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2302 Sanford Ave - BR19-000022 - FENCECITY OF Building & Fire Prevention DivisionVPRESIDENTIALFENCEPERMITAPPLICATION I,IRE D[TA iNIsNT Application No: F,iP- Documented Construction Value: $ Job Address: .l.' o ,41' -t-' '/Eli Historic District: Yes No ParcelII): o c 0 - g,6 4p Plan Review Contact Person: Phone: Fax: Email: Residential Fence Information Type of Fence: Wood Metal] PVC/Vinyl Iron Other Title: Fence Height: Ir6- _.," Feet # Gates: ,3 Total Linear Feet: 2-30 Additional Information: Fences with a height of over 6 feet will require signed & sealed structural engineering" Pypperty Owner Information Name Lh s. I 4T Phone: Street: 23cz Resident of property? City, State Zip: ;Y, i F I, 32--j -i, Fence Street: City, State Zip: Information 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. FIIC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5ih 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. am 1-i - Jtat4f-) U U V 21, Print Owner/Agent's Name Sture of Notary-StateWF da Date Owner/Agent is Personally Known to Me or Produced ID 1 Type of ID G Qu ivt,m(occ,-)Fq. aris Mollcassion Expires20, 2021 No. QQ 84556 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State ofFlorida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY PLAN REVIEWAPPROVAL: PLANNING COMMENTS: K. HISTORIC: Effective: August 1,2017 CITY OF Building & Fire Prevention Divisionk40RDFENCEPERMITSUBMITTALCHECKLIST rllat ocPARTMr (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 U 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). 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 requiredfor Fence Repairs. A Fence Repair is qualified by one or more ofthefollowing: 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 oil 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 ofSanford codes and requirements. Effective: August 1, 2017 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 the property listed, may act as my own contractor with certain restrictions even though I do not have a license. r 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. 1 understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed 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 lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 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. 41 I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. J i 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 f 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 laborrandmaterials. 1, 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 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also r understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. f 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 h Services, and the Florida Department of Revenue. I also understand that I may contact the Florida 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 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 Address:. 1, 1-4 Z-- Llh- --N a 121... , 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 speci above. Signature oyO\#ner-Builder Form of Identification Must be Photo ID) Date 01 1 0 2019 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 lieensure under the permit issued. Rev. 9.14.2009 BOUNDARYSURVEY LEOEW AC Pa CokM.9 rev-Z Aga -Ts" A"Ll" 4t VAr. :W4, .., wr 4rW tf*Ck WA Wo" 4. tf wr".tT? W. SsLumnoAMSXRW 04W6 C:$$-qaml & VJW pwz.at/wW1 Fs'. folav4di I.& WW" Au f-VOLWIM JU w Lk 14" mx cawm (I maw OfLOTJ214. 04 OVP'Jr IA LOTS?bF ttk 1 jj tao y taz k?. Nw iR A- 1 900411' At IA MW pm) xw or LOT36 LOT34 T! 17,!-40(t V31, LAWaAtVrkW ro6WY ixaft to v.*ftxA*sd Dj' i' JMtySlP;FkWlw.- myw. i;mw, i-i'rfr.z t.4wXxvke flef n 16, y ol,%4 ". 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