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HomeMy WebLinkAbout1401 W Seminole Blvd - BC05-003398 (CFRH) (REMODEL) DOCUMENTSPERMIT ADDRESS i y© I M IL 7)c CONTRACTOR tLITAP PHONE NUMBER 4 o i' O 5 21 12i PROPERTY OWNER ADDRESS 14 0 U) . SQ C_Z Cl/ Y2- 71 PHONE NUMBER kA b 521 ' ELECTRICAL CONTRACTOR MECHANICAL CONTRACTO PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISION PERMIT # () S - 3 —i O DATE '-7 t c? O S PERMIT DESCRIPTION MAQ, 4-k C PERMIT VALUATION SQUARE FOOTAGE PA lk AW RECEIVED Permit # Job Address: Description of Work: 5599 CITY OF SANFORD PERMIT APPLICATION Historic District: ND zoning: '?(A DI Work: S 545I (LLD JUN 2-1 2005 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 ommercia Occupancy Type: Residential Commercial J Industrial Total Square Footage: (PCQ0 Construction Type: # of Stories: —]— # of Dwelling Units: _t k Flood 'Londao (FEMA form required for other than \) Parcel #: 95-1 —3D-5-A6 _c.7^ c- of o _ (Attach Proof or Ownership & Legal Descri'Mon) Owners Name & Address: k—A n_ I — cif 1' rill 1-1000(A l / I /— Phone: (/V/Jam/ `7c. Contractor Name & Address: 'R.S Gy- n CL W(Ylpan U 85ag S • Pork Ct rGe -0= Bonding Company: Address: Mortgage Lender:0114 Address: Archilect/Engincer: Address: 1361 Phone: Fax: v L Application is hereby made to obtain a permit to do die 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 perfonned to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate pernnil 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 donne 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. 11; 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 pennit, there may he additional restrictions applicable to this properly that inaybe found in the public records of this county, and there may be additional permits required from other govenunental entities such as water mvnagennenl districts, state agencies, or federal agencies. Acceptance of pennil is verification that I will notify the owner of the property of the requiren ills of 'lo da FS 713. W 611-7Iv.$ Signature of Owner/Agent Dale Signature of Conlractor/Agent Date Bland Eng, Chief Operating Officer miPfNolary- SlaleofFlorida G. Print O ner/Agent's Nan a Print oWN- 4 Estai,MY kWQif1 to of Florida Date uDate o,,,d Expires January 23 2008r Karen Ecllln Owner/Agent is Personally Known to Me or Produced ID my COmmisston DD30671IE res May Conlmctor/AgentisYPersonallyKnNyInVeorb17.2006 Produced ID APPLICATION APPROVED BY: Bldg: Zonin tililies: r FD Initial &Dale) itial & A tc Special Conditions: /(( b i I & Dale) huti: l & Date) I CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: PERMIT #:S D BUSINESS NAME / PROJECT: ADDRESS: PHONE NO.: o"j3 `— MMAX NO.: 7 — (7 CONST. INSP. (] C / O INSP.:(] REINSPECTION [ ] PLANS REVIEMP-jq F. A. [ J F.S. [ ] HOOD [ J PAINT BOOSH [ J BURN PERMIT [ J TENT PERMIT f J TANK PERMIT [ J OTHE f%e_ l le _TIC V TOTAL FEES: $ J c> (PER UNIT SEE BELOW) Address / Bldg. # / Unit # Sauare 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 Prevention 6ivision Applicant's Signature CITY OF SANFORD PERMIT APPLICATION Permit # : 05-3398 Job Address Description of Work: _ Historic.District: 1401 W. Seminole Blvd. electric in remodel of ICU Zoning: Date: Value of Work: S 8/3/2005 20000.00' Permit Type: Building . Electrical X Mechanical Plumbing, Fire Sprinkler/Alarm' Pool Electrical: New Service — # ofAMPS: 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 4 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 or Ownership & Legal Description), 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:. Architec /EngWeer: 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 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 worts 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 maybe additional restrictions applicable to this property that maybe 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 rcquirancAtsof Florida Lien. Law FS 13' 8 3 s Signature of Owner/Agent Date Si nature of Contractor ent Date Print Owner/Agent's Name: Print CRntr9d®r gene s Name Signature of Notary -State of Florida Date Sig44e V,No Date • MY COMMISSION # DD 164280 EXPIRES: November 12, 2006 rP,4 Bonded Thr. Bud9st Nc13r/ Sari- Owner/Agent is _ Personally Known to Me or o tracEor"/Agent i%. Personally Known to Lo l Produced ID _ Produced ID • D _ APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: ENTERPRISE ELECTRIC, «C C O N T R A C T O R S A N D E N G I N E E R S 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 Open Heart ICU Finish Upgrades Should you have any questions regarding this request, please feel free to contact me at (615) 350-7270. Sincerely, ENTERPRISE ELECTRIC, LLC Ant A. Tidwell Senior Project Manager A rff KXIV A. I id WO being duly sworn deposes and says that the information provided herein is true an sufficiently complete so as not to be misleading. Subscribed and sworn to me this 2hol'day ofuquSi- 2005. NOTARY PUBLIC: My Commission Expires: STATEOF A TENINNESSEE PCUSL CY 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