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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.