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1122 Willow Ave - BR17-003169 - FENCEx r QI- 1 F Building & Fire Prevention Division J ® RESIDENTL4L FENCE PERMIT APPLICATION FIRE OE OCT 3 0 201? Application No: % fl'b` ocumented Construction Value: $ -700 , D0 Job Address: Historic District: Yes No Parcel ID: '3 Q-) 5 22.- 0000-- 00 LID Plan Review Contact Person: Title: ( Phone: Lin 7- ?_ I — Zcl7S Fax: Email: e 5 J10 rkS -- 12 03 1 Co Residential Fence Information Type of Fence: Wood Metal NJ PVC/Vinyl Iron Other Fence Height: 5 Feet, # Gates: Total Linear Feet: 2_C>D Additional Information: Fences with a height of over 6 feet will require signed & sealed structural engineering" Property Owner Information Name ttiC%c t/ C-D U P.4s Phone: Street: 2 2 ('il a' AV15 Resident of property? ;:: iltpt`_!N •Fry:-:.:i. . City, tate Zip: •r ° . Fence Contractor Information Name NIA Phone: Street: Fax: City, State Zip: Please Note: The Building Department does notperform 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 pltimbing, signs, wells, k3ls, 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: 51h Edition (2014) Florida Building Code NOTICE: In addition to the requirements of this permit, there may be additionalrestrictions 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 permitis verification that I will notify the owner of theproperty of therequirements 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. d 7 Signature of er/Agent Date Print Owner/Agent's Name / ry- natureofNotatateiorika r Date NOTARY PUSUC STATE OF FLORIDA Signature of Contractor/Agent Print Contractor/ Agent's Name Date Signature of Notary -Stateof Florida DateAW4W Eons 9/11/2019 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID _ Type of ID C h7D r I v It C Produced ID Type of ID BELOWIS FOR OFFICE USE ONLY PLAN REVIEWAPPROVAL: PLANNING:10-3d-n HISTORIC: COMMENTS: Ok to install approx.2DO linear feet of rt high k-A: I..,Lfence and 2 gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. C-' :— Gt tr _ _ 1 t % ., 1 -It _% . Effective: August 1, 2017 CITY OF s' Building & Fire Prevention DivisioniSkNFORDFENCEPERMITSUBMITTALCHECKLIST 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 C'J 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 Copy ofthe Business Tax Receipt (ifthe contractor is the applicant). 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). uo Indicate the number of linear feet, height, number of gates, and type of material on application. 2 Two (2) copies of site plan indicating where the fence will be located on the property. er Fence Affidavit, signed and notarized Repairs No Permit is required for Fence Repairs. A Fence Repair is qualified by one or more of thefollowing: 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 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 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 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 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. 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 1 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. 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. V 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 understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 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 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 l Z 2_ W 1 1 1 QW Av F— I, D [A >J do hereby state that I am qualified and capable of performing the requested construction involved with the permit application fled and agree to the conditions specified above. Signature of OvVher-Buflder " Date Form of Identification Must be Photo ID) 0 /n//7 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 I-, (PA Parcel View: 30-19-31-522-0000-0040 L Page 1 of 2 Property Record Card frpboppa% Parcel: 30-19-31-522-0000-0040 Owner: GUESS CHUCKY E S>;na curv, FILOFMA Property Address: 1122 WILLOW AVE SANFORD, FL 32771 Parcel Information Parcel 30-19-31-522-0000-0040 Owner GUESS CHUCKY E Property Address 1122 WILLOW AVE SANFORD, FL 32771 Mailing PO BOX 404 SANFORD, FL 32772- Subdivision Name HOLDEN REAL ESTATE COMPANYS ADD Tax District S1-SANFORD DOR Use Code 00-VACANT RESIDENTIAL Exemptions Value Summary 2018 Working Values 2017 Certified Values Valuation Method I Cost/Market Cost/Market Number of Buildings 1 0 10 Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) 7,788 _ u 7,788 LandLand Value Ag v Just/Market Value "' 7,788 7,788 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 P&G Adj 0 0 -- Assessed Value 7,788 7,788 Tax Amount without SOH: $148.30 2017 Tax Bill Amount $148.30 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=30193152200000040 10/30/2017 S'PA Parcel View: 30-19-31-522-0000-0040 Page 2 of 2 Extra Features Description Year Built Units Value New Cost No Extra Features http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=30193152200000040 10/30/2017 CITY OF rD SkI4FORD•ti Building & Fire Prevention Division FIRE DEPARTMENT RESIDENTIAL FENCE AFFIDAVIT 6 FEET OR LESS IN HEIGHT) PERMIT #: / / Cd ADDRESS: - L I )6xlj A016 I b2- V C2(&::5 C , 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: HOMEOWNER ( OWNER/BUILDER) OWNER/ BUILDERNAME: DATE: y OWNER / BUILDER SIGNATURE: DATE: 1-3PLEASE 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 a-,m 1 l e) Sworn to and Subscribed before me this_ day of 20 j_7 by: Who is Personally Known to me or has Produced (type of identification) C & as identification. Jerama A. Scharr ature of Notary Public NOTARY PUSUC ate of Florida SWE.OF FLORIDA s . rnrrt tt-SGh : r-t C nw* FF911= Expir® a A/9112 16 Print/ Type/Stamp Name of Notary Public Effective: August 1, 2017 a BOUNDARY SURVEY Description: Per ORB 8495 Pg 773 Leg LOT 4 Holden Real Estate Companys add PS 1 Pg 89 S 89'50'00' IN 660.29' (M) FO t NO N 89'5000- E 330.119' RIs 2as3 fC3wa6t' H otY FD NororU@ R zz co 75 A i f I I I to tjtoW x 28.24 I I J m LOT 5 OVALJI8- R/ E j FLORIDA LAND AND COLONIZATION COMPANY & A W PER PUT (3 TRAFFoRDS MAP OFTHETOWNOFSANDFORD x 2757 2i10 t <.GO' R PB 1, PG 56 29.10 Y x 27.88 1 FD 1/2' IR x 2825 PSN 3382e 2 2.06' N, 0.17' W SHEDx 27.98O 5ET 5/e' u LB 7744 4' CHAIN UNK iENCE IN8Dn E 117.00' M q.'7j _ x 27.82 30' OAK I2' OAK733. 78' t2' OAK 58. 00' Ot 29.10 25.25* 29. 12 1, 1G g Wt70D FORM80ARasu 5.97' a g LOT 4 TOP a- 2sa2 a ViHOLDEN ESTATE COMPANY'S AD. -ON J. 97PB' I, PG 89 2zzo' JJ. n• 2912 5e.. 29.12 0 JO' OAK 15 PALM 28,58 x. 27JT9 2e. n S $95000 W 117.00' (M) 9^ FD1/2' Rl 20.63 x 28.21 NO ID 2.06' H. a12' W x 28.67 SET51CIRLe 7744 I X 28.49 x 28.72 IFD 5y8' IR NO ID 1.7811N• 0.06' W I LB µ' 1= N 419( Q I m I 20' OAK w OAK N 0 0 1 1 FF0 1,27.77 L4 82 1. 7W ISET SUB' iR LB 7744 4 2SI6 IlEe. 0 , atp 28.t62I a77 x20.53 s at I Oa 2aLT5 ' 2„ ' x I I x2854IsHOLDENREAL ESTATE COMPANY'S ADDITIONS mI Pis 1, PG 89 Fo A t/ 2' IR a I v FD 1/2' IR 97 t { b .,] AND CAP o J PSM 3382Jy.d h 1 w1 a ' /''(`' PSM J382 2.06' N.a10' W t _ -Ic za78 33.00, 1 2738 1 n 127. 71 X 2732 A. 27. 81 C' 2750 Oct) O O fn A OJL 7 27.7m m0 27. 31 WN 77 W N I 33. 00' 27.58 I27.44 FOROUND MONUMENTNNAIL O ID svRVEYoxs . Ok to install approx.linear feet ofhigh THIS SURVEY WAS PREPARED WITHOUT THE k., fence and a.. g ate s asshown on OPINION. THERE MAYEMTMATTERSC41ECORl ^ 1 r ^ PROPERTY. .r Y BEARINGS ARE BASED ON GRID NORTH. FLI plan. Fence shall be constructed with O ORDINNA.EDFRTESYSTEM. EASTZONEDERIVI, ELEVATIONS SHOWN HEREON ARE RASED 0 finished side facing out w/a rd. GRIDNORTH, iAMIIDA STATE PLANE CO . N. 6 II i 6e, % veS i n DERIVED FROM A PRIVATENETWORKSOIUROH ._._ .___-.- / - _ / COUNTY CIS BENCHMARK /0134' HAVNG A PUBLISHED ELEVATION OF 44.95 p).- FOUND FEET AND SEMINOLE COUNTYGIS.BENCHMARK J0135 HAVING A PUBLISHED n = IDENTIFICATION ELEVATION OF 39,267FEET. w _ IRON ROD UNDERGROUND UTILITIES, FOUNDATIONS OR IMPROVEMENTS HAVE BEEN IP -'IRON PIPE I hereby affirm that this survey represented hereon is NO UN LOCATED Us = LICENSED BUSINESS ' W8 and correct To the best, of my knowledge and M) MEASURED belief.. It has been Prepared in accordance with the 17, ALL BEARINGS AND'DISTA14CESAREPLATANDMEASUREDUNLESSNOTEDORB _ OFFICIAL RECORD BOOK ..Standcrds of Practice Bel forth In Chapter SJ-Ida olHnR815E. PC PACE F, A:C. pursuant to Choptem 177 and 472, Florida SYMBOLS ARE NOT TO SCALE. -PCP . PERMANENT CONTROL POINT" - ` StaLULe. and Unless It beam the signature and the PpM =PERMANENT REFERENCE MONUMENT ongTnpl raised seal of a Florida Licensed Surveyor and P) PLAT - Mappv, thWArowing• sketch, plat or MOP Is for THIS SURVEY DOES NOTDETERMINEOBNERSHIPOFFENCESPB - PLAT BOOK IOEORIW1IOnal"purpose y and is not valid. PC POINT OF CURVATURE -- PRC = PUNT OF REVERSECURVATUREPTPOINTOF TANGENCY = r Q I7 R/W - RIGHT-OF-WAY UE - UTILITY EASEMENT 'RALP A NIE O P.S.M. OULU PRINT DATE: PSM : PROFESSIONAL SURVEYOR AND MAPPER OHL . OVERHEAD LINE 27. 89 PREPMta FOR: FlELO DY:. EET CHUCK E. GUESS DRAWN B 1122 WILLOW AVE, SANDFORD, FL 32772 SCALE: 1 rr Nieto-MlittakerSurveyingLLC W 562 PH. (40T), M.0103FATC (40j)7102fi7766 LB No.77"