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HomeMy WebLinkAbout115 Lakeside Cir7CEIVEDJA272011BCITYOFSANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ,,- 0. 1.1 Documented Construction Value: $_ Zf . G U Job Address: I I L-0, 6,iY'• Historic District: Yes No Parcel ID: (_ 7.0 -76 - 7)66 `G0UG- 05 Z6 Zoning: Description of Work: Plan Review Contact Person: ,t J1n b2 r b a r Title: Phone: 40- 7 17 -l?(jLf Fax: +0- 71 Z• 1$ I b E-mail: f 7-'S' Property Owner Information Name (41V(A Phone: Street: I r, e'A Resident of property? City, State Zip: n rY I 3 Z77 3P Contractor Information // // Name / s f I Phone: ` 61-71 2-1 -7CJL4 Street: /' I br) c 1twG f,( VG Cn,-0- U Fax: 4. (j7 _`71 7- City, State Zip: Od M _,3 ZS-0(42 State License No.: Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit 4 `' YIK; Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical 0 (Duct layout required for new systems) Plumbing No. of Stories: New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: a, y.. 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. 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: l'I MMFNTS• Rev 11.08 Signature ofContracto D to r PritContractor/A ent's NamjAAA401ek1lIla"Xk4k 1/ZZ f l dig shire of Notary -State of F V(dA- I Date YF ;; .:' l;As IT FIA L FURBOTER MY COMMISSION # DD865138 EXPIRES March 01, 2013 Contractor/Agent is V Personally Known to Me or Produced ID Type of ID UTILITIES: WASTE WATER: FIRE: BUILDING: POWER OF ATTORNEY Date: I hereby name and appoint al-rl `Tr c • l of ADT Security Services to drop off and pick up permits at the J. r Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel ZU^ Z) 0'(C>C(--6j, Subdivision (—),'(,(d Address of job Owner 1-', V George Manginelli EF0001121 Type or Print Name of Certified Contractor r Signature of Cei i ied ctor The foreaoing instrumeiv was acknowledcr j before me this by who is personall nown tome/ io produced _ as identi ication an w o did not take oath. State of Floi I Cg.ty of r'\y/1M I /1 (1I f, lyry Public, Seminole Cotidi&/, Plorida SAMANTHA L FURBOT MY COMMISSION # DD865138 EXPIRES March 01, 2013139"153 FloNdeNotp rySemic e.com day of 20([ M.71 RESIDENTIAL SERVICES CONTRACT CONTRACT DATE: I _ TOWN NO: 4 191 CUSTOMER NO: JOB NO: LEAD SOURCE: i CusN ADTSecurityServices, Inc. (ADT) E ("You" tomer or " Yoame ur") AC jc LYE (.vAC-"? DY VA4e1 We" or "Us" or "Our") Offic,5 Address 3 6J s L4fNh4 IL Go., . mac iAddresQs / LAKES 0 t:(+ !city An. 0,2 'Affinity Name & No. I State /Zip F C_ 7 73 Tax Exempt No. i Protected Premises' Telephone f Tax Expire. Date Traditional Phone Other ( Qualified) Other (Non -Qualified) Tel: 1-800- ADT-ASAP 1-800-238-2727 I Alternate Telephone 1 L% .7 $Ll S// i Circle one) Home Work w/ ext. IF FAMILIARIZATIO ER I I Alternate Telephone 2 7 3 /fie. (Circle one) Home Work w/ ext. REJECTED INITIAL ERELAiLe12:2aiU J Communications Authorizat n: You hereby authorize ADT to furnish information and/or updates regarding your security system and new ADT and/or third party products and se ices available to ADT customers to the contact information provided by you. You may unsubscribe or opt -out by emailing donotco_ntactQ_adt.co_m or by calling 888__DNC4ADT (888-362-4238)_ initial here :_ "wow=' Con"firmation of Appointments: You hereby expressly authorize ADT to call you using an automated calling device to deliver a prerecorded message to set/confirm aservice/installation appointment_at the_ , lephone numbers) shown above. Initial here R _ E System Ownership M Customer -Owned ADT-Owned VfStandard Monthly Service, Burglary jMonthly Service Charges Mu icipal Construction Permit Fee Service includes: Customer Monitoring Center Signal Receiving and Lustomer to obtain construction ermit mm Notification Service for Burglary, Manual Fire, and Manual Police Emergency j N t/ i Other Standard Monthly Service, Fire/Smoke Detection ! i Installation Price i % Service includes: Customer Monitoring Center Signal Receiving and !---------------------------------------------- --- -------------- ------ Notification Service for Fire, Manual Fire, and Manual Police Emergency v — - > Taxable Amount Carbon Monoxide Flood Low Temp Non -Taxable Amount — Medical Alert Connection Fee Safewatch Cellguard® (/li ti Sales Tax on Installation' - SecurityLink®- - Total Installation Charge* ! / - r ---- -- - F--- - -- - - Extended Limited Warranty/ Quality Service Plan (QSP) , N l/ ' Deposit Received i f_ Guard Response Service - - ------ J Balance Due upon Installation g Monthly Recurring MunicipalFee (Subject to change based on local law) __ Customer to obtain and pay for municipal alarm use permit "If applicable sales tax not shown, it will be added to your first invoice. Other Total Monthly Service C_harqe-- Initial/Annual Recurring Municipal Fee -billed separately Initial/ Subject to change based on local law) Annual Fee; Customer to obtain and pay for initial/annual municipal alarm use i Estimated Start Date permit. Your failure to obtain and provide ADT with your municipal alarm use permit registration number could result in no municipal fire/ police res onse to an alarm from our remises and/or a fine. I Estimated Completion Date P - - — -- --y ' - - - --------i------- --- -- -- p YOU ACKNOWLEDGE AND ADMIT THAT: (1) WE HAVE EXPLAINED TO YOU THE FULL RANGE OF EQUIPMENT AND SERVICES AVAILABLE TO YOU; (2) ADDITIONAL EQUIPMENT ANDSERVICESOVERTHATDESCRIBEDHEREINAREAVAILABLEANDMAYBEOBTAINEDFROMUSATANADDITIONALCOSTTOYOU; (3) YOU HAVE CHOSEN AND HAVE CONTRACTED FOR ONLY THE EQUIPMENT AND THE SERVICES DESCRIBED IN THIS CONTRACT, (4) THE INITIAL TERM OF THISCONTRACTISFORTHREE (3) YEARS; AND (5) YOU SHOULD MANUALLY TEST YOUR SYSTEM MONTHLY WITH ADT AS WELL AS UPON ANY CHANGE TOTHETELEPHONESERVICEINYOURPREMISESTOCONFIRMPROPERTELEPHONELINESEIZUREANDTHATSIGNALTRANSMISSIONISFUNCTIONINGPROPERLYBYCALLINGADTAT1-800-ADT-ASAP (AND FOLLOW THE PROMPTS). WE ARE NOT A SECURITY CONSULTANT. YOU ACKNOWLEDGE AND ADMIT THAT BEFORE SIGNING YOU HAVE READ THE FRONT AND BACK OF THIS PAGE IN ADDITION TO THE ATTACHED PAGES WHICH CONTAIN IMPORTANTTERMSANDCONDITIONSFORTHISCONTRACT. YOU STATE THAT YOU UNDERSTAND ALL THE TERMS AND CONDITIONS OF THIS CONTRACT, INCLUDING, BUT NOT LIMITED TO, PARAGRAPHS 5, 6, 7, 8, 9, 10 AND 22. YOU ARE AWARE OF THE FOLLOWING: NO ALARM SYSTEM CAN GUARANTEE PREVENTION OFLOSS; HUMAN ERROR IS ALWAYS POSSIBLE; WE MAY NOT RECEIVE ALARM SIGNALS IF THE TELEPHONE LINE OR OTHER ALARM TRANSMISSION SYSTEM-IS-CUT,--INTERFEREDWITH, OR OTHERWISE DAMAGED OR_I_F_TELEPHONE OR ELECTRICAL SERVICE IS UNAVAILABLE FOR ANY REASON. THIS CONTRACT REQUIRES FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY EQUIPMENT/SERVICES MAY BE PROVIDED. IF APPROVAL IS DENIED, THIS CONTRACT WILLBETERMINATEDANDADT'S ONLY OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE. SECOND AND THIR Re . ID No,AND A CONDITIONS Te .: -- --- - - -- ---- - - ------ - - - 3. Rep. License No. ( If Required): .Or _ ----- ___- __ -__ ina ignature Required i NOTICE OF CANCELLATION YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF EXPLANATION OF THIS RIGHT. TO MIDNIGHT OF THE THIRD CANCELLATION FORM FOR AN 1 of 6 Office Copy 02010 ADT Security Services, Inc. (08/10) cosz CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11/912010 v 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 Marsh, Inc. NAME: PHONE I FAX AC No E 212) 345-000 (AlC,No): L ADDRESS: 1166 Avenue of the Americas New York, NY 10036 PRODUCER CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC INSURED INSURER. A: AGCS Marine Insurance Company (Allianz) I I ADT SecurityServices, Inc. 3160 Southgate Commerce Blvd Ste 38 INSURER B: CHARTIS CASUALTY COMPANY INSURER C: Commerce & Industry Ins Co. 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. i C TICIP`ATC \ II IMBGO- S V fxllti - a KPV111 UIV IYUMMIMM vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 I LTRPOLICY TYPE OFINSURANCEADDLISUBRiPOLICYEFF NUMBER MWDD/YYYY POLICY EXP MMlDD/ YY i LIMITS F GENERAL LIABILITY i y` I COMMERCIAL GENERAL LIABILITY GL 4360884 (Primary GL) 10/1/201C 10/1/2011 EACH OCCURRENCE I $1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) I W1,0007000.00 MED EXP (Any one person) 10,000.00 11 CLAIMS -MADEIOCCURIPERSONAL & ADV INJURY i1,000,000.00 OWNER'S &CONTRACTOR' S j j 1 I j GENERAL AGGREGATE 2,000,000.00 c GEN'L AGGREGATELIMIT APPLIES PER: PRODUCTS - COMP/OP AGG I $2,000.000.00 Y j POLICY,, I PRC' I i LOC I E E E F I AUTOMOBILE r— LIABILITY ANY AUTO ALL OWNED AUTOS j I CA 3976576 ( VA) 10/1/2010 CA 3976575 (AOS) 10/1/2010 CA 3976577 (MA) 10/112010 CA 3976624 (NH) ( Primary AL) 10/1/2010 10/1/2011 10/1/2011 10/1/2011 10/1,2011 COMBINED SINGLE LIMIT Each accident] i, 000,000. OD 1 BODILY INJURY ( Per person) BODILY INJURY (Per accident), I SCHEDULED AUTOS I PROPERTY DAMAGE X HIRED AUTOS j Per accident) I X I NON -OWNED AUTOS NEW HAMPSHIRE (CSL) 25D,DDD JI UMBRELLA LIAB EXCESS LIAR 7 OCCUR CLAIMS - MADE I I EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION S PRODUCTS - COMP/OP AGG I i II I NEW HAMPSHIRE (CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I 0 614 51 ( l. A, ) 110/1/2010 WC 026149514 (FL) 110/1/2010 WC 026149516 (MI) 110/1/2010 WC 026149513 (CA) 1 10/1/2010 WC 026149518 (MA, ND, NY, OH, 110/1/2010 WA, WI, WY) 10/1/2011 10/1/2011 10/1/2011 10/1/2011 10/1/2011 IX TNCY L M T 'OTH-I ER E.L. EACH ACCIDENT 2,000,000.00 I E.L. DISEASE - EA EMPLOYEE 52,000,000-00 E.L. DISEASE - POLICY LIMIT 2,000,000-00 A A Builder' s Risk/ installation/Contract Works Rental Equipment/Contracior' s Equipment I Blanket Transit OC & OCW 91128600 5/1/2010 OC & OCW 91128600 5/1/2010 I OC & OCW 91128600 511/20101 5/1/2011 5/1/2011 1 U$1, 000, 000.00 per jobsite USSID D $1,000,000.00 Der jobsite 1.00 .000, 00De,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. ro TlclrnTc ur11 ncQ CANCFI I ATIr)N 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 AUTHORIZED REPRESENTATIVE United States MARSHUS.4 1NC. BY: Franklin Hallock, GImM M.— David Kono, Casualty Pr ram i P V 1yK8-LUuy AI uml.) I.VRr Vt[HIIVfY. All 1`19rIC5 reserveu. ACORD 25 (2009/ 09) The ACORD name and logo are registered marks of ACORD Generated by EX_ IGIS LLC. For more information crisit www-.exigis.com. Seaninole County Property Appraiser Get Information by Parcel Number Page l of 1 rg1 R pp1r®®yTam,/ a-YYZZ i''ppVY-Lit.`iC'a®®. BE#71NOLE t:OUNTY,,FL.- 40 t,s-, E4. ..y" titJtFrwsr. t1s. k a t BAN FORQ FL 3277t-1468 4f77 66i5; 7508 4: J VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method CosUMarket CosUMarket Parcel Id: 11-20-30-5KB-0000-0520 Number of Buildings 1 1 Owner: ALVAREZ FREDDIE & JACQUELINE Depreciated Bldg Value 83,543 88,506 Mailing Address: 115 LAKESIDE CIR Depreciated EXFT Value 638 675 City, State,ZipCode: SANFORD FL 32773 Land Value (Market) 18,000 18,000 Property Address: 115 LAKESIDE CIR SANFORD 32773 Land Value Ag 0 0 Subdivision Name: HIDDEN LAKE PH 3 UNIT 7 Just/ Market Value 102,181 107,181 Tax District: S1-SANFORD Portablity Adj 0 0 Exemptions: 00-HOMESTEAD (2004) Save Our Homes Adj 0 0 Dor: 01-SINGLE FAMILY Amendment 1 Adj 0 0 Assessed Value (SOH) 1 102,1811 107,181 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 102,181 50,000 52,181 Amendment 1 adjustment is not applicable to school assessment) Schools 102,181 25,000 77,181 City Sanford 102,181 50,000 52,181 SJWM( Saint Johns Water Management) 102,181 50,000 52,181 County Bonds 102,181 50,0001 52,181 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified CORRECTIVE DEED 01/2005 05592 0453 $100 Improved No 2010 VALUE SUMMARY WARRANTY DEED 09/2003 05018 0195 $123,000 Improved Yes FINAL JUDGEMENT 03/1998 03386 0370 $100 Improved No 2010 Tax Bill Amount: $1,344 WARRANTY DEED 08/1995 02955 1693 $77,000 Improved Yes Taxable 2010CertifiedTaxableValue and Taxes WARRANTY DEED 04/1989 02063 1570 $77,800 Improved Yes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 05/1988 01957 1003 $212,600 Vacant No Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS. Pick ..: LOT 0 0 1.000 18,obo.00 $18,000 LEG LOT 52 HIDDEN LAKE PH 3 UNIT 7 PB 38 PGS 79 & 80 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building 1 SINGLE FAMILY 1988 6 1,533 2,130 1,533 SIDING AVG $83,543 $91,806 SketchAppendage / Scift SCREEN PORCH FINISHED / 182 Appendage / Sgft GARAGE FINISHED / 400 Appendage / Sgft OPEN PORCH FINISHED / 15 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 1988 1 $638 $1,500 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. ifyou 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=l 120305KB00000520&... 1 /27/2011