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Home My WebLink About2021 S Lake AveApplication No: RECEIVEI] MAY 16 2011 BY: 11, IL-49z n Documented Construction Value: $ 6n I Job Address: , . Lc4L , ,- Parcel ID: 3(9-1 R 5eo "GGOG " 1 I Q 0 Description of Work: L QW CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Historic District: Yes No -" Zoning: Plan Review Contact Person: saws ru rb &_- 7&r Title: 6 PA M Phone: 40'3 1 Z^ 17 CA .Fax: 4 0 -71Zv 1- T 1 Q E-mail: Property OOwner Information Name A, 1 9- P11 Q Q 9AL Ppeo Ll1 S . G S Phone: Street: 44 v WG-r - Resident of property? City, State Zip: 4fn pri tjA s Contractor Information Name ft6= Sf (=ur'J--zA Phone: 40-?t?,,-r? q Street:.` ( Jp6 ' t "tM E612f- ly Fax: 4+07 -71 Z I %i 6 City, State Zip: oc 3z2ame State License No.: UtXJ Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Ie Square Footage:: =` No. of Dwelling Units: Electrical Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: New Service - No. of AMPS: Mechanical ( Duct layout required for new systems) Plumbing No. of Stories: New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: v1 Applicai work or meet sta i is hereby made to obtain a permit to do the work and installations as indicated. I certify that no stallation has commenced prior to the issuance of a permit and that all work will be performed to ards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be s6cured 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 N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COM NCEMENT 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 ofl 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 re6sed. Date Name of Florida Date Owner/ Age 't is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: fl Signature of Contra o Date 6-- r-crw-, Mao (t, 1, 1 d /I, int Contractor/ ent's Name 1A, 17A / I - (u, "— W" natu tart' -State o da t Date 1. SAMA" A L FURBOTER Cony MISVON # ODM13S E_ 111RES March 01, 2013 F Contractor/ Agent is to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 POWER OF ATTORNEY Date:--- I hereby name and appoint L146 of ADT Security Services to drop off and pick up permits at the Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel i0 101 30 GL Q OG - 119b Subdivision Address of job ;rOZk S L A,,KP— V Owner George Manginelli EF0001121 Type or Print Name of Certified Contractor Sign utiflmd Contractor The foregoing instrument was acknowledged efore me this ,S ( day of 20 It by C, / i w_ho is personally wn to me/who roduced as identification and who did not take oath. State of Flo ' ' 9AMANTHA L FURBOTER o ty of N-LG I ti " artY COMMfSStON # DDMj$ ! EXPIRES March 01, 2013 0 Public, Seminol o , Florida F RESIDENTIAL SERVICES CONTRACT (ACTIVATION) JCONTRACTDATE: /, J L TOWN NO: CUSTOMER NO: JOB NO: . LEAD SOURCE: Section• • ADT Security Services, Inc. (ADT) We" or "Us" or "Our") Office Address Customer Name You" or "Your") C I / J /' r" Address Zo2 / 5 1 City Affinity Name & No.. State / Zip Tax Exempt No. Protected PremisesTelephone. Tax Expire. Date Tel: ' 1-800-ADT-ASAP Traditional Phone Other (Qualified) Other (Non -Qualified) 1- 800-238-2727• _ Alternate Telephone.l ,l 3 • . - , ^' :, (Circle one) .Home Cell / /Work w/•,ext. 33 . Alternate Telephone 2 (Circle one) Home / Cell / Work w/ ext. IF FAMILIARIZATION PERIOD. IS ,' REJECTED INITIAL HERE EMAIL' —(j_n -IPI, Communications Authorization: You hereby authorize ADT to furnish information and/or updates regardingg 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 o t-out bv emailin donotcontact@adt.com or by callin 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 servicefinstallation a ointment at the tele hone numbers shown above. Initial here Section 2. Services to be Prov.i-ded Standard Monthly Service, Burolaly, Service includes: Customer Monitoring Center Signal Receiving and IvlonlhlySewiceCharge Municipal Construction Permit Fee..: Noti_ fi tion Service for Buirglary, Manual Fire, and Manual Police Emergency Customer to obtain construction permit' tandard Monthly Service, Fire/Smoke Detection Other Installation Price Serviceincludes: Customer Monitoring Center Signal Receiving and1. NotificationServiceforFire, Manual Fire, and Manual Police Emergency Carbon Monoxide Flood Low Temp Taxable Amount gi; Meclic-al Alert Non-Taxable Amount IM Safewatch Cellguard®. 1 Connection Fee SecurityLink® Sales Tax on Installation* Extended Limited Warranty/Quality Service Plan (QSP) Total Installation Charge* . Guard Response Service Deposit Received C? Monthly Recurring Municipal Fee (Subject to change based on local law) ustomey Jo obtain and pay forpunicipal alarm u3bermit Balance Due upon Installation* Other Cr If applicable sales tax not shown, it will be added to your first invoice. TotalMorithlServiceChare• Initial/ Annual Recurring Municipal Fee -billed separately Annual Fee Subjecttochangebasedonlocallaw) Customer to obtain and pay for initial/annual municipal alarm use Estimated Start Date J In, av' IJLCpermit. 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 pYOU 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 SYSTEM IS ADT-OWNED FOR ADT INSTALLED EQUIPMENT AND/OR ADT CONNECTION TO THE PREVIOUSLY INSTALLED EXISTING ALARM SYSTEM; (5) THE INITIAL TERM OF.THIS CONTRACT IS FOR THREE (3) YEARS; AND (6) 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 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 ACRCCOOM ANY THIS%rAGE WITH ADDITIONAL TERMS AND CONDITIONS ADT Bep.: No.: REi DATE: J C E_ Rep. L•ce-se Nol uired): f v 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. 1 of 6 Office Copy 02011 ADT Security Services, Inc. (01/11) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL. DETAIL DAVID JOHHSON. CFA. ASA PROPERTY APPRAISER SET7INOLE COUNTY FI-. FIRST 5SA.FL55-7505.1468 is m— DC mdl-. 1,9 118 119 ISO za IA m p C m1101E. wr a•" . 5y if IaM 'rx t s tj v5 , 8' 727 rtj 1- t:aB3 q g1 J, s VALUE SUMMARY GENERAL VALUES 2011 Working 2010 Certified Value Method Cost/Market Cost/Market Parcel Id: 36-19-30-520-0000-1190 Number of Buildings 1 1Owner: EAGLE PROPERTY ACQUISITIONS Depreciated Bldg Value 57,744 65,718Own/Addy: INC Depreciated EXFT Value 1,843 230MailingAddress: 470 DEWARS CT Land Value (Market) 11.656 14.570City,State,ZipCode: WINTER SPRINGS FL 32708 Land Value Ag 0 0PropertyAddress: 2021 LAKE AVE S SANFORD 32771 Just/MArket VAM 71.243 80.518SubdivisionName: PINEHURST Portablity Adj 0 0TaxDistrict: S1-SANFORD Save Our Homes Adj 0 0Exemptions: Dor: 01-SINGLE FAMILY Amendment 1 Adj 0 0 Assessed Value (SOH) 71,243 80,518 Tax Es imator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 71,243 0 71,243 Amendment 1 adjustment is not applicable to school assessment) Schools 71,243 0 71. 43 City Sanford 71,243 0 71,243 SJWM(Saint Johns Water Management) 71,243 0 71,243 County Bonds 71,243 0 71,243 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified 2010 VALUE SUMMARY SPECIAL WARRANTY DEED 0512010 07377 0923 $41,000 Improved No CERTIFICATE OF TITLE 0112010 07326 1995 $100 Improved No WARRANTY DEED 04/1991 02281 $50,000 Improved Yes a 20Tax Bill Amount: $1,617 Certified Taxable Value and Taxes 2010CertifiedDOESNOT INNON-AD VALOREM ASSESSMENTS WARRANTY DEED 06/ 1983 01464 1060 $38,000 Improved Yes Find Comparable Sales within this Subdivision LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value LEGAL DESCRIPTION PLATS: Pick... FRONT FOOT & DEPTH 62 129 .000 200.00 $11,656 LEG S 10 FT OF LOT 119 & ALL LOT 120 PINEHURST PB 3 PG 71 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New SkBui ding 1 SINGLE FAMILY 1977 6 918 et 1.503 1, 269 CONC BLOCK $57.744 68.336 Appendage / Sgft BASE SEMI FINISHED / 297 Appendage / Sgft OPEN PORCH FINISHED / 171 Appendage I Sqft UTILITY FINISHED / 63 Appendage/Sqft BASE / 54 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed P r is EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New WOOD UTILITY BLDG 1991 96 230 $576 WOOD UTILITY BLDG 2001 336 1,613 $2,688 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=36193052000001190&c... 5/12/2011 A " CERTIFICATE OF LIABILITY INSURANCE DATE11912DIYYYY) 11/912010 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 endorsements . PRODUCER Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 CONYACTNAME: aFAX A/C No)*. CNoErd : - 0 0 (Arc. ADDRESS: PRODUCER CUSTOMER 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. rnvl: RAGES 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 LTRWVD TYPEOFINSURANCEADDL SUBR POLICY NUMBER MI IDDYYY POLIC MMIDDLIMITS 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,ODO,000.00 DAMAGE RENTED PREM SES Ea occurrence) 1,000,000.00 MED EXP (Any one person) 10,000.00 PERSONAL & ADV INJURY 1,000,000.00 GENERAL AGGREGATE ZODO,000.00 GEN' L AGGREGATE LIMIT APPLIES PER MX POLICY JECT PRO- LOC PRODUCTS - COMP/OP AGG 2,000,000.00 E E E F AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNED AUTOS CA 3976576 (VA) CA3976575 ( 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, OOD,000.00 X BODILY INJURY (Per person) BODILY INJURY (Per accident PROPERTY DAMAGE Peraccident) XX NEW HAMPSHIRE (CSL) 250 000 UMBRELLA UAB EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE HOCCURAGGREGATEDEDUCTIBLE RETENTION $ PRODUCTS - COMP/OP AGG NEW HAMPSHIRE (CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE( Mandatory in NH) MEMBER EXCLUDED? If es, describe under DESCRIPTION OF OPERATIONS below NIA WC 026149514 (FL) WC 026149516 (MI) WC 026149513 (CA) WC 026149518 (MA, NO, NY, OH, W 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 WC STATU- Y LIMITS OTH- EREL EACH ACCIDENT 2.000,•00 E. L. DISEASE - EA EMPLOYEE 2,000,000.00 E. L. DISEASE -POLICY LIMIT 2 000,000.00 A A A Builders Risk/installation/Contract Works Rental EquipmentlContractors Equipment Blanket Transit I OC & OCW 911286DO OC & OCW 91128600 OC & OCW 128600 5/ 1/2010 5/ 1/2010 1511/ 2010 5/ 1/2011 5/ 1/2011 151112011conveyance USD $ 1,000,000.00 per jobsite USD $ 1,0D0,000.00 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. C- ERTIFICATF HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sanford 300 N Park Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sanford, FL 32771 AUTHORIZED REPRESENTATIVE UnitedStatesMAMBY: Franidin Hellodc, Global Marine Cam 1988- 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Generated by EXIGIS LLC. For more information visit www.exigis.com.