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Home My WebLink About1401 W Seminole Blvd (2)c-t App FEB 2 2016 D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: - 16-394 Documented Construction Value: $ 3 9, 8 o o . o o Job Address: 1401 W. Seminole Blvd. Historic District: Yes El No M Parcel ID: Zoning: Description of Work: ED Coordination Center Plan Review Contact Person: Ken Harley -Title:Vice President Phone: 407-852-2904 Fax:407-852-2930 E-mail: kharley@enterprisellc. com Property Owner Information Name HCA/Central Florida Regional Hospi tal Phone: (4n7) -;n2-7iqn Street: 1401 W. Seminole Blvd. Resident of property? : City,StateZip: Sanford FL 32771 Contractor Information Name Enterprise Electric, LLC Phone: 407-852-2904 Street: 1629 Prime Court, Suite 500 Fax: 407-852-2930 City,StateZip: Orlando FL 32809 State License No.: ECO001269 Arch itect/Eng i neer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit [3 Square Footage: No. of Dwelling Units: Electrical 0 New Service — No. of AMPS: N/A Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing 0 New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 notif the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the pen -nit is released. 6 4, boeee-, <, J e g4 Signature of Owner/Agent —Date JA& A 2Aa-2 P nrit Owner/Agent's Name S?"16le of Tt6Gary-Stat1Q*K6r—,d3— D/t. Notary Public State of f] Florida Esta L Orseno My Commission FF 071167 Expires"3/2018 Owner/tWAggent is RPersonallyy Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Signature of Cd; rtractor/Agenl- Date A eAzy D&d25T6 Print Nntraetor ent's Nii6e Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: L"I _QX0 I Rev 11.08 Job Name CENTRAL FLORIDA REGIONAL HOSPITAL Job Number 15-195 Location Sanford, FL. Date 12/17/2015 Work ED Coordinatiion Center Estimator Ken Harley Materials Manhours Adjust Adjust Item Description Price Unit Qty % Extension Rate Unit % Extension DEMO 0.00 EA 1 0.00 80 EA 80.00 GENERAL CONDITIONS 2,500.00 EA 1 2 500.00 0 EA 0.00 PERMIT 100.00 EA 1 100.00 8 EA 8.00 2,600.00 88.00 Nurse Call Equipment NC VENDOR QUOTE 1,500.00 EA 1 1,500.00 0 EA 0.00 1,500.00 0.00 Special Systems & Eguipment CAT 6 DATA CABLE $22.00 CLF 5000 $1,100.00 0.7 CLF 35.00 CAT 6 DATA JACK $8.27 EA 32 $264.64 1 EA 32.00 1,364.64 67.00 Project Totals $15,004.62 490.11 Material 15,004.62 Tax @ 0% 0.00 Labor (490.11 @ $40/hr) 19,604.40 P.T. & 1. @ 0% 0.00 SubTotal 34,609.02 Fee@ 15% 5,191.35 Total 39,800.37 I k Thursday, December 17, 2015 Page 2 of 2 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 2/26/2015 I hereby name and appoint: Anthony Dacosta an agent of. Enterprise Electric, LLC Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): 0 The specific permit and application for work located at: Building Permit# 16-394 a 1401 W. Seminole Blvd. Street Address) Expiration Date for This Limited Power of Attorney: 3/31/2016 License Holder Name:- Michael W. Campbell State License Number: Signature of License B STATE OF FL-0R7D71L7/1/ COUNTY OF The fo d o kA&qyegoin i tr t waspcknowledged befib e in is 5 200_W, by to eL 0 M who is personally known to me or o who has produced identification and who did (did not) take an qath. as rj/ Signature Print orr type nameTENNESSEE NOTARY f7PUBLIC..., Notary Public - State o 1/4/ Commission No. 1111111111110 My Commission Efflyr iP ires January 9,2018 Rev. 08.12) b HENTERPRISE ELECTRIC,LLC C 0 N T R A C T 0 R S A N D E N G I N E E R 3 Job Name CENTRAL FLORIDA REGIONAL HOSPITAL Job Number 15-195 Location Sanford, FL. Date 12/17/2015 Work ED Coordinafflon Center Estimator Ken Harley Materials Manhours Adjust Adjust Item Description Price Unit Qty % Extension Rate Unit % Extension RELOCATE FIXTURE $14.00 EA 6 $84.00 1.25 EA 7.50 TYPE A FIXTURE $265.00 EA 1 $265.00 1 EA 1.00 TYPE B FIXTURE $235.00 EA 7 $1,645.00 1 EA 7.00 TYPE C FIXTURE $235.00 EA 1 $235.00 1 EA 1.00 TYPE D FIXTURE $235.00 EA 11 $2,585.00 1 EA 11.00 4,814.00 27.50 Devices and Trinz 15 A SINGLE POLE swiTcH 5.15 EA 10 51.50 0.217 EA 2.17 15A HOSP GRADE GFI RECPT 15.66 EA 1 15.66 0.217 EA 0.22 15A THREE WAY SWITCH 7.35 EA 2 14.70 0.378 EA 0.76 20A HOSP GRADE DUPLEX RECPT 3.83 EA 27 103.41 0.322 EA 8.69 DUPLEX PLATE STAINLESS 1.98 EA 47 93.06 0.109 EA 5.12 RELOCATE DUPLEX RECPT 2.73 EA 25 68.25 0.217 EA 5.43 STAINLESS STEEL DEVICE PLATE ENGRAVI 4.85 EA 50 242.50 0 EA 0.00 SWITCHPLATE STAINLESS 1.98 EA 2 3.96 0.109 EA 0.22 593.04 22.61 Cowhift & Filtines 1/2" CONDUIT STRAP 0.44 EA 150 66.00 0.017 EA 2.55 1/2" EMT CONDUIT 1.08 LF 1100 1,188.00 0.081 LF 89.10 1/2" EMT CONNECTOR STEEL SS 0.64 EA 56 35.84 0.072 EA 4.03 1/2" EMT COUPLING STEEL SS 0.82 EA 90 73.80 0.072 EA 6.48 3/4" ARLINGTON BUSHING 1.75 EA 31 54.25 0.19 EA 5.89 3/4" CONDUIT STRAP 0.62 EA 58 35.96 0.019 EA 1.10 3/4" EMT CONDUIT 1.46 LF 400 584.00 0.097 LF 38.80 3/4" EMT CONNECTOR STEEL SS 1.06 EA 25 26.50 0.079 EA 1.98 3/4" EMT COUPLING STEEL SS 1.22 EA 30 36.60 0.079 EA 2.37 3/8" FLEX WHIP 6 10.60 EA 10 106.00 0.311 EA 3.11 4" SQ BOX 2 1/8" 4.14 EA 110 455.40 0.435 EA 47.85 4" SQ BOX BLANK COVER 0.77 EA 45 34.65 0.136 EA 6.12 4" SQ PLASTER RING 1.42 EA 65 92.30 0.136 EA 8.84 GROUNDING PIGTAIL - 8" 0.25 EA 110 27.50 0.1 EA 11.00 HOSPITAL GRADE MC CABLE# 12/2 168.00 CLF 250 420.00 8 CLF 20.00 MASONRY BOX 3 GANG 3 1/2" 13.60 EA 1 13.60 0.669 EA 0.67 MC CABLE CONNECTORS 0.69 EA 24 16.54 0.109 EA 2.62 MC CABLE STRAPS 0.44 EA 50 22.00 0.017 EA 0.85 3,288.94 253.36 Conductors 12 TFIHN SOLID CU 21.10 CLF 4000 844.00 0.791 CLF 31.64 844.00 31.64 Denzolition & Mobilization Thursday, December 17, 2015 Page I of 2