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HomeMy WebLinkAbout1180 Peralta CtY C F_ `n Application No. RECENEY3 APR 26 2011 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ q3 •% Job Address: I IS-) F(`ej —C, 01. Historic District: Yes ElNo g' Parcel ID: % 06- (C1 f b ' S-{2(06- IZ6 U Zoning: Description of Work: .J k 10 1 G E Irh t nn __ I7 II Plan Review Contact Person: 1 Y 'V"n %i r Y tCrt 1 G Title: i EA"m I!c f d Phone: t{ ' (Z"tiGy jFax: i-% I?_- l SS G E-mail: Property Owner Information Name Lf' , , L L Street: CQ4L4 L i_zG `'Orl City, State Zip: 32:1 Nc g \ 4A, Phone: Resident of property? : OCA Contractor Information Name W)` "-A.) f 1 i_116-E6nLA_s %Y1C,nr rn 9a I i Phone: 46-7 i 1 Z - 176 Street: /nl' j26 ,("LOUhen2 ' - Fax: f 7- 7 l Z l I ( City, State Zip: ( 7) r• I Q r7rl a 3Z2-6 Le State License No.: e, FC) Gz ! I Z Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: Architect/Engineer Information Phone: 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 (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 1 7 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 basdd 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: A;i t t{ )7, l 1 Signature o1KContra or a Da TFr,rnt fl(la y, [n l 4 r—rintrad /Agent's NameofNotary -State of Flo ' Date UTILITIES: FIRE: Contractor/Agent is I/ Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 POWER OF ATTORNEY Date: Jkl I I I I hereby name and appoint of ADT Security Services to drop off and pick up permits at the j Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel 2s- IS -36- 5 R?_-v C) bo- IZ!rC, Subdivision Address of job Owner. L4, vvi George Manginelli EF0001121 Type or Print Name of Ce Contractor E' Signature f Contractor The foregoing instrument w acknowledge )2_1'_dayof201Lbeforemethis by _ j wh spersonally own to me/whd produced as identification and who did not take oath. State of Flo*Ipontyof o ary Public, Semino e o ty, Florida MY COMMISSION # DDB0S439 EXPIRES March 01, 2013 i%t+"/ 388-0183 F COPY CustNo-168897872 JobNo- 02 9 -7,P RIDER ADT SecurftyServices, Inc. For Additional Service THIS RIDER made this /,P"- day of eag=n4/ , is part of and is to be attached to Agreement made the ADT Security Services, Inc. herinafter called "ADT, and herinafter called the "Customer" for service in the premises of the Customer at in the City of day of State of -L The Customer hereby requests, and ADT agrees, to install the following additional protection: h6- 31?b 70 The Customer hereby agrees to pay ADT, its Agents or Assigns, the sum by and between 4- f & 7 6" 1 . payable upon the signing of this Agreement and the balance payable upon completion of the installation, and to pay in addition the additional sum per annum payable in advance. The parties hereto mutually agree that the aforesaid Agreement, of which this Rider is made a part, is and shall be and remain in full force and effect in accordance with all of the terms and conditions thereof, modified only as in this Rider specifically provided. It is further agreed to that the original expiration date of the referenced Agreement shall be extended for a period of _ years. This Rider is not bin nCg unless approved in writing by an authorized representative of the Company described above as ADT. ADT Customer asent APPROVED Authorized Representative of ADT /L Title 11/ 06) tjjCD Fire & Security F0840- 01 i Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL DAYID JOHNSON, CFA, ASA 1 }°}-. PROPERTY' APPRAISER SEMINOLE COUNTY FL w 1101 E, FIRSTST SANFORO,FL32771-1465 407.665 -7506 4y • K;h- E;,' F `• F. f } j tr VALUE SUMMARY VALUES 2011 Working 2010 CertifiedGENERAL Value Method Cost/Market Cost/MarketParcelId: 28-19-30-5RZ-0000-1290 Number of Buildings 1 1Owner: BACH THO THI & Depreciated Bldg Value 89,189 97,726Own/Addr: LY LAM H Depreciated EXFT Value 737 766MailingAddress: 6504 LEGEND GATE PL Land Value (Market) 20,000 20.000City,State,ZipCode: BURKE VA 22015 Land Value Ag 0 0PropertyAddress: 1180 PERALTA CT SANFORD 32771 Subdivision Name: REGENCY OAKS UNIT ONE JusUMarket Value 109,926 118,492 Tax District: S1-SANFORD Portablity Adj 0 0 Exemptions: Save Our Homes Adj 0 0 Dor: 0103-TOWNHOME Amendment 1 Adj 0 0 Assessed Value (SOH) 109,926 118,4912 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 109,926 0 109.926 Amendment 1 adjustment is not applicable to school assessment) Schools 109,926 0 109,926 City Sanford 109,926 0 109,926 SJWM(Salnt Johns Water Management) 109,926 0 109,926 County Bonds 109,9261 0 109,926 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 2010 Tax Bill Amount: 2,380 WARRANTY DEED 0712006 06354 1212 $249,900 Improved Yes 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSFindComparableSaleswithinthisSubdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS; Pick... LOT 0 0 1.000 20,000.00 $20,000 LOT 129 REGENCY OAKS UNIT ONE PB 68 PGS 88 - 92 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building 1 SINGLE FAMILY 2006 9 726 1,935Sec 1,647 CBS+WOOD COMBO $89,189 91,476 Appendage I Sgft GARAGE FINISHED / 288 Appendage / Sgft UPPER STORY FINISHED / 921 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New ALUM SCREEN PORCH W/CONC FL 2006 104 $737 $884 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=28193 05 RZ00001290&c... 4/20/2011 A - 10 CERTIFICATE OF LIABILITY INSURANCE DATE 119010 ' 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 pol)cy(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 endorsements . PRODUCER GUNIMANAME: Marsh, Inc. PHONE FAX AIC No Ext : 2 4 - A/C No): 1166 Avenue of the Americas New York, NY 10036 ADDRESS: PRODUCER CUSTOMERD 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'l Union Fire Ins Co. of Pittsburgh, PA United States INSURER F: New Hampshire Ins. Co. CnvFReGFR CFRTIFICOTF NIIMRER- 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 TYPE OF INSURANCE ADD- SUBR POLICY NUMBER PMNDY EFF MMIIDDI YY LIMITS F GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE 1,000,0D0.00 GE TO RENTED PREMISES Ea occurrence 1,0D0,000.00 MED EXP (Any one person) 10,000.00 PERSONAL & ADV INJURY 1,000,000.00 GENERAL AGGREGATE 2,000,ODO.00 GEN1. AGGREGATE LIMIT APPLIES PER X 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 (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) X X NEW HAMPSHIRE (CSL) 250.000 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE HDEDUCTIBLEAGGREGATE RETENTION $ PRODUCTS - COMPIOP AGG NEW HAMPSHIRE (CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA WC 026149514 (FL) WC 026149516 (MI) WC 026149513 (CA) WC 026149518 (MA, NO, 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 WC STATU- OTH- E.L. EACH ACCIDENT 2..0D0•00 E.L. DISEASE - EA EMPLOYE 2,ODD,000.00 E.L. DISEASE - POLICY LIMIT Z000,0DO.00 A A I Builder's Riskfinstallaflon/Contract Works Rental Equipment/Contractor's Equipment TransitABlanket OC & OCW 91128600 OC & OCW 91128600 5/1/2010 5/1/2010 5/1/2011 5/1/2011 1 USD $1,000,0W.00 per jobsite USD $1,000,000.00 per Jobsite v 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. CERTIFICATE HOLDER 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 REPRESENTATIVEUnitedStates MARSH USA NJC, BY: Fmnbin Hal . Global Marine David Kon Casual PtogremTran 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.