, spitting or cracking Gaa , SiQallypo,riio%i o-Ithe i'IOC;• fence. D e's ?e.nee rcco, rn,ncnd5 3pplyir;g a iwater proofing sealan- yearly to he!p reduce cosmetic flawsin to wood products. GENERAL iNSTALi_ATION WF,D3il AT10N Permit- ilocate 11- ist In' ralv'rit?, yES5 DAVES ]Clearing C:. IST Grade Charges YES iStrtamy /Q PE 1dl0R: <i'3c.= CcwrNONE everlA:r. , N i rCross St STEVENS AV ii (aul A.wav NONE Location of G-ade SIDES & BAC HOA Approval- N"A IirriFation=. Sy;ter:; YES Fence S;ia;ght ot-, lop WHERE POISS L; F.O.C. DAVES jDog v Size MED lFence Contour to ground YES , 11ristaliation Date 3-6 1. V KS all :T3 err L .. eel to be ICE ' All u,oro fJ_ j Base Price S4980 - DISC. OF S39'D= $4465 orimanri e .rarnG according to , .,fi_ation> submit -led oer _randard arac ces. An, jP@rr,?i; - r151 I :.,-'a* i;ot1,s;.._r,;rsr' ato.--.r'fi.at'•:,;•:....,.,c:ae>:. =.os. .. -.- .:'t:eo oniv u,:on written or- et; and will beCorne an +ia h?r e e 2ir. abov2vhe e tir.,at=. N.O•C + S35 Ail rnit Sirem it heoFrur ' contiacl lis Paid it fun Pigh, of i T otal Price t- for ma_- r rrnrnthat -n gxtP. Accoroing to Io,da-s construction Lien iay. isccaons 713.001113.37. Fior •>> >taeuc?.a; t ese who •.vor'r. I Rtt ainer MAILING CHECK; W/NOC i t)^. .Cur ci n2rt. ' r r. G+. f:;c rnatF+t24?n.; a L -- »`J'n i;tS z„_ -et+•t j. r r -. r;. _; <, Qt Ar i j 2S'rPar t n et:nst +, lU' pto0a^.r. kh £I diT1 ;e r'L v 8 a £o't i. lib. (I@R. i your 3n r -tar o e kf "'5 If il1bC01-fdCrU; f3 i ti: t73( Ci 'let,e aIs uori-inru io "['!r rci P reL;t i7 t, duCS f I yk '! P 4, npk12Ci5 ipa`( tn R' . ._ J°<.^.ta ;.,... a .i: E- r'e'f sv4 - '. r r_ .c • c L Y. _ iBajance r 1 77f y( -7 aid your coat a in .u1 . If iou fall :o,,ay' ou xritr, 3 } t;r cn e£: r " te} ?sue na a i-er. on .'GCr properly. A f'd5 tiS. ,r, ri a Seen , i+led `+Oar prGFar'd Cobi3 C w's"t aeafnst f J t. +l iG c vt 12. y nr^r G+`1^.. S ;, jll T t?rta:.. T iiti'•c'' .._nrif,G . } C., t - 'al :-. r? :v.:Lv :tJ .'•ic.c -vl i t_ R . t. Lt:'is i Your seii, you should stmuia to in t::., ccntrac that Vetore an • usy nE .S nae _:ou,-ClAtraclor 15 3'..1...riyl. 2. ,! "'^ r.E•.`_' I h ne e a oe if c probleril ati- e ru ns 1 t aliorh° Ar_c AtartCe Ot4rrnoesa ii abev prices pC tca s _ an' ccn t ;o s are sat;sfac:Tory ant D3vF'S Fence tf tOt aCG217t_CF .viil its t r a.e rt ..; a nor c. •..:-e ., ;:riz ' . :, c, r =..r.r e+.. -i r .. .V,.. •d; ._ mot ` rr . outlined aboac -" SIG`;" • URE CompanyRepresentative: 908 386-216-6769 f SIGRi; TURE^ Daie: @ nobt• davesfencemail-com I I; n Propedy Record Card Parcel: 31-19-31-524-1300-0010 Property Address: 1601 FOREST DR SANFORD, FL 32771-4660 Legal Description T..-------------_____ LOT 1 + N 2/3 OF LOT 2 BLK 13 WYNNEWOOD PB4PG93 l I Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 1 70,074 0 70,074 Schools 70,074 ! 0i 70,074 City Sanford 70,074$0i SJWM(Saint Johns Water Management) 70,074 ' 0 1 70,074 70,074 so! 70,074CountyBonds70,074 ; Sales Description— Date Book Page Amount Qualified Vacllmp WARRANTY DEED 18l1/2018 1 09202 0802 i 174,900 1 Yes j Improved CERTIFICATE OF TITLE 5/1/2017 i 08905 1519 i 79,400 r No A Improved QUIT CLAIM DEED 2/1/2007 08456 1 1175 100 No Improved ii QUIT CLAIM DEED WARRANTY DEED 7/1/2002 : 04571 11/1/1977 i 01134 1956 0734 100 23,000 i No Yes Improved Improved QUIT CLAIM DEED i 1/1/1974 01012 1427 100 i No Improved FindComparable Sates Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 90.00 135.00 0 250.00 ! 21,825 I Building Information L._._.—..____._.—_..._.—.—.......—..__...__.__.___.._.,_..__._—._..._._.._._.____—._..._.—.—.______.._.^—.._._—s__. 1 Is Bed/Bath count incorrect? Click Here. SEAdINOLE COUNTY MOLT/ -JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, winter Springs Date: I0-2q-Is I hereby name and appoint: an agent of: V"C'5 F-1y :, Ac— Name of 0- to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to thisappointmentfor (check only one option): All permits and applications submitted by this contractor. Or The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 102j- q License Holder Name: 1)44 l 91 PQ State License Number: /jIt+ Signature of License Holder: STATE OF FLORIDA COUNTY OF 'VOL-as 1.4 n} The foregoing instrument was acknowledged before me this .24day of ,bt^,r-be 2018, by D," 10 l-kePCAwho is i personally known to me or who has produced as identification and who did (did not) take an oath. Lo Ylieto ( Signature of Notary g DARLENE L. DES702"29 MYCOMMISSION # GEXPIRES: NovemberBondedThouNotaryPubksb49_ & ge_ Z rD (--& CK, Print or type Notary name Notary Public - State of 1=LnQ bff Commission No. G 02t'or24 My Commission Expires: i #.' M ` , fir •,,, - D fY j r r a f f n z. 37 Vttywunt Court • t_ak_ P lar•,f; FL 327-IG vo;c-:407.688. 9727 = rAx: 4+07.088.rC01 • fronldesM er stirv. n com fa r ' CAP N pyi . Legal Description Lnt I and the North 2/3 of Lot 2, Block 13, I Ptl>NEIVOOD, a raf o to the plat thereof, as recorded in Plat Book 4, Paga(s) 92 t r•oug t 94, _ oJthe Public Records ojsem.inote Cnunt}:, Cnunnuuity number: 120294 Panel: 0090 Suffix: F F.I.R.M. Date: 91281200; Flood Zouc: X wo O 1Gr!ti 0 5. Date offield work: 712412013 Completion Date. 7125/2 16 Certified to: Pauline E. Kaiser; Eduard A. Kerben: Old Republic Afatioft eIl7SuraticeCCt7tpatT}1: CrossCountry -fortgage, Inc., its successorsand/or assigns. BLOCK 13 BLOCK 13 1 LOT 11 LOT 12 SIR 1/2' 100. (DAM) 20' ti BLOCK LOT !' 1.. 1 cv Y 0_1 m3O H . Gari Q z UJI a 0 t e.l a s Q•'. CY ie R• - i s i 6 112" 100.00' (!D) 100,20' (M) r EDGE OF PAVEMENT Kid Y 4 UEA/(J. 2' OFF FiR 1 & 1 O ry 60' R1I V (IMPROVED)-- — - - t n c A E,:urt xoi C O.E Or 7 P t}._ J r r, E- r.,^.I Of B, -cihi nq V.0 VrIP.1GL:',:5'vntr +•per. iY. k:. 1': y. .. .. ^'i•r T ri PC C.. f'::I cr C_ 1:r:i r E O P F' 'Lvim P.C.. Ri ir:.A Ct- - : rq Pi PiAlt.4 !- rc. ," •,_•• ENCR F . -iU .rnert R G P—lI of r F;_: i T, Pn:ni y Tcc ..:., a.Iia:U Su la Ff:G 5 ° C ' P:L- Pn.;- z ^; L F,`,; Rau afi:• . tl . a,'-::e'i?{".. r' [ K. F ua c•zn pr. ; 5.1 R. S_I i•cn FZM iCz L'c 0.8 B.ow;i:.,7 t Fiti-01.1U.Si,PEL U.S. To;, v,^usni. 0 t.1. E':•^:.t; 1.:.-;;,; r:f N, f.1? C'.P 8. nq;t F-;J n:: F-... J c' r:ap [a:.-n:+..•.• Onrt. 0.-":-^-+;; ii': t.ry,... i'r P-. cct rr.- rE - ']!••a,a tfit PU+:.. G. CH a437 C.B :beci p J i,im9 re,— t::: T. f'a'-v:.crt f0;;C fr.C;;• C.P t'ar.; 41cmra_['Am; L P,1 rrc—r+ y LOCA77ON SKtTC14 . NOT to SZUE BLOCK 13 LOT 13 i---------- 20.00' i 1 L L• Io PfR PLRT r !.- 30' a SCALE: 1 D in v 00 i it BLOCK 13 L LOT 3 y ^ , r--o I a D t1 II FIR 1/2" s0UTHVIEST CORNER OF 2a.07 LOT 3 FIR i/2" 80.00'(C).50.17'(ff) Property Address: 1601 Forest Drive l— Sanford. FL 32771 i Survey number: PS 5580 air a i"J:-q f 6> •'• p'9: •:. .: ;ter-[^: '::e :: J _-.. r.c'Sti.: 1:c:, aetttenrr uaaex •n in F: ,;, h5*Pr PXV:.;T_ r..•;,,-, ,...+.t Y, n:.. t -.tcrcci,:r G 7ti: s: ..•, ..x txrr r>."+,.,. •` S n .-J r^:.--%s rxl.: yJ15Y"_ =...lu ,;,E•),rt ... .._ -arf; :) rs.;a=_sr-;--ctrr•-r=:x_,q as` :-;.a.,-:;i.:r ieffrey--5__ ;e _ F'__ c:F C`:. ?.`.7uli: .,il.rt L9 ?7?2 by n.::iy B... :r:!S ...r. Ey .r.:;narrl ,.. Ur:; fffr,..>,:rx,l of 7' A Ja 1'i t 2 Ly 370 kt'Vayniont Court , Lake Mary. FL. 32746 -v,)ic----: 407-688. W27 , FAx: 407 frontdesk@perTysurveyjng. cam Legal Description Lot I and the North 2,13 of Lot 2, Block 13. WYNIVET1100D FtT—raI to he plot thereof, as recorded ill Plat Book 4, P094s) 92 gh-1ofthePublicRecordsofSeminoleCorility, FL. F C011111111111ty littitzber: 120294 Panel: 0090 Suffix: F F.I.R.M. Date: 912812007 Flood Zotic: X Date offleld work: 7/24.!-7018 Complelion Dale. 712512 16 Certified to: OWN V U)n n I Pauline E. Kaiser; Edward A. Kerbe)7: Old Republic Natt-0-11CI-4--ilkIlISUP,712CC Conlpany,' C1'0SSC0U)71rjl Afortgago, Inc., its Sj(CCC5tQl-S 011ujor assigns. BLOCK 13 I BLOCK 13 LOT 11 i LOT 12 0 3' ON BLOCK LOT XYCIONCRUE 0 k; rz 0 0 j- Lo 5. OW, 00'bo' KEY AVENUE 60 RAY (MVPROVED) I . E AENJ.) Po'-tr Poo ED t7,;1 A AA, t; GAT,: L) 0E DUE. 13 r U:ajiE P-0 E. DAV D:-` P.O.C. T P C.0 Eop E1&-'aQ1 F T. P:L P L EN ii sVi"! L 6 Ufrve. t? I - k'1 IJEASU'REC 70.m- M H Vlmlr-li C'. F, L. Offi—I V., C. V C.P Nop-aro-W Cmrd Ile:,: r Pint R"i.1 t,1 FWM' act Vc n R;:+.7 Tu;, w.3--inK UNER Al. NOTES I1 VaLfWARY SURVEY 5 y r¢_ <<N yr; :.G - NOV 100i forest D" Ok to install approx-,No linear feet of 6 foot high 6~J fence and 9- gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. PER PLAT SCALE 1 "--30' BLOCK 13 LOT 3 FIR 1/2- SOUTH'A'EST CORNER OF LOT 80-00'(C), 50.17*(M) Property Address: 1601 Forest Drive Sanford, FL 32771 Survey number: PS 5580 L 4 Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst•#2018126709 Book:9244 Page:859; (1 PAGES) RCD: 11/6/2018 1:15:47 PM REC FEE $10.00 Fenc-e) T EtEPAi2EDir`(:Daug. ' CDveSs dame:y e t-S 1'1( 2, .: Address: O• odg — "' NOTICE . GO M15NcE ENT Permit Plumber Parcel ID Number. The .undersigned hereby gives notice EWimpta;!drnsnt vAII tie made to certain real piapely, endi1 accordanrz v i1h Chaffr 713, RQrida Sta utes, thefollowingiriormationisrovldedintflsNotfceofCcmme..icsment. T. DESCMPITION OF.:PROPERTY: -'(Lsgat tee-iption of the Orcpert}'and sisal address it avaiistiFa) 2. GENEAAL DESCRIPTIow OF IbiPRO\rEt1lcYdT: 3: '6WNER INFORMATt?,N.OR LESSEE INFORIVWNON IF Name and Interest In property: X ou It]('L Fee SInlplo Tithi:Hoider (if other than orr..erlisted above) Name-. es 4. CONTRACTOR:-Ni - me: Phdne Wu nb2r y o A dreSs.__ P.O. t315X a C— of 5. §URc7Y'(If aopllcable,'a•copyof the payment'band is_attached)::Naiis: t l ' /.rliovri± of t3bnc: Phone Numoer. ti. L'ciJDEr: Name:.------'— 7, Person :vI-tiro tire.Statr.or Florida'Dosignated•by Otivner upon whom notice or other documents niay;Le sorved as provided by geo!ion _ 713A*)(a)7.,.Florida Statutes. Phone,Vumbsr: _ 8, in.addldi n, Ov*,Serdesigrtales. to receive a copy of the Lienor's notice as'prdvided in Section i (3.13(1},b). Ftotida.Stahrt6s: Phcne number. 9. 'txpiritibn IJate ofiVctice of Corrirrienwment-(The er..piraCws is i yszr frcm da;e of re cdirig v i, ss ac"sfGsresit dete is spj ci;:e8}._ _ IN4Ri<!b+G TO CWIJER" AW PAYMENTS I-* ADE! BY THt- O''WNER AFTER THE. (PIRAT}OiV OF THE NO'nCE OF COMMENCEMENT AiRrCONSIDEREDIMPROPERPAYMEINTSUNDERC; iAPTER ZECT iS, PART I. SION 7'13.13, FLORIDA. STATUTES,'AND C,-.N RESi;i IN YOUR PAYING'R-VICEFOR.MOKOVEPIIENI STO YOUR PROPERTY. A NOTICE OF C:.`VM ENCENIENT NIOST 6E':F.ECORDED.AND'POSTED Oh: THE JOBSITEBEFORETHEFIRSTiNSOCC'FION_ IF. YOU. IWEND'TO (ja.-WNFiMWC1M'G 'CG.tiSULTVVITb1 YOUR j ENbER• OR AN ; t`TORNE}' SEFORECJP.4 t NCihlGi+l+bft!S'OF2:RECOR31 1SG YDUR:IdOT10E;OF. COtv7?hFhl'ClfJi_t1T. tw° crtr:vrs:o' U;er o<Ceara--e. crOwns'i o: LeEsCrg ... . ut7 : nxeC Otft.tJ:7'rs_tu:/r'zrtrrr.tan8§3.). Stato of..- 121 aA' _,.,_ Counrj:or fiLctS (¢ Ftwtr: ane .E7roii..a :t3 ;a;or(s iori'Oce).. The foregdinginstrumentwasacknowledgedbefora hie this day g: by L J_44- SSL:I.:e. iY,i7;.E'.8t2'" A• .. . who hasptodubcd'IdenSfii-COUM2 type of identification pro.'.uced: DARLENE L DEBOCK MY COMMISSION # 00 026M K- EXPIRES: M PtW 18, 2020 M1` w;i l3ondedttwNotelY tl* ygtlars 3377) SXY OF NFORD FIRE DEPARTrMENi Building & Fire Prevention Division RESIDENTIAL FENCE AFFIDAVIT 6 FEET OR LESS IN HEIGHT) PERMIT #: l _ ti q'! q ADDRESS: 101 FUU67- UQ VS I _ b04 I li aifpw%iJ , 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: ! ay c---(S jj} CONTRACTOR SIGNATURE: DATE: JO- 25-'s El HOMEOWNER (OWNER/BUILDER) OWNER/BUILDER NAME: OWNER / BUILDER SIGNATURE: PLEASE NOTE" DATE: 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 _ ft-U5111 Sworn to and Subscribed before me this day of b=j3C-V— 20I by: bW O . Who is 91-ersonally Known to me or has Produced (type of identification) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. rouP•,, DARLENE L. DEBOCK - 14e°} •.'h ? !dY COMMISSION # GG 026429 EXPIRES: November 18, 2020 BondedThru Notary Public Underwriters Effective: August 1, 2017