1908 Hist Goldsboro Blvc; 17-2344; FENCEY OF
SXNFORD
FIRE DEPARTMENT
Job Address:
Parcel ID:
Plan Review Contact Person:
Phone: Fax:
F Building & Fire Prevention Division
xSIDENTL4L FENCE PERMIT APPLICATION
rill)
AUG - 3 2017 < < Application No:yq
Bar:_...D. ocumented-C-onstruction Value: %
3(xo Historic District: Yes No
Email:
Residential Fence Information
Title:
Type of Fence: Wood Metal PVC/Viny Iron Other AW 41
I 01
Fence Height: Feet # Gates: Total Linear Feet: 22
r r
Additional Information: ;ZV rOr 4f tl-1c, % ,
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Phone:5°3
Street: /rds Resident of property?
Fence Contractor Information
Name E'M r
c_:-
2. Phone:
Street: Fax:
City, State Zip: 2-7 S-D
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 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 of Owner/Agent I Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Lj2
Signature of ontractor A entDate 07KO—
Gam"
Print
Co 7
or/
a 's Signature
of Notary -State of FM Date
Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
ID Type of ID I Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY PLAN
REVIEWAPPROVAL: PLANNIN r8 'l HISTORIC: COMMENTS:
elf'.
25)
Effective:
August 1, 2017
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.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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.
ilgnature of Owner/Agent
Print Owner/Agent's Name
Date
atgnature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
of co for/Agent Date
Print Contractor/Agent's Name
z:->s/1/7
Date
9 Notary PubC c State of Florida
Emily Jane Guglielmello
My Commission GG 038029
orn Expires 10/12/2o20
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:
ENGINEERING:
COMMENTS:
UTILITIES:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
731 N. Hwy 17-92, Suite 205 - Longwood, FL 32750
ffice: (407) 327-1278 a (407) 699-9959 - Fax: (407) 699-9908
www.seminolefencesystems.com
r
JAM American
l((
4 00- Fence
Asso iation
Date:
Name:
G.
e W' % Erect At- 4^
y Address:
oty Zip:
Phone: / '_, / d
9 1 3S O J 7j
Net _
TOTAL
Pm, yuucaaons suoieci io conanions beyond our control. Customer agrees
to furnish property lines. This quotation does not include clearing trees,
brush or other obstructions from working area.
CREW #
I -T
TERMS: ALL INVOICES DUE & PAYABLE UPON RECEIPT UNLESS PREVIOUS DATEARRANGEMENTSHAVEBEENMADE. PAST DUE INVOICES WILL BE
SUBJECT TO SERVICE CHARGE OF 111296 PER MONTH, WHICH IS 18% PER Tel
ANNUM. IF THE ACCOUNT IS PLACED WITH AN ATTORNEY OR COLLECTION By'
AGENCY FOR COLLECTION, THE CUSTOMER SHALL BE LIABLE FOR ALL
COSTS OF COLLECTION, INCLUDING, BUT NOT LIMITED TO A REASONABLE
accepted: TVATTORNEYFEEORCOLLECTIONAGENCYFEE. CUSTOMER ASSUMES
RESPONSIBILITY FOR DAMAGE TO, AND LOCATION OF ANY UNDERGROUND4' o UTILITIES AND THE EXACT LOCATION WHERE FENCE IS TO BE INSTALLED. er• O "
t V 7 r— e , /°%, .l
Ou.) (jC,,jjbjec,* t rApprroval of L gp Application and of the Company
0
Boundory S^ tw-y
NOT VA LID WITHOUT SHEET 1
LINE TABLE
UNE UNGTH BEARING
Ll 6.00' S89'50.36"E
L2 6.00, S89'50'36"E
L3
i
1tCV)
NORTH LINE OF LOT 38
FOUND OLD
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NO I.D. SET NAIL
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CONCRETE LIES
CONCRETE LIES
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4' CHAIN LINK
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to (
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IN CONCRETE r O NO ID ('' +
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BOX AT jLlf k.. r;S IN CRACK to r> INTERSECTION OF ~
PERSIMMON AVENUE
AND FOUND OLD 1 k, '2C. OF CONCRETE
NCRETE Qa
w HISTORIC GOLDSBORO
BOULEVARD IRON PIPE CLEAN 56.00'
1NO I.
D. _62.00 OUT- L2 3 ) & (D) w w
3 S 89'
50'36` E S 89-50'36w E ATMAIL STORM -
SANITARY
O LEAN OUTMETE
S
80X
INLET MANHOLE N S 89'50'
36' E 397.00' HISTORIC COLDSBORO BOULEVARD
50' PUBUC RIGHT—
OF—WAY PER COUNTY RECORDS) PAVED ROAD Project
No. 451-
JCB-001 Dwg file; 451-
JCB-001 DRAWN: WCE APPROVED:
WCE DATE:
5/15/
16 SCALE: e - go'
Boundary Survey Ji
lette C
C Brown i9o8 Historic Goldsboro
Boulevard Section 2& Township
19 South, Range go East City of Sanford,
Seminole County, Florida A KLE Surveying
3lIEET Mapping, Inc. 2
121 Buena AvenueLongwood, FL 32750 407) 402-2331
OF 2 License Business * 78W -
i. ,
CITY OF
Building & Fire Prevention DivisionSkNFORDFENCEPERMITSUBMITTALCHECKLIST
FIRE DEPARTMENT (RESIDENTIAL ONLY)
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
Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Copy of the Business Tax Receipt (if the contractor is the applicant).
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).
Indicate the number of linear feet, height, number of gates, and type of material on application.
Two (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 of the 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 a fence permit application and may not be
complete. The applicant is required to meet all City of Sanford codes and requirements.
Effective: August 1, 2017
CITY OF
SkN4FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT)
PERMIT#: ADDRESS: /[
HEREBY AFFIRM THAT ALL OF THE FOREGOING
FORMA ION IS TRUE D ACCURATE. THE FENCE WILL BE INSTALLED IN THE APPROVED LOCATION AS SHOWN ON THE APPROVED SITEIN
PLAN. THE FENCE WI BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACE
OUT. IT IS THE HOM WNER'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 ONTHIS DOCUMENT. S / -
s 0"I COMPANY /
CONTRACTOR. CONTRACTOR
SIGNATURE: HOMEOWNER (
OWNERIBUILDER) OWNER/
BUILDER NAME: OWNER /
BUILDER SIGNATURE: PLEASE
NOTE" DATE:
117 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 71",
JoSworntoandSubscribedbeforemethisdayoff70 / % by: 1` &
t 4y)61 IWhois0PersonallyKnowntomeorhasroduced (type of C
identification)
y UL— as identification. food-
f 1 4--1 Signature
of Notary Public of
Florida IV
Print/
Type/Stamp Name of
Notary Public IDEBBIE
BLANTON ' ._ MYION
I rF 178648'a=
EXbruary 25, 2018of n°4` Bondery Puhlic Unden'mlers Effective:
August 1, 2017