HomeMy WebLinkAbout1180 Peralta CtY
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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
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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
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