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Home My WebLink About1404 W Seminole Blvdom C- A ev Application No: - 16-394 JobAddress: 1401 W. Seminole Blvd. Parcel ID: FEB 2 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ 3 9, 8 o o . 0 0 Historic District: Yes El No 91 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 Hospital Phone: (407) in2-7-;cjn Street: 1401 W. Seminole Blvd. Resident of property? City,StateZip: Sanford FL 32771 Contractor Information Name Enternrise Electric. LLC Street: 1629 Prime Court, Suite 500 City,StateZip: Orlando FL 32809 Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 0 Square Footage: No. of Dwelling Units: Electrical 0 New Service — No. of AMPS: N/A Phone: 407-852-2904 Fax: 407-852-2930 State License No.: E C 0 0 0 12 Arch itect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing 13 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 notify 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 permit is released. X4 Sfg-nature of Owner/Agent Date lzve& A A&a Pninit Owner/Agent's Name of N`-o—tary-Stat1Q0fqor—idT Q/tesrll I plllk Notary Public State of Florida Esta L Orserto My Commission FF 071167 OF Expires 9:623/2018 Owner/Agent is WPersonallyy Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: ZCO-1- 1-leg Signature of Cdi rtractor/Agent' Date Pnnt lLontractor ent's N 16e Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 Job Name CENTRAL FLORIDA REGIONAL HOSPITAL Job Number 15-195 Location Sanford, FL. Date 12/17/2015 Work ED Coordinatflon 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 22500.00 EA 1 21500.00 0 EA 0.00 PERMIT 100.00 EA 1 100.00 8 EA 8.00 2,600.00 88.00 Nurse Call Equipmeut NC VENDOR QUOTE t,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 CLIF 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 1"Imn 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 offly 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 H STATE OF FtQR7M7/1// COUNTY OF D,0111447V7 The ' regoin n truggept waspckno'.w [edged before in iJ5day okWal Vyro, - personally knownIg t -;h—o is200_[ , by_ to me or o who has produced identification and who did (did not) take an qath. TONESSEE g S NOTARY B I 6** 111111110 Rev. 08.12) as Signature Ao,P7 , i Print or type name Notary Public - Staie of7 JAI Commission No. My Commission E4Yk prnrnlSslqn ExPires January 9,2018 IMENTERPRISE ELECTRIC,LLC C 0 N T A A C T 0 R S A N 0 E N G I N E E R 3 Job Name CENTRAL FLORIDA REGIONAL HOSPITAL Location Sanford, FL. Work ED Coordinatfion Center Estimator Ken Harley Materials Job Number 15-195 Date 12/17/2015 Manhours Adjust Adjust Item Description Price Unit Qty % Extension Rate Unit Extension LizItting 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 Trint 15 A SINGLE POLE SWITCH 5. t5 EA to 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 140SP 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 Con(fitit & Fittin2s 1/2" CONDUIT STR P 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#] 2/2 168.00 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 TH14N SOLID CU 21.10 CLF 4000 844.00 0.791 CLF 31.64 844.00 31.64 Dentolition & Mobilhation Thursday, December 17, 2015 Page I of 2