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Home My WebLink About1150 Albright RdL4_j. C APR 0 4 201 CITY OF SANFORD, BUILDING & FIRE EVENTION PERMIT APPLICATION Application No: I I L Documented Construction Value: Job Address: Alb.rtc+ rhoQ Historic District: Yes No 2 Parcel ID: 4-7-1 q -30 -503 -OCU0- 000b I Zoning: Description of Work: a r Plan Review Contact Person:7 Title: /lrytrLU f Phone: G`7-- IZ 1-7 Fax: E-mail: Property Owner Information Name m ask rs 1 A r: Phone: Street: 1219 ` Pj r Od i c. 0-+ Resident of property? City,` State Zip:30 Z. <o Contractor Information Name Phone: 402- `71 a Street: 31b6 So mn,eru Fax: 0'7 _ '](a- -- ) R ) City, State Zip: G C : t7, State License No.: E IG000 l I ;P-L Architect/ Engineer Information Name:%. Phone: Street: Fax: City, St, Zip:i E-mail: Bonding Company: ? 4 Address: Mortgage Lender: Address: 1 PERMIT INFORMATION Building Permit CI Square Footage Construction Type: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical 0 (Duct layout required for new systems) No. of Stories: 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. 4 OWNER'S AFFIDAVIT: I certify that all of'the foregoing information is'accura'te and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILUREJO 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,exec;u'ted ;c;ontract 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 ekcee'd the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 3 t Signature of Owner/Agent Date Signature of Con t`#&11r1nt 1 Dat M6'(1 C41 i Print Owner/Agent's Name rint ontractor ent's Name 313 I Signature of Notary -State of Florida Date gna aP rf tW rv-etat of Florida Date SAMANTHA L FURBOTER m "ly rO'J° 41SSION .0 DD865133 EXPIRES March 01, 2013 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID _ Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Rev 11.08 POWER OF ATTORNEY Date: 31 I hereby name and appoint o/H )r—XA-t-1 of ADT Security Services to drop off and pick up permits at the AnPor C} Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel-?,72 3f,-sU3 GUf C)Lc) U Subdivision Address of job l I j iC If1 (•uG r l C # Owner Tr CLd YVIGugn Q, GeorlZe Man2inelli EF0001121 Type or Print Name of Certified Contractor Signat e o - ied Contractor The for oing instrumgnt was acknowledged before me this 3 i day of 20 l l w11 is personall kn`o to me ho produced as identification and who did not take oath. State of Flor County of fm i n 6-- . SAMANTHA L FURBOTER. it ,() AU3lSSlOhI- 4 DD8051" ' g PMc; Setninol C nty,4loridaXPIRE3 Merck 01, 201 tri 153 COPY CustNo-142900083 JobNo- 01 i SMALL BUSINESS CONTRACT CONTRACT DATE: TOWN NO: 7—E'f CUSTOMER NO: I I II081U!I Inl9'll 0 0 o 2— MIRs ADT Security Services, Inc. ("ADT") Business Name ("Customer") .i cr r rt P tltlfZ. S Office Address Address 3dloD Sv t J 150 ba ij 9 A e city S nd2Y State / Zipg. 3Z7-7 Responsible Party r4^ 2 n f) 3- / Ao Protected P/er,"L s Telephone d• c Traditional Phone Other (Qualified) Other (Non -Qualified) Tel: 1-800-ADT-ASAP1-800-238-2727 Alternate Telephone 1 yQ7 - 9 (Circle one) Home / el / Work w/ ext. Y9 - yv 3 IF FAMILIARIZATION PERIOD IS Alternate Telephone 2 (Circle one) Home / Cell / Work w/ ext. ACCEPTED INITIAL HERE EMAIL P,44" Q Communications Authorization: You hereby authorize ADT to furnish information and/or updates regarding your security system and new ADT and/or third party products and services available to ADT customers to the contact information rovided b you. You may unsubscribe or opt -out b emailin donotcontact*adt.com or by calling 888-DNC4ADT ($88-362-4238). Initial here Confirmation of Appointmentst You hereby expressly authorize ADT to call you using an automated calling device to deliver a prerecorded message to set/confirm a servicetinstallation a pointment at the telephone numbers) shown above. Initial here Ownership of System and Equipment: Customer -Owned ]ADT-Owned Verticals Retail: .Business Services_ Personal Services: AutomotivefTransportation: Groce /Food: Health Services: Restaurants: Wholesale: Other: To Alarm Monitoring and Notification Services Servithlybarge Initial Fee urgla (BA) 9 y l]ADT to obtain construction permit Hold-up (HUA) - unicipal Co$aDnstructionuress. Customer to obtain and pay for initial/annual municipal alarm tj Two-way voice use permit. Your failure to obtain and provide ADT with your municipal alarm use permit registration number could result inCriticalConditionMonitoring (CCM)P e9 QQd_Dietopemri- no municipal fire/police response to an alarm from your premises 14Parallel Protection ^ _- and/or a fine. _-- — - Annual UL Certificate Fee _ Other:_ ADT Select* DataSource —! — — —_ Installation Price Open/Close Login Taxable Amount (Leave blank if ADT-Owned) - `- _ _ Supervised Scheduled Open/Close Non -Taxable Amount (Leave blank if ADT-Owned) _ - ADT Select Entry_ Connection Fee — Other Services M r'' Sales Tax on Installation* uality Service Plan (QSP) — [ Tax Exempt No. —! If Quality Service Plan (QSP) is Declined Customer must Initial here _r ,L Tax Expiration Date Preventative Maintenance/Inspections Per Year — 1 2 Total Installation Charge* 34 _6 12 Circle One Trainin Direct Connection Services_ _ w Deposit Received: 10096 deposit required < $500 Monthly RecumN Municipal Fee (Subject to change based on local law) Minirpur0 50% deposit required f,500t. Customer to obtain and pay for municipal alarm useperm_ it T — 0 Money Order 0 Check rCredit/Debit Card On Site Services! Guard Rinse Interior Exterior - Other: Balance Due* Total Monthly Service Charge* % 9g *If applicable sales tax is not shown, it will be added to the first invoice. Estimated Installation Start Date Estimated Installation Completion Date 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. 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 APPROV- AL IS DENIED, THIS CONTRACT WILL BE TERMINATED AND ADTS 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 SET FORTH ON PAGES 4 THROUGH 6, INCLUSIVE, OF THIS AGREEMENT AND YOU UNDERSTAND ANDAGREE TQfALL SUCH TERMS AND CONDITIONS. _ ADT Rep.: ` Rep. ID No.: CU TO PROV DATE Rep. Lrc nse No.: Ori Signature Required tlt) I Z. C WMW 1 OT t) U —Central Storage Copy 02011 ADT Security Services, Inc. (01/11) WMW 1 OT t) U —Central Storage Copy 02011 ADT Security Services, Inc. (01/11) Seminole County Property Appraiser Get Information by Parcel Number Page I of I IPA CRI, 0 0 11 4d 5300-0000 70 D, wm ,oH :PFA. ASA 54 55 BZ PIROP ERTY 7zoe- 43 _-, r-- r-5_C APPRAMER 5' ' r 73 78 14- 1 56000aC. l3BAlINOLE (66NTY FL FM5 90A0- A 1 01 911HF' ZatD, F13971-t46B 0000-0OAl 16, a 3a ars .1 407-a-7•soe 42 21da_si 4iB00- 0O00 81 ai'. _tali VALUE SUMMARY 2011 2010 VALUES Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel kl: 27-19-30-503-0000-0000 Number of Buildings 2 2 Owner: TREADMASTERS INC Depreciated Bldg Value 751,339 766,014 Mailing Address: 188 CORAL RIDGE CT Depreciated EXFT Value 16.407 17,271 City, State,ZipCode: PALMETTO GA 30268 Land Value (Market) 180,775 180,775 Property Address: 1150 ALBRIGHT RD Land Value Ag 0 0 Facility Name: Just/Market Value 948.521 964,060 Tax District: S1-SANFORD PortablityAdj 0 0 Exemptions: Save Our Homes Adj 0 0 Dor: 41-LIGHT MANUFACTURING Amendment 1 Adj 0 0 Assessed Value (SOH) 948,5211 964.060 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 948,521 0 948,521 Amendment 1 adjustment is not applicable to school assessment) Schools 948,521 0 948.521 City Sanford 948,521 0 948 5521 SJWM( SaintJohns Water Management) 948,521 0 948,521 County Bonds 948,521 0 948,521 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 03/1994 02751 0933 $712,300 Improved No 2010 VALUE SUMMARY WARRANTY DEED 12/1987 01917 1467 $215,000 Improved No 2010 Tax Bill Amount: 19,365 WARRANTY DEED 0611982 01395 1505 $133.700 Vacant No 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTYDEED09/1980 01296 0871 $60,000 Vacant No WARRANTY DEED 07/1978 01189 1555 $30,000 Vacant No Find Sales within this DOR Code LEGAL DESCRIPTION LAND PLATS: Pick... ;C LandAssessMethodFrontageDepthLandUnitsUnitPriceLandValueSQUARE FEET 0 0 72,310 2.50 $180,775 LEG BLK C & NLY 15 FT OF VACD RD ADJ ON S A F G VEGETABLE TRACT PB 7 PG 14 BUILDING INFORMATION Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Wall Bid Value Est. Cost New 1 MASONRY PILAS 1982 0 7,380 1 METAL PREFINISHED $162,558 $240,827 2 STEEUPRE ENG 1989 6 21,170 1 METAL PREFINISHED -INSULATED $588,781 $817.752 Subsection / Sgft CANOPY / 360 Permits EXTRA FEATURE_ Description Year Bit Units EXFT Value Est. Cost New 6' CHAIN LINK FENCE 1982 360 864 $2.160 COMMERCIAL ASPHALT DR 2 IN 1989 32,393 13,265 $29.478 LOAD WELL 1989 3,375 2,278 $5,063 rOTE: Assessed values shown are NOT certified values and therefore are subject to charge before being finalized for ad valorem tax purposes. If you recently purchased a homesteaded properly your next ear's property tax will be based on Just/Market value. http:// www.scpafl.org/web/re web.seminole_ county _title?parcel=2719305030C000000&c... 3/30/2011 DATE (MM/DD/YYYY). , CERTIFICATE OF LIABILITY INSURANCE 11/9/2010 THIS CERTIFICATE IS ISSUED, AS A'MATTER OF IN 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 'ter Ins and. conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder inlieu of such endorsements . PRODUCER EONTArT NAME: PHONE FAX A/C No Ext : 212 j4_5_ 0 0 A1c No): Marsh; Inc. E-MAIL1166AvenueoftheAmericas New York, NY 10036 ADDRESS: PRODUCER CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # 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 Fire Ins Co. of Pittsburgh, PA , United States INSURER F: New Hampshire Ins. Co. COVERAGES CDTICI!`ATC III.IKAD=0. W)7Rnr - A RFVIRIf1N NIIMRFR` - - 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. INSRLTRTYPE OF INSURANCE ADDL SUER POLICY NUMBER MMI D/YyPOLICY FF MM/ DNYYPOLICY LIMITS - F GENERAL LIABILITY:` - X ' COMMERCIAL GENERAL LIABILITY CLAIMS - MADE I OCCUR OWNER' S & CONTRACTOR'S GL 4360884 (Primary GL) I 10/ 1/2010 - 10/1/2011 EACH OCCURRENCE; 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000.00 MED EXP (Any one person) 10,000.00 PERSONAL & ADV.INJURY 1,000,000.00 GENERAL AGGREGATE 2,000,000.00 GEN' L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP/OP AGG 2,000,000.00 E. E E F AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON - OWNED AUTOS CA 3976576 (VA) CA 3976575 (AOS) 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 1011/ 2011 COMBINED SINGLELIMIT Each accident) 1, 000,000.00 BODILY INJURY (Per penmen) BODILY INJURY (Per accident X X PROPERTY DAMAGE Per accident) NEW HA.MPSHIRE (CSL) 250,000 UMBRELLA LIAB EXCESS' LIAB OCCUR CLAIMS - MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ PRODUCTS - COMP/OP AGG NEW HAMPSHIRE (CSL) B. C D E " F WORKERS COMPENSATION. AND EMPLOYERS LIABILITYy / N ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/ MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A WC 026149517C ,GA,P WC 026149514 (FL) WC 026149516 (MI) WC 026149513 (CA) WC 026149518 (MA, ND, NY, OH, WA, WI, WY) 10/ 1/2010 10/ 1/2010 10/ 1/2010 10/ 1/2010 10/ 1/2010 1011/ 2011 10/ 1/2011 10/ 1/2011 10/ 1/2011 10/ 1/2011 X WC STATU-' OTH- T RY LIMIT ER E. L. EACH ACCIDENT 2,000,000.00 E. L. DISEASE - EA EMPLOYE 2,000,000.00 E. L. DISEASE POLICY LIMIT 2,000,000-00 A A Builder' s, Risk/installation/Contract Works Rental Equipment/Contiractor's Equipment Blanket Transit OC & OCW 91128600 OC & OCW 91128600 OC & OCW 91128600 15/1 5/ 1/2010 5/ 1/2010 1 5/ 1/2011 5/ 1/2011 1 1 USD $ 1000,000.00per ,jobsite USD $1, 000,000.00 perjpbsite . 000,000. 00 6er`conveyance DESCRIPTION OF OPERATION57 LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Please refer to attached ACORb 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 United States AUTHORIZED REPRESENTATIVE MARSH USA INC, aY: Franklin Hallock,. Global Marine David Kon Casual. Pr ram 1988-2009 ACORD CORPORATION. All ricihts.reserved. ACORD 25 ( 2600109) The ACORD name and logo are registered marks of ACORD Generated by EXIGIS LLC. For more information visit www.exigis.com.