HomeMy WebLinkAbout1401 W Seminole Blvd (6)M
CITY OF SANFORD PERMIT APPLICATION _ RECEIVED
Permit # C Date:
Job Address: two vJzSk S.M_,_� a-1-1 AUG 1- 2005
Description of Work: t
Historic District: Zoning: Value of Work: $ LVSI WtT• Q�—'
Permit Type: Building Electrical _X_ Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Electrical: New Service — # of AMPS Addition/Alteration _(L 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 Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #: a (Attach Proof of Ownership & Legal Description)
Owners Name & Address: ky0 \ �a 7[ Cv� WL��< ���1� �cv,`k�(1 I Wil-_. 3a"ti t
Phone:
Contractor Name & Address: - wW �'�� )s��� C'n-W 7c �SI� (tel" • e- 1 LLQ (_04-4 - sk ?-,,,l jM,41
&. o --Jr w i,q- State License Number: lam`_ Dc7L�� ZP
Phone & Faa: L l� - 35� ��-I� Contact Person: �Db��� e,�1'tN-�- Phone: _3DA-acn - 401L�
Bonding Company:
Address:
Mortgage Lender:
Address:
�lJ 1 Phone: lab- �SZ�'1aiO
Address:
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 watgf management districts, state agencies, or federal agencies.
Acceptance of pe it is ver cati that 11 notify the owner of the property of the reg1V
a Cp r
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Signature er/Agent e
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Print Owner/Agent's N4.* .EE° 0mB v ,n a of Notaryto of Florida to
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Owner/Agent isPersonally Known to Me or Conti
• fi'� Produced ID
Date u
Name
_
MY r,OMtdI!SSt0N # DD 188491
FXPIFIESPat>ruary 25, 2007
_e
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(I al & Date) (Initial & Date) (Initial & Date)
`-- Special Conditions:
10,
TERPRrSE'ELECTRI C, «C
C O N T R A C T O R S A N D E N G I N E E R S
July 26, 2005
City of Sanford
Building Permits
P.O. Box 1788
Sanford, FL 32772
RE: Power of Attorney
Authorization to Pull Permits with the City of Sanford
Anthony A. Tidwell, Qualifier
Enterprise Electric, LLC
To Whom It May Concern:
Please accept this letter as written Power of Attorney to authorize Caleb Ford to pull permits
with the City of Sanford on behalf of myself and Enterprise Electric, LLC.
The following is information about the job he is pulling permits for:
Central Florida Regional Hospital
1401 West Seminole Blvd
Sanford, FL 32771
should you have any questions regarding this request, please feel free to contact me at (615)
350-7270.
SineereLv
ENTERPRISE ELECTRIC, LLC
Alae
Antho - -A. Tidwell
Senio Project Manager
Aybg1D A-Tid Wel/ being duly sworn deposes and says that the information provided herein
is true and striciently complete so as not to be misleading.
HENI�
Subscribed and sworn to me this 4Aday of �-_FI ( y ,� 2 c,,
NOTARY PUBLIC:
My Commission Expires: My Commission Up. Sept. 20,
7100 Cockrill Bend Boulevard • Nashville, Tennessee 37209 • Phone: 615. 350.7270 • Fax: 615. 350.7242 • Web Site: www.enterprisellc.com
nC��
7100 Cockrill Bend Boulevard • Nashville, Tennessee 37209 • Phone: 615. 350.7270 • Fax: 615. 350.7242 • Web Site: www.enterprisellc.com
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THIS INSTRUMENT PRNQW[G1 1r?F COWIENCWENT -M
Permit No. NAME Tax Folio No.
State of Florida ADDR. 5 "`� �" ' ` �� `l� e�
County of Saninole
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.
of property, -(legal description of the property and street address if available) l LAc-�\ u d c,,k .Jnatt
2. General description of .improvement: Q," c.. C
3. Owner information
a. Name and address
b. Interest in property _
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
rn a. Name and addressr�,�.1 ell '1 �t�o�44 -Y `� t�c.v� ��� c� N w�y� �,�c T14 S-)96 3
b. Phone number -?,c Fax number Le t S -' V� - -12,4 ?
5. Suretyy I
a. Name and address
6.
b. Phone number _
c. Amount of bond
Lender
a. Name and address
Fax number
b. Phone number Fax number d' `
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 xa)7., Florida Statutes:
a. Namo and address
b. Phone number
8. In addition to himself or herself Owner designates
Fax number
of
to receive a copy of the Lienor's Notice as provided in Section
_...�_. s. :�<,,.,_._713.13(1)(b)-Plorida.Statutes:� •' ..�� x=-:- ,.
a. Phone number Fax numAk
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
&Jnature of Owner
Sworn to (or affirmed) and subscribed before me this day of�, 20 0.5 , by
Personally Known ✓ OR Produced Identification WyWeIMRSE, CLERK OF CIRCUIT COURT
Type of Identification produced —Q ERK OF SDIWILE COUNTY
BK 05899 FSC 190 2
F I LE i NUM 2005156908
RECORDED 09/13/005 02:51:00 Pld
S Ire o otary Public, Slate of Florida RECORDIM FEES 10. 00
C mmission Expires: Po,G^ Esta L. Orseno RECORDED BY D Thomas
=or�Y
My Commission DDG69842
Von, I Expires January 23 2006 Jill 1111111'At a III I161116111161161111I1E6t11111{11111111
AUG -09-2005 10:20 96% P.02