HomeMy WebLinkAbout2543 El Capitan AveA
Vii_ D
CEIED
APR 2 5V1 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: l -101q0101q Documented Construction Value: $ 1 13 - alo
Job Address: Zf)-'4;3 (I-Ap Historic District: Yes No CY
Parcel ID: Zoning:
Description of Work: W
Plan Review Contact Person:' - Title: pg/!1'11 Coorn(.
Phone: T81-IZ-I-Wt
Fax:ZkD-:7 17-12I6 E-mail: t"FJCJ C,,eGvf7
r
Property Owner Information
1
Name I ljG1 1'lii Q- Phone: `+n-S<fQ-77y
Street: ZS`i-.3 I (1 -61-p 14,c n
o 1 Resident of property? : PS
City, State Zip: ( 2-2
Contractor Information
Name Iq L'`i"w f i 'I Q /&f_6YYa F m6A,-,tr) 9,I I Phone: 46-7- i I Z - 1'76 L{
Street: 1, G( _ G ,/3Lrnm9_r N(jJ Fax: 4-b7- 71 Z
City, State Zip: Gr (Q r-ld o wZ2-G Le State License No.: `c' (=C' GU i 1 Z
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
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:
Mechanical (Duct layout required for new systems)
Plumbing
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
M
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 Tf3E
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 riot submitted, we reserve -the 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:
Rev 11.08
UTILITIES:
FIRE:
r
Signature of C c gent I Date
L1
NTHA L FURBOTLWMYYCOMMISSION # DOM138
EXPIRES March 01, 2013
Contractor/Agent
Produced ID Type of ID
WASTE WATER:
BUILDING:
to Me or
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 rA _ ?_b _.3 U _ 150
Subdivision'2 M
George Manzinelli EF0001121
Type or Print Name of Certified Contractor
Si a ertified Contractor
The for going instrument was acknowled eli before me this j day of 2011
by h t I
who is personalW44own to me/wproduced
as identification and who did not take oath.
State of Flori
County of P.Vi 111 Ci cr
Public, Seminole Codniy, Florida
S
FAY MMMISSION
w#
Dow
1. EXPIRES Meroh O®9,901
13 FIC ftlAAfanlG'r.m
ktin RESIDENTIAL SERVICES CONTRACT mAiiiHiiuq{nupi uiii
CONTRACT DATE: 1 TOWN NO: /CUSTOMER NO: ' JOB NO: LEAD SOURCE:
Section• •
ADT Security Services, Inc. (ADT) Customer NameD(l'I Z / Me c/t C't , t r
You" or "Your_)n o
We" or "Us" orrice Address
Address Z 3) t t , , .
City c,,, Affinity Name & No.
State /Zip Tax Exempt No.
Protected Premises' Telephone's ` ' 5 Tax Expire. Date
Vly
D c l Fes. Z. 4
Traditional Phone Other (Qualified). Other (Npn-Qualified)
Tel: 1 -800 -ADT -ASAP1-800-238-2727 a'j - 21"1.- Z't vAlternateTelephone1 (Circle one) Home /e I / Work w/ ext.
Alternate Telephone 2 (Circle one) Home / Cell / Work w/'ext. IF FAMILIARIZATION PERIOD IS
REJECTED INITIAL HERE EMAIL
Communications Authorization: You hereby authorize ADT to furnish information and/ores 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 unsubscribe or opt. -out by emailing
donotcontact@adt.com or by calling 888-DNC4ADT 888-362-4238) Initial here
Confirmation of Appointments: You hereby expressI authorize ADT to call you using an automated calling device to deliver a prerecorded message to
set/confirm a service/installation appointment at t tele hone numbers shown above..lnitial here
System Ownership: Customer -Owned .(aDT-Owned
Section 2. Services to be Provided
Standard Monthly Service, Burglary
erb'ce indudes: Customer Monitoring Center Signal Receivinand
Monthly Service • harge Municipal Construction Permit Fed
El Customer to obtain construction pa(mit
oti cation Service for Burglary, Manual Fire, and Manual Porce Emergency CCC Other
Standard Monthly Service; Fire/Smoke Detection Installation Price
Service includes: Customer Monitoring Center Signal Receiving and
Notification Service for Fire, Manual Fire, and Manual Police Emergency Taxable Amount
Carbon Monoxide Flood ' Low Temp Non -Taxable Amount
Medical Alert Connection Fee
Safewatch Cellguard® Sales Tax on Installation* I '
SecurityLinkm Total Installation Charge* t3%
Extended Limited Warranty/Quality Service Plan (QSP) Deposit Received 0
Guard Response Service Balance Due upon Installation*
Monthly Recusing Municipal Fee (Subject to change based on local law) .
Customer to obtain and pay for municipal alarm use permit If applicable sales tax not shown, it will be added to your first invoice.
Other
Total Monthly Service Charge
Initial/Annual Recurring Municipal Fee -billed separately Initial/
Annual FeeSubjecttochangebasedonlocallaw) tart Date
Customer to obtain and pay for initial/annual municipal alarm use
permit Your failure to obtain and provide ADT with your municipal
ompletion
alarm use permit registration number could result in no municipal fire/
police response to an alarm from your remises and/or a fine. 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 -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 LINE OR OTHER ALARM
TRANSMISSION SYSTEM IS CUT, INTERFERED WITH, OR OTHERWISE DAMAGED 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 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
A T Re R ID o.: CU TOME PR %UAL•:r; , ' c
ATE:.
Rep. License No. (If Required):
L
NOTICE OF LANLtI.L.AlIUM
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. (01/11)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL. DETAIL
DAVID JOHNSON, CrA, ASA
7
28
PROPERTY r
APPRAISER
a
SEMINOLE COUNTY FL
10
1101 E. FIIxsT sT
1 I
25 i 1 21 s _-,,,•-•
sANFono, FL32771-1468 12 0
1•
q-
12407.665-7506
1313 19
VALUE SUMMARY
VALUES
2011 2010
Working Certified
GENERAL Value Method Cost/Market Cost/Mnrket
Parcel Id: 01-20-30-504-2500-0260 Number of Buildings 1 1
Owner: DIAZ IVONNE
Depreciated Bldg Value $57,531 70,038
Mailing Address: 2543 EL CAPITAN AVE
Depreciated EXFT Value $0 0
CIty,State,ZipCode: SANFORD FL 32771
Land Value (Market) $11,400 11,400
Property Address: 2543 EL CAPITAN AVE SANFORD 32771
Land Value Ag $0 0
Subdivision Name: DREAMWOLD
Just/Market_Value $68,931 81,438TaxDistrict: S1-SANFORD
Portablity Adj $0 0Exemptions: 00 -HOMESTEAD (2007)
Save Our Homes Adj $0 0Dor: 01 -SINGLE FAMILY
Amendment 1 Adj $0 0
Assessed Value (SOH) $68,9311 81,438
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 68,931 $43,931 25,000
Amendment 1 adjustment is not applicable to school assessment) Schools 68,931 $25,000 43,931
City Sanford 68,931 $43,931 25,000
SJWM(Saint Johns Water Management) 68,931 $43,931 25,000
County Bonds 1 68,931 $43,9311 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 11/2006 06494 0911 $130,000 Improved Yes 2010 VALUE SUMMARY
CORRECTIVE DEED 07/2005 05805 0381 $100 Vacant No 2010 Tax Bill Amount: 827
WARRANTY DEED 02/2005 05795- 122 $44,000 Vacant No 2010 Certifled Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSWARRANTYDEED01/2004 05192 1241 $26,400 Vacant No
WARRANTY DEED 03/2003 04742 1842 $50,000 Vacant Yes
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS; Pick...
FRONT FOOT & DEPTH 60 130 ..000 200.00 $11,400 LEG LOT 26 BLK 25 DREAMWOLD PB 3 PG 90
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost
New
Bui cetrhh
1 SINGLE FAMILY 2006 6 1,186 1,433 1,186 CB/STUCCO FINISH $57,531 59,006
Appendage / Sgft OPEN PORCH FINISHED / 16
Appendage / Sgft GARAGE FINISHED / 231
NOTE: Appendage Codes included in Living Area: Base. Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base
Semi Finshed
Permits
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 your next ear's property tax will be based on Just/Market value.
http://www.sepafl.org/web/re_web.seminole_County_title?parcel=01203050425000260&c... 4/21/2011
A " CERTIFICATE OF LIABILITY INSURANCE
DATD/YYY1
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
111!8/219/2010
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).
PRODUCER NAME:
alc°ONt c Eut : 31.9-50!29
AAX
IC NoMarsh, Inc.
1166 Avenue of the Americas
GL 4360884 (Primary GL)
New York, NY 10036
ADDRESS:
PRODUCER
DAMAGE ToRENTED
PREMISES Ea occurrence $1,x,000.00
US
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: AGCS Marine Insurance Company (Allianz)
ADT Security Services, Inc. INSURER B: CHARTIS CASUALTY COMPANY
CLAIMS -MADE FE OCCUR
3160 Southgate Commerce Blvd INSURER C: Commerce & Industry Ins Co.
Ste 38 INSURER D: Illinois National Insurance Co.
PERSONAL & ADV INJURY $1,000,000.00
Orlando , FL 32806 INSURER E: Nat'I Union Fire Ins Co. of Pittsburgh, PA
United States INSURER F: New Hampshire Ins. Co.
COVGRAGE-S CFRTIFICATF 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.
I 7R TYPE OF INSURANCE
ADDL SUBR
NUMBER POLICPOLICY
MWDOY
EFF MOLICY
M/DD
EXP
LIMITS
F GENERAL LIABILITY GL 4360884 (Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE $1,ODO,ODD.00
DAMAGE ToRENTED
PREMISES Ea occurrence $1,x,000.00XCOMMERCIALGENERALLIABILITY
MED EXP (Any one peon) $10,000.00rsCLAIMS -MADE FE OCCUR
PERSONAL & ADV INJURY $1,000,000.00OWNER'S & CONTRACTOR'S
GENERAL AGGREGATE $2,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000.00
X POLICY
PRO
LOC
E
E
E
AUTOMOBILE
X
LIABILITY
ANYAUTO
CA 3976576 (VA)
CA 3976575 (AOS)
CA 3976577 (MA)
10/1/2010
10/1/2010
10/1/2010
10/1/2011
10/1/2011
10/1/2011
COMBINED SINGLE LIMIT $1,0001000.00
Each accident
BODILY INJURY (Per person)
F ALL OWNED AUTOS CA 3976624 (NH) (Primary AL) 10/1/2010 10/1/2011 BODILY INJURY (Per accident
SCHEDULED AUTOS PROPERTY DAMAGE
X HIRED AUTOS Per accident)
NEW HAMPSHIRE (CSL) $2500ODXNON -OWNED AUTOS
UMBRELLA LIAR OCCUR EACH OCCURRENCE
AGGREGATEEXCESSLIABCLAIMS -MADE
DEDUCTIBLE PRODUCTS - COMP/OP AGG
NEW HAMPSHIRE (CSL)
RETENTION $
B
C
D
E
F
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICE(
MandaR[
MtoryEn NH) MBER EXCLUDED?
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
WC 026149514 (FL)
WC 026149516 (MI)
WC 026149513 (CA)
WC 026149518 (MA, NO, NY, OH,
W WI,
10/1/2010
10/1/2010
10/1/2010
10/1/2010
10/1/2010
10/1/2011X
10/1/2011
10/1/2011
10/1/2011
10/1/2011
WC STATRY"
MU-
OTH-
I ER
EL EACH ACCIDENT $2.,•0D
E.L. DISEASE- EA EMPLOYE $2,000,000.00
E.L. DISEASE - POLICY LIMIT $2,000,000.00
A Builder's Riskrinstallafion/Contract Works OC & OCW 91128600 5/1/2010 5/1/2011 USD $1,000,000.00 per jobsite
A Rental Equipment/Contractor's Equipment OC & OCW 91128600 5/1/2010 5/1/2011 USD $1,000,000.00 per jobsite
OCW91 1conveyance
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
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
300 N Park Ave
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Sanford, FL 32771
AUTHORIZED REPRESENTATIVEUnitedStates
MARSH USA INC, BY: Franklin Hallock, Global Marine
David Kong,Casual
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.
ADT Security Services
6830 Shadowridge Or
Suite 211
1 Orlando, FL 32806
Tel: 407 826 3200
Fax: 407 826 3320
ADT Always There" www.adt.com
Lic#: EF 0001 121
Date: $ 02—
To: 0,-4-4 6-f a..n-fbrc(
Please void/cancel the electrical permit # 11 M90 that was pulled for the
address of Z5u3 - - I & 99CI 9'0/2
Reason: No t, DOS -L da'1c,
G orge Mkinginelli
Certified Contractor
The foregoing instrument was acknowledged before me this '
P day of J 6--y1 201 i
by - who is personally known to me/who produced
as iden4ca ion and who did not take oath.
State of Florida
County of Y-1 Lq
NotaryPublic, Orange County, Florida
NANCY PALMIERI
4".
4.
MY COMMISSION # EE130451
EXPIRES September 15, 2015
407) 398-0763 FloridallotarySe-mmeom
ADT Security Services
6830 Shadowridge Or
Suite 211
Orlando. FL 32806
Tel: 407 826 3200
Fax: 407 826 3320
ADT Always There® www.adt.com
Lic#: EF 0001 121
f
Date:
To: t ,li U Of GA-`Arci K I j a1
Please void/cancel the electrical permit # that was pulled for the
address of 25L13 Ll Ca -p +on -P
Reason: 1yD Wby-L ciOn4--
I
I ,-,n '
George M nginelli
Certified Contractor
The foregoing instrument was acknowledged before me this I day of
by (cV- 1eU t who is personally known to me/who produced
as identification and who did not take oath.
State of Florida
County of ()gnoU
Notary Publi , Orange County, Florida
NANCY PALMIERI
MY COMMISSION # EE130451
EXPIRES September 15, 201 5
407)398 0153 FwftNotaryServlco•com
20/----
d
CITY OF SANFORD INSPEtTIONS
BUILDING PERMITS 24 HOUR NOTICE REQUIRED
300 N PARK AV FOR ALL INSPECTIONS
SANFORD, FL 32771 PHONE 407.688.5151
Application Number . . . . . 11-00001290 Date 4/25/11
Application pin number . . . 567770
Property Address 2543 EL CAPITAN AVE
Parcel Number . . 01.20.30.504-2500-0260
Application type description ELECTRIC PERMIT APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 193
Application desc
low voltage security
Owner Contractor
I-----
Diaz, Ivonne ADT SECURITY SERVICES INC
j
2543 E1 Capitan AVe ATTN LICENSING DEPT
SANFORD FL 32771 PO BOX 3042
BOCA RATON FL 33431
561) 988-3621
F
Permit ELECTRIC PERMIT-ALTER/ADD/FIX
Additional desc . .
ermit Fee . . . . 35.00
ssue Date . . . . 4/25/11 Valuation . . . . 193
F.x-oiration Date 10/22/11
Qty Unit Charge Per Extension
BASE FEE 30.00
1.00 5.0000 THOU ELEC PERMIT -ORD 4137 11.24.08 5.00
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Other Fees . . . . . . . . . 01-APPLCTN FEE -ELECTRIC 25.00
O1 -BLDG PLAN REVIEW 3.00
O1 -BLDG DCA SURCHARGE 2.00
O1 -BLDG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 35.00 00 .00 35.00
Other Fee Total 32.00 00 .00 32.00
Grand Total 67.00 00 .00 67.00
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.