HomeMy WebLinkAbout715 Meadow St (2)HIFIRE
OCTITY OF SANFORD
PREVENTION
C PERMIT APPLICATION
Application No: (� I 1 Documented Construction Value: $ MCA -90
Job Address: 115 f(1Q0.C�Ow Si , So \fad �L 2 Historic District: Yes ❑ No ❑
Parcel ID: j O —010 — 30 — _kQ - oyq A - 0000 Zoning:
Description of Work: I Q Lz V
Plan Review Contact Person:
Phone:
Fax:
E-mail:
Property Owner Information
Title:
Name cN hn `loh(1S13C\ Phone:
Street: %L91 ►11aAe.'Dr - Resident of property?
City, State Zip: Oclur\clo, Ft_ 3ag10
Contractor Information
Name AA D1
Street: e- D.11
City, State Zip: Q r r r' coo . TL 3 a8 Qa
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit 0
Phone: 40 -7 - $ a ( - 3x.33
Fax:
State License No.: E F 00 O 1141
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Square Footage: I O Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical IJP
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
Plumbing 0
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm D 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:
a1/7/aoli
Signal of Contractor/Ageentt Date
mc,". c,
Print C rector/A is Name
� otl
Signature o 1 Ib a of Floe R_Uaate
MY COMMISSION It EE 118072
�Tr EXPIRES: August 2.2015
•/►l .n Bonded TMo Notary PuWic Ur Wfflft rs
Contractor/Agent is ✓Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
POWER OF ATTORNEY
Date: Q (1' ab
I hereby name and appoint U(T\ \)-eA V, ca -Z
of ADT Security Services to drop off and pick up permits at the
0-� Building Department on my behalf for
is
a LOW VOLTAGE SECURITY permit for work to be performed at a location described as:
Parcel to - ao - 30 - 300 - o \5 A - o oon
Subdivision
Address of job -j S n QaAp-.Z SA., Sc rA,3 f C\ . F L 3a-1 3
Owner ahf\. iO�c�5Oc1
George Manginelli EF0001121
Type or Print Name of Certified Contractor
Si of Certified Contractor
The foregoing inhume t was acknowledged before
by
who is personally know me ho produced
as identification and who did not take oath.
State of Florida
County of/ -c--(Z
f cf
L. -c--(Z - /(--
Notary Public, Semigole County, Florida
this 1011-7 day of 20 IL
LAUREN
MY COMMISSI�NAUiH
ON / EE 118072
EXPIRES: AUpU112, 2015
• Bonded Tim Nobly P�Ik Umv"#M
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DI•TAIL
DAVID JOHNSON, CFA. ASA
PROPERTY
APPRAISER
sEM1NOLE, gNTY FL.
1101 E. F1FFST ST
BAMFORD, FL 32771.14W
407.655-75M
VALUE SUMMARY
VALUES 2011 2010
Working Certified
Value Method Cost/Market Cost/Market
GENERAL
Number of Buildings 1 1
Parcel Id: 10-20-30-300-019A-0000
Depreciated Bldg Value $43,190 $49,466
Owner: JOHNSON JOHN E
Depreciated EXFT Value $4,231 $4,231
Mailing Address: $691 HILLSIDE DR
Land Value (Market) $19,110 $19.110
CIty,State,ZipCode: ORLANDO FL 32810
Land Value Ag $0 $0
Property Address: 715 MEADOW ST SANFORD 32771
Just/Market Value $66,531 $72,807
Subdivision Name:
Tax District: S1-SANFORD
Portablity Ad) $0 $0
Exemptions:
Save Our Homes Ad) $0 $0
Dor: 0802 -MULTI FAMILY 2 UNIT
Amendment 1 Ad) $0 $0
Assessed Value (SOH) $66,531 $72,807
Tax Estimator
2017. Notice_o1 Proposed PropeRy Tax
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $66,531 $0 $66.531
(Amendment 1 adjustment Is not applicable to school assessment) Schools $66,531 $0 $66,531
City Sanford $66,531 $0 $66,531
SJWM(Salnt Johns Water Management) $66,531 $0 $66.531
County Bonds $66,531 $0 $66.531
The taxable values and taxes are calculated using the current years working values and the prior years approved mlllage rates.
SALES
2010 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
2010 Tax Bill Amount_ $1,462
WARRANTY DEED 10/1978 01193 QM $28,600 Improved Yes
2010 CBrtified Taxable Value and Taxeg
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEG SEC 10 TWP 20S RGE 30E BEG 383.6 FT N OF SE
FRONT FOOT &DEPTH 91 104 .000 250.00 $19,110
COR GOVT LOT 3 RUN N 104.36 FT N 87 DEG 58 MIN W
91.6 FTS 104.36 FT S 87 DEG 58 MIN E 91.6 FT TO BEG
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost
New
1 MULTI FAMILY 1964 6 1,680 1,752 1,680 CONC BLOCK $43,190 $59.165
Appendage I Sqft UTILITY UNFINISHED/ 72
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base
Semi Finshed
Permits
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
POOL VINYL LINER 1979 405 $3,240 $8,100
COOL DECK PATIO 1979 375 $525 $1,313
ALUM CARPORT NO FLOOR 1979 171 $274 $684
WOOD UTILITY BLDG 1979 80 $192 $480
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
--* If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value
http://www.scpafl.org/web/re_web.seminole_county_title?parcel=102030300019A0000&... 10/17/2011
RESIDENTIAL SERVICES CONTRACT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
5104UE12
f
CONTRACT CUSTOMEROB LEAD
DATE I y ACCOUNT NO 1 U i 1 3 J
) ONO SOURCE
Section• •
ADT Security Services, Inc. ("ADT") Customer Name
Off ice Address ('Customer' or•'1' or "me" or 'my')
3 �2 0 1 Address �) n 4.1
TTTI � 1
City S R ►.. F 0
State ZIP Tax Exempt No.
Protected Premises'
Telephone Tax Expire Date
O Traditional Phone 10 Other (Qualified) O Other (Non -Qualified)
www.MyADT.com
1.800.ADT.ASAP• Alternate 1101-11-11119
qJ
(1.800.238.2727) Telephone 1 • ` 0 1 -1 \ (1 1 O Home B Cell O Work
IF FAMILIARIZATION PEftjD:� AlternateREJECTED INITIAL HERETelephone 2 JO Home O Cell O Work
(see Paragraph 14 of the Tei
Conditions for explanation) EMAIL r- 0 Ae" QH 0 N U c, c U
Communications Authorization: I authorize A9T,o provide me with information and updates about the security system and new ADT and third -party
products and services to the contact informs ion 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/confihere 0yrj� Q•
appointments and provide•other information and notices about the alarm system at the telephone number(s) provided by me. Initial
Alarm System Ownership: O 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 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
L EU f3 5661
66T �f�v )���� Rep. License Rep.
�J (If Required)ed) ID No.
Customer's Approval: Original Signature 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 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.
FINANCIAL DISCLOSURE STATEMENT
THERE IS NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT.
-
A. NUMBER OF
PAYMENTS FOR THE
g, AMOUNT OF EACH PAYMENT IS �� ,-
TOTAL OF PAYMENTS FOR THE INITIAL TERM IS
INITIAL TERM IS 36.
(TOTAL MONTHLY SERVICE CHARGE FROM BELOW)
BNCREASES)VE OF ANY APPLICABLE TAXES, FEES, FINES
ANDIRATE
LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING
PREPAYMENT - IF I PREPAY THE
I
I 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 ^f A Administrative Copy 02011 ADT. All rights reserved. (04/11)
RESIDENTIAL SERVICES CONTRACT
CONTRACT LEAD
E I CUSTOMER
NO V ' 3 ,NO SOURCE
Section 2. Services to be Provided
(continued)
O Standard Monthly Service, Burglary
Service includes: Customer Monitoring Center Signal
Receiving and Notification Service for Burglary,
Manual Fire and Manual Police Emergency
Monthly Service Charge
O Initial/Annual Recurring Municipal Fee billed separately I Initial/Annual Fee
(Subject to change based on local law)
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 municipal fire/police response to an alarm
from the premises and/or a fine.
$
6 Standard Monthly Service, Fire/Smoke Detection
Service includes: Customer Monitoring Center Signal¢
Receiving and Notification Service for Fire, Manual Fire
and Manual Police Emergency_1C
$
Municipal Electrical Permit Fee
O Customer to obtain electrical permit . II
Installation Price ^
O Carbon Monoxide O Flood O Low Temp
$
O Medical Alert_,.
Taxable Amount
$
® Safewatch Cellguard*
$
Non -Taxable Amount
$
O SecurityLink*
$
Connection Fee
$
O Extended Limited Warranty/Quality Service Plan (QSP)
$
Admin Fee
$
O Guard Response Service
$
Sales Tax on Installation*
$
O Other • l� I5�
Total Monthly Service Charge
$
$
Deposit Received . p
Balance Due upon Installation*/ -2
$ 5co � uo
*If applicable sales tax not shown, it will be added to the first invoice.
Section• • to be Installed
•
Control
¢�
$r,u 11133Panel �oJ�.sp�.0o 6100�PO5 PQaQs I.�PO�s 05� Q
Comments
Packaq a Name:
1
`
)
Includes:
Foyer
Living Room
Family Room
Office
Dining Room
Kitchen
Laundry Room
Hallway
Master Bedroom
Master Bath
Bedroom 2
Bedroom 3
Bath 2
T hL
Basement
t/
Garage
1-A -TL 2
� 1•
.Cs
.
Totals
I
I
I
_
I
I.
I
I
I E= Existing Equipment
Estimated Installation Start Date
INSTALLER NOTES
— . ----3 �� c ►i. 2s
��z �� 1�5�
2 Of 6 02011 ADT. All rights reserved. (04/11)
0
RESIDENTIAL SERVICES CONTRACT
I�INIII4UE1IN�dI
CONLEAD
DATEEg/ ACCOUNT NO 1 1OB
1
UE/Le N0 O ( SOURCE
SectionBilling
O Check received for. O Installation: Check #.
1.1.1Amount
O Annual Service Charges Collected: Check #
Amount
I authorize ADT: O To withdraw all Service Charges from my bank account:
O To charge my credit/debit card for.
O Annually O Semi -Annually O Quarterly O Monthly
® Installation a 3 monthly credit/debit card payments of equal amounts
Choose one: O Checking Savings
(available only for telephone orders with an installation price
•O
Name of Bank/Creait Union
over $400 or field sales with an installation price over $1,500)
O All/Recurring Service Charges
O Annually O Semi -Annually O Quarterly O MonthlyF�3
ABA Routing Number Bank Account Number
O VISA O MasterCard O Discover O AMEX
Credit/Debit
Card Number Expiration Date
Recurring Service Charge Amount $ Deis.
M" M Y Y
Name as it.appears on bank account
Recurring Service Charge Amount $1 11 ITM
Cardholder's
Name
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 credit/debit 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 (? SemiO Quarterly Other DOHA Approval If no oval is filled, ADT will send bill quarterly.
i--Annually
Authorized Account Signature:
Section• and System Data
:yv 1* .-,V I WA I pdo Su 4\ l4. CV ICS#1''1'1 I IM III
Name
Address h) s
c
® 3 1 �Mkjr,
City State ZIP Cross St.
Premises' Phone #1 Phone #2 1 1 1 1 O Cell Only
Municipality Municipality
Police Name Fire Name
Municipality Patrol Name
I
Medical Number & Number
Job Type 0 New Sale O Change Over O Upgrade Control Type O HW O RF
Permit
Affiliation Member # Number
=
Burglar Alarm: O Yes O No Fire / Smoke: O Yes O No Two -Way Voice: O Yes O No . Cellular Model:
b
5
01
O Parallel O Standard
Profile Ll ® Preferred Monitoring ® Communication ® Account Management 0
Codes: OwnershipSystem Service Services Method Services
y
GuardI Market Z� U Resale -Former
Em� I I I I I I I I I I I
ELW/QSP Service Group Acct # Former CS #
Section• Password
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.com 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/Emergency Contact #1 1 O O• O • O
HbD D 19 0,1 8 4
Print First/Last Name > > �• r +� `^'� Phone Home Cell Work Yes No
0 0 0 O O
Phone Home Cell Work Yes No
Customer/Emergency Co O
tact #2 D O ^
Phone0®OO
Print First/Last Name Cell Work Yes No
O O O 00
Phone Home Cell Work Yes No
Alternate/Emergency Only Contact G,r'`'` U�� �) Q�U O � O O O
Print First/Last Name / Phone /l 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)