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HomeMy WebLinkAbout328 Bella Rosa CirA b"Ec7FER 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ' / (!/ Documented Construction Value: Job Address: 3Z6' _ [j£[ I& I)p OA -1-J2.1 Historic District: Yes No fff Parcel ID:>2^ OCaLY)- 1 1-910 Zoning: Description of Work: vJ V ( - n TLA Plan Review Contact Person: 1 xYl 1 tjr- Com' Phone: 4 -M - -712-- 17164 Fax: 4Cn-71Z-LFI (C E-mail: r - Property Owner Information Name Frl C.,Y rcj Mex n n " n C% Phone: 4Cn ^ 6q-5-- -7 of 3 Street: A j,` -Vi ( G". X034, L 1"raA Resident of property? City, State Zip: <<l( rd P7Pp I Contractor Information Name 14A7SvPvri j 1&f:ot-aj_ fY &ria,nf tlt, Phone:4_6Q-% 12-1?6 4 Street: 3(Jxon (c/ Ga4, 1''Gm fvlfld%3Yc,CJ Fax: Lin- ? I Z - 1 1 City, State Zip: CrL do , f-7— 37_sz .? State License No.: E F7600(l ZJ Name: Street: City, St, Zip: Bonding Company: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: Address: F PERMIT INFORMATION Building Permit' f'`it yfit Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service - No. of AMPS: Mechanical (Duct layout required for new systems) No. of Stories: New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 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 maybe 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 silbmitted, 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: Rev 11.08 i L UTILITIES: FIRE: Signature of Contrac / Date s Name Date SAMANTHA L FUR80T MY COMMISSION # DD8889 8! EXPIRES March 01, 2013 Contractor/Agent is l/ Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: POWER OF ATTORNEY Date: I hereby name and appoint j of ADT LSecw- iityvicesSerto drop off and pick up permits at the lr 7 L( 0 j(1' Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: ParcelJCi -i j_Zjl_soZ~ ob()G" I ) -q C.) Subdivision Address of job Owner L;r-C(v— George Manginelli EF0001121 Type or Print Name of Certified Contrac. - 0 Signathn-e o erti d ractor The foregoiing instrumeIItt was acknowledged before me this ] day of 0byMCt.trLG'1 Ir1l who is as 77n naIINKnown to mehYho produced Ion and who did not take oath. State of Flo o)my of itiyy i /C o ary Public, Seminol Florida SAMANTHA E_ FURSOM MY COMMISSION! # DD86313' EXPIRES March 01, 201; 38&0163 FloridallotarySerolce.00m p RESIDENTIAL SERVICES CONTRACT CONTRACT DATE: _/__J TOWN NO: CUSTOMER NO: 56S13 10B NO Alllll'II!gIIIIIIgpIfIV'lllll ', LEAD SOURCE: 0 0 a ADT Security Services, inc. (ADT} (!Gn GYour") You" or /` No. O ` State / Zip 7 Tax Exempt No. Protected Premises' Telephone 4 yc7 7-:7(_3 Tax Expire. Date Traditional Phone 0Other (Qualified) Other (Non -Qualified) Tel: 1 -800 -ADT -ASAP1-800-238-2727 Alternate Telephone 1 (Circle one) Home / Cell / Work w/ ext. IF FAMILIARIZATION I( Alternate Telephone 2 (Circle one) Home / Cell / Work w/ ext. REJECTED INITIAL PSE J"' EMAIL Communications Authorization: You hereby authorize ADT to furnish information and/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 emaiiing cionotcontact@adt.com or by calling_888 DNC4ADT (888,362 -4238), -initial her __ _ - - --- __----- ____—_—__—____ Confirmation of Appointments: You hereby expressly authorize ADT to call you using an automated calling device to deliver a prerecorded message to set/confirm a service/installation appointment at the- elephone number(s)-shown above. Initial here System Ownership: Customer -Owned ADT -Owned v Monthly Service Charge Municipal Construction Permit FeeJtandarclMonthlyService, Burglary L/ Service includes:' Customer Monitoring Center Signal Receiving and Customer to obtain construction permit r Notification Service for Burglary, Manual Fire, and Manual Police Emergent' ; Other Standard Monthly Service, Fire/Smoke Detection Installation Price %G Service includes: Customer Monitoring Center Signal Receiving and ------ - -- -- _ -- -- --- - - - - Notification Service for Fire, Manual Fire, and Manual Police Emer en Taxable Amount Carbon Monoxide Flood Low Temp Non -Taxable Amount - r Medical Alert Connection Fee Safewatch CellguardO Sales Tax on Installation- 33 5ecurityLinkm Total Installation Charge* tended Limited Warranty/Quality Service Plan (QSP) Deposit Received ED Guard Response Service -- !; Balance Due upon Installation* j ci S Monthly Recurring Municipal Fee (Subject to change based on local law) -------------- ----- _ _-_ - ---_-_-_- -- ____---------------- CustomerEDCustomer 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 MonthlvService Charge Initial/Annual Recurring Municipal Fee -billed separately Initial/ based local law) Annual FeSubjecttochangeon - Customer to obtain and pay for initial/annual municipal alarm use c J Estimated Start Date permit. Your failure to obtain and provide ADT with your municipal ; 3` alarm use permit registration number could result in no municipal fire/ . ohi a res onse to an alarm from ynr premises and/or a fine. 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 TRANSMISSION SYSTEMS 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 OBLIGA YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE. AND_THIR AND CONDITIONS-_____________-____________ SECOND T Re Rep. ID No.: CU5 S ,: DATE: A.'---` --- 1 a`- - - - - - - - --- - ----------- Rep. License No. (If Required): final gn _ re R fired CJ 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 FOR_ M FOR AN EXPLANATION OF THIS RIGHT. Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 http://www.scpafl.org/web/re_web.seminole_county_title?parcel=29193150200001190&cp... 2/2/2011 42 4i 40 .1:", nDavIDJa"N 9ON CI=A.ASAi3 bELLA.KUNA UK. n uPROPERTY A PRf SER 3 EMJNoLE UNTKFL. ti, 124 1..3 "^,. f2i 1.' 1 .,11r]:W 11, 11S ,,, 11.3 n w r ? 1107E Flksrsr 5ANF6RD.FL32772 1468 31 x '10- 11 1 t. ,f3i1 wr t i to 7 t 3. 407-665,7506 TT VALUE SUMMARY VALUES 2011 2010 Working _ Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 29-19-31-502-0000-1190 Number of Buildings 1 0 Owner: MANNING EDWRD & MICHELLE Depreciated Bldg Value $119,296 $0 Mailing Address: 328 BELLA ROSA CIR Depreciated EXFT Value $0 $0 City,State,ZipCode: SANFORD FL 32771 Land Value (Market) $24,000 $24,000 Property Address: 328 BELLA ROSA CIR SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: CELERY ESTATES NORTH JusU.M.arketVa_I_ue $143,296 $24,000 Tax District: S1-SANFORD Portablity Adj $0 $0Exemptions: Save Our Homes Adj $0 $0Dor: 01 -SINGLE FAMILY Amendment 1 Adj $0 $4,200 Assessed Value (SOH) $143,2961 $19,800 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $143,296 $0 $143,296 Amendment 1 adjustment is not applicable to school assessment) Schools $143,296 $0 $143,296 City Sanford $143,296 $0 $143,296 SJWM(Saint Johns Water Management) $143,296 $0 $143,296 County Bonds $143,296 $0 $143,296 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 SPECIAL WARRANTY DEED 11/2010 07498 1314 $182,500 Improved Yes 2010 Tax Bill Amount: $430 WARRANTY DEED 06/2008 07014 0848 $3,018,400 Vacant No 2010 Certified Taxable _Value and Tax.e.s. 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 °; LOT 0 0 1.000 24,000.00 $24,000 LOT 119 CELERY ESTATES NORTH PB 71 PGS 38 - 45 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 2010 12 1,160 2,943 2,250 CB/STUCCO FINISH $119,296 $119,895Sket Appendage / Sqft OPEN PORCH FINISHED/ 168 Appendage I Sqft GARAGE FINISHED/ 483 Appendage I Sqft OPEN PORCH FINISHED / 42 Appendage I Sqft UPPER STORY FINISHED / 1090 NOTE: Appendage Codes included in living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed Permits 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=29193150200001190&cp... 2/2/2011 AC"RL) CERTIFICATE OF LIABILITY INSURANCE D0.TE (MMIDDIYYYY) 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 endorsement(s). IADDLISUBRI I INSR GOMCT PRODUCER Marsh, Inc. NAME: PHONE 1 FAX AIC.No Ert: (212) 345-5 1No): ADDRESS: 1166 Avenue of the AmericasE-MAIL New York, NY 10036 PRODUCER i CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # DAMAGE TO RENTED PREMISES Ea occurrence $1,OOC,000.00 INSURED INSURER A: AGCS Marine Insurance Company (Allianz) I ADT Security Services, Inc. INSURER B: CHARTIS CASUALTY COMPANY Franklin Hallock, Global Madne 3160 Southgate Commerce Blvd INSURER C: Commerce & Industry Ins Co. i 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. 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 HERE114 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR I TYPE OF INSURANCE IADDLISUBRI I INSR 300 N Park Ave POLICY EFF POLICY NUMBER. MWDD POLICY EXP MM/DD/YY I LIMITS F GENERAL LIABWTY1 X. 1 COMMERCIAL GENERAL LIABILITY1 AUTHORIZED REPRESENTATIVE i GL 4360884 (Primary GL) 110/112010 110.1112011 EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $1,OOC,000.00 MED EXP (Anv one person) $10,000.00I j CLAIMS -MADE I OCCUR OWNER'S & CONTRACTOR'S MARSH USA INC, B:': Franklin Hallock, Global Madne I I PERSONAL &ADV INJURY $1,000,000-00iGENERALAGGREGATE $2,000,000.00 jGEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMP/U?AGG $2,000,000.00 j I 1 1 1 X: 1 POLICY PRO 71 LOC j E E E F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS CA 3976576 (VA) 10/1/2010 CA 3976575 (AOS) ' 10/1/2010 CA 3976577 (MA) 10/1/2010 CA 3976624 (NH ay AL) 110/1/2010Primary 110/1/2011 10/1/2011 10/1/2011 10/1/2011 COMBINED SINGLE LIMIT $1,000,000.00 Each accident) BODILY INJURY (Per person) I BODILY INJURY (Per accident) l X1 X7, I SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE Per accident) NEW HAMPSHIRE (CSL) $250.000 UMBRELLA UAB i OCCUR I 1 EACH OCCURRENCE EXCESS LIABCLAIMS-MADE i I I AGGREGATE I DEDUCTIBLE RETENTION $ I, j PRODUCTS - COMP/OP AG G j1i I NEW HAMPSHIRE (CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) I If yes, describe under 1 DESCRIPTION OF OPERATIONS below l I VVU U215149517 ( I, A, A, ) 10/1/2010 WC 026149514 (FL) 10/1/2010 WC 026149516 (MI) 10/1/2010 WC 026149513 (CA) 110/1/2010 IWC 026149518 (MA, ND, NY, OH, 10/1/2010 WA, WI. WY) I 110/1/2011 10/1/201 i 10/1/2011 110/1/2011 10/1/2011 iX I WC STATU- iUTH-ITRY' IMIT I R E.L. EACH ACCIDENT - $2,000,000.00 E.L. DISEASE - EA cMPLOYE $2,000,000.00 E.L. DISEASE - POLICY LIMIT $2,000,000.00 A A I Builders RisOnstallation/Contract Works I Rental Equipment/Contractor's Equipment Blanket Transit I I OC & OCW 91128600 5'1/2010 OC & OCW 91128600 5/1/2010 00 & OCW 91128600 15112010 5/1/2011 5/1/2011 5/1 2 11 USD $1,000,000.00 per jobsite USD $1,000,000.00 per jobsite 1,000,000.00 r conveyanre DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Please refer to attached ACORD 101 for further remarks. COTiclr^ATc tJnl nGQ rANCFI I ATInN V 19B9-ZUUU ACUKU GUKI UKA I IUN. An rlgnts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Generated by BXIGIS LLC. For more-nforrnat-on V1S1t ArWW.eX_1315.^Om- 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 REPRESENTATIVEUnitedStates MARSH USA INC, B:': Franklin Hallock, Global Madne 11-d Kon.. Casual, Frouram P V 19B9-ZUUU ACUKU GUKI UKA I IUN. An rlgnts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Generated by BXIGIS LLC. For more-nforrnat-on V1S1t ArWW.eX_1315.^Om-