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
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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