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Home My WebLink About1302 Northlake DrRECEIVED MAY 212011 BY. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ' 'lei, 1 Documented Construction Value: $ 44 3,60 Job Address: 136Z Historic District: Yes No 9 Parcel ID: (y-'"f(-r)/'t;" '3C 2- Zoning: r Description of Work: UG Plan Review Contact Person: Title- Phone: ^ 2"i(y- Fax:46%^-7j Z- 14%7I (D E-mail:Utf,rGIt.QC Property Owner Information Name l lG`-V il-1 i Phone: ?LD"" 333Z Street: r" Resident of property? City, State Zip: -V-6 nYj -FE 3277 Contractor Information Name f n1 Phone: M -:2 r 2- ( 700 Street: k CPU oGU `c. Fax: %07 ^% 12 -11I U City, State Zip: ' r sZgCSCp State License No.: &Cbcot I 2 Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Building Permit [ Square Footage: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical 0 (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 4k 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: S ignatKe of ate 3-LrAc flicr,oa Iid d t' int Contra r/Agent's Name c'- Q,(4urbo'; i ature of Notarv-State of FI id Date UTILITIES: FIRE: SAMAlVT' FiA L FURBOTER y COMMISSl N # DDM130 EXPIRES { March 01, 2013 Produced ID Type of ID WASTE WATER: BUILDING: to Me or Rev 11.08 POWER OF ATTORNEY Date: I I hereby name and appoint of ADT Security Services to drop off and pick up permits at the b ` 6 q a(I rci Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel 1 Subdivision kJ G Address ofjob Owner The by _ is Georme Manei aelli EF0001121 Type or Print Name of Certified Contractor Sign Certified Contractor ing iristtvment was acknowledged before me this Z day of 20 to me/whid produced as identification and who did not take oath. State of Flopia Zty of , Semin/ 1Publicole nty, Florida NTHA L FUR BOTER 3luSiOPV bb9 BEi1$8 IL4rch 01, 2013 v A & am& & RESIDENTIAL SERVICES CONTRACT C CONTRACT DATE: >< TOWN NO: CUSTOMER NO: JOB NO: LEAD SOURCE: Section•Info, ADT Security Services, Inc. (ADT) We" "Us" "Our") Office Address Customer Name You" or "Your") 11 ! jr / SorL 1 , ;• c-, or or j Address ' a 0 41v a'1 iC. tit V e- y City sC;1\40rr16 Affinity Name & No. 7-7 3State/Zip Tax Exempt No. f l Protected Premises' Telephone — Ip " 3a Tax Expire. Date I -7) 'U Traditional Phone Other (Qualified) Other (Non -Qualified)' Tel: 1-800-ADT-ASAP1-800-238-2727 Alternate Telephone 1 ( U/% . 1— ( Circle one) Home Cel / Work w/ ext. Alternate Telephone 2 -/a ! /% ` ( p a a (Circle one) Home / Cell / Work w/ ext. IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE EMAIL c. '14460,G6 Communications Authorization: You hereby authorize ADT to furnish informatiorarmor 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 unsubscribe or opt -out by emailing donotcontact@adt.com or by calling 888-DNC4ADT (888-362-4238). Initial here 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 telephone number(s) shown above. Initial here System Ownership: . Customer -Owned p-ADT=Owned beSect.ion 2. Services to Provided Standard )Monthly Service, Burglary Monthly Service Charge Municipal Construction Permit Fee Service inc!Oes: Customer Monitoring Center Signal Receiving and r El Customer to obtain construction permitit OtherServiceforBurglary, Manual Fire, and Manual Police Emergency standard Monthly Service, 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 Carbon Monoxide Flood Low Temp Non -Taxable Amount Medical Alert •' Connection Fee Safewatch Cellguard® Sales Tax on Installation* Security).ink® Total Installation Charge* Extended Limited Warranty/Quality Service Plan (QSP) 7i e:6_ Deposit Received Guard Response Service Balance Due upon Installation* Monthly Recurring Municipal Fee (Subject to change based on local law) If applicable sales tax not shown, it will be added to vour first invoice. CustomertoobtainandpayformunicipalalarmusepermitOther Total Monthly Service Charge Initial/ Annual Recurring Municipal Fee -billed separately Initial Annual Fee Subjecttochangebasedonlocallaw) Customer to obtain and pay for initial/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 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-ADTASAP (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 OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND' ANY AMOUNTS PAID IN ADVANCE. SECOND AND THIRD PAGES ACCOMPANY THISrPAGE WITH ADDITIONAL TERMS AND CONDITIONS ADT Rep.: I Reap. •ID No.: CUSTOME i1APP V; % D 47 E:. / Rep. License No. (If Required): NOTICE OF CANCELLATION fOU, THE CUSTOMER, MAY- CANCEL THIS TRANSACTION AT ANY TIME PRIOR 3USINESS DAY AFTER THE DATE; OF THIS TRANSACTION. SEE ATTACHED NOTICE. OF XPLANATION OF THIS RIGHT:. Of 6 Office Copy TO MIDNIGHT OF THE THIRD CANCELLATION FORM FOR AN 02011 ADT Security Services, Inc. (01/11) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL p R RK DAVID JOHNBON, CFA, ABA PROPERTY APPRAISER r '" BEMINOLECOUNTY FL 4 J _ J 1101 E. FIRST ST BANFORD. FL32771-1468 407.665-7506 VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 14- 20-30-510-0000-1302 Number of Buildings 1 1 Owner: RIDDLE KEITH A & BARBARA A Depreciated Bldg Value 28.050 41,140 Mailing Address: 1302 NORTHLAKE DR Depreciated EXFT Value 400 400 City,State,ZipCode: SANFORD FL 32773 Land Value (Market) 0 0 Property Address: 1302 NORTHLAKE DR SANFORD 32773 Land Value Ag 0 0 Subdivision Name: NORTHLAKE VILLAGE CONDO 2 JusUMarket Value 28, 450 41,540 Tax District: S1- SANFORD Portabiity Adj 0 0 Exemptions: 00-HOMESTEAD ( 1994) Save Our Homes Adj 0 0 Dor: 04-CONDOMINIUMAmendment1Adj 0 0 Assessed Value (SOH) 28,450 41,540 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 28,450 25,000 3,450 Amendment 1 adjustment is not applicable to school assessment) Schools 28,450 25,000 3,450 City Sanford 28, 450 25,000 3,450 SJWM(Saint Johns Water Management) 28,450 25,000 3,450 County Bonds 28, 4501 25,000 3,450 The taxable values and taxes are calculated using the current years working values and the prior years approved mlllage rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2010 Tax Bill Amount: 332 WARRANTY DEED 05/ 1985 01644 1648 $49,900 Improved Yes 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable SaleswithinthisSubdivisionLEGALDESCRIPTIONLAND PLATS: Pick... Ii Land Assess MethodFrontageDepthLandUnitsUnitPriceLandValueLOT00 1.000 .10 LEG UNIT 1302 NORTHLAKE VILLAGE CONDO 2 PB 32 PGS 47 TO 50 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Buildin 1 CONDOS 1985 6 912 1.002 Sketch 912 CB/STUCCO FINISH $28,050 28,050 Appendage / Sgft SCREEN PORCH FINISHED / 72 Appendage / Sgft UTILITY UNFINISHED / 18 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 1985 1 $ 400 1,000 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.sepafl.org/ web/re_web.seminole_county_title?parcel=14203051000001302&c... 5/12/2011 4 , AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE11912DIYYY1) 1/9/2010 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 terns 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 endorsements . PRODUCER Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 CONTACT NAME: AICNNo' Ext : - 0 AIC No): ADDRESS: PRODUCER D INSURERS AFFORDING COVERAGE NAIC# INSURED 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'I Union Fire Ins Co. of Pittsburgh, PA United States INSURER F: New Hampshire Ins. Co. CnvcRAr_ cc CERTIFICATE NUMRF_R:827805-A REVISION NUMBER: 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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE DDL SUBR POLICY NUMBER MMfDDY EFF IP p IXP LIMITS F GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS - MADE PKOCCUR OWNER'S & CONTRACTOR'S GL 4360884 ( Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE 1,000,000.00 PREM SES Ea GE TO RENTED 1,000, 000.00 MED EXP ( Any one person) 10,000.00 PERSONAL & ADV INJURY 1,000.000.00 GENERAL AGGREGATE 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: M POLICY PRO LOC PRODUCTS - COMP/ OP AGG 2,000,000.00 E E E F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA 3976576 ( VA) CA 3976575 ( AOS) CA 3976577 ( MA) CA 3976624 ( NH) (Primary AL) 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2011 10/1/ 2011 10/1/ 2011 10/1/ 2011 COMBINED SINGLE LIMIT Each accident 1,000, 000.00 X BODILY INJURY (Per person) BODILY INJURY ( Per accident PROPERTY DAMAGE Per accident) X XNEW HAMPSHIRE (CSL) 250,000 UMBRELLA LIAR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE HOCCUR AGGREGATEDEDUCTIBLERETENTION $ PRODUCTS - COMP/ OP AGG NEW HAMPSHIRE ( CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ PARTNER/EXECUTWE OFFICERIMEMBER EXCLUDED? Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC 026149514 ( FL) WC 026149516 ( MI) WC 026149513 ( CA) WC 026149518 ( MA, ND, NY, OH, WA WI, 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2010 10/1/ 2011 10/1/ 2011 10/1/ 2011 10/1/ 2011 10/1/ 2011 X WCSTATU- OTH- YLIM ER E.L. EACH ACCIDENT 2,000,000.00 E.L. DISEASE - EA EMPLOYEE 2,000.000.00 EL. DISEASE - POLICY LIMIT 2.000,000.00 A A Builder' s Risk/installation/Contract Works Rental Equipment/ Contractor's Equipment Blanketi OC & OCW 91128600 OC & OCW 91128600 5/1/ 2010 5/1/ 2010 5/1/ 2011 5/1/ 2011 1conveygnce USD $ 1, 000,000.00 per jobsite USD $1, 000,000.00 per jobsite DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Please refer to attached ACORD 101 for further remarks. CERTIFICATF i4ni nFR CANCELLATION 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 REPRESENTATIVE United StatesMARSHUSA NJC. BY: Frenkiin Halloa. Global Marina David Kan Casual nun 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 ( 2009/09) The ACORD name and logo are registered marks of ACORD Generated by EXIGIS LLC. For more information visit www.exigis.com.