105 Kaywood Dr; 18-3729; FENCECITY OF
S
FIRE DEPARTMENT
NFORR
ti
Building & Fire Prevention Division
RESIDENTIAL FENCE PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: m37- Y k r%
iR-3-7a9
Wric District: Yes ,Noxi
Parcel ID: -5, Z - l 7 - 3 <;, - s. 0 S -r p a067 r b Yfr/
Plan Review Contact Person: TTb
Phone: L1 (y) n
9 Y - (YO Fax: Email:
Title: Gk-t,,-
Residential Fence Information
Type of Fence: Wood etal PVC/Vinyl Iron Other
Fence Height: ( ; S Feet # Gates: Total Linear Feet:
Additional Information: Re-VA-1oh"_4 '11/019_
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name Phone:
Street:
City, State Zip:
Resident of property? :
Fence Contractor Information
Name 1CT iac*--- Phone:6
Street: 46 //! 2 Fax:
City, State Zip:
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.
Fffertive• Augmt 1 7017
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This Agreement ("Contract") is made this 3 — day of , 20 I k,
between o (` Contractor") and
r w i ("Owner") at —
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SECTION 1. SCOPE The Contractor agrees to furnish all labor, materials,
equipment and other facilities required to complete the following work:
SECTION 2. PRICE AND PAYMENT The Owner agrees to pay the Contractor for
the strict performance of the work, the sum of
Zcpev--
subject to adjustments for changes in the work
as may be agreed to by the Owner and the Contractor, as may be required under this
Contract.
Payments will be due and payable within thirty days of invoice.
SECTION 3. ENTIRE AGREEMENT. This agreement represents the entire
agreement between the Contractor and the Owner regarding the work described in
Section 1, and supersedes any prior written or oral agreements or representations as to
that work. A
Dated: Dated:
OWNER: CA ,,
By: l
Name)
Title)
CONTRACTOR: ,;,,.ie
Name) O
Title)
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FIRE 0EPAFtTME
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PERMIT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT
ADDRESS: /0 5 _ ecz.y e-.
54 HJ 1T
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.
arFENCE 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
HOMEOWNER (OWNER BI
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:
PLEASE NOTE"
DATE:
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
C/
Sworn to and Subscribed before me this ( day of (/lM ' _ 20 l d by:
1T I Jci.ra PbS 0 dS.. Who is MPersonally Known to me or has E 'roduced (type of
identification))NL— I-/U qas identification.
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ya •.
Signatu a of Notary Public ?: DEBBIrlBLANTON
h1Y COMMISSION # Fr" 178648StateofFlorida
Print/Type/Stamp Name
of Notary Public
AMHES: Febroa, 25, teP F;°4` 8onded7hr ry r 2019
u Notary Pubfc Underwd;ers
FfPeclive- Aimvd 1 7017