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HomeMy WebLinkAbout1011 S Locust AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION y Application No: 11 O T Documented Construction Value: $ L.5 q, Job Address: '`#_, S• Loc,,6t QV'Q t OfC Historic District: Yes No Parcel ID: 1r1 — 00R O Zoning: Description of Work: Plan Review Contact Person: Phone: Fax: E-mail: Title: Property Owner, Information Name A k k—roo eS Phone: Street: \WX S • L ac_L i PVP_ Resident of property? City, State Zip: nn Contractor Information 1 Name j Phone: y^I Street:C\W- Fax: City, State Zip: L a 1 a. State License No.: V 000 X\ a.i Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit K Square Footage: Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Dwelling Units: Flood Zone: Electrical @ New Service — No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing No. of Stories: 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 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. 1 k of Owner/Agent Date Signature of Contracto Agent Date ifAaj r)i Pflf' Print Owner/Agent's Name Print Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Signature of Notary -State of Florida Dat GYP° ASHLEYAMMONS MY COMMISSION # DD 893481 a EXPIRES: May 27, 201319d6 ~ Bonded Thru Notary Public Underwriters Contractor/Agent is Personally Known to Me or Produced ID Type of ID UTILITIES: WASTE WATER: FIRE: BUILDING: Rev 11.08 POWER OF ATTORNEY Date: 15 haul I hereby name and appoint &r\k IC of ADT Security Services to drop off and pick up permits at the a nJ p(-A Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel as- \C\ - 30 - !SAG - Subdivision Address ofjob \ O \\ 13 N Q i t1 - L_ I AM George Manginelli EF0001121 Type or Print Name of Certified Contractor Signature of Certified Contractor The foregoing instrument was acknowledged before me this 15 day of 20_11 by who is personally known to me/who produced as identification and who did not take oath. State of Florida County of Notary Public, Seminole County, Florida oeminoire uoumy rroper-Ey /-\ppraiser uei imormauon Dy rarcei imumuer rage I OT /- PARCIELDETAIL E 10TH ST DAVIDJOHNSON, CFA,ASA Ae PROPERTY APPRAISER llv -.- 14" i r0 2.A 0 4 a 12DE z 3 it2.0 5EM1N0Lr--0DbNTYfh- 120D 1 M ltol,E.FIRSTST SANFORD.FL32771-1468 M I rn 407-655,-7506 5 . A 5.0 yd 1 E 11THST VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method CostlMarket Cost/Market Parcel Id: 25-19-30-5AG-120E-0080 Number of Buildings 1 1 Owner: HOGAN ERNESTINE & BROOKS Depreciated Bldg Value 43,389 53,621 Own/Addr: ARTHUR& PHILLIPS DOROTHY Depreciated EXFT Value 1,034 1,089 Mailing Address: 1011 S LOCUST AVE Land Value (Market) 11,962 12,816 City,State,ZipCode: SANFORD FL 32771 Land Value Ag 0 0 Property Address: 1011 LOCUST AVE SANFORD 32771 Just/Market Value 56,385 67,526 Subdivision Name: SANFORD TOWN OF Portablity Adj 0 0 Tax District: SI-SANFORD Save Our Homes Adj 11,5831 23,386 Exemptions: 00-HOMESTEAD (1994) Amendment 1 Adj 01 0 Dor: 01-SINGLE FAMILY Assessed Value (SOH) 44,8021 44,140 Tax Estimator Portability Calculator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 44,802 44,802 0 Amendment 1 adjustment is not applicable to school assessment) Schools 44,802 25,000 19,802 City Sanford 44,802 25,000 19,802 SJWM(SaInt Johns Water Management) 44,802 25,000 19,802 County Bonds 44,8021 25,0001 19,802 Potential Portability Amount Is $11,583 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. 2010 VALUE SUMMARY SALES Tax Amount (without SOH): $517 Deed Date Book Page Amount Vac/Imp Qualified 2010 Tax Bill Amount: $291 CORRECTIVE DEED 11/1995 03041 1591 $100 Improved No Save Our Homes (SOH) Savings: $226 QUIT CLAIM DEED 06/1991 02303 1934 $100 Improved No 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS; Pick.:. I FRONT FOOT & DEPTH 64 117 .000 210.00 $11,962 LEG LOT 8 BLK 12 TR E TOWN OF SANFORD P13 1 PG 56 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building I SINGLE FAMILY 1987 3 912 912 912 SIDING AVG $43,389 $47,944 http://www.scpafi.org/web/re—web.seminole—county_title?parcel=2519305AG 1 20E... 7/5/2011 RESIDENTIAL SERVICES CONTRACT uoiuiuwHiiipimiimumriw CONTRACTDATE f , , i ACCOUNT NO LEADR,1 ` ]='JNO m SOURCE Section• ADT Security'Services, Inc. ("ADT") Offe Address f ,._, Customer Name l f\ ( Customer" or "I" or "me" or "my") Address 7 l 3 Z_ C`_JJ C city C l (' W-chd. III State ZIP L Tax Exempt No. mac C G G ( Q-3 J Protected Premises' Telephone J S - Tax Expire Date O Traditional Phone O Other (Qualified) O Other (Non -Qualified) www.MyADT.com 1.800.ADT.ASAP® 1.800.238.2727) Alternate Telephone 1 / `' O Home (U Cell O Work IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE Alternate Telephone 2 O Home O Cell O Work see Paragraph 14 of the Terms and Conditions for explanation) EMAIL Communications Authorization: I authorize ADT to provide me with information and updates about the security system and new ADT and third -party products and services to the contact information provided by me. I may unsubscribe or opt out by emailing donotcontact@ADT.com or by calling 888.DNC4ADT (888.362.4238). Initial here Confirmation of Appointments: I authorize ADT to call me using in automated calling device to deliver a pre-recorded message to set/confirm appointments and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: O Customer -Owned "ADT-Owned I ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF SIX (6) PAGES. BEFORE SIGNING THIS CONTRACT, I HAVE READ, UNDERSTAND AND AGREE TO EACH AND EVERY TERM OF THIS CONTRACT, INCLUDING BUT NOT LIMITED TO PARAGRAPHS 5 AND 18 OF THE TERMS AND CONDITIONS. (B) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) ADT IS NOT A SECURITY CONSULTANT AND CANNOT ADDRESS ALL OF MY POTENTIAL SECURITY NEEDS. ADT HAS EXPLAINED TO ME THE FULL RANGE OF EQUIPMENT AND SERVICES THAT ADT CAN PROVIDE ME. ADDITIONAL EQUIPMENT AND SERVICES OVER THOSE IDENTIFIED IN THIS CONTRACT ARE AVAILABLE AND MAY BE PURCHASED FROM ADT AT AN ADDITIONAL COST TO ME. I HAVE SELECTED AND PURCHASED ONLY THE EQUIPMENT AND SERVICES IDENTIFIED IN THIS CONTRACT. (D) NO ALARM SYSTEM CAN PROVIDE COMPLETE PROTECTION OR GUARANTEE PREVENTION OF LOSS OR INJURY. FIRES, FLOODS, BURGLARIES, ROBBERIES, MEDICAL PROBLEMS AND OTHER INCIDENTS ARE UNPREDICTABLE AND CANNOT ALWAYS BE DETECTED OR PREVENTED BY AN ALARM SYSTEM. HUMAN ERROR IS ALWAYS POSSIBLE, AND THE RESPONSE TIME OF POLICE, FIRE AND MEDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL OF ADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CALLING 1.800.ADT.ASAP OR BY LOGGING IN TO WWW.MYADT.COM. (F) THIS CONTRACT REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT OR SERVICES, AND IF APPROVAL IS DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBLIGATION WILL BE TO NOTIFY ME OF SUCH TERMINATION AND REFUND ANY AMOUNTS I PAID IN ADVANCE. ADT Representative Name Rep. License No. Rep. If Required) ID No. ture Required (Must match Customer Name in Section 1 above) Customer's Approval: Original Sigr 2" InAMU V NOTICE OF CANCELLATION I, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT71-1E",TIME''OF-EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. - Section• be Provided FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF. CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. Al j A. NUMBER OF q Z C J" 1 PAYMENTS FOR THE B. AMOUNT OF EACH PAYMENT IS s 1 TOTAL OF PAYMENTS FOR THE INITIAL TERM IS INITIAL TERM IS 36. TOTAL MONTHLY SERVICE CHARGE FROM BELOW) A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES AND RATE INCREASES) LATE CHARGE - PAYMENT IS DUE PURSUANT TO. MY SELECTED BILLING HEIFIPREPAYTHEPREPAYMENTOF ESES SESECTIONS2, 7, 15 AND FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BILL/CHARGE WILL TOTAL PAYMENTS PRIOR THIS CONTRACT FOR BESENT/MADE SHORTLY AFTER MY SERVICE BEGINS. ADT MAY IMPOSE A INITIAL TER M THEENDOFTHEINNTRALTIADDITIONAL INFORMATION ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN OF THIS COTHERE NO ABOUT NONPAYMENT, DEFAULT NO EVENT WILL THIS AMOUNT EXCEED $5.00. PENALTY REFUND. AND ACCELERATION. 1 of 6 Administrative Copy Si l 02011ADT. All rights reserved. (04/11) RESIDENTIAL SERVICES CONTRACT CONTRACTLEAD AE i ? LJ ] A COUN NO. `%~ CUSTOMER? r2 d. ,NO OB m SOU CE Section 2. Services to be Provided (continued) Standard Monthly Service, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Subject to change based on local law) Initial/Annual Fee C O Customer to obtain and pay for initial/annual municipal alarm use permit. Failure to obtain and provide ADT with the municipal alarm use permit registration number could result in no municipal fire/police response to an alarm from the premises and/or a fine. O Standard Monthly Service, Fire/Smoke Detection Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Fire, Manual Fire and Manual Police Emergency Municipal Electrical Permit Fee O Customer to obtain electrical permit O Carbon Monoxide O Flood O Low Temp Installation Price F$_3 O Medical Alert Taxable Amount O Safewatch Cellguard® Non -Taxable Amount bSecurityLink® I\,;C' Connection Fee Extended Limited Warranty/Quality Service Plan (QSP) r Admin Fee O Guard Response Service Sales Tax on Installation* O Other Deposit Received C_ f j (_ 1 Z c( z3 i _ 50 Total Monthly Service Charge Z . 7 Balance Due upon Installation* If applicable sales tax not shown, it will be added to the first invoice. Section• • to be Installed 1 , \ So` 1°/ °+`ae eo Ja a j tit°\ Control ` 1 S°"` Sew etie/ate s` /fie s o 5 0 ¢ ` L° e tia sPanel \o° SS6e°a S L°o e°e oae\• `C1C O Q ` Gov O°o y`o Ct`o 0\a0e ,fie Oe Ca Oe Sa Cj` C P \ P P P P Q Comments CIV, age`Name: IIncludes: Foyer Living Room E;% _. U Family Room Office . Dining Room Kitchen Laundry Room Hallway Master Bedroom Master Bath Bedroom 2 Bedroom 3 Bath 2 Basement Garage Totals c' I E =Existing Equipment Estimated Installation Start Date INSTALLER NOTESrl i 2 Of 6 02011 ADT. All rights reserved. (04/11) RESIDENTIAL SERVICES CONTRACT CONTRACT DA E © t' ` L L 1 ACCOUNT O '- ' • G r LEADmSOURCE SectionBilling O Check received for: O Installation: Check # Amount O Annual Service Charges Collected: Check # AmountII I authorize ADT: O To withdraw all Service Charges from my bank account: O To charge my credit/debit card for: O Annually O Semi -Annually O Quarterly O Monthly O Installation O 3 monthly credit/debit card payments of equal amounts Choose one: O Checking O Savings available only for telephone orders with an installation price Name of Bank/Credit Union over $400 or -field sales with an installation price over $1,500) CS'All/Recurring Service Charges O Annually O Semi -Annually O Quarterly O Monthly P___09ABARoutingNumberBankAccountNumberOVISAC", asterCard O Discover O AMEX Credit/Debit Card Number ,, Expiration Date Recurring Service Charge Amount M M Y Y Name as it appears on bank account Recurring Service Charge Amount Cardholder's Name NEW I authorize ADT to debit my bank account for the amount of all Recurring Service Charges If I am using a debit card, I authorize ADT to debit my bank account for the amount of indicated above. I may revoke this authorization only by notifying ADT and my bank in all Recurring Service Charges indicated above. I may revoke this authorization only by writing at least 10 business days before the scheduled debit. notifying ADT and my bank in writing at least 10 business days before the scheduled debit. If no oval is filled above, service charges will be withdrawn monthly. If no oval is filled above, my credit/debit card will be charged monthly. I authorize ADT to withdraw the amounts in this section from my bank account or credit card through an Automated Clearing House ("ACH"). These payments are for the equipment and services described in this Contract. This authorization will remain in effect until the termination date of this Contract or until I cancel it in writing, whichever occurs first I also agree to notify ADT in writing of any changes in my account information at least 15 days prior to the next billing date. If a payment date falls on a weekend or holiday, payment may be executed on the next business day. Because this is an electronic transaction, these funds may be withdrawn from my account each month as early as the transaction date. If the date or amount of the withdrawal changes, ADT will notify me at least 10 days prior to the payment being collected. If an ACH transaction is rejected for non -sufficient funds (NSF), ADT may attempt to process the charge again within 30 days, and an NSF charge may apply. The origination of ACH transactions to my account must comply with the provisions of U.S. law. I am an authorized user of -this credit card or bank account, and I will not dispute the payment with my credit card company or bank, so long as the amount corresponds to the terms indicated in this Contract O To!,send me a bill: O Annually O Semi -Annually O Quarterly O Other DOA Approval If no oval is filled, ADT will send bill quarterly. Auth sized Account Signatuee z,6--' Section• and System Data c t Name CS # , 1 J Jc L/.- C C L-) S 1. LAddressv`1 City f -J l { State ZIP Cross St. PremisesPhone #1 Phone #2 f ''-, J ° O Cell Only Municipality Municipality Police Name - Fire Name Municipality Patrol Name IIIMedicalNumber & Number Job Type 6 New Sale O Change Over O Upgrade Control Type. O HW O RF Permit Affiliation Member # t Number Burglar Alarm: Oyes O No Fire / Smoke: O Yes i5 % Two -Way Voice: ® Yes O No Cellular Model: O Parallel O Standard Profile G Preferred Monitoring j j Communication Account Management ,-, Codes: Ownership System Service Services, Method Services -' Guard Maket C. r', Resale -Forme. Formeri_ CS #ELW/QSPE Service L_Group Acct # Section• Password This password must be issued to all users of the alarm system, including all people listed in Section 7. An optional, secondary password for service individuals, housekeepers, tenants, etc. is available upon request. A password must be no less than three (3) and no more than five (5) characters in length and may not contain any punctuation or spaces, offensive language or non-standard spelling. Customer may change passwords and contacts by going to www.MyADT.com or by calling ADT toll -free at 1.800.ADT.ASAP. Section•' Contact These are the individuals who may be called in the event of an alarm. Because they may need to meet the authorities in response to an alarm, I will provide them access to my premises, the password, and the keypad code. By selecting the "Yes" designation on the rightl am identifying which of these individuals may be called prior to notification of the authorities. Customer/ Emergency Contact #1 1 L L f J 19 O O • O VDl / `, 7 S PrintFirst/Last Name - Phone Home Cell Work Yes No s /'' fy -7 ' r oe-,el O =O O r Phone ` J_ Z 5 _ z.0_5 Cell Work Yes No Customer/ Emergency Contact #2 G`] 7 ./ (_,O O O <fr7 O Print First/Last Name Phone r Home Cell Work Yes No O O O 00 Phone Home Cell Work Yes No Altefnate/ Emergency Only Contact O O O O O Print First/Last Name Phone Home Cell Work Yes No O O O O O Phone Home Cell Work Yes No 3 Of 6 ©2611 ADT. All rights reserved. (04/11) rya-.-•....,^'.!