The URL can be used to link to this page

Home My WebLink About249 Live Oak Blvdf R CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: IX—\\VDocumented Construction Value: $). G G Job Address: _7_q9 .i V j 1•. V. QS1 V r -A Parcel ID: O -,6( ,(Y)G G - L G- Descri tion of Work: ("' w V 0 4c cl & Historic District: Yes No Er Zoning: P Plan Review Contact Person: Ej r'b U Title: Phone: 4-U'? 7 I Z-1 "7U`t Fax: a0_7, 7 j -191I G E-mail: 4-ut-'J rGnQ['•iYY Property Owner Information Name MAI" DGA 1 Street: 2 q4 Li V5s )r V (Mu6 City, State Zip: Rr',n _rr-CA f7t, ' Z7 ? 3 Phone: Resident of property? : Contractor Information no Name i`f11(J f) -., G--f YL._ F m •/V;rn 9,((i Phone: 4667- i 1 -17 G Street: ,C I Fax: 4-67-7 l Z - I City, State Zip: ()7rI Q dd a 3ZFG (..e State License No.: (7(-) ceb Z Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Ur Square Footage: Architect/Engineer Information 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: 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 basad 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: Rev 11.08 UTILITIES: FIRE: I S,.gnature o or/Agent 15ate of Notary -State of Flori8d / / ' Date SAMANTHA L FUR130TER h:1Y COMMISSION # DD865138 EXPIRES March 01, 2013 Produced ID Type of ID WASTE WATER: BUILDING: 31?15J 11 to Me or POWER OF ATTORNEY Date: I hereby name and appoint /Z,n '21 ri 6C 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 Z" -'J '',, Ln UGi>' (3%0 Subdivision [ 4 i d U &n t G_ V F V l"s Address of job — j L t"V f o6 L B I v O) Owner --T66 k George Manginelli EF0001121 Type or Print Name of Certified Contractor Signature o ertified Contractor The foregoing instrument was acknowledged before me this day of 20 by Ci who is persona5 known tom ho produced _ as identification an w io id not take oath. State of Flor ty of WW1 j n U r of Public, Seminole o , Florida SAMANTHA L FURROFM MY COMMISSION 4 DDS65138 EXPIRES March 01, 2(1113 U7 388-0165I F COPY CustNo-117334493 JobNo- 02 PRINT CLEARLY DN ADDITIONAL SERVICES RIDER': LETTERS UA CAPITAL IIIIIIIIIIII IIIIIIIIIIIIII II II N II a D®, J 5269UE00 TOWN NO: CUSTOMER NO: 34_+ 413 JOB NO: W 02010 ADT Security Services, Inc. (01/10) is part of and is to be attached to the by and between ADT Security Services, THIS RIDER made p Contract/Agreement ('Agreement') made `, ' Inc. ('ADT'), with offices at Address City 11 1 11111MState M ZipL 11J LLL.JJ and Customer LAST N A M E FIRST NAM F Customer") I1 i for service in the Premises of the Customer at 1 lam i City State Zip ("Premises") The Custopwx..1hereby requests, and ADT agrees, to install the foll win dditio I protection: The Customer hereby agrees to pay ADT, its Agents or Assigns the sum of payable upon the signing of this Rider and the balance payable upon completion of this Installation, and to pay in addition the additional sum of per annum payable in advance. The parties hereto mutually agree that the aforesaid Agreement, of which this Rider is made a part, is and shall be and remain in full force and effect in accordance with all the terms and conditions thereof, modified only as in this Rider specifically provided. mItisfurtheragreedtothattheoriginalexpirationdateofthereferencedAgreementshallbeextendedforaperiodof years THIS RIDER REQUIRES FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY EQUIPMENT/SERVICES MAY BE PROVIDED. IF APPROVAL IS DENIED, THIS RIDER 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. ADT SECURITY SERVICES, INC. ("ADT") Accepted By: jXC. L-r-^' / L d I' Rep. No L-6` LJ ADT Sales Representative Signature Accepted and Copy Received By: Customer Name X Custom r Sig ure— I rage Copy - White Office Copy - Yellow Customer Copy - Pink W 02010 ADT Security Services, Inc. (01/10) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 PARCEL PET -AIL. DAVID JOHNSON. CFA, ASA PROPERTY APOhMSER SEh71NOt@ COUNTY,FL If01'E. FIRSTS'[ 5ANFORD. R -32771-146B 407-665-7505 VALUE SUMMARY VALUES 2011 Working 2010 Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 02-20-30-5GJ-0000-1070 Number of Buildings 1 1 Owner: DALTON JOHN D Depreciated Bldg Value $44,765 49,067 Mailing Address: 249 LIVE OAK BLVD Depreciated EXFT Value $600 600 City,State,ZipCode: SANFORD FL 32773 Land Value (Market) $10,000 10,000 Property Address: 249 LIVE OAK BLVD SANFORD 32773 Subdivision Name: HIDDEN LAKE VILLAS PH 3 Tax District: S1-SANFORD Exemptions: 00 -HOMESTEAD (2010) Dor: 0103-TOWNHOME Land Value Ag $0 0 JusUMarket Value $55,365 59,667 Portablity Adj $0 0 Save Our Homes Adj $0 0 Amendment 1 Adj • $0 0 Assessed Value (SOH) $55,365 59,667 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 55,365 $30,365 25,000 Amendment 1 adjustment is not applicable to school assessment) Schools 55,365 $25,000 30,365 City Sanford 55,365 $30,365 25,000 SJWM(Saint Johns Water Management) 55,365 $30,365 25,000 County Bonds 55,365 $30,3651 25,000 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 SPECIAL WARRANTY DEED 07/2009 07234 1269 $61,900 Improved No QUIT CLAIM DEED 04/2009 07171 0438 $100 Improved No CERTIFICATE OF TITLE 02/2009 07141 0107 $100 Improved No 2010 VALUE SUMMARY WARRANTY DEED 01/2008 06913 0573 $100 Improved No 2010 Tax Bill Amount: 578 WARRANTY DEED 01/2007 06587 1300 $168,900 Improved Yes 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSWARRANTYDEED08/2005 05877 1121 $152,000 Improved Yes WARRANTY DEED 10/1997 03318 0929 $55,000 Improved Yes QUIT CLAIM DEED 11/1993 02722 0786 $23,300 Improved No WARRANTY DEED 03/1984 01531 1117 $46,700 Improved Yes Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick...IF- LOT 0 0 1.000 10,000.00 $10,000 LEG LOT 107 HIDDEN LAKE VILLAS PH 3 PB 28 PGS 3 TO 6 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Buildin 1 SINGLE FAMILY 1984 6 994 1,576 Sketch 994 CB/STUCCO FINISH $44,765 50,298 Appendage / Sgft GARAGE FINISHED / 540 Appendage / Sgft OPEN PORCH FINISHED / 42 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished Base Semi Finshed Permits http://www.scpafl.orglweblre-web.seminole-countytitle?parcel=0220305GJ00001070&c... 3/16/2011 Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 EXTRA FEATURE Description Year Bit Units EXFT Value Est Cost New FIREPLACE 1984 1 $600 $1,500 OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recentiv purchased a homesteaded property vour next vear's property tax will be based on Just/Market value. http://www.sepafl.org/web/re—web.seminole—county title?parcel=0220305GJ00001070&c... 3/16/2011 A oe. CERTIFICATE OF LIABILITY INSURANCE TEDA 1119/2010 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(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). POLICY EFF MWDD GONIACT PRODUCER Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 NAME: ONE FAX H& No Ext : 212 4 - 0 AIC No): 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. 3160 Southgate Commerce Blvd Ste 38 Orlando, FL 32806 United States INSURER B: CHARTIS CASUALTY COMPANY INSURER C: Commerce & Industry Ins Co. INSURER D: Illinois National Insurance Co. INSURER E: Narl Union Fire Ins Co. of Pittsburgh, PA INSURER F: New Hampshire Ins. Co. GUVLKAt9tJ VCR I rrra.ra. c ..a/. -- .1. — --- • • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. 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. INSRLTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD POLICY EXP DrrrM LIMITS F GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 300 N Park Ave GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE $1,000,000.00 DAMAGE T RENTED $1 000 000 .00PREMISESEaoccurrence MED EXP (Any one person) $10.000.00 CLAIMS -MADE FRI OCCUR yu oo PERSONAL & ADV INJURY $1,000,000.00 OWNER'S & CONTRACTOR'S Frankin Hallock, Global Marine P,P m GENERAL AGGREGATE $2.000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000.000.00 E E E F X POLICY PRO- LOC 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 LIAR OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIABHCLAIMS-MADE DEDUCTIBLE PRODUCTS - COMP/OP AGG NEW HAMPSHIRE (CSL) B C D E F A A 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 Builder's Riskfinstallation/Contract Works Rental Equipment/Contractor's Equipment Blanket Transit NIAA WC 02 WC 026149514 (FL) WC 026149516 (MI) WC 026149513 (CA) WC 026149518 (MA, ND, NY, OH, WA. WI WY OC & OCW 91128600 OC & OCW 91128600 OC & OCW 91 10/1/2010 10/1/2010 10/1/2010 10/1/2010 10/1/2010 5/1/2010 5/1/2010 10/1/2011 10/1/2011 10/1/2011 10/1/2011 10/1/2011 5/1/2011 5/1/2011 X WC STATU- ITORYLIMITSL H. E.L. EACH ACCIDENT $2..• E.L. DISEASE - EA EMPLOYE $2.000.000.00 E.L. DISEASE -POLICY LIMIT $2000,000.00 USD $1,000,000.00 per jobsite USD $1,000,000.00 per jobsite v eya 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. RANCE 1 ATIAN CER It IriCA1C r1VLUCK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sanford ACCORDANCE WITH THE POLICY PROVISIONS. 300 N Park Ave Sanford, FL 32771 AUTHORIZED REPRESENTATIVEREPRESENTATIVEUnitedStates yu oo Frankin Hallock, Global Marine P,P m JT9tIi5-LUUyAI+VKU{.rVRrVRArrVl7. ranny.rwrcac.vcaa. 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.