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Home My WebLink About1401 W Seminole Blvd - 01-002067 - (CFRH) DOCUMENTSPERMIT ADDRESS NO I CONTRACTOR ADDRESS PHONE NUMBER PROPERTY OWNER ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTO PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISIONde . Ron r".2 &I ploq. Up- Ol"Z o I O2' D'• 133 PERMIT # D,'"' Z 31 DATE PERMIT DESCRIPTION PERMIT VALUATION SQUARE FOOTAGE Permit is • V S - @0 k Job Address: ! 4to__/ hle, Description ofWork: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: % L 3 297 L ' Zoning: Value ofWork: S \ tsR C) :-)3 - (30 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial _.0K_ Industrial Total Square Footage:A _: ,2 Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Proof of Ownership * Legal Description) Owners Name & Address: fIG f! (-14aVifP I Lo!* vrnb%— Of 4t^r.1'-UJ C../Ae. NLsL l h,r --rA/ S 7Zv3 Phone: Contractor Name & Address: (3cs Itv, Ak inft in 0% " MAIAMWc Phone & Fax: 6 I5,-Z`177-- Zyo v Beading Company: Address: Z995 Mortgage Leader: Address: C l Go5IN -S,% Phone: dl s-y Z--Z11012 Architect/Engineer: u O " -T-An r r,% , 1 1 Phone: 415_ 32 Z -161 b Address: ' 33 e ry a kv w t r-S I Fax: CIS-3Ya. 05T/,r Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of apermit 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: 1 certify that all of theforegoing 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. 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. Al, eptance of permit is verification that I will notify the owner of the property of the requi nts to 'da Lien Law, FS 713. m 0 8 CDZ 14 d3 JlOrj O N Signature ofOwner/Agent Date Signature dKoffliwWAgent Date Bland Eng +111 E ` o Print Owner/Agent's Name Prin on for/A n N c w may, W Mfg a'turCieofNoStateofFloridaTSinatureofN -State ofFlere- y6`( • • • . N r °, it i Oro s = • % OF y • Owner/Agent is ){ Personally Known to Me or Contractor/Agentis —Personally Known to Me of e3 • /V • Produced ID Produced ID _ • NOrQ • C • Z9a•• 1 r i y e C APPLICATIONAPPROVEDBY: Bldg: t Zoning: C L'iv' Utilities: FD: - • • • • • ••i Initial & ate) (Initial & Date) (Initial A Daft) Special Conditions: ti 4lu New 07; C ; 416s t 1 0`1 . Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 Personal Property I Please Select Account 1._ _._. __ - .. .. . PROPERTY APPRAISER RON SEMINOLE COUNTY FL. 1101 E. FiRST ST 407-665-7506 GENERAL 2005 WORKING VALUE SUMMARY S3-SANFORD- Value Method: Market 25-19-30-5AG- Parcel Id: 0117-0000 Tax District: WATERFRONT Number of Buildings: 5 REDVDST Depreciated Bldg Value: 15,804,531 CENTRAL FLA Owner: REGIONAL Exemptions: Depreciated EXFT Value: 131,386 HOSP INC Land Value (Market): 1,112,018 Own/Addr: C/O TAX DEPT Land Value Ag: 0 Address: PO BOX 1504 Just/Market Value: 17,047,935 City,State,ZipCode: NASHVILLE TN 37202 Assessed Value (SOH): 517,047,935 Property Address: 1401 SEMINOLE BLVD W SANFORD 32771 Exempt Value: 0 Facility Name: CENTRAL FLORIDA REGIONAL HOSPITAL Taxable Value: 17,047,935 Dor: 73-PRIVATE HOSPITALS Tax Estimator SALES 2004 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp WARRANTY DEED 09/1986 01778 1690 $100 Improved 2004 Tax Bill Amount: 353,955 WARRANTY DEED 08/1980 01292 0745 $110,000 Vacant 2004 Taxable Value: 17,270,285 WARRANTY DEED 07/1980 01289 1216 $595,000 Vacant DOES NOT INCLUDE NON AD VALOREM ASSESSMENTS Find ComDarable Sales within this DOR Code LEGAL DESCRIPTION PLAT ALL BILKS 1N&2NTR17&1N&2NTR18& ALL VACD STS BET & ALL VACD ALLEY ADJ ONN&N16 FT VACD ST ADJ ON S & E 1/2 VACD ST ADJ LAND ONWOFBLK2NTR18&BLKS1&1NTR19& Land Assess Method Frontage Depth Land Units Unit Price Land Value ALL VACD ST SQUARE FEET 0 0 889,614 1.25 $1,112,018 BET & ALL VACD ST ADJ ON E & S 1/2 VACD ST ADJ ON N & N 1/2 VACD ST ADJ ON S & ALL LAND LYING N OF BLKS 2N TR 17 & 2N TR 18 S OF NARCISSUS RD TOWN OF SANFORD PB 1 PG 113 BUILDING INFORMATION Bid Bid Class Year Gross Est. Cost Fixtures Stories Ext Wall Bid Value Num Bit SF New 1 MASONRY 1982 799 176,942 3 BRICK COMMON - MASONRY $11,320,996 $15,402,716 PILAS Subsection I Sqft LOADING PLATFORM CANOPY / 700 Subsection / Sgft CANOPY / 2170 2 WOOD 1982 0 720 1 METAL PREFINISHED $12,125 $16,497 BEAM/COL 3 MASONRY 1988 10 2,205 1 BRICK COMMON - MASONRY $182,955 S230,132PILAS http://www. scpafl.org/pls/web/re_web. seminole_county_title?parcel=2519305 AGO 117000... 3/22/2005 Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 4 MASONRY 1992 50 17,914 2 BRICK COMMON - MASONRY 1,444,054 $1,724,244PILAS Subsection / Sgft CANOPY / 903 5 MASONRY 2000 30 33,315 1 CONCRETE BLOCK -STUCCO - 2,844,401 $3,034,028PILASMASONRY Subsection / Sgft OPEN PORCH FINISHED / 1433 Subsection / Sgft CARPORT FINISHED / 1929 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New POLE LIGHT ALUMINUM 1982 14 2,940 2,940 WALKS CONC COMM 1982 17,655 15,007 35,310 COMMERCIAL ASPHALT DR 2 IN 1982 191,700 67,622 159,111 WALKS CONC COMM 1988 725 834 1,450 WALKS CONC COMM 1992 2,865 3,868 5,730 ALUM CARPORT NO FLOOR 1992 56 127 224 ALUM PORCH W/CONC FL 1998 1,128 5,623 7,332 ALUM SCREEN PORCH W/CONC FL 1998 792 5,163 6,732 COMMERCIAL ASPHALT DR 2 IN 2000 41,587 30,202 34,517 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 year's property tax will be based on Just/Market value. h4://www.scpafl.org/pls/web/re web.seminole_county_title?parcel=2519305AG0117000... 3/22/2005 Division of Corporations Pagel of 2 Florida I rrartm ant of .State, oi7,ision niCornorations Public. Inquiry Florida Profit CENTRAL FLORIDA REGIONAL HOSPITAL, INC. PRINCIPAL ADDRESS ONE PARK PLAZA NASHVILLE TN 37203 US Changed 04/21/2004 MAILING ADDRESS P.O. BOX 750 NASHVILLE TN 37202 US Changed 05/15/1997 Document Number FEI Number 654305 591978725 State Status FL ACTIVE T\ 1 A IZCV'lSLCICU 1AUClll Name & Address CT CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION FL 33324 Name Changed: 04/22/2002 Address Changed: 04/21/2004 Date Filed 01/31/1980 Effective Date NONE Officer/Director Detail Name & Address Title GRINNEY, JAY ONE PARK PLAZA P NASHVILLE TN 37203 US FRANCK, JOHN M II ONE PARK PLAZA DVPS NASHVILLE TN 37203 US JOHNSON, R. MILTON 177ONEPARKPLAZA http://www.sunbiz.org/scripts/cordet.exe?al =DETFIL&nl=654305&n2=NAMFWD&n3=... 3/22/2005 Division of Corporations Page 2 of 2 NASHVILLE TN 37203 US UVP BLACKWOOD, DORA A ONE PARK PLAZA vPns NASHVILLE TN 37203 US DENSON, DAVID L ONE PARK PLAZA VPAS NASHVILLE TN 37203 US MOORE, A. BRUCE JR. ONE PARK PLAZA l)VP NASHVILLE TN 37203 US Annual Reports Report Year Filed Date 2002 04/22/2002 2003 04/30/2003 2004 04/21/2004 Previous Filing Return to List I Next Filing No Events No Name History Information Document Images Listed below are the images available for this filing. 04/21/2004 -- ANNUAL REPORT 04/30/2003 -- ANN REP/UNIFORM BUS REP 04/22/2002 -- COR - ANN REP/UNIFORM BUS REP 03/23/2001 -- ANN REP/UNIFORM BUS REP 03/28/2000 -- ANN REP/UNIFORM BUS REP 03/18/1999 -- ANNUAL REPORT 05/01/1998 -- ANNUAL REPORT 05/15/1997 -- ANNUAL REPORT 05/01/1996 -- 1996 ANNUAL REPORT THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT Corporations Inquiry Corporations Help http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&nl=654305&n2=NAMFW D&n3=... 3/22/2005 CITY OF SANFORD PERMIT APPLICATION Permit #: 05-2013 Date: 8/3/2005 Job Address; 1401 W. Seminole Blvd. Description of Work: Fire Alarm devices in ADA remediation Historic District: Zoning: Value of W ork: S 1500.00 Permit Type: Building Electrical Mechanical. Plumbing Fire Sprinkler/Alarm X Pool Electrical; New Service — # of AMPS' Addition/Alteration X Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/New Commercial: # of Fixtures # of Water &. Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial X Industriil Total'Square Footage:. Construction Type: # of Stories: # of DweWng Units, Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership &. Legal Description) Owners Name & Add_ rem: Central Florida. Regional Medical Center 1401 W Seminole Blvd - Sanford, FL Phone: 407-321-4500: contractor Name.& Address:. Enterprise Electric Inc. - 365 Taft Vineland Rd, Suite 107 Orlando, FL 32824 State License Number: EC0002156 Phone & Fa:: 407-852-2904 407-852-2930 Bonding Company: Address:. Mortgage Lender: Address: Archlted/Engineer: Address: Contact Person: Jim Groff Phone: 321-228-9731 Phone: Fa:: Application ishereby made to obtain a permit to do the work and installations as indicated. I certify that no worst 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 certifythat all of theforegoing'information is accurate and that all work will be donein 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, 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 watermanagement districts, state agencies, or federal agencies. Acceptance of permit. is verification that I will;notify the owner of the property of the Signature of Owner/Agent Date Sign, Ae, Print Owner/Agent's Name Print Signature of Notary -State of Florida Date Owner/ Agent is _ Personally Known to Me or Produced ID of Florida Lip , FP 713. e 1 )s of con actor/ t, Date S Motary- State of Florida — Date FLORENCE A. DE GRAVE MY COMMISSION # DD 164280 EXPIRES: November 12, 2006 rAg is 4.1iersonpll}! Knownao Me or ` ice dil) APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: ENTERPRISE August 2, 2005 City of Sanford Building Permits P.O. Box 1788 Sanford, FL 32772 ELECTRIC,.LLC A N D E N G I N E E R S RE: Authorization to Pull Permits with the City of Sanford Anthony A. Tidwell, Qualifier Enterprise Electric, LLC To Whom It May Concern: Please accept this letter as my written authorization to allow Kenneth J. Groff to pull permits with the City of Sanford on behalf of myself and Enterprise Electric, LLC. The following is information about the job he is pulling permits for: Central Florida Hospital ADA Remediation for Fire Alarm Should you have any questions regarding this request, please feel free to contact me at (615) 350-7270. Sincerely, ENTERPRISE ELECTRIC, LLC thoaJZ 4r A. (dwell Senior Project Manager aqJA'>IMIJ A.— dWdI being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn to me this 00(-day of NOTARY PUBLIC: My Commission Expires: 71 W Cockrill Bend Boulevard • Nashville, Tennessee 37209 • Phone: 615.350.7270 • Fax: 615.350 , 7242 • Web Site: www.enterpriselic.com CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION o INTERIOR COMMERCIAL REMODEL**** \ DATE: 09/19/05 PERMIT #: 05-2013 ADDRESS: 1401 W SEMINOLE BLVD CONTRACTOR: BATTEN & SHAW, INC PHONE #: Leroy 615-642-9009 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering O Fire OPublic Works ning O Utilities O Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION INTERIOR COMMERCIAL REMODEL**** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 09/19/05 05-2013 1401 W SEMINOLE BLVD BATTEN & SHAW, INC Leroy 615-642-9009 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering lic Work4 p W p O Utilities 0 Fire OZoning 0 lLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTIOl INTERIOR COMMERCIAL REMODEL***Q to 1 1 1 1 1 DATE: 09/19/05 1 1 1 PERMIT #. 05-2013 k"'. LA- E CDADDRESS: 1401 W SEMINOLE BLVD V O w C G W O m 1 CONTRACTOR: BATTEN & SHAW, INC C L v a a w a+ e PHONE #: Leroy 615-642-9009 a'N s c Zc o o v The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering OPublic Works OFire OZoning tilitis ` O Licensing CONDITIONS: ( TO BE COMPLETED ONLY IF APPROVAL Is CONDITIONAL) LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 9/22/05 09:42:39 Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5View detail Opt Description OPP SIDE OF STREET RC EARLY APPLICANT CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 105 25.19.30.5AG-0117-0000 1714 1401 W SEMINOLE BLVD CENTRAL FL REGIONAL HOSP INC Free -form information OPP SIDE OF STREET EARLY APP SW DEV FEE $1,275.00. WA DEV FEE $487.50 10/18/95 REC# 2615 SW DEV FEE $11,900.00. WA DEV FEE 4,550.00 ADDITION TO EXISTING BUILDING PD 10/14/99 BP # 99-126 SEE REC # 4102 READ 6 DIALS X1000************* SW DEV FEE $425.00 WA DEV FEE $162.00 F2Address F3=Exit F5=Special Notes F12=Cancel F16=Related pty data F9=Parcel Notes C DATE: PERMIT #: ADDRESS: CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION INTERIOR COMMERCIAL REMODEL**** i I 09/19/05 I CONTRACTOR: PHONE #: ' 05-2013 1401 W SEMINOLE BLVD BATTEN & SHAW, INC Leroy 615-642-9009 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. G J ./ I OEngineering OPublic Works 0 Utilities co Fire—' OZoning O lLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CITY OF SANFORD PERMIT APPLICATION Permit # : ' ' 0. - a o r 3 Job Address: l y 0/ 60 • Sd M i ltc Description of Work: Historic District: Zoning: Date: J`-//-os- Value of Work: $ 3 0, 000 , 00 Permit Type: Building Electrical X Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration )- Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: . # oNtories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x) Parcel #: Owners Name & Address: Attach Proof of Ownership & Legal Description) Phone: Contractor Name & Address: -n4[t 7/00 Cor-lerilt' Redd Nyd 32,101 State License Number: 're 000 a /SLo Pbooe & Fax: y U - - 930 Contact Person: l lvt a l /ey Phone: 90 - god -AY y 7 Bonding Company: Address: Mortgage Leader: Address: Architect/Engineer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has comrnenced prior to the issuance ofapermit 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. 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 require of Florida Lien Law, FS 713. Signature ofOwner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/AgentIs Name Signature of Notary -State of Florida ' Date Owner/Agent is _ Personal y Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: 4 Special Conditions: Initial & Date) i of Notary -State ofFlorida Date Contractor/Agent is _ Personally Known to Me or Produced H) Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) MENTERPRISE ELECTRIC,LLC C O N T R A C T O R S A N D E N G I N E E R S May 11, 2005 City of Sanford Building Permits P.O. Box 1788 Sanford, FL 32772 RE: Power of Attorney Authorization to Pull Permits with the City of Sanford Anthony A. Tidwell, Qualifier Enterprise Electric, LLC To Whom It May Concern: Please accept this letter as written Power of Attorney to authorize Kenneth Harley to pull permits with the City of Sanford on behalf of myself and Enterprise Electric, LLC. The following is information about the job he is pulling permits for: Central Florida Regional Hospital Interior Remodel (ADA Remediation) Permit Type: Electrical, Change of Service Permit #: 05-2013 Should you have any questions regarding this request, please feel free to contact me at (615) 350-7270. Sincerely, ENTERPRISE ELECTRIC, LLC Ant y A. Tidwell Senior Project Manager AZ&C)nV A-. `Trowe l) being duly sworn deposes and says that the information provided herein is true and iufficiently complete so as not to be misleading. , n Subscribed and sworn to me this day of '" aq 2005. LI J H EN \ STATE 9f OF TENNESSEE NOTARY PUBLIC NOTARY PUBLIC: My Commission Expires: 7100 Cockrill Bend Boulevard • Nashville, Tennessee 37209 • Phone: 615.350.7270 • Fax: 615.350,7242 • Web Site: www.enterprisellc.com SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 302-2526 9 Plans Review Sheet Date: February 22, 2005 Business Address: 1401 West Seminole Blvd Occ. Ch. #18-New Health care Business Name: Central Florida Regional Hospital Ph. (407) 321-4500 ext. 5720 Contractor: Butter & Shaw Inc. Ph. (615) 292-2400 Fax. (615) 292-3288 Reviewed [ ] Reviewed with comment [ X ] Rejected I I Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner - / Comment: Fire department views this as New Health Care occupancy (F.F.P.C. 2000) Contractor is obligated to follow all of Chapter #18 New Health Care Occupancies. Please notify this A.H..I. if any deviations ofthe said plans are changed and (or) compromised. 1.1 Application — Renovations of operating rooms #1 & #2 1.2 - If more than 49 new fire sprinkler heads will require engineered design criteria 1.3 - If less than 49 new fire sprinkler heads, fire sprinkler permits required Aisles, corridors, and ramps required for exit access shall not be less than 8' ft in clear width Continue fire alarm, and fire sprinkler protection through out Occupancy. 48 hour notice on all fire inspections (call 407) 302-2520 1 i FL ADA Remgdiation Fee Scf> dWe Info CanoerCenlierMainHospital, Main iiospital Mainr)Elospital 8ibewoi ' Medical Office Medical Offt a 1 let Floor 2nd Floor 3rd Floor MaWK ,- Hospital Medlcai Arts 2nd Floor Medical At let i Floor inside/Outside Sq Ft of worts that requires permk Value of work that requires pemit 284 35,067.00 389 205 372 1 no work at all no work at all no work at all no work that requires a permit 449 70,480-00 43,375.00 9,101.00 29,577.00 Value of Work Scitme PIL Totals: Main Inside: $148,922.00 878 Main Hosp Outside: 9,101.00 449 Main Hos AN: 158,023.00 1327 Medical Arts Inside: 29.577.00 372 k Medical Art$ Outside: ' 0 0 Medical Arts Alk 29,577.00 372 Cancer Centarl Inside: 0.00 0 s , Cancer CenWi Outside: 0.00 0 ar. ` . Cancer Center Alr: 0.00 0 aentec And minimai work ou>vside, Does the work: outsideisriotat ,1Ms: uim a ....i don't think it does. in mPerne+st +reloeaAEing 3 car stops, addi2 new cer is n0 work >Ihs':' door Arts &jW Ww no work OUtsidfi Medical Arts B CITY OF SANFORD PERMIT APPLICATION Permit # Job Address: Description of Work: Historic District: Zoning: Value of Work: Permit Type: Building L Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 1 ( Attach Proof of Ownership & Legal Description) Owners Name&Address• 146A 111 Phone: Contractor Name & Address: /2a 4t',,d' S Y,w i 2/lf 3 R'n'i L {w r-1, µT A V1L' Vus%.11Akt_ , -I N ? i'7 7CI p State License Number: Z3 Vtfr Phone & Fax: his- nZ -Z gag. y . 65-Z5 Z-3zecontact Person: 1,, &4 5l o 0 Phone: b 6 S -Z 5 Z - 714( 0 Bonding Company: Address: Mortgage Lender: - Address: k9 hitec ngineer: Address: 30 0 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 apermit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate pcm- itmust 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 constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 twaroperty that may be found in the public records of this county, and there may be additional permits required from other govcmmental entities such as water n ent districts, state agencies, or federal agencies. Acceptance of permit is verifi at 1 will notify the owner of theproperty o require ents of FloLaw, FS 713. 1 o S ds Signatur en' en Date Si ture of Contractor/Age Da 41. Pri erlAKcnt's Name., n Contractor/Agent c t 2.2a of Nola. -Sw ate azure of Not -State of44o" T/1/ ea • • • H'Ie Tenne55e& . • • y• Ole •.J Z r . Z I Owner/ Agent is — Personally Known to Me or Produced 1D APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Contractor/ Agent is _ZPerso I y KnZ Me or wtNr S • Produced ID • 1y` • 2 Zoning: Utilities: '' •• •. initial & Date) (Initial & Date) d \\ f1t1111N1,\\ Aar-22-05 10:05am From —Law Office 6153442200 T-422 P.002/002 F-682 INCUMBENCY CERTIFICATE CENTRAL FLORIDA REGIONAL HOSPITAL, INC. The undersigned, being the Vice President and Assistant Secretary of Central Florida Regional Hospital, Inc. (the "Company does hereby certify that the following named person has been duly elected, is an acting officer of the Company holding -the office set forth opposite his name below and as such is authorized to sign on behalf of the Company: Name Office Thomas C. Gormley Vice President IN WITNESS WHEREOF, the undersigned has hereunto set her hand as of this 22"d day of April, 2005. imls- Dor A. Blackwood Vice President and Assistant Secretary Division of Corporations Page 1 of 1 Florida Deparbizent of State, Diz>ision of Corporations 13!r' ttit,,. fit:#tt• il Nrir.SYrii J2.C Y Pubfic ar. r q CT CORPORATION I I I EIGHTH AVENUE NEW YORK, NY 10011 Document Number Status Date Filed G04181900023 ACTIVE 06/29/2004 Expiration Date Current Owners County 12/31/2009 000000001 BROWARD Total Pages Events Filed FEI Number 000000001 000000000 51-0006522 No Filing History P.:eu otis:.t== ....:::::::::No)...............:::. Owner Information Name & Address FEI Number JFCharter Number CT CORPORATION SYSTEM I I I EIGHTH AVE. 51-0006522 804598 NEW YORK, NY 10011 Document Images Listed below are the images available for this filing. G04181900023 -- 06/29/2004 -- REGISTRATION THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT http://w... /ficidet.exe?action=DETREG&docnum=G04181900023&rdocnum=G0018090013 4/25/2005 Division of Corporations Page 1 of 4 Florida Department of State, Dft sion of Corporations Foreign Profit C T CORPORATION SYSTEM PRINCIPAL ADDRESS 111 8TH AVE 13TH FLOOR NEW YORK NY 10011 US Changed 03/19/2001 MAILING ADDRESS 2700 LAKE COOK ROAD WKUS LEGAL RIVERWOODS IL 60015 US Changed 04/11/2005 Document Number FEI Number Date Filed 804598 510006522 09/09/ 1936 State Status Effective Date DE ACTIVE NONE Last Event Event Date Filed Event Effective Date CORPORATE MERGER 12/08/1976 NONE Reizistered Aizent Name & Address THE CORPORATION COMPANY 1200 SOUTH PINE ISLAND RD. PLANTATION FL 33324 Address Changed: 01 /31 / 1992 Officer/Director Detail Name & Address Title LANDOE, EUGENE A 111 8TH AVE 13TH FLOOR PD NEW YORK NY 10011 cordet. exe?a1=DETFIL&n 1=804598&n2=NANM WD&n3=0000&n4=N&r 1=&r2=&r3=&r4/25/2005 Division of Corporations Page 2 of 4 D'AVANZO, JOSEPH 111 8TH AVE 13TH FL TCFO NEW YORK NY ]0011 US LENZ, BRUCE C 2700 LAKE COOK ROAD S RIVERWOODS IL 60015 US HEALY, PETER F 2700 LAKE COOK ROAD AT RIVERWOODS IL 60015 US GORDON, DALE C 2700 LAKE COOK ROAD VP RIVERWOODS IL 60015 US CARTWRIGHT, CHRISTOPHER I I I EIGHTH AVE, 13TH FLOOR D NEW YORK NY 10011 US Annual Reports Report Year Filed Date 2003 IF 06/05/2003 2004 IF 04/15/2004 2005 04/11/2005 View Events No Name History Information Document Images Listed below are the images available for this filing. Icordet.exe?al=DETFIL&n1=804598&n2=NAMFVWD&n3=0000&n4=N&rl=&r2=&r3=&r4/25/2005 Division of Corporations Page 3 of 4 01 /31 / 1992 -- Reagent Chan&e 06/28/1991 -- ANNUAL REPORT 06/28/1990 -- ANNUAL REPORT 07/27/1989 -- ANNUAL REPORT 07/13/1988 -- ANNUAL REPORT 07/23/1987 -- ANNUAL REPORT 06/30/1986 -- ANNUAL REPORT 07/02/1985 -- ANNUAL REPORT 07/13/1984 -- ANNUAL REPORT 09/08/1982 -- Reg. Agent Change 06/30/1982 -- ANNUAL REPORT 06/30/1981 -- ANNUAL REPORT 07/29/1980 -- ANNUAL REPORT 07/19/1979 -- ANNUAL REPORT 08/05/1978 -- ANNUAL REPORT 06/30/1977 -- ANNUAL REPORT 12/08/1976 -- Merger 06/28/1976 -- ANNUAL REPORT 06/30/1975 -- ANNUAL REPORT 04/05/1974 -- ANNUAL REPORT 04/03/1974 -- RA CERTIFICATE 03/10/1973 -- ANNUAL REPORT 01/26/1973 -- ANNUAL REPORT 03/21/1972 -- ANNUAL REPORT 12/21/1971 -- Amendment 11/24/1971 -- ANNUAL REPORT 07/13/1971 -- ANNUAL REPORT 07/09/1970 -- ANNUAL REPORT 06/30/1970 -- ANNUAL REPORT 06/30/1969 -- ANNUAL REPORT 06/26/1969 -- ANNUAL REPORT 05/27/1969 -- RA CERTIFICATE 06/25/1968 -- ANNUAL REPORT 06/20/1968 -- ANNUAL REPORT 06/12/1967 -- ANNUAL REPORT 06/08/1966 -- ANNUAL REPORT 07/20/1965 -- ANNUAL REPORT 07/30/1964 -- ANNUAL REPORT 06/27/1963 -- ANNUAL REPORT 06/29/1962 -- ANNUAL REPORT 06/12/1961 -- ANNUAL REPORT 06/28/1960 -- ANNUAL REPORT 06/24/1959 -- ANNUAL REPORT 06/04/1958 -- ANNUAL REPORT 06/18/1957 -- ANNUAL REPORT 05/27/1956 -- ANNUAL REPORT 05/16/1955 -- ANNUAL REPORT cordet. exe?a 1=DETFIL&n 1=804598&n2=NAMF WD&n3=0000&n4=N&r 1=&r2=&r3=&r4l/25/2005 Division of Corporations Page 4 of 4 THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT cordet.exe?al=DETFIL&n1=804598&n2=NAMFWD&n3=0000&n4=N&r1=&r2=&r3=&r41/25/2005 CITY OF SANFORD FIRE DEPARTMENT A0 FEES FOR SERVICES 4% 4q PHONE # 407-302-1091 * FAX #: 407-330-5677 C/)-l' S 40 DATE: Qs BUSINESS NAME / PROJECT: Q PERMIT #:R ! PORO ADDRESS: ` ' ` QQ .0 V V \Q=-Z G1,- PHONE NO'D AC7O FAX NO.: \ - Q a - CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ] F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ] TENT PERMIT ] TANK PERMIT [ ] OTHER [,10 TOTAL FEES: S (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # Sguare Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. H. 12. 13. 14. 15. 16. 17. 18. 19, 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention on Appli nt's Signature Jho CITY OF SANFORD FIRE DEPARTMENT 4AFEESFORSERVICES00RCSPHONE # 407-302-1091 FAX #: 407-330-5677 Q& ?OOS DATE: ' PERMIT #: (j s l3S1110.0RoBUSINESS NAME / PROJECT: _win . \ F - `'1 ADDRESS: , oa wA PHONE NO.\S) OC Q'yk1 DO FAX NO.: ,Ok S ^ O '1 D6 CONST. INSP. [ J C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW [ 1 F. A. [ ] F.S. [ 1 HOOD [ ] PAINT BOOTH [ J BURN PERMIT TENT PERMIT ] TANK PERMIT [ ] OTHER TOTAL FEES: $ ynLXA (PER UNIT SEE BELOW) COMMENTS: Address / Blde. # / Unit # Sauare Footaee 2. 3. 4. 5. 6. 7. 8. 9. 10. 12, 13, 14, 15. 16. 17. 18, 19, 20. Fees per Bldg. / Unit Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330- 5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. tin Sanford Fire Prevention Di lion Ap cant's Signature CITY OF SANFORD PERMIT APPLICATION Permit # 0 Job Address: Description of Work: Date: n Historic District: Zoning: Value of Work: S t) Q% S'), Permit Type: Building k1' Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial _A— Industrial Total Square Footage: 31A Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: ttacb Proof of Ownership & Legal Description) Owners Name & Address: C A /e snl h U•n .itti-. Mt/`'+A D.nY Pork PI4-24 4sl..vihr A/ 3r1 Phone: 6 i5 ' 3Lf-I f0T Contractor Name & Address: r3a Knk, oa ve tate Liefase umber. Phone&Fa:: ISIS-Y iZ-"LyOi 6t 3 i' / OataCCrsoo: ' 1 S(o Fi Phone: I S-zcj Z-7.1/ 0y Bonding Company: Address: Mortgage Leader: Address: Architect/ Engineer: u p /t - i 1 Phone: 61 5• 3 XY 16 G b Address: • 7. 31 U Wwgyw1SS,,A. A,, isrShv(iltr y •A) j 3 1 ZD'3 Fax: tI 5 - 3fG • 0 5 Z't Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance ofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 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: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction andzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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. Alceptance of permit is verification that I will notify the owner of the propertyof the requi nts to 'da Lien Law, FS 713. LJ O NSignature of Owner/ gent Date Signature oNtontracbkAgent Date C Bland Eng R...a C1; -o.. JP Pra•ona n. v'sy C 0 E o J O d Print Owner/ Agent's Name /Prin on for/A n N 1g1.T111 1N 1 1S•j,• yCL 2n I1 1E Date Sta•w ' fy-tep—e` alure of NoStateofFloridal' 7S 1 C''J, ST, gT oM . ,rOwner/ Agent is X Personally Known to Me or Produced 1D T OFF • Contractor/ Agent isPersonallyKnowntoMoore-i ; Produced ID • UOtggyFF 1 eC/C rL'b'+ APPLICATIONAPPROVEDBY: Bldg: t Zoning: C Utilities: RFD: iy • • •' Initial & ate) Initial & Date) (Ini/14D d/, • ' Special Conditions: N ft "TY +tt`t P 13 a+raiaw v auiawo®u®iutrau WOW WIRW4 MEW OF CIRCUIT MIRT NOTICE OF CONIMENCENE IKU aW" Permit No. js - p 3 . p 5 _ ; ' sdlfa 5 69 State of Florida • County of Seminole RWMIN6 MS I&GO REUIM by D Thems The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. CERTIFIED COP' 1. Description of property: (legal description of the property and street address if available) „44RyANNi MOR !:t @ ..-4- c---- -- . _ I.- A I I•r--- _r riots T L;I);RT 2. General description of improvement: 3. Owner information a. Name and address b. Interest in property (=wy%,%_ c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address BAtt V\ > S11gtJ 31 W1 aitf - Aro . lti pbku t le 'vy 3 -Z D o T b. Phone number yam • a X. ;L y p p Fax number 4 /S Q q ";L, 3 Z $ !B5. Surety a. Name and address b. Phone number Fax number c. Amount of bond 6. Lender a. Name and address b. Phone number Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address o r a '- t- IZ+ CA,e%L. — 0tv, Vlkv%t •0 .a . 1Vol w• b. Phone numbery c),? - 3a I . qS o o - ') A. cip Fax number Ajo 1- 3 *a- "?3 0 0 8. In addition to himself or herself, Owner designates C jk.-•L of to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statutes. a. Phone number ctaj • 30 ?.--t 356 Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Q ` C4 Signnature of Owner Sworn to (or affirmed) and subscribed before me this 14th day of February ) 20 05 , by Bland Eng Personally Known X OR Produced Identification Type of Identification Produced SAW Esta L. Orseno ature of NotaryPublic, State of Florida Oor MY Commission DD068642 Commission Expires: n Expires January 23 2006 FI. 3 3,) - 5(.e -7 7 CITY OF SANFORD ELECTRICAL PERMIT APPLICATION Permit Number: Date: S The undersigned hereby applies for a permit to install the following electrical: Owners Name: A CA Address of Job: - (A) Se rH if, Ole igkci ti j!•- r - , i') Electrical Contractor: g211 y"F.rrcriu„_T. Residential: Non -Residential: Number Amount Addition, Alteration, Repair Residential & Non -Residential New Residential: AMP Service New Commercial: AMP Service Change of Service: From AMP Service to AMP Service Manufactured Building Other Description of Work: Col- - 0 To,,- (r- 3/ I.1 Application Fee: 10.00 TOTAL DUE: By Signing this application 1 am stating that 1 am in compliance with City of Sanford Electrical Code. Applica Signature EC 0001a 6 9 State License Number PAN AMERICAN ELECTRIC INC. Contractors & Engineers August 8, 2001 City of Sanford 1401 W. Seminole Blvd. Sanford, FL 32771 To Whom It May Concern: 1, Michael W. Campbell, license holder for Pan American Electric, Inc., do hereby authorize Ken Harley to pull permits on my behalf as respects to the project we will be doing at the Centeral Florida Regional Medical Center until December 31, 2001. Michael W. Campbell License Number: X (/. EC 0001269 Subscribed and sworn to this -QE day of A060 2001. E; Notary Public Nv. • . • • • T •• 94V Po-ARVl r My Commisison Expires MAR. 23, 2002 lc o. Ar • L4RGF 1300 FORT NEGLEY BOULEVARD NASHVILLE, TN 37203 P.O. BOX 40786 (37204-0786) 615-242-6336 FAX: 615.256.6155 WEBSITE ADDRESS: htlpJ www.pae-inc.com An Integrated Electrical Services Company CERTIFIED COPY 1 0 b NOTICE OF COMMENCEMENT MARYANNE MORSEPermitNo. Tax Folio No. CLERK of CIRC ... R , State of Florida SEMI OLE COU ORIDACountyofSeminoleAY OEPIJ MKTheundersignedherebygivesnoticethatimprovementwillbemadetocertainrealproperty, and in accordance witfi Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. A' 6 O p am 1. Description ofproperty: (legal description ofthe property and street address if available) G2n r\ 'lort w Q o,i c)a. 2. 1'A01 sc n{OrA General description of improvement: 157--1, 1 o R 3. Owner info ation a. Name and address C en 69-k F LorcAa. QSt 1 yo I W . 5 a I C er.a\ do S F. cy1 li ,C4 1- 1- :277 e b. Interest in property dwy%er c. Name and address of fee simple titleholder (if other than Owner) Contractor a. Name and address 1 c,1C L 1,Q, O p oA, SON yl. iV ng\„ti.11r Ta . 3'1 ZoCt- 0V41. b. Phone number LIS- Z_'L,O S Fax number Cols- Z5 \ -3,o Sy 5. Surety 1110 31111111100011111 a 0111111A 0allollal a. Name and address MARYANNE MIIRSr, C! ERK OF 6II R681 f ......__ b. Phone number Fax nun%WNOLE COUNTY c. Amount of bond BK 04143 PG 1531 6. Lender CLERK'S # 20017324.09 a. Name and address . „ kECORDED 08/08/2001.11:20:18 AM RECO( _ _ RDEB b. Phone number BY 1; McFaxnumerKinley 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address Zl m"!j chm.T4%- Cate{ k U,4wuE Oxg:.cp b. Phone number yA7_ 3: + t%soo Fax number 4A'1- :JCL.. y11O S. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713. 130)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) & n 3Le i ature of Owner low,VE4 SIM I Tq" Sworn ( or affirmed and subscribed before me this. day of 120 Ot , by t Personally Known OR Produced Identification Type of Identification Produced Ignature of Notary Public, State of Florida Commission Expires: ,mo w, Este L Orneno MY Comrmssion CC702798 Expires January 23. 2002 IKS INSTRUNiNT I'REFAM0 w- NAME R O D N F-Y S1211 r ADDR. 1 y O/ W , Sl:iI /r)o `E Qz VP, 3A N I=dR f%,..t..,34 7 7 f Fab 7-02-p CITY OF SANFORD MECHANICAL PERMIT APPLICATION Permit Number: o / — ?C 0-7 Date: 7-9 --0/ The undersigned hereby applies for a permit to install the following equipment: Owners Name: CF.NTl1A%_ FLOAT AA AlrloNA L HOSP/7A L- Address of Job: 14 0% W' S H AA 10J O t E r3Ly p. Mechanical Contractor: ROCK. C I Ty --IM EC K A IV I CA L , Residential Non - Residential AI mount INatureof Work: nJ 5 L %- So To N It COO I-11 D c 11- L-E VL i a N % v PL m L Coot_ N coil_ I LA-- L N L MISAnIV4, COIL 4 -1 O I mtsc,N Job Valuation: Application Fee: 10.00 TOTAL DUE: By signing this application, I am stating that I am in compliance with City of Sanford Mechanical Code. -- — i I Applicant Signature I CM- CO12533 State License Number I A t PhMp R. Sheddon UAL Rock aw M N 407-668-6837 Fax 407-668-2325 E-mail: phll.sheridon@rcm-nashvllle.com 2851 Enterprise Road, Unit 106B DeBorry, FL 32713 www.rcm-nashville.com CITY OF SANFORD PERMIT APPLICATION Permit No.: 01 C)(0 Date: V / Job Address: 14104 Al 5 // + ti Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler Description of Work: 4?4!93 / LC/2 Agsqzi!Bjtt_,,,t Additional Information for Electrical & Plumbing Permits Electrical: _Addition/Alteration _Change of Service _Temporary Pole _New AMP Service (# of AMPS ) Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: Value of Work: S 95 _ 1 Type of Construction: Flood Zone: Number of Stories: 4 Number of Dwelling Units: V Parcel No.: '(Attach Proof of Ownership & Legal Description) Owner/Address/Phone:+i4/!J ./Cli i L `/lf L AW, eRNTdT290 FZ 3Z7 7f Contractor/Address/Phone:dYY- GL/oj/ jyJo,4(/_ . Coj,EA ,.LLi'y y , /N`rt/!Jy SQL 71 J state License Number: 66-C-0O/// %! Contact Person: ONV0116wT 4EI/6 Phone & Fax Number: l05 - 95ro-4Z ,';fit ZoS lS/i/Z Title Holder (Ifother than Owner): A-1A Address: j q 0-7 c/gAj - Zl3 Bonding Company: ,Q Address: Mortgage Lender: /%} Address: Architect/Engineer 6/!!/lii/ 4 Phone No.: "-001-6"0 Address: -Sao 5. e -fjoM gW ftoYe Fax No.: A/4 -2$/— 99 Wj9 If 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. 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 1 will notify the owner ofthe pAtquirements of F ida Lien Law, FS 713. VteSignaturfOwner/Agent ate or/Agent Faenfx- Lm`'!'h- ------ - -- Print Owne Agent's Name ' t Contractor/Agent's Name k- a, IQ 0 Pr) , S7 ature ofNotary -State of Florida Date Sign.-ture of Notary -State of Wer-ido iy',6,,,Dnte Esta L O seno L4* my Commission CC702798 V Expires January 23. 2002 Owner/Agent is Personally Known to Me or Produced ID APPLICATION APPROV D Y: Zi4 1 Special Conditions: a-4 S S Contractor/Agent is Personally Known to Me or Produced 1D Date: (6 - a - 0 L HIS INSTRUh4NT PREPA W IA NAW Ila,-j JdK¢ NOTICE OF COMML-NCEMBN'r Permit No. 2 Tax Folio No. State of Flonda County of Seminole 18 "r m 1 N q " 3 $ar a61a The undersigned hereby gives notice that improvement will be made to certain real property, and it accordance witli Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property and street address if available) u4L 4rct¢iC)4 ,¢6k.-oN,44- fT tG 6 z WFw'-h4l",/"469 9ud-4 Al- dZ 7 71 2. General description of improvement e5 98rK-,H/19EntT Owner information a. Name and address b. Interest in property Ho_.ojT.L Gl di c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor 0 a. Name and address 72FW i LET Zfo/ 9 _ 45mg- b. Phone number tcz5 - 956- 59oZ Fax number Zo - 95/- Surety a. Name and address AIIA PFRTIFIFn COPY b. C. MORSE Phone number Fax number ClFRK nF CIRCUIT 1f_ Amount of bond 6. Lender a. Name and address b. Phone number Fax number MTOAM Persons within the State of Florida designated by Owner upon whom notices or other docum maybe Was provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address )DLqVI-A d—L4kQ1_ W%A- SDI !1Qie Alud. b Phone number Y07- 33/- yS 0-d_-Mft_ t Far number _.Y07- aOl • 23.Od _- __ 8. In ditnon to himself or herself. Owner designates 'I"ay-t Leto i s - ' erg S i ao n of 11fifl- lf e-11e&_ CO to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statutes. a. Phone number g4__o;:TrQML- Fax number o,- j."/-,,-—Lr 9. Expiration date of notice of commencement (the expiration date is l year from the date of recording unless a different date is specified) Si mature of Owner Sw m to (or affirmed) and subscribed before me this oJ60 Iday of —& _ 20 Ot_. b%. Personally Known OR Produced Identification ANNE MORSEE,SEMINC CORUNTF CIRCUITCOURT Type of Identification Produced BK 04186 PG 0483 CD (a" SI ture of Notary Public, State of Florida Commission Expires: FILE NUM 2001757914 Este LOraeno RECORDED 10/04/2001 03t86t49 PM MrCommission CC7027WMRDINS FEES 6.00 9°'r«yExpiresJanuary23.2oo2REMRDEDBY M Noldon nn 111111 IN I 11111111111111111111111111111110 111111111 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: O 10 O PERMIT #: -66 BUSINESS NAME / PROJECT: ' l_. Roc-4o, i ikL ADDRESS: 14p [ 1,--j e&Se oje, R V PHONENJIDWO F AX Nd2jO) CONST. INSP. { ] C / O INSP.:[ ] REINSPECTION [ ] [—&ANS REVIEWIPI F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN'PERMIT-[ ] TENT PERMIT {,]_ _ TANK PERMIT [ ] OTHER [ ] TOTAL.F,EES. $ (PER UNIT SEE BELOW) COMMENTS: Address / Bldg_ # / Unit # Sguare Footage Fees per Bldg. / Unit 1. // 2. bl 3. 4. 5. 6. 7. 8. / r 9. 10. 12. 13. 14. 15. 16, 17. 18. 19, 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire P vention Division ktApp"Iicant'lSig ature 05 — Zv1 CITY OF SANFORD_ PERMIT APPLICATION Permit # : Date:g/2(0/05 Job Address: 7UMIA11ZL-t-E 91-0 Description of Work: 1 k/ I E 6113 f & kS Historic District: Zoning: Value of Work: S 30, D0o 01 Permit Type: Building Electrical Mechanical _)_ Plumbing /\ Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential _X_ Replacement )( New (Duct Layout & Energy Ca1c. Required) Plumbing/ New Commercial: # of Fixtures l # of Water & Sewer Lines # of Gas Lines Plumbing(New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial --%_ Industrial Total Square Footage: Construction Type: # of Stories:_ # of Dwelling Units: Flood Zone: (FEMA form required forother than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name&Address: CSIT_FL_ NEUAIVAL 4) . 1101 W,Sl2,/llll/V LAID - Phone: , 1 Contractor Name & Address: 2750 State License Number: CFC D57051 C me GCJ Phone & Fax:gt7 gay 9WV L/a t{0% M 7772cootact Person: 5TAEA ELL. % Phone: Bonding Company: 2LET A 5rcCIATt r Address: FL Mortgage Lender: Address: Architect/Engineer: L Phone: 09 q4 I_qQ 4 Fax: bid 2k 8DaI 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 ofa permit and that all work will be performed to meet standards of all laws regulating constriction 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 AFFIDAVEC: I certify that all ofthe 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURNOTICE 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 wa 4management districts, state agencies, or federal agencies. Acceptance ofpermit is verification that 1 will notify the owner of the property of the requiremen %Li Pen owl r r ZU /aS Signature of Owner/Agent Date 'Si§nah& of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date L-)-1e— VIc R. ELc. L5 Pri Contractor/Agent's Name ignature of otary_$,Cate o o to Owner/Agent is _ Personally Known to Me or Cont Produced ID APPLICATION APPROVED BY: Bldg:!/"' ! Q it g Initial & Date) (Initial & Date) Special Conditions: OEBBIE BLANTONMYCOM•N.15SION # W 1a8491CXFI,t 3hr Sr,: TAPerson lly KnoWflTo2 13?A7 Ot:COUn1,,Z30C. Co. Utilities: FD: Initial & Date) (Initial & Date) 1•: ; Ot•:?•+ "Y y,,,: _,.,;t,.3'ry,1;yAs,j` F2,+,t{v;F* ir,. c,4,','to7i"ia'1`+Ir'tti.1c4" (J`;v,'"`; y.i .,i _ 4>n.. M + t•. I ;,;y+{'l•'t7•St v'7,i( S i3ti'?Y a'{ljS rJ"7' i'4Yyjk f S CITY OF SANFC,RDtPER;fI1T APPLICATION Permit # . C-s -S Date Job Address: % y l J l/7 o/Ge I,Qv i4 aJ MM I/. / Description of Work: 'Jr o /l4 rt uoGvl 3 F S ew,/ ccoGQ't s./tt Cia- A+dC CJ/S 1 alp/ Q p Historic District: Zoning. Value of Work: Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # ofWater & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # ofDwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 25 - (q-3o-rrQGr- o &7- v000 (Attach Proof of Ownership & Legal Description) Owners Name & Address: C e /C/. 1e Glyiv 4L fj(E40i77¢L Ti-C, 6 ak "-Toy. xy*q ;yr41E , TN. Phone: Contractor Name & Address: LLC. 2ZR0 Oz-,b F/, 3 Z7p71 — (jµ f f . /s,$,Cf''0" :ZIr Statee Licensee Number: Flrowe-& Fax: Jd % tGlgp - y3 F Contact Person: oyelth lL 191f4,r? .kJ Phone: /o7-6BB/i i k/ Z1 Bonding Company: Address: Mortgage Address: Architect/Engineer: Phone: Address: MAR .i- +' Fax: Application is hereby made to obtain a permit to do thework and installations as indicated. 1 certify tF rU, wotk"or installation has commenced prior to the issuance of a permit and that all work will be performed to meet IM.dthat consuintion inAis jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING S S, NA48; Bdl} ERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. "< OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accuwork will be dotit-in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CAN RIFTCEMENT MAY RESULT IN YUU)i PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 Signature of Owner/Agent Print Owner/Agent's Name I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. ir/ 4. / 11 3- "e-o Date Signature of Contractor/Agent Date Zrz nN PriContractor/Agent's Name A Signature of Notary -State of FloridaDate Signature of Notary -State of Florida Date ` ."' Ce mm 0 CL Owner/ Agent is _ Personally Known to Me or Contractor/Agent is Personally Know to Me or V tW Q Produced lD APPLICATION APPROVED BY: Special Conditions: Produced lD Bldg1f 3 J 0 Zoning: 3 ' 10,10 tilities: 2D FD: f Initial & Date) (Initial & Date) (Inifi Date) (Initial & J 4 M leminole County Property Appraiser Get Information by Parcel Number Page] of 2 Personal Property Please Select Account D"m JOtiNsoM, CFA, ASA PROPERTY APPRAISER FU SEMINOLE COUNTY FL. 1 101 E. FIRST ST SANFORD, Ft- 32771.146E 4C7.665 - 7506 a, •r, a t GENERAL 2005 WORKING VALUE SUMMARY S3-SANFORD- Value Method: Market 25-19-30-5AG- Parcel Id: 0117-0000 Tax District: WATERFRONT Number of Buildings: 5 REDVDST Depreciated Bldg Value: 15,804,531 CENTRAL FLA Owner: REGIONAL Exemptions: Depreciated EXFT Value: 131,386 HOSP INC Land Value (Market): 1,112,018 Own/Addy: C/O TAX DEPT Land Value Ag: 0 Address: PO BOX 1504 Just/Market Value: 17,047,935 City,State,ZipCode: NASHVILLE TN 37202 Assessed Value (SOH): 17,047,935 Property Address: 1401 SEMINOLE BLVD W SANFORD 32771 Exempt Value: 0 Facility Name: CENTRAL FLORIDA REGIONAL HOSPITAL Taxable Value: 17,047,935 Dor: 73-PRIVATE HOSPITALS Tax Estimator SALES 2004 VALUE SUMMARYDeedDateBookPageAmountVaclimp WARRANTY DEED 09/1986 01778 1690 $100 Improved 2004 Tax Bill Amount: 353,955 WARRANTY DEED 08/1980 01292 0745 $110,000 Vacant 2004 Taxable Value: 17,270,285 WARRANTY DEED 07/1980 01289 1216 $595,000 Vacant DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales within this DOR Code LEGAL DESCRIPTION PLAT ALL BILKS 1N&2NTR17&1N&2NTR18& ALL VACD STS BET & ALL VACD ALLEY ADJ ONN&N16 FT VACD ST ADJ ON S & E 1/2 VACD ST ADJ LAND ON W OF BILK 2N TR 18 & BLKS 1 & 1 N TR 19 & Land Assess Method Frontage Depth Land Units Unit Price Land Value ALL VACD ST SQUARE FEET 0 0 889,614 1.25 $1,112,018 BET & ALL VACD ST ADJ ON E & S 1/2 VACD ST ADJ ON N & N 1/2 VACD ST ADJ ON S & ALL LAND LYING N OF BLKS 2N TR 17 & 2N TR 18 S OF NARCISSUS RD TOWN OF SANFORD PB 1 PG 113 BUILDING INFORMATION Bid Bid Class Year GrossFixtures Est. CostStoriesExtWallBidValueNumBitSFNew 1 MASONRY 1982 799 176,942 3 BRICK COMMON - MASONRY $11,320,996 $15,402,716PILAS Subsection / Sgft LOADING PLATFORM CANOPY / 700 Subsection / Sgft CANOPY / 2170 2 WOODBEAM/COL 1982 0 720 1 METAL PREFINISHED $12,125 $16,497 3 MASONRY 1988 10 2,205 1 BRICK COMMON - MASONRY $182,955 $230,132PILAS littp://www.scpafl.oru/pls/web/re_web.scmiiiole_county_title?parcel=2519305AGO 117000... 3/18/2005 Jeminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 4 MASONRY 1992 50 17,914 2 BRICK COMMON - MASONRY 1,444,054 $1,724,244PILAS Subsection / Sgft CANOPY / 903 5 MASONRY 2000 30 33,315 1 CONCRETE BLOCK -STUCCO - 2 844,401 $3,034,028PILASMASONRY Subsection I Sqft OPEN PORCH FINISHED 11433 Subsection / Sgft CARPORT FINISHED 11929 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New POLE LIGHT ALUMINUM 1982 14 2,940 2,940 WALKS CONC COMM 1982 17,655 15,007 35,310 COMMERCIAL ASPHALT DR 2 IN 1982 191,700 67,622 159,111 WALKS CONC COMM 1988 725 834 1,450 WALKS CONC COMM 1992 2,865 3,868 5,730 ALUM CARPORT NO FLOOR 1992 56 127 224 ALUM PORCH W/CONC FL 1998 1,128 5,623 7,332 ALUM SCREEN PORCH W/CONC FL 1998 792 5,163 6,732 COMMERCIAL ASPHALT DR 2 IN 2000 41,587 30,202 • 34,517 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 year's property tax will be based on JusVMarket value. http://www.scpafl.org/pis/web/re_web.seminole_county_title?parcel=2519305AG0I 17000... 3/18/2005 CITY OF SANFORD PFRMrr APPLICATION I. Permit # : 05-2018 Job Address 1401 W. Seminole Blvd. Date:. 8/3/2005 Description of work: Fire Alarm devices in ADA remediation Historic.DLsMM: Zoning:' Value o Work: S 500.00 Permit Type: Building Electrical Mechanical Plumbing• Fire Spjir kler/Alarm )( Pool Electrical; New Service — # of AMPS Addition/Alteration X Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/New Commercial: # of Fixtures # ofWater & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy type: Residential Commercial X Industrial Total Square Footage: Construction Type: # of Stories # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Descrlptlon) Owners Name & Address: Central Florida. Regional Medical Center 1401 W Seminole Blvd - Sanford,FL Phone: 407-321-4500 Contractor Name & Address: Enterprise Electric Inc. - 365 Taft Vineland Rd, Suite 107 - Orlando,FL 32824 State License Number: EC0002156 Phone & Fa:: 407-852-2904 407-852-2930 Contact Person: Jim Groff Phone: 321-228-9731 Bonding Company: Address: Mortgage Lender: . Address: Archited/Englneer: Address: Phone: Fax: 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 ofthe 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. 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 ofthis permit, there may be additional restrictions applicable to this property that maybe found iq 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 Signature of Owner/Agant 'Date' Print Owner/Agent's Name Signature ofNotary -State ofFlorida Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning:' r lorida en L , FS 713. Co tra or/AjVt Date for/Am at's Name 11 Not * ft9X'-DE ,VE Date MY COMMISSION t DD 164280 EXPIRES: November12,2006 Produced ID , \ o \ Q — Utilities:- Initial & Date) (Initial & Date) N M S o' AD \0 -C i FD: Initial & Date) ENTERPRISE ELECTRIC,LLC CONTRACTORS AND ENGINEERS August 2, 2005 City of Sanford Building Permits P.O. Box 1788 Sanford, FL 32772 RE: Authorization to Pull Permits with the City of Sanford Anthony A. Tidwell, Qualifier Enterprise Electric, LLC To Whom It May Concern: Please accept this letter as my written authorization to allow Kenneth J. Groff to pull permits with the City of Sanford on behalf of myself and Enterprise Electric, LLC. The following is information about the job he is pulling permits for: Central Florida Hospital ADA Remediation for Fire Alarm Should you have any questions regarding this request, please feel free to contact me at (615) 350-7270. Sincerely, ENTERPRISE ELECTRIC, LLC antho A. Idwell Senior Project Manager fIAMi A•71C WCJI being duly sworn deposes and says that the information provided herein is true andl sufficiently complete so as not to be misleading. Subscribed and sworn to me this ZvLday of AUCR 2005. NOTARY PUBLIC: t HENOMyCommissionExpires: STATE y r- TENNESSEE O NOTARY PUBLIC 7100 Cockrill Bend Boulevard - Nashville, Tennessee 37209 • Phone: 615.350.7270 • Fax: 615.350.7242 • Web Site: www.enterpriselic.com 00O N fl 40,' 1 . " 1401 W. Seminole Blvd Central Florida Regional Hospital 01=2067 02m66 05-2013 05-2133 i 1401 W. Seminole Blvd Central Florida Regional Hospital , 04=1657 05=2347 05=3398 054 023