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HomeMy WebLinkAbout1130 Twin Trees Lni RECEIVED JAN 2 6 2011 F BY: _ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: W y Documented Construction Value: $ -'r Soo Job Address: (c. '1 l r f S r1 Historic District: Yes No B Parcel ID: ,'2Z,— Cf -36' gC C ! 7 C) Zoning: Description of Work: r Plan Review Contact'Person: Title: r Phone: If Fax: 40- 7) Z" Fr_U E-mail: r Property Owner Information Name L,i;(1Gt.('1 y mLs LL--,fi— Phone: Street: 1,,5566 i r'+ Resident of property? f') U City, State Zip: 3 37(,6 Contractor Information Name Ab p 3_0 j ug' i Phone: gb6a' % 1 Z 1776 Street: t/L _,Jj Fax:(` City, State Zip: (`)/ 1 I 6b tZ 3_0 IVIA e State License No.: Name: Street: City, St, Zip: _ Bonding Company: Address: Building Permit fJ Square Footage: No. of Dwelling Units: Electrical New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMITjINFORMATIO1 Con_ striictio°n Typew No. of Stories: Flood Zone: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: a Application is hereby made to obtain a permit to..do the, work -and -insial]ations 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. 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. 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. 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. The City Of Sanford. requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: _ COMMENTS- i i Rev 11.08 Signature of Con trac [ to SAMANTHA FURBOTE My COMMISSION # DD8651 EXPIRES March 01, 2013 UTILITIES: FIRE: Produced ID s Name U ire of Flo a Date IrA bb 1 I eeree• S yra/VlAylult 61' s...a•..y. It is Personally Known to Me or Type of ID WASTE WATER: BUILDING: e _._ ,. I - . _....... _.., POWER OF ATTORNEY Date: f I hereby name and appoint _ rain of IADT Security Services to drop off and pick up permits at the 1 O f-d Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be perfonned at a location described as: Parcel Z— q — U' S} " ^ %q-,o Subdivision Address of job Owner L r1 n& r George Manginelli EF0001121 Type or Print Name of Certified Co tractor A Signature of ertifi ltractoa- The foregoing insti ument was acknowledged before me this by O i who is ersonally knowl to p - duced as identification and w 10 did not take oath. State of Flo td 9(5T my of t" ,F,iM n l 1 I S` day of20 Public, Seminole VICy V10lida SAMANTHA L FUR80TER MY COMMISSION # OD885138 EXPIRES M" 01, 2013 1' i, 39"183 p RESIDENTIAL SE 1t`E9 CbNTRACT IIIIIIIIIIIIIIIIIIIIIIIIIIIII (IIII IIIIII , 5104U E.11 LEAD SOURCE: CONTRACT DATE: TOWN NO: CUSTOMER NO: JOB NO: , i ADT Security Services, Inc. (ADT) We" or "Us" or ,Our") Office Address CTel: 1-800-ADT-ASAP1-800-238-2727 Customer Name You" or "Your") C' one) 1. i Address G'J City r,Q Affinity Name & No. State / Zip 'v i Tax. Exempt No. Protected Premises' Telephone y 7/.! Tax Expire. Date C'F'raditional Phone Other Qualified) Ot/her (Non -Qualified) Alternate Telephone 1 7 f%!' j f/ Circle one) Home ork w/ ext. I H^ / C'PII / Work w/ ext. Ir IF FAMILIARIZATION PERIOD IS ; Alternate Telephone 2 REJECTED INITIAL HERE 'EMAIL -. Communications Authorization: You herebyreby authorize ADT to furnish information and/or updates regarding your security system and new ADT an orthirdpartyproductsandservicesavailabletoADTcustomerstothecontactinformationprovidedbyyou. You may unsubscribe or opt out by emailing donotcontact@adt.com_or by calling 888-DNC4ADT_(888.362.4238,ritia here Conrirmation of Appointments: You hereby expressly authorize ADT to call you using an automated calling device to deliver a prerecorded message toseticonf_irm a service/rnstallatlon_appointment atahe,telep_hone_number(s)_shown „above. Initialere__ -- _ System Ownership: El Customer Owned L C15T Owned EA,51andard Monthly Service, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire, and Manual Police Emergenq 0 Standard Monthly Service, Fire/Smoke Detection Service includes. Customer Monitoring Center Signal Receiving and ` Notification Service for Fire, Manual Fire, and Manual Pohce_Emergency Carbon Monoxide Flood El Low Temp _ _ - Medical Alert ` ---- __---___ _-- Safewatch Cellguard° ------------------ SecurityLink° _ _____.._ p.Extended Limited Warranty/Quality Service Plan (QSP) Guard Response Service Monthly R, curving Municpal Fee (Subject to change based on local law Customer to obtain and pay for municipal alarm use permit . .. Other 0 Iy Service Charge; Municipal Construction Permit Fee Customer to obtain construction- P. ermit --- Installation Price Taxable Amount Non -Taxable Amount Connection Fee Sales Tax on Installation` Total Installation Charge` Deposit Received Balance Due upon Installation* If applicable sales tax not shown, it will,be added to your first invoice. Total Monthl - Service Char ey — — -- g Initial/ ElInitial/Annual Recurring Municipal Fee -billed separately Annual Fee Subject to change based on local law) Estimated Start Date Customer to obtain and pay for initial/annual municipal alarm use permit. Your failure to obtain and provide ADT with your municipalalarmusepermitregistrationnumber. could result in no municipal fire/ Estimated Completion Date police response to an alarm from your premises and/or a fine. _ _- ---_-_ _ ----------------- GE OF EQUIPMENT AND SERVICES AVAILABLE TO YOU; (2) YOU ACKNOWLEDGE AND ADMIT THAT: (1) WE HAVE EXPLAINED TO YOU THE FULL RANADDITIONALEQUIPMENTANDSERVICESOVERTHATDESCRIBEDHEREINAREAVAILABLEAND MAYBE OBTAINED FROM US AT AN ADDITIONAL COSTTOYOU; (3) YOU HAVE CHOSEN AND HAVE CONTRACTED FOR,ONLY THE EQUIPMENT AND THE SERVICES DESCRIBED IN THIS CONTRACT; (4) THE INITIALTERMOFTHISCONTRACTISFORTHREE (3) YEARSt AND (5) YOU SHOULD MANUALLY TEST YOUR SYSTEM MONTHLY WITH ADT AS WELL AS UPONANYCHANGETOTHETELEPHONESERVICEINYOURPREMISESTOCONFIRMPROPERTELEPHONELINESEIZUREANDTHATSIGNALTRANSMIISSIONISFUNCTIONINGPROPERLYBYCALLINGADTAT1-800-ADT-ASAP (AND FOLLOW THE PROMPTS). WE ARE NOT A'SECURITY CONSULTANT. YOU ACKNOWLEDGE AND ADMIT THAT BEFORE SIGNING YOU HAVE READ THEFRONTAND BACK OF THIS;PAGE IN ADDITION .TO THE ATTACHED PAGES WHICHCONTAINIMPORTANTTERMSANDCONDITIONSFORTHISCONTRACT. YOU STATE THAT YOU UNDERSTAND. ALL THE TERMS AND CONDITIONS OF THISCONTRACT, INCLUDING, BUT NOT LIMITED TO, PARAGRAPHS 5, 6, 7, 8, 9, 10 AND 22. YOU. ARE AWARE OF THE FOLLOWING: NO ALARM SYSTEM CAN GUARANTEEPREVENTIONOFLOSS; HUMAN ERROR IS ALWAYS POSSIBLE; WE MAY NOT RECEIVE ALARM SIGNALS IF THE TELEPHONE LINE OR OTHER ALARM TRANSMISSIONSYSTEMISCUT, INTERFERED WITH, O_R_OTHERWISE .DAMAGED _O_R IF TELEPHONE OR -ELECTRICAL SERVICE IS UNAVAILABLE FOR ANY REASON. THIS CONTRACT REQUIRES FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY EQUIPMENT/SERVICES MAY PROVIDED. IF APPROVAL IS DENIED, THIS CONTRACT WILL BE TERMINATED AND ADT'S ONLY OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE_ _ -11 ArCnhADANv Tuic Parr WITH ADDITIONAL TERMS AND CONDITIONS_`__^_______ ADT Rep.: i Rep. ID; No.: Rep. License No. (If Required): Sig NOTICE OF CANCELLATION YOU, THE CUSTOMER, MAY CAN THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Office Copy 02010 ADT Security Services Inc. (08/10) i 0. p®g- - CERTIFICATE OF LIABILITY INSU RAN DATE (MM/DD/YYYY) t 1/9/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER - NAME: PHONE FAX A/C No Ext : 212 3 4 - 0 0 0 A/C No): Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 ADDRESS: PRODUCER CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: AGCS Marine Insurance Company (Allianz) ADT Security Services, Inc. INSURER B: CHARTIS CASUALTY COMPANY 3160 Southgate Commerce Blvd INSURER C: Commerce &'industry Ins Co. Ste 38 INSURER D: Illinois National Insurance Co. Orlando , FL 32806 INSURER E: Nat'l Union Fire Ins Co. of Pittsburgh, PA United States INSURER F: New Hampshire Ins. Co. rnvcowr_cc LFRTIP1rtAT9: NI111ARFR• R27ROr, - A RFVlginN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED.NAMED ABOVEFORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ypEOF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/ YYYN POLICY EXP MM/ DAYYY LIMITS F GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR OWNER'S & CONTRACTOR'S GL 4360884 ( Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE- 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000.00 MED EXP ( Any one person) 10,000.00 PERSONAL & ADV INJURY 1.000,000.00 GENERAL AGGREGATE 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECT LOCPRODUCTS - COMP/ OP AGG 2,000,000.00 E E E F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA 3976576 ( VA) CA 3976575 ( AOS) CA 3976577 ( MA) CA 3976624 ( NH) (Primary AL) 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2011 10/1/ 2011 10/112011 10/1/ 2011 COMBINED SINGLE LIMIT Each accident 1,000, 000.00 X BODILY INJURY ( Per person) BODILY INJURY ( Per accident) PROPERTY DAMAGE Per accident) X XNEW HAMPSHIRE (CSL) 250,000 UMBRELLA LIAR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE HOCCUR AGGREGATEDEDUCTIBLERETENTION $ PRODUCTS - COMP/ OP AGG NEW H. AMPSHIRE (CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/ PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A. WC 026149517A, WC 026149514 ( FL) WC 026149516 ( MI) WC 026149513 ( CA) WC 026149518 ( MA, ND, NY, OH, WA, WI, WY) 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2011 - 10/1/ 2011 10/1/ 2011 10/1/ 2011 10/1/ 2011 TH- X 1WCORSTATU- ER TY LIMITERE.L. EACH ACCIDENT, 2,000,000.00 E.L. DISEASE - EA EMPLOYE 2,000,000.00 E.L. DISEASE - POLICY LIMIT 2,000.000.00 A A Builder' s Risk/ installation/Contract Works Rental Equipment/Contractor' s Equipment Blanket Transit OC & OCW 91128600 OC & OCW 91128600 W 91128600 5/ 1/2010 5/1/2010 15/112010 5/ 1/2011 5/1/2011 15/1/2011 USD $1,000, 000.00 per jobsite USD $1,000, 000.00 perjobsite 1 r Conveyance DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Please refer to attached ACORD 101 for further remarks. UhK I IVIUA 1 h HULUhK GANI:tLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sanford THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 N Park Ave ACCORDANCE WITH THE POLICY PROVISIONS. Sanford, FL 32771 United States AUTHORIZED REPRESENTATIVE MARSH USA INC, BY: - Franklin Hallock, Global Marine David Kmg, Casualty Program ACORD 25 (2009/ 09) The ACORD name and logo are registered marks of ACORD Generated by EXIGIS LLC. For more information visit www.exigis.com. Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 R 22. r>.'w' r .aDAVIDJOHMSON. CFA, ASA PROPERTY 0i5ER'- SEMINULECOUNTY.FL.: itQ1 E. FIR5T 6T s a Y'l 16a Y Y . e'x k ` fir sr4 7 r g" sANFORb` FL32771-1486' 407.665-7568:.. VALUE SUMMARY 2011 2010 VALUES Working Certified GENERAL Value Method Cost/ Market Cost/Market Parcel Id: 32-19- 30-5SP-0000-1740 Number of 'Buildings 0 0 Owner: LENNAR HOMES LLC Depreciated Bldg Value 0 0 Mailing Address: 15550 LIGHTWAVE DR STE 210 Depreciated EXFT Value 0 0 City,State,ZipCode: CLEARWATER FL 33760 Land Value (Market) 15,000 15,000 Property Address: 1130 TWIN TREES LN SANFORD 32771 Land Value Ag 0 0 Subdivision Name: RETREAT AT TWIN LAKES REPLAT Just/Market Value 15, 000 15,000 Tax District: S1-SANFORD Portablity Adj 0 0 Exemptions: Save Our Homes Adj 0 0 Dor: 0003-VACANT TOWNHOMEAmendment1Adj0 0 Assessed Value (SOH) 15, 000 15,000 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 15, 000 0 15,000 Amendment 1 adjustment is not applicable to school assessment) Schools 15,000 0 15,000 City Sanford 15,000 0 15;000 SJWM(Saint'Johns Water Management) 15,000 0 15,000 County Bonds 15,000 0 15,000 The taxable values and taxes are calculated using the current years working values and the prior years approved millage, rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2010 Tax Bill Amount: $ 301 SPECIAL WARRANTY DEED 02/ 2010 07343 0125 $108,000 Vacant No 2010_Certified_Taxable,Value and SPECIAL WARRANTY DEED 02/2010 07337 0481 $475,400 Vacant No Taxes DOES NOT INCLUDE NON - AD VALOREM ASSESSMENTS Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION ' Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS Pick. u LOT 0 0 1. 000 15,000.00 $15,000 LOT 174 RETREAT AT TWIN LAKES REPLAT PB 69 PGa,14 Permits 20 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.: If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/ web/re_web.seminole_county_title?parcel=3219305 SP00001740&c... 1 /26/2011