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HomeMy WebLinkAbout1401 W Seminole Blvd - BC05-001023 (CFRH) (INTERIOR REMODEL) DOCUMENTSPERMIT ADDRESS I PHONE NUMBER 46-) - -)- PROPERTY OWNER ADDRESS N -An\ PHONE NUMBER U e--,') - ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR f MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE 1 } MISCELLANEOUS CONTRACTOR P,ERMIT NUMBER FEE f ' SUBDIVISION PERMIT # W " 10 DATE ' PERMIT DESCRIPTION %% r- o-,r PERMIT VALUATION kcx) OO SQUARE FOOTAGE 0 d H CITY OF SANFORD PERMIT APPLICATION Permit #: l 0 03 II Date: Z- 1%- O Job Address: l yD 1 W • e na 1 o(e Q v0 SSDescriptionofWork: 12CvLCJt-K 'f- 6K,.- rc t Historic District: Zoning: Value of Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Construction Type: # of Stories: Parcel #: Owners Name & Address: Addition/Alteration Change of Service Temporary Pole Replacement New ( Duct Layout & Energy Calc. Required) of Water & Sewer Lines # of Gas Lines Plumbing Repair- Residential or Commercial Industrial Total Square Footage: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Attach Proof of Ownership & Legal Description) Phone: Contractor Name & Address: 0`Ce Lt C Y x L State License Number: Phone & Fax: 11-7 -652 -Sgo4 7 195-2 xi3o Contact Person: .' L > -F- Phone: 3Z I - 2 213-5731 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 requirements of Florida Lien Lal , FS 13. Signature of Owner/Agent Date SAnatuTe of Contract /Agent Date k&4zk - I F Print Owner/ Agent's Name Print ContractgrfA Name Signature of Notary -State of Florida Date Ncq(.)D@>VE Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Initial & Special Conditions: MY COMMISSION # DD 164280 1 4WEXPIRES: November12, 2006 r.,,,V Bonded Thru Budpel Notary Services C tractor/ Agent 14` Personall Known to Me or 1 Produced ID \, In\C1 \C' - S y0- J\o\o - r) 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 February 10, 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 Renovations to existing Specials Lab Building Permit #05-1023 Should you have any questions regarding this request, please feel free to contact me at (615) 350-7270. Sincerely, ENTERPRISE ELECTRIC, LLC eon Antho y A. Tidwell Senior Project Manager kr}+-hon A •'Tld WGI I 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 (O+h day of 61r-U0 2005. NOTARY PUBLIC: Q SHE' 9j M Commission Expires: STATE f Y P Se cn'bPX' ZO, Zoy C,F TENNESSEE r^ LvLlC OS N CO 7100 Cockrill Bend Boulevard • Nashville, Tennessee 37209 • Phone: 615.350.7270 • Fax: 615.350.7242 • Web Site: www.enterprisellc.com CERTIFCATE OF OCCUPANCY REQUEST FOR F SPECTION ECIALS LAB RIOR REMODEL **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 05/17/05 05-1023 1401 W Seminole Blvd. R J Griffin & Company Milt 407-832-8124 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. i ngineering !Fire OPublic Works *ning g, 3i-t 7b s OUtilities licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) t CERTIFCATE OF OCCUPANCY REQUEST F PECTION SPECIALS LAB IN EL **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 05/_ 0505_ 1401 W Seminole Blvd. R J Griffin & Company Milt 407-832-8124 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 TFire 44lic Work _ 1Zoning 6-ZZ- DUtilities licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) _ 0 f 1 s ` 4 CERTIFCATE OF OCCUPANCY REQUEST FO SPECTION SPECIALS LAB r1, INT DATE: 05/_7/05 PERMIT .. . LU 1 ADDRESS: .1401 W Seminole Blvd. Yam . IOU o Cj y CONTRACTOR: R J Griffin &Company N Ci S V v Mit 407-832-8124 o"' C,PHONE a' s w building division has prepared a Certificate of Occupancy for the aboveThe iw,<' location `and is requesting final inspection by your department. After your w inspection, please, sign. off and date the C. O. or. submit- addendum if it hasr. : ,' been denied or approved,with conditions. Your prompt attention will be appreciated. En eering f Fire max :<.! UPublicWorks `TZoningris , ss• p •ties • licensing ell CO ITIONS: (TO BE COMPLETE ..ONLY 7 APPROVAL IS CONDITIONAL) Z • yr 1 Sid:: .. , . •' ti i-• r CERTIFCATE OF OCCUPANCY REQUEST FO - SPECTION o SPECIALS LAB p ; IT DATE: 05/_ t Z PERMIT #: 05-1023 ADDRESS: 1401 W Seminole Blvd. G, N tiW C CONTRACTOR: R J Griffin & Company Q; • PHONE #: Milt 407-832-8124 _ ©o o s d. 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 s been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering 1Fire Public Works TZoning 0 ' ties licensing ITIONS: ( TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry E. Location*ID/Subdivision Parcel Number . . . . . . Alternate location ID Location address . Primary related party Type options, press Enter. 5 View detail Opt Description CUSTOMER SERVICE NOTES 139525 MAYFAIR 30.19.31.504-1000-0020 1403 SEMINOLE BLVD JACOBSON SARA Free -form information DEV FEES $4471.50 REC #33038 9-30-82 F2 Address F3=Exit F5=Special Notes F12=Cancel F16=Related pty data 5/23/05 09:43:04 F9=Parcel Notes F10=Subd Notes t - CERTIFCATE OF OCCUPANCY REQUEST FO SPECTION PECIALS LAB INTERIOR REMODEL **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 05/17/05 05-1023 1401 W Seminole Blvd. R J Griffin & Company Milt 407-832-8124 r• 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 ire 5/745— OPublic Works Tzoning OUtilities (Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) of ' 3 CITY OF SANFORD FIRE DEPARTMENT CoFEESFORSERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: )'-PERM IT #: W ` t O BUSINESS NAME / PROJECT: • t4 ADDRESS: ILI01 -V S i PHONE N : % 3 (0 --ok&X NO.: Kt-16 7 CONST. INSP. [ ] C / O INSP.:[) REINSPECTION [ ] PLANS REVIEW [ ] J F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ J BURN PERMIT [ ] TENT PERMIT TANK PERMIT [ ] OTHER [ J TOTAL FEES: S (PER UNIT SEE BELOW) COMMENTS: Address / B1dQ. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 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 ntion Division Applicant's Signature EN PREPARED B P ..,: tA+`,''3, ' • THIS OF COMMENCEMENT IyAIv1E dry r• Permit No. G se Tax Folio No. kStateofFloridaNUM 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 if available) u Q a4 ' 2.n We u ` r V 2. General description of nnprovement: o ,. c. ,r,r owe o >149 hO 3. Owner information Q c, a. Name and address C'e_..kr, F l on A 'iDo a. r..& X c n. - k v ti e b b. Interest in property c. Name and address of fee simple titleholder (if other than 4. Contractor a. Name and address . i; , > r? b s•Ot-th 0iyyA C r fe r-4 a a b. Phone number ye: 7 70- o / arG Fax number vy 7 -17G 5. Surety rneteresY n;DW t691,i 0® a. Name and address MRYAM MISEt CLEII#t W CIRCUIT C0117iT b. Phone number Fax n MXE COUNTY c. Amount of bond PK 5 j 6. Lender a. Name and address REMRM 6119 /M 01 t 13:15 PH REMMMS FM Me 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 to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from th date of recording unless a different date is specified), ature of Owner Sworn to (or a1ed) and subscribed before me this c0 day of , 20 Qj , by Personally Known OR Produced Identification Type of Identification Produced Si e o otaryPublic, State of Florida Commission Expires: e" w Esta L. Orseno My Commission DD069842 o. n. Expires January 23 2000 Nov 17 04 11:37a Pity 'of Sanford Building 407 328 3859 P.2 CITY OF SANFORD PERMIT APPLICAI'10 Permit n : C) b Date: November 18, 2004 lob Address: 1401 West Seminole Boulevard Description of Work•, Renovation to existing Specials Lab Historic District: Zoning: Value of Work; S 400, 000 Permit Type: Building X Electrical c i um n r S rMcrrAlarm Pool Electrical: Dery Service: — # of AMPS ti n/ lte Ii /C e Temporary Polc Nfechanical: Residential Non-Residenual T— Rcplat:zmcnt ^ New (Duct Layou: & Energy Calc. Required) r Plumbing/ New Commercial: of Fixtures i of Rraaer & Sewer Lines of Gal Lines Plumbing/New Residential: ;rofWzuNOV 2 rCloscts ,I):°t"l--u Commercial Occupancy Type: Residential Cornmercia{{'" •X° Industrial Total Square Footage. 0,40 Construction Type: # of Stories: Parcel d: form required for other than X) of owneMkM Legal Description) Owners Namc&Address; r.LUr.iva ne 1Ualoi . ' 1401 West Seminole Boulevard Phuae:(407)302-7393 Contractor': 2me & Addrtss: R', J Griffin & Company 8529 South Park Circle Ste. 140 Orlando 32819sEate License dumber: CG-CO62145 Phone & Fax: (407) 370-0100/370-0166 Contact Pursuit: Milt Taylor ...PlloneA07-832-8124 BondingComp2ny: LOckton Companies -- Address: 444 West 47th Street Suite 900 Kansas City, MO 64112 Mortgage Lcadcr: N/A _ .. _....__._ Addre»: N/A Aredtcet/ Eneineer: Lyman Davidson Dooley, Inc. Phone: (813)288-9299 Address: 5201 West Kennedy Boulevard #501 Tampa, FL 33609 Fax: (813) 288-8046 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 ilia issuance of a permit and that all work will be performed to meet staadards of all laws regulating construction in this jurisdiction. 1 understand that a separate oeank must be secured for ELECTRICAL WORK, PLUMBING. SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS. TANKS, and AIR CONDITIONERS, ctc. 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 consxuction and zocing. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT f:l YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO03TAIN 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 applicablc 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 wilt notify the owner of the property of the requireme[s of Flori Liet w, FS 713, ,, 7rr jrv,/ 11 r2g 144 11-1$- ot Signature of Owner/Agent Date Signatureof Contractor!Agent Date Bland Eng Print O 'gcr/Agcrrt's Na Sie urc of Notary -State of florida iy My r no j Commission DD069842 ia w Expires January 23 2006 Owner/ Agent is X Personally Known to Me or Micha 1 G. Bartlett Print ra +Age — N m Sigttatur of. lotary-State of Florida Datc tv Karen Eckles My Commission D03057N Contractor/ Agent is X Personally t MW 17. 2006 Produced ID _ProducedlD__.____._ I APPLICATION APPROVED BY: Bldg: Zoning: 2' q Utilities: FD: rr Initial & Date) (Initial & Date) (Initial & D te) (initial & Datc) i Srpccial Ctorn dition s:: + 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