HomeMy WebLinkAbout1401 W Seminole Blvd - BC07-000477 (CFRH) (FIRE - ADD DUCT DETECTORS) DOCUMENTSN
CITY OF SANFORD PERMIT APPLICATION
Application #: ( _
J
Submittal Date:
Job Address: 1401 W • Se re I nOI G Bl vet • Value of Work. $
Parcel ID: Zoning: Historic District:
Description of Work: poi tylin d L.10* de+rc r5 -b Square Footage-
151 l.S....:............... ........................................................
Permit Type: Building O Electrical 0 Mechanical O Plumbing 0 Fire Sprinkler/Alarm d Pool O Sign 0
Electrical: New Service - # of AMPS 'Addition/Alteration 0 Change of Service O Temporary Pole O
Mechanical: Residential O Non -Residential O Replacement D New O (Duct Layout dt Energy Calc, Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential 0 Commercial 17
Occupancy Type: Residential O Commercial 0 Industrial O Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
0........................
Property Owner: CERH HC A , I M . Contractor: W SC_ Glr'C,, LLC ,
Address: On blriL P Iq?Jq Address: :3BI wshy
i 11c, TN 372,03 NQshyi l e l TN 3 Phone:
E-mail: Pbone5_-1150.17_ 10 State License Number: F1' Oc07JS-(n Bonding
Company: Mortgage Lender: N I P Address:
Address: ArchitectlEngineer.
J-cirr CS C • .S.l1aAX-I , Phone: (oI5 'iZ"10 Address:
15M NcIal RAIXI V i 11 Fa:: 6,15- 350•'7242 Plan
Review Contact Person: Phone: R52 -Fax: R62-2910 E-mail: cr
t r{r-i Gla-c r 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 property of the requilemen f on Lien 713. Signature
of Owner/Agent Date Signature of Contractor/Agent Daur/G
Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID APPROVALS:
ZONING: Special
Conditions: Rev
02/2007 UTIL:
FD: Name
Signature
MY
COMMISSION N DD62909( EXPIRES:
February 25, 2011 Fl.
Nam DW=mt As— °. Contractor/
Agent is Personally Known to Me or Produced
ID , 2LWP • /015dr1 1, ENG:
BLDG:
cil CITY OF SANFORD PERMIT APPLICATION
Application #: ' Submittal Date:
Job Address: kQOl W • 5=miridc" FANd _ Value of Work: S
Parcel ID: Zoning: Historic District:
Description of Work: Add 2 .StY Ce; c- C1C+C.AQftr5 !f CX1G m0nifor Square Footage:
J....m ....... .. ..5?:.1.................................................................
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
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
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units:
Plumbing Repair -Residential Commercial
Occupancy Use Group(s):
Flood Zone: (FEMA form required)
0....................
Property Owner: i HCA-1 Ii1G• Contractor: Fnhn:-2nsc, t LLC.
Address: One- Tbrl< plc 1zq Address: I
1JaShy i 1 TN 3"1203 by i l G N 3 ?
Phone: E-mail: Phone'
Lende m
State License Number: ECG ooC Z15(o
Bonding Company: MortgaNA- Address:
Address: Architect/
Engineer: iTmGS 0— . -= Phone: Mf Si 350=7230 Address:
1
S I T Fa:: Plan
Review Contact Person: I Phone 5 2- _ Fax:7 2q_!-0 E-mail:1Q1rIG Zip[}-
IrISG C' •CdfY 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 'stricts, state agencies, or federal agencies. Acceptance
of permit is verification that I will notify the owner of the property of the requirem FI da Lip 13. 0>
0( I.J&I -_ Signature
of Owner/Agent Date Signature of Contractor/Agent ate S
Print
Owner/Agent's Name Signature
of Notary -State of Florida Owner/
Agent is _ Personally Known to Me or Produced
ID APPROVALS:
ZONING: Special
Conditions: Rev
02/2007 UTIL:
FD: Prin
o /A s Name S&
Riiure of otary-State of Florida Date y, :
DEBBIPALAnriRt MYCOMMISSION0DD629096 ; d
EXPIRES: February 25, 2011 Fl.
MoWYDbcawAWe.C Ipp,).NpTARY Contractor/
Agent is _ n ly own to Me or Produced
ID L ENG:
BLDG:
CITY OF SANFORD PERMIT APPLICATION
Permit N :Q 7y 7 7
Job Address:
Description of Work: /%/C e-
1
Historic District: Zoning:
ate: 7 ZO- IV 7
is O /iiiyl --
Total Square Footage
Value of Work: $0
Permit Type: Building Electrical Mechanical LO 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 Litres # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial 41"" Industrial
Construction Type: N of Stories: N of Dwelling Units: Flood Zone: (FEMA form required )
Contractor Name & Address:
G u Ar
Phone & Fax: —9?/3 ` 7r'5/_ _ 3 7A
Bonding Compaoy:
ti
Address:
Mortgage Lender.
Address:
Architect/Engineer:
Address:
C
G-e, c c 36' 6 3 a-
Phone: 8 /3 _ S Z 7— Sj'95
Phone:
Fax:
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.
Acceptance of
permit
is verification
O
that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owncr/A/gent Date tgnature of Contractor/Agent Date
Print Owner/Agent's Name —frrfiltontractor/Agent's Name
4,
Signature offN ttary-St to ride Date Signature of Notary -State of Florida Date
DEBFIMBIJOwner/Agent is _ P nally Kno41--K0010-3-NOTAMIty
y C0 1 ctor/Agent is _ Personally Known to Me or
mmisslo l DD629096 roduced IDProducedID1RES: February25, 2 11
Fl. NamY Distaml q¢ce. Co.
APPROVALS: ZONING: UTIL: FD: ENG: BLDG:
Special Conditions:
Rev 03/2006
DADEY & ASSOCL9TES, INC.
HVAC/Refrigeration AIECHANICAL CONTRACTING David E. Cain
Quality Service 24038 Turtlerock Court, Lutz, Florida 33559 President
Since 1994 Ph/Fax (813) 948-3787 CMC 056830
To: City of Sanford
300 N. Park Avenue
Sanford, FL 32772-1788
July 20, 2007
Power of Attorney
I, David E. Cain, President and qualifier for Davey & Associates, Inc., hereby
grant full authority for Mark A. Cain to conduct all necessary business,
including but not limited to permitting, relating to the following project:
Central Florida Regional Hospital
1401 W. Seminole Blvd
Sanford, FL
This power of attorney shall remain in effect for a period of one (1) year unless
otherwise revoked in writing.
1'-/ 6r C'
David E. Cain, CMC 056830, President
COUNTY OF HILLSBOROUGH
STATE OF FLORIDA
Sworn to and subscribed before me this 2oth day of July, 2007.
My commission expires:
NUIARY PUBUC•sal'E OF FLORWA
SARA VAZQUEZ
Commission #llD600669
Expires: NOV. 14, 2010
iDFD "RU ATIA.NfIC DOYU= CU., INC.
07
CITY OF SANFORD PERMIT APPLICATION
Application #:, Submittal Date:
Job Address: 1401 W . SCA-n i h0le Pal Vd . Value of Work:
Parcel ID: Zoning: Historic District:
Description of Work: hi h ICW Vbl G U FS Square Footage:
eee..e.ee..e......Ct.m?S ....rnereive.........r...R ... ........!............. ............................
Permit Type: Building 0 Electrical N( Mechanical 0 Plumbing 0 Fire Sprinkler/Alarm 0 Pool 0 Sign O
Electrical: New Service - # of AMPS Addition/Alteration 0 Change of Service 0 Temporary Pole O
Mechanical: Residential O Non -Residential 0 Replacement 0 New 0 (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 0 Commercial 0
Occupancy Type: Residential 0 Commercial 0 Industrial 0 Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
e....... ................... e....... ................... e.................... e.e.ee..... ..... ... ee. ee. e..... e... e....
Property Owner: CFRH I HCA, Im. Contractor: F1' b2::t2mc, EIG l;_::e
Address: Oh20 rk-- Plaza Address: V Na5hvi
RC, . TN 3772c>3 Ngshvi IIc. T ?S12:c;;; Phone:
E-mail: Phone- State License Number: E2 OLZ -45( Bonding
Company: Address:
Mortgage
Leader: N I Pkr Address:
Architect/
Engineer: 761 1 t S (1 . SGGIblJV1f11 -- , Phone. Ad
ess v L N Fax: -- Plan
Review Contact Person: wh Phone: g52- Fax: i_F32— E-mail: 290+ '
2930 1e .Gr om 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 moot 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: 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 govemmental 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 req ' FI Lien w 713. 1,
e 07 SignatureofOwner/Agent Date Signature of Contractor/Agent Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID n
tor/ M's Name i
BL'ANTON Signature
of 11 SSION N DD6290 d
IRES: Febn+ary 25, 2011 a
I
OD).N'Oi` ARY F1 NouryD4mm1 Auer. Co. a Contractor/
Agent
is Personally Known to Me r Produced ID
APPROVALS: ZONING:
UTIL: FD: ENG: BLDG: Special Conditions:
Rev 0212007