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HomeMy WebLinkAbout1214 Randolph StCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION s4T 64ApplicationNo: ` \ Documented Construction Value: $ . Job Address: iO l'-F aclaND 3al11 Historic District: Yes No Parcel ID: 1 — 1 — 3 " SO4 — 0\ 00 — O 00 Zoning: Description of Work: LQ , V ©1TG Plan Review Contact Person: Phone: Fax: E-mail: Title: 9' Property Owner Information Name G..`` Phone: Street: la-11 ajCAQ \10(\ Resident of property? City, State Zip: Dg \ac,o. r >_ 3XIQ s Contractor Information Name Phone: 4a—l— D,A6- SaT Street: Q.Dr. SLL%*e-Q\\ Fax: City, State Zip: ()Ac (\&0 It 9a061 a State License No.: F 013 o Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: m,.t.xwr,ro rr_i.„r.,, ._ ,_.... PERMIT INFORMATION Building Permit,`[]! Y7-" 1 7. •>.;F•u . Square Footage:'`=4 ,: Construction Type: No. of Stories: No. of Dwelling IJrii67' Flood Zone: Electrical L' 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 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Signature of Contractor gent Date IA Print Co tractor gent's Name a Signature fN ateofFlorida Date Y ASH.EYAMMONS MY COMMISSION # DD 893481 Tz EXPIRES: May 27, 2013 Contractor/ i i Bondefty buc140mAw t Me or Produced I WASTE WATER: BUILDING: Rev 11.08 POWER OF ATTORNEY Date: b cl /ao\ I hereby name and appoint LC11' 1 CA,R of A nT to drop off and pick up permits at the Ca.(1 Building Department on my behalf for a low VOltae SeCUrlty permit for work to be performed at a location described as: Section 3 1 Township _ Range 3` Subdivision S 0 4 Lot 0 1 O 0— 0100 Subdivision Name - — A I R S Nf.-A T- Dl?"y 1aa L a-1-11 Address of Job) Owner) George Manginelli EF-0001121 Type or Print Name of Certified Con ctor and License Number A Signature f Certified Contractor The foregoing instrument was acknowledg d before me this day of 20 by George Man¢inelli who is personally known to me/ who produced as identification and who did not take oath. State of Florida County of Orange Notary Public, Orange County, Florida ASNLEYAMMONS Ay' `.OMMISSION # DD 893481 EXPIRES: May 27, 2013 hru Notary Public UndeWtors Seal Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 I?ARC.9.L DLMAIL'. 7 d 14 41 DAvio JCHNSCN, t FA. ASA PROPERTY 8 9 2s 13 12 11 8 13 13 9 12 9 12 19 1 1 si3D— APPRAISER SEMINOLE COUNTY lc 1 IOVE, Fl1xs7 ST sAwono,FL32771-1-WO 407-86`5-7508 2 3 4 5 7 8 10111112 13 14 15 1 17 I! to 1 I l 0 3 4 0171 8 g 1 11 121514 15 'a 2 17 48 18 2021 22 "'3 25 2a 27 M VALUE SUMMARY VALUES 2011 Working 2010 Certified GENERAL Value Method Cost/Market Cost/Market ParcelId: 31-19-31-504-0100-0100 Number of Buildings 1 1 Owner: DIXON CYNTHIA Depreciated Bldg Value 11,183 59,677 Own/Addr: Depreciated EXFT Value 576 576 MailingAddress: 1271 DANDELION DR Land Value (Market) 15,604 17,338 City,State,ZipCode: DELTONA FL 32725 Land Value Ag 0 0 PropertyAddress: 1214 RANDOLPH ST SANFORD 32771 Just/ Market Value 27,363 77,491 SubdivisionName: BEL-AIR SANFORD Portablity Adj 0 0 TaxDistrict: S1-SANFORD Save Our Homes Adj 0 0 Exemptions: Dor: 01-SINGLE FAMILY Amendment 1 Adj 0 0 Assessed Value (SOH) 27,363 77,491 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 27,363 0 27,363 Amendment 1 adjustment is not applicable to school assessment) Schools 27,363 0 27,363 City Sanford 27,363 0 27,363 SJWM( Saint Johns Water Management) 27,363 0 27,363 County Bonds 27,363 0 27,363 The taxable values and taxes are calculated using the current years working values and the prior years approved miliage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified TAX DEED 12/2010 07489 1618 $16,300 Improved No SPECIAL WARRANTY DEED 09/2003 05021 0261 $100 Improved No WARRANTY DEED 06/2003 04886 0001 $133,000 Improved No SPECIAL WARRANTY DEED 03/2003 04754 0042 $59,800 Improved No SPECIAL WARRANTY DEED 06/2002 04602 0289 $100 Improved No CERTIFICATE OF TITLE 06/2002 04437 0174 $100 Improved No 2010 VALUE SUMMARY SPECIAL WARRANTY DEED 04/1998 03412 1579 $64,500 Improved No 2010 Tax Bill Amount: 1,557 CERTIFICATE OF TITLE 04/1997 03223 0581 $100 Improved No 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS QUITCLAIMDEED0211996030701740 $32,300 Improved No WARRANTY DEED 09/1995 02967 0349 $31,800 Improved No SPECIAL WARRANTY DEED 09/1995 02967 0348 $26,500 Improved No CERTIFICATE OF TITLE 06/1995 02930 0503 $100 Improved No WARRANTY DEED 09/1988 01996 0361 $39,200 Improved Yes WARRANTY DEED 07/1978 01177 0530 $23,000 Improved Yes WARRANTY DEED 01/1972 00937 0135 $10,000 Improved Yes Find Comparable Sales within this Subdivision LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value LEGAL DESCRIPTION PLATS: Pick... r FRONT FOOT & DEPTH 73 130 .000 225.00 $15,604 LEG E 13 FT OF LOT 10 + ALL LOT 11 + W 8 FT OF LOT 12 BLK 1 BEL-AIR PB 3 PG 79 & 79A BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New http:// www. scpafl.org/web/re_web.seminole_county_title?parcel=31193150401000100&c... 6/29/2011 Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 Buildinq 1 SINGLE FAMILY 1951 6 816 1,474 816 CONC BLOCK $11,183 $19,449 Sketch Appendage I Sgft ENCLOSED PORCH UNFINISHED 1658 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New WOOD UTILITY BLDG 1992 240 $576 $1,440 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 property tax will be based on Just/Market value. http://www. scpafl.org/web/re_web.seminole_county_title?parcel=31193150401000100&c... 6/29/2011 Ir n RESIDENTIAL SERVICES CONTRACT- piuwuAgui iiuui CONTRACT IEAD DATE Q ' s ACCOUNT O / JNOCUSTOMERIVTTOB m SOU CE Section• ADT Security Services, Inc. ("ADT") Customer Name { NJAOfficeAddrgsss W o t r . Customer" or "I" or "me" or "my") i ONL14 IN. 0 4v'( C MAddress11171 151AINI r_1 01111pi I I I I I I I I mcity G ' State F C ZIP Tax Exempt No. Protected Premises' Telephone Tax Expire Date O Traditional Phone O Other (Qualified) O Other (Non -Qualified) www.MyADT.com 1.800.ADT.ASAP® AlternateS 1.800.238.2727) Telephone 1 O Home CQ Cell O Work Alternate FFTelephone2 O Home O Cell O WorkIFFAMILIARIZATIONPERIODIS REJECTED INITIAL HERE see Paragraph 14 of the Terms and Conditions for explanation) EMAIL Q yI a t 5 t7 L tr o 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 an 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 numbers) provided by me. Initial here y f` 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 Re - resentativee Name Rep. License No. Rep. jRAJ (If Required) ID No. Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above) 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 AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. Sect i • to be Provided FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE B. AMOUNT OF EACH PAYMENT IS r TOTAL OF PAYMENTS FOR THE INITIAL TERM IS A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINESINITIALTERMIS36. TOTAL MONTHLY SERVICE CHARGE FROM BELOW) AND RATE INCREASES) LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING PREPAYMENT — IF I PREPAY THE ' SEE SECTIONS 2, 7, 15 AND FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BILUCHARGE WILL TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR BE SENT/MADE SHORTLY AFTER MY SERVICE BEGINS. ADT MAY IMPOSE A THE END OF THE INITIAL TERM ADDITIONAL INFORMATION ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10). OF THIS CONTRACT, THERE IS NO ABOUT NONPAYMENT, DEFAULT DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN PENALTY OR REFUND. AND ACCELERATION. NO EVENT WILL THIS AMOUNT EXCEED $5.00. 1 of 6 Administrative Copy 02011 ADT. All rights reserved. (04/11) A DCERTIFICATE OF LIABILITY INSURANCE DATD/ YYY1 1119/ 2/912 010 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 CONTAGI NAME: PHONE FAX A/ C No Ext : AIC No : Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 ADDRESS: PRODUCER INSURERS AFFORDING COVERAGE NAIC 8 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 Fin: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MOW FIB POLICYEXP LIMITS F GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR OWNER'S & CONTRACTOR'S GL 4360884 ( Primary GL) 10/1/2010 10/1/2011 EACH OCCURRENCE 1,000,000.00 PREM SES EaENTEDoccurrence 1,OD0,000.00 MED EXP ( Any one person) 10,000.00 PERSONAL & ADV INJURY 1,000,000.00 GENERAL AGGREGATE 2,000,0D0.00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP/ OP AGG 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 1,000, 0D0.00 X BODILY INJURY ( Per person) BODILY INJURY ( Per accident PROPERTY DAMAGE Per accident) X XNEW HAMPSHIRE (CSL) 250.0W UMBRELLA LIAB EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE HOCCUR AGGREGATEDEDUCTIBLERETENTION $ PRODUCTS - COMP/ OP AGG NEW HAMPSHIRE ( CSL) B C D E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/ EXECUTIVE OFFICE(Mandatory InNH) EMBER EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC 026149514 ( FL) WC 026149516 ( MI) WC 026149513 ( CA) WC 026149518 ( MA, ND, NY, OH, WA, WI 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 WCSTATUJMLT- OTH- OER E. L. EACH ACCIDENT 2,000,000.00 E L DISEASE- EA EMPLOYEE 2,0D0,000.00 E.L. DISEASE - POLICY LIMIT 2,0001000.00 A A Builders Riskrinstallation/ Contract Works Rental Equipment/Contractor' s Equipment OC & OCW 91128600 OC & OCW 91128600 5/1/2010 5/1/2010 5/1/2011 5/1/2011 1511/2011 USD $ 1,000, 000.D0 per jobsite USD $1,000, 000.D0 per jobsite 00 per conveyance 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 REPRESENTATIVE United States MMARBHUSA=. BY: F.- Haibdc, Global Marina David Kon Casual P 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Generated by EXIGIS LLC. For more information visit www.exigis.com.