HomeMy WebLinkAbout3320 San Jacinto Cir3
M
RECEIVED
MAY 16 2011
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: "$ Z-73-10
Job Address: `; C,li l iC inrucr-A E_ Historic District: Yes No @T
Parcel ID: ?N-19-3 1-5ZA 0 1-2 Zoning:
Description of Work:
Plan Review Contact
Phone: IZ
Property Owner Information
Name Phone:
Street: S Resident of property? : 1 r
City, State Zip:S2 kizi , f L,',_ 1
Contractor Information
Name Ae T S;E0AJV_t"
f
Phone: U-60-21 Z, nU4
Street:' Q&jrnnSOLA-
i0. (
26W t
C-
tn.F QZ, N L 1_
I
Fax: 40)-'71Z- l I V
City, State Zip: ( C Sve State License No.: , ZXJ ((Z
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
r7`,k
PERMIT INFORMATION
Building Permit Gr
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
11
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.
WARNTG 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 I1ISPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE:1 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 othej governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner ofthe property ofthe requirements of Florida
Lien Law, FS 713.
The City o, 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
constructiop value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is rdleased.
Signature of O
1
er/Agent Date
Print Owner/Aeent's Name
Signature of Nota -St
Owner/Agent is
Produced ID
APPROVALS
COMMENTS:
Rev 11.08
of Florida Date
Personally Known to Me or
Type of ID
ZONING:
ENGINEERING:
UTILITIES:
FIRE:
It
Sign ofC t ate
Psipt Contracto gent's Name /
1 ature of Notary -State of FI i a Date
SAMA V V 1 GC{ 1VT'!A L F
i IRQ^ Ma h O1, 2013
183 F
Contractor gen wn to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
POWER OF ATTORNEY
Date:
I hereby name and appoint
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 ?'s VGt —'2 0—SZI -'L I C )'G 17 V
Subdivision Irll 1 t
Address ofjob i L !)
George Maninelli EF0001121
Type or Print Name ertif ed Contractor
L
Sign rtified Contractor
The fore oing instrument was acknowledged before me this -
1)
day of 20.
by
who is ersonall own to me/ o produced
d'd t tak athasidentificationandwhoinoeo
State of Flo '
Co ty of
Public, Seminole n ,Florida
Y Sl1StRANT14A i. rutin
t. 3 SS,, i R,` ff •1 .^ d d 1 ei tanI'f l . •if .7t1 A 1: r l i'i'i...:,
10
9AMAtV1'A4A L FU
MY COMMISS10
EXPIRES Mem
01133.
2013c14lnS.af, lan+teu ..._ 'gi',E011'I
0. t
GO RESIDENTIAL SERVICES CONTRACT (ACTIVATION) I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
5240UE03
CONTRACT DATE: TOWNNO: CUSTOMER NO: JOB NO: LEAD SOURCE:
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. (01/1.1)
Customer Name i,¢ !1 . L( "/ )' L r ,•
Your f 17 I (rYou".or y
j
Address
IY
ice ' , `_ ' J c i3.3
City _( -I tr j. Affinity Name & No.
State / Zip
G
7 ( Tax Exempt No.
Protected Premises' Telephone 3 ,yto — I p l ,{ I ! i
Tax Expire. Date
Traditional Phone Other (Qualified) Other (Non -Qualified)
1-800-238-2727 / Alternate Telephone 1 3 fo J (Circle one) Home / el Work w/ ext.
Alternate Telephone 2 (Circle one) Home'/ Cell / Work w/ ext. IF FAMILIARIZATION PERIOD IS
REJECTED INITIAL HERE
Communications Authorization: You hereby. authorize ADT to furnish information 1md/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 b you. You may unsubscribe oropt-out b emailin donotcontact@adtcom orb 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 service/installation
allDoinlMgnt at the tele hone numbers) shown above. Initial here
Section 2. Services to be Provided
tandard Monthly Service, Burglary
Service includes: Customer Monitoring Center Signal Receiving and
Mo SeCha e
IJ
Municipal Construction Permit Fee
r r UO
Notification Service for Burglary, Manual Fire, and Manual Police Emergency Cj C``. ! Customer to obtain construction permit S,• f ti.-'/
Standard Monthly Service, Fire/Smoke Detection
Service includes: Customer Monitoring Center Signal Receiving and
Notification Service for Fire, Manual Fire, and Manual Police Emergency
1
I
Other
Installation Price
Carbon Monoxide Flood Low Temp Taxable Amount f .1
edical Alert Non -Taxable Amount
L95afewatch Cellguard® -( V''. _ r ., Connection Fee
SecurityLink®— Sales Tax on Installation*
xtended Limited Warranty/Quality Service Plan (QSP) L. ,. - Total Installation Charge*
Guard Response Service Deposit Received C-,L "•- Z fZ73, ! QMonthlyRecurringMunicipalFee (Subject to change based on local law)
Balance Due upon Installation* Customer to obtain and pay for municipal alarm use *permit i
Other
If applicable sales tax not shown, it will be added to your first invoice. Total Monthly Service Charge
InitiaVAnnual Recurring Municipal Fee -billed separately Initial/
Annual FeeSubjecttochangebasedonlocallaw)
Customer to obtain and pay for initial/annual municipal alarm use Estimated Start Date
permit. 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
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 SYSTEM
IS ADT -OWNED FOR ADT INSTALLED EQUIPMENT AND/ORADT 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 UNE OR OTHER ALARM
TRANSMISSION SYSTEM IS CUT INTERFERED WITH, OR -OTHERWISE DAMAGED OR IFTELEPHONE 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 ACCOMPANY THIS PAGE WITH ADDITIONAL TERMS AND CONDITIONS
ADT Rep.: r Rep. ID No.: CUSTOMER'S APPROVAL- ' DATE:
Rep. License No. (If 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 . Office Copy 02011 ADT Security Services, Inc. (01/1.1)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
http://www. scpafl.org/web/re_web. seminole_County_title?parcel=28193 052100000170&c... 5/16/2011
3.G t
DmnD JOHNSON. CI A, ASA y
PROPERTY
APPRAISER
SEMINOLE COUNTY FL
1101 E. FIRSTST
SANFORo,FL32771-1468
407-669-7506
10
VALUE SUMMARY
2011 2010
VALUES Working Certified
GENERAL Value Method Cost/Market Cost/Market
Parcel Id: 28-19-30-521-0000-0170 Number of Buildings 1 1
Owner: CHENG TONY C Depreciated Bldg Value $75,915 $83,928
Mailing Address: 5090 OTTERS DEN TRL Depreciated EXFT Value $0 $0
City,State,ZipCode: SANFORD FL 32771 Land Value (Market) $0 $0
Property Address: 3320 SAN JACINTO CIR SANFORD 32771 Land Value Ag $0 $0
Subdivision Name: FLAGSHIP PARKA CONDOMINIUM Just/Market Value $75,915 $83,928
Tax District: S1-SANFORD
Portablity Adj $0 $0
Exemptions:
Save Our Homes Adj $0 $0Dor: 04 -CONDOMINIUM
Amendment 1 Adj $0 $0
Assessed Value (SOH) $75,915 $83,928
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $75,915 $0 $75,915
Amendment 1 adjustment is not applicable to school assessment) Schools $75,915 $0 $75,915
City Sanford $75,915 $0 $75,915
SJWM(Saint Johns Water Management) $75,915 $0 $75,915
County Bonds $75,915 $0 $75,915
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
WARRANTY DEED 02/2011 07534 1003 $80,000 Improved Yes
2010 Tax BIII Amount: $1,686
CERTIFICATE OF TITLE 10/2010 07465 1713 $58,400 Improved No
2010 Certified Taxable Value and Taxes
FINAL JUDGEMENT 12/2009 07112 0364 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
WARRANTY DEED 10/2006 06454 1855 $207,000 Improved Yes
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value UNIT 17 FLAGSHIP PARK A CONDOMINIUM ORB 6497 PG
LOT 0 0 1.000 .10 691
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 2006 9 780 1,996 1,530 CB/STUCCO FINISH $75,915 $75,915Sketch
Appendage / Sgft GARAGE FINISHED / 428
Appendage / Sgft OPEN PORCH FINISHED 116
Appendage / Sgft OPEN PORCH FINISHED / 22
Appendage / Sgft UPPER STORY FINISHED / 750
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base
Semi Finshed
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 052100000170&c... 5/16/2011
Ac " CERTIFICATE OF LIABILITY INSURANCE
DATE11912DIYYYI()
11/9/2010
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 endorsement(s).
POLICY EFF
MM/DD
CONTACTPRODUCER
Marsh, In
1166 Avenue ofthe Americas
New York, NY 10036
NAME:
PHONE FAXAC No)*. AIC No Ext : 2) 345-5090 (AC'
ADDRESS:
PRODUCER
CUSTOMER
INSURERS AFFORDING COVERAGE NAIC #
10/1/2011
INSURED INSURER A: AGCS Marine Insurance Company (Allianz)
MED EXP (Any one person) $10,000.00
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.
rnvooer_c 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.
iR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER
POLICY EFF
MM/DD
POLICY EXP
MMIDD LIMITS
F GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
MARSH USA MlC, BY: FranM'N Hellock, Global Marina
GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE $1,000,000.00
PREMISES
GE RENTED
Ea occurrence $1,000,000.00
MED EXP (Any one person) $10,000.00CLAIMS -MADE OCCUR
PERSONAL & ADV INJURY $1,000,000.00OWNER'S & CONTRACTOR'S
GENERAL AGGREGATE $2,000,000.00
GEN'L AGGREGATE LI Mn APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000.00
X POLICY JFCT ElPRO 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 HIREDAUTOS Per accident)
NEW HAMPSHIRE (CSL) $250,000XNON -OWNED AUTOS
UMBRELLALIAR OCCUR EACH OCCURRENCE
AGGREGATEEXCESSLIARCLAIMS -MADE
DEDUCTIBLE PRODUCTS - COMPIOP AGG
NEW HAMPSHIRE (CSL)
RETENTION $
B
C
D
E
F
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECLmVE
OFFICERIMEMBER EXCLUDED?
Mandatory in NH)
If Yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
WC 026149514 (FL)
WC 026149516 (MI)
WC 026149513 (CA)
WC 026149518 (MA ND, NY, OH,
WA 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 STATUS OTH-
E.L. EACH ACCIDENT $2,000,000.00
E.L.ISEASE - EAEMPLOYE $2,000,000.00
E.L. DISEASE -POLICY LIMIT $2 000,000.00
A
A
Builders Risk/installation/Contmd Works
Equipment/Contractoes Equipment
OC & OCW 91128600
OC & OCW 91128600
5/1/2010
5/1/2010
5/1/2011
5/1/201115/1/2011
USD $1,000,000.00 per jobsite
USD $1,000,000.00 per jobsite,
I=
DESCRIPTIONOF OPERATIONSI LOCATIONS IVEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Please refer to attached ACORD 101 for further remarks.
CERTWICATE 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
MARSH USA MlC, BY: FranM'N Hellock, Global Marina
David Kon Casual P
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.