HomeMy WebLinkAbout1711 Ridgewood LnREC -
FEB 2 3 2012
I CITY OF SANFORD
BY: BUILDING &� FIRE PREVENTION
PERMIT APPLICATION
Application No: a q �c� Documented Construction Value: $ 1, cl' 0 O
Job Address: kelz%zod
0, J:L 'Ba -1-73
L i O Historic District: yes ❑ No ❑
Parcel ID: 0A - a
-- tJ01 -U30 Zoning:
Description of Work: AVO
\' &'Qo_ S�C�f i ►tu
Plan Review Contact Person:
Title:
Phone:
Fax: E-mail:
Property Owner Information
Name ndne
-F LLc Phone: �'01- 40a—ICi4-k
Street: -1 %t
I n Resident of property?
City, State Zip: VL
Contractor Information
Name AVT
Phone: 4.0-1- ab -3x33
Street: 6B3 S
1 Fax: y
City, State Zip:
L o^i State License No.:
Architect/Engineer Information
Name:
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company:
Mortgage Lender:
Address:
Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage:
Construction Type: No. of Stories:
No. of DwellingUnits:
Flood Zone:
Electrical ❑/
Plumbing ❑
New Service - No. of AMPS:
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required
for new systems) Fire Sprinkler/Alarm 0 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 Tim
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 rec -)rds 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.
C 0 a
Signature of Owner/Agent Date Signature of C ctor gent Date
Print Owner/Agent's Name
Signature ofNotary-Slate of Florida Date Signature_yg� 'UUG U1
vrH
�N � e
r. MY' OMMISSION # EE 118072
?Md? EXE II1ES: August 2, 2015
i:
Bon'. -;vu Notary Pub k Underwriters
Owner/Agent is Personally Known to Me or Contractor/Agent is V Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: z
I hereby Jame and appoint: Q M m Z ��
an agent of:
of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necess ry to this appointment for (check only one option):
All permits and applications submitted by this contractor.
O The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OFOranae—
V
i /a y/i 3
Tj
� amell,'
The foregoing instrument was acknowledgq} before me this Z day of
200 2 , by P.OY MaM 6 Iki I1 , who is personally known
to me or o who has produced U as
identification and who did (did not) take an Q th
(Notary Seal)
ASH MAwats
W C06MUSe10Pl a oo eaci4el
EXPIRES• *y 29, 2013
am 6 flat►N"PV*lktdarMW
(Rev. 3/27/07)
Si ria
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
r
SCPA Parcel View: 02-20-30-507-0000-0120
r
Parcel: 02-20-30-507-0000-0120
C*Rc'Q4'.vP'6ROwner: MATTHEW WEST LLC TR FBO
APPProperty Address: 1711 RIDGEWOOD LN SANFORD, FL32773
$[Mt�tC- OOlgJ1Y, FLO+�tOn
< Back1 < Previous Parcel Next Parcel > Save Layout I I Reset Layout I I New Search
Parcel. 02.20.30.507.0000.0120 I Value Summary
Property Address: 1711 RIDGEWOOD LN
Owner: MATTHEW WEST LLC TR FBO
Mailing: 1711 RIDGEWOOD LN
SANFORD, FL 32773
Subdivision Name: RIDGEWOOD ACRES
Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 0802 -MULTI FAMILY 2 UNIT (DUPLEX)
RTDGEWOOD LN-_
• V .1 I. jai 1IA �'� r�t, ••
MapI I Aerial I I Both I Footprint +ED Extents Center
Larger Map I I Dual Map View - External
Legal Description
LEG LOT 12 RIDGEWOOD ACRES PB 24 PG 64
Tax Details
Page 1 of 2
Tax Amount without SOH: S1,571
2011 Tax Bill Amount SI,571
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/Markel
Method
SO
575,204
Number of
575,204
SO
Buildings
1
1
Depreciated
561,204
564,84E
Bldg Value
06/2003
575.204
Depreciated
5975.000
Improved
EXFT Value
WARRANTY DEED
11/1999
Land Value
$14,000
514,000
(Market)
Yes
Land Value Ag
Just/Market
575,204
578,84E
Value ••
Portability Adj
Save Our Homes
SO
SC
Adj
Amendment 1
SO
SC
Adj
Assessed ValUel
S75,2041
578,84E
Tax Amount without SOH: S1,571
2011 Tax Bill Amount SI,571
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
575,204
SO
575.204
Schools
S75.204
SO
575,204
City Sanford
575,204
SO
575.204
SJWM(Saint Johns Water Management)
575.204
SO
575,204
County Bondsl
S75,2041
06/2003
575.204
Sales
Deed
Date
Book
Page
Amount
Vac/Imp
Qualified
WARRANTY DEED
11/2011
07669
1760
540.000
Improved
No
WARRANTY DEED
11/2006
06495
0119
$200,000
Improved
Yes
WARRANTY DEED
06/2003
04882
127-1
5975.000
Improved
No
WARRANTY DEED
11/1999
03762
1832
580,000
Improved
Yes
http://www.scpafl.org/ParcelDetails.aspx?PID=02-20-30-507-0000-0120
2/22/2012
SCPA Parcel View: 02-20-30-507-0000-0120
Page 2 of 2
'
1 WARRANTY DEED(
01/19931
025551
08941
5540,0001
Improved) No
Adj
Value
WARRANTY DEED
06/19821
aLLUI
Q14al
S1001
Vacantl No
Find Comuarable Sales within this Subdivision
-- --- --- -
1,674.00
CB/STUCCO
-------
Land
I
_
10 UNITS
FINISH
Method I Frontage
Depth
I Units I
Unit Price
I Land Value
i
LOTI
01
01 1.0001
14,000.001
$14,000
Building Information
UTILITY 48
t
UNFINISHED
# Description
Year
Built
Fixtures
Base
Area
Total SF
Heated
SF
Ext Wall
Adj
Value
Repl
Value
Appendages
1 MULTI FAMILY <
1984
6
1,674 00
2.522.00
1,674.00
CB/STUCCO
561,204
S69,157'
_
10 UNITS
FINISH
Description Area
(UTILITY FINISHED 96
UTILITY 48
UNFINISHED
UTILITY 48
UNFINISHED �-
,CARPORT I
208
(FINISHED
_
(CARPORT
208
FINISHED
SCREEN PORCH 120
FINISHED_
SCREEN PORCH 120
FINISHED
Permits
Permit # Type Agency Amount CO Date Permit Date
Extra Features
Description Year Bit Units Value Cost New
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http://www.scpail.org/ParcelDetails.aspx?PID=02-20-30-507-0000-0120 2/22/2012
RESIDENTIAL SERVICES CONTRACT
RAC
LEAD
CONTDATE CUSTOMER�� ACCOUNT NO JNO [E SOU CE
Section• •
ADT Security Services, Inc. ("ADT") Customer Name
Office Address ('Customer' or "I' or "me" or "my') r
61' 10111
Premises'
Address I -c D
1111 • City - - d l) i State F L ZIP 2 /
PAYMENTS FOR THE
(
Tax Exempt No. Tax Expire Date
www.MyADT.com
1.800.ADT.ASAP• Protected Premises' O Traditional Phone O Other (Qualified) O Other (Non -Qualified)
(1.800.238.2727) Telephone
AlternateNdl i l Q Z '1 L� P O Home 'Cell O Work Alternate O Home O Cell O Work
L1
Telephone 1 I V Telephone 2
4PFill in if billing address is the same
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.
Address
City State ZIP
IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation)
EMAIL
t
C
bIr
c
116
2
4
1-1)
1)
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 calling
888.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 S 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 1
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
L V t—� / ` Rep. License No. C Rep:,.
>� f (lf Required) ID No. 1
Customer's pproval: Original Signature R q ired (Must match Customer Name in Section 1 above)
/
��N� TICE OF CANCELLATION
I, THE CUSTOMER, MAY CANCEL TH�TRS ANSACTION 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
(,
A L 1D
PAYMENTS FOR THE
1
B. AMOUNT OF EACH PAYMENT IS $ /
TOTAL OF PAYMENTS FOR THE INITIAL TERM IS I J
INITIAL TERM IS 36.
(TOTAL MONTHLY SERVICE CHARGE FROM BELOW)
BN (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES
AND RATE ITIMES
AND
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. (06/11)
• , RESIDENTIAL SERVICES -CONTRACT
51u4U�4uup
CONTRACT 2 ��. ACCOUNT NO 5 y V CUSTOMERJOB LEAD
DATE NO 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 n c l
alarm use permit. Failure to obtain and provide ADT with
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
Receivin and'Notification Service for Fire, Manual Fire
Municipal Electrical Permit Fee
O Customer to obtain electrical permit
7
�Yl
and Manual Police Emergency N
O Carbon Monoxide O Flood O Low Temp
$
Installation Price
Fs 11
1
O Medical Alert
$
Taxable Amount
$
O Safewatch*Cellguard•
Non -Taxable Amount
m SecurityLink•
$ i n C -
Connection Fee
$
O Extended Limited Warranty/Quality Service Plan (QSP)
1'1 L
Admin Fee
1
O Guard Response Service
$
Sales Tax on Installation*
P-1
O Monthly Recurring Municipal Fee
(Subject to change based on local law)
O Customer to obtain and pay for
Total Installation Charge*
$ VJ 0
municipal alarm use permit
O Other ---
Deposit Received
$ j
Total Monthly Service Charge s_ (�-Z �(qc Balance Due upon Installation* $ �`tf
*If applicable sales tax not shown, it will be added to the first invoice. r
Section• • to be Installed
•
Control
Panel°`` ,0�
Comments
Package Name:
(
I
1
Includes:
Foyer
W
Living Room
Family Room
I
( I
Office
Dining Room
Kitchen
1
Laundry Room •i
i
Hallway
Master Bedroom
Master Bath
Bedroom 2
Bedroom 3
Bath 2
Basement
Garage
Price Per Piece
Totals
I
I
I
I
I E= Existing Equipment
Estimated In tall tion Sfart 0 7
Data
J
INSTALLER NOTES Gy o n
s�V�
t,-,
1111 GL �('1 -A, Vr�
) r%f A (5701.1 AnT All rinhfc rocPrvvrl fnFi/111