Loading...
HomeMy WebLinkAbout2722 White Magnolia WayRECEIVED APR 12 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION BY: PERMIT APPLICATION Application No: I / d-/ Documented Construction Value: $ _ qq. 0 U Job Address: It-) n j IC (MCA an bl i a. Parcel ID: _3 I C Description of Work: Historic District: Yes No Plan Review Contact Person: SN,yI i2 Cr Title: Ij 0,00 f Phone: q -M -? I Z, -.I "70 4 Fax: 467- -21 Z- I (LJ E-mail:r-hr' t Lr! Property Owner Information Name 1"\V i '4"f n L)Cc$k Street: (0l r c City, State Zip:WzAc 6H 4 G 1 Phone: Resident of property? : f10 l Contractor Information Name Ann` Sznw r1 116-fLM S n 6A, -,t n fj 1 i Phone: 46-? G Street: < oSV4 S 11111G LrnInjz132 tj' Fax: 4-b7— 717- l tI % City, State Zip: Ci r- l Q r1 ri jii 37_,S -V e State License No.: E (z7C, co ! I Z ( Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 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: V n 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 1lie 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. rZ ( I Signature of Owner/Agent Date Sign re of Con for Da Print Owner/Agent's Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: imonuauttaingcuRV re of Notary -State of Flo kK Date SAMANTHA L FURBOTER lvlY COMMISSION 4 DD865138 EXPIRES MarCh 01, 2013 388OtE9 Contractor/Agen is - Known to Me or Produced ID Type of ID WASTE WATER: FIRE: BUILDING: POWER OF ATTORNEY Date: I hereby name and appoint -_ a of ADT Security Services to drop off and pick up permits at the l ) Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel 3Z- I' - SG<4 JS66--Z72Z Subdivision Address of job Z_7 i The by _ who as is George Manginelli EF0001121 Type or Print Name of Certified Contractor was acknowledged before me this `i' 2 day of 20 known to me/Who produced ld-wfi-o-Fid not take oath. State of F101 -0a r C of t 1/1 e^I f ota Public, Seminole C n orida V SAMANTHA L FURgMYCOMMISSION # DD888138P,,,. ` EXPIRES 437) F March 01, 2013 F5106-10 (05/09) RESIDENTIAL SERVICES CONTRACT- 'FOR USAA MEMBERS0**J CONTRACT DATE: _—; TOWN NO: CUSTOMER NO: JOB NO: LEAD SOURCE: 1. Customer• Sectibn i Customer Name r - ADT Security Services, Inc. (ADT) t_ ' You" or "Your") :__.i'„ . L: - We" or "Us" or "Our") Office Address J. j' i I Arldress C_ ! C_ ( i t l ; t . . U 1 L1 I' i fo i (._ !,tri [ C> >7 _ -. .._ _ , City ` f%; Affinity Name USAA -01J State / Zip Tax Exempt No. I S":- j, 7b. f Tax Expire. DateProtectedPremises' Telephone v :.._.• \_ :' "• i p Traditional Phone Other (Qualified) Other (Non -Qualified) Tel: 1 -800 -ADT -87221 r—. •'•`i_) . { ti 1-800-238-8722 / p f7 ( / /) f -- (' 1 - . 1~ Alternate Telephone 1 .: f ! "'`• (Circle one)o-m-e/ Cell /Work w/ ext. IF FAMILIARIZATION PERIOD IS I Alternate Telephone 2 (Circle one Home / Cell / Work w/ ext. REJECTED INITIAL HERE EMAIL Communications. Authorization: You hereby authorize ADT to furnish information and updates regarding your security system and new ADT and/or third party products and services available to ADT customers to your email or by telephone at the addresses and/or telephone numbers shown above. You may unsubscribe and/or opt -out by emailing webmaster@'adt.com or by calling 1-800-238-8722. Initial here System Ownership: Customer. -Owned ADT -Owned Section 2. Services to be Provided p6tandard Monthly Service, Burglary/Fire/Smoke Detection Monthly SeMmCharge Municipal Construction Permit -Fee _ Service includes: Customer Monitoring Center Signal Receiving and Notification Customer to obtain construction permit Service for Burglary, Fire, Manual Fire, and Manual Police Emergency Installation Price Carbon Monoxide Flood Low Temp Taxable Amount Medical Alert Non -Taxable Amount Connection Fee (included in price) I Sales Tax on Installation* Safewatch Cellguard® SecurityLink® 5 Extended Limited Warranty/Quality Service Plan (QSP) 1 vt c Total Installation Charge* I _ _ Guard Response Service i Deposit Received Monthly Recurring Municipal Fee (Subject to change based on local law) i I , Balance Due upon Installation* Customer to obtain and_pay for municipal al rm use permit U1 other_ I `•_ 1 f ti- ti` " `'- If applicable sales tax not shown, it will be added to your first invoice. Notal Monthly Service Charge_ Initial/Annual Recurring Municipal Fee -billed separately I Initial/ Annual FeeSubjecttochangebasedonlocallaw) ElCustomer to obtain and pay for initial/annual municipal alarm use permit. Estimated Start Date 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. I Y Estimated Completion Date . 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 TWO (2) YEARS; AND (5) YOU SHOULDMANUALLYTEST 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 1-800-238-8722. 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. SECOND AND THIRD PAGES ACCOMPANY THIS PAGE WITH ADDITIONAL TERMS AND CONDITIONS AD4 Rep.: ,— Rept ID No_ ADT Authorized Representative (Mgr.)/Date: 41 L Rep. License No. (If Required): CUSTOMER'S APPROVAL / DATEE 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. ' 1 of 6 05000002 Office Copy 02009 ADT Security Services, Inc. Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL DAVID JOHNSON. CFA, Asn I' OPROPERTY 2711 2:n+ APPRAISER APPRAISER 1 i 27L , 2712 r SEMINOLE COUNTY FL 1101 E.RkSrsT SANFORD, FL32771-1468 407-665-7506 2715 21M Y 2714 2rA v- , •'"°' `3;' .' . y_ _ h'': - t. r{'yv, +, 1.". fypF WM p '. t{ q= y, ,.,. VALUE SUMMARY VALUES 2011 2010 GENERAL Working Certified Value Method Cost/Market Cost/Market Parcel Id: 32-19-30-504-1300-2722 Number of Buildings 1 1Owner: SOWASH KRISTIN L & Depreciated Bldg Value $59,384 65,094Own/Addr: SOWASH NANCY E Depreciated EXFT Value $1,550 1,600MailingAddress: 6149 BRAET RD Land Value (Market) $0 0City,State,ZipCode: WESTERVILLE OH 43081 Land Value Ag $0 0PropertyAddress: 2722 WHITE MAGNOLIA WAY SANFORD 32771 Just/Marke(Vals e $60,934 66,694SubdivisionName: ARBOR LAKES A CONDOMINIUM Portablity Adj $0 0TaxDistrict: S1-SANFORD Save Our Homes Adj $0 0Exemptions: Dor: 0403 -CONDO (APT CONVERSIO Amendment 1 Adj $0 0 Assessed Value (SOH) $60,9341 66,694 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 60,934 $0 60,934 Amendment 1 adjustment is not applicable to school assessment) Schools 60,934 $0 60,934 City Sanford 60,934 $0 60,934 SJWM(Saint Johns Water Management) 60,934 $0 60,934 County Bonds 60,934 $0 60,934 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: 1,340 SPECIAL WARRANTY DEED 09/2005 06129 1765 $255,000 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 BLDG 13 UNIT 2722 EL -AD ARBOR LAKES A LOT 0 0 1.000 .10 1 CONDOMINIUM ORB 5857 PG 752 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building 1 CONDOS 2002 7 1,117 1,242 1,117 Sketch CUSTOM WOOD/STUCCO/B $59,384 59,384 Appendage / Sgft OPEN PORCH FINISHED / 93 Appendage / Sgft OPEN PORCH FINISHED/ 32 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 2002 1 $1,550 2,000 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 ear's property tax will be based on Just/Market value. http://www.scpafl.org/web/re_web.seminole_county_title?parcel=32193050413002722&c... 4/11/2011 4 A ORS° CERTIFICATE OF LIABILITY INSURANCE DA7E(MMIDDMYI() 11/9/2010 INSR I OF INSURANCE 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 to MAU1NAME: Marsh, Inc. AE FAXN 4 - 0 AIC No): CNo Ext : 212L 345-5000 ( ADDRESS: 1166 Avenue of the Americas New York, NY 10036 PRODUCER MED EXP (Any one person) $10,000.00 CUSTOM D • INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: AGCS Marine Insurance Company (Allianz) ADT Security Services, Inc. INSURER B: CHARTIS CASUALTY COMPANY OWNER'S & CONTRACTOR'S 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. rnvconncc CERTIFY ATF NUMBER- R97R05 - A REVISION NUMBER: vTHIS •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 I OF INSURANCE ADDLTYPEimsR SUER POLICY NUMBER LMPOLICEFF MM/DPOLID EXPLTRLIMITS F GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY United States GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE $1,000,000.OD DAMAGEPREMSES Ea occurrence) $1,000,000.00 MED EXP (Any one person) $10,000.00 CLAIMS -MADE Fx_1 OCCUR HaHocR. Global MarineDavidKonCasual ,,BY. rogram PERSONAL & ADV INJURY $1,000,000.00 OWNER'S & CONTRACTOR'S GENERAL AGGREGATE $2,000,000.00 RGE'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000.00 POLICY PRO LOC E E E F AUTOMOBILE X LIABILITY 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 SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS Per accident) NEW HAMPSHIRE (CSL) $250,00X ri NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIABCLAIMS -MADE DEDUCTIBLE PRODUCTS - COMP/OP AGG NEW HAMPSHIRE (CSL) RETENTION $ B C D E F 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 NIA WC 026 49517 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- EEL E.L. EACH ACCIDENT $2,000,000.OD E.L. DISEASE - EA EMPLOYE $2,000,000.00 E.L. DISEASE - POLICY LIMIT $2000,000.00 A A Builder's Riskrinstallation/Contract Works Rental Equipment/Contractor's Equipment OC & OCW 91128600 OC & OCW 91128600 5/1/2010 5/1/2010 5/1/2011 5/1/2011 USD $1,000,000.00 per jobsite USD $1,000,000.00 per jobsite Blanket Transit OC & OCW 91128600 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 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. 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 a no MARSH USA INC. BY: F.M HaHocR. Global MarineDavidKonCasual ,,BY. rogram 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.