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-