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Home My WebLink About428 Casa Marina Pl 11-1116 (low volt security)Application No: RECEIVED MAR 2 8 2011 dI —AIkco CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ 1 Z3 • G U Job Address: LP—S 0L SC. (% ri nes, Parcel ID: Zq- 1 !-j-31 - 50 I ' 660 Description of Work: Plan Review Contact Phone: - ^ 1 ( Z Historic District: Yes No Zoning: Property Owner Information NameG, r Street: C Sc leg G rn, r l City, State Zip: rC'i . 3Zi"7 I Phone: Resident of property? :11 Contractor Information Name ' fl`f1 U f f11l YYa Phone: G'7- i Z - G Street: ( G . L i) i e !32- (j Fax: 4 fb7- 71 Z - t '- l City, State Zip: i r• 16 9d a Le State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Er 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: No. of Stories: Plumbing New Construction - No. of Fixtures: Mechanical 0 ( Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: 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 1-fie 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 Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: ZZ - 3 I Signature of Co r/ nt Date Date SAMAN7.HA L FURS RBOT a. MY COMMISSION * OD86 5138OxPIb.,— / March 01, 2013F Contractor/Agent Produced ID Known fo Me or Type of ID WASTE WATER: BUILDING: Rev 11.08 POWER OF ATTORNEY Date: 3 n/ f I /- I hereby name and appoint DnA -2 ` G C. (G of ADT Security Services to drop off and pick up permits at the QBuilding Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel ?—,i - I c1- ,e 1 • ,.:; V J - GG cio -• 6 0,5620 Subdivision Address of job q2i- 0(, C., 1o'1 n Ct P( Owner Georj4e Manginelli EF0001121 Type or Print Name of Certified Contractor L,4< - Signa r e ed Contractor The fo going instrument was acknowledged e by r who is personally own to me/who roduce _ as identification an—d-wh ni not take oath. State of Flor' 0vunty of X FQJ tary Public, Semin&le minty, Florida SAMANT HA L FURBpTER My COMMISSION # DD865138 CXPIRES March 01, 2013 asFIp;,W, re me this JfFr day of 20 COPY CustNo-168897341 JobNo- 01 U(D RESIDENTIAL SERVICES CONTRACT CONTRACT DATE: 3 ` /01 /J TOWN NO: CUSTOMER N00 JOB NO: LEAD SOURCE: Section• • ADT Security Services, Inc. (ADT) Customer Name We" or "Us" or "Our") Offce A"ddre (" You" or Yo r") a Address 4'2 C _in a,- v City an Affinity Name & No. 77 lState / zip _ g( Tax Exempt No. otected Premises' Telephone 3r0 3 " Tax Expire. Date 0/ Traditional Phone Other (Qualified) Other (Non -Qualified) 96 Tel: 1-800-ADT-ASAP 1-800-238-2727 Alternate Telephone 1 1107-3iV — le918 (Circle one) Ho /Cell / ork w/ ext. IF FAMILIARIZATION PERIOD IS Alternate Telephone 2 3 7— l 0 (Circle one) Hoe Cell 1 ork w/ ext. 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 customers to the contact information provided by you. You may unsubscrhbe or opt -out by emaliing donotcontad@adt. com orb calling888-DNC4ADT 888 362-4238 . Initial here Confirmation of Appointments: You hereby expressly author ze ADT to call you using an automated calling device to deliver a prerecorded message to set/ confirm a service/installation appointment at the tel one number(') shown above. Initial here System Ownership: Customer -Owned DT-Owned Section 2. Services to be Proyi•'• Monthly Service ChargE Municipal Construction Permit Fee Customer to obtain construction permit i 7 1341GriclardMonthlyService, Burglary Service Includes: Customer Monitoring Center Signal Receiving and n Q Other NotificationServiceforBurglary, Manual Fire, and Manual Police Emergency 7 % Standard Monthly Service, Fire/Smoke Detection Installation Price 779 Service includes: Customer Monitoring Center Signal Receivingg and Notification Service for Fire, Manual Fire, and Manual Polce Eme Taxable Amount Carbon Monoxide Flood Low Temp Non -Taxable Amount Medical Alert Connection Fee Safewatch Cellguardm Sales Tax on Installation' S ink- Total Installation Charge` Ei6ended Liriited Warranty/Quality Service Plan (QSP) Deposit Received' Guard Response Service Balance Due upon Installation' Monthly Recurring Municipal Fee (Subject to change based on local law) If applicable sales tax not shown, it will be added to your first invoice. CustomertoobtainandformunicipalalarmusepermitOther Total Monthly Service Charge Initial/ Annual Recurring Municipal Fee -billed separately Initiall Annual Fee Subjecttochangebasedonlocallaw) I Customer to obtain and pay for initial/annual municipal alarm use p Estimated Start Date permit Your failure to obtain and prWde ADT with your municipal alarm use permit registration number could result in no municipal fire! O Police response to an alarm from our 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 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-ADTASAP (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 OTHERWISEVAMAGED 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 ADTS ONLY OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE. NDSECO DDTCONDITIONSAIT. Aep.: Rep. ID o.: C R'S VAL: JF _ p. License . (If Required): Original Signature Required NOTICE OF CANCELLATION YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF EXPLANATION OF THIS RIGHT. 1 Of 6 Central Storage Copy TO MIDNIGHT OF THE THIRD CANCELLATION FORM FOR AN 02011 ADT Security Services, Inc. (01/11) Seminole County Property Appraiser Get I Parcel Number Page 1 of I DAv1DJoHN5VN, CT--A.ASA 7 PROPERTY IM APPRAISER SEMINOLE COUNTY -FL 1101"E, FriRsT ST SANF046 . FL3277t.1468 407-66 VALUE SUMMARY 3 2011 2010 VALUES Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 29 9-31-501-0006, Number of Buildings 1 1 Owner: CESPEJO MARIA Depreciated Bldg Value 99,23B 108,668 Mailing Address: 428 CASA MARINA, 01 Depreciated EXFT Value 0 0 Land Value (Market) 19,000 19,000City,State,ZipCode: SANFORD FL 32771 Property Address: 428 CASA MARINA PL SklilGOR9 3771 Land Value Ag 0 01 Subdivision Name: CELERY KEY juqVMgrke Value 118,238 127,668 Tax District: Sl-SANFORD Pokablity Adj 0 0 Exqmptlons: Save Our Homes Adj 0 Dor: 01-SINGLE FAMILY ley, Amendment lAdj l $0 0 n4 Assessed Value ( SOH) 1 $118,2381 127,668 31111 2011 TAXABLE E VA:LU - E " WO k RKII - NG ESTIMATE Taxing As- s-eSsmjqnt Value Exempt Values Taxable Value 118,238 0 118,238 Amendment I adjustment is not applicable to school iskssihenti-'!-Sghools 118,238 0 118,238 Pity Sariford 118,238 0 118,238 SJWM(SaInt Johns Wat ..,aijighilijont) 118.238 0 118,238 118.2381 0 118,238 The taxable values and taxes are calculated using the current 1,t'j:p - 3'rklng values and the prior years approved mIllage rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount%Vaclimp 0401iflnd- 2010 Tax Bill Amount: $2,564 WARRANTY DEED 09/2004 05480 0365 $200,000 IMproyoo 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS FindComparableSales withinhisLANDLEGALDESCRIPTION Land Assess Method Frontage Depth Land UrLIt g Pride, L3 ad Value PLATS:FP—ic—k--7-1 LOT 00 1 4 00.00 LOT 8 CELERY KEY PB 64 PGS 85 - 96 VjLPING INFORMATION t, Cost EsNow Bid NuffiBidTypeYearBitFixturoBqqoSFGrogi SF Living SF Ext Wall Bid Value Quilding I SINGLE FAMILY 2004 IQ 11364 79 2,321 CB/STUCCO FINISH $99,238 $102,572 Appendage / Sqft OPEN POIJCH rINI§HIFFP13;';r- Appendage / Sqft GARAGE I5INISl-( . 424 H E Appendage I Sqft UPPERSTOFkYflitNOTE: Appendage Codes included In Living Area: Base, Upper Sip a"Z+y Finished, Apartment, Enclosed Porch FlnishedBase SemiFInshed Permits NOTE: Assessedvalues shown are NOT certified valueii ing finalized for ad valorem tax purposes. If you recently purchased a homesteaded proe rW Y6,b tgx ;t"rket value. http://www,scpafl.org/ web/re—web.seminole—r,o 1: 1 - 9193150100000080&c... 3/14/2011 A CERTIFICATE OF LIABILITY INSURANCE TEDA1119010 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 NAME: Marsh, Inc. AIC No Ext : 212 34 - AIC No): ADDRESS: 1166 Avenue of the Americas New York, NY 10036 PRODUCER CUSTOMER D 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. 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. LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLIINSRMDDYEFFM/ rPrMIDD EXP 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 NTED EaEoccunence 1,000,000.00PREMISES MED EXP (Any one person) 10,000.00 CLAIMS -MADE Fx_] 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 COMBINED SINGLE LIMIT Each accident 1,000,000.00 E E E F X I POLICY PRO LOC AUTOMOBILE 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 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGESCHEDULEDAUTOS HIRED AUTOS Per accident) NEW HAMPSHIRE (CSL) 250,p00XNON -OWNED AUTOS UMBRELLA LIAB EACH OCCURRENCE HOCCUR AGGREGATEEXCESSLIABCLAIMS -MADE 4DEDUCTIBLE PRODUCTS - COMP/OP AGG NEW HAMPSHIRE (CSL) g C D E F RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA C 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- OTHERE. L. EACH ACCIDENT 2.000.000.00 E. L. DISEASE - F11 EMPLOYE 2,000,000.00 E. L. DISEASE -POLICY LIMIT 2 000,000.00 A A Builders Riskftnstallation/Contract Works Rental EquipmentlContractors 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 conveyance 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. GERTIFIGAI h HULLILK • ^ 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 MARSH USA INC, aY: Fmnkrut HaNack, Global Marine David Kon Casual ' ram W 1V00-000D Ma+vrw vvnr vrva..vn. nu ny..w .`.aas..a.a.. 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.