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HomeMy WebLinkAbout1206 W 20 Stpit ,� Y �i l• � FEB U 7 201 Z CITY OF SANFORD 8 FIRE PREVENTION PERMIT APPLICATION Application No: H Documented Construction Value: $ %39-00 r `` ll 3a-ri I Job Address: IGLOG U, QQ�` � ST- Scs_c\fQ(A FL Historic District: Yes ❑ No ❑ Parcel ID: 2t(o — ICA — 30 — 5X8 — 0acKD— O0 50 Zoning: Description of Work: Plan Review Contact Person: Phone: Fax: E-mail: Property Owner Information Title: Name C( -G.► 4_ %1 C. caerN Phone: Street: YC1r 1LSh4 fo Df . Resident of property? City, State Zip: �lioc�.. FL 3a1 s1'R Contractor Information Name Au Street: 6 C , }e a 11 City, State Zip: C 01 is Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage:. , o No. of Dwelling Units: Electrical 9100' New Service — No. of AMPS: Phone: 40-1 - 11�a6 - 3x 33 Fax: State License No.: t F ooizwa i Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: 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. 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: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: iR 14 Signature of Co ctor/Agent Date Print Co ctor/ ent's Na ��111, a16/aol� Signature of Notary -State 0 Florida Date LAUREN RkWAUTH W commissloN t EE 118072 ?c EXPIRE ' gust 2 2015 OWY Public l)ndeiwnlets Contrac to Me or Produced ID Type of ID WASTE WATER: BUILDING: POWER OF ATTORNEY Dater/4OIC I hereby name and appoint M of ADT Security Services to drop off and pick up permits at the (1 O S • Building Department on my behalf for a LOW VOLTAGE SECURITY permit for work to be performed at a location described as: Parcel O CD — O O GI O Subdivisions ,.n.cr. kn(o115 Address of job i ab rN ) cA . F L 3 a`I1 Owner r\ Geome Man.QineII.i EF0001121 Type or Print Name of CcrGfied Contractor The oregoing ins�neat was acknowledg by who is pens ly to me/wh rodu as identifica n and who did not take oath. State f Flda 0 on County of Q C �n Notary Public, Sem' le County, Florida of Certified Contractor before me this 6 day of 20 lel 6r e.. :� ' •: LAUREN iWNAUTH MY COMMISSION 9 EE 118072 EXPIRES: August 2 2015 ,;l��. ;N•' ` 8,,w TMu Notary Pudic Ur4erAAIeR 6r e.. SCPA Parcel View: 36-19-30-518-0200-0090 0z%v1d Jatv,ovn.CFA Parcel: 36-19-30-518-0200-0090 PROPERTY Owner: HANSEN CRAIG W & NANCY A APPRAISER S[MNOL.Q OOVNTY. FLORIDA Property Address: 1206 W 20TH ST SANFORD, FL 32771 < Back1 < Previous Parcel I I Next Parcel > j Save Layout I Reset Layout INew Search Parcel: 36.19.30-518.0200.0090 I Value Summary Property Address: 1206 W 20TH ST Owner: HANSEN CRAIG W & NANCY A Mailing: 3000 YORKSHIRE DR DELTONA, FL 32738 • 1037 Subdivision Name: SAN SEM KNOLLS 1 ST ADD Tax District: 51-SANFORD Exemptions: DOR Use Code: O1 -SINGLE FAMILY �] i i Igm 51 d 2G be be Qmm.&3 9 a 6 M3I Ial Q W 20TH ST Map Aerial Both Footprint + D I Extents Center Larger Map Dual Map View - External l Legal Description LEG LOT 9 BLK 2 SAN SEM KNOLLS 1 ST ADD PB 13 PG 65 Tax Details Page 1 of 2 Tax Amount without SOH: 11,099 2011 Tax Bill Amount S1,099 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Cost/Market Cost/Markei Method SO 552.469 Number of 1 1 Buildings SJWM(Saint Johns Water Management) 552,469 Depreciated $40,162 $42.83C Bldg Value Sol 552.469 Depreciated 5307 5307 EXFT value Land Value S12.000 S 12,OOC (Market) Land Value Ag lust/Market 152,469 S5S,137 value •• Portability Adj Save Our Homes SO SC Ad) Amendment 1 $O SC Adj Assessed Valuel SS21469 555,137 Tax Amount without SOH: 11,099 2011 Tax Bill Amount S1,099 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 552,469 SO $52,469 Schools 552.469 SO 552.469 City Sanfoid S52,469 SO 552.469 SJWM(Saint Johns Water Management) 552,469 SO S52.469 County Bondsi S52.4691 Sol 552.469 Sales i Deed Date Book Page Amount Vac/Imp Qualified Find Comparable Sales within this Subdivision Land http://www.scpafl.org/ParceiDetails.aspx?PID=36-19-30-518-0200-0090 2/6/2012 SCPA Parcel View: 36-19-30-518-0200-0090 Page 2 of 2 Method Frontage Depth Units Unit Price Land Value LOTI 01 01 1.0001 12,000001 S12.000 Building Information # Description Year Built Fixtures Base Area Total SF Heated SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1961 5 969 00 1,349.00 1,200 00 CONC 140,162 158.418 FAMILY BLOCK Description Area _ UTILITY 77 UNFINISHED ENCLOSED PORCH! 231 FINISHED OPEN PORCH 60 FINISHED !OPEN PORCH 12 (UNFINISHED Permits Permit # Type Agency Amount CO Date Permit Date Extra Features Description Year Blt Units Value Cost New WOOD UTILITY BLDGI 196111281 S3071 5768 < BackI < Previous Parcell NextParcelD SaveLayout]l ResetLayout]l New Search htip://www.scpafl.org/ParcelDetails.aspx?PID=36-19-30-518-0200-0090 2/6/2012 'RESIDENTIAL SERVICES CONTRACT IIIB1104UE11998 CONTRACT CUSTOMER JOB LEAD DATE ACCOUNT NO TFMNOIT—1SOURCE Section• • ADT Security Services, Inc. ("ADT") Customer Name ' Office Address ("Customer" or "1" or "me" or 'my') I AND RATE INCREASES) LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING 1 fp FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BILUCHARGE WILL TOTAL OF PAYMENTS PRIOR TO ✓1-1 Clnr 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. 111).10161 / Address 1111111111111111LB CityF9�1nINrld cr 1 &, o Ft © ® State ZIP Tax Exempt No. Protected Premises' I UN's (/C•�U� Telephone Tax Expire Date *Traditional Phone O Other (Qualified) o Other (Non -Qualified) www.MyADT.com 1.800.ADT.ASAP• Alternate (1.800.238.2727) Telephone 1 O Home *Cell o Work Alternate Telephone OHome ®Cell Owork IF FAMILIARIZATION PER ' IS REJECTED INITIAL HER (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL / ` 4 • < Jgg�lde, ' C 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 inform, 'on provided by me. I may unsubscribe or opt out by emailing donotcontactOADT.com or by calling 888.DNC4ADT (888.362.4238). Initial here 1, Confirmation of Appointments: I authorize ADT to call me using an automated calling device to deliver a pre-recorded message to set/confirrr� appointments and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: 0 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 AREAVAILABLE 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 Representative Name �r Rep. License No.Rep. (If Required)ed) ID No. \\ Customer - proval: Original Signature Required (Must match Customer Name in Section 1 above) L=J=J 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. Section• be Provided FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF y PAYMENTS FOR THE TOTAL OF PAYMENTS FOR THE INITIAL TERM IS B. AMOUNT OF EACH PAYMENT IS $ INITIAL TERM IS 36. (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES 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) 0 RESIDENTIAL SERVICES CONTRACT CONTRACT DATE � L=L"J� �ACCOUNT NOR E6101q v TT `��OB ' ,NOITJ SOURCE Section 2. Services to be Provided (continued) Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Initial/Annual Fee ® 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, Manual Fire and Manual Police Emergency / I /J / % alarm use permit. Failure to obtain and provide ADT with the municipal alarm use permit registration number could V l� 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 Municipal Electrical Permit Fee M co Receiving and Notification Service for Fire, Manual Fire O Customer to obtain electrical permit and Manual Police Emergency in O Carbon Monoxide O Flood O Low Temp Installation. Price �9-'� 1�5 `q, ✓ CCV// v O Medical Alert $ Taxable Amount $ ® Safewatch Cellguard° $ Non -Taxable Amount $ O SecurityLink• $ Connection Fee $ ® Extended Limited Warranty/Quality Service Plan (QSP) $ IN C Admin Fee r $ i O Guard Response Service $ Sales Tax on Installation* $ ' O Other$ Deposit Received $ _ Total Monthly Service Charge $ S ✓ Balance Due upon Installation* *If applicable sales tax not shown, it will be added to the first invoice. �� • ' . r.. Section• • to be Installed Control, \ `\ e°S°�\5 `�o��� ` / °o+`a /"¢�a ' °040,\}, �C.°a► �.oa°\,�,�`a�' `ece Panel rQaa\ Se°� °�S ° pe /a �sS o��L'�`° �`' e �(P ,'1 a� Q �5 R 45¢ `lp r�PrPQ4\ pV� J Q��e a Comments Package Name: 5 , _ F - Includes: Foyer Living Room ( 'r Family Room , Office Dining Room ' . • "�.. , i s Kitchen I ' Laundry Room Hallway Master Bedroom ' Master Bath Bedroom 2 Bedroom 3 .• Bath 2 '+ ' Basement Garage Totals I I TT E = Existing Equipment Estimated Installation Start Date L1J INSTALLER NOTES O ``,1� ce , '14C.� I Cko S " "4U1 2.0f 6 02011 ADT. All rights reserved. (64/11)