HomeMy WebLinkAbout935 Windtree CtCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: s Documented Construction Value: 00
Q`l B_ 22'a-1-13Job Address: _I ?J rJ t, -%f1Q 1 re -p- Cnu((j . �(1flQA Historic District: Yes ❑ No ❑
Parcel ID: Qa- QLQ - 30 - 300 - 03\ 9 - 0000 Zoning:
Description of Work:
Plan Review Contact Person:
Phone:
Fax:
E-mail:
Title:
-1 rProperty Owner Information
Name -1ZC, fV tr\9 -T c LIQ Phone: 401 - 190 - 9 36 5
Street: 655 IJ. Fr6a%VCItr\ 15V - 61;100 Resident of property?
City, State Zip: _TG mcc.. F L '3360 �.
Contractor Information
Name AV -1 Phone:
Street: %30 S OW��c%c�. �(• SIJ kQ_J.11 Fax:
City, State Zip: OrkC ,' . OL State License No.: E FOo011a 1
Name:
Street:
City, St, Zip:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bonding Company: idortgage Lender:
Address: Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: tO Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical 01_� 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 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.
COMMENTS:
Rev 11.08
• // t //aora
SignatureorOwner/Agent Date
Signatureor .ntrectcr/Agent Date
Print Owner/Agent's Name
�i
Prin Contra r/Agent' ame
•
Signature of Notary -State of Florida Date
Signature of Notary-Statedof Florida Date
rb+ LAUREN RA1NAUtH
3}$ MY COMMISSION A EE 118072
Ss: EXPIRES: August 2, 2015
��JJI h Bortded iluu Notary Rft Underwriters
Owner/Agent is Personally Known to Me or
Contractor/Agent is ✓Personally Known to Me or
Produced ID Type of ID
Produced ID Type of ID
APPROVALS: ZONING:
UTILITIES: WASTE WATER:
ENGINEERING:
FIRE: BUILDING:
COMMENTS:
Rev 11.08
POWER OF ATTORNEY
Date: I /11 / as %a
I hereby name and appoint ��`%' a ej ez l//d_-C
of ADT Security Services to drop off and pick up permits at the
C i ALA, O T fS G.nE0c -Building Department on my behalf for
a LOW VOLTAGE SECURTI'Y permit for work to be performed at a location described as:
Parcel Oa - 2L0 - 30 - -SOO - 03 %V
Subdivision a►nac"'S
Address of job q 3 5 k1c-pee C—+. ScAsSoo k • FL 3 )Q IS
Owner
!M"M
Geome Maneinelli EF0001121
Type or Print Name of C&x0c;d Contractor
The foregoinstrument acknowledged before me this day of 20 1
by
who is persoqlly krL4@wa to me/who Ooduced
as identification and who did not take oath.
State of Florida
County of Qr G►n
...-
Notary Public, Se inole County, Florida
LAUREN RAJNAUTH
MY COMMISSION I EE 118072
a►�` ThNEr�P� U20m
SCPA Parcel View: 02-20-30-300-031 D-0000
4O-rAd Jortnsor+. CFA Parcel: 02-20-30-300-031D-0000
PROPERTY Owner: TWC NINETY-FIVE LTD
APPRAISER Property Address: 2675 W 25TH ST SANFORD, FL 32771
SEMINOLE COUNTY, FLORIDA
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Parcel: 02.20.30.300-031 D-0000 I Value Summary
Property Address: 2675 W 25TH ST
Owner: TWC NINETY-FIVE LTD
Mailing: 655 N FRANKLIN ST #2200
TAMPA, FL 33602 - 4409
Facility Name: WINDCHASE
Tax District: Sl -SANFORD
Exemptions:
DOR Use Code: 03 -MULTI FAMILY 10 OR MORE
Map Aerial Both Footprint + - I Extents ICenter
Larger Map Dual Map View - External
Legal Description
Page 1 of 4
2012 Working
v�
t
NO FOOTPRINT
Values
' AVAILABLE FOR
Income
THIS BUILDING
Method
Assessment Value
$7,650,772
57,650,772
$7.650,772
17,650,772
$7,650.772
Exempt Values
SO
SO
SO
SO
SO
Number of
17
17
Buildings
Map Aerial Both Footprint + - I Extents ICenter
Larger Map Dual Map View - External
Legal Description
Page 1 of 4
Tax Amount without SOH:
2011 Tax Bill Amount
Tax Estimator
Save Our Homes Savings.
Does NOT INCLUDE Non Ad Valorem
Assessments
S152,429
S152.429
SO
SEC 2 TWP 20S RGE 30E BEG 666.6 FT S & 50 FT E OF NW COR RUN E 792.44 FT N 45 DEG 7 MIN 41 SEC E 19.04 FT N 187.02 FT N 1;
DEC 37 MIN 23 SEC E8827FTN 182.73 FTN9DEG 16 MIN 6SEC W 10713 FT N 46 DEG 43 MIN 57 SEC W 59.76 FT TO SLY R/W E
146.16 FT S 625.24 FT E 327.36 FT SLY & SWLY ALONG OLD LAKE MARY RD 1 185.46 FT N 47 DEG 27 SEC W 96.73 FT NWLY ALONG
CURVE 70.03 FT N 26 DEG 57 MIN 46 SEC W 65.8 FT N 60 DEG 32 MIN 14 SEC E 3 FT N 26 DEG 57 MIN 46 SEC W 372.19 FT S 63 DE(
2 MIN 14 SEC W 141.92 FT S 26 DEC 57 MIN 46 SEC E 2 FT WLY 431 17 FT TO ELY R/W N 324.15 FT E 10 FT N 359 17 FT TO BEG
Tax Details
2012 Working
2011 Certifies
Values
Values
Valuation
Income
Income
Method
Assessment Value
$7,650,772
57,650,772
$7.650,772
17,650,772
$7,650.772
Exempt Values
SO
SO
SO
SO
SO
Number of
17
17
Buildings
Sales
Depreciated
Bldg Value
Depreciated
Deed Date Book
WARRANTY nFFn nAn QQ7 ntt7Sr,
EXFT Value
Qualified
Nn
Land Value
(Market)
Land Value Ag
JAl /Market
57,650,772
$7,650,772
Value "•
Portability Adj
Save Om Homes
SO
SC
Adj
Amendment 1
SO
SC
Adj
Assessed Valuel
57,650.772
57,650,772
Tax Amount without SOH:
2011 Tax Bill Amount
Tax Estimator
Save Our Homes Savings.
Does NOT INCLUDE Non Ad Valorem
Assessments
S152,429
S152.429
SO
SEC 2 TWP 20S RGE 30E BEG 666.6 FT S & 50 FT E OF NW COR RUN E 792.44 FT N 45 DEG 7 MIN 41 SEC E 19.04 FT N 187.02 FT N 1;
DEC 37 MIN 23 SEC E8827FTN 182.73 FTN9DEG 16 MIN 6SEC W 10713 FT N 46 DEG 43 MIN 57 SEC W 59.76 FT TO SLY R/W E
146.16 FT S 625.24 FT E 327.36 FT SLY & SWLY ALONG OLD LAKE MARY RD 1 185.46 FT N 47 DEG 27 SEC W 96.73 FT NWLY ALONG
CURVE 70.03 FT N 26 DEG 57 MIN 46 SEC W 65.8 FT N 60 DEG 32 MIN 14 SEC E 3 FT N 26 DEG 57 MIN 46 SEC W 372.19 FT S 63 DE(
2 MIN 14 SEC W 141.92 FT S 26 DEC 57 MIN 46 SEC E 2 FT WLY 431 17 FT TO ELY R/W N 324.15 FT E 10 FT N 359 17 FT TO BEG
Tax Details
i
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Assessment Value
$7,650,772
57,650,772
$7.650,772
17,650,772
$7,650.772
Exempt Values
SO
SO
SO
SO
SO
Taxable Value
57,650,772
$7,650.772
17,650,772
17,650.772
57,650,772
Sales
Deed Date Book
WARRANTY nFFn nAn QQ7 ntt7Sr,
Page Amount Vac/Imp
nl47 C7 nnn nnn Varant
Qualified
Nn
http://www.scpafl.org/ParcelDetails.aspx?PID=02-20-30-300-031 D-0000 1/10/2012
SCPA Parcel View: 02-20-30-300-031 D-0000
Page 2 of 4
Land
Method Frontage Depth Units Unit Price Land Value
1 LOT 0 0 352.000 5,000.00 11,760,000
L.
Building Information
#
Description
p
Year Stories
Total SF
Ext Wall Ad' Value Re p I Value
Appendages
Built
1
MULTIFAMILY
1998
22,1 58.00
WOOD SIDING WITH S I , 172,375 S I
,234,079
WOOD OR METAL Description
Area
STUDS OPEN PORCH _
FINISHED
594
2
MULTIFAMILY
1998
332,948.00
WOOD SIDING WITH S I ,670.302 S1,758,213
Description
WOOD OR METAL
Area
_
STUDS OPEN PORCH FINISHED 2460
3
MULTIFAMILY
1998
3 32,948.00
WOOD SIDING WITH 51,665,920 51,753.600
_
Description
WOOD OR METAL_
Area
_
STUDS OPEN PORCH FINISHED
.
246_0
4
MULTIFAMILY
1998
3 17,568.00
WOOD SIDING WITH S 1,008,839 S 1,061.936
Description
WOOD OR METAL
Area
_
STUDS OPEN PORCH FINISHED
3336
5
MULTIFAMILY
1998
3 22,158.00
WOOD SIDING WITH 51,172,375 $1,234,079
WOOD OR METAL Description
Area
STUDS OPEN PORCH FINISHED
5_94
6
MULTIFAMILY
1998
3 17,568.00
WOOD SIDING WITH 51,004,332 51,057,192
Description
WOOD OR METAL
Area
STUDS OPEN PORCH FINISHED
3_336
7
MULTIFAMILY
1998
322,158.00
WOOD SIDING WITH 51,172,375 11,234,079
Description
WOOD OR METAL
Area
STUDS OPEN PORCH FINISHED
_
594
8
MULTIFAMILY
1998
3 22,158.00
WOOD SIDING WITH 51,172,623 51,234,340
WOOD OR METAL Description
Area
_
STUDS OPEN PORCH FINISHED
_ 594
9
MULTIFAMILY
1998
3 22.158.00
WOOD SIDING WITH S1,172,375 51,234,079
Description
WOOD OR METAL
Area
STUDS OPEN PORCH FINISHED
594
10
MULTIFAMILY
1998
3 22,158.00
WOOD SIDING WITH 51,172,375 $1,234,079,
Description
WOOD OR METAL
Area
STUDS OPEN PORCH FINISHED
594
11
MULTIFAMILY
1998
3 17,568.00
WOOD SIDING WITH 51,005,889 51,058,831
Description
WOOD OR METAL
Area
STUDS OPEN PORCH FINISHED
3336
12
MULTIFAMILY
1998
3 22.1 58.00
WOOD SIDING WITH 41.172,375 $1,234,0791
Description
WOOD OR METAL
Area
-
STUDS—�
OPEN PORCH FINISHED
594
13
MULTIFAMILY
1998
332.948.00
WOOD SIDING WITH S1,665.920 S 1,753.6001
WOOD OR METAL Description
Area
STUDS OPEN PORCH FINISHED
2460
14
MULTIFAMILY
1998
3 22,158 00
WOOD SIDING WITH $1,172,375 51,234,079;
WOOD OR METAL Description
Area
_
STUDS IOPEN PORCH FINISHED
. 594
is
MULTIFAMILY
1998
332,949,00
WOOD SIDING WITH $1,665,920 S I ,753,6001
Description
WOOD OR METAL 1
Area
__
STUDS [OPEN PORCH FINISHED_
r 2460
IF.
RAI II TIC A&MV
IOOQ
i 4,) oA0 All
Vlrfr%rl clrliAir WITU t1 C.C.c 07n t1 7c2 ann� --_--
_
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SCPA Parcel View: 02-20-30-300-03]D-0000 Page 3 of 4
Description Area
Description Area
Permits
Permit #
Type
Agency
Amount
CO Date
Permit Date
02445
Addition - Commercial
Sanford
17,700
06/19/2006
00107
Major Project - Commercial
Sanford
160.000
10/01/1997
02551
Major Project - Commercial
Sanford
19,350
07/01/1997
02552
Major Project - Commercial
Sanford
19,350
07/01/1997
02553
Major Project - Commercial
Sanford
19,350
07/01/1997
02554
Major Project - Commercial
Sanford
18,340
07/01/1997
02555
Major Project -Commercial
Sanford
19,350
07/01/1997
02556
Major Project - Commercial
Sanford
S 1 1,1 10
07/01/1997
02557
Major Project - Commercial
Sanford
19.350
07/01/1997
02560
Major Project - Commercial
Sanford
511,110
07/01/1997
02545
Major Project -Commercial
Sanford
s11,110
07/01/1997
02546
Major Project - Commercial
Sanford
Sit'] 10
07/01/1997
02548
Major Project - Commercial
Sanford
19.350
07/01/1997
02550
Major Project - Commercial
Sanford
19,350
07/01/1997
02547
Major Project - Commercial
Sanford
18,340
07/01/1997
02549
Major Project - Commercial
Sanford
58,340
07/01/1997
02543
Major Project - Commercial
Sanford
19.350
07/01/1997
02561
Major Project - Commercial
Sanford
111,110
07/01/1997
01957
Mayor Project - Commercial
Sanford
5678,588
04/17/1998
04/01/1997
01954
Major Project - Commercial
Sanford
1775,932
01/14/1998
04/01/1997
01959
Major Project - Commercial
Sanford
5678,588
02/24/1998
04/01/1997
01960
01962
Major Project - Commercial
Major Project - Commercial
Sanford
Sanford
1775,932
5775.932
02/04/1998
07/06/1998
04/01/1997
04/01/1997
01976
Major Project - Commercial
Sanford
S775,932
04/15/1998
04/01/1997
01978
Major Project - Commercial
Sanford
1775.932
04/27/1998
04/01/1997
01980
Major Project - Commercial
Sanford
1775,932
05/27/1998
04/01/1997
01981
Major Project - Commercial
Sanford
1949,741
05/27/1998
04/01/1997
01983
Major Project - Commercial
Sanford
120.000
04/01/1997
01984
Major Project - Commercial
Sanford
520,000
05/27/1998
04/01/1997
01982
Major Project - Commercial
Sanford
1949,741
05/27/1998
04/01/1997
01951
Mayor Project - Commercial
Sanford
1240,000
01/14/1998
04/01/1997
01961
Major Project - Commercial
Sanford
1775,932
06/25/1998
04/01/1997
01977
MajorProject- Commercial
Sanford
5678.588
04/15/1998
04/01/1997
01979
Major Project - Commercial
Sanford
5949.741
05/27/1998
04/01/1997
01956
Major Project - Commercial
Sanford
5949,741
03/11/1998
04/01/1997
01955
Major Project - Commercial
Sanford
5949,741
02/20/1998
04/01/1997
01958
Major Project - Commercial
Sanford
1775.932
04/16/1998
04/01/1997
Extra Features
Description
Year Bit
Units
Value
Cost New
COMMERCIAL ASPHALT DR 2 IN
1998
260,480
1154,074
1237,037
WALKS CONC COMM
1998
3,876
18,340
112,830
STUCCO WALL
1998
17.712
146,051
570.848
POLE LIGHT CONCRETE 1 ARM
1998
34
535,292
535,292
OVERRIDE
1998
1,600
13,200
13,200
STUCCO WALL
1998
675
SI,755
12,700
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SCPA Parcel View: 02-20-30-300-031 D-0000
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Page 4 of 4
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' RESIDENTIAL SERVICES CONTRACT
CONTRACT CUSTOMER JOB .�� I� LEAD
DATE' .�( ACCOUNT NO NO EO SOURCE
Section• •
ADT Security Services, Inc. ("ADT")
Office Address Customer Name f1 CI r
(`Customer" or "I" or 'me' or 'my")
Premises'n� 14 I (,
Address `1 • C 'T e e G o �� f
131911,1111,
City • i- '1 O l—Staten]
ZIP
Tax Exempt No.15—M—NOMEMTax Expire Date
LSV W�
www.MyADT.com -
1.800.ADT.ASAP• Protected Premises' O Traditional Phone O Other (Qualified) O Other (Non -Qualified)
(1.800.238.2727) Telephone
• y
Alternate O Home 0 Cell O Work Alternate O Home O Cell O Work
TEM
Telephone 1 Telephone 2
O Fill in if billing address is the same
Billing
Address
City State ZIP
IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation)
EMAIL
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 donotcontad@ADT.com or by calling
888.DNC4ADT (888.362.4238). Initial here s
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 B ADT -Owned
I ACKNOWLEDGE'AND'A6REE TO EACH OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF ASIX (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 AROR IS ALWAYS POSSIBLE, AND THE RESPONSE TIME OF POLICE, FIRE AND IRDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL
OF ADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REA N. (E ADT RECOMMENDS THAT I
MANUALLY TEST THE ALARM•SYSTEM.MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CALLING 1.800. D . SAP 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 ADVA$ICE.
ADT Representative Name
Rep. License No. Rep.
(If Required) 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. �'-,
CONTRACT
I
(
1 1 JI
Monthly Service Charge
O Initial/Annual Recurring Municipal Fee billed separately
I Initial/Annual Fee
LEAD
(Subject to change based on local law)
®Standard Monthly Service, Burglary
— –
—
DA E
O Customer to obtain and pay for initial/annual municipal
Receiving and Notification Service for Burglary,
J
alarm use permit. Failure to obtain and provide ADT with
ACCOUNT NO
the municipal alarm use permit registration number could
result in no municipal fire/police response to an -alar
from:the,'pretnises and/or a fine.
O Standard Monthly Service, Fire/Smoke Detection
Service includes: Customer Monitoring Center Signal
Receiving
SOURCE
and Notification SeeN ce for Fire, Manual Fire
O Customer to obtain electrical permit
Section 2. Se'rvices to be Provided (continued)
Monthly Service Charge
O Initial/Annual Recurring Municipal Fee billed separately
I Initial/Annual Fee
•
(Subject to change based on local law)
®Standard Monthly Service, Burglary
— –
—
Service includes: Customer Monitoring Center Signal .
O Customer to obtain and pay for initial/annual municipal
Receiving and Notification Service for Burglary,
J
alarm use permit. Failure to obtain and provide ADT with
Manual Fire and Manual Police Emergency
the municipal alarm use permit registration number could
result in no municipal fire/police response to an -alar
from:the,'pretnises and/or a fine.
O Standard Monthly Service, Fire/Smoke Detection
Service includes: Customer Monitoring Center Signal
Receiving
Municipal, Electrical Permit Fee
and Notification SeeN ce for Fire, Manual Fire
O Customer to obtain electrical permit
G0
and Manual Police Emergen
V !
D l
O Carbon Monoxide O Flood O Low Temp
$
Installation Price
$ 199
r
O Medical Alert$
Taxable Amount
® Safewatch Cellguard°
$ �vV
Non -Taxable Amount
O SecurityLink°
$
Connection Fee - I
® Extended Limited Warranty/Quality Service Plan (QSP)
$Admin
v
Fee
C Guard Response Service
$ .'
Sales Tax on Installation*
C.1 Iv.-onthly Recurrinm Municipal Fee
(Subject to change based on local law)
Total Installation Charge*
O Customer to obtain and pay for
municipal alarm use permit
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
Control
'Q��•,e�`' C,
Q J,,eoS�Q J�.,a���J�•,e
PanelrQaa �yeo a°� v°�O SS�co���c.o�� �ot\� e�. C,ac�`
1°J � 'Comments
P ckage Name:
W u'�2 L�
�
i
,•�•t.�e
Includes:
.�
"—
Foyer
Living Room
_
Family Room
Office
Dining Room
Kitchen
Laundry Room
Hallway
Master Bedroom
Master Bath
Bedroom 2
Bedroom 3
Bath 2
Basement
Garage