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Home My WebLink About4019 W 1 St1�c�T�; D DEC 0 5 2011 BY: F, 'D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: �� y Documented Construction Value: $ H_-7 L+ - OD -11 Job Address: Uroq W S} S� , S(A fora F Historic District: Yes ❑ No ❑ Parcel ID: at - � Q 1 - 3 0 0000 - O ?�O 1 Zoninp,: Description of Work: Plan Review Contact I Phone: Fax: E-mail: _ Property Owner Information Name S i UmeS F 1 �CZs� r'f10t�� Phone: _ Street: 100 C -k Resident of property? City, State Zip: C L 3&70% Contractor Information Name AD T Street: 03 pS C, City, State Zip: 0 C k 0 a % Name: Street: City, St, Zip: Bonding Company: . Address: Phone: 4C) 7- Bab- 3a33 Fax: State License No.: E_ F O O p nal— Arch itect/Eng ineer a Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical M0 New Service - No. of AMPS: Mechanical ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: R 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 Contr for/Agent Date Pro Contract Agent's Name L _C,_2'A___ is la! a ll Signature of Notary -State of Florida Date Signature of Notary -Stat f Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 LAUREN RAINAM W COMMISSION / EE 118072 EXPIRES: August 2.2015 Bonded nrN Notary Public underwriters Contractor/Agent is V --'Personally Known to Me or Produced ID Type of ID UTILITIES: WASTE WATER: FIRE: BUILDING: POWER OF ATTORNEY Date: T hereby name and appoint ��iilV►p_1 U Z of ADT Security Services to drop off and pick up permits at the C7 C� -B uilding Department on my behalf for a LOW VOLTAGE SECURITY permit for cork to be performed at a location described as: Parcel or — So Subdivision Aar +V, SQ m; n69 (ZornaO Th: n'% LAM Addressofjob y-p\Q W. ,SA �f� Ined. FL za-rii Owner 1`(�P S F LS►!V1 O tiS George Manginelli EF0001121 Type or Print Name of Certified Conhactor Sim •e of Certified Contractor The foregoing' im ent was a c owledg by who is personal own& me/who pro as identification Mad who did not take oath. Stateof Flori County of Notary Public, Se ole County, Florida me this I Cj / a day of 20 /1 "''• LAUREN RAJ14AI71-I . v MY COMMISSION EF '• 1007^ •} EXPIRES: August 2.20 15 Bonded Tluu Notary Public Undew Gar; ; SCPA HyperLiteWeb Parcel View: 28-19-30-518-0000-OBO1 t�:,►vld ,)oror►, Ctrs Parcel: 28-19-30-518-0000-0801 PROPERTY Owner: FITZSIMONS JAMES R & MALISSA E APPRAI5ER Property Address: 4019 W 1ST ST SANFORD, FL 32771 SEMtntpt l: COIJtJiY, FLOFtIW < Back < Previous Parcel Next Parcel > Save Layout I Reset Layout j I New Search Page l of 1 Parcel: 28.19.30.518.0000.OBO1 Value Summary Property Address: 4019 W 1 ST ST Taxable Value County General Fund 5277,200 s0 S277,200 2012 Working 201 1 Certified Owner: FITZSIMONS JAMES R & MALISSA E S277,200 City Sanford Values Values Valuation Cost/Market Cost/Markel Mailing: 100 BRIDGEWOOD CT S277,200 WINTER SPRINGS, FL 32708 S277,2001 Method 5277,200 Number of Subdivision Name: NORTH SEMINOLE CONDOMINIUM Buildings 1 1 Tax District: Sl-SANFORD Depredated Exemptions: Bldg Value $277,200 5277,200 Depreciated ' DOR Use Code: 190S -OFFICE CONDO I EXFT Value Land Value (Market) Land Value Ag I 1 lust/Market 5277,200 $277,200 Value •• tPortability Adj - I Save Our Homes q0 SC r ( Adj Amendment 1 SO SC Q a s Q m I m ( Q Q Q Q Adj Assessed Value 5277,200 S277,20C Tax Amount without SOH: 55.523 2011 Tax Bill Amount $5,523 Save Our Homes Savings: s0 Map Aerial Both Footprint EExtents Center I Does NOT INCLUDE Non Ad Valorem Dual Map View - External Assessments Legal Description UNIT B-1 NORTH SEMINOLE CONDOMINIUM ORB 6432 PG 119 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 5277,200 s0 S277,200 Schools 5277,200 s0 S277,200 City Sanford 5277,200 s0 S277,200 SJWM(Saint Johns Water Management) 5277,200 s0 S277,200 County Bondsi S277,2001 SO 5277,200 Sales Land Qualified Yes http://www.scpafl.org/ParcelDetails.aspx?PID=28-19-30-518-0000-OBO l 12/l/2011 •SMALL BUSINESS CONTRACT III I IIIIIIII III I IIIIIIIIIIIIIIIII •� II II III I II I I I A �� 3081 UE05 CONTRDALEAD E I ACCOUN NOACT CUSTOMER -51 JNO SOU CE rL�L=1 LJ Section• • ADT Security Services, Inc. ("ADT") Office Address Co g30 5hc(c�Uu� PA Sc,t. I ,� 01 C, 0 Cfo �\(� V www.MyADT.com 1.800.ADT.ASAP• (1.800.238.2727) Business Name ("Customer" or "I" or "me" or "my") -1111d c 4 t I V Q- Address Roilql Is- `• ,• z f 1.1.1 11111 FITFI 111 1111111111111 City ��'( C State ® ZIP Responsible )� G -0 Protected Premises' Party CC Telephone O Traditional Phone O Other (Qualified) (SO.Other (Non -Qualified) :d Alternate Telephone 1 ` U O Home O Cell ®Work AlternateTTM Telephone 2 O Home O Cell O Work IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 83 of the Terms and Conditions for explanation) EMAIL I'Nid ` l: 11 1 1 ID 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 unsubstribe or opt out by emailing donotcontact®ADT.comlor 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 or notices about the alarm system at the telephone number(s) provided by me. Initial here Ownership of System and Equipment: O Customer -Owned ® ADT -Owned Automotive/ Verticals ^� Retail: Business Services: El Personal Services: Transportation: Grocery/Food: m • Health Services: Restaurants: Wholesale: Other:,N 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' C AND E OF THE IMPORTANT TERMS AND CONDITIONS. (B) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) 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. (D) ADT RECOMMENDS THAT I MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CALLING 1.800.238.2727. (E) 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. ADTpr entative Name I C , ► `�� Rep. License No.ed) O ID No. \j� VJJ (If Required) FOM % � % Ustomer's A roval: Origin I Signature t wired �� 11 3 0 1 t _3 9 INSTALLER NOTES (Special Instructions/Directions/Cross Street) r • 1 • 1 of 6 1. Administrative Copy 02011 ADT. All rights reserved. (04/11) •SMALL BUSINESS CONTRACT 3081UE05 LEAD CONTRACT DA E IB L_LJ� L1L_`J ACCOUN NO ,NO � SOURCE Section 2. Services to be Provided Alarm Monitoring and Notification Services Monthly Service Charge I Monthly Service Charge ®Burglary (BA) LI qC` On Site Services O Hold-up (HUA) $ O Guard Response O Interior* O Exterior $ O Duress $ O Other O Two-way voice $ ; Total Monthly Service Charge $ . q q O Critical Condition Monitoring (CCM) O Flood O Temperature $ , ,. � • ,T • ,. Initial Fee Parallet Protection $ nC C� Annual UL Certificate Fee. $ O ADT Select* DataSource $ O ADT to obtain electrical permit O Open/Close Login $ O Customer to obtain and pay for initial/annual municipal alarm use permit. Failure to obtain and -provide ADT with the municipal alarm use permit registration number could result in no muniipa�(ire/police response to an alarm from the premises and/or a fine. O Supervised Scheduled Open/Close $ 0 Other �—e Y (Y\ I, _l _Q0 Installation Price $ q L% oo 1 ` O ADT Select Entry $ Other Services Taxable Amount (Leave blank if ADT -Owned) $ ® Quality Service Plan (QSP)Non-Taxable Amount (Leave blank if ADT -Owned) $ O If Quality Service Plan (QSP) is Declined Customer must Initial here Connection Fee $ O Preventative Maintenance/Inspections Per Year .01 02 03 04 06 012 $ . :• Sales Tax on r Installation*. . ._r,;;,..;,�•,•; •: .. , t .•. ,.;•;.,, Tax'Exempt No. Tax Expiration Date ;$ .• •,�.. O Training $ O Direct Connection Services $ Total Installation Charge* $ , O Monthly Recurring Municipal Fee (Subject to change based on local law) O Customer to obtain and pay for municipal alarm use permit $ Deposit Received: 100% deposit required < $500 Minimum 50% deposit required 5500+ O Money Order O Check ® Credit/Debit Card $ *If applicable sales tax not shown, it will be added to the first invoice. • • to be Installed Balance Due*Section— Quantity 1 Device Description 101 a n,e l" - G (v�, � CC f �P qc oCy ' r' e Y) Device Location 1 �C fu c> ,cn �a QC 0r �a�IS J • �'�5 � Cf (7' r Cin Estimated Installation Start Date W/®/I ► i f I 2 of 6 02011 ADT. All rights reserved. (04/11)