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HomeMy WebLinkAbout950 S Mellonville Ave (2)R,c ;CITY OF SANFORD PERMiff APPLICATION,4, . hr Permit #: •` Date: S/,73 O �Oy , Job Address: C. Q. ujA /'�e11l0�t dlo– AvC An For a7'1 '��6 Description of Work ,, F71%I f Z NAM (Re(�P1 r Total S uare Footage R, 9' R3 C Historic Distriq:..' Zoning: Value of Work: $ Af 1� ER•LQ'++ 6f© 2 S O' U 0 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm —y— 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 Occupancy Type: Residential Commercial )( Industrial Construction Type: I # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) Owners Name & Address: r• Z . SR(\-(�Ca Re6&6 , , 3NoD Cenira'I AQe p J(.l,t 4-e. \S50 St . i'e ersb�e�ch . 171 33?O Phone: -72-1. 235. �.Io I 1 Contractor Name &Address: % / %l' E r Q h fc rS %y ai (�M C' /s f e0 - ��j j ig ,9 0^O Ot t.tJ QCT f Phone & Fax: %V Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer Address: Al U- r CK0000tfl ':;A' fie. State License Number: �/ ,/�� Twp p,�`L1 Contact Person: Ala / ik4a,* i &d11t Phone: a4• JCJ(,) .O-� 7 � Phone: 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 ofthe 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 this county, and there may/4 Acceptance of pegrlt is Signature may be additional restrictions applicable to this property that may be found in the public records of i other governmental entities such as water management districts, state agencies, or federal agencies. Date 11ftv 10 stun t 4 Z3/ 0 � Print Owner/A is Name 00 (o Signatu off, State DWNt1IJE PERKINS ate *: MY COMMISSION # DO 248167 EXPIRES: September 8,20G7 Bonded Thru Notary Public Undemifters Owner/Agent is1_ Personally Known to Me or Produced ID i7 Cy r Li �A.� �,a. d5-i042466o,g o APPROVALS: ZONING: Special Conditions: Rev 03/2006 of the requirements of Florida Lien La,./JS 713. sfi 310 (1 Signature of Contractor/Agent D e ?911 de (C -ke 312 3/0 Print Contractor/Aeeht's Name 6-`7Lx.CJLW-VX" — Si No)-StAofJdAWaANDREWS Datea3�o ., NOTARY PUBLIC, STATE OF FLORIDA °�� My comm ion expires Jan. 16, 2009 ft Com $Sion No. D D 3 5 5 8 5 7 Contractor/Agent is Personally Known to Me or Produced ID UTIL: FD: 1ALI t l h/1 ENG: BLDG: D.1 1 Nathan Aydelette J (904) 388-8542 Ext. 27 Fax: (904)-384-2610 Cell: (904) 838-4178 FIRE FIGHTERS EQUIPMENT CO. W WW. FI REFI G HTERSUSA. COM naydelette0firefightersusa.com 5638 Commonwealth Ave. • Jacksonville, Florida 32254 4 � , 1 Nathan Aydelette J (904) 388-8542 Ext. 27 Fax: (904)-384-2610 Cell: (904) 838-4178 FIRE FIGHTERS EQUIPMENT CO. W WW. FI REFI G HTERSUSA. COM naydelette0firefightersusa.com 5638 Commonwealth Ave. • Jacksonville, Florida 32254 Division of Corporations Foreign Limited Liability SENIOR HEALTH MANAGEMENT, L.L.C. PRINCIPAL ADDRESS 100 SECOND AVE SOUTH SUITE 901 S SAINT PETERSBURG FL 33701 Changed 05/12/2002 MAILING ADDRESS 100 SECOND AVE SOUTH SUITE 901 S SAINT PETERSBURG FL 33701 Changed 05/12/2002 Document Number FEI Number Date Filed M01000002399 251879950 10/23/2001 State Status Effective Date PA ACTIVE NONE Total Contribution 0.00 Registered Agent Name & Address SPECTOR GADON & ROSEN LLP 360 CENTRAL AVE SUITE 1550 SAINT PETERSBURG FL 33701 Name Changed: 05/07/2004 Address Changed: 05/07/2004 Manasier/Member Detail Name & Address Title DAVIS, DAN 100 2ND AVE SOUTH, SUITE 901 S �FM7GR Page 1 of 2 http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&nl=MO1000002399&n2=NA lFW... 6/9/2006 Division of Corporations ` r �I ST PETERSBURG FL 33701 I��I Annual Reports Report Year Filed Date 2004 05/07/2004 2005 08/08/2006 2006 03/08/2006 Previous Filing f Return to List Next Filing No Events No Name History Information Document Images Listed below are the images available for this filing. 03/08/2006 -- ANNUAL REPORT 08/08/2005 -- ANN REP/UNIFORM BUS REP 05/07/2004 -- ANN REP/UNIFORM BUS REP 04/16/2003 -- ANN REWUNIFORM BUS REP 05/12/2002 -- COR - ANN REPIUNIFORM BUS REP 10/23/2001 --Foreign Limited Page 2 of 2 THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT C �rporAtio s Inquiry ..; Carpora�ioris. Help„ 4! hq://www. sunbiz. org/scripts/cordet. exe?a 1=DETFIL&n 1=MOI 0000023 99&n2=NAMFW... 6/9/2006 Seminole County Property Appraiser Get Information by Parcel Number Page I of 2 RCEL ULIA '11 -Ir 13.Al2.,6 �4 �3 52.0 1-�6 14' 1 r mr 17 0 19.0 '10.A- DAVID JOHNSON, CFA, ASA .0 I MOF cm 38.4 PROPERTY 00H___ 1 O.A 1() �L'411 10.0 12 113 131 �F7 0.0 11 PH APPRAISER 0 — SEMINOLE COUNTY FL. 5.0 4 2.A 120F 110.0F - ----- 1101 E. FIRST sT SANFORD , FL 32771-1468 407-655-7506 L1120H ., 1 — 11 V_ 22.0 30PV 2 L3 1 13 13 1 lffi7h[l i 14 1-1 _J VE 21A — 44A0---7MFI 'IT -11 _1r_ T47 2006 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 30-19-31-520-0000-0050 Number of Buildings: 1 Owner: WKTM-FLORIDA LLC Depreciated Bldg Value: $1,640,131 Own/Addy: C/O SENIOR HEALTH MGMT LLC Depreciated EXFT Value: $9,527 Mailing Address: 100 2ND AVE S STE 901S Land Value (Market): $182,336 City,State,ZipCode: ST PETERSBURG FL 33701 Land Value Ag: $0 Property Address: 950 MELLONVILLE AVE SANFORD 32771 Just/Market Value: $1,831,994 Facility Name: HILLHAVEN NURSING HOME Assessed Value (SOH): $1,831,994 Tax District: S1-SANFORD Exempt Value: $0 Exemptions: Taxable Value: $1,831,994 Dor: 74 -HOMES FOR THE AGED/A Tax Estimator SALES Deed Date Book Page Amount Vac/Imp Qualified WARRANTY 06/2003 04896 1475 $2,262,100 Improved No DEED 2005 VALUE SUMMARY WARRANTY 09/1998 03557 1317 $100 Improved No DEED 2005 Tax Bill Amount: $27,010 WARRANTY 11/1992 02505 1856 $2,944,800 Improved No 2005 Taxable Value: $1,353,554 DEED DOES NOT INCLUDE NON -AD VALOREM QUIT CLAIM 09/1985 01679 0605 $1,058,900 Improved Yes ASSESSMENTS DEED QUIT CLAIM 09/1985 01679 0604 $100 Improved No DEED Find Sales within this DOR Code LEGAL DESCRIPTION PLATS: Pick... LAND LEG PT LOTS 5 & 6 DESC AS BEG 133.59 FT S 4 DEG W OF SE COR LONGS 2ND ADD Land Assess Frontage Depth Land Unit Land RUN S 4 DEG W Method Units Price Value 421.87 FT W 446.02 FT N 24 DEG 38 MIN 1 FRONT FOOT & 440 418 .000 280.00 $182,336 SEC E 200.69 FT N 260.87 FT S 86 DEG 50 DEPTH MIN E 389.89 FT TO BEG ELLA A PACES PLAT OF PART OF SEC 30 TWP 19S RGE 31 E P8 1 PG 91 BUILDING INFORMATION Bid Est. Cost Bid Class Year Fixtures Gross Stories Ext Wall Bid Value Num Bit SF New 1 MASONRY 1968 70 33,379 1 CONCRETEBLOCK- $1,640,131 $2,877,422 PILAS MASONRY Subsection / Scift CANOPY / 530 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New http://www.scpafl.orglplslweblre—web.seminole—county_title?parcel=3019315200000O050... 6/9/2006 IntelliKnight' Model 5820XL Addressable Fire Alarm Control System The IntelliKnight System is the easy way to make the most of fire alarm technology. - IntelliKnight 5820XL is the first fire alarm system to provide you with revolutionary value and performance in addressable sensing technology. The 5820XL FACP offers exclusive, built-in digital communication, distributed intelligent power, a modular design and an expanded, easy to use interface. Powerful features such as drift compensation and maintenance alert are delivered in this powerful FACP from Silent Knight. For more information about the 5820XL system, or to locate your nearest source, please call 1-800-446-6444, or in Minnesota, call 763-493-6435. Description Improvements in SKSS software 5820XL performs drift compensation deliver five times faster and calibration checks on each of the uploads/downloads sensors in the system. Two built-in Form C programmable The basic 5820XL system can be relays rated at 2.5 amps at 27.4 VDC. expanded by adding modules such as Supports sounder bases 5860 remote annunciator, 5815XL signalling line circuit expander, 5824 • 6 amp power supply and maximumcharging capacity of 35 amp hours serial/parallel printer interface module (An additional cabinet enclosure is " (for printing system reports), and required for batteries in excess of 18 h 5895XL intelligent power module. amp hours) 5820XL also features a powerful built-in Programmable date setting for dual line fire communicator that allows Daylight Saving Time for reporting of all system activity to a Plex-1 door option combines a dead - remote monitoring location. front cabinet door with a clear window, limiting access to the panel f Features • Up to 508 addressable points • Uses standard wire—no shielded or twisted pair required • Built-in digital communicator • Central station reporting by point or by zone • Built-in synchronization for appliances from AMSECO@, Gentex@, Faraday, System Sensor, and Wheelock@ • Flexput'TM 1/0 circuits • Supports Class B (Style 4) and Class A (Style 6) configuration for SLC, SBUS, and Flexput circuits • Distributed, intelligent power • Drift compensation • 13 pre-programmed output cadences (including ANSI -3.41) and 4 programmable outputs Built-in annunciator with 80 -character LCD display • RS -485 bus provides communication to system accessories • Built-in RS -232 and USB interface for programming via PC • Built-in Form C trouble relay rated at 2.5 amps at 27.4 VDC while providing single button operation of the reset and silence functions Electrical Specifications Primary AC: 120 VRMS at 50/60 Hz, 2.5A or 240 VRMS at 50/60 Hz, 1.4A Total Accessory Load: 6A @ 27.4 VDC, power -limited Standby Current: 215 mA Alarm Current: 385 mA Flexput Circuits: Six programmable circuits which can be programmed individually as: Notification circuits: 3A @ 27.4 VDC per circuit, power -limited Auxiliary power circuits: 3A @ 27.4 VDC per circuit, power -limited Initiation Circuits: 100 mA @ 27.4 VDC per circuit, power limited Mechanical Specifications Flush Mount Dimensions: 14.5"W x 24.75"H x 3.9"D (36.8Wx62.9Hx9.8Dcm) Model 5820XL Overall Dimensions: 16.2"W x 26.4"H x 4.2"D (40.6 W x 67 H x 11.8 D cm) Weight: 28 lbs. (12.8 kg) Color: Red Battery Charging Capacity: 7.0-35 AH Battery Size: 18 AH max allowed in control panel cabinet. Larger capacity batteries can be housed in RBB accessory cabinet. Telephone Requirements: � f FCC Part 15 and Part 68 appr�y Type of Jack: RJ31X (two re fired bV Honevvvell, , Jun 12 2006 9:21RM HP LRSERJET FRX P•2 r r r SECRETARY'S CERTIFICATE Re: Lease Signatories FI-SANFORD, LLC DBA HEALTHCARE AND RERAB OF SANFORD (The "Corporation") The undersigned does hereby certify that he/she is the duly elected President of the Corporation. The undersigned, as such officer, further certifies as follows: 1. Each person named below is a duly elected (or appointed), qualified and acting officer of the Corporation as of the date hereof. Such person holds, on the date hereof, the office set forth opposite such officer's name, and the signature appearing opposite such officer's name is such officer's genuine signature: Name Office J. David Hunt 950 Mellonville Avenue Sanford, FL 32711 IN WITNESS WHEREOF, the undersigned has executed this instrument as of this 8th day of Julyy , 2004 014 Signature Revised 7100 jun 14 j2006 10:15RM HP LASERJET FAX I ILII II III II III II III II III II III II III II III If 1111111111 flPlill *�+ MrWANNE MORSE, CLERK .OF CIRCUIT COURT NOTICE OF COMMENCEMEIWINOLE COUNTY BK '06288 Pg 14821 (I pg) Permit No. (D CFh€Mih&o# 2006097053 State of Florida RECORDED 06/11/2006 110702 AM County of Seminole RECORDING FEES 10.00 RECORDED BY H Hailey The undersigned hereby gives notice that improvement will be.made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ' 1. D�scri aon o p 'on of the property perty and street address if available) .CERTIFIED CO �operty: (legal descri ;i� rH;, as vtvE 2. General description of improvement: )qlYt Ai R•eN} Re /'a r2 SE INOLE FWATY. FLO.itl 3. Owner .information a. Name and address E, Z' L,�C 5 b. Interest in property ' ' c. Name and address of fee simple titleholder (if other. than Owner) Contractor a. Name and address oi�, 36 co n" b. Phone number Surety a. Name and address t rn s gwWrr� F: b. Phone number Fax number c. Amount. of bond . 6. Lender a. Name and address s b. Phone number Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and addressn6 C'. - 5 / qO / 5, Sf tr 6 �2 & : I -6V e _5 . 5/,, ae,Vs,.0ui -G _5.3 -70 b. Phone number J - C - C17� Fax number !j 6 8. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(lxb), Florida. Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement. (the expiration date is 1 year fro the date of recd ding unless a different date is specified) Sig6alum of Owner Swarn to (or affirmed) and subscribe Ibefore me this 1 day of t"f 20 �, by Personally Known - " OR Produced Identification Type of Identification Produced _ [HIS INSTRUMENT PREPARED BY. r-> NAME Signature.of Notary Public, State of Florida /-{t i"T .. ADDR. e &)0(j We . Auz Commission Expires: Sh(i r M COB45 �8fx�010 _ SONDEDTHR�11 -'t 7ARY7 Qo�y�,4 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 • FAX # 407-302-252//6 f ,, \ DATE: PERMIT #: C) C� BUSINESS NAME / PROJECT: A� ADDRESS: PHONE NC CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVIEW �Q' F. A. [ F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PEKMI`T [ ] TENT P4RM1T J TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ Inn, o0 (PER UNIT SEE BELOW) COMMENTS: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 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 ivision Applicant's Signature