HomeMy WebLinkAbout1401 W Seminole Blvd - BC01-002067 (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 of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: %
L 3 297 L '
Zoning: Value of Work: 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 --r A/ 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 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: 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
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 of Owner/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'turCi eofNoStateofFloridaTSinatureofN -State ofFlere- y6`( • • • . N r °,
it i Oro s = • %
OF y •
Owner/Agent is ){ Personally Known to Me or Contractor/Agent is —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 S230,132
PILAS
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 $1,724,244
PILAS
Subsection / Sgft CANOPY / 903
5 MASONRY 2000 30 33,315 1
CONCRETE BLOCK -STUCCO - 2,844,401 $3,034,028
PILAS MASONRY
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
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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 is hereby 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 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 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 CD
ADDRESS: 1401 W SEMINOLE BLVD
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CONTRACTOR: BATTEN & SHAW, INC C L v
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PHONE #: Leroy 615-642-9009
a'N
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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.
5 View 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
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 l vt a l /e y 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 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
require
of Florida Lien Law, FS 713.
Signature of Owner/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 of Florida 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 of the 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: /2 a 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 a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate pcm-
it 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 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 the property o require ents of Flo Law, 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
2.2 a
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?a 1=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 l3S1110.0 RoBUSINESS
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 K nk, o a ve
tate Liefase umber.
Phone&Fa:: ISIS-Y iZ-"LyOi 6t 3 i' / OataCC
rsoo: ' 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 of
a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 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 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. Alceptance of
permit is verification that I will notify the owner of the property of 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
2
n
I1
1E Date
Sta•w '
fy-tep—e` alure of NoStateofFloridal' 7S 1
C''J,
ST,
gT
o
M . ,rOwner/
Agent
is X Personally Known to Me or Produced 1D T
OFF • Contractor/
Agent is
Personally Known to Moor e-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 $ !B
5. 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 Notary Public, 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 i f, 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 MORSE
Permit No. Tax Folio No. CLERK of CIRC ... R ,
State of Florida SEMI OLE COU ORIDA
County of Seminole AY
OEPIJ MK
The undersigned hereby gives notice that improvement will be made to certain real property, 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 of property: (legal description of the 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- :2 77 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,1 C 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; Mc
Fax num er Kinley 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 (If other 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 of the pAtquirements of F ida Lien Law, FS 713.
VteSignaturfOwner/Agent ate or/Agent
Faenfx- L m`'!'h- ------ - --
Print Owne Agent's Name ' t Contractor/Agent's Name
k- a, IQ 0
Pr) ,
S7 ature of Notary -State of Florida Date Sign.-ture of Notary -State of Wer-ido iy',6,,,Dnte
Esta L O seno
L
4*
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 I day of —& _ 20 Ot_. b%. Personally
Known OR Produced Identification ANNE
MORSEE,SEMINC
CORUNTF
CIRCUIT COURT 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«yExpiresJanuary23.2oo2REMRDED
BY 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 i kL
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 for other 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 of a 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 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 wa
4management
districts, state agencies, or federal agencies.
Acceptance of permit 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_$,Cate o o to
Owner/Agent is _ Personally Known to Me or Cont
Produced ID
APPLICATION APPROVED BY: Bldg:!/"' ! Q it g
Initial & Date) (Initial & Date)
Special Conditions:
OEBBIE BLANTON
MY COM•N.15SION #
W
1a8491CXFI,t 3hr
Sr,: TAPerson lly KnoWflTo2 13?A7
Ot:COUn1,,Z30C. Co.
Utilities: FD:
Initial & Date) (Initial & Date)
1•: ; Ot•:?•+ "Y y,,,: _,.,;t,.3'ry,1;yAs,j` F2,+,t{v;F* ir,. c,4,','to7i"ia'1`+Ir'tti.1c4" (J`;v,'"`;
y.i .,i _ 4>n.. M + t•.
I ;,;
y+{'l•'t 7•St v'7,i( S
i3ti'?Y a'{l jS rJ"
7' i'4 Yyjk f S
CITY OF SANFC,RDtPER;fI1T APPLICATION
Permit # . C-s -S Date
Job Address: % y l J l/7 o/Ge I,Qv i4 aJ MM I/. /
Description of Work: 'Jr o /l4 rt uoGvl 3 F S ew,/ ccoGQ't s./tt Cia- A+dC CJ/S 1 alp/ Q p
Historic District: Zoning. Value of Work:
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 25 - (q-3o-rrQGr- o &7- v000 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: C e /C/. 1e Glyiv 4L fj(E40i77¢L Ti-C,
6 ak "-Toy. xy*q ;yr41E , TN. Phone:
Contractor Name & Address: LLC. 2ZR0 Oz-,b
F/, 3 Z7p71 — (jµ f f . /s,$,C f''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 RIFT CEMENT 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 Florida Date 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 SUMMARY
Deed Date Book Page Amount Vaclimp
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 Gross
Fixtures Est. CostStoriesExtWallBidValue
Num Bit SF New
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 WOOD
BEAM/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 $1,724,244
PILAS
Subsection / Sgft CANOPY / 903
5 MASONRY 2000 30 33,315 1
CONCRETE BLOCK -STUCCO - 2 844,401 $3,034,028
PILAS MASONRY
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 # of Water & 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 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 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 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:'
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