HomeMy WebLinkAbout337 Bella Rosa CirCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No: I Documented Construction Value:
Job Address: i f GSCti L(- Historic District: Yes No
21"
Parcel ID: 2 C PCI - 3 — 56Z" 6(U V ' 03 ! U Zoning:
Description of Work:
Plan Review{Contact
Phone: q v t - 1 (z _
Property Owner Information
Name t'> f ,tom rr rS Phone: X71 — 3(03 • X31 }
Street: 3%7 1Q GSCI. C r ' Resident of property? QFS
City, State Zip: <-llIVo ("d l '? 7 7 1
Contractor Information
Name Iq hTa J O "(zliA"A f-/Za/
r'
Phone: 07 -7 12 - 1
Street: `I 1 Co 1LJU l,U rYl(t l . IuCa Fax: 12-( 1 10
City, State Zip: C State License No.: EA 6)064 1 Z(
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service - No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Const ruction Type:
Flood Zone:
Mechanical 0 (Duct layout required for new systems)
Plumbing
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
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Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no
work or installation has commenced prior to the issuance of a permit 'a"nd`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:
I
COMMENTS:
Rev 11.08
Signature of Contractor/ ge ate
Contractor/AWt's
of Notary -State of Flondk_/ ' Date
tnrAiVTHA L FURBOTM
My COMMISSION # DD865138
EXPIRES March 01, 2013
UTILITIES:
FIRE:
Contractor/Agent isy Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
POWER OF ATTORNEY
Date:
I hereby name and appoint
of ADT Security Services to drop off and pick up pennits at the
L 4n Building Department on my behalf for
a LOW VOLTAGE SECURITY permit for work to be performed at a location described as.-
Parcel Cj
Subdivision L f I e
Address ofjob
Owner
The fo
by
who is
1- tri
George Manginelli EF0001121
Type or Print Name of Certified Contractor
f
Signature of ert- e ntractor
g instrument as acknowledge before me this 7 day of 20
rsonal to me/wJJo produced _
as identification and who did not take oath.
9=6orida
t • , `=MVIt^NTHA L FURBOTM
N;Y C7v:MISSION # DD885138
X.PIRES March 01, 2013
39"153 FIo allotaryServioe.com
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a RESIDENTIAL SERVICES CONTRACT
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CONTRACT DATE: !-? TOWN NO: CUSTOMER NO: 10B NO: LEAD SOURCE:
ADT Security Services, Inc. (ADT) Customer Name >C-77
We" or "Us" or "Our") Office yddress
Yoe or our l
y` mac, Add ess >C
6
7L
is . ' ./L, 7N67'p, 4-Cj: ,c",
Affinity Name & No.
State / ZIP _ ` ? Tax Exempt No.
Protected Premises' Telephone; ( -- , _ ; c %' Tax Expire. Date
Traditional Phone Other (Qualified) Other (Non -Qualified)
CTel: 1 -800 -.ADT ASAP
1-800 -238-2727 -. Alternate Telephone I (Circle one) Home/ Cell ; Work w/ ext
IF FAI\/IiLlARIZATIOI 'ERI D l5 Alternate i elephone Circle one) Home / Cell ! 1A%ork wl ext.
REJECTED INN —11 A-11,)4E?t
Communications Auth i ou herebv autho
izEM
rize ADT to furnish information and/or updates regarding your security system and neve ADT and/o! !
third party products and services available to ADT customers to the contact information provided by you You may unsubscribe or op -out by emailing1-donotcontactGadt,com or by calling 888 DNC4ADT `8M-352-4238).lm ia_he _s,
pp
Pp c — - -- -------------
i - - Con irmation of A ointments. You herebv expressly authorize ADI to call you usingan automated cailmo device to deliver a prerecorded message to
et/confirm a. service/installation..a _ omtmen at the elephon_-numner s _shown -above ini* a h
System Ownership. D Customer-Ov`med ADT -Owned
O'Standard Monthly Service, Burglary Monthly Service Charg- MMunn.cipal Construction Permit Fee
GServiceincludes: Customer Monitoring Center Signal Receiving and stomer to obtain construction permit/
Notification Service for Burglary, Manual Fire, and Manual Poke Emergency
Standard Monthly Service, Fire/Smoke Detection}
Service includes: Customer Mionitoring Center Signal Receiving and
Notification Service for Fire, Manual Fire, and Manual Police Emergency
El Carbon Monoxide Flood D Low Temp
Medical Alen
6,Safewatch Cellguard"
Secuntuunk"
Rcxtended Limited Warranty/Quality Service Plan (QSP)
Guard Response Service
D Monthly Recurring Municipal Fee (.Subject to change based on local law)
fI Customer to obtain and pay for municipal alarm use permit -
Other
Installation Price
Taxable Amount
Nor -Taxable Amount
Connection Fee
Sales Tax on Installation'
otal Installation Charoe
Deposit Received
Balance Due upon Installation`
IfIf applicable sales tax not shown, it will be added to your first invoice.
Other
Total Monthly Service Charr,e
Initial/Annual Recurrinq Municipal Fee -billed separateiy Initial!
Subject to change based on local law) Annual Fee
i Customer to obtain and pay for initial/annua! 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 analarm_from your 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 ALARMTRANSMISSIONSYSTEMISCUTINTERFEREDWITH, OR OTHERWISE DAMAGED OR IF TELEPHONE 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 ISDENIED, THIS CONTRACT WILL BE TERMINATED AND ADT'S ONLY OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANYAMOUNTSPAIDINADVANCE.
T Rp Rep ID No.: CUS J R`5 A F R VAL:
Rep. License No. (If Required): Original Si na are Required
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.
DATE (MM/DD/YYYY)
AC"R" CERTIFICATE OF LIABILITY INSURANCE 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 endorsement(s).
1 POLICY NUMBER
I POLICY EFFMM/DD/YYYY
PRODUCER
Marsh, Inc.
NAMUUF'
lE:
PHONE iFAX
A1C No Extl: '21_1 345-5000 AIC No:
L
ADDRESS: 1166 Avenue of the Americas
New York, NY 10036 PRODUCER
CUSTOMER to #:
INSURERS AFFORDING COVERAGE NAIC #
EACH OCCURRENCE I $1.000,000.00
INSURED INSURER A: AGCS Marine Insurance Company (Allianz)
I
PERSONAL & ADV INJURY $1,000.000.00
ADT Security Services, Inc. INSURER B: CHARTIS CASUALTY COMPANY
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO- I LOCjIPOLICY71T
3160 Southgate Commerce Blvd INSURER C: Commerce & Industry Ins Co.
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Ste 38 INSURER D: Illinois National Insurance Co.
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Orlando , FL 3280E INSURER E: Nat'l Union Fire Ins Co. of Pittsburgh, PA
10/1//
1/
2011
102011
110/1/2011
110/112011
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United States INSURER F: New Hampshire Ins. Co. j
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IFvTHIS
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.
INTSRR I TYPE OF INSURANCE
ISR
1 POLICY NUMBER
I POLICY EFFMM/DD/YYYY POLICY EXPMM1DD/YYYY I LIMITS
F I GENERAL LIABILITY
1 "' I COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I!X71 OCCUR
OWNER'S &CONTRACTOR'S
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GL 4360884 (Primary GL) 110/1/2010 10/1/2011 EACH OCCURRENCE I $1.000,000.00
DAMAGE TO RENTED $1,OOC,000.00PREMISESEaoccurrence
MED EXP (Any one person) $10,000.00
I
PERSONAL & ADV INJURY $1,000.000.00
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GENERAL AGGREGATE $2,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO- I LOCjIPOLICY71T
PRODUCTS - COMP/OP AGG $2,000,000.00
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AUTOMOBILE
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LIABILITY
ANY AUTO
1 ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
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CA 3976576 (VA)
CA 3976575 (AOS)
CA 3976577 (MA)
CA 3976624 (NHi (Primary AL)
10/1/2010
10/1/2010
10/1/2010
11011/2010
10/1//
1/
2011
102011
110/1/2011
110/112011
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COMBINED SINGLE LIMIT $1,000,000.00.OD
Each accident) !
BODILY INJURY (Per person) j
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident)
NEW HAMPSHIRE (CSL) $250,000
UMBRELLA LIAR I OCCUR
EXCESS LIAB I CLAIMS -MADE' 1
1
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EACH OCCURRENCE 1
AGGREGATE
HDEDUCTIBLE
RETENTION $
PRODUCTS - COMP/OP AGG
NEW HAMPSHIRE (CSL)
B
C
D
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WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?WC
Mandatory in NH)
If es, describe under1DESCRIPTIONOFOPERATIONS below
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WO 02614 ,GA, A,
WC 026149514 (FL)
WC 026149516 (MI)
026149513 (CA)
WC 020"149518 (MA, ND, NY, OH,
I WA. WI, WY
10/1/2010
10/1/2010
10/1/2010110/1/2010
1 10/1/2010
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110/1/2011
110/1/2011
j 10/1/2011
10/1/2011
10/1/2011
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TOR L IT FR
E.L. EACH ACCIDENT $2,000,000.00
E.L. DISEASE - EA EMPLOYEE $2,000,000.00
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E.L. DISEASE - POLICY LIMIT $2,000,000.00
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Builders Risk/installation/Contract Works
Rental Equipment/Contractor's Equipment
Blanket Tr
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OC & OC1N 911286005/1/2010
OC & OCW 91128600
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15/1/2010
1
5/1/2011
5/1/201
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i USD $1,000,000.00 per jobsite
USC $1,000,000;00 per jobsite
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DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space is required)
Please refer to attached ACOA 101 for further remarks.
e+C Tit•1!"ATC IJ/'%l Mao relurPI I AT111M
tc) itptft3-LUUS AL L)KU LVKYVKH I ium All rlgnts reserve0.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
Generated by EXTG!S LLC. For more iRforriation V_Sit www.exigis.com.
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, BY. Frank=, Glob.! Marine
David Kon .Casualty ProoramTzs
tc) itptft3-LUUS AL L)KU LVKYVKH I ium All rlgnts reserve0.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
Generated by EXTG!S LLC. For more iRforriation V_Sit www.exigis.com.
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
http://www.scpafl.org/web/re_web.seminole_county_title?parcel=29193150200000390&c... 1/27/2011
sDAVIDJO"'QA',CFA. ASA TRACT 1)
PRAISER X3 :r , Z
SEMINOLg C,PclFIL
ft0f E FIFS7, Sf
ROSA CIR
SAKFCRD,.Fc3277tA466
407.665-7508.
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VALUE SUMMARY
VALUES 2011..._ 2010
Working Certified
GENERAL Value Method Cost/Market Cost/Market
Parcel Id: 29-19-31-502-0000-0390 Number of Buildings 1 0
Owner: HARRIS BETTY Depreciated Bldg Value $104',648 0
Mailing Address: 337 BELLA ROSA CIR Depreciated EXFT Value $0 0
City,State,ZipCode: SANFORD FL 32771 Land Value (Market) $24,000 24,000
Property Address: 337 BELLA ROSA CIR SANFORD 32771 Land Value Ag $0 0
Subdivision Name: CELERY ESTATES NORTH
Just/Market Value $128,648 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) $128,648 19,800
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 128,648 $0 128,648
Amendment 1 adjustment is not applicable to school assessment) Schools 128,648 $0 128,648
City Sanford 128,648 $0 128,648
SJWM(Saint Johns Water Management) 128,648 $0 128,648
County Bonds 128,648 $0 128,648
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: 430SPECIALWARRANTYDEED12/2010 07511 0621 $142,500 Improved Yes
2010 Certified Taxable Value and TaxesWARRANTYDEED06/2008 07014 0848 $3,018,400 Vacant 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... (C'
LOT 0 0 1.000 24,000.00 $24,000 LOT 39 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
Building
Skeetchtch 1 SINGLE FAMILY 2010 8 1,670 2,283 1,670 CB/STUCCO FINISH $104,648 105,174
Appendage / Sgft OPEN PORCH FINISHED / 132
Appendage / Sgft GARAGE FINISHED / 441
Appendage / Sgft OPEN PORCH FINISHED / 40
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.
Ifyou 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=29193150200000390&c... 1/27/2011