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HomeMy WebLinkAbout118 Lindsey Way33 APR 13 20 CITY OF SANFORDLBUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / I r l j.-I/t Job Address: Parcel ID: Description of Work: Documented Construction Value: $ Z4 7 ,yU d Historic District: Yes No K' Plan Review Contact Person: sl Un- i -u V10 Cf±f . t- Phone: q(U ::2 11-• D O4 Fax: LI-y%'% 1 Z' ! 1- / 0 E-mail: Property Owner Information Name G rU kn_ Phone: Street: P G X `Z 7 Resident of property?: City, State Zip: k&dl mU rnr, 9;Fn( lei PL3a1 ?G Contractor Information Name r1' i_%/6-f-cYY F (0&Agn9I1 i Phone: 4G7- i IZ-1-76 (4 ZI[C G . L amStreet:, r Fax: 4 G7- 7 l Z City, State Zip: 8 r l d e l d o , fi, State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ur Square Footage: No. of Dwelling Units: Electrical New Service - No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical (Duct layout required for new systems) No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 0 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 Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: A / - - S' ature of n or/Agent Date SAMANTHA L FURBOT'ER MY COMMISSION'# DD885138Ny,gr, EXPIRES March 01, 2013 UTILITIES: FIRE: Contractor/Agent is V Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 POWER OF ATTORNEY Date: 6 1(- I hereby name and appoint 6 f of ADT Security Services to drop off and pick up permits at the C Building Department on my behalf for a LOW VOLTAGE SECURITY permit for /work to be performed at a location described as: Parcel Subdivision Address of job 1 Owner (/U 1Luh / v Georize Manginelli EF0001121 Type or Print Name of Certified Contractor ignatu ified Contractor The forgoing instrument was by V I Ct71,d It who is personal known to me/ o produced _ as i en i ica ion anw o Uid not take oath. State of Florida my of l/I/) o) ry Ifublic, Seminol6-(5etiniy, Florida me this )(3day of 204 i SAMANTHA L FURBOTM MYCOMMISSION'# DD80138 EXPIRES March 01, 2013 3 F ewe RESIDENTIAL SERVICES CONTRACT.: ' :.. : IIIIIIIII I IIIIIUIIIIENIIII llflllllf[IIII ' 5104UE11 . CONTRACT DATE: l)`# t 1( TOWN No:' ° `' °CUSTOMER NO JOB, NO:: -, LEAD SOURCE: Section 1. Customer• ADfSki.tritv Services, Inc. (AD We', or:"Us" or "Our") Office Address CustomerCustomer Name ' •-•. f :.;•pt i"- ;' `'•'' "' " You" or "Your"}•:" `btu c{ .',if y #rCc '•. i °? f i :ifi i. '. f ti € !" ,' t Address Cff f41, Affini u , J city Name & No. 4 Istate, Zip.: - - •: .' Tax t:xerrhpt No. Protected Premises.•'Telephorie : ..: " Tax Expife. Date Traditional. Phone:;'. Cith'e• (Q,ualified . `: °Other (Novi; -Qualified).::::,? :::,-. .::.' .' Tel: ° 1-800-ADT=ASAP) 1-800-238-2727•- . t 4i:.?:.'C :cj .. eAlternateTelephore1` Ei•t'"'_ •. ' . • '° '.° . °':'.`.::• Circle one)' Horrie !Cell ' Work w/ ext. Alternaie';r4ep* k ' e.2 : "` : .=' 1 ' ; ::, ...: (Circle one) Home CCelt l Work w/ ext. IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE 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 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 ari-autornated calling: device to deliver a prerecorded message to i seticonfirm a serviceAnstallation appointment at the telelihorie'humber(s) shown 6boJe'Anitial: here '' : 1 System P.. • :' ' .. ... DT. Owriershi Custtiriter Owned'. :'° :AOwned::.::::.:.:::• •:;: ::'.:;:.` ::.'::';:':':.:?::•::':::::"; :::.::.:'::':::::':.,..: '• .:'. Section 2. Services to be Provided Lj5tandard Monthly Service; Bitr la .:.::...::::....:::.:.:: M ryry Customer Cerrter Shgnal Receivin °'and... ; ° ' Monthly Seivice Cha s:; - IGjiiniapaf Goilstiiiclioti`Pertnit Fee:::;' ..'' ! :' :' awl Cus(othei to obtain'°co'nstruc[ion ' 'rmlt:' I Selyhce mciu'des; onitoring g , Notification. Servhce fdr Bu la Manual Fire, and'Manual Po ice Emer en 9cYj :. • : ..: ;:. j:. (` .. r.:. ' •..Other•'-•..: Standard Monthly Service; Fire/S,''Moke Detection . lostallation Price.`:;:'.' .;'"... :4f Service indudes:. Customer Monitoiinq Center Signal Receiving and. Notification Service for Fire, Manual Fire; 'and Manual'Police Emergen j TaXableAmnunt;: ':':,'.::::' • :.': :: :`.:' •: .` ':':::•:" :: Carbon Monoxide Flood Low Temp ° ' Taxable Amouhy--: ; :::.:, : '•::' _ __'":. •• :: Medical Alert Non Connection: Fee . •.':" ' _ _ 1 afewatch Cellguardm :• - • r rr G Tax an Installation*•- Securitylinkgi::.::::`•.:.:::..;:::' . ":..`- ~' .:' Sales Total Installation Charge' f i p` Extelided Urn ltedtWatr4i6Quality Service Plan (QSP) Deposit Received :.. ' • r 0 Guard Response Seivice'%:'::? ::.` '~^v _ Balance Due upon fnstallation' Monthly Recurring Municipal Fee (Subject to change based on local law) If applicable sales tax not shown, it will be added to your first invoice. • Customer toobtainand*pay formunicipal alarm use permit T Other -.k. 14 TotalMonthlyServiceChargeInitiaVAnnualRecurring Muniapel Fee -billed separately Initial? •. •. ..: ::: . Annual Fee Subject tochangebasedonlocallaw), Customer to obtain and pay for. initial/annual municipal alarm use Estimated Start Date permit. Your failure to obtain and pprovide ADT with your municipal alarm use permit registratjon numbercould iesult'in no municipal fire/ olice response to an alarm from your premises and/or a fine. _ _ . .' lEstima'"feAtomp'IetiotlDate ;:'. ;• ;:';:: .::.:: YOU ACKNOWLEDGE` AND ADMIT'THAT (1) WE HAVE EXPLAINED TO YOU THE FULL RANGE OF'EQUIPMENT AND. SERVICES'•AVAILABLE TO YdU; (2)_- ADDITIONAL. EQUIPMENT' AND,SERVICESOVER•THAT:, DESCRIBED HEREIN ARE AVAILABLE AND MAY BE OBTAINED, FROM US AT'ANl'ADDIT10NAt:-;CUST TO YOU; (3)-; YOU'HAVE CHOSEN AND, HAVE CONTRACTED FOR ONLY THE EQUIPMENT AND THE SERVICES' DESCRIBED IN:THIS CONTRACT; (4)-TF(•IN)TIAL. TERM OF THIS CONTRACT IS FOR AND' (5),YOU SHOULD MANUALLY:TEST YOUR- SYSTEM MONTHLY WITR ADT"AS WELL ASa7PQbf..t: THREE:(3)iYEARS, ANY CHANGE'•TO• THE:TELEPHONE,'SERVICEIN;YOUR. PREMISES.T000NFIRM PROPER'TELEPHONE LINE SEIZURE AND THAT, SIGKALTIRANSMI,SSIOR'It; FUNCTIONING PROPERLX BY CAiI'INGAD( AT•1=800=ADTASAP (AND FOLLOW THE:PROMPTS): WE ARE NOTSECURITI' CONSULTAfJT.`:;'; ;; ::' :'; YOU•ACKNOWLEOGE AND °ADMIT THAT BEFORE: SIGNING, YOU HAVE°READ. THE FRONT AND: t3ACK• OE THIS PAGE °IN ADDITION;T.:O°TEiE`;ATTACHED.PAGESWHICH CONTAIN, IMPORTANT.. TERMS - AND, CONDITIONS FOR:THIS CONTRACT. YOU•STATE:THAT,YOU UNDERSTAND ALL. THE_TERMS'AND CONDITIONS' OF THISCONTRACT,: INCLUDING, BUT NOT::LtNIITED'TO;'PARAORAPHS: S;-6,:T':S- 9:10'AND!'22'-:.YOU:ARE AWARE -OF THE FOLLOWING; NO:ALARM*.SYSTEM CAN: GUARANTEE PREVENTION:;OF. LOSS; HUMAN ERROR° IS -ALWAYS' PO5SIBLE,-,WE MAY NOT RECEIVE ALARM SIGNALS IF THE :TELEPHONE; LINE OR OTHER ALARM TRANSMISSION SYSTEM IS CUNTERFERED WITH •'•OR°OTHERWISE DAMAGED'OR IF. TELEPHONE OR ELECTRICAL SERVICE IS UNAVAILABLE FOR ANY: REASON, ' T; I f THIS: CONTRACT REQUIRES FIN' A4`'APPROVAL•':OF-AN ADT.;AUTHORIZED:MANAGER BEFORE -ANY EQUIPMENT/SERVICES MAY; BE•PROVIDED;,IF.:APP.RO•VAt; IS DENIED;.THIS-CONTRACT. WILL' BE:TEFiMINATECi iAkb -ADT'S'ONLY.°`dBl1GATION TCi,.YOU WILL•:BE TO NOTIFY YOU OF SUCH iERIVI1NATlOIV,AND _REFUND ANY AMOUNTS PAID, IN ADVANCE:.' SECONDAND'THIRD`PAGES'ACCONIPANYTHISi` PAGE•'1iVITH°ADDITIONAL.TERMS-ANDCONDFFIONS,•: 'r:''' ::'r••,-• :-- •: •°' `: •' Re r t ID No:.:'.'- ADT Rep... t^ CfJSTR'S , P}TQVAL f i DATE:`: T- .:YnC U Rep. License, No. (If Required):' NOTICE;OF CANCELLATION. YOU;`: TFi> CU57OMEft :"11lfAY' CAC CEI:':TH(5:'::•T`RAIVSACTION-.•AT:.::ANY' TIME ;.PRIOR;. 1'O MIDIVIGHl `OF THE ,;THIRD BUSINESS DAY AFTER.THE•: DATE `OF',TW15`'-.'UAN5-ACTICIN : SEE ATTACHED-'NOTICE.:•OF:'CANCELLATION::`F.ORIVI FOR':•AN: EXPLANATION OF THIS -RIGHT:::::: • :: .. 1• `Of 6°: , . CUStOriler Copy..: '.: ,; .:'.' .:.`• : :. - • :• : ®2011' 4D C'Secu if i,Seivice's•, Inc: (01/1 i) ACCORV CERTIFICATE OF LIABILITY INSURANCE DAT 119120/ YYYY) 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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, 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 endorsements . PRODUCER Marsh, Inc. 1166 Avenue of the Americas NAME: PHONE FAX ACNo AtcNoExt : 12 4 -(AC, New York, NY 10036 I ADDRESS: PRODUCER S D INSURERS AFFORDING COVERAGE NAIC # INSURED ADT Security Services, Inc. INSURER A: AGCS Marine Insurance Company (Allianz) INSURER B: CHARTIS CASUALTY COMPANY 3160 Southgate Commerce Blvd INSURER C: Commerce 8r 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. COVERAGES CERTIFICATE NUMBER: 827805 -A REVISION NUMBER: 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 LTRTYPE OF INSURANCE ADDL SUBR NUMBER POLICPOLICY MWDDDY MM/LIDDI EXP LIMITS F GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS - MADE Fx OCCUR OWNER' S & CONTRACTOR'S GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE 1,000,000.00 PREMISES Me occurrence 1,000,000.00 MED EXP (Any one person) 10,000.00 PERSONAL & ADV INJURY 1,000,0D0.00 GENERAL AGGREGATE 2,000,000.00 GEN' L AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOG JFCTPRODUCTS - COMP/OP AGG 00 $2,0,000.00 E E E p AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON - OWNED AUTOS CA 3976576 (VA) CA 3976575 (ADS) 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) XX NEW HAMPSHIRE (CSL) 25000D UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS - MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ PRODUCTS - COMP/ OP AGG NEW HAMPSHIRE ( CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ PARTNER/EXECUTIVE 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 WY) 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 I WC STATU- OTH- E.L. EACH ACCIDENT Z000,000.00 E.L. DISEASE - EA EMPLOYEE 2,000,0D0.00 E.L. DISEASE - POLICY LIMIT Z000,000.0D A I A Builder's Riskrinstallatlon/Contract Works Rental EquipmentlContractor' s Equipment Blanket• —Transit OC & OCW 911286D0 OC & OCW 911286DO 5/1/ 2010 5/1/ 2010 5/1/ 2011 5/1/ 2011 USD $1, 000,000.D0 per jobsite USD $1, 0D0,000.00 per jobsite conveyance 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. GtK I IhIGA It: MULUtK GANGtLLA I IUN City of Sanford 300 N Park Ave Sanford, FL 32771 United States SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fit ':&---) Ij/ 1 --1 MARSH USA INC, BY: ee:.1 % 0,4 Franklin Hallock, Global Marine 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. Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL. DE TAJL k DAVID JOHNSON. CFA. ASA PR©PERTY APPRAISER N0A Y 4 f SEMINOLE COUNTY FL 1101 E.RkSTST 7 ud 5A.0 1 SANFORD, FL32771-1468 OF- 407.665-7506 tCt4 TRACTS V 4A.0 VALUE SUMMARY VALUES 2011_ 2010 GENERAL Working Certified Value Method Cost/Market Cost/MarketParcelId: 33-19-30-511-0000-09A0 Number of Buildings 1 1Owner: WHITE BRUCE E REV TRUST Depreciated Bldg Value 37,238 41,099Own/Addr: FBO Depreciated EXFT Value 0 0MailingAddress: PO BOX 907 Land Value (Market) 10,000 12,000City,State,ZlpCode: NEW SMYRNA BEACH FL 32170 Land Value Ag 0 0PropertyAddress: 118 LINDSEY WAY Subdivision Name: LINDSEY ESTATES REPLAT Just/Marke Valu _ 47,238 53,099 Tax District: S1-SANFORD Portablity Adj 0 0 Exemptions: Save Our Homes Adj 0 0 Dor: 0801-MULTI FAMILY 1 UNIT Amendment 1 Adj 0 0 Assessed Value (SOH) 47,238 53,099 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 47,238 0 47,238 Amendment 1 adjustment is not applicable to school assessment) Schools 47,238 0 47,238 City Sanford 47,238 0 47,238 SJWM(Saint Johns Water Management) 47,238 0 47,238 County Bonds 47,238 0 47,238 The taxable values and taxes are calculated using the current years working values and the prior years approved mlllage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified QUITCLAIM DEED 12/2009 07297 0275 $100 Improved No QUITCLAIM DEED 09/2009 07251 1882 $100 Improved No 2010 VALUE SUMMARY CORRECTIVE DEED 04/2005 506820974 $100 Improved No QUIT CLAIM DEED 1212004 05656 1600 $100 Improved No 2010 Tax Bill Amount: 1,067 WARRANTY DEED 12/2004 05571 0410 $139,000 Improved No 2010 Certified Taxable Value and Taxes WARRANTY DEED 08/1997 03288 1382 $19,500 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 08/1991 02322 1074 $51.900 Improved Yes QUITCLAIM DEED 06/1991 02307 1459 $100 Vacant No Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... LOT 0 0 1.000 10,000.00 $10,000 LEG LOT 9A LINDSEY ESTATES REPLAT PB 42 PG 18 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 MULTI FAMILY 1991 5 892 954 892 CONC BLOCK $37,238 40,257 Appendage / Sgft OPEN PORCH FINISHED / 62 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed 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 years property tax will be based on Just/Market value. http://www.scpafl.org/web/re_web.seminole_county_title?parcel=3 31930511000009AO&c... 4/13/2011