HomeMy WebLinkAbout2431 Cedar AveY
X
Application No:
RECEIVED
MAR 2 2 2011
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 1 4 3. S)
Job Address: E431 CFCICcr- IqV Z- Historic District: Yes No`Er
Parcel ID: .'!i(o't9 - 36 -67a4 — I2oG -• 00Ce C) Zonine:
Description of Work:
Plan Review Contact Person: k`, ryi VlCrtf 1( 'Title: 6 t cal ( TILGCfir'G
Phone: t Fax kkn--7 IZ-I U E-mail: (C'JC .•(
Property Owner Information.
Name s-` ,bl. -(, W? Phone: 407- qcP 4- Zot l
Street: Resident of property?
City, State Zip:
Contractor Information
Name i i Ph one: SE)- 7217 0Trf
Street: I & (20r4Wl L ud Fax: Li'CSI I Z " ( g v
City, State Zip: r)'C l wn GA P a _ 32 %0CP State License No.: UG d I Z I
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:.
Building Permit I!
Square Footage:
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:
00
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
AN
r
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
0 Z l 1
Signa re of Co ctor D to
of
SAMANTHA L F"URBOM
MY COMMISSION # DD86513,,
CXP1RES Marsh 01, 2013
UTILITIES:
FIRE:
Date
i Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
4
POWER OF ATTORNEY
Date: 3
I hereby name and appoint ,. (4 U (ts G 1l
of ADT Security Services to op off and pick up permits at the
rj Building Department on my behalf for
a LOW VOLTAGE SECURITY permit for work to be performed at a location described as:
Parcel 3 e—L9— — &)'2-(4-17---0 6 C(3Co 6
Subdivision C'F-(,t,,,, (A i ril r
Address of job 2 (31r, rJ GtIr
Owner E I SN4, Pr, ,I
George Manginelli EF0001121
Type or Print Name of Certified Contractor
Z
Signtu. ified Contractor
ThDf-egoing instrume t was acknowled ed before the this 2 day of 26
bywhrsonall nown to me/ o produced
as iden t [cation and who did not take oath.
State of Fla
my of G C
44" rl-
o ry Public, Seminol tnty, Florida
SAMANTHA L FURBOTER
MY COMMISSION'# DD865138
or , EXPIRES March 01, 2013
7 sE7f1(11 Florltls
RESIDENTIAL SERVICES CONTRACT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
5104UE10
CONTRACT DATE: TOWN NO:y CUSTOMER NO: JOB NO: LEAD SOURCE.
Section• •
ADT Security Services, Inc. (ADT)
VI%e" or "Us" or•"Our") Office Address
Customer Name)
Ci rn-e y- You or Your
Address , lam' e -y NVQ
yl J C) J -- City go Y Affinity Name & No.
State / Zip 1 ^—t ! Tax Exempt No.
I
Protected Premises' Telephone
pC
Tax Expire. Date
1-800 ADT -ASAP
Traditional Phone Other (Qualified) Other (Non -Qualified)
Tel:
1-800-2-238-2727 Alternate Telephone 1 U V -- a (Circle one) Home /Cel Work w/ ext. l
v &0
Alternate Telephone 2 (Circle one) Home / Cell / Work w/ ext. IF FAMILIARIZATION PERJQD S
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 custo ers to the contact information provided by you. You may
unIsr,
cribe or opt -out by emailingdonotcontact@adt.com orb calling 888-DNC4ADT (888 62-4238). Initial here
Confirmation of Appointments: You hereby expressly thorize ADT to call you using an automated cin device to deliver a prerecorded message to
set/confirm a service/Instation appointllament at the le hone numbers) shown above: Initial here
Systepri Ownership: Customer -Owned ADT -Owned
Section 2. Services to be Provided
Standard Monthly Service, Burglary onthl Service Charge
Service includes: Customer Monitoring Center Signal Receiving and ( J( ]
O
Municipal Construction Permit Fed
Customer to obtain construction permit
Notification Service for Burglary, Manual Fire, and Manual Police Emergen _! ` 4 Other
Installation PriceStandardMonthlyService, Fire/Smoke Detection
Service includes: Customer Monitoring Center Signal Receiving and
Notification Service for Fire, Manual Fire, and Manual Police Emergency Taxable Amount
Ca on Monoxide Flood Low Temp _ Non -Taxable Amount _
edical Alert Connection Fee
Safewatch Cellguard® y> ( 1' Sales Tax on Installation*
I-] 5 curityLink® Total Installation Charge*
xtended Limited Warranty/Quality Service Plan (QSP) Deposit Received
Guard Response Service
Balance Due upon Installation* 1si7inJofc-e.
Monthly Recurring Municipal Fee (Subject to change based on local law)
Customer to obtain and pay for municipal alarm use permit If applicable sales tax not shown, it will be added to your
6thei• -
Total Monthly Service Charge
s; Initial/Annual•Re'curring Municipal Fee -billed separately, Initial/
AF(Subject to' chande,basedon,local,law)i:.,N, :' ::•;;. 3.;3 tisk
Annual Fee •.
tomer;to;obtain,and,pay,for,initial/anrivaIimunicipal,alarmisef.•P <r 4'r..••:a;,,';' t Estimated Start
I-pCii
permit: Your'failure,t'9,pp ain and`pprovide ADT with your municipal
d4"
ala? use permit rre'gistration numbe`could result in no municipal fire/'
olice,response to an,ala)m from your premises and/or a fine. Estimated Completion Date Cu,rsp r)
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 -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 DS
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 THIS PAGE WITH ADDITIONAL TERMS AND CONDITIONS
ADT Rep.: I
v`
Rgp DpfV CUS E 'S AP OVAL A
nep. License No. (It Required): J Original Signature Required
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.
rte!
1. Of .6 Central Storage Copy ,. ®2010 ADT Security services, Inc. (05/10) s
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minole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARA L DETAIL
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PROPERTY'
APPIRAISER DD
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SEMINOLE PUNrIrTrU
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SANFDltD, FL32771-1466
407-655,=7508
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VALUE SUMMARY
VALUES
2011 2010
Working Certified
GENERAL Value Method Cost/Market Cost/Market
Parcel Id: 36-19-30-524-1200-0060 Number of Buildings 1 1
Owner: PALMER ELIZABETH A
Depreciated Bldg Value $52,901 57,953
Mailing Address: 2431 CEDAR AVE Depreciated EXFT Value $0 0
CIty,State,ZipCode: SANFORD FL 32771 Land Value (Market) $14,700 14,700
Property Address: 2431 CEDAR AVE SANFORD 32771
Land Value Ag $0 0
Subdivision Name: DREAMWOLD 3RD SEC
Just/Market Value $67,601 72,653
Tax District: S1-SANFORD
Portablity Adj $0 0
Exemptions: 00 -HOMESTEAD (2008)
Save Our Homes Adj $0 0Dor: 01 -SINGLE FAMILY
Amendment 1 Adj $0 0
Assessed Value (SOH) $67,6011 72,653
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority hn± Vat,ir
Th- t1,;a W- t l,t a a'i i taxes are r l•d:,.,, l u+' i..... .. i
SAI 1-S
D.ed Date Book Fage Anwr.nl V
a
WARP"A.NTY DEED 06/2007 06752 09b1 $80,'
WARRANTY DEED 10/2006 06465 0317 $88,00'. 2as i . • .
WARRANTY DEED 08/2000 03918 0124 $43,06,
Find Comparable Sales within this S ,F •' .'•
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS. Pick...
FRONT FOOT & DEPTH 60 136 .000 250.00 $14,700 LOT 6 BLK 12 3RD SEC DREAMWOLD PB 4 PG 70
BUILDING INFORMATION
Bid Num Bid Type Year Blt Fixtures Base SF Gross SF Living SF Ext Wall Bld Value
Est r'nct
New
Building 1 SINGLE FAMILY 2000 3 1,100 1,184 1,100 SIDING AVG $52,901Sketch 55,249
Appendage / Sgft OPEN PORCH FINISHED / 84
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Perch Finished,Base
Semi Finshed
Permits
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being fu»lrze° f r ,r: v rcm tax purposes.
If you recently purchased a homesteaded property your next vear's prone: tv tax will he based on JusSrhv3hue.
http://www.scpafl.org/web/re_web.seminole county_title?parcel=36193052412000060&c... 3/17/2011
V
A CERTIFICATE OF LIABILITY INSURANCE
TEDA
1119/ 010
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(les) 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 endorsement(s).
PRODUCER
Marsh, Inc.
NAME:
PHONE FAX
AIc No Ext : 212 4 - AIC No):
ADDRESS: 1166 Avenue of the Americas
New York, NY 10036 PRODUCER
CUSTOMER
INSURERS AFFORDING COVERAGE NAIC R
10/1/2010
INSURED
ADT Security Services, Inc.
3160 Southgate Commerce Blvd
Ste 38
Orlando , FL 32806
United States
INSURER A: AGCS Marine Insurance Company (Allianz)
INSURER B: CHARTIS CASUALTY COMPANY
INSURER C: Commerce & Industry Ins Co.
INSURER D: Illinois National Insurance Co.
INSURER E: Nat'l Union Fire Ins Co. of Pittsburgh, PA
INSURER F: New Hampshire Ins. Co.
DAMAGE T RENTED $1,00.000.00PREMISESEaoccurrence
GUV`tKAt1atJTHIS 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.
NSRLTR TYPE OF INSURANCE
ADDL SUBR
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MM/DD LIMITS
F GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE $1,000,000.00
DAMAGE T RENTED $1,00.000.00PREMISESEaoccurrence
MED EXP (Any one person) $10,000.00
CLAIMS -MADE a OCCUR
PERSONAL & ADV INJURY $1,000,000.00
OWNER'S & CONTRACTOR'S
GENERAL AGGREGATE $2,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG $2,000,000.00
E
E
E
F
PRO- RO
LOCXPOLICYJECT
AUTOMOBILE LIABILITY
X ANY AUTO
ALL 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 $1,000,000.00
Each accident
BODILY INJURY (Per person)
BODILY INJURY (Per accident.
PROPERTY DAMAGESCHEDULEDAUTOS
X HIRED AUTOS
Per accident)
NEW HAMPSHIRE (CSL) $250.000
X NON -OWNED AUTOS
UMBRELLA UAB OCCUR
EACH OCCURRENCE
AGGREGATEEXCESSLIABCLAIMS -MADE
DEDUCTIBLE
PRODUCTS - COMP/OP AGG
NEW HAMPSHIRE (CSL)
B
C
D
E
F
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIAA
WC 026149517
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 WC STATU- O
R
E.L. EACH ACCIDENT $2.00D,000.00
E.L. DISEASE - EA EMPLOYE $2,000,000.00
E.L. DISEASE - POLICY LIMIT $2,000,000.00
A
A
Builder's Ris nstallation/Contract Works
Rental Equipment/Contractor's Equipment
Blanket Transit
OC & OCW 91128600
OC & OCW 91128600
5/1/2010
5/1/2010
51112010
5/1/2011
5/1/2011
5/112011
USD $1,000,000.00 per jobsite
USD $1,000,000.00 per jobsite
USD $1.000,000.00 per conveyance
A
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.
GERTIFIGA l It t1ULUt:K • ""•
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
United States AUTHORIZED REPRESENTATIVE
a
MARSH USA MJC, BY: Fmnklm Hallock, Global Marine
David k Casual P ramT.
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ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
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