HomeMy WebLinkAbout1401 W Seminole Blvd - P06-001809 (CFRH) (MEDICAL GAS REWORK AND ALARM) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Permit#: 06-00001809 Date: May 24, 2007
Job Address: 1401 W. Seminole Blvd
Description of Work: _Medical gas rework and add alarm. Total Square Footage
Historic District: Zoning: Value of Work: $ 8,760.00
Permit Type: Building Electrical Mechanical Plumbing _X 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 _
A
Occupancy Type: Residential Commercial X Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name&Address: Central Fl. Regional Hospital - C/O Tax Dept. 30953 - P.O. Box 1504
Nashville, TN 37202 Phone:
Contractor Name& Address:_ Modern Plumbing Industries, Inc. - 255 Old Sanford Oviedo Rd.
Winter Springs, FL 32708 State License Number: CFC1427166
Phone&Fax: 407-327-6000/407-327-6023 Contact Person: Eddie Agosto Phone: 407-327-6000
Bonding Company:
Address:
Mortgage Lender:
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 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 rt
this county, and there may be additional permits required Irom other governmental entities such as water management districts, state agencies, or federal
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
S-Z{
Signature of Owner/Agent Date Signature of Contractor/Agent Date
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 03/2006
UTIL: FD:
Modern Plumbing Ind./ Eddie Agosto
Print' ontractor/Agejt' Name
l / 5 02 07
Signs of No -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced I
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ENTERPRISE 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 9, 2007
City of Sanford
Building Department
Permits Division
RE: Power of Attorney / Letter of Authorization
Enterprise Electric, LLC
State License #EC-0002156
Anthony A. Tidwell, Qualifier
To Whom It May Concern:
Please accept this letter as authorization to allow Jason Cline, Richard Cain, and/or Ken Harley
to sign for and pick up permits on my behalf and on behalf of Enterprise Electric, LLC. I. request
that this letter make the previous requests null and void.
Should you have any questions, please contact me at (615) 350-7270.
Sincerely,
ENTERPRISE ELECTRIC, LLC
a
Anthony A. Tidwell
Senior Project Manager
U
State of rlorndcl
aow P KRISTI HENDRIX
NOTARY Pueuc
COMMISSION NO. DD493=
MY COMMISSION EXPIRES
p NOVEMBER 27, 2009
County of O rZ1 Y1A G
The foregoing was acknowledged before me this 9+-k day of MCLI 2001, by
Ari"hvn A . 77oi w(zAl who is personally known tome, w js c IK
as identification.
6tarf Public Signa ure Print Name of Notary
Florida Office: Corporate Office: Texas Office:
1629 Prime Court, Suite 500 1300 Fort Negley Blvd. 6829 K Avenue, Suite 107
Orlando, Florida 32809 Nashville, Tennessee 37203 Plano, Texas 75074
Phone: 407.852.2904 Phone: 615.350,7270 Phone: 972.424.4765
Fax: 407.852.2930 Fax 615.350.7242 Fax: 972.424,4767
Web Site: www.enterpriselic.com