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Home My WebLink About151 Crown Colony WayApplication No: Q to —7 Job Address: Parcel ID: Description of Work: relh ' y VED I JAN 2 3 2012 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Zoning:. Plan Review Contact Person: `" Title: Phone: Fax: E-mail: Property Owner Information Name APhone: A46r)- 3__1Vl - _?nNq Street: t✓ 0 Resident of property? City, State Zip: EL "1 Contractor Information M Name N 1n �Tre c L P) Phone: R Q%- Street: I 1 l I ()J U . a) )VLA6 ( 1 Ue Fax: 10 • Q,')0 - )Q I I City, State Zip: tLIJ-7 . FL State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit O Square Footage: 3�5p,- No. of Dwelling Units: Electrical New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: 0_ Flood Zone: Plumbing D New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm E3 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work of 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, boffers, 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 UAPROVEMENTS 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 s*== ofo-=/AFW Ptiat Avw-s Nude atgaemu� of NOWYshft or dhCMRG RIVEN NOTARY PUBUC STATE OF FLORIDA Commit EE147031 Expires 11/18/2015 Owner/Agent is Personally Known to Me -or Produced ID ✓ Type of ID F'fll, APPROVALS: ZONING: COMMENTS: MIA �, W�AAU ;tint Gmaecwr gmt's N Comm# EE097M Expires 202014 Contractor/Agent is Personally Known to Me or Produced ID Type of M UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: PRINT CLEARLY IN CAPITAL 'a-? AnT ctfi,ri'0:_C1 fl?7'9!' F an AD? ®q Ep LETTERS (USE BLACK INK ONLY) of ndapane i F,rT AL*o' ad �@Iais. Pl as 23 ABC reWer any cluastions concerning the Pragrem or 5124UE07 the Dealer to ADT af: 800-539••3690. �f ALARM SERVICES CONTRACT Dealer Number i��> Contract Monitoring�'� � v 9, rte; y.,� License Dealer'Norrrr s(y Account Number/."? EJ Commercial Residential 1:1Mo Monitor O v'"9► V � / ADT Authorized Dealer i //d J/ Name & Address THIS CONTRACT is made and entered into this date, by and between ("We" or "Us" or "Our" i Customer Name ("You" �l1 or "Dealer") or "Your" or "Customer") Business Name �y f i Address E ❑ C p { City State )&-/ zip .3Z77/ Monitored Aq. �" � S' IF FAMI ` RIZATI 'I Location Telephone 1 �L y �, Telephone 2v -� d �P PERICIIS REJE I INITIA HERE _ • Email Address __ (the `Mont Location"), and we, the D er set forth above, whose corporate offices are located at the Address set forth j THE ENTIRE CONTRACT BETWEEN THE PARTIES CONSISTS OF THIS CONTRACT above. We agree rid install urity alarm system (the "Equipment') at the Monitored Location and to provide i AND ALL APPLICABLE ATTACHMENTS WHICH TOGETHER SUPERCEDE ANY Monitoring Services and Limi a Extended Limited Warranty Service, if applicable (collectively, the "Services"), as fully 1 AND ALL OTHER AGREEMENTS, UNDERSTANDINGS, ADVERTISEMENTS, OR described in Section 3 Services to be Provided, to you, and you agree to pay us the amounts summarized in Section 2 Schedule I REPRESENTATIONS IN CONNECTION WITH THE SERVICES TO BE PROVIDED HEREIN. of Protection and Section_3 Services to be Provided, upon and subject to_ the terms and conditions of this Contract. -'- Communications Authorization: You hereby authorize Dealer, its assignee, or affiliates to furnish information ? and/or updates regarding your security system and/or third party products and services available to you to the ; YOU ACKNOWLEDGE AND ADMIT THAT BEFORE SIGNING YOU HAVE READ THE contact information provided by you. You may unsubscribe or opt -out by emailing donotcontact®adt.com or I FRONT AND BACK OF THIS PAGE IN ADDITION TO THE ATTACHED PAGES WHICH by calling 888:DNC4ADT (888-362-4238). Initial here CONTAIN IMPORTANT TERMS AND CONDITIONS FOR THIS CONTRACT. YOU STATE Confirmation of Appointments: You hereby expresslIyy authorize Dealer or its assignee to call you using an automated calling THAT YOU UNDERSTAND ALL THE TERMS AND CONDITIONS OF THIS CONTRACT, device to deliver a prerecorded message to set/confirm a servicelnstallation appointment at the telephone number(s) shown : INCLUDING, BUT NOT LIMITED TO, PARAGRAPHS 5, 6.7,8,9, 10, AND 21.YOU ARE above. Initial here AWARE OF THE FOLLOWING: NO ALARM SYSTEM CAN GUARANTEE PREVENTION —""" `"""" "'"' "' ' ' " " "' "' """ " "` OF LOSS; HUMAN ERROR IS ALWAYS POSSIBLE; WE MAY NOT RECEIVE ALARM TERM OF CONTRACT: The initial term of this Contract is for three (3) years. Our alarm monitoring and ; SIGNALS IF THE TELEPHONE LINE OR OTHER ALARM TRANSMISSION SYSTEM IS CUT, notification services will begin when the equipment is installed and is operational, and when the necessary INTERFERED WITH, OR OTHERWISE DAMAGED OR IF TELEPHONE OR ELECTRICAL communications connection is completed. If this is a "Residential" Contract, this Contract will automatically SERVICE IS UNAVAILABLE FOR ANY REASON. ADDITIONAL PAGES ACCOMPANY renew for successive thirty (30) day term(s) unless terminated by either party's written notice at least thirty THIS PAGE WITH ADDITIONAL TERMS AND CONDITIONS. (30) days before the end of the then -current term. If this is a "Commercial" Contract, this Contract will automatically renew for successive one (1) year term(s) unless terminated by either party's written notice at , least thirty (30) days before the end of the then -current term. If terminated, this contract ends on the last day of the then -current term. _ This Contract requires written approval by an Authorized Representative Notice to Consumers: This is to advise you that Authorized Dealer is an independent Authorized Dealer of ADT Security j of Dealer. Without such written approval, Dealer's only liability shall be to Services, Inc. The company with which you are now contracting for the installation and/or monitoring of your electronic refund any amount customer paid Dealer upon signing this Contract. Dealer security system is not an employee or agent of ADT Security Services, Inc. Upon finalization of your contract, it will be has no responsibility for monitoring services until all permits required by submitted to ADT Security Services, Inc. for approval and purchase of the monitoring of your system. You are hereby ! law are received. advised that ADT Security Services, Inc. reserves the right to reject or otherwise not purchase this contract. If this contract is tendered and rejected or otherwise not purchased, ADT Security Services, Inc. will promptly notify you of that decision so that you may make other arrangements if you so choose. Accepted By: Accepted By: Rep. No Sales Representative Signature Accepted and Copy Received by: � Customer Name BDg,&I, = .7 1 /, I Custome Signature LT Customer Name Customer Signature Authorized Representative of Dealer , j iok,# o! e`a/�lZ-0 / / CANCELLATION RIGHT (RESIDENTIAL CUSTOMER ONLY) (OU, THE CUSTOME Y C THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF PHIS TRANSACTIO . S ED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. CUSTOMER ACKNOWLEDGES 3EING VERBALL INFORM D OF C STOMER'S RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS 40TICE. INITIAL ERE 1 rnf 9 a__:-...---' _ — ,- - .__- . - rrA_%A n -r n+ ALARM SERVICES CONTRACT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II (I II �_/7 / y Monitoring Account Number y — � � b �1� 5124UE07 Section'Sche-�;Ule,qotection PREWIRE ElYes I No ; YWireless ❑ Apartment ACCOUNT TYPE: ffrinstall ❑ Takeover ❑ System Move ! I PRODUCT;QUANTITY I DESCRIPT N CODEOR ; � 1 Confirmation Code ( 1 i-377 Equipment Type e yw;� Cross Street OFFICE USE ONLY Issue Install ; Return ; AddCost t---- _---- _- .............. ._.......... I ; ❑ Basic Monthly Service, Burglary ❑ Cellular Backup ----••• •• •-•• • -•— •- -- _.••• _..... r ....... Service includes: Customer Monitoring Center Signal E] Investigator Response Receiving and Notification Service for Burglary, Manual ❑ See additional equipment listed in attached Schedule of Protection Map Page You acknowledge that: (a) We have explained the full range of protection, equipment, and services available to You, (b) additional protection over and above that provided herein is available and may be obtained from Us at an additional cost to you (c) You desire and have contracted for only the equipment and services itemized on this Contract and (d) the equipment will become your property upon payment of the Purchase Amount Total including Sales Tax in full. We are not a security consultant. Estimated Start Date Estimated Completion Date Subtotal $ /U Rate _% Tax Purchase t Amount Total Less Deposit $ Balance Due Affinity Name Optional Electronic Monitoring Services (Cont.) Monthly Rate ❑ Basic Monthly Service, Burglary ❑ Cellular Backup ----••• •• •-•• • -•— •- -- _.••• _..... r ....... Service includes: Customer Monitoring Center Signal E] Investigator Response Receiving and Notification Service for Burglary, Manual Fire, and Manual Police Emergency. ❑ MPF (Monthly Processing Fee) ❑ Basic Monthly Service, Burglary ' ❑ Monthly Recurring Municipal Fee (Subject to change based on local law) with Extended Limited Warranty : ` ❑ Customer to obtain and pay for municipal alarm use permit ! (Residential Customer Only) ❑Other Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire, and Manual Police Emergency along with Extended ❑ Other Limited Warranty during which you will be billed $25 :- • --•-- •--••------ •-- - - ••- - - - -- - for each trip made to the Monitored Location after the ❑ Other Limited Warranty period. .............. _...._.._ . _..._... _.. _ _.. _....._ ... j _.. _ Optional Monthly Rate f' Electronic Monitoring Services Total Monthly Service Charge, ... ........... --- - _____..._...._.............. _.__ .....! ... . El Remote Access/Keyfob ❑Initial/Annual Recurring Municipal Fee -billed separately (Subject to change based on local law) , ❑ Customer to obtain and pay for initial/annual municipal alarm use permit. r_1 Fire Alarm/Smoke Detection Your failure to obtain and provide Us with your municipal alarm use permit registration number could result in no municipal fire/police response to an i ... .... ._ _ ..._... ....... ...... _ .._ ... J. _ alarm from your premises and/or a fine. El Two Way Voice Municipal Construction Permit Fee ❑ Customer to obtain construction permit n 6h _ . 6I' 6��M7ALER ALARM SERVICES CONTRACT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII) Monitoring Account NumberN / o64� � � 5124UE07 Sectioni • I authorize ADT Authorized Dealer, ADT Security Services, Inc. and the financial 4injstit tion or referenced credit card company named below: ❑TowithdrawallService Charges frommy bank account: charge mycredit/debit card for: Annually ❑ Semi -Annually ❑ Quarterly ❑Monthly urchase Amount Total Choose one: ❑ Checking ❑ SavingsAll/Recurring Service Charges Name of Bank/Credit Union ❑ Annually ❑ Semi -Annually ❑Quarterly Monthly L VISA ❑ Mastercard ❑ Discover ❑ AMEX ABA Routing Number Bank Account Number `; Credit/Debit Card Number Expiration Date Name as it appears on your bank account ' M M Y Y Cardholder's Name Billing Address I have read and fully understand the payment/billing terms and conditions as outlined n1w. !, Authorized Account Signature•�'�`�-Z"" City State Zip ; Authorization Code Preferred Payment Withdrawal Date (1st -30th) I have read and fully understand the payment/billing terms and conditions as outlined below. j Authorized Account Signature: Social 6 ❑ Other: Security # Beacon Score The charge to our account for our first billing will be larger than it be an— future billing, due to: The charge to our account would be our balance of $47.10. All future charges to our account in this 9 Y Y Q 9 Y 9 Y Y 9 Y the partial first month of service. for the first billing, ADT will be charging your account for a complete: monthly billing example would be $30.00 plus sales taxes (if applicable). billingperiod, whether that is for one month, one quarter, six months or one year, depending on the; A reminder: Your account charge applies only to your monitoring and recurring extended limited warranty billing frequency you selected. In addition, we will be charging your account for the portion of your first' charges. Once the automatic charge begins on your account, ADT will no longer send you statements month for which you received monitoring service. for example, if your alarm system was installed on; unless you have had a service call for equipment in your home. September 16th, and you selected monthly billing, and your monthly service rate is $30.00, then your; You will be responsible for remitting by check, any charges not honored by your bank or credit card first statement would look similar to this: company, plus a service fee. ADT will continue to charge your account, but if a second deduction is not Partial month security service from 9/16/00 to 9/30/00 ................................................... $15.00 honored or, declined, ADT has the right to discontinue this payment plan without notice. If you change Security service from 10/1/00 to 10/31/00....................................................................... $30.00 banks, account numbers, or credit/debit card numbers, it is your responsibility to notify ADT immediately. Sales taxes (if applicable)................................................................................................ $2.10 If ou need to chana1our bank account or credit/debit card information, please contact our Customer Automatic Payment Thank You................................................................................... $41.10 i Service Department te -800-722.6779. "THE INITIAL CHARGE WILL 8E MADE THE DAY AFTER YOUR MONITORING SERVICE IS IMPORTANT NOTICE: In the event you do not originally participate in the Automatic Payment Plan or INITIATED." All future charges for bank account withdrawals will be made as close as possible to! during the contract term elect to cancel your participation in the Automatic Payment Plan your Total your preferred payment date. A.onthbt Service Charge will be increased by $1.00 per month. Sect ion 5. Emer'gency• • Permit Number Police Dept. Phone #,Yj 7�00M 00M. Fire Dept. Phone # Medical/ Ambulance Phone # Investigator Response Phone # Sect . Ion 6. Password/Pe,rsona.1 Identification Co -de WIC - A Personal Identification Code (PIC) must be issued to all users of the alarm system including all people listed in the Emergency Contact List section. A PIC must be no more than 10 characters in length, and may not contain any punctuation or spaces, offensive language, or non-standard spelling. In the event of an alarm, list in order of preference those individuals who should be called. Those listed may need to meet the authorities in response to an alarm signal, so they need to have access to the monitored location, a Personal Identification Code (PIC), and a code to turn the alarm system on and off. Check the Yes box next to Emergency Call Verification (ECV) to indicate which individuals should be called prior to notification of authorities. At least one individual must be selected. These individuals are authorized by you to CANCEL the alarm. These individuals must be issued the PIC established on the account. '7 P,4 ECV ®Y ❑ N d �� cJ6 aI ❑ H ❑ W 00C ECV❑Y ❑N El El El I3. ECV❑Y El ❑ HE] W El 3 of 6 02010 ADT Security Services, Inc. F5124-07 03 (09/10) SCPA Parcel View: 33-19-30-5QS-0000-0480 Darvld ,loav,sor1. CFA Parcel: 33-19-30-SQS-0000-0460 PROPERTY Owner: DAUDALY MUNTAZIR s KASSAM-DAUDALY AIMAN APPRAISER Property Address: 151 CROWN COLONY WAY SANFORD, FL 32771 s�w+oLC oour+rv, �ortrly. < Back < Previous Parcel Next Parcel > j FSa7e Layout I I Reset Layout New Search Parcel: 33.19.30-SQS-0000.0480 I Value Summary Property Address: 1 S) CROWN COLONY WAY Owner. DAUDALY MUNTAZIR 6 KASSAM-DAUDALY AIMAN Mailing: 151 CROWN COLONY WAY SANFORD, FL 32771 Subdivision Name: CROWN COLONY SUBDIVISION Tax District: SI-SANFORD Exemptions: DOR Use Code: O1 -SINGLE FAMILY 1 KALI 1 U Iit tvv �4O F] ` ry CROWN COLONY WAY 3 /1 r, .� Map Aerial Both Footprint + - Extents Center Larger Map Dual Map View - External Tax Amount without SOH. 53,299 2011 Tax Bill Amount 53.299 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments Legal Description 2012 Working 2011 Certified Values Values Valuation Cost/Market Cost/Market Method Tax Details Number of Buildings 1 1 Depreciated $135,556 $142,566 Bldg Value Assessment Value $158.S$6 S1S8,556 S158,S56 S1 S8,5S6 1158.556 Exempt Values SO 10 10 SO SO Depreciated EXFT Value Land Value S23,000 123,000 (Market) Land Value Ag lust/Market SIS8,556 S16S,S66 Valu •• Book Page 07636 0089 05145 1139 04955 ) j§Q Amount S165,000 1164.100 1680.000 Portability Adj Qualified Yes Yes No Save Our Homes SO so Adj Land Amendment 1 SO SO Adj Assessed ValueI 1158,5S6 1165,566 Tax Amount without SOH. 53,299 2011 Tax Bill Amount 53.299 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 48 CROWN COLONY SUBDIVISION PB 61 PGS 76. 78 Tax Details Taxing Authority County General Fund Schools City Sanford SJWM(Saint johns Water Management) County Bonds Assessment Value $158.S$6 S1S8,556 S158,S56 S1 S8,5S6 1158.556 Exempt Values SO 10 10 SO SO Taxable Value S158,556 S158,556 S158,S56 S1 S8,SS6 1158,556 Sales Deed Date WARRANTY DEED 09/2011 SPECIAL WARRANTY DEED 12/2003 WARRANTY DEED 07/2003 Book Page 07636 0089 05145 1139 04955 ) j§Q Amount S165,000 1164.100 1680.000 Vac/Imp Improved Improved Vacant Qualified Yes Yes No Find Comparable Sales within this Subdivision Land Method Frontage Depth LOT Units 1.000 Unit Price 23,000.00 Land Value 123,000 Building Information 8 Description Year Fixtures Base Total SF Heated Built Area SF 1 SINGLE 2003 10 1.234.00 3.252.00 2,858.00 Ext Wall Adj RepValu Value Value CB/STUCCO 1135.556 1140.837 Appends es g Page 1 of 2 http://www.scpafl.org[ParcelDetails.aspx?PID=33-19-30-5QS-0000-0480 1/23/2012 SCPA Parcel View: 33-19-30-5QS-0000-0480 < BackI < Previous Parcel I I Next Parcel > Save Layout Reset Layout New Search Page 2 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=33-19-30-5QS-0000-0480 1/23/2012 FAMILY FINISH Uescnption i Area 394 1624 GARAGE FINISHED__ UPPER STORY FINISHED Permits Permit N Type Agency Amount CO Date Permit Date 01350 New- Residential Sanford $120,698 12/09/2003 03/01/2003 Extra Features Description Year Bit Units Value Cost New < BackI < Previous Parcel I I Next Parcel > Save Layout Reset Layout New Search Page 2 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=33-19-30-5QS-0000-0480 1/23/2012