HomeMy WebLinkAbout1211 W 7 St (4)JAN 112012
E `-=.CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ` ;� "' I ID Documented Construction Value: $ +(09
Job Address: 13-11 W -I lit`c Qr& T L 3a-1-Alistoric District: Yes ❑ No ❑
Parcel ID: a5 -19 - 30 - 5 A 1 - CA 15 - 0030 Zoning:
Description of Work:
Plan Review Contact Person:
Phone:
Fax:
E-mail:
Property Owner Information
Title:
Name :Sox -Ac C,._ Phone: L�p-1 - 330 - a6C( 3
Street: 13t1\ W _1+1, VT Resident of property?
City, State Zip: `)L,,rWocd _ FL 3 111
Contractor Information
Name A�
Street: D 5 all
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical 4Y
New Service - No. of AMPS:
Phone: 4O -1-%X6- 3x33
Fax:
State License No.: E F 000X3-,1
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
Glee
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 Date
Print 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: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Date
Contractor/Agent is
Produced ID
ft�
v_ Personally Known to Me or
Type of ID
WASTE WATER:
BUILDING:
POWER OF ATTORNEY
Date: O p 1-k
I hereby name and appoint 5c^mtke- k P, fA z
of ADT Security Services to drop off and pick up permits at the
Building Department on my behalf for
a LOW VOLTAGE SECURTl'Y permit for work to be performed at a location described as:
Parcel
Subdivision ct�;c�o�� S Ctic K
Address of job 1� 1) W 14, S T• SG. r%E zrG� F L 3 a 1
Owner 'Q) ,r\a r C,, a c.c lc S or\
George Manginelli EF0001121
Typc or Print Name of Certified Contractor
Sip rc o • ed ntractor
The forego 'instrument was acknowledged before me this O day of 20A�),
by
who is Pers ally laawn to me/who Uoduced
as identification and who did not take oath.
State of Florida
County of
Notary Public, Semi# e County, Florida
LAUREN FWNAUIH
f. MY COMMISSION 1 EE 118072
f EXPIRES: Augpuusstt 2, 2015
�y, • Bonded ThN Notary Pubic Underwriters
SCPA Parcel View: 25-19-30-5AI-0915-0030
Ct1vid Johnson, CFA Parcel: 25 -19 -30 -SAI -0915-0030
PROPERTY Owner: 3ACKSON SANDRA
���� Property Address: 1211 W 7TH ST SANFORD, FL 32771
SEMINOLE C45UN1Y. FLOC-tIDA
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Parcel: 25.19.30.5AI.0915.0030 I Value Summary
Property Address: 1211 W 7TH ST
Owner: JACKSON SANDRA
Mailing: 1211 W 7TH ST
SANFORD, FL 32771
Subdivision Name: SEMINOLE PARK
Tax District: Sl-SANFORD
Exemptions: 00 -HOMESTEAD (2001)
DOR Use Code: 01 -SINGLE FAMILY
0
Map Aerial Both Footprint + - I Extents Center
Larger Map Dual Map View - External
Page l of 2
Tax Amount without SOH- 5143
2011 Tax Bill Amount S96
Tax Estimator
Save Our Homes Savings: S47
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Markel
Method
Tax Details
Number of
1
1
Buildings
Depreciated
120,988
122,413
Bldg Value
Assessment Value
Exempt Values
Depreciated
County General Fund
EXFT Value
$25,000
Land Value
S9,765
$9,765
(Market)
525,000
Land Value Ag
City Sanford
Just/Market
$30,753
532,17E
V u ••
SJWM(Saint Johns Water Management)
Portability Adj
525,000
Save Our Homes
538
12,35E
Adj
525,000
Amendment 1
Adj
Assessed Valuel
S30,715
S29,82C
Tax Amount without SOH- 5143
2011 Tax Bill Amount S96
Tax Estimator
Save Our Homes Savings: S47
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOT 3 BLK 9 TR 15 SEMINOLE PARK PB 2 PG 75
Tax Details
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
S30,715
$25,000
S5,715
Schools
S30,715
525,000
$5,715
City Sanford
$30,715
525,000
$5.715
SJWM(Saint Johns Water Management)
S30,715
525,000
SS,715
County Bonds
S30,715
525,000
S5,715
Sales
Deed Date
Book Page
Amount
Vac/Imp
Qualified
WARRANTY DEED 04/2000
03837 0040
S100
Improved
No
CORRECTIVE DEED 12/1998
03556 1380
5100
Improved
No
WARRANTY DEED 11/1998
03538 1958
5100
Improved
No
WARRANTY DEED 02/1997
03201 1760
5100
Improved
No
http://www.scpafl.org/Parce]Details.aspx?PID=25-19-30-5AI-0915-0030 1/9/2012
SCPA Parcel View: 25-19-30-5AI-0915-0030
Page 2 of 2
Land
Method Frontage
FRONT FOOT & DEPTH 50
Depth
125
Units
.000
Unit Price Land Value
210.00 $9,765
Building Information
# Description
1 SINGLE
FAMILY
Year Base Heated
Built Fixtures Area Total SF SF
1959 3 1.000 00 1.084.00 1.000.00
Adj
Ext Wall Value
CONC $20,988
BLOCK
Repl
Value
531,680
Appendages
Description Area
OPEN PORCH UNFINISHED 84
Permits
Permit #
03169
Type
Addition - Residential
Agency
Sanford
Amount
5963
CO Date Permit Date
09/06/2006
Extra Features
Description Year Blt
Units
Value Cost New
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http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-5AI-0915-0030 1/9/2012
Jan 1012 03:51 p Franze _ 4079777091 I� p.1
RESIDENTIAL SERVICES CONTRACT IIII�VIIII�IIIIInIV�IIIIV,IIIIIIIV
5104UEI2
CORACTLEAD
DA E () G �� ACCOUNT NO CUSTOMER!- Li ! i JNO SOURCE
T . TAddress
1 City " 4ol"'
L
State M ZIP ® Tax Exempt No.
ii Protected Premises'G L '�
Telephone � Tax Expire Date III/L_J_J/11]
WTraditional Phone O Other (Qualified) O Other (Non -Qualified)
www.MyADT.com i
1.800.ADT.ASAP® Alternate
(1.800.238.2727) Telephone I O Home ® Cell O Work
IF FAMILIARIZATION PE�RernateLLJ
REJECTED INITIAL HERE Telephone 2 O Home O Cell O work
(see Paragraph 14 of the TerFm and
Conditions for explanation) EMAIL
CommunicationTAuthorization: I authorize ASD to..provrde me with information and updates about the security system and new ADT and third -party
products and'uervices to the contact infornq provided by me. I may unsubscribe or opt out by emailing donotcontactOADT.com or by calling
888.DNC4ADt (888.362.4238). Initial here r�
Confirmation of Appointments: 1 authorize ADT to call me using an automated calling device to deliver a pre-recorded message to seVcon
t>
appointments and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here'T_
Alarm System Ownership: Customer -Owned O 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.ADTASAP OR BY LOGGING IN TO
W WW.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 "sentative Nanr—
��• fes, •I' Rep. License No.
(If Required)
Cust17/ ('s Approval: Origipaf Si9�ure Required (Must match Customer Name in Section 1 above)
v .'I /
ID No.
%' NOTICE OF CANCELLATION
1, 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.
Jan 1012 01:45p Franze4079777091 p.1
�J CONTRACT j f: ►� CUSTOMER b ✓, ' % V_% 108
LEAD
DATE ACCOUNT NO111
NO SOURCE
Monthly Service Charge
O Standard Monthly Service, Burglary -- — -- - - —
Service includes: Customer Monitoring Center Signal
Receiving and Notification Service for Burglary, j
Manual Fire and Manual Police Emergency I I Int
O Initial/Annual Recurring Municipal Fee billed separately I Initial/Annual Fee
(Subject to change based on local law)
O Customer to obtain and pay for initiallannual municipal
alarm use permit. Failure to obtaln and provide ADT with
the municipal alarm use permit registration number could
result in no municipal firefpolice response to an alarm
from the premises andlor a fine.
O Standard Monthly Service, Fire/Smoke Detecban
I
Service includes: Customer Monitoring Center SignalMunicipal
Electrical Permit Fee
L.l
Receiving and Notification Service for Fire, Manual Fire
F
O Customer to obtain electrical permit
.. '
and Manual Police Emergency
O Carbon Monoxide O Flood O Low Temp
$
Installation Price $ Cl
O Medical Alert
$
Taxable Amount
O Safewatch Cellguard°
$
Non -Taxable Amount
f
O SecurityLinkO
Connection Fee
g
1!6 Extended Limited Warranty/Quality Service Plan (QSP)
j %t C I
Admin Fee
O Guard Response Service
I
Sales Tax on Installation
O Other
Deposit Received
Total Monthly Service Charge
,/it 1.
Balance cue upon Installation•
i fC
if applicable sales tax not shown, it will be added
to
the first Invoice.
Control
Panel ,�o�"`•� dj'��`�°Ji� ��a�`a�`'t' i��
n,ul
�; `Loi �1e
b 'CC�.'P9��yo P94-P�1P�` v9S QOp Comment
Package�me
:Vy :. ( IC.
Includes:
Foyer JJI�j -j I ' !
Living Room—.I. ._ _.i'.__: .. _ it.• .—! _ .�_._. ..__�.._.__ .�_—_i __i_.... -----r•--•---i . _ .._..._..—.-----•--------- _....---••-
,
Family Room
I' 1
Office
Dining Room
Kitchen
I
Laundry Room
Hallway
Masterbedroom --,2 •n•.; .._—;—'..__- .t- •-•• -i-----: ___ � _....-1•----: -------..._ ..i .._.__.—•- --._...- _.
Master Bath i t
Bedroom 2 '' • i ! V ; ' — — i
Bedroom 3
I
Bath 2
Basement
Garage
TOtdIS : , i L' E = Existing Equipment
-rc7-r—i r• r--,