HomeMy WebLinkAbout101 Golfside Cirf CITY OF
vjANFORD
FIRE DEPARTMENT
P
Building & Fire Prevention DivisiontDECZ71}
v ESIDENTIAL FENCE PERMIT APPLICATION
Application No: 1 07 — :1 2 T
Documented Construction Value: $ p O
Job Address: lot s(P c l & h Lop Historic District: Yes No
Parcel ID:
Plan Review Contact Person:
Phone: Fax:
Title:
Email: Aja-2-c/'O(
Residential Fe ce Information
Type of Fence: Wood Metal PVC/Vinyl Iron Other
Fence Height: Feet # Gates:
Additional Information:
Total Linear Feet: 120
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name Phone: o 3 , 0 ! 3
r%
Street:
e
Resident of property?
City, State Zip: cll in, T. E I
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 seethe 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 here"6y 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: 5th 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.
2 It-7
Signature Owner/Agent Date
2- 2?-/7
Signature of Notary -State of Florida Date.
ANNETTE BLAND r,
Notary Public State of Florida
Commission # GG 060623
lWd;'` My Comm. Expires Jan 16, 2018
Owner__ .. n t ersona y no n to Me or
Produced ID Type of ID l--
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Aar&—
PLAN REVIEWAPPROVAL: PLANNING: HISTORIC:
COMMENTS:
Ok to install approx. = linear feet of 6 foot high
privacy fence and -2, gate(s) as shown on plan. Fence
shall be constructed with finished side facing outward.
Effective: August 1, 2017
SANFORD
CITY OF
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT
PERMIT #:
F ( uy Rc1 ( ADDRESS:
HEREBY
AFFIRM THAT ALL OF THE FOREGOING INFORMATION
IS TRUE AND ACCURATE. THE FENCE WILL BE INSTAL D IN T11E 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: I ko 1 I . r CONTRACTOR
SIGNATURE: DATE: IOMEOWNER (
OWNER/BUILDER) p
r OWNER/BUILDERNAME: V A)L FS i (\J ( T/ j 2 / 0 -
OWNER /BUILDER SIGNATURF;E, DATE: I Q— /// % 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 e t'Yl I NL O I -e_ Sworn
to and Subscribed before me this 1L"ay of 20 i4: Who
is Personally Known to me or has educed (type of identification)
1-L-- (-,) L-- as a"-
zi -L, Signature
of Notary Public v
State
of Florida > o`" "a';•,, ANNETTE BLAND Notary
Public - State of FlorMa Commission #
I GG M623 Print/
Type/Stamp Name %oFF My Comm. Expires Jan 18, 2018 of
Notary Public Effective:
August 1, 2017
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BOUNDARY SURVEY
DESCRIPTION: LOT 42, MAYFAIR CLUB PHASE 1, ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT BOOK 53, PAGES 7 AND 8,
PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
LOT 41
r— 15' DRAINAGE J
piemino Ou!ael apls payslul; ql!M papnilsuo) aq Ileys
@Duaj 'weld uo umoys se pue aqua} A:)eA!,Id
4o!4 loo; 9 }o laa} aeau!iIlelsu! of CIO 90
NOTES:
BEARINGS
BASED ON THE EAST RIGHT OF WAY LINE OF " GOLFSIDE
CIRCLE AS BEING N00'02'22"E. NO
UNDERGROUND UTILITIES, UNDERGROUND FOUNDATIONS, OR
UNDERGROUND SIGN POST WERE LOCATED. pQ LS
2005 LB 5073" 1
LEGEND
TELEPHONE
RISER WATER
METER Q
ELECTRIC METER QD
STORM MANHOLE QS
SANITARY MANHOLE LIGHT
POLE J MES R. SHANNON P.L.S. #4671 Q
CLEAN OUT OT VALID WITHOUT THE ATURE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA U. SED SURVEYOR AND MAPPER U
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TRACT "
A" RECOVERED
1"
IRON PIPE 2005
LB 5073" b
0
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co
RECOVERED
IRON
PIPE PCP
2005" o
LOT 44 z
RECOVERED
1)
1" IRON PIPE LS
2005 LB 5073" SHANNON
SURVEYING, INC. 499
NORTH S.R. 434 - SUITE 2045 ALTAMONTE
SPRINGS, FLORIDA, 32714 407)
774-8372 LB # 6898 DATE
OF SURVEY: 12-15-2017 ' FIELD
BY: DS-TY SCALE: 1" = 20' FILE
NUMBER: PB53-PG7-LOT42