208 Laurel Dr - BR18-004435 - FENCECITY OF
S^ KFORD Building & Fire Prevention Division
ri t RESIDENTIAL FENCE PERMIT APPLICA TION
FIRE DEPARTMENT '
Application No: —
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Documented Construction Value: $ _50 2_5
3 ' l 1
Job Address: u t,., : , 'San i "/ ' Historic District: Yes No
Parcel ID:
Plan Review Contact Person: Title:
Phone: Fax: Email:
idential-Fence-Informatio
Type of Fence: Wood] Metal PVC/Vinyl Iron Other
Fence Height: Le Feet # Gates: o / Total Linear Feet: (
Additional Information: 4 i o. V KLI S"] 14 T)-e -C e - L` del '(a 0 ( 4 e, A t1Z. j
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
r'
Name Y `F
p
LvAndcr Phone:
Street:' U1 Qe,Lf .1. (. Resident of property?
City, State Zip: U, cal Ila r& Ja I
Fence Contractor Information
Name l— N i f 2 Phone:
Street
City, State Zip:
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: 51h 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.
AFFIDAVITSI -certifythat alloftheforegoinginformation isaccuratealid-thatall-work-w>I
be done in compliance with all applicable laws regulating construction and zoning.
dl, (1 - <J
Signat re o caner/ g nt Date
Ie
Print O /Agent's Name
Signature ofNotary-Sta a ofFlorida -Date
o1PaYP B ; ANNETTE BLAND
Public State of FloridaNotary
Commission # GG 060623
P My Comm. Expires Jan 16, 2018
Owner/
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: I I'S-( FIISTORIC:
COMMENTS:
Ok to install approx.296 linear feet of 6 foot high privacy fence and 2 gate(s) as shown on plan. Fence along Park Avenue shall
be setback a minimum of 4 feet from the property line and the area between the property line and the fence shall be
landscaped with shrubs and/or groundcovers from the plant list in Schedule J. Fence shall be constructed with finished side
facing outward.
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
l(T
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 I 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
C- persons working on my building or residence. It is my responsibility to ensure that the persons whom I
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. I, 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 -
f j^
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
f- I
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
tL/A__ coverage.
Property Address: ,A U / Luo,-br,
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 specified above.
t_1 Ully- 1018
Signatur6 of Owner -Builder Date
Form of Identification
Must be Photo ID)
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
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to install approx.296 linear feet df 6 foot high privacy > fence
and 2 gate(s) as shown on plan Fence along Park Avenue
shall be setback a minimum of 4 feet from the _ t,•. property
line and the area between the property line and thefenceshallbelandscapedwithshrubsand/or groundcoversfromtheplantli>t in Schedule J. Fence shall beconstructedwithfinishedsidefacingoutward. 33
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SkRFORD Building & Fire Prevention Division
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FIRE DEPARTMENT
RESIDENTIAL FENCE AFFIDAVIT
6 FEET OR LESS IN HEIGHT)
PERMIT #: ` $ J ADDRESS:
2k c-1 I 'AL )
O /r%6 , HEREBY AFFIRM THAT ALL OF THE FOREGOING
INION IS TRUE AND ACCURATE. THE FEI ICE WILL E 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: CONTRACTOR
SIGNATURE: DATE: OHOMEOWNER (
OWNER/BUILDER) OWNER/
BUILDERNAME: J, DATE:
OWNER / BUILDER SIGNATURE: ( L 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 Sworn
to and Subscribed before me this day of 20 by: Who
is Personally Known to me or has Produced (type of identification)
as identification.. Signature
of Notary Public State
of Florida Print/
Type/Stamp Name of
Notary Public Effective:
August 1, 2017
Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018126164 Book:9243 Page:1182; (1 PAGES) RCD: 11/05/2018 01:38:11 PM CERTIFIED COPY GRANT i 4t.0YRt'G FEE $10.00 rr nr/ Yt r PI rr + n inT 4
AND COMPTROLLER ('` ":''d
SEMINOLE COUNTY, FLORIDATHISINSTRUMENTPREPAREDBY /j;:•-
Name: gL '
Address: BY -- DEPUTY CLERK
J r 00 P bey aa3 :o+ rm ea rs:=a
3Zllg3NOTICEOFCOMMENCEMENT NOV ® 5 2018
State of Florida
County of Seminole ;
Permit Number: t4?J 5 Parcei ID Number: O (•, L lU 60qZ)
j The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DE sCRIPTiON OF PROPERTY: (Le al description of the property and street address if available)
ole8 Lf'>Lcd.41 t`J.c vordl -'13
GENERAL DESCRIPTION OFIMPROVEh7ENT_:
fJl au e,
OWNE INFORNIATLQN: _
Name: A_
Address: 09 1 rQ)/ • c) '/3
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR-,
Name: 0 P l aR.LR F_ aey-a-vide f'
Address: RQX Lnt (.p,(_ i.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713A3(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless a
different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the besii.of my knowled and belief.
V./ Owners Signalute \ " Owners Printed Name
Florida Statute 713.13(1)(g):'Theownermust sign the noticeofcommencementandno one elsemaybe permitted to sign In Ns orher stead'
State of GY l County of ,1sLM_+rZ
The foregoing Instrumentwasacknowledged before me this day of d` c/A r, 20 by
Cv 1 aF ^>,kai hJ4pl — Who is personally known to me 1-
Name of person making statement q OR
who has produced Identification El type of Identification produced: r 5 t o,
aYst%, ANNETTE BLAND Notary
Public - State of Florida NotarySlgnature My
Comm. Expires Jan 16, 2018