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1401 W Seminole Blvd - 02-000349 (CFRH) REMODEL DOCUMENTS
I I i1 d PERMIT '^i V C./ lw HospADDRESSnl7 (e SUBDIVISION vi CONTRACTOR by) n c e ass JDc, ADDRESS &T aa!a ':: PC, r V U -t, I L4 D O< CAoAo, F L 3 )-g lei PHONE NUMBER " f 0) - J, 0- 0 ( l7 0 PROPERTY OWNER_ ADDRESS I W • ( M fl3I e- PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR FEE PERMIT NUMBER FEE PERMIT # N _ 3 `I 9 DATE l ka( " 0 J PERMIT DESCRIPTION E K+ • PERMIT VALUATION a ) , )- Jc (o) C) 00 SQUARE FOOTAGE 2. 35k.D I rec CITY OF SANFORD PERAET APPLICATION Permit No.: Date: 11 / 2 0 / 01 Job Address: 1601 Weat Seminnle Rniilpvarr __ Ranfnrri, FT. 32771 Permit Type: _ZXL)suilding Electrical Mechanical Plumbing Fire Alarm/Sprinkler Description of Work: Exterior Skin Renovations 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 xx Commercial _ Industrial Total Sq Ftg: 22 , 350Ext%&rofWork: S 1. 256 , 000, 00 Type of Construction: Rennva t i nn Flood Zone: Number of Stories: Number of Dwelling Units: NIA__ Parcel No.: Owner/Address/Phone:_ HCA Attach Proof of Ownership & Legal Description) 1401 West Seminole Rniilevard, Sanford- FL. 3232 Contractor/Address/Phone: Dunn Southeast d/b/a R.J. Griffin & Compan R529 Smith Park Circl , Suite 140, Orlando, FL. 32R19StateLicense Number: CG—0062145 Contact Person: Larry Grubb Phone & Fax Number: 407.370.0100 / 407.370.0166 Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender:, Address: Architect/ Engineer Lyman Davidson Dooley, Inc. PhoneNo.: 615.244.7399 Address: 209 10th Avenue South. Suite 327. Cummins Station Fax No.: 615.244.6697 Nashville, Tennessee 37203 .6 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 thispermit, 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 therequirements of Florida Lien Law, FS 713. k1lot Signatureweer/Agent batd 4Pr e / Agent's Name Sr e o Notary -State of Florida u NNEsta L omen*My Commamon CC702798 w Expires January 23. 2002 Owner/ Agent is Personally Known to Me or Produced ID ------ Signature of Contractor/Agent Date Wk V a& , X'ay_i4t Print Contractor/Agent's Name CQP* A . ft_X l k.rp.v 1 Signature of Notary -State of Florida p Date AMBER L BARNES y _ MY COMMISSION # CC 95M EXPIRES: August 27, 2004 Undwamn Contractor/ Agent is_ Personally Known to Me er 0 APPLICATION APPROVED BY: Date: Special Conditions: I . .. I , . ;, SC111:11111.1: "A" A -of -113"b:k: 2-N and all of Block 1-N Of Ticr 17, of Florida Lai and Colonization Company's Mapof tit, Certrucle Addition to Sanfo'rj _. as , l)cr plot thereof duly of record; also Beginning .! It- the Northwest corner of 1.)uck ?-N, of: - Tier-- 17. of Florida Lan and -Col oni'za t i on Company's Map -of tit . Gcrt rude Add tion'- to the • Town' of.Sanford, Florida, run West 378 feet, to the center of •Jessamine• Avenue at its North -end; thence North 4R4 feet more or 1•ess to the = . lok water . on-Lakc." Monroe, tlience Southcasierly along %the loin water:. mark. on Lake Monroc .392.1 feet more or less to a poini-North.of the point. of 'beginning;' thence Soi1tls •426 feet more.or. Icss to thr point of beginning;_ also All of Block .1, all of -Block l -N,. and all of Block 2=T1; in Tier 18, . according . to •bride Land and. Colon! z.it ion Company's. Reap of, St. Gertrude Addition to the 'rown of Sanford, Florida;-'ais.,per plat thereof duly of record; also Beginning at .tl)c northwest corner of Block 2-140- of Tier.:179 according. to Florida Land and Colonization 'Company's ?lap of St. Gertrude Addit:: to the Town -of Sanford, run thcncc north 144 . S'1--feet mote -.or less .to. the low water mark in. i.akc Monroc. thence Southeaste'rl.y 'along the . '= mr " Idering line of the low water mark i•n Lake- llonroe, - a distance b. 25_. 5 feet more or less to a stake' at low water mark in Lake-?Ionroe;,; thence South a distance of 297 feet:more or less to the Northeast = corner of said Block 2-N, .of.• Tier 17, thence '1Vest.'248 feet more or. . lets to .the point of beginning; also EXCEPTING ' from the above described lirol)erty a.strip of land 90 feet inwidth, the Northerly line_ of wjiich .is, the -Northerly line of the coping on. the'concrete retai-Wing wall -along the South shore of Lake - Monroe, Acss the' North-.2 'feet- thereof, across the following described - proper t.y, to -wiz:.. Beginning at the Northwest -Corner of -Block-.2•14, Tier • 17 of'.'florlda Land 'and ' Coloni zatinn Company's lisp* of St, . GertrulSAdditiontothe 'Town -of- Sanford,' Florida.;'run--thcnce"h'csx ' 373- feet to center -of Jcssamine..hvcnue; Thence North 484 feet more or less to Lake Monroe; t-licncc Sout11c:istcrly along said Lake Shore 332. 4 feet to a _ point. -of beginning; thence South to 'beginning; . also. Beginkning at* the northwest. corner of Block 2-N, 'Tier 17,` in said.St.• Gertrude Addition,, run North 344.5 fret more or less to Lakc Monroe; thence- Southcastcrly along the sl orc of said lake 252.5 feet; thence Sou Eh 297' feet more -or less to the :ortheast corner of said Block 2-N, thence We' st" 248 feet to beginning'. LESS.- T03d:-ri9bt-0f-.`Wa.Y of U.- S. 77-92 - State Road 15-000. A11 - qj --BLOCK 1, TIER 1.7.,-F-J.ORI DA LAND AND COLONIZATION C0MPAgy S ltAP. OF_5T. • G%kTRUD't- AVDI T I t7A TO` iOh'Ir' OF SANF:RL L a, cprdij.g to Plat Dook 1, thePlatthcrcof..as -recorded 'in CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 j DATE: L I —D-D-0 PERMIT #: Oa BUSINESS NAME / PROJECT: L R, ADDRESS: H 0 ` W S t+r'C1 ` d% PHONE NO.: CONST. INSP F. A. N, F.S. TENT PERMIT TOTAL FEES: S COMMENTS: 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13, 14, 15. 16. 17. 18. 19. 20. FAX NO.: C / O INSP. j 1 REINSPECTION [ ] PLANS REVIEW [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT (] I TANK PERMIT [ ] OTHER K PER UNIT SEE BELOW) Address / Bldg. # / Unit # Square Footage Fees ner 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. I, 0` Sanford Fire Pr ention bivision Applicant's Sig ature 1111-) 1 rkEYAkED NYt CERTIFIED Copy , NAME r r, b b MARYANNE lyono a i1410E OF COT ffiNCEMENT CLERK OF CIRCUIT IQUNFiDDR _ ar t rC C_ S{e 1 t U ax Folio No. SEMIPermitNo State of Florida County aF$arnnt4e---Y---- - 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. NOV 3 fe20011. Description ofproperty: (legal description of the property and street address if available) 1401 West Semino Boulevard Sanford, FT 32771 — 2. General description of improvement: Exterior URgrades and RPnovarions 3. Owner information a. Name and address Central Florida Regional Hospital 1401 West Seminole Boulevard, Sanford, Florida 32771 b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor 0) Name and address Dunn Southeast d/b/a R J Griffin & Company 8529 South Park Circle, Suite 140, Orlando Florida 37819 b. Phone number 407 370, 0100 Fax number 407.370, 0166 Surety a. Name and address b. C. Phone number Amount of bond 6. Lender a. Name and address Fax number 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(l)(a)7., Florida Statutes: a. Name and address —HC,p—/. Central__FloxAda_Regiong1 Hospual 1401 West Seminole Boulevard Sanford, Florida 37771 b Phone number 407.321.4500____ _ Far number 407 307 3700 _— 8. In addition to himself or herself, Ownef designates Michael G. Bartlett of Dunn Southeast dba R.J. Griffin & Cn _ to receive a copy of the Lienor•s Notice as provided in Section 7 l 3.13(I)(b), Florida Statutes. a. Phone number 4O7.37n_n1nn Fax number 407 370 nl66 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) ature of Owner Sworn to (or affirmed) and subscribed before me this / day of .20 Of by Personally Known OR Produced Identification NARYMNNE MORE, CLERK OF CIRCUIT COURT Type of Identification Produced --- PG CLEF OF SEMI COUNTY BK 04229 PG 0996 FILE NUM 2001783260 RECORDED 11/30/P001 IWOOI AN y,','y4 Esta L orseno KMRDING FEES 6.00 Sig ature ry Public, State of Florida * *MYCommisstonCC702XWRDED BY N Noldenofota VZ' Expires January23.2002CommissionExpires: 11111Af1111111m111111a11n111111ma1111111111a11111INI REVISIONS PERMIT # p -Z— 73 c,( q DATE ADDRESS ( o c LJ • 6, `(Do t-\ CONTRACTOR PH # DESCPRITION OF REVISION: UTILITIES FIRE m FAX # a B aE t i• vCNt T CUF;E DET:4IL i F i t, M't •p<<-_ems - jq LMItO > BP200P0l CITY OF SANFORD 1/18/06 Permit Master Information Inquiry 08:23:52 Position to 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 7=Structure inquiry 8=Permits inquiry 9=Inspection inquiry 10=Display Map Opt Number Property Address 06 00000089 1401 W SEMINOLE BLVD 05 00003915 1401 W SEMINOLE BLVD 05 00003398 1401 W SEMINOLE BLVD 05 00002347 1401 W SEMINOLE BLVD 05 00002133 1401 W SEMINOLE BLVD 05 00002013 1401 W SEMINOLE BLVD 05 00001023 1401 W SEMINOLE BLVD 05 00000943 1401 W SEMINOLE BLVD 05 00000933 1401 W SEMINOLE BLVD 04 00002420 1401 W SEMINOLE BLVD- F3=Exit F5=Refresh F11=Change view This is a subsetted list F17=Subset Type Status FSUP AP ELEC AP INCM AP FNCE AP FRSP AP INCM CO INCM CO SIGN AP INCM CO FRSP AP More... BP200P0l CITY OF SANFORD 1/18/06 Permit Master Information Inquiry 08:23:52 Position to 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 7=Structure inquiry 8=Permits inquiry 9=Inspection inquiry 10=Display Map Opt Number Property Address Type Status 00 00002206 1401 W SEMINOLE BLVD FRAL CL 00 00001615 1401 W SEMINOLE BLVD FRSP CL 00 00001614 1401 W SEMINOLE BLVD FRSP CL 00 00001025 1401 W SEMINOLE BLVD PLBG CL 00 00000698 1401 W SEMINOLE BLVD MECH CL 00 00000697 1401 W SEMINOLE BLVD MECH AP 00 00000481 1401 W SEMINOLE BLVD ROOF CL 00 00000216 1401 W SEMINOLE BLVD ELEC AP 00 00000191 1401 W SEMINOLE BLVD ELEC AP 00 00000190 1401 W SEMINOLE BLVD ELEC AP More... F3=Exit FS=Refresh Fll=Change view F17=Subset This is a'subsetted list BP200P0l CITY OF SANFORD Permit Master Information Inquiry Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 7=Structure inquiry 8=Permits inquiry 9=Inspection inquiry 10=Display Map Opt Number Property Address 00 00000189 1401 W SEMINOLE BLVD 00 00000188 1401 W SEMINOLE BLVD 00 00000126 1401 W SEMINOLE BLVD 00 00000075 1401 W SEMINOLE BLVD 00 00000010 1401 W SEMINOLE BLVD 99 00003541 1401 W SEMINOLE BLVD 99 00003375 1401 W SEMINOLE BLVD 99 00003357 1401 W SEMINOLE BLVD 99 00003347 1401 W SEMINOLE BLVD 99 00003252 1401 W SEMINOLE BLVD F3=Exit FS=Refresh Fll=Change view This is a subsetted list F17=Subset 1/18/06 08:23:52 Type Status ELEC AP MBLE CL A/AN CO MECH AP PLBG AP SDVP AP SDVP AP TCAU CL ELEC CL INCM AP More... BP200P0l CITY OF SANFORD Permit Master Information Inquiry Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 99 00003248 1401 W SEMINOLE BLVD 99 00003247 1401 W SEMINOLE BLVD 99 00003225 1401 W SEMINOLE BLVD 99 00003055 1401 W SEMINOLE BLVD 99 00002643 1401 W SEMINOLE BLVD 99 00002465 1401 W SEMINOLE BLVD 99 00001372 1401 W SEMINOLE BLVD 99 00001247 1401 W SEMINOLE BLVD 98 00002093 1401 W SEMINOLE BLVD 98 00000827 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit F5=Refresh Fll=Change view F17=Subset This is a subsetted list 1/18/06 08:23:52 Type Status ELEC AP MECH AP ELEC • CL TCAU CL SCRN CL SITE AP FRAL CL ELEC AP OTEP AP ELEC AP More... BP200P0l CITY OF SANFORD 1/18/06 Permit Master Information Inquiry 08:23:52 Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 98 00000776 1401 W SEMINOLE BLVD 98 00000633 1401 W SEMINOLE BLVD 97 00002143 1401 W SEMINOLE BLVD 97 00002115 1401 W SEMINOLE BLVD 97 00001933 1401 W SEMINOLE BLVD 97 00000979 1401 W SEMINOLE BLVD 97 00000610 1401 W SEMINOLE BLVD 97 00000553 1401 W SEMINOLE BLVD 97 00000552 1401 W SEMINOLE BLVD 97 00000540 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit FS=Refresh Fll=Change view F17=Subset This is a subsetted list Type Status SCRN CL ABGT AP ELEC AP FRSP AP INCM AP FRAL AP ELEC CL MECH CL PLBG CL FRSP AP More... BP200P0l CITY OF SANFORD 1/18/06 Permit Master Information Inquiry 08:23:52 Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 97 00000422 1401 W SEMINOLE BLVD 96 00002684 1401 W SEMINOLE BLVD 96 00002648 1401 W SEMINOLE BLVD 96 00002647 1401 W SEMINOLE BLVD 96 00002602 1401 W SEMINOLE BLVD 96 00002601 1401 W SEMINOLE BLVD 96 00002415 1401 W SEMINOLE BLVD 96 00002414 1401 W SEMINOLE BLVD 96 00002413 1401 W SEMINOLE BLVD 96 00001677 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit FS=Refresh Fll=Change view F17=Subset This is a subsetted list Type Status INCM CL ELEC AP ELEC CL SIGN AP ELEC CL SIGN CL ELEC AP MECH AP MECH AP FRSP AP More... BP200P0l CITY OF SANFORD 1/18/06 Permit Master Information Inquiry 08:23:52 Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 7=Structure inquiry 8=Permits inquiry 9=Inspection inquiry 10=Display Map Opt Number Property Address Type Status 96 00001539 1401 W SEMINOLE BLVD ELEC AP 96 00001516 1401 W SEMINOLE BLVD MECH AP 96 00000764 1401 W SEMINOLE BLVD PLBG AP 96 00000258 1401 W SEMINOLE BLVD TREE CL 96 00000074 1401 W SEMINOLE BLVD INCM AP 96 00000073 1401 W SEMINOLE BLVD INCM AP 95 00001135 1401 W SEMINOLE BLVD ELEC CL 95 00000717 1401 W SEMINOLE BLVD ELEC CL 95 00000716 1401 W SEMINOLE BLVD SIGN CL 95 00000218 1401.W SEMINOLE BLVD VAR2 AP More... F3=Exit F5=Refresh Fll=Change view F17=Subset This is a subsetted list BP200P0l CITY OF SANFORD Permit Master Information Inquiry Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 94 00002325 1401 W SEMINOLE BLVD 94 00001739 1401 W SEMINOLE BLVD 94 00000299 1401 W SEMINOLE BLVD 94 00000230 1401 W SEMINOLE BLVD 93 00002028 1401 W SEMINOLE BLVD 93 00002019 1401 W SEMINOLE BLVD 93 00001870 1401 W SEMINOLE BLVD 93 00001816 1401 W SEMINOLE BLVD 93 00001802 1401 W SEMINOLE BLVD 93 00000991 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit FS=Refresh Fll=Change view F17=Subset This is a subsetted list 1/18/06 08:23:52 Type Status ELEC CL MECH CL MECH CL PLBG AP ELEC AP PLBG AP MECH CL ELEC CL INCM CO ELEC CL More... 7 BP200POl CITY OF SANFORD Permit Master Information Inquiry Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 93 00000514 1401 W SEMINOLE BLVD 93 00000485 1401 W SEMINOLE BLVD 93 00000447 1401 W SEMINOLE BLVD 93 00000359 1401 W SEMINOLE BLVD 93 00000128 1401 W SEMINOLE BLVD 93 00000127 1401 W SEMINOLE BLVD 93 00000059 1401 W SEMINOLE BLVD 93 00000048 1401 W SEMINOLE BLVD 93 00000047 1401 W SEMINOLE BLVD 92 00001580 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit FS=Refresh Fll=Change view F17=Subset This is a subsetted list 0 1/18/06 08:23:52 Type Status ROOF CL FRSP CL ELEC CL FRSP CL ACLPLBG MECH CL A/AN CO ROOF CL ROOF CL FRSP CL More... BP200P0l CITY OF SANFORD Permit Master Information Inquiry Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 92 00001420 1401 W SEMINOLE BLVD 92 00001362 1401 W SEMINOLE BLVD 92 00001361 1401 W SEMINOLE BLVD 92 00001339 1401 W SEMINOLE BLVD 92 00001279 1401 W SEMINOLE BLVD 92 00001278 1401 W SEMINOLE BLVD 92 00001277 1401 W SEMINOLE BLVD 92 00001276 1401 W SEMINOLE BLVD 92 00001268 1401 W SEMINOLE BLVD 92 00001267 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit FS=Refresh Fll=Change view F17=Subset This is a subsetted list 1/18/06 08:23:52 Type Status ELEC CL MECH CL PLBG CL NON CO A/AN CO A/AN CL MBLE CL ELEC CL MECH CL PLBG CL More... BP200P0l CITY OF SANFORD Permit Master Information Inquiry Position to . . 06 99999999 Starting application number Type options, press Enter. 1=Select for all 6=Application inquiry 8=Permits inquiry 9=Inspection inquiry Opt Number Property Address 92 00001024 1401 W SEMINOLE BLVD 92 00001023 1401 W SEMINOLE BLVD 92 00001013 1401 W SEMINOLE BLVD 92 00000974 1401 W SEMINOLE BLVD 92 00000782 1401 W SEMINOLE BLVD 92 00000258 1401 W SEMINOLE BLVD 91 00001561 1401 W SEMINOLE BLVD 91 00001556 1401 W SEMINOLE BLVD 91 00001555 1401 W SEMINOLE BLVD 91 00001449 1401 W SEMINOLE BLVD 7=Structure inquiry 10=Display Map F3=Exit F5=Refresh Fll=Change view F17=Subset This is a subsetted list 1/18/06 08:23:52 Type Status MECH CL PLBG CL ELEC CL INCM CL INCM CL FRSP CL ELEC CL PLBG CL MECH CL ELEC CL More... Vr CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES 1 n PHONE # 407-302-1091 * FAX #: 407-330-5677 V+ DATE: 0 PERMIT #: O — 01 BUSINESS NAME / PROJECT: C F—,. ADDRESS: 14 a ad PHONE N FAX NO.:6%7 CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ 1 B*N PERMIT [ ] TENT PERMIT ] TANK PERM I\T _(_ ] OTHER [ ( ` r N!j TOTAL FEES: $ V (PER UNIT SEE BELOW) I? L. COMMENTS: Address / Bldg. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13, 14. 15, 16. 17. 18. 19. 20. Sguare Footage 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. Sanford Fire ion Division Applicant's Signat re CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION 0 Cystology O.R. INTERIOR COMMERICAL REMODEL **** DATE: 05/05/05? PERMIT #: ' ADDRESS: CONTRACTOR: PHONE #: 05-933 1401 W. Seminole Blvd R J Griffin & Companv 407-370-0100 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. gineerin S OPublic Works ElUtilities Fire 0 5 oS o Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS COND) . ION -AL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION Cystology O.R. INTERIOR COMMERICAL REMODEL **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 05/05/05 05-933 1401 W. Seminole Blvd R J Griffin & Company 407-370-0100 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 proml;t attention will be appreciated. OEngineering ublic Works 6 S p' _ OUtilities Fire Zoning Licensing CONDITIONS:_ (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) Im CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION { 9 Cystology O.R. INTERIOR COMMERICAL REMODEL* i i DATE: 05/05/05 N 1 PERMIT #: ' 05-933 iN E ADDRESS: 1401 W. Seminole Blvd `'' o c CONTRACTOR: R J Griffin & Company ar C! p w m 1 CL o. PHONE #: 407-370-0100 Q o 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 Qtiliti Fire Zoning Licensing CONDITIONS:_ (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 5/09/05 13:06:19 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 F2 Address F3=Exit F5=Special Notes F9=Parcel Notes F12=Cancel F16=Related pty data LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 5/09/05 13:06:48 Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5=View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES OPP SIDE OF STREET RC EARLY APPLICANT CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 115 XX.XX.XX.XXX-XXXX-0003 01011100 1401 W SEMINOLE BLVD Free -form information PD SW GROWTH FEE $1700.00 ON 09/30/87 PD WA GROWTH FEE $650.00 ON 09/30/87 GROWTH FEE RECEIPT 00508 OPP SIDE OF STREET EARLY APP (CENTRAL FLA. REGIONAL HOSP.) SEW GROWTH FOR ADDITION $19550.00 REC #01493 6/26/91 WATER GROWTH FOR ADDITION $7475.00 REC #01493 6/26/91 F2 Address F3=Exit F5=Special Notes F9=Parcel Notes F12=Cancel a' r CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION Cystology O.R. INTERIOR COMMERICAL REMODEL **** DATE: 05/05/05 PERMIT #: ' 05-933 ADDRESS: CONTRACTOR: PHONE #: 1401 W. Seminole Blvd R J Griffin & Company 407-370-0100 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering OPublic Works OUtilities re Zoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) ENT PREPARED B .. ..'};.: 1 } zi'+,' 3S a:- .'S:,• : i ;; r: THIS OF COMMENCEMENT Permit No. G ( Z ( Tax Folio No. State of Florida A County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property and street address ifavailable) 2. General description of 3. Owner information a. Name and address Inor%aco- 'ZQo,or e.\ doso. b. Interest in property c. Name and address i 4. Contractor a. Name and address j b. Phone number 4Yc 5. Surety a. Name and address titleholder (ifother than C.sr.$ : t /'fi . mi '06 3 L ffly 9 7p_ O / oG Fax number 4b 7 - 170 IRMdaIW0WWaa1i®H® l91 YAW KOM CLERK OF CIRCUIT COtW b. Phone number Fax nunWWLE CMM c. Amount of bond AK M55 70 6. Lender a. Name and address RECO D 011E6/M 61 a 13a IS Po b. Phone number Fax num er 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 b. Phone number Fax number 8. In addition to himself or herself, Owner designates of i b b to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number Fax number Expiration date of notice of commencement (the expiration date is 1 year from th date ofrecording unless a different date is specified), ature of Owner i Swom to (or abed) and subscribed before me this Personally Known OR Produced Identification Type of Identification Produced ea-'k-azl" Si e o otaryPublic, State of Florida Commission Expires: 0 4 day of , 20 Qe , by owl' Esta L. Orseno My Commission DD069642 o. nd Expires January 23 2000 per t a 2 X r _... _..`• r _.r <, , .e , ., "`. ;. .. riov 17 04 1 1 : 37a Pity 'of Sanford Building 407 328 3859 p 2 CITY OF SANFORD PERMIT APPLICATION Permit # :v , Date: November 18. 2004 Job Address: 1401 West Seminole Boulevard Description of Work:, Renovation to CystolojZy O.R. Historic District: Zoning: Value of Work: S 200,000 Permit Type: Building X Electrical Electrical: New Service - # of AMPS lvlechanical: Residential Non-Rcsidcntial _ Plumbing/ New Commercial:: of Fixtures Plumbing/New Residential: # of Water Closcts — Occupancy Type: Residential Commercial Construction Type: # of Stories: On P in E t'v LllTI.— Pool l rat m t e r Se , icemporary Pole U Replacement New (Djct Layou: & Energy Calc. Required) rf \}'ater 8: Se- GasGas Lines F IV Jy IalmbiingURepair - Residential ur Cummercial Total Square Footage: M form required for other than X) NB`d_ Pared i : _ ,(.4t[ach Proof of Owners—Wggegal Description' OwnersNan)c&Address: Central Florida Regional Hospita - 1401 West Seminole Boulevard phone:(407)302-7393 Contractor Name & Address: R ,T Grif f in & Company 8529 South Park Circle Ste. 140 Orlando 32819swtel.icen:eNumhcr:CG-0062145 _ Phone &. Fax: (407) 370-0100/370-0166 Contact Person: Milt Taylor-Plwne:407-832-8124 Bonding Company: LOckton Companies Address: 444 West 47th Street Suite 900 Kansas City, MO 64112 Mortgage Lender. N/A Address: N/A ArcIdtccVt:neineer: Lyman Davidson Dooley, Inc. Phone: (813)288-9299 Address: 5201 West Kennedy Boulevard #501 Tampa, FL 33609 F.,c: (813)288-8046 Application is hereby made to obtain a permit todo the work and installations as indicated. I certify that no work or installation has comment:cd prior to theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 understand that a separatepermitmustbesecuredforF.LE.C.TRIC.AL WORK, PLUMBING. SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS. TANKS, and AIR CONDITIONERS, cm. 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 regulatingcons:ruction and zoring. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO03TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of COMMENCEMENT. NOTICE: In addition to the requiremems of this permit, there maybe additional restrictions applicao:c 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, orfederal agencies. Accept:mcc ofpermit is verification that I will notify the owner of the property ofthe requiremects of FI ri' LFS 713. Signature of Owner/Agent Date Signatureof ContractodAgcni ate Bland Eng Michael _G_._ Bartlett Print wrcr/Agcnt'sName Print Cont rlAgent;T" 3419. i g/o4 Si. azure o 'oa -ate of Florida Signature o { Vo3.y-Start of FloridaDatt If) My Commission DD069842 f Qu Karen EdtJaa a w Expires January 23 2006 Owner/Agent is X Personally known to Me or Contractor/Agent is X PersonaAVIGGmmission D0305M Produced ID ,j _ Produced or May 17,2000 1 de /a _ -fir ? APPLICATIONAPPROVEDBY: Bldg: 1 Zoning: H ll g- oN Utilities: Initial & Date) (initial 6: Date) (Initial d: Date) (initial & I)attc) Fy Special Cone:: -ions: 4 N Ih y-c or Ora, to aC--)-o CITY OF SANFORD UTII,TTY ADAUN P.O. BOX 1788 SANFORD, FL 32772-1788 Project C1, —" ,n a V O/e Owner/Contact Person Type of Development: I) RESIDENTIAL Type of Units (single family or multi -family): Total Number ofUnits: Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 179, 2", REMARKS: Z) NON-RESIDENTIAL Type ofUnits (commercial, Industrial, etc.): Total Number'ofBuildings: Number ofFixture Units each building): Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1 ", 211, etc.) REMARKS: CONNEMON FEE CAL CULA770N.• 0 ariircrn i+ina C Date /2 o Phone: Name r Signature - Date 00 2) 1) Water System Impact Fces Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD) Residential - 650/Unit - Single family structure, or multi -family unit containing three (3) bedrooms or more: 487.50/Unit ' - Multi -family unit orMobile Home unit containing less than throe (3) bedrooms. (This category is based on judgi=' tlassumpbon, estimation that such family units on average require 750/9..225 GPD of the water and sewer service ofan average single family unit} Commercial S650/ERU - . Fixtures unit schedule from Southern Plumbing Code Will be used One ERU will be charged for connection and up to twenty (20) fixtures units. For projects having more that twenty (20) fixture unit base for the first ERU. (Example: twenty-five (25) fixtures unitswill be rated as 115 ern: twenty-six (26) fixture units will be rated as 1.5 ERU.) Sewer Systems Impact Fees Equivalent Residential Connections-270 Gallons Per Day (GPD) Residential - 1,700 Unit - Single Family structurre, or multi -family unit Containing throe (3) bedrooms or more, 1,275/UnIt - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (this category is based on judgu=f1assumption, estimation that such family units on average require 75% of waterand sewer service ofan average single family unit} Commercial- Industrial- Institutional 1,700/ERU Fixtuus unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (20) fixtures units. For projects having more than twenty 20) units the Impact fee will be increments of 25% based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty five (25) fiA m units will be rated as 1.25 ERU: twenty six (26) fiance units will be rated as 1.5 ER14 Standard Ptwnbing coder 0 1997 FIXTURES TYPE DRAINAGE FIXTURES UNIT MMIMUM SIZEOF Automatic clothes washers, commercial (a) VALVE AS LOAD FACTORS TRAP CH3 Automatic clothes washers, residential 2 2 2 Bathroom group consisting ofwater closets, lavatory, 6bidetandbathtuborshowers Bathtub (b) (with or without overhead shower or 2 hwhirlpoolattachments) 1 Bidet 2 1 ''ACombinationsinkandtray21'ADentallavatory11 'ADentalunitorcuspidor11 'ADishwashingmachine, (c )domestic 2 1 h Drinking fountain A 1 1/4Floordrains22 Kitchen sink domestic 2 1 hKitchensink, domestic with food waste grinder and/or 2 1 'ADishwasher Laundry tray 1 or 2 con ents 2 1 'ALavatory11 '/4 Shower compartments, domestic 2 2Sink21'A Urinal 4 Footnote d Urinal, 1 gallon per flush or less 2e Footnote dWashsink (circular or multiple) each ser of faucets 2 1 'A Water closets, flushometer tank, public -or private - 4e Footnoted Water closets, private installation 4 Footnote dWaterclosets, public installation 6 Footnote d Fer 51: 1 loch-2&4 min, I ganon-3.7S5 L a For traps larger than 3 inches, use Table 709.2 b A showerhead over a bathtub or whiripool -bathtub attachments does not increase the drainage fixtures unit valve e See sections 709.2 thought 709.4 for metbods ofcomputing unit valve of fixtures not -listed in Table 709.1 or for rating of devices with intermittent llows. d Trap size shall be consistent with the fixtures outlet size. e For the purpose of computing loads on building drains and sewers; water closets or urinals shall not be rated at a lower drainage first fixture unitunlessthelowervaluesareconfirmedbytesting. TABLE 709.2 DRAINAGE FIXTURES UNITS FOR FIXTURES DRAINS OR TRAPS z Fixture Drain or Trap Size (inches) Drainage Fixtures Unit value 1 '/4 1 1 'A 2 2 3 2'A 4 3 5 4 6 Permit # : Job Address: Description of Work: Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION 1 W (0 -- oS Value of Work: S 01ZS.I lle 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 V Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Attach Proof or Ownership & Legal Description) State License Number: of Phone & Fax: Contact Person: Ih < < S Phone: Bonding Company: Address: Mortgage Lender: Address: Co. Address: Phone: 9T9.3Z I esoc;k Fax: av%- — 4 r q C 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 thispermit, 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 mana&Lment districts, state agencies, o kdepl agencies. Acceptance of permitis verification that I will notify the owner of theproperty of the requirements"oWienJL45v, FS 7 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 APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: 114f 11 r Name SnitureofNotary- State oAWffdda Walker Date Commission # DD01188p447056 Contractor/ is EAIIy21 n1VtZ9ult'lor Proauc g CCer I. D. Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) CITY OF SANFORD PERMIT APPLICATION Permit # : 0 6- IDZ 3 - Date: Fe 6 10 — 05" Job Address: I4o( Wr 9'4 rOep R A-1-? I Description of Work: 'd e^i0be. &MTINl. WSTIM- 4MC'ML. tT4(0&4Mi LA-5 Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # ofAMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures Z # 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: # ofDwelling Units: Flood Zone: (FEMA form required for other than X) Parcel M Owners Name & 1.1 Attach Proof of Ownership & Legal Description) Phone: 'rW l- 7C-1 " Contractor Name(& Address: 1"\ iw a e State License Number. L LyV l"1Q rSqe. 1 (W 1W 1 Phone & Fax: Contact Person: -Jim 6l11IE3 Phone352 351-35IV. Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer: Address: 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 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 fbcords of this county, and there may be additional permits required from other governmental entities such as water magdjgement districts, state agencifedeill agencies. Acceptance of permit is verification that I will notify the owner of the property of the 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 APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: FS 71 Ignaturc of n for/Agent Date µ- - V in ontracto / Agent's Name V ature of Notary -State of Florida Date n Amanda a Wna( l k(e'rQQn Contractor/AgefiIFISYersorillyK1%tJh'43lVfesor P d ID cefeS / 13 02 % Personally ItnuwuOtherI.D. Utilities: FD: Initial & Date) ( Initial & Date) (Initial & Date) t CITY OF SANFORD PERMIT APPLICATION Permit # : DS- 3 3 Date:—Z / r 495 Job Address: l yo I ales 'f k#k r-Oo le a o le vi4.- d Description of Work: *,R oyrt-Iw.. 4v C yS'fo 42!) p K Historic District: Zoning: Value of Work: S (00_ 0o0 Permit Type: Building Electrical _ CY 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: 5 Construction Type: # of Stories: # 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: EAAeqr-y --'LCc Vr-i• k LC. State License Number: Phone & Fax: V07 J& 2 - 7,70y V07-A9 - *Zq 3 a ContactPerson: Ken. [-ha,1. 61, CTn fF Phone: 3Z l Z Z t3 -f73 / Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer: 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 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 requi ements f Florida Lie S 13. 7 1 z <- Signature of Owner/AgentDate Signatu f Contract /Agent Date Print Owner/ Agent's Name Signature of Notary -Stateof Florida Date Owner/Agent is _ Produced ID Personally Known to Me or APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: Print Contractor/ Agent's Name t•Z5• v5 i ature of Note o Sd%N M. JGHNSONDate MY COMMISSION I DO 285622 EXPIRES: March 23, 2008 Contractor/Agent' fS«,OPe s°ollntiudb( oel Notary Shejvicea y own to a or oduced ID a 1. E 1 • i 0• ' D' Z( G v Initial & Date) Utilities: Ids 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 January 24, 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 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 Cystology OR Renovation Contract $60,000 950 square feet Should you have any questions regarding this request, please feel free to contact me at (615) 350-7270. Sincerely, ENTERPRISE ELECTRIC, LLC An y A. Tidwell Senior Project Manager A, -hon A - eA I Z9 -7%,P'607-go being duly sworn deposes and says that the information provided hereinaX-1offt i true d tiufflci&iftly complete so as not to be misleading. Subscribed and sworn to me this Z 'day of T0YIUGI 2005. ` y, HEHO9 NOTARY PUBLIC: Q STATE My Commission Expires: TENNESSEE N0TAR.Y Pubi iC 7100 Cockrill Bend Boulevard • Nashville, Tennessee 37209 • Phone: 615.350.7270 • Fax: 615.350.7242 • Web Site: www.enterpriselic.com CITY OF SANFORD FIRE DEPARTMENT 300 N. Park Ave. Sanford, FL 32771 407) 302-1091 (407) 330-5677 Plans Review Sheet Date: August 20, 1999 Business Address: 1401 W. Seminole Blvd. Occ. 12 Business Name: Central Fl. Regional Hosp. Ph. Contractor: Wehr Constructors Ph. 813 654-6558 Reviewed [ ] Reviewed with comment [X ] Rejected [ ] Reviewed by: Bart Wright, Fire Protection Inspector* v Comment: 1.1 Application — Renovation to existing hospital 1.2 Mixed — N/A to renovation 1.3 Special Definitions — N/N to renovation 1.4 Classification of Occupancy — Existing Health Care chp. 13 1.5 Classification of Hazard ofContents — Ordinary 1.6 Minimum Construction — N/A to renovation 1.7 Occupant Load —1/120 sq. ft. (for egress capacity) 2.2 Means of Egress Components — OX 2.3 Capacity of Egress — OX 2.4 Number of Exits — OX 2.5 Arrangement ofEgress — OX 2.6 Travel Distance — OX 2.7 Discharge from Exits — OX 2.8 Illumination ofMeans ofEgress — O.K; will field verify 2.9 Emergency Lighting — O.K; will field verify 2.10 Marking of Means of Egress — OX 2.11 Special Features — OX 1 r 3.1 Protection of Vertical Openings — N/A to; renovation 3.2 Protection from Hazards — N/N 3.3 Interior Finish — Class "C" 3.4 Detection, Alarm and Communications Systems — Required; will verify with subcontractor 3.5 Extinguishing Requirements — Required; will verify with subcontractor 3.6 Corridors — OX 4 Special Provisions — N/N 5 Building Services — No comment 5.1 Utilities 5.2 HVAC 5.3 Elevators, Escalators, Conveyors (4A-47) 5.4 Rubbish Chutes, Incinerators, and Laundry Chutes Sanford City Code — Chapter 9 Fire Sprinklers: Required; provide shop drawings Monitoring: Required for all mandated fire sprinklered properties Other: NFPA 1 3-5.1 Fire Lanes — Required if building is more than 150" from street; exception: building has fire sprinkler system. 3-6.1 Ivey Box — Required; will field verify 3-7.1 Bldg. Address Number Posted and Legible — Required; will field verify. r. m i CITY OF SANFORD INSPECTIONS DMSION COMMERCIAL REVIEW COMMENTS NEW CONSTRUCTION PROJECT: //S-Pt4-,4,( 40,bd ACA-Me ` ' DATE: • v 1 7 1 Q' ADDRESS: /4.o1-W.,S,h+iNol a/+C. SANFORD, FLCONTRACTOR: ehV &Ns+e04ort , LICH C&Co3,yl37 ADDRESS: 9l7- S. r7sso,vs+ PHONE # Bk* AW e . 1.4 33s7/ REVIEW COMMENTS: j 1. Ffnisb noon elevation shall be 16 inches above center line of established street or a min. of 8' above grade when property has no City pavedstreet. Sections 6-7. 2• Strip footers shall be continuous with 245 rebars for 1-3tory buUdings, 2-3tory buildings shall have345rebarsInfooters, and #5 dowel at each corner. Size of footers shall be 8" x 16" min. for a 1-3tory and 10" x 20" for a 2 story. 3• Mono Tooter/slab combination shaU be 20" deep and 16" wide with 45 degree angle into 4" slab. 2-3tory shall be 20" deep and 20" wide with 45 degree into angle4" slab. Reinforcement sbaUbeasinstriprooteralllapsamin. of 25 inches. 4• Masonry construction shall have a min. of 145 rebar in lintel course or tie beams. Vertical downrodsshallbeNPrebarwith24" bend tied t Untel rebar and min. of 25" lap at each dowelandtied.CuC OK 5• Means of egress shall comply to Chapter 10, 1997 S.B.C. 6• Means of egress and illuminations shall comply to section 1016.1, 1016.2, and 1016.3 ExitSigns) 1997 S.B.C. i 7. All corridors shall be a minimum or44", Table 1004, 1997, S.B.C. 8• All restrooms shall comply to 1997, H.C.F.S. 553, Pi rt 5. 9 Interior finishes shall comply to Chapter 8, Table 803.3,1997, S.B.C. j 10. All electrical wiring service and lUtures shall comply to 1996 N.E.C. and Notice L amendments. 11. All plumbing shall comply to 1994, S.P.C. and 1997 F.S. 553, Part 5 Florida AccessibilityCode12• All mechanical equipment & duct systems shall comply to 1997, S.M.C. and 1997 FloridaEnegryCode. 13. Firewalls or tenant separations sball comply to Sec. 413.3 & Table 704.1 & 704.1.4 1997S.B.C. All rated wall pentrations shall be sleeved and fire caulked. 14• Stairs shall comply to Section 1006,1007,1007.1.2,1007.3,1007.4,1007.5,1007.5.3,1007.6, 1007.7,1007.8,1008.6, & 1015, 1997 S.B.C. 15. Shall comply to 1994 N.F.P.A..1. 16. ShaU comply to Life Safety Code 101,1994, 17. Final grading inspection needs to be done after final grade but prior to final landscaping. Reviewed By: 5 r CITY OF SANFORD BUILDING DIVISION COMMERCIAL REVIEW COMMENTS INTERIOR ALTERATIONS PROJECT: ,v a j e9i tk) A 4/DATE: J 01 7, I q4q ADDRESS: /01- ej, W Xe- /&Ird SANFORD, FL CONTRACTOR: Ltl.eke (od,5*ve--/vk5X4e!.LIC# CGe 63¢/,3,7 ADDRESS: g/7 - S. c y¢Ue PHONE: ($13 i 1. Means of egress and occupant load shall comply to Section 1003 1997. S.B.C. 2 Means of egress and illumination shall comply to Section 1016.1,1016.2 and 1016.3 signs), 1997 S.B.C. Y 3. All corridors shall be a minimum of 44", Table 1004,1997, S.B.C. 4. All restrooms shall comply to 1997, H.C.F.S, 553, Part 5. 5. Interior finishes shall comply to Sec. 704, Table 803.3,1997, S.B.C. t J 6. All electrical wiring service & fixtures shall comply to 1996, N.E.0 and Notice L amendments. 7. All plumbing shall comply to 1994,S.P.C. 8. All mechanical equipment & duct systems shall comply to 1997, S.M.C. & 1997, Florida Energy Code. 9. Firewalls or tenant separations shall comply to Table 413.3 & Table 704.1 & 704.1.4, penetrations shall be sleeved and fire caulked. 8 10. Stairs shall comply to Section 1006,1007,1007.1.2,1007.3,1007.4,1007.5,1007.5.3,1007.6,1007.7, 1007.8,1008.6, & 1015,1997, S.B.C. 11. Shall comply to 1994, N.F.P.A. -1. 12. Shall comply to Life Safety Code 101,1994. I. _ _ - .W i• REQUIRED INSPECTIONS DURING AND UPON COMPLETION OF CONSTRUCTION: 1. Footer 2. Underground electrical, mechanical and plumbing 3. Slab 4. Lintel and/ortie.beam 5. Rough electrical 6. Rough mechanical 7. Plumbing rough r 8. Tub_Set_ -- 9. Framing L_ 10. EInsulation, walls and/or ceilings _ II. [Electrical final, mechanical final and plumbing final 12. L Building final j Date: Signature:' 9 9 8' A CITY OF SANFORD BUILDrNG DEPARTMENT SUBNi[TTAI', REQUIREMENTS FOR COMMERCIAL BUILDING PERMIT 2. 3. 1B-' 4. Two (2) complete sets of plans and drawings to scale and to include; a. Site plan approved by Planning & Zoning'and City Commissionb. Boundary and building location surveyC. Foundation plan d. Floor plan 1. Room or space identification 2. Indicate room dimensions 3. Specify door and window dimensions and types 4. Indicate tenant separation and fire resistant walls. CompleteULdesignnoted. e. Four (4) or more elevations including finish floor(s) elevations. f. Structure details -signed and sealed by engineer g• Architectural drawings signed and sealed by architecth• Electrical drawings -signed and sealed by engineer, if over 600 ampsi• Mechanical drawings -signed and sealed when 15 tons or more and/or5,000.00 j. Plumbing drawings -signed and sealed, shall comply to FloridaHandicapCode. Plans shall show: a. Square Footage a-0 b. Type of construction C. Occupancy classification. (group) I &&C5AVAidkZd. Occupant load _tea. fo e. Sprinklers, standpipes and alarm systems f Fire protection requirements & NFPA requirements g. Life safety Code 101 Three (3) sets of Florida Energy Forms 40OD-97 signed and sealed,byarchitectorengineer. Arbor permit when trees are to be removed from property. Contact theCityEngineerfordetailsregardingtheArborOrdinanceandpermit. Soil analysis may be included on site plan or foundation Soil analysis and/or soil compaction report. If soils appear to be unstable or if structure to be built on fill,a report maybe requested by the BuildingOfficialorhisrepresentative. Utility Letters Required Inspections During and Upon Completion of Construction 1 • (F66RW — 2• Underground electrical, mechanical and plumbing3. Founciation'elevationsurvey - - 4. Slab 5. Lintels -tie beams -columns -cells 6. Roughelectrical 7. `Rough'mechanical, 8. Rough plumbing 9. Tub Set 10. Framing 11. Tenant separation/firewall 12. Insulation, walls and/or ceilings 13. Electrical final, mechanical final, and plumbing final.. ^ 14. Building -final 15. Other ' DATE'S SIGNATURE By Owner or Authorized Agent) a : - CITY OF S&4WORD PERIVHT APPLICATION Permit No. 0/ I&0 ' - e' Date: 3 ' g ' 01 Job Address: / q0 / &-U, r +mow ' GL S-a U Fc._n r- C-. -9 2 7 71 Parcel No.: - t 9 - 3 0 - S r i 1'7 - OOo o (Attach Proof of Ownership & Legal Description) Description of Work:.r+J ..-, ,J o Mo>,!J ., Q T St L Type of Construction: Flood Zone: ao Valuation of Work: $ i -7 J Occupancy Tyne: Residential Commercial Industrial Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage: Owner: .{ G "T'l. G 4{ G t_T 1Jc C i1 c— C O Address: 141(3 k .&3, S M #,j 1, IL City: . S A l-J :o f LQState: 7- L- . Zip: 3 Z- 7 I( Phone No.: f+0 -I - 3 "Z.. l 4S to Fax No.: 3 = 2 - -7 3 O O Contractor: Wl 0 2 (L i S s t G C o rrl (J -,. >J H Address: 1'3 8 O S ti er S-r City: b "--C.. State: t'L . Zip:'32 12 State License No.: 9i!•'3 Phone No.: 3 g - `7 3 6 1 6 o co Fax No.: 38 G--73 to - $o t p Contact Person: _ . rL ul o 21L'ts Phone No.: 3$C0 - goy4 Title Holder ( If other thanOwner): Address: Bonding Company: Address: Mortgage Lender: Address: Architect: Address: Phone No.: Fax No.: 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 permitand that all work will be performed to meet standards of all lawsregulating 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 requirementsof Florida Lien Law, FS 713. 94-J ! 2 S-10-01 Signature of Owner/Agent Date 1314..1 E Print Owner/ Agent's Name 0& /a 0 Si atu re eofotary-State of Florida t Date N Ester L orseno w*my Commission CC702798 T/ Expires January 23. 2002 CZ n i`-z_.- 10 - C)I Signature of Contractor/Agent Date AIL" -I\ a Zv of Mary L. Muse omission # CC 851644 Expires Aug. 4, 2003 Bonded Thru Atlantic Bonding Co., Inc. Date Owner/ Agent is Personally Known to Me or Contractor/Agent is Per onally Kn r to Me r Produced ID / Produced ID1FUM'M5M (a O / ;-J 1- i3 APPLICATION APPROVED BY: Date: Special Conditions: I.tJy a-C (.: Swa.,,-+ a- e,.e S =, c :c c...-.-._o.., w c 05/09/01 09: 20 CFRH PLANT OPERAT I Ol•IS 4 9047368010 IIp. 026 902 RAY VALDES--- ----- '- 2G100 PL. EAUM TAtt SILL MINTER '004417 25.19-30-SAG-0117- R 0127 S 1 02 AB 0.490 "AUTO TI 0 0980 37202- 2 1..I1.i...I..I III....1.I...it 1.1.11...1..111....1..1..1.11 CENTRAL FLA REGIONAL NOSP INC 0/0 TAX DEPT 30953 PO BOX 1504 NASHVILLE TN 37202-1504 BONGS 90NDS 49 WTAL MILLAGE 41 ALL ELKS 1N & 2N TR 17 i IN & 2N TR 18 & ALL VACD STS SET ALL VACD ALLEY ADJ ON N a N 16 FT VACD ST ADJ ON S 5 E 1/2 VACD ST ADJ ON W OF BLK 2N TR 18 & JCONTINUATION_ON-_TAX ROLL) AD VALOREM TUXES PLEM RETAIN POR110N FM YOUR RFCOAD8 FWAU KTAW AND NON -AD VALOREMA"ESBMENTS 41mru S1 COMOINE0 TAXES AND ASSESSMENTS PAT OMLT Soo M"Ms fide /o LOWER ONI AMW " Imps~ IMo.medon. W"" 1NITMPAYONLYNOV30DEC31JAN31FES2eMAR31PAVMEN ONE AMOUNT AY VAL.AES - ------------------------------------•---------...--•---..... Ann seep CL+reTr -- _ _ _ _ l25.19.30.5AG-0117-0000 i AMMOT, R jCENTRAL FLA REGIONAL HOSP INC C/O TAX DEPT 30953 PO BOX 1504 NASHVILL.E TN 37202-1504 0 ALL ELKS /N i 2N TR 17 6 1N 8 2N TR 18 6 ALL VACD STS BET S ALL VACD ALLEY ADJ ON N 8 N 16FTVAr.n ST Aril nN 9 8 F 11,2 Nrfirn 33 05/09/01 09: 20 CFRH PLANT nPERAT 101-I; 9047368010 1.10. 026 903 J1ll. of B7'ct:k 2- V, :1ncl all of Rlclek 1•:1 l>tf Tier 17 of Florida Land'... :. and C0)oni utio•n ('oml)any's flub' of .tit, t;vrtrtitle Addition to Solifoij. . 0s ,I)ct PIbrc th•crcof duly of record; •.•Oxci Beginning '.It. northwest corner or 1:1c06; ; vf'Ti r••17, of FloriduLandand 'Col one is I on Colup•-Idc nysNlap' of tit . Geri ru•'Addi t ion•• to the ' Town'of .5011ford., Florida. run West. 378 fcct• to the ccntcr o.VJcssamint• Avenue -at its North .end; thence NOith• 4A4 feet more or 'less to the -- lowwateron 'L:1ke J Tonroe. tl ence Southeasterly along'.fhc low water:• m3rk.on lail:e Monrc+c .382.I feet more or less to a point-Nor.th'of the PC." nt of beginnjng; : thcncc Solids '426 feet more or lt•ss to th>r point of- beginning;* *]so All ofBlock 'l, all of Block )-N., and all -of 81,ock Z=N;. in Ticr according to • F)orlda to id -)nd. Coloni ;.:1t ion Company's. I -lap of. St. Gertrude Addii-ion to the Town of •Sanfnrct, Florida., as.:per plot •' ther.co•f duly of record; also Beginning at the north•-est cornt,•r o.f nlclek 2-N,• o•f. Tier.:17,. accord1 ig• to FloridaLandanJCulolliiation •Company• . )lap of St. Gertrude Addlt,:4 to theTown -of Sanford, run thence ' North 344 . S'1•-.feet more .or less .to, the lowwatermurkinL:1kc iIonroc: thcncc Sotit)lcastcrlr along the meandering lineofthelowwatermarki11Lake• Monroe, ' a distance of ZSZ.Sfcc.t more or less to a st-1kc'.0t -low 1,later markin Lake Itonroe; Thence Southadistanceof297feet: more or less to the Nvrt?lcast - corner of 'said Block. Z-N, .of Tier ]7, tl cnce 'Vest' i4S feet more or, less• to ,the point of beginning; also " EXCEPTING-from tl e abovc described y'roprrty .&.strip of land 90 feet in width, the Northerly line. of which ..is' the •Northerly line of the coping o:1. the'corlc•ete ret" 111g wall •a)0119 the South shore of La1ce Monroe.-Ies,s the' Kurth •2'feet, t'11e1•eof,-oci-ors xhe fol]ooNin'R einnsng of tllc N11- lwessCornerprops:ty, to-wit:I odciecscribed Z=N, Tier -17of :.F1oriJa Land 'and' Coloni zatjnn CQtapany's )I p' of St: . Certrulle, addition' to the Town'of' Sanford. Florida•; ru'a •thence'i4cst - 37$ feettoccntcr 'of Jcssaminc:,A'cnue; thence North 484feet' more or lesstoLake ?Jonroe; t)lcncc So1rt11e;1s'tcrly along said Lake Shore T82.4facttoa.l1oint, of bcginning; tl c lrc South to 'beginning; .also, Berirgling at_ the Northwest• corner or Block Z-N, -Tier 17,• in said.St.• Gertrude Addition,. run North .144•S test noure or less to Lake Monroe; thence- Southeasterlyalong -the s'liore c f said like ZS2. S feet; thencc Sough 297feet ,more -or less to the Northeast corner of said Block Z-N. thencc hest' 244 feet to beginning'. LESS road- i.ight-of-way of U.• S. ]7-93 - Stutc hood • IS-G00. , 1+11 ai BLOCK i , TI L-R 1.7..-r-J.ORIDA LAND AND COLONIZATION y COMPi t: l''-S JiAP. OF_ZT_ -GL•itTRUDE AVDIT10N T0" T61M Of SANFORDL= aScprd17•r to . the Plat thcrcof.'..1s -recorded .in Plat Dook 1 . T;gc ••. z, of the Punic Records of Srroindla -County,. Florida,. ALL OF ULOCK 3, TJ ER 1 1.9 ANU -ALL OF 111,06K. '1-N; _ TJ ER 19: LESS THEXQRTl190' THEREOF) FLORIDA LAND .AND. COLON) ZAT ION COMPANY'S11AP•-OF ST_ GURTRUMS ADD1 T1 nN TO., TILE 'T011M OF . SANFORD. ACCORD] XG TO •TEtE PLAT '1 UCRLOF AS RECORDED 7 N PLAT BOOK 1ATPAGE1,16, :PUBLIC RECORDS OF SEM IYOLS COUNTY FLORIDA.' ' _ IKUwrIlI ,..,,,fll,,,- :,ur,ar_ 5Ei11N'ULE COUNTY, Ft_ Nt0(z0,,S CLERK OF CIRCUIT LOUR-i' RECORDED & VERIFIECFROR'. z' ADDR. 6.94381 Of MAY 15 PM I? 06r-7zy NOTICE OF COMMENCEMENT CZ> en ermrt No. Tax Folio No. _ o State of Florida County of Seminole The undersigned hereby gives notice -drat improvement will be made to certain real property, and in accordance wi0i Chapter 713, Florida Statutee, the following informrticm is rmvirlewl in this Notice of Commencement. Qnp `- 1. Description ofproperty: (legal description ofthe n pt' p ' property and street address if available] / O / W. Zs —/ 9-30 -S-4 F- ori7- oc>oo 2. General description of improvement: _ J i= )zV 2 , I'D I`. S% 4 '-> CM o J 01-4 e•JT' 3. Owner information a. Name and address 1-t e A -r He A`T u C a 14 eot t,J S t n1 , o i3L S' a,JPo&)D t—L. Z27/1 b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) _ 4. Contractor a. Name and address 138o S Rom. 1 r b. Phone number '3 (o — / t!, o o Fax number 31R G - T Z. - &'o I o 5. Surety a. Name and address W-,r-s'r't vLv-JSJ r e,T` P o . 3 o x 5-0 -7 -7 55t 5a , 1--/i-7 b. Phone number G co S' — 3 3 - — o Cc ego Fax number 6 d ,r- 3 -3 5-- b 3s 7 c. Amount of bond 2 EP 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 gland F.ng,_ h(' iPf OpPraring Officer HCA- The Healthcare Company 1401 West Seminole Blvd., Sanford,_F1 32771 b. Phone number (407) 321-4500 Fax number (407). 324-4790 8. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 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) PAIY CV 13CeA&J0 S +JG Signature of Owner Sworn to (or affirmed) and subscribed before me this 15th day of May , 20 01 , by Bland Eng Personally Known X OR Produced identification AY 15 2001 CERTIFIED CO Type of Identification Produced ' " MARYANNE ORSE CL RK OF Cl UIT COURT tars oraeno M NJY. F;ZDRIQAMY Comrrnss on CC702798 ture Notary Public, Public, State of Florida. ''} ExpnesJanuary23.2002 Commission Expires: r MaIn Entrance I' T Visitor Panting n r-sirrtgr Same Day Surgery J 1 /-- 14 SQUARE FEET Side 1 1) I_- i III=III=11i-=1J1-III_ I J-J I I -I I I 1I- J= II III - III-; I I -I I =1 II-1 1 -1 Architectural Identification Incorporated Greystone Easi M Werbett Street Cotar,bus, Ohio 43213 F I - 1 - Foundolion.dw g Telephone: (614) 866-8400 Fax: (614) 668-8590 PISS CONFORM TO THE REQUIREVEN TS OF SECTION 16" OF THE 1997 STANDARD BUILDING CODE AND ,ARE STRUCTURALLY ADEQUATE FOR 100 MPH WMID& i CONCRE?E FINISH GRADE I l Outpatient Entrance e f __ r C- re rtamfar r +The Big Center 4 Same Day Surgery 14 SQUARE FEET Side #2) r1l I:-- I— JA III-I1-111-11P I I-1 I I_ I I 11=1 I I -1 I i=1 11=11 Central Florida Regional Hospital Type B1.0 Post & Panel Directional Sign Foundation Detail Drawn By: YNC. Date: 1 1- J-- GCS Sevision Date::.- 4 - 01 a T 0 Pus 5473 TEAL M BUUc Architectural identification Incorporated Greystone East 121 Ctrterbett Street Coiurrbus, Ohio 43213 A3.2-Fo ndotion dw, Telephone- (614) 666-8400 Fax: (614) 668-8590 U.5 SQL rltl ' l .5- lb SQ(MK rm 251 Hut£ S. "Sr -d s r e, c 4,j 4"_ e' 3cc o Zoo"qu. TNIK.7 PLAW Cif l 1'O THER HE UIEMENTS of TION 1606 BUILDING COoE1897 STANDARD ALLY AND ARE 100 MPH VA?40a ADEQUATE FOR C 2t Mel- SCALE: 1 "= 3'- 0" Central Florida Regional Hospital Type A3.4 Secondary Site Sign Brawn By. JWC Date: 1 1- ; -Off Revision Date: -5- 4 - O O 10a o PLANS CMFORM TO THE REQUIRED ,NT8 OF SECTION 1606 OF THE 1E97 STANDARD BULDENG CODE AND ARE 44 STRUCTURALLY ADEQUA 1Q0 MPH VJRMS. r S Malt Entrance T Visitor Parking Tha Rye Q`nfar Same Day Surgery s Enmw9encyr T Outpatient Entrance r 4 The BkttMg Center 4 Saute Day Spry I 14 SQUARE FEET I! CONCR£?£ :I-14 SQUARE FEET Side # 1) I I 1I-11 I I I=11 III—III—III=I11111 1— 1 -1I=I I =1 I I=1 i ,1 I I=1 i I I=I 11= I 11=1 I [A 11==1 1I- I 1 I I 111I- E II , I I- I I I- 111- I I I=1 Architectural Identification Incorporated Geysione East M Oulerbett street CAwbus, Ohio 43213 e i -1- Foundoiion.dkvg Telephone: (614) 868-8400 Fax: (614) 668-8590 FINISH GRADE IIII (Side #'2) I-1 l ;I 1 I I=111 El ? I 1 I i=1 I FI1II ° II11= 1il=1II=1I =1II-1 Central Florida Regional Hospital Type B1. 0 Post & Panel Directional Sign Foundation Detail Drawn By: J YK: Date: 1 1- - C G sevision Date: 4 - 01 m 0 PUS 5473 nX UATM Ww+. IN Architectural Identification Incorporated Greystone East 121 Ocrte street Columbus, Ohio 43213 A3.2-Fc,vndotlon dvrg Telephone: (644) 66S-84GO Fax: (644) 668-85go 1 ?UML SWIWWOK WHR t1.5 soutx ,icl 15.5 SOLUK rm 251 BLUE it.5, & Is--. --, -d g= C ctjca ' t 30 o i' C ZBa w u" 1 7 PLANS CORM TO THE REQUIREMENTS OF SECTION 1 Alf OF THE 1997 STANDARD . BUILDING CODE AND ARE STRUCTUIRMLLY ADEQUATE FOR 100 MPH VNINDS. SCALE: 1 "= 3'-C" Central Florida Regional Hospital Type A3.0 Secondary Site Sign Drawn BY. Date: 1 1- ; - 00 Revision Date: 5 - 4 - J m N a 0 w PLANS CONFORM TO THE REQUIREMENTS OF SEC dI0N I SOS OF THE 1997 STAKDOARD BUILDING CODE AND ARE STRUCTURALLY ADEQUATE FOR 1W r 'I + Main Entrance T Visitor Panting Same Day Siffgery l 14 SQUARE FEET Side ill) CONCRETE FINISH GRADE Emwge cy outpatttt Ewd race AN (_amw-_-Ar r-Ara Ginter 4 "ie Big center 4 Sarni Day Sw9m 14 SQUARE i= E ET Side ,#2) I :' "" -1=III IIII I 1 Is l l,ll..° `" III 1 rT11, 1 I i1=1II _—= I 11 I M I I —I I I I II—Ii = Architectural Identification Incorporated Geystone East M Werbett Street Cokar,d)vs, Ohio 43213 B 1 -1- `oundoiion.d g TOephwvo: (634) 868-8400 Fax: (W) 868-8590 Central Florida Regional Hospital Type B1.0 Post & Panel Directional Sign Foundation Detail Drawn By: J'Y1C Date: 1 1- 3- 00 fievesion Dater- 4 - 01 0 0 in N 1.1f11' IM• odda T HOSPRal J tf'mobFi*am r. r lk-cam"e. r I Architectural Identification Incorporated Greystone Fast 121 oerterbiW street Columbus, Ohio 43213 A3.2-Fo-.rndatian dv;y Telephone: (644) 666-8400 Fax: (SU) 668-8590 WS 5473 nX UATM BLAX WTUM IUNJRC own 11.5 Sm ac U&M BLAZX SQUW ra-T Is. 251 ELUe 3ec o P PUMCONMRM TO THE REQUWJEMNTS OF SECTION 1606 OF THE 1937 STANDARD BUILDING CODE AND ARE STRUCTURALLY ADEQUATE FOR I Ofl MIPH VANDS. SCALE: 1 "= 3'- 0" Central Florida Regional Hospital Type A3.0 Secondary Site Sign Drawn By. J sliC Date: 1 1- ; - iJD Revision Date: 5- 4 - 0 i 0 CITY OF SANFORID PERMIT APPLICATION Permit No.: n t/ b v 1 Date: 5- S Job Address: 1 4 e3 t %,J . S cr+ >J o ; 3 L S . - L 3 z - / Parcel No.: S- 1 3 0 5'- A G- - o l 17 - o0 0 0 (Attach Proof of Ownership & Legal Description) Description of Work: .0 S , ..1, /a,,•-r , -i $'.-1q 0 S Type of Construction: A Ly,M Po S ; Flood Zone: Valuation of Work: $ y `7 s Occupancy Type: Residential Commercial Industrial Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage: Owner: V4 C 4iic -r4 iF__ L4 c 1-E c 2 C co Address: 1 -( b t t-J . 5' Z- M , r J o -47-:- `0t - City: S /,A t`1 -,P7© (LU State: t- C. Zip: eZ-77I Phone No.: D-1 - '3 2 1 — c4 ro c> Fax No.: 4-0 `7 - a 2 - -7 3 o CD Contractor: u i2 1 a M p;k M/ vI Address: l 3 S City: Z . L .l O State: ;--L Zip: 32-7 2-V State License No.: Vo< C o V 9 / o 2 3 o --- Phone No.: 3 g (o - 7 3 (o - / G o © Fax No.: & 9/(c=, - -7 3 6 - rO I O Contact Person: _ <G-4-N-11.....E M c3 fZ Q % 5 Phone No.: '08 G - Sc >L4 -1 9 `r -7 Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender: Address: Architect: Address: Phone No.: Fax No.: 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 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. Acceptance of permitis verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of ont ctor/Agent Date 136" 1 Gy Print Owner/Agent's Name SiTiature of Notary -State of Floridaate Esta L Orseno Vg* My Commission CC702798 Expires January 23, 2002 Owner/ Agent is Personally Known to Me or Produced ID Signature of N(ary-State of Florida Date r ay Mary L. Muse c Commission # CC 851644 Expiresd Thru 003 Adantir, Bonding Co., In(!, Contractor/ Agent is PersonaRv Known to Me or Produced ID L ova APPLICATION APPLICATION APPROVED BY: Date: Special Conditions: 0511013101 0":20 (--FRH F'L-AtdT 0PERATIOtIS.- -; '304 768010. 110.026 P02 R 0122911 02 AS 0.490 "AUTO TI 0 0860 37202- 2 10#1111111191 011111111o„000,,,,o„o„o,00 CENTRAL FLA REGIONAL HOSP INC :ate C/O TAX DEPT 30953 PO BOX 1504 NASHVILLE TN 37202--1504 Aft - ALL BLKS 1N & 2N TR 17 a IN & 2N TR 18 & ALL VACD STS BET ALL VACD ALLEY AOJ ON N & N 16 FT VACD ST ADJ ON $ & E 1/2 VACO ST ADJ ON W OF BLK 2N TR 18 & --- 4CONTINUATION ON TAX ROLL) AD: 1401 W SERNOLE BLVD — AO VALORFATAMS Egg COUNTY SCHOOL CITY SANFORD SJWM COUNTY BONDS SCHOOLSONDS TOTAL MILLAQE AD VALOREM TAXES - MAIM T1A9 j PORTM IRA Yom RecoFm Kau mA " AW NON - AD VALOREM A58e9sN0ENTS INEOES AND ASSE E3 NTS Ar ONLY SOP ri-virs olds for LOWER P0 op& eppylR ImpoA nt Infa metlon. 'p1019 WITII PAY ONLY NOV 30 DEC 31 JAN 31 FEB 28 MAR 3 f PAYMEW ONEAMOUNT - _ IL25- 19-30- SAG -0117-0000 0 eo, x2a7, R CENTRAL FLA REGIONAL HOSP INC ALL ELKS 1N & 2N TR 17 & C/O TAX DEPT 30953 1N & 2N TR 18 & ALL VACD STS BET POBOX1$04 & ALL VACD ALLEY ADJ ON N & N 16 NASHVILLETN37202-1504 FT VAr,n ST An.1 nN S R. F 1 0? vAr'n , S3 09:20 CFRH PLANT nFERATI017-- 0477GG010 i /•• 1 1 tif11i'I11I1 1• •. 1' ' All,. of 81,0,ek= 2-N 'ands all of Rlnck ION or '1 itr 17, of Florida Land and Calonitutiol) Company's I{ah• of .tit. rtrudr Addition to Sanford, 6 jaS ,per pldc thereof duly of record; .•also E Northwest corner of ltjock 2-N of.Tier•-17. of Floridu Bcginnsngitthe - I ' Land and -Col orvi zo t i on Coiupanv' s maj, ar tit . Geri rude -A'ddi t ion-, to the Town of .Scnford., Florida, run West. 373 feet, to the center o.f Jessamint: Avenue - at its North .end; thence North 4R4 feet more or ']ess to the I low water .on 1nke'Monroe, thence Southeasterly along the low Water; mark. on lake rlonroc .382.) fect more or less to a point• Nor.th'of the point of bt'hcncc 5oot1>f 4IG feet more or. ss to the point of-bcsinning; also , All of Blocl: .1, all of Block I-N,, and all of B1,ock Z=N,, in Tier ]a, according to • Tlorid-s 'Land and Coloni zat ion Company's. Map of St...._. Gertrude Addition Ito the Town of Sonford, Florida,, as ..per plat ther.cof ' duly of record; also I Beginning at .the nortllowcst. corner oT Block 2-N,' of Ticr. 17.' according. to Florida Land and C151o>Ilization Comranv' , 113p of St. Gertrude „Addlt,=; to the Town of Sanford, run thcnce Nordi 344. S'1-,fcct: more .or less .to, the low Water mark in Like Monroe: thcncr SoutheastcrlY along the . meandering line of tht; low watcr .mirk iti Lake, lionroc, a distance oi; ZS7,5 feet. more or lc!s to a stakc'.at low "water mark in Take -Monroe; , thence South a distance of 2117 feet` more or less to the Nornccost - corner of said Block 2-M, :of Ticr 17, 0;cnce '{Vest 'Z48 feet more or, less to the point of beginning; also EXCEPTING from the above describes{. or-operty 2--stripof land 90 feet in width, the Northerly line of w{rich .i_ti- the -Northerly line. of the coping on, the'concrcte: rctai-niiig wall -along the South shore of Lake MOnroe,lcss tba• North •2 -feet• ri er&af, aocrosrsthe, follow,in•g described j props:; ty, to -wit..: Beginning at The hortlowest Corner of Rlock-,'Z-N Tier 17 of :.FloriJa Land _and'Coloiiizoiinn CRmpanyls 119p' of S-t-, - Gcrtru lC Addition' to t:hc 7,own 'of' Sanford, Florida.; run •-thence''kcst 37$ feet to center of .Jessamine Avcnue; thence North 484 -feet more or less to Lake ?Jonroe; thence Sotetheas-tcrly along 'soid Lake Shore 182.4 feet to a.hoint, o.f beginning; oic icc South to 'beginning; also,', BesiNning at the Northwest. corner a A]ock a-N, •'ffer 17,' in said St. Gertrude Addition,. run North .144.5 feet more or less to Lakc. Monroe; thence- Southeasterly along -the -liorc of said lake 252.5. feet; theme Saoch 297 feet more or less to the Northeastcorner of said Block thence hest-' 248 feet to beginning. I a LESS road--night- of•way of U.- S. 17-92 - State Road IS-600. hl1 o'f -- BLOCK, 1 Tli ER 17,l`1.ORI UA LAND AN)) .COLON1'ZATION COMPANY '.S dtAP OF_:i'T_ . GL•T(TRUDE AODI T ION Tff T OWN Of SANFORD L a cprdiJ.g to . the flat thcrcof.•:Is recorded in Plat nook 1, _ Y rage of the Public Records of Scr6 nol a -County,. F3 on da. ALL OF BLOCK I,, TJ Ell 19 ANu -ALL OF 13LOCK- '1-N,' _ TIER LE55 THE N. ORTI1. 90 ` V1URE-OF) TLOR) DA LAND .AND. COLON ZAT1ON COMPANY'S MAP. - OF ST, CERTRUDES Ai3D1T1 ON .TO,- T11E TO* OF SANFORD. ACGOADI XG 1-0 J11E PLAT 1.11CR1 OF AS RECORDED in PLAT BOOK 1 AT ' PAGE 1,16, .PUBLIC RECORDS OF SEMA A'OL-E COUNTY, i-FLORIDA* ; `. yam. .:_', _ . • •, ... i a ' MAY-04-01. 19:28 FROM-ARCHITECTUP.AL' IDENTIFICATION W 48688590 T-034 P 03/03 F-807 0 21_011 1• t r r ITr r 1/4- MNiTE BOROER 6Y co 1 I PARKNG BY 1 C RDERBIICXBOm m yiT O PERMT 1 1• ONLY ••• c 10 0 a 1(• 1 1' 1 i WM1TE BORDER U Ir 6, 1-1 i 1r ACCESSBLE m TE NE'_VEXA uEDuu F2.3 , ;9= 1t r sh U 1 1/i ",TE BORDER 11$ 250 Fine 1/4 P' BEnCK aoRD_R a i 6 _ r CRY Ords/n N uEu a a 6•-0• STE__ TUBE TO POST 1m 0 TOP Of1 P,w EITO BE 6'-0• ER04 } GRADE rQ TOP PF a U_ 4 lu 14 CON 1 f HE i997 STANDARD 1;I.DINt3 CODE AND ARE r-r=TLWALLY ADEQUATE FOR 00 MPH IRI DS. e- III!i I_' ii III-11 I E- I I 1211 Z3 C co CONCRETE a am Q Q FINISH GRADE I X 4- 0 1- Q a0 C ' con cgU all o o U ' O MAY-04-01. 19:28 FROM—ARCHITECTUF'AL IDENTIFICATION +6148688590 T-034 P.03/03 F-807 1/4' WHITE PARKNG BY D{SABLM — PEfiMT ONLY 4' "tTE BORDER IY VAN P L ACCESSI1-1 • " H*TE HELVCrA YEDWAI BLEan 14 $ 250 Fine r C ty Orosenei= PLANS CONFORM TO THE REQUIREd EN- TS OF SECTION 160 OF THE 1997 STANDARD BUILDING CODE AND ARE STRUCTURALLY ADEQUATE FOR 100 MPH WINDS. 2' a 2- • E'-O' STEEL TlJBE PoST TCP OF PANEL TO BE CONCRETE FINISH GRADE 61AY-04-01. 19:28 FROM-ARCHITECTUF:AL'IDENTIFICATION +6148688590 T-034 P.03/03 F-807 0 1 d PAF"G BY i D{SABLFDI' oulc e1 r PERPAT r 1 1 ONLY le, 1' 1 r VAN Ir ACCESSIBLE 1[ P 1 1. 1t $250 Fine 6' 1 F r CRY Ordtrl OCI VE A MENU S 5F) BOROER 2" . 2- . E'-0' STEEL TUBE POST TOP OF PMEL TO BE 6'-0' FROM LANS COMFORM TO THE EQUIREM NTS OF SECTION 1606 F THE 1997 STANDARD IUILDING CODE AND ARE CO TRUCTURALLY ADEQUATE FOR 00 MPH "Nos. I I / — FIN 21_011 yo w -b cn NCRETE SH GRADE o c• V O C GO EMI r. u9 p .. L U o THESE'FLA,yS ARACCEPTEDFOFIrFRTl Ic%V':p .Cyn"1T ONALLYCONSTRUEagEAAPERM' N y I" 3l DTHEWORKA.Tp ; r, NOT "C R SHALL BE OCEED WITHCANCEL, A_= AUTCEN.;E HO--4TY TO VIOLATE. PROVISIONS OF TKO OR LT -3luE ANY OF THEISSUANCE_ ECHNICAL CODE'. NOR SHALLDEPTpp - F A PERM;r PRE.: `I,•T Tr,E BUILDINGTION `IEr EAF7['R•RF-U!RING A CORREC. OR p EI-:RRL ` ' ON THT PL r.NS CONSTRUCTIONIO;VS iFT Er:ODES. P FRMIT #0(- (to" ovil• w • 1 u trtw av iKUryMr,4i i rim-w w„ t-t_tKl% Ur UlhLUli UUUk; REC0R0E0 8c VERIFIES N11MIc . G q -j (Y\o l'r\ S er rr-- FRGN 6-9 4 3 8 2 01 MAY 15 PM 12: 06 P, ' DR. A. R IF 3 12 NOTICE OF COMMENCEMENT C_' v ermit No. Tax Folio No. _ m o r, State of Florida County of Seminole r rn r The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance wile' Chapter 713, Florida Statuter, the following information is prnvidrA in this Notice of Commencement. N ayNO 1. Description ofproperty: (legal description ofthe property and street address if available) / 41,0 ` nl tJ P, 21J ,r L, 3Z-7 2. General description of improvement: = 0 :a c 1=u St g JS 3. Owner information a. Name and address 14 C /:A -t' L4 E- t.4E rA . (-4 C --.v it c C o / L/o t UJ. S;F ,44 r "Jot e, b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) Contractor a. Name and address M1 02 R % ,5 S l G >J 13 R C> s 1)1, rl /4 —o C- 00le s T- 3 € L -1-0 -z -t -a- y b. Phone number 3 = 0 - /6 0o Fax.number p/ o 5. Surety a. Name and address e 5 c e- q- rJ S-j r<- e-4- `? I00, fit-- -5-& -r '7 510 cJ x r,> c.GSt SO1117 b. Phone number G c .r- 3`7 - 0 8 5-0 Fax number 6os-- O -J,T 7 c. Amount of bond Sao ° o 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(i)(a)7., Florida Statutes: a. Name and address Bland Ene, Chief Operating Officer HCA-The HealthcareCompanv b. Phone number 407) 321-4500 Fax number _ (407j324-4790 8. In addition to himself or herself, Owner designates of to receive a copy of the Lie-nor's Notice as provided in Section 713.1.3(l)(b), Florida Statutes. a. Phone number Fax number _ 9. Expiration date of notice of commencement (the expiration.date is I year from the date of recording unless a different dateisspecified) C3l, c, d. to Ei Signature of Owner Sworn to (or affirmed) and subscribed before me this 15th day of May , 20 01 by Bland Eng CERTIFIED COPY 00 M RKYANNE MORSg PersonallyKnownXORProducedIdentificationOFCIRCUITOOURIFTypeofIdentificationProducedEMIP' tN Eels L Or"" MY Comrmee4m CC702M P TM ature of ofNotaryPublic, State Florida. ''„+r EV111"JwPmy23,2002 Commission Expires: