HomeMy WebLinkAbout1401 Seminole BlvdCITY OF SANFORD =:PLUMBING PERMIT APPLICATION
Permit Number. G l Date. June 02, 2003
The undersigned hereby applies for a permit to install the following plumbing:
Owners Name: HCA, Healthcare, Inc.
Address of Job: 1401 Seminole Blvd./Sanford, FL 32711
Plumbing Contractor: Rock City Mechanical Company, LLC
Residential: Non -Residential: x
Number Amount
Addition, Alteration, Repair(Residential & Non -Residential)
New Residential:
One Water Closet
Additional Water Closet
Commercial: Minimum Permit Fee $25.00
F'udures, Floor Drain, Tma
Sewer Piping
Water Piping
Gas Piping
Manufactured Building
Description of Work: Add:
(1) Air Com ressor
(2) Drops in Pharmacy with 1/2" valves
A 10 000
Application Fee:
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
pplican s Signature
CFC058022
State License Number
CITY OF SANFORD MECHANICAL PERMIT APPLICATION
Permit Number V 7 2)0v-1 Date: June 02, 2003
The undersigned hereby applies for a permit to install the following equipment:
Owner's Name: ICA, Healthcare, Inc.
Address of Job: 1401 Seminole Blvd./ Sanford, FL 32711
Mechanical Contractor Rock City Mechanical, Company, LLC
Residential Non -Residential x
Nature of Work: Amount
Add el
1 Supply Grill
1 Return Grill
(1) Relodate Supply Grill
Job Valuation: 44 00
Application Fee: $10.00
TOTAL DUE:
By signing this application, 1 am stating that I am in compliance with City of Sanford
Mechanical Code.
,'/ppli4ersignature
CMC1249273
State Ucense Number
"E %i6m%zock
VDDR. r C P '
Ze 4ry 3 2 �l
Noe
State of Florida
County of Seminole
City Mech
386-668-2325
NOTICE SOF CC1blMENCEN ENT
Tax Folio No.
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.
p-2
1. Description of property: (legal da ription of the property and street address if available) Spin; nnl p r nin,ty
Lot TR 17 BLK 1n & 2N PB 1/112 1401 Seminole B1vd.,Sanford, FL 32711
2. Gen eraldescription ofimprovement: Add (1) Air Cbmpr_p��n,- & (7) r>„t1of with 11211 Ualsroa
in Pharmacy and add Supp:Ly & Return Grilles
3. Owner information
a. Name and address HCA healthcare. Inc . , one Park1 a7ta f Rl a¢ 2.,-47-A P10r Fiat
Ndshville, TN 37203
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
a. Name an ddress Rork Cit Wler.},mig,- i n,,..V any uG 7715 r:rarric�i ew �vnrn,e NelShL":::eTis�
37211
b. Phone number _ (til s) 251._ -Ands Fax number (615) 251-3054
5. Surety !moi■iAl■■lwiwfl■■S■■�■1■11�
a. Name and address
> VA" KIM, CLUX CF CTROIYT cam
b. Phone number ' Fax nu4ftINOLE COt1r7Y
c. Amount of bond BK 04848 FSG 017a
6. Lender CLERK' S 0 2003093665
a. Name and address QED 96/03/eM R1:36:23 PN
REGMIM FEES 6.N
b. Phone number F=UUXM&FLW IST 14 WdIM
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 address
b. Phone number Fax number
8. In addition to himself or herself; Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
7 3 3(1)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
k4jignature of Owner
Swo to (or affirmed and bscribed before me this 4— day of 20 03 , by
/ CERTIFIED COPY
Personally Known ✓ OR Produced Identification ' _'`RygNNE MORSE
Type of Identification Produced - —RERK OF CIRC!!I COURT
1NEMM!767t7 ' •.
oµr Esta L. Orseno
= My Commission DD069842
S ature of Notary Public, State of Florida '�.w �' Expires January 23 2006 _ ° rry
Commission Expires: