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
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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.