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.