717 Santa Barbara Dr - BR18-002677 -Fence AffidavitPERMIT #
CITY OF
SkNF0RD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT
f9—Z(e.7'77 ADDRESS: :1
1, Sa'n\--e, J by `Ve 3Z-7
3calla« `re
K—S v e - . , 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
BV 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:
DATE: D HOMEOWNER (
OWNER/BUILDER) 0WNER/BUILDER
NAME: , V 0 OWNER / BUILDER
SIGNATURE: ` DATE: D6- 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 Se n PQ Sworn to and
Subscribed before me this \ Z L q day of _ZA -,y .t 20 1 R by: Who is 0
Personally Known to me or has 0 Produced (type of identificat' n) V-'
L L as identification. Signature of Notary
Public State of Florida
Y'O4'%, ANNETTE
BLAND Print/Type/Stamp
Na =IVOIaly Public • State of FWrI08 of Notary Public
CO"891011 O GG 060023 My Comm. E:
plres Jan 16. 2018 Effective: August I,
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: 51° 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 ofOwner/Agent Date Signature ofContractor/Agent Date
Prm7r"
x
Agent'sName
Signature fN to Da
1„ ANNETTE BLAND
E.
41`4 ,X'': Nolaty Public - State of FloridaCommission /t GG 066620t 8
Owner/Agent is , " Personally Known to Me or
Produced ID Type of ID
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: (, 1,2. ;2V/ v *_ HISTORIC:
COMMENTS: _ Ok to install approx. 0 linear feet
of % foot high W&yj fence and
ffgate(s) as shown on plan. Fence
shall be constructed with finished side
facing outward.
Effective: August 1, 2017