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HomeMy WebLinkAbout112 Eastwood CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I I - ! 9i 1 Documented Construction Value: $ 5 14. &U Job Address: Historic District: Yes No 2"' Parcel ID: Description of Work: Plan Review Contact Phone: 17 12. Property Owner Information Name i f''llk,'M_ -\F oj-') Phone: Street: 1Z C.c,`t-WUPa('.I ;,L Resident of property? : (16 City, State Zip: 5 a in P' 3Z7n 1 Contractor Information Nam eAf)"_ frvn'i_%/6—fC F_(Mly,trn9)11 Phone: g6:Z-i1Z-1'76q Street: K G. (Oc m rca_- U Fax: G7- 7 l Z l ^1 ( City, State Zip: G r- l d r1 d [5 ifl, 37,2_L4 State License No.: Gzj i I Z, Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Ir 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: No. of Stories: Flood Zone: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: J 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 basdd 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 Signature of Con A Date r fCa 1 G.in i Print Owner/Agent's Name Pr t%ontra&&/Agent's Name r r 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: SAMANTHA L FURB MY COMMISSION # DDS6513t3 11 EXPIRES March 01, 2013 Contractor ge to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 POWER OF ATTORNEY Date: 41 1!j I I hereby name and appoint Black — 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 t Z- --,( S 1 `'- iJ Y-20 - Subdivision C l't-trl 1 fly. rs; The fo: by who is asd George Manainelli EF0001121 Type or Print Name of Certified Contractor Signs e o ifi Contractor instrument was acknowledged before me this day of 20 ra V l I I rr. A r.n o, i 9 1 tq me/w1M produced and who did not take oath. State of Flor Co ty of s (VI n C., I t fubfic, Seminole County; Florida SAMANTHA L FURBORM MY COMMISSION # DD865138 EXPIRES March 01, 2013 on F RESIDENTIAL SERVICES CONTRACT CONTRACT DATE: 2-11 /11 ` / TOWN NO:—tO Ci C CUSTOMER NO: j JJOB NO: LEAD SOURCE: Section 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 Customer Copy TO MIDNIGHT OF THE THIRD CANCELLATION FORM FOR AN @2010 ADT Security Services, Inc. (05/10) v4L L F -A 51 ,J CA'e* r4L 14 v J t4 L,/ /'-o -, izw.9cA, Seminole County Property Appraiser Get Information by Parcel Number Page I of 2 PARCIE-L DP-*rAIL- 32 "" I.A 12 ILL2.Al 113. I= AIRPORT BLVD DAVID JOHNSON. CI--A.ASA PROPERTY ILI Q 49 W Si 32 W APPRAISER 1 31 40 33 X V SEMINC LE'COIJNTYFI- 1 14 34 1101 EIFIRST ST sANFoRa, FL 32771-1468 403 d2 41 03 3& 4a7-665-75W DLA VALUE SUMMARY VALUES Nil 2010 Working Certified GENERAL Value Method Cost/Market Cost/Zrket Parcel Id: 12- 20-30-501-0000-0380 Number of Buildings 1 1 Owner: DE CRUZ MIRIAM H Depreciated Bldg Value 43,265 53,488 Mailing Address: 112 EASTWOOD CT Depreciated EXFT Value 520 520 C4,State,ZipCode: SANFORD FL 32771 Land Value (Market) 14.525 16,600 Property Address: 112 EASTWOOD CT SANFORD 32773 Land Value Ag 0 0, Subdivision Name: SOUTH PINECREST 2ND ADD JusVMarket Value 58, 310 70,608 Tax District: SII- SANFORD Portability Adj 0 0 Exemptions: 00-HOMESTEAD ( 2007) Save Our Homes Adj 0 0 Dor: 01-SINGLEFAMILYAmendmentIAdj 0 0 Assessed Value (SOH) 58,310 70,608 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 58,310 33,310 25,000 Amendment 1 adjustment Is not applicable to school assessment) Schools 58,310 25,000 33,370 City Sanford 58, 310 33,310 25,000 SJWM(Saint Johns Water Management) 58,310 33,310 25,000 County Bonds 58, 3101 33,3101 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 WARRANTY DEED 07/ 2006 06580 0159 $220,000 Improved Yes QUIT CLAIM DEED 03/2006 06184 0989 $100 Improved No WARRANTY DEED 11/ 2003 05133 2451 $105,000 Improved Yes 2010 VALUE SUMMARY WARRANTY DEED 11/ 1996 03165 0797 $65,200 Improved Yes 2010jax Bill Amount_ 663 QUIT CLAIM DEED 06/1995 03165 0796 $2,000 Improved No 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 07/1990 02199 0040 $58,000 Improved Yes WARRANTY DEED 04/ 1985 01629 037@ $100 Improved No QUIT CLAIM DEED 06/1981 01342 1678 $100 Improved No WARRANTY DEED 03/ 1980 01271 0562 $43,000 Improved Yes Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATSTPick... -1 FRONT FOOT & DEPTH 83 142 .000 175.00 $14,525 LEG LOT 38 SOUTH PINECREST 2ND ADD PB 10 PG 89 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Buildinci 1 SINGLE FAMILY 1957 6 1,274 1,884 1,424 CONC BLOCK $43,265 Sketch 66,562Appendage / Sqft GARAGE UNFINISHED / 220 Appendage I Sqft UTILITY UNFINISHED / 110 Appendage / Sqft ENCLOSED PORCH FINISHED / 150 Appendage /Sqft OPEN PORCH FINISHED/ 70 Appendage I Scift UTILITY UNFINISHED / 60 http://www.scpafl. org/web/re-web.seminole-county-title?parcel=12203050100000380&c... 4/15/2011 Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New ALUM PORCH WICONC FL 1982 200 $520 $1,300 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 vour next vear's propeHv tax will be based on Just/Market value. http://www.sepafl.org/web/re_web.seminole_county_title?parcel=122030501000003 80&c... 4/15/2011 A 0. CERTIFICATE OF LIABILITY INSURANCE 1 DATE1192010 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 Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 CONTACTNAME: PHONE FAX AIC No Ext : 12 A/C No): ADDRESS: PRODUCER S 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. COVERAGES 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. INSR LTRF TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF IP p EXP LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR OWNER'S & CONTRACTOR'S GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE 1,0D0,000.00 DAMAGE T RENTED PREMISES Ea occurrence 1,OOD,000.00 MED EXP (Any one person) 10,0DO.00 PERSONAL & ADV INJURY 1,000,ODO.00 GENERAL AGGREGATE 2,0DO,000.00 GEN'L AGGREGATE LIMIT APPLIES PER- X POLICY PRO LOC PRODUCTS -COMP/OPAGG 2,000.000.00 E E E F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA 3976576 (VA) CA 3976575 (ADS) 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 Each accident 1,ODO,ODO.00 X BODILY INJURY (Per person) BODILY INJURY (Per accident PROPERTY DAMAGE Per accident) X NEW HAMPSHIRE (CSL) 250.000 UMBRELLA LIAR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCEHOCCURAGGREGATE DEDUCTIBLE RETENTION $ PRODUCTS - COMPIOP AGG NEW HAMPSHIRE (CSL) B C D F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFE (Man a ory In NH) ERIMEMBER EXCLUDED? If yes, descnbe under DESCRIPTION OF OPERATIONS below NIA 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 STATULIM - OTH- R ER E.L. EACH ACCIDENT 2,0001000.00 E.L. DISEASE- EA EMPLOYEE ZODD,0DO.00 E.L. DISEASE - POLICY LIMIT 2.000,000.00 A A Builder's Riskriinstallation/Contract Works Rental Equipment/Contractor's Equipment BlanketTransit OC & OCW 911286DO OC & OCW 91128600 OC & OCW 9112M 5/1/2010 5/1/2010 511r2010 5/1/2011 5/1/2011 15/1/2011 USD $1,000,OOO.DO per jobsite USD $1,000,000.00 per Jobsite 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 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 r . Gl 1 Rapt-'k MARSH USA=. BY: FranklinHallodc, obal Marina David K Casual m 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.