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HomeMy WebLinkAbout1433 Roosevelt AveApplication No: f Documented Construction Value: Job Address: (1-{- 3IPSQQSFUEA- 14(/ Historic District: Yes N. Parcel ID:U(JUU' Zoning: l Description of Work:. L.UW, a Plan Review Contact Person: fir Title' Phone: (n- lZ,- L"? U"E Fax: 22 Property Owner Information Name Ill ,(' r1 GL+"C.L l/ Gi l lJ" Phone: 46r?- 0Z (" 7Cf I L Street:I 1 Ji'V11Resident of property? City, State Zip: cl -7 Contractor Information ,/ Name J T& 1 19'V1 r/!r?,S / / Phone: -t 0 -7 1 Z' Street: &) CYm ai f rt° r 121 UU Fax: City, State. Zip: ), (&A (?,iTF, 0,Ue State License No.: Architect/ Engineer Information Name: Street: City, St, ,Zip: Phone: Fax: E- mail: Bonding Company: Mortgage Lender: Address:',, Address: PERMIT INFORMATION Building Permit : r Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical, d I Plumbing New Service- No. of AMPS: Mechanical ( Duct layout required for new systems) New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: f 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-tnforination is accurate -and that all work will be done in compliance with ail applicable laws regulating construction. and zoning:, . WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE OF• -COMMENCEMENT MAY RESULT JN 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 add] 'tional 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 rese`rvethe '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. 1 [ lQ Signature of_Owner/Agent Date Signature o f C o^ntl r/ t Date n CA1n Print Owner/Agent's Name Pr nt Contractor ent's Name Signature of Notary -State of Florida Date g ature of Notary State of E.. d — SAMAN—ii i iA L.URBOTER MAY COMMISSION# DD8651 EXPIRES March 01, 201' 1 I rr`}?s9-o sa FloridallotsrySetv ce.µ, Owner/Agent is Personally Known to Me or Contractor/Agent is V/ Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: C MMFNT• Rev 11.08 POWER OF ATTORNEY Date: 1 1 Cl Ic I hereby name and appoint i'(1 '1 1'T.y l of ADT Security Services to dro off and pick up permits at the t Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel J? J~ GI JG- l + U% Vv C< Subdivision Address of job I R C) 08&U EA Y 1' i u zL Owner M George Manginelli EF0001121 Type or Print Name of Certified Contr Xtor Signature o e911111114ontractor The foregoing instrument was acknowledged by ('l who is personally wn to me/wh produced _ asidentification and who did not take oath. State of Flori a aunty of 2AM , A r) tary Public, Seminold &thty, Florida me this day of 20 (U RESIDENTIAL SERVICES CONTRACT t 7— 3 24 zj"% 6l IIII II IIIIIII IIII III IIIIIIIIII 5104UE10 ` CONTRACT DATE: / TOWN NO: tLX 60 CUSTOMER NO: ° JOB NO: _ LEAD SOURCE: i r YFC£ n x a r ADT Security Services, -Inc. (ADT) Customer Name _ I ,- You" or "Your") I!>2 N z;1_/ Z.R - // /1 We" or "Us" or "Our") Office Address 1 eo ,5 2 ' J Address YA ff & AAffinity No. State /Zip _..v I C 3 / Tax Exempt No. S L 77931taocf - fie= 6LV Protected Premises' Telephone Ll ' j,- ' %Tax Expire. Date ( Traditional Phone a6thr (Qualified) []other (Non -Qualified) Tel: 1-8Q0-ADT-ASAP1-800-238-2727 Alternate Telephone 1 Z- '2- 7 'f(Circle one) Hom / Cel / Work w/ ext. IF FAMILIARIZATION PERIOD IS I Alternate Telephone 2 2 Z' .—(a ` Circle one) Home / e I / ork w/ ext. REJECTED INITIAL HERE ' EMAIL rnz k n Communications Aut orization: You hereby authonze ADT tc fur h in ormation a d/or updates regarding your security system and new ADT and/or third party products and services available to ADT customers to the contact information provided by you. You may unsubscnbe or opt -out by emailing donotcontact@adt.com or by calling 888-DNC4ADT (888-362-4238). Initial here Confirmation of Appointments: You here y expressly authorize ADT to call you using an automated calling device to deliver a prerecorded message to set/confirm a servicefinstallatio ppointment at the telephone number(s) shown above. Initial here___ System Ownership: ustomer-Owned__,_. ADT-Owned tandard Monthly Service, Burglary 'Monthly Service Charge! Municipal Construction Permit Fee Service includes: Customer Monitoring Center Signal Receiving and Customer to obtain construction permit Notification Service for Burglary, Manual Fire, and Manual Police Emergency N ' Other Standard Monthly Service, Fire/Smoke Detection _ Installation Price Service includes: Customer Monitoring Center Signal Receiving and --- --- - ----- ---- Notification Service for Fire, Manual Fire, and Manual Police Emergency i Taxable Amount - Q 7 0 Carbon Monoxide Flood Low Temp Non -Taxable Amount j--- -- --__- - - - - --- - _- --- - - ---_ Medical Alert Connection Fee y-__----------- - _ 1.._ p Safewatch Celiguard® j Sales Tax on Installation` - -_- pSec Link®-`-----_-__._--- -_-- _ i Total Installation Charge* xtended Limited Warranty/Quality Service Plan (QSP) eposit Received Guard Response Service 1 v pBalanceDueuponInstallation G Q Monthly Recurring Municipal Fee (Subject to change based on local law) ___ ._ _ _ ___„__ _ ; ,____ __ - adCustomertoobtainandpayformunicipalalarmusepermit *If applicable sales tax not shown it will be added to your first invoice. Other Total _Monthly Service. Charge — 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 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 response to an alarm from your premises and/or a fine. i Estimated Completion Date YOU ACKNOWLEDGE AND ADMIT THAT: (1) WE HAVE EXPLAINED TO YOU THE FULL RANGE OF EQUIPMENT AND SERVICES AVAILABLE TO YOU; (2) ADDITIONAL EQUIPMENT AND SERVICES OVER THAT DESCRIBED HEREIN ARE AVAILABLE AND MAY BE OBTAINED FROM US AT AN ADDITIONAL COST TO YOU; (3) YOU HAVE CHOSEN AND HAVE CONTRACTED FOR ONLY THE EQUIPMENT AND THE SERVICES DESCRIBED IN THIS CONTRACT, (4) THE INITIAL TERM OF THIS CONTRACT IS FOR THREE (3) YEARS; AND (5) YOU SHOULD MANUALLY TEST YOUR SYSTEM MONTHLY WITH ADT AS WELL AS UPON ANY CHANGE TO THE TELEPHONE SERVICE IN YOUR PREMISES TO CONFIRM PROPER TELEPHONE LINE SEIZURE AND THAT SIGNAL TRANSMISSION IS FUNCTIONING PROPERLY BY CALLING ADT AT 1-800-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 IMPORTANT TERMS AND CONDITIONS FOR THIS CONTRACT. 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 OF LOSS; HUMAN ERROR IS ALWAYS POSSIBLE; WE MAY NOT RECEIVE ALARM SIGNALS IF THE TELEPHONE LINE OR OTHER ALARM TRANSMIS5kiON SYSTEM IS CUT, INTERFERED WITH, OR OTHERWISE DAMAGED OR IF TELEPHONE OR ELECTRICAL SERVICE IS UNAVAILABLE FOR ANY REASON. THIS CON CT REQUIRES FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY EQUIPMENT/SERVICES MAY BE PROVIDED. IF APPROVAL IS DENIE CONTRACT WILL BE TERMINATED AND ADT'S ONLY OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOU ID IN ADVANCE. SECOND AND THIRD PAGES ACCOMPANY THIS PAGE WITH ADDITIONAL TERMS AND CONDITIONS ADT R p.. 1 Rep, ID Now: CUSTO R'S APPROVAL DATE: Tio Rep. Lice o .If Required). I Original Signa re Required i NOTICE OF CANCELLATION YOU, THE CUSTOMER, MAY CANCEL 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. 1. of 6 Central Storage Copy ©2010 ADT Security Services, Inc. (05/10) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL E)ETAIL 20 20.0 31 17.E z DAVID JOHnimid, CFA, ASA PROPERTY 21 21.0 11 7RARSERL t' is' 7A_GE. 31101E SEM1NOONTY.FL SdA A.5 rE' F1as sT 8.0 1¢0 af5ANFODFL32T/1.1466 am 66Ms_„ soa r919o0 4 1as 0i? 36 7.001$0.049.0 3fi VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 35-19-30-509-0000-0110 Number of Buildings 0 0 Owner: KNIGHT BERNARD & ELIZABETH A Depreciated Bldg Value 0 0 Mailing Address: 1412 SOUTHWEST RD Depreciated EXFT Value 0 0 City,State,ZipCode: SANFORD FL 32771 Land Value (Market) 20,012 20,012 Property Address: 1433 ROOSEVELT AVE SANFORD 32771 Land Value Ag 0 0 Subdivision Name: CATES ADD Just/Market Value 20,012 20,012 Tax District: S1-SANFORD Portability Adj 0 0 Exemptions: Save Our Homes Adj 0 0 Dor: 00-VACANT RESIDENTIAL Amendment 1 Adj 0 0 Assessed Value (SOH) 20,012 20,012 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 20,012 0 20,012 Amendment f adjustment is not applicable to school assessment) Schools 20,012 0 20,012 City Sanford 20,012 0 20,012 SJWM(Saint Johns Water Management) 20,012 0 20,012 County Bonds 20,012 0 20,012 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 Vaclimp Qualified 2010 Tax Bill Amount: $402 TAX DEED 05/1997 03234 1330 $1,300 Vacant No 2010 Certified Taxable Value and Taxes WARRANTY DEED 01/1974 01022 1067 $2,000 Improved Yes 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:_. i. FRONTFOOT& DEPTH 75 96 .000 230.00 $13,800 LEG S 10 FT OF LOT 11 + ALL LOT 12 + BEG NW COR LOT FRONT FOOT & DEPTH 37 83 230.00 $6,212 13 RUN E 96 FT S 15 FT S 35DEG 48 MIN W 46.23 FT W 00068. 90 FT N 52.5 FT TO BEG CATES ADD PB 3 PG 64 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=35193050900000110&c... 11 /9/2010 AC"R CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYY`/) 11/9/2010 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 Marsh, Inc. NAME: PHONEN Ext: 212 345-5000 A/C No: 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) 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. flonTlrr/r Avc kill II 011 A079tnr _ e RFVISIIf)N NIIMRFR- vTHIS IS TO CERTIcI'-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. IN RILTR1NqRTYPEOFINSURANCE ADDL SUBR vivo pOLiCY NUMBER I MPM%DDY EFF MPOM/LIOCDnEXP LIMITS F GENERAL LIABILITY X MMERCIAL GENERAL LIABILITY GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE 1,000,000.00 DAMAGE TO RENTED PREMISES Eaoccurrence 1,000,000.00 MED EXP (Any one person) 10,000.00 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY 1,000,000.00 NER'S & CONTRACTOR'ST GENERAL AGGREGATE 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2,000,000.00 X POLICY PRO LOCJFCT E E E AUTOMOBILE LIABILITY ANY AUTO CA 3976576 (VA) CA 3976575 (ADS) CA 3976577 (MA) 10/1/2010 10/1/2010 10/1/2010 10/1/2011 10/1/2011 10/1/2011 COMBINED SINGLE LIMIT Each accident 1,000,000.00 X BODILY INJURY (Per person) BODILY INJURY (Per accident) F ALL OWNED AUTOS CA 3976624 (NH) (Primary AL) 10/1/2010 10/1/2011 PROPERTY DAMAGESCHEDULEDAUTOS X HIRED AUTOS' Per accident) X NEW HAMPSHIRE(CSL) 250,000NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATEEXCESSICLAIMS -MADE DEDUCTIBLE PRODUCTS - COMP/OP AGG NEW HAMPSHIRE (CSL) RETENTION $ B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA 77 06TW577C T, GA, 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 10/1I2010 1011/2010 10/1/2011 10/1/2011 10/1/2011 10/1/2011 10/1/2011 X WC STATU- OTH- TRY IMITS E.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 Builder's Risk/installation/Contract Works OC & OCW 91128600 5/1/2010 5/1/2011 USD $1,000,000.00 per jobsite A Rental Equipment/Contractor's Equipment OC & OCW 9 11 28600I 5/1/2010 5/1/2011 USD $1,000,000.00 per jobsite Blanket Transit OC & OCW 911286001 2in 5/1/2011$1,000.000.00 per conveyance DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Please refer to attached ACORD 101 for further remarks. CERTIFICATE HOLDER L:ANLr-LILAIIUN City of Sanford 300 N Park Ave Sanford, FL 32771 United States SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MARSH USA INC, BY: Franklin Hallmk, Global Marine U 79513-20U9 AUUKU UUKF'UKAIIUN. All-rlgnFS reservea. 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.