HomeMy WebLinkAbout2101 Lily CtFEB 1 20If CITY
OF SANFORD BUILDING &
FIRE PREVENTION PERMIT
APPLICATION Application
No: Documented Construction Value: 0 0 of Job
Address: ?—I u O Historic District: Yes D No [7 Parcel
ID: 3 1- 14i - 31- 51 1 - 6C.,O b - 6 97 6 Q Zoning: Description
of Work: Plan
Review Contact I Phone:
1-701+ E-mail: R-Yu r6cA Lff-y24c14, Property
Owner Information Name
Phone: c3 z, i - 4,-11 - -7,S 7 Street:
ZIG'l L-i'k-1 E* Resident of property? City,
State Zip: Contractor
Information Name [
I* Phone:qo?- 7 1 17614 Street:
11) 'SOL' (L111 61 j [
LdJ Fax: q- 07 - -7 City,
State Zip: State License No.: 600 I G_r I - Name:
Street:
City,
St, zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
n '
G- J- RMIT
INFORMATION Building
Permit Square
Footage: Construction Type: No.
of Dwelling Units: Flood Zone: Electrical
0 New
Service - No. of AMPS: Mechanical
0 (Duct layout required for new systems) Plumbing
0 No.
of Stories: New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm 0 No. of heads:
f
i
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:
COMMENTS.
UTILITIES:
FIRE:
f !l
Signature ofContractor/ t) Date
r / /C( n 1
Print Contractor ent's Name
VSL
e ofNotary-State of F Date
SAMANTHA L FURBOTER
y COMMISSION # DD865138
EXPIRES March 01, 2013
Contractor/Agent is ersona y nown to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
POWER OF ATTORNEY
Date:
I hereby name and appoint j; 1 1
of ADT Security Services to drop off and pick up permits at the
c4 <;?)cA 4 7 n r-1,1 Building Department on my behalf for
a LOW VOLTAGE SECURITY permit for work to be performed at a location described as. -
Parcel 3
SUM vIsto11--
Address of job
Owner
Georae Manginelli EF0001121
Type or Print Name of Certified Contrac
Signature of rt ed eto,'
The
Z-egOlng instrunletl was acknowledge
who is personall known to me/wl1Jproduced
as i entl Ica ton an w 7o i not take oath.
State of Flo
tyof jll0
Public, Semin
SAMANTHA L FURBOTER.
MY COMMISSION # DD885139
EXPIRES March 01, 2013
53
Florida
fore me this l I day of 20I
a
y
it it IIIII IIII IIIII I II Iilllli I II II Ilil IIIIRESIDENTIALSERVICESCONTRACT
5104UFzl 1
CONTRACT DATE: TOWN NO: CUSTOMER NO: JOB NO: LEAD SOURCE:
ADT Security Services, Inc. (ADT) Customer Name
We" or "Us" or -Our") Office Address .("
You" or "Your poji k 1*l -01-
Address 1 ' /- I— LA0-reuA41PIV016111 city Z, Affinity Name & No. A P,
3State / Zip 1Tax Exempt No. 7V- , r,'
Tax Expire. Date ProtectedPremises' Telephone o 4 OTraditional
Phone El Other (Qualified) E?6ther ( on-4ualified) Tel:
1-800-ADT -ASAP 1-800238-Alternate Telephone 1 (Circle one) Home / Cell / Work w/ ext. 2- 4() IF FAMILIARIZATION
PERIOD IS Alternate Telephone 2 (Circle one) Home / Cell / Work w/ ext. Y, REJECTED :
EMAILtofurnish
information, stem and new ADT and/or Communications Authorization: You hereby authorize AD: and/or updates regarding your security system third party
products and services available to ADT customers to the contact information provided by you. You may unsubscribe or opt -out by emailing conotcont ct@adtcom
or bv callinq --8--8----&---DNC4ADT (8--8--8-362-4238). Confirmation of
Appointments: You hereby expressly authorize ADT to call you using an automated , ca - Ili , ng, device to deliver a prerecorded message to D 5et/
confirmaservice/installation a oi ntment at the t4lephone n u m ber(s) shown- above J n appointment ------- . ... System, Ownership: 0
Customer -Owned 1) 1 - wnea, . ... Monthly Service Charge'.
Municipal Construction Permit Fee Atandard Monthly Service, Burglary ;Monthly Service includes: Customer
Monitoring Center Signal Receiving and El Customer to obtain construction permit Notification Service for
Burglary, Manual Fire, and Manual Police Emergency i Other 6F El Standard
MonthlyService, Fire/Smoke Detection Installation Price Service includes: Customer
Monitoring Center Signal Receiving and Notification Service for
Fire, Manual Fire, and Manual Police Emergency Taxable Amount ti 0 Carbon
Monoxide
El Flood 0 Low Temp Non -Taxable Amount El Medical Alert
Connection Fee Sales Tax on
Installation* jCZaiewatch Cellguard® WTotalInstallationCharge*
0 ecuqit mkl --------- ------- ---- -- ------------ --- ----- Extended Limited Warranty/
Quality Service Plan (QSP) Deposit Received 0 Guard Response
Service Balance Due upon Installation* h Ed Mont --
ly- Recurring -g--Municipal- - Fee (Subject to change - based - - on local law) ------- ---------- D Customer to
obtain and pay for municipal alarm use permit - If applicable sales tax not shown, it will be added to your first invoice. 0 El other
TotalMonthlvService
Charcle El Initial/Annual
Recurring Municipal Fee -billed separately Initiali t Subject to change
based on local law) Annual Fee J El Customer
toobtainandpayforinitial/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. Estimated Completion Date c,4 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 TRANSMISSION SYSTEM IS
CUT, INTERFERED WITH, -OR OTHERWISE DAMAGED OR 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 BE PROVIDED. IF APPROVAL IS DENIED, THIS CONTRACT
WILL BE TERMINATED AND ADT'S ONLY 013111 GAT h TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN
ADVANCE. O -r Rep.
LicenseNo. (ifRequired): j 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
@2010 ADT Security Services, Inc. (08/10)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
I 4 sa r $
5-7 35
DAVID JCHNSON CFA. ASA
a
PROPERTY x4 Y
AP RA,'YSER y..f
SEi71NOLECOUNTY',FL
bt fij. i vry H
7
SANFOFD; FL 82774-7468 12 VALUE
SUMMARY
VALUES 2011_
2010 Working Certified
GENERAL Value
Method Cost/Market Cost/Market Parcel Id:
31-19-31-511-0000-0900 Number of Buildings 1 1 Owner: WALLACE
LUCIA G Depreciated Bldg
Value 78,469 87,522 Mailing Address:
2101 LILY CT Depreciated EXFT Value 600 600 City,State,
ZipCode: SANFORD FL 32771 Land Value (Market) 31,601 31,601 Property Address:
2101 LILY CT SANFORD 32771 Land Value
Ag 0 0 Subdivision Name:
ROSE COURT Just/Market
Value 110,670 119,723 Tax District:
31-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) 110,670 119,723 Tax Estimator
2011 TAXABLE
VALUE WORKING ESTIMATE Taxing Authority
Assessment Value Exempt Values Taxable Value County General
Fund 110,670 50,000 60,670 Amendment 1
adjustment is not applicable to school assessment) Schools 110,670 25,000 85,670 City Sanford
110,670 50,000 60,670 SJWM(Saint
Johns Water Management) 110,670 50,000 60,670 County Bonds
110,670 50,0001 60,670 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 Vaclimp Qualified 2010 VALUE
SUMMARY FINAL JUDGEMENT
09/2004 05461 1864 $100 Improved No CORRECTIVE DEED
06/2003 04868 0561 $100 Improved No 2010 Tax
Bill Amount: 1,596 WARRANTY DEED
04/2003 04793 0834 $123,200 Improved Yes 2010 Certified
Taxable Value and Taxes PROBATE RECORDS
04/2003 04781 1702 $100 Improved No 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..`J FRONT FOOT &
DEPTH 112 140 .000 285.00 $31,601 LEG LOT 90 + S 1/2 OF LOT 88 ROSE COURT PB 3 PG 4 BUILDING INFORMATION
Bid Num
Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New en
Sketch
1 SINGLE
FAMILY 1929 3 1,760 2,144 Sket 1,760WD/STUCCO FINISH $78,469 114,136 Appendage / Sgft SCREEN
PORCH FINISHED / 192 Appendage I Sqft
CARPORT FINISHED / 192 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 1950 1 $
600 $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 JusUMarket value. http://www. scpafl.org/
web/re_web. seminole_county_title?parcel=31193151100000900&cp... 2/ 1 /2011
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
11/912010 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 endorsement s'. PRODUCER Marsh. Inc.
1166
Avenue of
the Americas New York, NY
10036 NAME: PHONE FAX
AICNo
Ezt: 212)
345-5000 PJC No: 1 ADDRESS: PRODUCER
CUSTOMERID
k:
INSURER(S) AFFORDING
COVERAGE NAIC 9 INSURED i 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. I THIS 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 r TR
IiTYPE OFINSURANCE IADDL SUBRI POLICY EFF POLICY NUMBER (MM/
DDNYYY J POLICY EXP MWDDNY LIMITS FGENERAL LIABILITY
X COMMERCIAL GENERAL
LIABILITY CLAIMS -MADE I
X 'I OCCUR I OWNER'S
8 CONTRACTOR'S I GL 4360884 (
Primary GL) 10/1/2010 j I i
1011,
12011
EACH
OCCURRENCE DAMAGE TO RENTED
PREMISES Ea occurrence
j MEG EX? (
Any one person) PERSONAL S ADV
INJURY j GENERAL AGGREGATE
i I PRODUCTS -
COMP/
OP AGG 1.000,000-
00 1,OOC,000.
00 10.000-00
1,000.000.
00 I 2.000,
000.
00 GEN'L AGGREGATE
LIMIT APPLIES PER: X I POLICY
JF T LOC j $2.000,
000.00 E E E
F
AUTOMOBILE
XX
L—_
l
Ix
X ! I
X
LIABILITYqNl' AUTO
ALL
OWNED AUTOS
SCHEDULED AUTOS I
HIRED AUTOS
I NON -OWNED
AUTOS CP. 3976576 (VA}
10/1/2010 I CA 3976575 (
AOS) 1 10/1/2010 CA 3976577 (MA)
110/1/2010 I CA 3976624 (
NH) (Primary AL) 1 10/l/2010 i I j
10/1/
2011
COMBINED SINGLE LIMIT
10/1/2011 (
Each accident) 110/1/2011
BODILY INJURY (Per person) 10/112011 BODILY
INJURY (Per accdent) PROPERTY DAMAGE Per accident) I I NEW
HAMPSHIRE (CSL)
i,000,
000.00 250,000 I
UMBRELLA LIAR EXCESS LIAB
OCCUR CLAIMS-MADEI
I I
j EACH
OCCURRENCE
AGGREGATE PRODUCTS -
COMP/
OP
AGG NEW HAMPSHIRE (
CSL,
i DEDUCTIBLE RETENTION $ I
B C D
E F
I
WORKERS
COMPENSATION
AND
EMPLOYERS'
LIABILITY
Y /
N ANY PROPRIETOR/
PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? Mandatory
in NH) If yes,
describe under
DESCRIPTION OF OPERATIONS
below NIA j jWC
I 026149517( , A, A,
1
0/
1/
2010
WC 026149514 (FL) 10/1/2010 WC
026149516 (MI) ! 10/1/2010 WCO26149513(
CA) 1D/1/2010 WC 026149518 (
MA, ND, NY, OH, i
10/1/2010 WA. WI, WY 10/l/2011 i
X I WC
STATU- OTH- 10/1/2011 T RY 1 IT
10/1/2011 E.L. EACH ACCIDENT
10/1/2011 E.L. DISEASE - EA
EMPLOYEE 10/1/2011 E.L. DISEASE - POLICY
LIMIT 2,000,
000.00 2,000,000.
00 2,000,000.
00 A A Builder'
s Risk/installation/Contract
Works
Rental
Equipment/Contractor's Equipment Blanket Transit
I IOC OC & OCW 91128600
1 5/
1/
2010
OC & OCW 91 128600 15/1/2010
F, OCW 91128600 151/2010/ 5/112011
I USD $1,000,000.
00 per jobsite 5/1/2011 1 USD $1,000,
000.00 per jobsite 2 1 iconveyance 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. rc Tr clrA C unr nco rA1JrFl
I ATInid SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
BE CANCELLED BEFORE City of Sanford THE EXPIRATION DATE THEREOF,
NOTICE WILL BE DELIVERED IN 300 N Pant Ave ACCORDANCE WITH THE
POLICY PROVISIONS. Sanford, FL 32771 AUTHORIZED REPRESENTATIVE United States
MARSH USA INC.
BY, FranklinHallock, Global
Marine David Konc. Casuals- Prooram P V TSl232f-
ZUUy AI.VKU I.VKYVKAIIVIV.
All rlgnTs reserve0. ACORD 25 (2009/09) The ACORD name
and logo are registered marks of ACORD Generated by EXTGTS LLC. For more informat_
on visit vrw4a.exigis.Com.