421 Elliott Ave - BR18-004424 - SHEDCITY OF NOV0 2 2018SkNFORD- PERMIT APPLICATION
BUILDING DIVISION
Application No: yi"
Documented Construction Value: $ LA
Job Address: 4,)/ /' Historic District: Yes No '
Parcel ID: Residential 19 commercial
Type of Work: New Addition Alteration Repair Demo , Change of Use Move
B
Description of Work: I l 'd S u r L S' oki
Of40 X U
Plan Review Contact Person:
Phone: Fax: Email:
Title:
PP o ,,
Property Owner Information `
Name UkarL t r_0Phone: 4fQ-7NaO. ' 44f Street:
14)4 &L't= Resident of property?: tks City,
State Zip: f" 4--C 3,11% / Contractor
Information Name
Phone: Street:
City,
State Zip: Name:
Street:
City,
St, Zip: Fax:
State
License No.: Architect/
Engineer Information VA
0'- Phone: Bonding
Company: Address:
n
i Fax:
E-
mail: Mortgage
Lender: Address:
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 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 conditioner etc.
V1
off`
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6's Edition (2017) Florida Building Code
NOTICE: In addition to the requirements ofthis 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.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
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
Print Owner/Agent's Name
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent
Print Contractor/Agent's Name
Date
Signature ofNotary -State ofFlorida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories•
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: A lS. N 6 UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
Fire Alarm Permit: Yes No
Ok to install 9 x /y (_g{-sgft) shed as shown
on plan. Meets area and dimension regulations for the
AAzoning district. Shed must be a minimum of
A) ft from the side property line and a minimum of
from the rear property line.
WASTE WATER:
BUILDING:
intertek &av
WMA Tel .1 b]3W.SSfiO
b, WM Faz.3 b]30/5561
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ife{teeis Nniress l368! pluw.ram
December 1, 2W7
Mr. Thomas Carpbell
Florida Department of Business and Professional Regulation
Manufactured Building Program
1940 North Monroe Street
Suite 90A
Tallahassee, Florida 32399-0772
RE: Plan Approval Residential Lawn Storage Shed
Manufacturer. Robin Builders, Inc. FL
Plan Number. 2017 SW
Dear Mr. Campbell,
Pursuant to the requirements of the Florida Department of Business and Professional
Regulations, the above referenced documents have been reviewed for compliance with:
2017 Florida Building Code, 6P Edition
2014 NEC
These pans comply with Florida Product Approval Rule 61G20-3.006 (FAC)
A signed and sealed set of plans are maintained on file in the Third Party Agency office
of PSI.
All mandatory comments have been satisfied and pans are approved for construction by a
modular budding manufacturer that is currently approved by the Department of Business
and Professional Regulations.
If you have any questions or require my assistance in any way, please do not hesitate to
contact me.
Respectfully submitted,
Professional Service industries, Inc.
Victor C. Martin, PE #82379
Department Manager
Budding Science Solutions
Richard E. Olds, SMP-45, SMI-76
Plans Examiner
Building Science Solutions
g x I0
PSI APPROVAL 2017-12-01 =1=1
CODE REVEW
ROBIN BUILDERS, INC.
LAKE WALES, FLORIDA
ROB Af
GENERAL NOTES
1. THIS STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE WITH THE 2017 FLORIDA BDG. 12. ALL WIRE SMALL BE 012 THHN SOLID COPPER WITIi GROUND. WIRINGSTHEDITIONANDASCE7-10FOR 180 MPH ULTIMATE WIND SPEED, (3 SECOND GUST) PROTECTED PER NEC 2014 ED. FIXTURE LOCATIONS & TYPE MAY VARY. EXPOSURE CFOR PARTIALLYENCLOSED BUILDINGS. 2014 FIREPREV. CODE. 2014NEC.
2, ALL MATERIALS AND LABOR $HALL BE IN ACCORDANCE WITH THE ABOVE CODE AND 13. ALUMINUM WINDOWS -TYPE. SIZE QUANTITY AND LOCATION MAY VARY.
ALL OTHER APPLICABLE CODES. .
14. OPTIONAL EXTERIOR WALL COVERINGS INC`LUDE CORRUGATED ALUMINUM, 3. BUILDING CLASSIFIED AS RESIDENTIAL LAWN STORAGE. 50H25 PSF FLOOR LOAD. MESA ALUMINUM, 4' LAP A' SR, SB` PT T-111 SIDING, VINYL SIDINGNOTFORHABITATION. WITH ENERGY BRACE BACKER, FlBER CEMENT PANEL &'STD' STUCCO ON515" DENSE GLASS GOLD OR SUNfUFF. ROOF COVEROVG8 INCLUDE ALUMINUM4. WRITTEN DIMENSIONS SHALL TAKE PRECEDENCE OVER SCALED DIMENSIONS, OR SHINGLE ROOF OVER 518' PLYWOOD WITH.2LAYERS OF 15 LB. FELT ORPERMATILEOVER7118" OSB AND 15 LB. FELT.
5. OUTSIDE OVERALL DIMENSIONS CAN VARY BETWEEN LIMITS AS SHOWN, BUT MEMBERSPACINGSHALLNOTEXCEEDLIMITSASINDICATED.
8. ALL LUMBER TO BE #2 SYPKO
7. ALL WOOD WITHIN 8'OF GRADE OR IN CONTACT WITH MASONRY SHALL BE TREATEDINACCORDANCEWIAWPAU1WIGALV. FASTENERS.
8. TRUSS DESIGNED TO SUPPORT D.L. * LI-. = 35 PSF.
S. ALL ALUMINUM SIDINGIROOFlNG TO BE 3004 ALLOY CONFORMING TO ASTM 8.209,
32.000 MINIMUM YIELD STRENGTH.
I a. USE08 X 314' TYPE A SHEET METAL SCREW FORALL CONNECTIONS BETWEEN
ALUMINUM LAP SIDING AND FRAME. USE 08 X 1" WITH IrZ' ALUM. BACK NEOPRENE
WASHER ATTACHED ON CONNECTIONS BETWEEN ROOF AND FRAME. SPACING AS FOLLOWS:
ROOFISIDING - PERIPHERAL MEMBERS 2 1I2` OC
ROOF/SIDING -INTERIOR MEMBERS W OCSIDING- 12' OC BOTTOMPERIMETER.
11. DOOR SHALL BE 1" X 1" STEEL TUBE FRAME WITH AN ALUMINUMPANELINSERT. ALUMINUM TRIM AND ALUMINUM PUWO HINGE ATTACHED WITH
OPTDOUDLEALUMINUAMiIUMINUMDOORSS. DOORA GARAOETDOORSTICND PREHUNG STEEDOORS . CTYPELUOESIZE, QUANTITY ANDLOCATION MAYVARY. DOOR NOT SUBJECT TOHEIGHT
AND WIDTH REQUIREMENT IF BUILDING IS <v 4GO SO.. FEET PERIO1O.1.1(8) & R311.2.
16. USE 7/18' X 1 914' 1' GA. STAPLE FOR ALL CONNECTIONS BETWEEN WOODSIDINGIROOFANDFRAME.
16 314" PLYWOOD FLOORING SURFACE NAILEDWITH 3- X.120 NAIL SPACED 8" OCEDGE/ 10' OC FIELD.
17. FOUNDATION, FOOTING AND ANCHORING OF UNIT WILL BE THE OWNER'SRESPONSIBILITYTOCHECKWITHLOCALCODEAUTHORITYTOVERIFYSPECIFICREQUIREMENTSEFFECTINGTHEINSTALLATIONGETUPANDUTIUTY
CONNECTIONS TO THIS BUILDING. THE PURCHASER ASSUMES ALL
RESPONSIBILITY FOR COMPLIANCE WITH LOCAL, COUNTY OR MUNICIPAL CODEREQUIREMENTSFORTHISSTRUCTURE.
I& ROOF DRAINAGE PER 1503.4 aR003.4
19. STORAGE SHEDS c720 SO. FT. MUST COMPLY WITH FBC, BUT ARE NOT REOUFZDTOCOMPLYWITHITSMANDATORYWINDBORNEDEBR78IMPACTSTANDARDS
FS 553.73 (8) H)
STRUCTURAL LOAD UMITATION5
FLOOR UVE LOAD:
A. wpo PSF
ROOF LIVE LOAD:
A 30 PSF
ROOF SNOW LOAD:
NOT APPLICABLE
WINO LOAD
A ULTIMATE 160 MPH; NOMINAL 124 MPH
B. WSK CATETON 1
C. C WIND EXPOSURE CATEGORY
D. GCPI = -M INTEWVL PWSSuRE
39.6. -42.9 PSF OOOREE
c F. +49.3. -82L WMOOW"
LRAOIBIBNp BAUI E1L
TLAL,
INC.
565)838-i729f 33858
SUBURBAN, STUCCC
FLORIDIAN, PINEY
BASERN, GREENHWCLASSIC,
RUFFY ANERICANA,
STEEL 2i
17 I7
1 01 a NONE
PSI APPROVAL 2017-12-01 9Rp-L3_;"
CODEREY9W
A
t
I
B
A
1
2X4 PT HEADER
VARIES TO 50' O'
PT 2X4 (6) FLOOR JOISTS 24-
MIS SKID
NOTE: ADO,81 SKIMEDHEWON° PER
NOE UNITS
M' X24' W HELIX (OR EQUAL) ANCHOR FOR SOIL
EL . MODMRA (NMACI) OR EQUAL FOR ROCK 03S
GALV. STRAP OR CABLE OF 47500 CAPACITY VARIES
TO 13' 9" sPT
2X4 FIOOR JOISTB 34. OC L— (4) S" X A20 NAILSPER CONNECTIONZ114('
6vIDES R T sTs,"TYPICAL FLOOR FRAMING 2"(OR a*)X 8"X 16' SOLID CONCRETE BLOCKS LOOAND
TIE DOWN ANCHORS SPACED 7 FROM N.
TS. EACH END, THEN MAX. S' CENTERS. SM'
OR WW SF PLYWOOD 2X4 (
6) PT FLOOR JOIST 1L00R JOISTS AT 24' OC WILL SUPPORT SO'SF LIVE 6 oEAp LAAO k
Y fL00R LOADING. PT
DOUBLE 2X8 SKIDS NOTE:
NNNkF LWf4) 3" X .170 NAILS AT FA; FLOOR
DETAIL N.
T.S. VIR
WIDTH 6' 8' 10' II' 13' T FL"
JOIST 2%A M 2X62X6 A(6 A. 16' !
8" M. 28.6' 40.5" e" 4(
r : 60' 84' 84 84, FOR 125
PSF FLOCK LOAD 16' OC OR WTH® ENTERSM .
N IEXTRA WTSIDE WALLk(
PSI APPROVAL 2017-12-01 00'1%
CODEREY4:W
FRAMING FOR SUBURBAN, FLORIDIAN, STUCCO. PINEl1Y000, BARN AND VINYL MODELS
V<$. ISPAN MAIL W.
RDOUBLE
NOTE: GABLE ORIENTATION . SYNBO,- SINCEGABLE CANAINFRIEROR7XX1.
20 GA. 2.S X 4' f41TEK CONNECTOR PLATESEACHSIDEOFTRUSE
KINGPOST ON TRUSSES > BS" 12
Gt1f2'X5'15 ROOFING: SEE NOTE8141.2A. X.iW NAIL$ 6)1.25•X.i05•NARS
SIOwG: SEE NOTE 914 ------ /
I^—MAx. Iz• I ERc10MJCONNECTION
I
PLATtn•xsffi GA.x.iwtTL'ELAyp,) W 1GA, GALV. STEEL Lw111N'
ROOF FRAMING
H.T.S.
Babe RailorTop RA
ZXI(a)FLOORJOISTABLE PT 2X6 SICOS qL
pq pRA OOVBLc2 (
6)(Si; 1:12 SLOPE MAX. 13' 9'— MA%MUN pOR $12EwG DOUBLE2XA,
NAx. 12 SPAN 720 WXSC'N r/
END WALL FRAMING MulypAASpawI•
SwapeI
dmpa wi'fl2X4SR
A FTS 4'pG N.T.S. OOUB
X FORSPPN <94' SPAN <tM• 1lfr
dahope 1516•<
3Irr. BS.WSIW i—
ROOFING: SEE NOTEri4 t40TE:ROOF SYSTEM wSTAL182ON Q4ROOF5 SHALLCOMPLYWRHf.0 t500 PERF-12 RCE.S ... NTS. OPTIONAL
SLOPE ROOF FRAMING N.
T.S. OPTIONAL
STEEL STUD DETAIL ppr WAl1J''IG EHApDi1
p, ii!: N.T.S. MpNgRpRpIO L1
OVER ANOL90•. TYPICAL
WIN. FRAMNG MWALEFRMING'
2X4
TOP PLATETUDS C.
1744
PURLw DADOE wT0 MAX.
99'977UU SID
t
n v1
2X4
92 SIP STUDS — 24'
O.G. 1x4
PURLwOADOFDFLOORINO: SEE NOTE IIIMO STUDSSIDINGSEE
NOTE 41A TYPICAL CROSS
SECTION SCALE: 4/
4' = i'
PSI APPROVAL 2017-12-01 MR11-=t"
12
4) 3" %.t20 NAILS PER DOUBLE 4 _ 20 GA. 2.5- X 4- MITEK CONNECTOR PLATEEACHSIDEOFJOINT
2X4 CONNECTION
M GA 3' X W CONNECTOR PLA
AT THIS CONNECTION ON 13'
UNITS ONLY
1 1/2' x S 26 GA GALV. STEEL PLATE
6)12S X.tOS NNLS I DOUBLE 2X4 STUDSIL RAFTERS
I DOUBLE ZX4 STITCHED W/3' X.120 NAILS 1
1X4PURLIN
tX4 PURLIN (3) 7116' X 1 3M
1 117 X 10' 26 GA. GALV. STEEL PLATE STAPLES PER CONNECTION
a)1.2W X .105 NAILS (TYP.)
1X4 BOTTOM PLATE
DOUBLE PT 2X6 SKIDS
TYPICAL DOOR FRAMING: 15' MAX_ MAXIMUM DOOR SIZE -
110•WX84•H
END WALL FRAMING
N.T.S.
1X4 SYPKD ON 8' 8 8• WIDE UNITS ONLY
1X4 PURLIN 12 20 GA 2.S X 4' MREK CONNECTOR PLATE$ 1317/W X 1 V4• 4 — EACH SIDE OF JOINT
STAPLES PER CONNECTION
OVERHANG ON RUFFY M GA 3• X CCONNECTOR PLATES
CANA MODELS AT THIS CONNECTION ON ITWIDE 27N
BOTTOM CHORDS ON 1&. 11 UNITS
ONLY. 813'
WIDE UNITS ONLY T
3)
3-X.12ONAJLS 2X4 STUDB 8 RAFTERS 24' O.C. PER
CONNECTION 92'
MAX. 1X4
PURLIN MAX SPAN flNl UR WRSEARING) 7116• X 13/4• E%TERIO ALL 2'
X 10' 26 GA GALV. STEEL PLATE STAPLES PER CONNECTION 12S
X .105 NAILS (TYP.) 2-2X4 2 j.
2jIk8
1X4
BOTTOM PLATE YFLLLEF-
11 DOUBLE
PT ZX6 SKIDS HEADER TYPE MAX. SPAN IS'
MAX. B w CROSS
SECTION .DETA 1
SOLD "AS OS" BILL OF SALE
BUYER IS TO ACCEPT THE SHED "AS IS" CONDITION. iU0 BUYER
WARRANTY PROVIDED. BUYER IS RESPONSIBLE FOR ANY DAMAGE
THAT MAY OCCUR AFTER SHED IS PURCHACED.
DATE: OIhz-t g,
BUYER NAME: -RA Q Y L LoiiVlro,v)
BUYER SIGNATURE:
B U Y E A®®RESS: 4-91 c- 1 t) O tf Po . , S n n d,Fl,
SHED SIZE: lb ro b`v,
Op -
PRICE: S(
NOV 15,WA
Pi hl(gf! eS P,F,f `i {
Ok to install 2 x /0 ( d sgft) shed as shown
on plan. Meets area and dimension regulations for the
SX'/%t#oning district. Shed must be a minimum of
o ft from the side property line and a minimum of
c/ from the rear property line.
BOUNDARY SURVEY
LEGAL DESCRIPTION: LOTS 44, 45 AND THE NORTH 20 FEET OF LOT 46, FORT MELLON, ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 3, PAGE(S) 69, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
SCALE. 1 "=30'
11
LOT 43 ^'
BLOCK
CORNER
N90ro0'(
V • 180.58' r
M
0.6-
20
I"w o
15' ALLEY
S00177'41 "W 139.77' (M) 140.00' (D) o
60.0. (P) 60.0' (P) 20. 0' (0) 1
6. 6.7
N. 20'
LOT 44 LOT 45 OF
LOT 46
4'
28.4::::::::
sckt ....ww:.:.;.: PORCK:i:i.
38.7 Ni12;6 32.7
ONE STORYN• n
M CB.S.
1421
1e
96' 29.4 r' 6.0
36.0
30.8- B
C9PcoP A/C
BR1CK
DR. h
ELLIOTT AVENUE
100' R/W)
LOT 46
LOT 47
w1
I V40. 0' (0)
i
IIIII hIoNM
OV)
J
RIGHT-OF-WAY LINE CENTERLINE BARB WIRE FENCE MOOD FENCE CHAIN LINKENCE PLASR E
COSMOPOLITANA/C AIR COIVD177ONER I.R. - IRON ROD P.O.C. - POINT OF COMMENCEMENT
A - CENTRAL ANGLE I.R.C. - IRON ROD & CAP P.O.L. - POINT ON LINE
TITLE AGENCY, BLK - BLOCK L - ARC LENGTH P.R.C. - POINT OF REVERSE CURVE
C.B. - CHORD BEARING L.B. -LAND SURVEYING BUSINESS P.R.M. -PERMANENT REFERENCE
C.B.S. - CONCRETE BLOCK STRUCTURE L.S. - LAND SURVEYOR MONUMENT
C.M. - CONCRETE MONUMENT M - MEASURED P. T. - POINT OF TANGENT
INC. CONE - CONCRETE N - NORTH R - RADIUS
D - DEED N&D - NAIL AND DISK R/W - RIGHT OF WAY
D.E. - DRAINAGE EASEMENT P - PLAT S/W - SIDEWALK
E - EAST P.C. - POINT OF CURVATURE S - SOUTH
F.F.E. - FINISHED FLOOR ELEVA77ON P.C.C. - POINT OF COMPOUND CURVATURE U.E. - UTILITY EASEMENT
FND - FOUND P.C.P. - PERMANENT CONTROL POINT - WEST
ID. - IDEN7IFICA77ON P.L. - PROPERTY LINE W.F.. WUOD FRAME STRUCTURE
I.P. - IRON PIPE P.O.B. - POINT OF BEGINNING 0 - T 1/2I.R.C. PSM L817371 DRAMN
BY: CHECKED BY: NOTES.• M
P B R E TT BEARINGS SHOWN HEREON ARE BASED UPON 1) This surve Is based on the legal escript/on as provided by THE
CENTERLINE OF ELLIOTT AVENUE BEING the Client N00'
00'00' E ASSUMED 2)
This Surm has not abstracted th land shown hereon for CER77FIED
TO: easements, rights of way or restrict! s of record which may MARK
COCHRAN affect the Itle or use of the land 3)
Da not rec struct property lines from SEMINOLEMONEYTREE4) No footing overhan en oco except as shown COSMOPOLITAN
TITLE AGENCY, INC. OLD
REPUBLIC NATIONAL TITLE INSURANCE COMPANY Long Surveying, Inc. 5)
No Improve n utilities have been I cated except as shown
6)
This a y is at valid without the signa re and the original COMMUNITY
NO: Specializing in Residential Surveying" ro d seal of Florida licensed Surveyor nd Mapper ., 120289
LB No. 7371 PANEL:
SUFFIX.• F.LR.M. DATE. 0070
F 09/28/07 143 Villa Di Este Terrace #113 Certification: I c ify that this survey wa made under my direction
and that it meets the minimum t chnical standards FLOOD
ZONE. Lake Mary, FL 32746 set forth by the Board of Profess/onolL d Surveyors and Mappers
in Chapter 61G17-6, Florida Ad inistrotive Code, X
Office 407-330-9717 or 407-330-9716 pursuant to Section 472.027, fior o Statutes. SURVEY
NO. FIELD DATE. Fax 407-330-9775 40494
11 /30/10 WWW..LONGSURVEYING.COM M. Shoem .SM. No. 5144
CITY OF
y SANE Building & Fire Prevention Division
fIIAE DEPARTMENT
RESIDENTIAL, SIDED AFFIDAVIT
120 SQUARE FEET OR LESS)
PERMIT #: / `7 4 ADDRESS: yaZ/ EJ// 1 t7't4 A4,
4 pt- 3xn /
I VVll,.r- L CDA,-,xv . HEREBY AFFIRM THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE. THE SHED TO BE INSTALLED ON THE PROPERTY LISTED ABOVE WILL BE REQUIRED TO MEET THE
FOLLOWING: INSTALLED TO MEET ALL MANUFACTURER REQUIREMENTS, PROPERLY TIED DOWN PER MANUFACTURER
RECOMMENDATIONS, AND LOCATED ON THE PROPERTY IN ACCORDANCE WITH THE APPROVED SITE PLAN. SITE BUILT SHEDS MUST
ADHERE TO COMMON CONSTRUCTION PRACTICES. I UNDERSTAND THAT FAILURE TO PROPERLY LOCATE THE SHED IN THE APPROVED
LOCATION WILL BE A VIOLATION OF CITY CODES AND COULD RESULT IN THE SHED HAVING TO BE RELOCATED OR TAKEN DOWN AT THE
OWNER'S EXPENSE.
El LICENSED CONTRACTOR
LICENSE #:
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
J/HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDERNAME: Vv-rL Cvcr rc,^
OWNER / BUILDER SIGNATURE:
DATE:
DATE:
PLEASE NOTE"
THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON SHEDS SIZED 120 SQUARE FEET OR
LESS. THIS AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND
WILL SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE SHED.
STATE OF FLORIDA COUNTY OF - e-rN'nole
Sworn to and Subscribed before me this 2)() day of OJO wi- 20 10 by:
Aax-k' C chr ri . Who is*Personally Known to me or has 11j_Produced (type of
identification)
Signature 6f Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
KARYN SOKOLOWSKI
MY COMMISSION # GG 053370
EXPIRES: December 10, 2020
Bonded ThN Notary Public Underwriters
Effective: August 1, 2017