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1017 Sarita St; 18-3545; FENCEORD Building & Fire Prevention Division RESIDENTIAL FENCE PERMITAPPLICA TION F Application No: '! 3S 7 Documented Construction Value: $ % d 0 QQ JJobAddress: / /r 7 sa it fi -, Historic District: Yes No Parcel ID: 'I - Z-0 3`0 — S-o q 1 100 - d 1 2'6 Plan Review Contact Person: Phone: Fax: Type of Fence: Wo d Metal Fence Height: Feet Additional Information: CC Title: Email: Residential Fence Information PVC/Vinyl Iron Other Gates: Total Linear Feet: Fences with a height of over 6 feet will require signed & sealed structural engineering" Property Owner Information Name P 2 4 N) a GQ Phone: Street:/ ©yS e/ 1 y C v- Resident of property? : /'1/O City, State Zip: Rot A ofn'te Wine' . FL r// Fence Contractor Information Name D-' Lj Street: City, State Zip: 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 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 1 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. G-41, (_ J_ 2v Signature of Owner/Agent Date OG k) Print Owner/Agent's Name ignature of Not DEHIPRAIiiOt4 irie i MY col'Aii:,'S'Gtd;Ii= ?7 f48 I EXPIRES: February 25, 2019T. Bonded Th« i Nct2r Pubic Underwriters Owner/Agent is Personally K to Me or Produced ID Type of IDri eo4-r - ci he J 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 PLAN REVIEWAPPROVAL: PLANNING: COMMENTS: HISTORIC: Effective: August 1, 2017 SX-----0RD FIRE DEPARTMe NT Building & Fire Prevention Division RESIDENTIAL FENCE AFFIDAVIT 6 FEET OR LESS IN HEIGHT) PERMIT #: v — ADDRESS: iQ 1 -7 l t- 9uPh 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. El 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: CONTRA OR SIGNATURE: HOMEOWNER (OWNER/BUILDER) J ! OWNER/BUILDERNAME: V D ' OWNER / BUILDER SIGNATURE: PLEASE NOTE" DATE: DATE: is 6 ' " g 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. s STATE OF FLORIDA COUNTY OF Sworn to and Subscribed before me this 0 day of 20 i by: Who is Personally Known to me or has Produced (type of f( 1 tificationa > I q I 'a iAication. Signature of Notary Public W"", n NiY CON I S 71J }1 t ' StateofFloridaI iy EXPIRES Fabi ?a Bonded Thru IJotrr,+° Print/ Type/Stamp Name of Notary Public Effective: August 1, 2017 ll f ems. ~• C , `Yt.r t ', ' , f' . sr Ali - ^ •- S i - ..'. ' ,, v.. ' i• :- --. err • :,• : R ti , . ``' ;;..,-.'M' zw 94 awl 77 ou Otal r