1503 S Locust Ave; 17-3216; FENCEr
i
Sx
OF
l•p ICJ V .
FORD NOV 0 2 20V Building & Fire Prevention DivisionJIDENTLILFENCEPERMITAPPLICATION
FIRE oEaARrlweNr
Application No:
Documented Construction Value: $
Job Address: ot,l, Historic District: Yes [INo
Parcel ID:
Plan Re
Phone:
Residential Fence Information
Title:
U0
Type of Fence: Wood Metal PVCNinyl Iron Other
Fence Height: Feetn # Ga3es: P- Total Linear Feet:
i 1 d /l1l 7'
Additional Information:
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name , Phone: - h- ,
Street: Resident of property?
City, State Zip:
Fence C or Information
Name
Street:
ity, State Zip:
Phone:
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: 5" 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 Date
Print O er/Agent's Na e
n
Inal ure of Nota -S ate of Florida Da e
LISA ANTONINI
Notary Public - State of Florida '
My Comm. Expires May 21, 2018 .
Commission F 125242
Ai rilti ersonal y known tol'Me or 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 Job
PLAN
REVIEWAPPROVAL: PLANNING: 11-1-1-7 HISTORIC: COMMENTS:
Ok
to install approx. linear feet of 6' high privacy
fence and,_gate(s) as shown on plan.
Fence shall be constructed with finished
side facing outward Effective:
August 1, 2017
CITY OF
S.iI40RD Building &Fire Prevention Division
FENCE PERMIT SUBMITTAL CHECKLIST
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
fly 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 (if the contractor is the applicant)
Copy of the Business Tax Receipt (if the contractor is the applicant).
k- Owner/Builder Statement/Affidavit
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
PREPARED BY:
E=--`ACTAw
Land Surveyors, Inc.
9
www.exactaland.com
Toll Free 866-735-1916 • F 866-744-2882
PROPERTY ADDRESS: 1503 S. LOCUST AVENUE SANFORD, FLORIDA 32771 SURVEY NUMBER: 1701.0916
FIELD WORK DATE: 1/10/2017 REVISION DATES: (REV.0 1/11/2017)
17010916
BOUNDARYSURI/EY
SEMINOLE COUNTY
NOTES:
LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER
FENCE OWNER5111P NOT DETERMINED
0
I
5' OFI
IN'lvi"I
LOT 62
0 0
Ln o 5 89'59'1 1' E 103.85' (M
EAST 110.00- (F) NOID 4'
C.L.F. .7` ON I
14.
I 2.6' 28.0 f-
77 I I LOT
6 / b 4.
0 ,o I
STY. 10.2' RESN1503
3. b \ /
MN
A N 24.
7' .0' J
T14
6 O 1.1 pY A -
FIR WEST 110.00' (F) 6' W.F. o
ID o 5 89°5 P47' W 109.93' (M) 0
0 O
L _•
N
W
rr_ 0-
I: =
1/2" FIR NO
ID D
O 0 @ B.C. z
Z VALENCIA
STREET U
0 Nlw
C)1 7`,9 J
oo f
8'
ON 1/
2" IR NO
loo
7.
0' L0' AP-
PJWVED PLMS l
hereby certify undary Survey of the hereon
describiePl,e been made under my
direction, d toad b of my knowledge and
belief, it of
o survey t
ue and o
urcte
r ndards
Ok to install approx. 1 linear feet of 6' high set
forth by e FloridaBo AT
r of
Prol privacy fence and U gate(s) as shown on pySurveyors & Florida
Adminis pe?
trio`Mn Ch e
Co r
5J-1 Fence
shall be constructed with A[
SURV Eta plan. N finished
side facing outward. RONALDW. WALLING State
of Florida Professional Surveyor and License
No. 6473
131
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
i the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
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
t 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
i lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in I 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
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
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
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
6
9
0
I agree that, as the party legally and financially responsible for this proposed construction activity, 1 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.
7
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
I Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
I 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
1 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
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
do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
i
Signature of Owner -Builder Date
Form of Identification 1 L L > L.
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
SCPA Parcel View: 31-19-31-505-0000-0610
1
Page 1 of 2
Property Record Card
os a wm sa,,cra Parcel: 31-19-31-505-0000-0610
Owner: MCMILLAN ANNIE L
Property Address: 1503 LOCUST AVE SANFORD, FL 32771
Parcel Information
Parcel 31-19-31-505-0000-0610
Owner MCMILLAN ANNIE L
Property Address 1503 LOCUST AVE SANFORD, FL 32771
Mailing 1503 LOCUST AVE SANFORD, FL 32771-
Subdivision Name SAN LANTA 3RD SEC
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2015)
Seminole County GIS
Legal Description
LOT 61
SAN LANTA 3RD SEC
PB 13 PG 75
Taxes
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Y
Number of Buildings 1 1
Depreciated Bldg Value— 90,264 85,192
Depreciated EXFT Value
Land Value (Market)
Land Value Ag
Just/Market Value**_____
Portability Adj,--
Save Our Homes Adj
Amendment 1 Adj
Assessed Value
2,638
15,000 _
107,902
j $22,193
0
85,709
i $2,638
YM
15,000
1 $102,830
83,946
Tax Amount without SOH: $1,170.19
2017 Tax Bill Amount $810.61
Tax Estimator
Save Our Homes Savings: $359.58
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 85,709 } 50,000 35,709
Schools i 85,709 € 25.00001 60,709
City Sanford 85,709 i 50,000 1 35,709
SJWM(Saint Johns Water Management) _ 85,709 50,000 1 -- 35,709
County Bonds 85,709 c 50,000 35,709
Sales
Description Date Book Page Amount Qualified ( Vac/Imp
WARRANTY DEED i 2/1/2017 '' 08861 ! 0391 $129,000 Yes i Improved1
WARRANTY DEED12/1/2014 08387 0154 $95,000 1 Yes Improved WARRANDEED
1 6/1/2014 08287 0372 $47,000 V. e TY sM Improved
SPECIAL
WARRANTY
DEED 6/1/2014 108287 0370 $40,000 No } Improved CERTIFICATE OF
TITLE--- ITLE_ 2/ 2/1 0408207 0146 my i »
T $100 No
4Improved — QUIT CLAIM
DEED 10/1/2007 _ 1 0 86400189 $100 No Improved QUITCLAIM DEED
7/1/2007 1 06770 0988 $100 } No Improved _ QUIT CLAIM
DEED ; 7/1/2000 03916 1 1326 $100 No Improved QUIT CLAIM
DEED 10/1/1999 03779 0480 $100 No Improved ADMINISTRATIVE DEED
5/1/1988 01963 ' 0681 $56,000T No 4 Improved Page 1^
of 2 (13 items) [1] 2 Find Go'
mparable`Sales € t Land http://
parceldetail.
scpafl.org/ParcelDetaillnfo.aspx?PID=31193150500000610 10/30/2017
SCPA Parcel View: 31-19-31-505-0000-0610 Page 2 of 2
Method I Frontage 1 Depth I Units I Units Price Land Value
LOT 0.00 ' 0.00 1 1 $15,000.00 ! $15,000
i• .--— -- Building_---Informatio---- —ma n
Descrition pYear
Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1
SINGLE i 1961/1980 8 1 31 2.0 R 1,291 1,653 1,653 s CB/STUCCO , $90,264 ! $109,743 Description Area FAMILY
I FINISH BASE
180.00 iBASE
182.00 Permits
Permit #
Description Agency Amount CO Date Perm t Date 02226
INTERIOR REPAIRS SANFORD 1,600 8/12/2014 02156
STOP WORK ORDER SANFORD 0 8/5/2014 02015
REROOF SHINGLES SANFORD 5,500 . 7/16/2014 Features
iption
Year Built Units Value New Cost GLASS
PORCH 3/1/1990 364 ` $2,038 9 LACE
1 3/1/1980 1 $600 i 9 http://
parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=31193150500000610 10/30/2017
When recorded, return to:
Fidelity Funding Mortgage Corp.
255 South Maitland Avenue
Maitland, FL 32761
This document was prepared by:
Fidelity Funding Mortgage Corp.
255 South Maitland Avenue
Maitland, FL 32751
407-774-5800
LOAN #: 1001515319
Space Above This Line for Recording Data]
FHA Case No.
MORTGAGE 094-7625213-703_2036__. _...,...__.._..._____
MIN: 1002841-0000024662-2
MERS PHONE #: 1-888-679-6377
DEFINITIONS
Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 10, 12, 17,
19 and 21. Certain rules regarding the usage of words used in this document are also provided in Section 15.
A) "Security Instrument" means this document, which is dated February 8, 2017, together with all Riders
to this document.
B) "Borrower" is ANNIE LEE MCMILLAN, SINGLE WOMAN.
Borrower is the mortgagor under this Security Instrument.
C) "MERS" is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is acting solely as a
nominee for Lender and Lender's successors and assigns. MERS is the mortgagee under this Security Instrument.
MERS is organized and existing under the laws of Delaware, and has an address and telephone number of P.O. Box 2026,
Flint, MI 48501-2026, let. (888) 679-MERS.
D) "Lender" is Fidelity Funding Mortgage Corp..
Lender is a Corporation, organized and existing
under the laws of Florida.
Lender's address is 255 South Maitland Avenue, Maitland, FL 32751
E) "Note" means the promissory note signed by Borrower and dated February 8, 2017. The Note states that
Borrower owes Lender ONE HUNDRED FIVE THOUSAND FIFTY SIX AND NO/100* * * * ..................
Dollars(U.S. $105,056.00 )
plus interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later
than March 1, 2047.
F) "Property" means the property that is described below under the heading "Transfer of Rights in the Property."
G) "Loan" means the debt evidenced by the Note, plus interest and late charges due under the Note, and all sums due
under this Security Instrument, plus interest.
H) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following Riders are to be
executed by Borrower [check box as applicable]:
Adjustable Rate Rider Condominium Rider Planned Unit Development Rider
El Other(s) [specify]
FLORIDA — Single Family — Fannie Mae/Freddie Mac UNIFORM INSTRUMENT Form 3010 1/01
Modified for FHA 9/2014 (HUD Handbook 4000.1) Initials:
Ellie Mae, Inc. Page 1 of 9 FLEFHA15DE 0316
FLEDEED (CLS)
ti 02/03/2017 11:15 AM PST
EVIDENCE OF PROPERTY INSURANCE DATE (MMlDDlYYY`OOR®
01 /13/2017
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
AGENCY PHONE
I faC. No. Ett):
First American P&C Ins Agency
199 Ave B NW Ste 300
I Winter Haven FL 33881
1FAAic. Nol: 877-411-4902 ADDRIESS:
CODE: SUB COD
AGENCYCUSTOMER ID 0,
INSURED
Annie Lee McMillan
1503 S. Locust Ave
Sanford, FL 32771
PROPERTY INFORMATION
LOCATION/DESCRIPTION
1503 S. Locust Ave. Sanford, FL 32771
COMPANY
Security First Insurance
P.O. Box 459025
Sunrise, FL 33345-9025
LOAN NUMBER
1001515319
POLICY NUMBER
P000360776
EFFECTIVE DATE EXPIRATION DATE
CONTINUED UNTIL
02/08/2017 02/08/2018 El TERM INATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
H03
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE INFORMATION
COVERAGE I PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Dwelling 135,000
2,500
Other Structures 2 700
Personal Property 33 750
Loss of Use 13 500
Personal Liability 100,000
Medical Payments 1 000
All Other Perils Deductible
Hurricane Deductible 2.00%
Total Premium Due 879
100% Replacement to policy limits****
Please make check payable to Security First Insurance
ADDITIONAL INTEREST **************SECOND MORTGAGE***'*'*****
Seminole County Government
1101 East First Street
Sanford, FL 32771
aaffflffR/e#aaaaaaaaaaf#*f#!f#a#aaa#ifafaaiaaaflRi*##affa#######f!f*R###a#*a#RRf###!###f#a#f##ff###ffi#*!#*R
TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR.TO
MAIL 10 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGAI ION
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
ADDITIONAL INTEREST
NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED
Fidelity Funding Mortgage Corp. LOSS PAYEE
Its Successors arld/or Assigns/ATIMA, LOAN N
255 South Maitland Avenue 1001515319
Maitland, FL 32751 AUTHORIZED REPRESENTATIVE -
Tammy Ahrens
ACORD 27 (2006107) ACORD CORPORATION 1993-2006. All rights reserved
The ACORD name and logo are registered marks of ACORD
First American
u uoperty ww-,Casualty
Inc. u r&e YK uxu
Policy Premium, Invoice
January l],20l7
Annie Lee McMillan /
1SOSS.Locust Ave
Sanford, FL32771
Property Address: l5O3S.'LocustAve. Sanford, FL32771 Policy:
P000360776 f Company:
Security First Insurance Type
of Policy: H03 Policy
Effective Date: 0I/08/2017 Premium: $
879 Please
be sure to include the policy number on your check and make it payable to: Security
First Insurance 199Avenue
BNVVSuite 3OO Winter Haven, FL
33881 If you have
questions about your insurance, please call our knowledgeable staff at 866-320- 4274. Our office
hours are Monday through Friday, 8:30 AM to 5:30 PM Eastern Standard Time. We know you
have a choice in insurance agencies and thank you for your continued business. v Tammy Ahrens
First
American P&[
Ins Agency 866'330-4274Ext
7483 877-411-4902
99Avenue BNWSuite ]OO
Winter Haven, FLJ308}|866-320-4274 + wvv t oc.000|ux877'
4l}-49O2|`}us7l4'4D\'2874
NOTICE OF FURNISHING NEGATIVE INFORMATION
Borrower: Annie Lee McMillan
Property Address: 1503 S. Locust Ave
Sanford, FL 32771
Lender: Fidelity Funding Mortgage Corp.
Date: February 8, 2017
Loan Number: 1001515319
In accordance with the implementation of the Fair and Accurate Credit Transactions Act of 2003, we
are required to provide you the following statement as prescribed by Section 217:
WE MAY REPORT INFORMATION ABOUT YOU RACCOUNTTO CREDIT BUREAUS. LATE
PAYMENTS, MISSED PAYMENTS, OR OTHER DEFAULTS ON YOUR ACCOUNT MAYBE
REFLECTED IN YOUR CREDIT REPORT.
LLAN
89 FIR 33281, 12 CFR Part 1022 Model Notice B-1
Ellie Mae, Inc. GFACT 1212
GFACT(CLS)
I 02/03/2017 11:15 AM PST
1
CITY :OF
SA NFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT)
PERMIT#: , 7-0321 ADDRESS:
I S F YI %7' /rl 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:
CONTRACTOR SIGNATURE:
P/HOMEOWNER (OWNER/BUILDER)
DATE:
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:/J 2//% , • . / / Ll,%L DATE:
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 this4N day of 0::Ll 20 aby:
Who is 0 Personally Known to me or has Produced (type of
ident' Ication) L L— as identification.
o;
ignature-of-Notary-Public------
St
LISA ANTONINI
Notary Public - State of Florida
Prl i Swa Expues ay 2018
Commission N FF 125242ofofaiy;°, ,tiblic
s .;, --z,,_
Effective: August 1, 2017