HomeMy WebLinkAbout1601 S Sanford Ave3
CEIVED
0
JUL 21 2011
7.1 f=• CITY OF SANFORD
e BUILDING'& FIRE PREVENTION
PERMIT APPLICATION
Application No: q5 Documented Construction Value: $
3a771
Job Address: O S S G. O /Q L Historic District: Yes No
Parcel ID: ?J i - 3 _ 5-3' - ntn - an5c) Zoning:
Description of Work: a N\A'CLtnp SQ_Cu '%A:'
Plan Review Contact Person:
Phone: Fax: E-mail:
Title:
fin` \ ` t
Property Owner Information
Name \-\ W\r r\ Phone:
Street: \ 6u\ Sm\%rA kre Resident of property?
City, State Zip: _ 3a=
Contractor Information
Name Phone:
Street: 5 hGC a a f C t • Le. Fax:
City, State Zip: 11ttC'''`C S1C 4 F L 3a$ is State License No.: 'E-, C) 73b Wall
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information '
Phone:
Fax:
E-mail: —
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical D/__
New Service - No. of AMPS:
Mechanical 0 (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 fhe 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:
ENGINEERING:
COMMENTS:
Rev 11.08
ZD i
Signature of Contract /Agent ate
Print Contractor/Agent's Name
IZd ll
Signature ofNota (fit 4,kForida ASHLEY MSQ<....
MY COMMISSION # DD 893481
W- EXPIRES: May 27, 2013
Bonded Thru Notary Public Underwriters
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE: BUILDING:
POWER OF ATTORNEY
Date: -7
I hereby name and appoint n h 1 C
of ADT Security Services to drop off and pick up permits at the
Sc cif n Building Department on my behalf for
a LOW VOLTAGE SECURITY permit for work to be performed at a location described as:
Parcel XC\ ?1 SO'7 l71('70— 0050
Subdivision JG acAos.
Address ofjob
Owner NVV \
rkr\
Geo a Man ' elli EF0001121
Type or print Name of Cortfcd Contractor
r
Signaturc of Cc ontractor
The f re oing ' e t w ac owledged before me this a-1 dayof 20A
by
who i p .rs ally known ` me/who produced _
as identification and who did not take oafh.
State of Florida
County of /)971 /14y
Notary Pu , Seminole County, Florida
ASHLEYAMMONS
a . MY COMMISSION # DID 8934814EXPIRES: May 27, 2013
R, Bonded Tbru Notary Public Underwriters
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I
PARCEL' IDeTAIL 0 ' 1.0 10
87r
1 7DAVIDJOHNSON. CrA. ASA Lu I;:
PROPERTY
APPRAISER
I'A
15 18 17 rk
L_ SEMIN0ECOUNTYFt- 1101
E FIRSTST F—,
6 7- SANFORD
FL32771 -14r.a 2
17 18 11 2c, 407-
665,7508 3.
1 28 M
0-SO-1 96VALUE
SUMMARY VALUES
2011
2010 A
E "in LpCertified GENERAL
Value Method Cost/Market Cost/Market Parcel
Id: 31-19-31-507-0700-0050 Number of Buildings 1 1 Owner:
WHELAN MICHAEL P & TARYN R Depreciated Bldg Value 61,198 77,222 Mailing
Address: 1601 SANFORD AVE Depreciated EXFT Value 600 600 City,
State,ZIpCode: SANFORD FL 32771 Land Value (Market) 32.010 33,174 Property
Address: 1601 SANFORD AVE SANFORD 32771 Land Value Ag 0 0 Subdivision
Name: SAN LANTA Just/
Market Value, 93,808 110,996 Tax
District: Sl-SANFORD Portablity
Adj 0 0 Exemptions:
GO -HOMESTEAD (2008) Save
Our Homes Adj 1 $01 0 Don
01-SINGLE FAMILY Amendment
1 AdJ1 01 0 Assessed
Value (SOH) 1 $93.8081 110,996 Tax
Estimator 2011
TAXABLE VALUE WORKING ESTIMATE Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 93,808 93,808 0 Amendment
1 adjustment Is not applicable to school assessment) Schools 93.808 93,808 0 City
Sanford 93,808 93,808 0 SJWM(
SaInt Johns Water Management) 93,808 93,808 0 County
Bonds 1 93,8081 93,8081 0 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 2010 VALUE SUMMARY CORRECTIVE
DEED 05/2007 06683 0999 $100 Improved No 2010
Tax Bill mount: 0 WARRANTY
DEED 02/2007 06582 1830 $195,000 Improved Yes 2010
Certified Taxable Value and Taxes WARRANTY
DEED 1112005 06028 1452 $130,000 Improved Yes DOES
NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY
DEED 03/1997 03208 0587 $35,000 Vacant No Find
Comparable Sales within this Subdivision LEGAL
DESCRIPTION LAND
PLATS]
Pick Land
Assess Method Frontage Depth Land Units Unit Price Land Value FRONT
FOOT & DEPTH 120 135 .000 275.00 $32,010 LOTS 5 & 6 & 7 (LESS N 10 FT OF LOT 5 & S 38 FT OF LOT 7)
BLK 7 SANLANTA PB 3 PG 80 BUILDING
INFORMATION Bid
Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Cost
Est.Now
Building
1 SINGLE FAMILY 1950 3 1,368 1,800 1,368 CONC BLOCK $611,1198 77,466 Sketch
Appendage
I Sqft UTILITY UNFINISHED / 126 Appendage
I Scift CARPORT FINISHED 1216 Appendage /
Scift OPEN PORCH FINISHED / 90 NOTE:
Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch FinishedBase Semi
Finshed Permits
EXTRA
FEATURE Description
Year Bit Units EXFT Value Est. Cost New FIREPLACE
1950 1 $600 1,500 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 year's property tax will be based on Just/Market value. http://
www.scpafl.org/web/re—web.seminole—county_title?parcel=3119315070700005O&c... 7/20/2011
RESIDENTIAL SERVICES CONTRACT uem ueipiigiiiwiriuuNA
CONTRACT
E
y l
G/
ACCOUNT NO 1
CUSTOMER'y LEAD
t I
i"^
1 + 60JOBm SOURCE
ADT Security Services, Inc. ("ADT") Customer Name
office Address . ("Customer" or "I" or "me" or "my")
r,
r
Address
1
fCity
A'
State L
ZIP `
I ^
Tax
Exempt No. '' Y
Protected
Premises' Telephone
Tax Expire Date M/m/( x I._1_J w
Y I O
Traditional Phone O Other (Qualified) OfOther (Non -Qualified) www.
MyADT.com 1.
800'ADT.ASAP® Alternate = 1.
800:238.2727) Telephone 1 O Home O Cell O Work IF
FAMILIARIZATION PERIOD IS . Teler hone 2 ITMo Home o Cell O Work ECTED
INITIAL HERE p 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 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 number(s) provided by me. Initial here Alarm
System Ownership: o Customer -Owned OVADT-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. Ar)
T Representative Name Rep.
License No. If
Required) omer'
s Approval: Original' Signature Required (Must match Customer Name in Section 1 above) I
I
Rep.
5'.. ID
No. m/
M/t i NOTICE
OF CANCELLATION I,
THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY P '
ER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION L ,'
HIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF
THIS CONTRACT AND RECEIPT OF THIS NOTICE.
RESIDENTIAL SERVICES CONTRACT Jllfll ti rlJJtlJJllil!'111JIt1;!'tf 9lJil.'1L U0 5104UE12
l
CONTRACT / f J CUSTOMER, IITTIJOB m LEAD
DATE j ACCOUNT NO NO SOURCE
Section 2. Services to be Provided (continued)
Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Initial/Annual Fee
i
o Standard Monthly Service, Burglary (
Subject to change based on local law)
Service includes: Customer Monitoring Center Signal O Customer to obtain and pay for initial/annual municipal
Receiving and Notification Service for Burglary, alarm use permit.,Failure to obtain and provide ADT with
Manual Fire and Manual Police Emergency $ the municipal alarm use permit registration number could
result in no municipal fire/police response to an alarm
L from the premises and/or a fine.
O Standard Monthly Service, Fire/Smoke Detection -
Service includes: Customer Monitoring Center Signal Municipal Electrical Permit Fee _
Receiving and Notification Servicerfor Fire, Manual Fire O Customer to obtain electrical permit
and Manual Police Emergency
O Carbon Monoxide O Flood O Low Temp $ Installation Price $
O Medical Alert $ Taxable Amount
Safewatch Cellguard0 $ Non -Taxable Amount $ ;• ^
O SecurityLinkm $ Connection Fee
Y
1 5 Extended Limited Warranty/Quality Service Plan (QSP) $ Admin Fee
O Guard Response Service Sales Tax on Installation* - t
O Other Deposit Received
Total Monthly Service Charge $ lf- Balance Due upon Installation* f
If applicable sales tax not shown, it will be added to the first invoice.
3. Equipmentto be Installed
Control \l S°`1 e a `a`
L°°
e°
a°\
e
J aeo
Q`Q e
Panel yt1r, t°Jrpa S¢oo°U\a0e e° OeLaOeeSa°ae\ CL,`PO V°r\P e P Pe
4Q
Comments Package
Name: Includes:
Foyer
I
Living
Room li
I
Family Room Office
Dining
Room I '
Kitchen
Laundry
Room Hallway
Master
Bedroom -. Master
Bath Bedroom
2 Bedroom
3 Bath
2
RESIDENTIAL SERVICES CONTRACT II IIIIIhVI@PIIIIIAIIfIIIINIII
CONTRCUSTOMER! JOB []] LEAD A
TUJ 1 1 ACCOUNT No I- - LJ I NO SOURCE WJJ 5ection
4.s • O
Check received for: O Installation: Check # Amount O
Annual Service Charges Collected: Check # Amount 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 over $
400 or field sales with an installation price over $1,500) Name
of Bank/Credit Union O
All/Recurring Service Charges r
O
Annually O Semi -Annually O Quarterly (pMonthly ABA Routing
Number Bank Account Number CD VISA O MasterCard O Discover O AMEX Credit/Debit
Card Number Expiration Date 1 Recurring
Service
Charge Amount - M -M Y Y Name as
it appears on bank account Recurring Service Charge Amount Cardholder's
Name ` f irize
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 inmcated 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. val 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 i 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 I 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. I ' Authorized
Account
Signature: Section11 • and
SystemDataNamei9r -
i ; 4! ` + I1 CS # I Address
r '[ t
I r
1
r TT-MStaterCity '' % ZIP - Cross St. tt + Premises'
Phone #
1 Phone #2, ti4 r, `'1 ,f 1 9 .e O Cell Only Municipality Municipality
Police Name
Fire Name cipality Patrol
Name lv,,dical
Number & Number Jr?k
Type `O New Sale O Change Over O Upgrade Control Type O HW tiQ RF Permit m
A„oiationMember # Number Burglar Alarm:
O Yes O No Fire I Smoke: O Yes O No Two -Way Voice: O Yes>O No Cellular Model: r O Parallel O Standard t Me
m ! Preferred Monitoring Communication m Account Management Codes: ownership -'
System Services Method Services Service 11iGuard - , Market
Resale -Former I-) ELW/QSPServiceGroup " Acct # Former C5 If T