HomeMy WebLinkAbout928 Willner Cirm
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I' I 1 Y Documented Construction Value: $ '1 1 • U
Job Address: a$ via 1 ( S nf chFL 3a-Il Historic District: Yes No
Parcel ID: Q6- I CA - 30- 300 - W a0 - 01300 _ Zoning:
Description of Work:
Plan Review Contact Person:
Phone: Fax: E-mail:
Title:
Property Owner Information
Name LG%e Mm[te- L Q Phone:
Street: ?Q OIL 5G50 4`6 Resident of property?
City, State Zip: 1 S3 56
Contractor Information
Name ADT
y,
Street: (,r6y S c n,,zi
City, State Zip: Ot UOQ\o F L A 1a
Name:
Street:
City, St, Zip:
Bonding Company:
Address: Address:
bCI101a i0 9iei?C t;!!Ur 1 IOM tr s'{"•
ar03 .dS 01 27ngt3 .rrrna0 < ERMIT INFORMATIONS8168331% n 1z?Mf000
Buildi i Dermit„• w r,+ihuelli WOO fill."
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
New Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
Phone: 40^1- $a6 - 3a33
Fax:
State License No.: E F pv011 al
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
00V
K 3
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 contra t is requ-ife"d in order
to calculate a plan review charge. If the executed contract is not submittedpweeser t e ri to calculate the
plan review fee based on past permit activity levels. Should c culats e eed the documented
construction value when the executed contract is submitted, cre
11
w I1 bed our permit fees when the
permit is released.
Signature of Owner/Agent Date ignature of Contractor/Agent
A)
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:
UTILITIES:
FIRE:
Print Contractor/Agent's Name
t a 17.
Signature o0 lar da _ — —Date µY
P DEBBIE BLANTON Notary
Public - State of Florida s • . : •
My Comm. Expires Feb 25.2015 Commission #
EE 60182 Ito `
Bonded Through National Notary Assn. Produced
ID Type of ID WASTE
WATER: BUILDING:
or
Rev
11.08
POWER OF ATTORNEY
Date: I &101
I hereby name and appoint D rl
of ADT Security Services to drop off and pick up permits at the
c _
A H OC Biding Department on my behalf for
a LOW VOLTAGE SECURITY permit for work to be performed at a location described as:
Parcel a NS 3fl Zoo
Subdivision
Address ofjob
i ,
Owner Laje SSOC. L
GeorgeM=2kelfi EF0001121
Type or Print Name of Certified Contractor
Signature of Certified Contractor
The foregoing instrument was acknowledged before me this 5 day of 20
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
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
Personal Property I Please Select Account #
PARCEL.
1 141
DAVID JOHNsoN_. CFA, ASA
r
PROPERTY
APPRAISER
u- - • x. 4
SEMINOLE COUNTY FL
V ' %.
I ioI,E. FIl2ST,ST
SANFORD, FL32771-1468
407-665-7506
VALUE SUMMARY
VALUES
2011 2010
Working Certified
GENERAL Value Method Income Income
Parcel Id: 26-19-30-300-0020-0000 Number of Buildings 13 13
Owner: LAKE MONROE ASSOC L P Depreciated Bldg Value 0 0
Own/Addr: C/O G. MCELROY & ASSOCIATES Depreciated EXFT Value 0 0
Mailing Address: PO BOX 565048 Land Value (Market) 0 0
City,State,ZIpCode: DALLAS TX 75356 Land Value Ag 0 0
Property Address: 1850 1 ST ST W SANFORD 32771 Just/Market Value 5,212,523 - 5,288,443 -
Facility Name: TOWN CENTRE
Portablity Adj 0 0
Tax District: S3-SANFORD-WATERFRONT REDVDST
Save Our Homes Adj 0 0
Exemptions:
Amendment 1 Adj 0 0
Dor: 03-MULTI FAMILY 10 OR M
Assessed Value (SOH) 5,212,523 * 5,288,443 *
Tax Estimator
Income Approach used.)
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 5,212,523 0 5,212,523
Amendment 1 adjustment is not applicable to school assessment) Schools 5,212,523 0 5,212,523
City Sanford 5,212,523 0 5,212,523
SJWM(Saint Johns Water Management) 5,212,523 0 5,212,523
County Bonds 5,212,5231 0 5,212,523
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
SPECIAL WARRANTY DEED 12/1992 02518 0013 $825,000 Vacant No 2010 Tax Bill Amount: $106,228
WARRANTY DEED 07/1986 01754 0906 $100 Vacant No 2010 Certified Taxable VaJue.and Taxes
ADMINISTRATIVE DEED 07/1986 01754 0896 $600,000 Vacant No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
Find Sales within this DOR Code
LEGAL DESCRIPTION
LAND
Land Assess Method Frontage Depth Land Units Unit Price Land Value SEC 26 TWP 19S RGE 30E E 330 FT OF W 614 FT OF NE
1/4 OF ST GERTRUDE AVE & BEG 284 FT E OF S 1/4 COR
LOT 0 0 184.000 5,000.00 $920,000 SEC 23-19-30 RUN E 295 1/2 FT N TO S R/W 17-92 NWLY
ACREAGE 0 0 1.790 .00 ALONG R/W TO A PT N OF BEG S TO BEG INFO: A/12
CUTOUT FOR 95
BUILDING INFORMATION
Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Wall Bid Value Est. Cost New
1 MULTIFAMILY 1994 24 21,898 3 STUCCO WITH WOOD OR METAL STUDS $1,004,773 $1,068.907
Subsection / Sgft OPEN PORCH FINISHED / 978
2 MULTIFAMILY 1994 18 13,840 2 STUCCO WITH WOOD OR METAL STUDS $646,429 $687,690
Subsection / Sgft OPEN PORCH FINISHED / 978
3 MULTIFAMILY 1994 18 16,762 3 STUCCO WITH WOOD OR METAL STUDS $785,273 $835,397
Subsection / Sqft OPEN PORCH FINISHED / 978
4 MULTIFAMILY 1994 24 19,808 2 STUCCO WITH WOOD OR METAL STUDS $861,603 $916,599
Subsection / Sgft OPEN PORCH FINISHED / 1356
http://www.scpafl.org/web/re_web.seminole_County_title?PARCEL=26193030000200000... 7/22/2011
Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2
5 MULTIFAMILY 1994 24 19,808 2 STUCCO WITH WOOD OR METAL STUDS $861,603 916,599
Subsection / Sgft OPEN PORCH FINISHED 11356
6 MULTIFAMILY 1994 24 21,898 3 STUCCO WITH WOOD OR METAL STUDS $1,004,773 1,068,907
Subsection / Sgft OPEN PORCH FINISHED / 978
7 MULTIFAMILY 1994 12 9,904 2 STUCCO WITH WOOD OR METAL STUDS $435,242 463,023
8 MULTIFAMILY 1994 24 21,898 3 STUCCO WITH WOOD OR METAL STUDS $1,004,773 1,068,907
Subsection / Sgft OPEN PORCH FINISHED / 978
9 MULTIFAMILY 1994 24 21,898 3 STUCCO WITH WOOD OR METAL STUDS $1,004,773 1,068,907
Subsection / Sgft OPEN PORCH FINISHED / 978
10 MULTIFAMILY 1994 12 9.904 2 STUCCO WITH WOOD OR METAL STUDS $446,541 475,044
Subsection / Sgft OPEN PORCH FINISHED 1678
11 MULTIFAMILY 1994 18 , 16,762 3 STUCCO WITH WOOD OR METAL STUDS $745,725 793,324
Subsection / Sgft OPEN PORCH FINISHED / 978
12 WOOD BEAM/COL 1994 9 2,621 1 STUCCO WITH WOOD OR METAL STUDS $171,022 215,122
Subsection / Sgft OPEN PORCH FINISHED / 623
Buildinq 13 WOOD BEAM/COL 1994 2 400
Sketch
1 STUCCO WITH WOOD OR METAL STUDS $19,855 24,975
Permits
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
WALKS CONC COMM 1994 5,515 10,497 18,255
POOL COMMERCIAL 1994 1,550 24,955 43,400
COMMERCIAL ASPHALT DR 2 IN 1994 131,100 68.598 119,301
COOL DECK PATIO 1994 4,180 8.412 14,630
STUCCO WALL 1994 1,775 4,083 7,100
ALUM FENCE 1994 244 421 732
V CHAIN LINK FENCE 1994 920 2,395 5,520
POLE LIGHT CONCRETE 1 ARM 1994 12 12,456 12,456
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 vears propertv tax will be based on Just/Market value.
http://www. sepafl.org/web/re_web. seminole_county_title?PARCEL=2619303000020000O... 7/22/2011
RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS NIVIPbIYI'14NlIll'IIIR '
i
CONTRACT
f / % ! f 1 ACCUSTOMERCOUNT NO c,
f r t JOB m LEAD
NO 01 SOURCE
ADT Security Services, Inc. ("ADT") Customer NameOfficeAddressCustomer" or "I" or "me" or "my") ( I _ ' .__j_
r.
t
r
Address r`
city .k'7C, 1
State
6
ZIP 1 ` Tax Exempt No.
F
Protected Premises' --;j / '1 f /
Telephone f '"t "T "` (. Tax Expire Date m
O Traditional Phone O Other (Qualified) O Other (Non -Qualified) Affinity Name & No. USAA - 01
www.MyADT.com
1.800.ADT.USAA Alternate
1.800.238.8722) Telephone 1 O Home O Cell O Work
IF FAMILIARIZATION PERIOD IS Alternate
REJECTED INITIAL HERE 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 calling888,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 C7 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 TWO (2) 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 1.800.238.8722 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. w rIfRequired) ID No.
Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above)
H
L/
Y...
i Ll /L L]
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.
q •, • •- ' Few •-•
RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS IfII IIIIIIiIIIIIIII!IIiIIIfIII!IIIIII!IIIIII!IIII
5106UE11
CONTRDAATE J /I, f, I
ACCOUNT O
CUSTOMER ,
NO m SOURCE
Section 12. Services to be Provided continued)
Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Initial/Annual Fee
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
from the premises and/or a fine.
O Standard Monthly Service, Fire/Smoke Detection
Service includes: Customer Monitoring Center Signal
Receiving Notification for
Municipal Electrical Permit Fee
and Service 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,
O Safewatch Cellguard" Non -Taxable Amount
O SecurityLink° Connection Fee
O Extended Limited Warranty/Quality Service Plan (QSP) Admin Fee
O Guard Response Service Sales Tax on Installation* r`•
O Other Deposit Received
Total Monthly Service Charge] Balance Due upon Installation*
If applicable sales tax not shown, it will be added to the first invoice.
n'3. Equipment• •' Installed
Control esarL¢\\
aa`
S¢°
S°``
1 ¢`¢°``
at°\ ¢ C°e L°`°\ °aJ\¢*`a,
Panel- S``•O°°°\a`¢ e oA e'\-
z eQi.:p`¢
O¢¢Sa¢3`° CL po Ar p0 r¢ Po PQQ POD Qi°¢ Comments
Package Name:
Includes:
G„
1
Living Room
Family Room
Office
Dining Room
Kitchen
jLaundry Room
i
Hallway
Master Bedroom
Master Bath
Bedroom 2
Bedroom 3
Bath 2
RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS IIII IIIIII IIIiIII IIIIIIIiIIiIIIIIIIIIIIIIIIIII
5106UE11
CONTRACT CUSTOMERLEAD
DATE 1 6 t ACCOUNT O ,
OB
NO m SOURCE f_L
Section•
O Check received for: O Installation: Check # Amount $
O Annual Service Charges Collected: Check # I I I
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 Q All/Recurring Service Charges
Name of Bank/Credit Union O Annually O Semi -Annually O Quarterly O Monthly
O VISA p MasterCard O Discover O AMEX
ABA Routing Number Bank Account Number Credit/Debit Card Number Expiration (Date
J
M M Y"Y
Recurring Service Charge Amount Recurring Service Charge Amount Id/1z'
Name as it appears on bank account Cardholder's Name r `
If
t R.
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 I
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. i
I
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.
Authorized Account Signature:
5 C- ustomer and System Data
j •' : ,' i s / !-
Name t`
f
CS #
Address
City State I_Li ZIP (_LJ= L: lJ Cross St. d
Premises' Phone #1 •'f -- ^ Phone #2 O Cell Only Municipality
TTMMunicipality PoliceNameFireNameMunicipality
Patrol Name ' Medical
Number & Number lob
Type F2 New Sale O Change Over O Upgrade Control Type O HW O RF Permit
4ffiliation
U5AA-01 Member #;. Number Burglar
AlarrI Yes O No Fire / Smoke: O Yes O No Two -Way Voice: ® Yes O No Cellular Model: Ll_I IL_L1._.1 L_O Parallel O Standard I I
Profile
f fl k Service Services MethodPreferred Monitoring
1 ;`r Communication
j
Account Management Codes: ownership
r System r ,'-1 I Services, l f Guard /
Market 1 r Resale -Former ELW/QSP
1 n Service Group y Acct # Former CS # I I I I ,