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159 Wood Ridge Trl - BR17-002991 - FENCESANFORD FIRE DEPARTMENT' Building & Fire Prevention Division RgqESIDENT IAL. FENCE PERMIT APPMCATION Application No: of Documented Construction Value: $ 51 C) Job Address: 5D1 Historic District: Yes No Parcel ID: j'a - i - rs nip O' O O :7 Plan Review Contact Person: DO U.G 1 V C-Y Title: Phone: Fax: 38 G - CO hll Residential Fence Information Type of Fence: Wood Metal PVC/Vinyl 1 Iron[] Other Fence Height: to Feet # Gates: ; _ Total Linear Feet: Additional Information: Fences with a height of over 6 feet will require signed & sealed structural engineering** Property Owner Information Name P t Phone: _ b`1 - o` FJ - i O Street: i W ibcj Resident of property? : Q itv, taSieZin: ^ 4 Fence Contractor Information Name .VV Qs 'urGt Phone: 32) to - t b Co!5 Street: 90 IbC)Y, J 3 byt Fax: 3 l - Vl G _ "1 t City, State Zip: fl On a 3 9 1 Please Note. The Building Department sloes 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 COIVIi IENCEYIENT 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 I, 2017 Application is hereby made to obl&' commenced prior to the -issuance of in this jurisdiction. I underst2nd as iurnaces, boilers, beaters, tanks, and air conditioners, etc. FBC 1053 Shall be inscribed with the date ofapplication and the code in effect as ofthat date-, Wh 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 he found in the public records of, this cmmty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, , or federalagencies. Acceptance of permit is verification that I will notify the owner ofthe property ehwnrtyofthe requirements of Florida'Lien Law, FS 713. work or installation has to I bermit must be plumbing, signs, wells, pools, OWNER'S AFFEDAVIT: 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 of Owntr/Agcnt Date Print Owner/Agent!sName Signature ofNotaty-Stare of Ftorlda Date Owner/ Agent is _ Personally Known to Me MI odPrucedIDTypeof30DZ! ignature OfCo 0 riAgentDate Print Contra4t6t/Agent!s Name. Signature OfNotiq-stitc Contractor/ Agentis t,,"'P'ersonallyKnown to Me or Produced JID Type of ID PLAN Ug WROVAL: PLANNING*jo-- IRSTORIC. COMIYMNTS: Ok to install approx. 129 -- linear feet of 6' high privacy fence and A:gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. Efteetivc- August 1, 2017 PO BOX S30489 OFFICE 386-789-170017 1DEBARY, FL 32753-0489 $00-590-761.. IfISA FAX 386-789-0796 a y www.davesfenceinc.com INSTALLATION AND REPAIRS ON ALL TYPES OF FENCING Proposal Submitted to: PEGGY HARRELSON Job Name: SAME Date: 8/24/2017 Street: 159 WOOD RIDGE TRAIL Job Location: SAME City, State, and Zip: SANFORD, FL 32771 Contact: Home Phone: 407-256-1101 Bus. Phone: Cell: Fax: We Hereby Submit Specifications and Estimate For: FURNISH AND INSTALL APPROXIMATELY 129';OF 6' HIGH HEAVY DUTY, TONGUE AND GROOVE PVC FENCE. INCLUDES 1 GATE WITH ALUMINUM I BEAMS IN HINGE AND LATCH POST. ALL POST 3' IN GROUND ALL POST SET IN CONCRETE. TOP & BOTTOM RAILS TO BE HEAVY DUTY 2"X7". FENCE IS BUILT ON SITE. LAYOUT SUBJECT TO CITY APPROVAL* INLUDES LIFETIME GATE ADJUSTMENTS @ NO CHARGE. NO SUB CONTRACTORS USED. PVC Vinyl T&GROOVE Aluminum Wood Chain Link Style PRIVACY Style Style Gal Black Green Height 6' Height Height Height Color TAN Color Picks Resid LghtCom Comm Post 80c S"X5"X9 Grade Runners Terminals Caps FLAT Caps Post tine Post Walk Gate (1) @ S' Walk Gate Gate Post Top Rail Double Gate Double Gate lWalk Gate Fabric Gate Picket Spacing lGate Bottom T-wire Please Read: Wood fence has a 20 year manufacturer warranty against rot, decay, and termites. Warranty does not cover warping, splitting or cracking of any portion of the wood fence. Dave's fence recommends applying a water proofing sealant to help reduce cosmetic flaws in wood products. Walk Gate Double Gate Gate ^^ Locate # GENERAL INSTALLATION INFORMATION Cust Initial Drawing YES Permit- DAVES Clearing CUSTOMER Grade Changes YES Survey CUSTOMER TO PROVIDE Take Down DAVES Severity MINOR Cross St KAYWOOD DR Haul Away RAVES Location of Grade SIDES HOA Approval- N/A Irrigation System YES Fence Straight on top WHERE POSSIBLE N.O.C. DAVES IDog YES ISize SM Fence Contour to ground TIGHT' Requested Installation Date: All material is guaranteed to be specified. All work to be completed in substantial workmanlike manner according to specifications submitted per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All materials remain the property of Dave's Fence until contract is paid in full. Right of access and removal is hereby granted in the event of non payment as agreed. Not responsible for damage to underground lines that cannot be located. Installation Date 4 - 6 WEEKS Base Price $3,833- DISC. OF $437 = $3,396 Permit + $150 N.O.0 + $35 Total Price = , 581 $3 According to Florida's construction Uen Law (sections 713.001-713.37, Florida statutes), those who work on your property or provide materials and are not paid in full have a right to enforce their claim for payment against your property. This cliamis known as a contruction lien. if your contractor or a subcontractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are owed money may look to your property for payment, even if you have paid your contract in full. If you fail to pay your contractor, your contractor may also have a lien on your property. This means if a lien is filed your property could be sold against your will to pay for labor, materials, or other services that your contractor or a subcontractor may have failed to pay. To protect yourself, you should stipulate in this contract that before any payment is made your contractor is required to provide you with a written release of lien from anyperson or company that has provided to you a "notice to owner." Florida's construction lien law is complex and it is recommended that, aspecific Problem arises, consult Retainer > f Balance due upon completion: S- J +6 Once proposal is accepted by Dave's Fence the porposal becomes a binding contract and is not subject to cancellation This proposal may be withdrawn by Dave's Fence if not accepted within _30_ days. Company Representative: ERNIE 407-310,9207 Whenever Acceptance of proposal- The above prices, specifications and conditions are satisfactory and are hereby accept d. You are authorized to do the work specified. Payment will be made as outlined above. l/jSIGNATURErI Date:' SIGU ( Date; THIS INSTRUMENT PRFPARED BY got'(' 7 4-1 V l '; Name:./. (S l%N e-I Address: NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number `- %1r— (,)-;? 'fXx D - 0500 GRANT MALOYr'SEMINOLE COUNTY CLERK -OF CIRCUIT COURT & COMPTROLLER BK 8995 P9 719 QP9s) CLERK'S t 2017096885 RECORDED 09/27/21317 01 * 08 *.`12 I'll RECORDING FEES $10.00 RECORDED BY htievore The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PR07RTY_ (Legal description of the rope and street address 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMA N OR L- SEE INFQRMATION IF THE LESSEE O CTED FOR THE IMPROVENI NT: _ fx'r'Name and address: tT f YISa i1 i 5 UG cj Interest in property: 6r. n Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: 5 ` F G. Phone Number. Address: _E. O. 1W 9dl 2 nFii'gNA ,I- 3z%3i 5. SURETY (if applicable, a Address: the payment bond is attached): Name: 6. LENDER: Name: Phone Number. Address: Amount of Bond: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(1)(a)T., Florida Statutes. Phone Number. 8. In addition. Owner designates receive a copy of the Lienot's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration Is 1 year from date of recording unless a different date is spec)fied) WARNING TO OWNER., ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT 1N YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the fact stated In it are true to the best of my knowledge andbellI x twe of Owner ortessee, orOwr 6 or Lessea'a zeG OfnetrR7irector/ParineriMrineger? State of FL021 Del County of Vb Lt(s 1/4 4 R Hint Nome and de S+gnntocy s Tmemos) The foregoing Instrument was acknowledged before me this A-- day of J`-PT fYI 20 by a x ui,J Name of perwnmaking statement who has produced Identification type of identification produced: p C)ARLEr, r:BOCI< tit CO ttai`C:i'"GG02C+'29 i vwbtnb?r 18 2020 1 t'u, G i37c' Ihti I'e,c7 ati'C Unof rwtltar5 ' SEAfINOLE COCINTY MULTI AIRISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: _ q:25-1 1 hereby name and appoint: i I -a- n Tw'P_ (UC /YI r nNtM an agent of: +' f e6, FtwC. , IN Name or Company) -•` to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to thisappointmentfor (check only one option): All permits and applications submitted by this contractor. Or The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: q25-)g License Holder Name: PAIL( D 1l Pf'C:A7Q State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF VC)2_tiSlrk 14 The foregoing instrument was acknowledged before me this 25 tlayof 5C-f BLV20 1-) , by .AV ID 1 JPPC (64 who is CI3' personally known to me or 0 who has produced _ as identification and who did (did not) take an oath f D( ARLENL. MY C V ik}vAIMs 10 1 G # F .LJ ' i iRDS NV &Yet L A&a Print or type Notary name Notary Public - State of tr-LOf'_ P/+ Commission No. 6G (vf' Z9 My Commission Expires: __/I - /&-Z POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESONTS: That WESTERN SURETY COMPANY,,a corporation organized and existing under the laws of the State of South Dakota, and authorized, and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District, of'Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, NewHampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma' Oregon, Pennsylvania, Rhode island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint Paul T. Bruflat of Sioux FallsStateofSouthDakota , its regularly elected Viie President as Attomey-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver forandonitsbehalfasSuretyandasitsactanddeed, the following bond: One .--CONTRACTOR CITY OF SANFORD, band with bond number 14936 27 for 1)AVTT} HTRPGHFAI DMA DArF as Principal in the penalty amount not to Western Surety CompaCompanydulyadoptedandr Section 7. All bonds, polio name of the Company byBoardofDirectorsmayauth s that the following is a true and exact copy of Section 7 of the by-laws of Western Suretyl: or other obligations of the corporation shall beeretary, Treasurer, or any.Vice President, or by y !vi use va„ony or any bonds; policies, undertakings, Powers of Attorney or other obsignatureofanysuchofficerandthecorporatesealmaybeprintedbyfacsimile. In Witness Whereof, the said WESTERN SURETY COMVicePresidentPANY has caused these prerwiththecorporate 'seal affixed this.. 24 day of .Tu3v ATTEST L. Nelson, Assistant Secretary STATE OF SOUTH DAKOTA COUNTY OF MINNEHAHA ss On this ?4 who, being by me' and Assistant Sec be the voluntaiv aE Z txecuted in the corporate such other officers as the Treasurer may appoint company. The corporate of the corporation. The to be executed by its 2017 491Y , 2017 , before me, a Notary Public', pandL. Nelson rledged that they, signed the above Power of Attorney as Vices Pre of the said WESTERN SURETY COMPANY, and acknowledged Corporation. VicePresident 8 J.,,MQHR. EALNOTARY PUBLICQWEaAZ,ss $botH DAKOTA r O Notary PublicMyCommission 'Expires June 23, 2021 To validate bond authenticity, go to www.cnasure cornCoverage.; > Owner/Obligee Services > Validate Bond Form FlM-i-2416 07mr k5torn oy Com'pany Western Surety Company hereby continues in force Bond No. briefly described as, CQNIRACTOR - QITY OF, SANFORD as Principal, in the sum of $..TWQ THOTISAXIIAND NOI-100 Dollars, for the term beginning October 0 1 and ending..,.. SWAembei 30 . . .... 2018 subject to all the 'covenants and conditions of the original bond referred to above. This continuation is issued >upon the ,express condition that the liability of Western Surety Company under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed the total sum above written. Dated this __ 24 day of . July 2017 WESTERN SURETY COMPANY By G Eul ;TT. BrPaulBr at, Vice P,-.,idet THIS !'Continuati;on' Certificate" MUST BRIPILED, WITH TH E ABOVE BOND;:----\ Form90-A-8-2012 4 Legal Description A Lot 30 (LESS the South 25feetforroad), KAYWOOD REPLAT according to the plat thereof, as recorded in Plat Book 30, Page($) 27-28, of the Public et Records of SeminoleCounty, FL. Community number. 120294 Panel: 0040 Kamas Suffim E F.IJL ff. Date. 411711995 Hood Zone: X y Date offield work. 31612003 Completion Date., 31612003 CL nifted to -- Peggy Harrelson,• First American Title Insurance Company: W-hi-Vols; Mutud i ssors on IAI ODKIDGE TRAIL 50' R, V 25. 00' 90.00, 80. 89'SV9-57'02 (M) N89-5928-E (M)(P) 80. 82'S89-59'28"E M 11 1 .. . . .. -- . 71 . . F : I 23 IMPROVED ; I-ILAMSLOT 29 1- 01-01-7 ENG. DEFIT. P.O.Lb.l Qm 24. 56' 22. 70' 11. 00O 4W 46 ONE STORY REV 159 I G7U- 4f I-eLorio aM SaM 25 f7) 90. 00`S8-4-.W2B 'W tM) Survey Ile Line I I L Ok to install approx. 12A linear feet of 6' high privacy fence and qate(s) as shown on plan. Fence shall be constructed with finished side facing outward. 90. 00, W jz 1W (P) rite - N1.11. M=hllk- W." F-I W-M. V= M - N.Ts- Sv. W S=I. F- ST--A X I ML. 7e —, Fe'VW'7 O.R. P" Jn A- O.R.B. R-M-, Book P- lzz--d B.R.B r,ZRd — PI —I C=W pv= M FWI-INkz_' CH CI-d P.C.P. N — Re—. M-u== CL Ck-- RAD R-din, M. Pd ENCX x. Tk. X- nAiT. Pn— Ci AC Aircl.whkw PI.B. Nz l-lk U.M. AGA. TL U. C. zUvrcocmw:• = C.M. Crc M-- Wm* %Yz FILL M. - Lbr FIIL F-d t= Pod C-1 A--;L- P.C. rjP 7-d t- p4v DB. D.:d P.R.C. ROWA.` orwery D. D-V- . (k¢d P.T. Pvim FT.&=- D.1,11 81AeR. Pz&. D--;p E.— r.'kh- 0.-,. a.y X'Mt V X.- EmvtCAi USNIIL- Rd a Ew M Fad P M. S. Fk- T.O.P. Tpqflx=* If7W sr- F. C-:Ii Fad CtR+. =.M,attG ni TNT. T) Pkd Oil ' L". omb- 1 Utu.:* F.P.K. lvlc. Irr— C— PA P Pkgo L L--h TW. EN-Mi elrrzica TXTl--OYRi LAI LmfirA Al E-- r.-OA1, Orww LOT 31 Property Address: 159 Woodridge Trail Sanford FL 32771 C' FNERAL NOTES SIMX& rt Coe-- - 0- f.- e .- -il 4— k-'L GV-' 1---'9 W—i. Ad—, ty 11, LA 7M W 14 FL 3C746 r e a ..P tegal Descriptian at Lot 30 (LFM the South 25jeerfor rood). RAPWOOD REPLAY aecartl ng to O the plat thereof' as recorded in Plat Book.30, Pages) 27-28, of the Public ' Records of Seminole County, FL Community number. 120294Panel: 0040 6 n i b° as ( ` ' y ` Su,ix: E F,LRM. Date: 411711995 flood Zone: X w a Date offleld work 31612003 "Completion Daft: 31612003 ri Certified to W1 C Peggy Harrelso-% First American Title Insurance Comparvy Washington za xL N Mutual t slots a n a. 1-Y .. I p PSALAA9atirZ ODRI©GE TRAIL 5t7 R./W 25.00 90.0ci80.89'S89-37'02V (M). N8.9-59 28"£ (MAP). I 23.99 724.56' I414zzro 0 41 Cl ON -Er STORY 0.30RESTf59' n i kOVED PLANS LOT 30 10 49 LOT # ( st Z3fT) Ok to install approx. 129 _linear feet of 6' high privacy fence and 1 gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. LOT 31 Property Address. LEGS D'- 159 Woodridge Trull 4 = t 7%' C.411t Rim M.34. I=W; Sanford FL 32771 s-z- tt"xc3'cccc 1"?ui... 4ty9ia ti.T,S:. uxao:x.`c GEc\`CRAL NOTFSNnBxati #T ie=' og xAmeO., P. c.PA L74: aa[Kxctaeit H.a`.'. f.4;:{5 yven6hi6ioscc. z :: aaia,: a- ` t JtP er, L 40 2: 3Fk1dM c - OILa. Cr# C'.rd' PRaM PrTa. 9c'Mcunlrc±EateMfhrv_:: nera R.f a e naMvtx CL f"= RAO RSdL:. .. Gi. P Ipa s-.-amh. 3ut M4 r v e.3r' - .. wu+..r: r•. _d 1" taro-aat , Ay az srm buMS r9_ S, txty vuAir,.<a?l.+nerz ser+aGA. "- Cca KC 5s Caafcitq PR Yiat Yat .. r'..=a. - ,mi*MPcawvc „akssamaf.. Him, 3M41M.'t P.0:i. P+sufRs-„ai,:c x auren terra: xep&s mKtmm=u +ac-+=.; cc . I = C. C.xtrniM-dP.fltnca i'a(C C`.: q¢iYCiR3Si5iILA Rkk 7.4}.(.. 1Yrm €.mC., adptaktx}w Efdru i; SL.eten;:ear> msio3fi. Tkuaar 446L Pf.TSZ'R?T .w'ads:uS:dMa9: TILLhamPWCDdMrC, Pazn tn',CwiPea at. tine a r3 + .u4 aa*.cn.• .zv-:+t zcvd. F,3.P n'...:-•h—piip. s6$- D_J3_& Mc, 1. ui"R:L. cc_. at&7UadTpnr mrgm.diGmac_F s9+2. saa ae mzir:ed Chum $Ccv yiP;z.. Rriti Ra p7"Ak3e } D. LXur yatmw(kid PT. Pest aCTcewYnE4iL do eE. Thy. x .atbe rHad e{.c rY}®ed 4`&€ x tisd&M% 041 tkiiiiid. R x sn7S Ali mstasp $waaxf efxmss:mycw3atd b+Mlm. t}, LB.'1}: LTC. lDRIi6 c£_ tziw Dd-.gym• Rfl..itrt RMdC1lY/hlttig ttiSst'a>Rrt IamYs rmfrYr t i, i`$ae a:Y /r`E+9n ;1Far}Y.ulmmiw V,E: L°ltar F.asYum1. CFI? Faseaxm 31.8.. 55:t hm Rm a C.P Casty EL Eki- _ SPIV Sedcm' t, P1. F.Y. - iirra°3rdFil- T. 7crp ofttsnk .. x«+P r s....,e.u.ae c a. ».r.r attu. ww•.•,• ..--xa oauusrx FF,K. s' e xaxa ' ' C ; a Dr. Peat ti.c trp- 1 e os- P, VRrrs Ptrk, L 100.1he Exiling Et iw wera4kTttovg Sim*= t49. La4rt t L .,3 W TX T_rl c - LAF. -. t-ncxiuA:iccssa E_ .Law IIV to CITY t?F SXRFBuilding & Fire Prevention Division FIRE DEPARTMENT RESIODENUAL FENCE AFFiDA'VIT 6 FEET OR LESS IN HEIGHT) PERMIT#: / / -T' I ADDRESS: 159 W00-D -1 DCC :re4,1L lr1 Cott 1?, FL -3z-771 I 6WI D 1-hPPG4Frj , 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 b 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 LINESANDANY 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. i: ENCE 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 / CONTRA CONTRACTOR SIGNp HOMEOWNER OWNER/ BUILDERNAME: DATE: q —25 — OWNER / BUILDER, SIGNATURE: DATE: 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 V6L.U5i A Sworn to and Subscribed before me this 201—day of BC2. 20 1) by: III V 1 j PPWho is 5Personapy Known to me gr has O Produced (type of identification) Signature of :Notary Public State of Florida aai. a4 L- L_ Nj6 oC4CPrint/ Tjfpe/Stamp Name of Notary Public as identification. mm FRkktt p F C CK p Y''° S tk i3'il iA\: h +dU&.[W LJ 2020 Effective: August 1,2017