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HomeMy WebLinkAbout4102 Lake Jennie DrQ. NOV 21 ZU11 CITY OF SANFORD BUILDING & FIRE PREVENTION Ry; PERMIT APPLICATION Application No: �S a Documented Construction Value: $ l q -I.O o Job Address: 4-toa Lake- Le nn: L' iistortc District: Yes ❑ No ❑ Parcel ID: 01- aO - 30 - 504 - 6U-0 - O 180 Zoning: Description of Work: IcW VO 1tc&&e. SeLcxs'Ju Plan Review Contact Person: Phone: Fax: E-mail: Property Owner Information Name- 1 � S,cd j �& Dej • Ser.,: CQS Phone: Title: Street: 1701t �t1n�n•� f�� �t'�1. 510 Resident of property? City, State Zip: O C ICAc AQ, k 3a$qq Contractor Information Name A ID T Phone: +o -i -<ta 6 - SDLn StreetA%3()!E &ov-.—)c Fax: City, State Zip: C,Gt\&'2 . Fl- 5M 1 a- State License No.: a Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: _ Mortgage Lender: Add ress: PERMIT INFORMATION Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical Ili 10 New Service - No. of AMPS: Construction Type Flood Zone: No. of Stories: Plumbing ❑ 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 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: o 1( Signature oLRbontractor/Agent Date Print Signature ol-Notery-Irate of Florida Date LAUREN RA)NAUTH W COMMISSION M EE 118072 r EXPIRES: August 2, 2015 gr;1;y Bated Tluu "Public Underwriters Contractor/Agent is '-� Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: POWER OF ATTORNEY Date: X / 16 I-BLO I I I hereby name and appoint of ADT Security Services to drop off and pick up permits at the -Building Department on my behalf for a LOW VOLTAGE SECUP= permit for work to be performed at a locafio. - described as: Parcel-() 1. —8L Q— 30 — 504 —3600 — QUO Subdivision pre cmoo rAck Address ofjob "CIO�L Lak PD Q t-Arv' e. Dr - L 3oZ11 Owner The fo by _ who is tokl FLA "Inc- - George Manginelli EFOOOMI Type or Print Name of CcrOcd Contactor Sir of Certified Contractor me this //6 day of 20 as wentincationc anti who cuc State of Florid+, County of 0'e-, Notary Public, Seitinole Co oil my C01A �26 -- 71A -2015 i0); rxplr-. arty, Florida WE. W., LAUFaROAM WCOMMISSION IEE118072 EXPIRES: Augu2015st iSCPA HyperLiteWeb Parcel View: 01-20-30-504-3600-0180 Page 1 of 2 tD.rv+d Jatv+aon, CFn Parcel: 01-20-30-504-3600-0180 PROPERTY Owner: HOUSING & NEIGHBORHOOD DEV SERVICES OF CENTRA APPRAI5ER Property Address: 1311 SANTA BARBARA DR SANFORD, FL 32771 st: u�ot.c oourvty r: onion M L < BackI < Previous Parcel I I Next Parcel > j I Save Layout I Reset Layout New Search Parcel: 01.20.30.504.3600.0180 I Value Summary Property Address: 1311 SANTA BARBARA DR Owner: HOUSING & NEIGHBORHOOD DEV SERVICES OF CENTRAL FLA INC Mailing: 1707 ORLANDO CENTRAL PKWY #350 ORLANDO. FL 32809 Subdivision Name: DREAMWOLD Tax District: S1-SANFORD Exemptions: 43 -AFFORDABLE HOUSING (2009) DOR Use Code: 03 -MULTI FAMILY 10 OR MORE ep ~1B 2012 Working •- --- --�1_- --! J ' � �� Taxable Value Values Values LU v/ L --j in- Income Method 11,278,341 10 Number of 11,278,341 11,278,341 Buildings 4 4 Depreciated $O County Bondsi Bldg Value S 1,278.34 11 SANTA BARBARA.bR 12/1985 01697 4564 ExFT Value Vacant No Land Value Map Aerial Both Footprint F+ D Extents Center (Market) Dual Map View - External 1 Legal Description Tax Amount without SOH: SO 201 I Tax Bill Amount SO Tax Estimator Save Our Homes Savings: 10 ' Does NOT INCLUDE Non Ad Valorem Assessments LOTS 18 TO 22 & 30 TO 33 BLK 36 DREAMWOLD PB 4 PG 99 & 01.20.30.510.0000.0010 LOTS 1 2 3 & 4 VI MAR PB 8 PG 64 I Tax Details — Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation Income Income Method 11,278,341 10 Number of 11,278,341 11,278,341 Buildings 4 4 Depreciated $O County Bondsi Bldg Value S 1,278.34 11 10 Depreciated 12/1985 01697 4564 ExFT Value Vacant No Land Value (Market) Land Value Ag Just/Market Value = $1,278,341 S1,278,341 Portability Add Save Our Homes SO Sc Adj Amendment 1 SO Sc Adj Assessed Value 11,278,341 11,278.341 Tax Amount without SOH: SO 201 I Tax Bill Amount SO Tax Estimator Save Our Homes Savings: 10 ' Does NOT INCLUDE Non Ad Valorem Assessments LOTS 18 TO 22 & 30 TO 33 BLK 36 DREAMWOLD PB 4 PG 99 & 01.20.30.510.0000.0010 LOTS 1 2 3 & 4 VI MAR PB 8 PG 64 I Tax Details — Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 11,278,341 11,278,341 10 Schools 11,278,341 11,278,341 10 City Sanford 11,278,341 11,278,341 10 SJWM(Saint Johns Water Management)l 11,278,341 $1,278,341 $O County Bondsi $1,278,34111 S 1,278.34 11 10 Sales Deed Date Book Page Amount Vac/Imp Qualified WARRANTY DEED 04/1996 03056 04S1 1143,000 Vacant No CORRECTIVE DEED 04/1996 03061 1255 $100 Vacant No QUIT CLAIM DEED 07/1986 01750 0144 5125,100 Vacant No WARRANTY DEED 12/1985 01697 4564 S125,000 Vacant No http://www.scpafl.org/Parce]Details.aspx?P]D=01 -20-30-504-3600-0180 11/16/2011 • �SCPA HyperLiteWeb Parcel View: 01-20-30-504-3600-0180 Page 2 of 2 Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Unit Price Land Value LOTJ 01 01 40.0001 5,000.001 $200,000 Building Information # Description Year Built Stories Total SF Ext Wall Adj Value Repl Value 1 MULTIFAMILY 1998 2 8,148.00 CONCRETE BLOCK - MASONRY 5517,883 5545,140 2 MULTIFAMILY 1998 3 12,222.00 CONCRETE BLOCK - MASONRY S786,661 5828,064 3 MULTIFAMILY 1998 2 8,148.00 CONCRETE BLOCK - MASONRY S517,883 S54S,140 4 MULTIFAMILY1 19981 3 12,222.001 CONCRETE BLOCK - MASONRYI 5786,661 5828,064 Permits Permit # Type Agency Amount CO Date Permit Date 005061 Addition - Residential Sanfoidl S10.380112/01/1997 Extra Features < Back < Previous Par-c—el-1 I Next Parcel > Save Layout Reset Layout j I New Search http://www.scpafl.org/ParceiDetails.aspx?PID=01-20-30-504-3600-0180 11/16/2011 Description Year Blt Units Value Cost New COMMERCIAL ASPHALT DR 2 IN 1998 30.272 517,906 S27,548 WALKS CONC COMM 1998 3,298 57,095 S10,916 POLE LIGHT STEEL I ARM 1998 15 $14,460 S14,460 6' CHAIN LINK FENCEI 19981 135 $3601 S675 < Back < Previous Par-c—el-1 I Next Parcel > Save Layout Reset Layout j I New Search http://www.scpafl.org/ParceiDetails.aspx?PID=01-20-30-504-3600-0180 11/16/2011 RESIDENTIAL SERVICES. CONTRACT miu510u„a or CONTRACT ® ACCUSTOMER JOB m SOLEAD U CE . DATE COUNT NO Section• • ADT Security Services, Inc. ("ADT") Customer Name Office Address . r ("Customer' or "I" or 'me" or "my") ✓�� '' . �r 3 Z�� Address C City Z State RZIP Tax Exempt Protected Premises' Telephone Tax Expire Date O Traditional Phone O Other (Qualified) O Other (Non -Qualified) �t www.MyADT.com ' 1.800.ADT.ASAP• AlternateIqQ (1.800.238.2727) Telephone 1 _ 11 .104l3TM O Home . ell O Work IF FAMILIARIZATION PER IQ IS Alternate [ REJECTED INITIAL HERE/.' Telephone 2 O Home ell O work (see Paragraph 14 of the Ter sand Conditions for explanation) EMAIL t� 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 01. Alarm System Ownership: O Customer -Owned (=L DT -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.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 Rep. License No. Rep. -'� (If Required) ID No. Customer's Approval: Original ignature Required (Must match Customer Name in Section 1 above) 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 TRANSACT'':" G. SFE 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. 1 Of 6 Administrative Copy 02011 ADT. All rights reserved. (04/11) FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF ' g PAYMENTS FOR THE INITIAL TERM IS 36. B. AMOUNT OF EACH PAYMENT IS ! (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) PAYMENTS FOR THE INITIAL TERM IS B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES' FA�DRMA 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 I 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) RESIDENTIAL SERVICES CONTRACT enu'deimii CONTRACT LEAD DA E MAN/ LLJ! J ACCOUNT NO O NO JOB� SOURCE 0 Section 2. Services to be Provided (continued) Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Initial/Annual Fee i�/Standard (Subject to change based on local law) Monthly Service, Burglary Service includes: Customer Monitoring CentO Signal Receiving and Notification Service for Burglary, r ( O Customer to obtain and pay for initial/annual municipal alarm use permit. Failure to obtain and provide ADT with Manual Fire and Manual Police Emergency N(` V/ I fJ theresmult nicipalregsstrati could municipal fire/policepermit to an alarm from the premises and/or a fine. O Standard Monthly Service, Fire/Smoke Detection C �% U Service includes: Customer MonitodngCenter Signal Receiving and Notification Service for Fire, Manual Fire $ Municipal Electrical Permit Fee O Customer to obtain electrical permit S� '�')r� and Manual Police Emergency O Carboni Monoxide O Flood O Low Temp Installation Price / O Medical Alert Taxable Amount /Safewatch Cellguard• v k Non -Taxable Amount O SecurityLink• $ Connection Fee 74tended Limited Warranty/Quality Service Plan (QSP) � Ji Admin Fee v C v O Guard Response Service $ Sales Tax on Installation* 0 $ 3 , J. O Other $ Deposit Received Total Monthly Service Charge $ �. Balance Due upon Installation* $ *If applicable sales tax not shown, it will be added to the first invoice. Section• • to be Installed 0 agozz Z11 Control. \1 °�\1 Se�.s°`�, ¢� °`\ S ,oS`o¢rLeXNY 'b �,, Panel '�° O � � V O d 0 L O S d` L P �., P '� P PS• P Q Comments Package Name: Y l Includes: Foyer Living Room Family Room I Office Dining Room Kitchen Laundry Room Q(A cam, / / ,j(; f Hallway�� Master Bedroom ` D I Master Bath �N I x�� Bedroom,2 Bedroom 3 Bath 2 Basement Garage 7__T_ VOL.. Totals iI FT I I-* I I I 1E = Existing Equipment © d r Estimated Installation Start Date. INSTALLER NOTES 2 Of 6 02011 ADT. All rights reserved. (04/11) RESIDENTIAL SERVICES CONTRACT > IIIII5104UII2BY� CONTRACCUSTOMEROB LEAD T DATE 11 +' � ACCOUNT O 561�JNO SOU CE SectionBilling O Check received for: O Installation: Check # Amount $ O Annual Service Charges Collected: Check # Amount $ I authorize ADT: O To withdraw all Service Charges from my bank account: C9rTo charge my credit/debit card for: O Annually O Semi -Annually O Quarterly O Monthly O Installation O 3 monthly credit/debit card payments of equal amounts Choose one: O Checking O Savings (available only for telephone orders with an installation price Name of Bank/Credit Union over $400 or field sales with an installation price over $1,500) All/Recurring Service Charges O AnnuallyO/Semi-Annually O Quarterly ClMonthly ' 9 ABA Routing Number Bank -Account Number O VISA 0?l MasterCard O Discover O AMEX Credit/Debit Card Number Expiration Date MINGUM 3 Recurring Service Charge Amount $ • _ M M Y Y -11 Name as it a pears on bank account Recurring Service Charge Amount $ . Hm Cardholder's Na I I authorize ADT to debit my bank account for the amount of all Recurring Service Charges If I am using a debit card, I authorize ADT to debit my bank account for the amount of indicated above. I may revoke this authorization only by notifying ADT and my bank in all Recurring Service Charges indicated above. I may revoke this authorization only by writing at least 10 business days before the scheduled debit. notifying ADT and my bank in writing at least 10 business days before the scheduled debit. If no oval is filled above, service charges will be withdrawn monthly. If no oval is filled above, my crediUdebit card will be charged monthly. I authorize ADT to withdraw the amounts in this section from my bank account or credit card through an Automated Clearing House ('ACH'): These payments are for the equipment and services described in this Contract This authorization will remain in effect.until the termination date of this Contract or until I cancel it in writing, whichever occurs first I also agree to notify ADT in writing of any changes in my account information at least 15 days prior to the next billing date. If a payment date falls on a weekend or holiday, payment may be executed on the next business day. Because this is an electronic transaction, these funds may be withdrawn from my account each month as early as the transaction date. If the date or amount of the withdrawal changes, ADT will notify me at least 10 days prior to the payment being collected. If an ACH transaction is rejected for non -sufficient funds (NSF), ADT may attempt to process the charge again within 30 days, and an NSF charge may apply. The origination of ACH transactions to my account must comply with the provisions of U.S. law. I am an authorized user of this credit card or bank account and I will not dispute the payment with my credit card company or bank, so long as the amount corresponds to the terms indicated in this Contract. O To send me a bill: O Annually O Semi -Annually O Quarterly O Other DOA Approval If no oval is filled, ADT will send bill quarterly. Authorized Account Signature: Section• and System Data Name '' CS#1 Address " [D City State ZIP Cross St. Premises' Phone #1 Phone #Z ITFM O Cell Only Municipality Municipality Police Name Fire Name Municipality ILUPatrol Name Medical Num�bb�er & Number Job Type d?JNew Sale O Change Over O Upgrade Control Type O HW RF Permit Affiliation Member # Number /Yes a I Burglar Alarm: O No Fire / Smoke: O Yes No Two -Way Voice: O Yes CINo Cellular Model: O Parallel O Standard Profiley9Q Preferred Monitoring �� Communication Account Management I► I "I Codes: Ownership System Service Services Method Services GuardMarket Resale -Former IN ® I I I ELW/QSP Service Group Acct # Former CS # Section• Password IN This password must be issued to all users of the alarm system, including all people listed in Section 7. An optional, secondary password for service individuals, housekeepers, tenants, etc. is available upon request. A password must be no less than three (3) and no more than five (5) characters in length and may not contain any punctuation or spaces, offensive language or non-standard spelling. Customer may change passwords and contacts by going to www.MyADT.6rn or by calling ADT toll-free at 1.800.ADT.ASAP. Section•'Contact These are the individuals who may be called in the event of an alarm. Because they may need to meet the authorities in response to an alarm, I will provide them access to my premises, the password, and the keypad code. By selecting the 'Yes' designation on the right I am identifying which of these individuals may be called prior to notification of the authorities. Customer/EmergencyContact #1 S � l! or•NoV A 0� Print First/Last amLO Pone Z ZZZHoome CelWork No 0 0 0 00 Phone Home C!11/Work Yes No Customer/Emergency Contact #2 G V pj �f v I - (J _ r/ O CD1 O O O ' Print First/Last Name i Phone 7 / Home Cell Work Yes No O O O '00 Phone Home Cell Work Yes No Alternate/Emergency Only Contact O O O O O Print First/Last Name Phone Home Cell Work Yes No O O O 00 Phone Home Cell Work Yes No 3 Of 6 02011 ADT. All rights reserved. (04/11)