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HomeMy WebLinkAbout18-20232 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20232 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20232 Address: 38250 A AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0010-01300-0010 Improv. Cost: 75,000.00 OWNER INFORMATION Date Issued: 9/13/2018 Name: SOUTH PASCO HEALTH CARE PROPER I Total Fees: 415.00 Address: 485 N KELLER RD STE 250 Amount Paid: 415.00 MAITLAND FL 32751-7535 Date Paid: 9/13/2018 Phone: Work Desc: CHILLER REPLACEMENT 70 TON CONTRACTORS APPLICATION FEES DAIKIN APPLIED MECHANICAL FEE 415.00 n v I V Ins ec ions Re ui e DUCTS INSTALLED DUCTS INSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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, state agencies or federal agencies. "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." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 1/t0 CONTRACTOR SIGNATURE 9�T�G PERMIT OFFI R PERMIT EXPIRES I ONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20232 BUILDING PERMIT / .PERM IT'INFORMATION_: : . LOCATION INFORMATION Permit Number: 20232 Address: 38250 A AVE Z. Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0010-01300-0010 Improv. Cost: 75,000.00 - OWNER INFORMATION Date Issued: 9/13/2018 Name:/ SOUTH PASCO HEALTH CARE PROPER I Total Fees: 415.00 Addre s: 485 N KELLER RD STE 250 Amount Paid: 415.00 MAITLAND FL 32751-7535 Date Paid: 9/13/2018 Phone: Work Desc: A/C CHANGE OUT 70 TON CONTRACTORS APPLICATION FEES DAIKIN APPLIED A/C CHANGEOUT 415.00 DUCTS INSTALLED Ins ections Required DUCTSINSULATED FINAL REINSPECTION FEES: (c)yVith,respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the . local government shall i pose a fee of four times the amount of the fee imposed for the initial inspection or first rein pection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition tot requirements of this permit, there maybe additional restrictions applicable to this property that may be found in the Dublic records of this county, and there may be additional permits required from other governmental, entities such as water management, state agencies or federal agencies. "Warning to owp r: 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." Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER- 813-78D.0020 City of Zephyrhills Permit Application Fax-813.780.0021 Building Department Date Received Phone Contact for Permitting 813 217 _ 3264 Z-ri-t-tTrr � Owners Name South Pasco Health Care Properties,Inc. Owner Phone Number 407-975-3000 Owner's Address 485 N.Keller Rd.,Suite 250,Maitland FL 32751 Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 30250A Ave,Zephyrhills,FL 33542 LOT# 0010 SUBDIVISION PARCEL ID# 14-26-21-0010.013000.OU10 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH e INSTALL e REPAIR PROPOSED USE i] SFR = COMM Q OTHER I Replace equipment TYPE OF CONSTRUCTION 0 BLOCK Q FRAME Q STEEL Q Replace 70=Ion chiller with like. DESCRIPTION OF WORK BUILDING SIZE I SO,FOOTAGE HEIGHT =BUILDING S VALUATION OF TOTAUCONSTRUCTION =ELECTRICAL S AMP SERVICE 0 PROGRESSENERGY 0 W.R.E.C. ( (J QPLUNIBING S 0-1 �®MECHANICAL S VALUATION OF MECHANICAL INSTALLATION ' 75,000 =GAS Q ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �v BUILDER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURRE?, Y/N Address License# MECHANICAL ; COMPANY Daikin A lied SIGNATURE - ��I REGISTERED Y/ N FEE CURREN Y/N Address 1911 US HWY 301 N..TAMPA.FL 33619 License# CMC056831 OTHER COMPANY SIGNATURE REGISTERED I YIN FEE CURREN I Y/N Address License,# Iltlllllltlllllllllllllllttlllllllllllllllllllllllllll"Illlllltl'1111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-IN Permit for new construction, Minimum ten(10)working days after submitial'date. Required onsite,Construction Plans,Stonnwaier Plans w/Sill Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,'Stormwater Plans bil Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site WOrk.Permit for all new projecis,'All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "PROPERTY SURVEY required"for all NEW construction. 646. Directions. Fill out application completely. Owner&Contractor sign back of application,notarized If over$2501),a Notice of Commencement is required. (A/C upgrades over$7500) Agent(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same' OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter If on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89.07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or. final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is V,500.00 or more,I certify that I, the.applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work Will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions'apply to the use of fill: i - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time.of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be.used only to.fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required.. If I am the AGENT FOR THE OWNER, I promise in-good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be.required for electrical work, plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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 YOURNOTICE OF COMMENCEMENT. FLORIOA JURAT(F.S.117.03) OWNER OR AGENT--_ Nigel Hinds,CFO&Officer CONTRACTOR t r Subscribed and sworn to(or affirmed)before me this ��3v/f g Subscribed and swam to(or aff� pd before me this 3G by NiC�E Z H/fV ir�S by LlOa fq) Z,-n Who islare personalllr known to me or has/have produced Who istare personally known to a or haslhave produced [SO n[, f t! I{rt I ti d i•1 as identification. as identification. I G�4/'�Nolary Publ' � 'f' f� Notary Public Commission No. �� / 1�/(D CA-' �v v-65 ission No. V Name of Notary typed,printed or stamped Name of Notary typed•printed or stamped �Or 6&g% TINAM.BROWNE � 1 Notary Public-State of Florida �,, - Notary Public State of Florida � o Commission N GG 221079 Christina Hyland �'or r�° } My Comm,Expires Jan 26,2022 «��1� My Commission GG 1199604 Bonded tNr®ugh National Notary Assn. �""d• Expires 04/2512022 _-. F . ,. - A IK® tL 4 -i f� . ,.. Project Proposal Chiller Changeout 38250 A Avenue Zephyrhills, Florida United States,33542 Proposal#:Q-00019284 8/23/2018 Prepared for: Canute Hutchinson Director of Facilities Adventist Health Prepared by: Michael Opal SSR III Mobile:+14076003135 Email:michael.opal@daikinapplied.com DAIKIN Scope of Work • Secure existing Chiller at Sundown • Receive and unload new Daikin AGZ7070 Stock Chiller • LOTO Existing Chiller and Pumps • Disconnect existing chiller and load on customer's truck, • Set new chiller on existing concrete pad • connect to existing electric • pipe new chiller in 3"sched 80 PVC • provide provisions for future for temporary chiller hook up • provide and install new strainer at inlet of evaporator • start-up and log unit • All work is to be preformed afterhours • All Piping is to be prefabricated prior to Project Start • Secure permit • OPTION 1...Price add for.Extended 4 Yr Total Unit Parts and'Labor including 5 Year Refrigerant....$5,920.00 Plus applicable taxes Each of our sub-contractors will be maintaining a consistent project manager who will be represented when appropriate during our project time frame. Staff and resource planning will be maintained throughout the project through our project communication efforts. Proposal Clarifications, Exclusions, and Exceptions: Clarifications: 1. This proposal takes precedence over any other written,verbal,or other statements of scope, schedule,and pricing. 2. Acceptance of,a Notice to Proceed is not an acceptance of terms and conditions.Any Notice to Proceed will be based upon the terms and conditions contained in this proposal. 3. All working hours are estimated at regular or straight time rates.Accelerated or expedited project execution schedules and associated costs are subject to additional quotation, 4. Daikin Applied is not responsible for any delays or cost as a result of delays incurred due to limited, or no access to roads, buildings or equipment required to complete the scope of work provided for in this proposal. 5. Sales takes are not included within our pricing. 6. Costs associated with Owner directed programs or software required to fulfill project reporting, execution,safety management,and or Owner or Owner's Representative invoicing are not covered and will be invoiced in addition to the agreed proposal price. 7. Signage will not be provided or installed by Daikin Applied. 8. Staffing of onsite Safety or Security personnel during project execution or after working hours will not be provided and Daikin Applied understand this is the responsibility of the Owner or Owner's Representative. 9. Site drainage, pollution prevention plan and execution,temporary bathrooms,emergency eye- wash stations, barricades,ramps,splash-blocks,fire protection plans and systems required during ©2018 Daikin Applied Page 12 Project Proposal Proposal#:Q-00019284 Michael Opal construction,flagman,access controls features,trash repositories and pick services are not included. Daikin Applied understands the Owner or Owners Representative is responsible for these measures. 10. Daikin Applied understands temporary HVAC,temporary power,work site lighting,and temporary water required to perform the.scope of work provided is the Owner or Owner's Representative responsibility. 11. Daikin Applied will only provide supervision for itself and its sub-contractors when we or they are on site. 12. Daikin Applied Material or Labor warranty is excluded on Owner or Owner's Representative provided equipment. Exclusions: 1. Any labor, materials,or subcontracted service not specifically provided for in the description or scope of work. 2. Identification and remediation of existing code violations: 3. Authority Having Jurisdiction required changes are not included and will be quoted as additional work scope. 4. Painting, repair work to buildings,and/or equipment which is not specifically identified in the description or scope of work. 5. Costs associated with hazardous materials identification, removal, and/or abatement. 6. Temporary or portable HVAC equipment and connections to existing systems. 7. The creation of new Building Automation Systems graphics, monitoring,trending,analysis or any other software or labor required for implementation of these items. 8. Testing and balancing. 9. Commissioning plan development and execution. 10. Sound testing or acoustical treatments for any elements inside or external to the work site or equipment. 11. Seismic analysis and certification for all materials and equipment. 12. Permits, insurance coverages other than indicated in the attached Evidence of Insurance,and performance and payment bonds. 13. Professional services including Architectural,Mechanical, Electrical,Structural and other Engineering Disciplines. 14. Fire,Smoke and/or Security controls;equipment, repair,graphics, programming, replacement or upgrades. ©2018 Daikin Applied Page 13 Project Proposal Proposal#:Q-00019284 Michael Opal ®AIKIN Pricing and Payments Investment Amount and Billing Terms: Investment required to implement the proposed Chiller Changeout solution $74,741.46 Seventy Four Thousand,Seven Hundred Forty One dollars and Forty Six cents *Price does not include applicable sales tax Pricing and acceptance are based on the execution of a Contractor Agreement in.the form attached hereto and subject to final credit approval. Billing/Payment Terms*: Billed in full upon completion *All billings are due immediately upon Receipt This proposal will be honored by Daikin Applied for 30 days from the date on the front of the proposal. After 30 days, Daikin Applied reserves the right to.evaluate cost changes (both increases and decreases) from the proposal. Note:This Agreement is subject to final approval by Daikin Applied. Feel free to contact me if you have any questions or concerns regarding the information contained in this Chiller Changeout project proposal. If you would.like us to proceed with the solution presented above,sign the contractor agreement acceptance line and return a copy so that we can begin to mobilize our efforts to complete services as quickly as possible.We appreciate the opportunity to provide you with this solution and look forward to working with you on this project and servicing your needs in the future. ©2018 Daikin Applied Page 14 Project Proposal Proposal#:Q-00019284 Michael Opal / l M 7. Indemnification. It is the parties'obligation to defend and indemnify upon prompt receipt of written notice to defend, indemnify, and hold harmless each other's officers, directors, 'employees, and agents, from and against those damages, liabilities, claims, and causes of action, for property -damage, personal injury or death (including without limitation injury to or death of employees or any subcontractor thereof) (jointly referred to as "Claims"), directly caused by Contractor's negligence, gross negligence, or willful misconduct of the indemnifying party during the performance of the Work. 8. Default. 8.1. A default occurs under the terms of this Agreement if: (a) Contractor substantially fails to perform any of its material obligations under this Agreement; (b) if Owner becomes insolvent, and/or; (c) if Owner fails to tender payment to Contractor under this Agreement for thirty(30) days after the date such payment is due (together"Event of Default"). 8.2. Upon the occurrence of an Event of Default, the non-breaching party shall provide written notice to the breaching party("Notice of Default"). Upon receipt of the Notice of Default,the breaching party shall immediately correct the default. If the breaching party fails to correct the default for thirty (30) days after receipt of the Notice of Default, or fails to provide evidence that appropriate corrective action is in reasonable process,the non-breaching party may terminate this Agreement upon written notice ("Notice of Termination"). The parties shall have any legal remedies at their disposition,as allowed by local law. 9. Termination. Absent an uncured Event of Default, this Agreement may only be terminated only by the consent of the parties. 9.1. The termination shall be evidenced by: (a) execution of a single writing; (b) signed by Contractor and Owner; (c) that specifically identifies this Agreement, and (d) states that Owner and Contractor terminate this Agreement as of a specified date ("Termination Agreement"). 9.2. Prior to execution of the Termination Agreement, Contractor shall present Owner with an Application for Payment for actual Work rendered under this Agreement as of the date the parties intend to execute the Termination Agreement, and Owner shall pay Contractor the amount requested in the Application Payment contemporaneously with the parties execution of the Termination Agreement. 10. LIMITATION OF LIABILITY: NOTWITHSTANDING ANY OTHER PROVISION TO THE CONTRARY UNDER NO CIRCUMSTANCES SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR ANY CONSEQUENTIAL, INCIDENTAL, PUNITIVE, EXEMPLARY DELAY LIQUIDATED SPECIAL OR INDIRECT DAMAGES, INCLUDING, BUT NOT LIMITED TO LOSS OF USE REVENUE PROFITS GOODWILL, OR OTHER BUSINESS INTERRUPTION DAMAGES THAT ARISE OUT OF OR RELATED IN ANY WAY TO THEIR PERFORMANCE OR LACK OF PERFORMANCE UNDER THIS AGREEMENT WHETHER BASED ON STATUTE, TORT, CONTRACT NEGLIGENCE STRICT LIABILITY OR ANY OTHER CLAIM OR THEORY OF RECOVERY OR LIABILITY WHATSOEVER, REGARDLESS OF WHETHER THESE DAMAGES COULD HAVE BEEN FORESEEN OR NOT. 11. Warranty. All equipment furnished hereunder is provided with the manufacturer's warranty as the exclusive warranty for such equipment. Contractor provides such warranty as a pass-through to Owner. The manufacturer's warranty for equipment manufactured by Daikin Applied and Daikin North America are attached hereto and incorporated herein by this reference. The Contractor agrees to perform Work in a manner which is in accordance with industry standards for the operation, appearance, and public perception established by those engaged in a business similar to ©2018 Daikin Applied Page 16 Project Proposal Proposal#: Q-00019284 Michael Opal -- A11 IN CONTRACTOR AGREEMENT Project No.Q-00019284 This CONTRACTOR AGREEMENT ("Agreement"), effective this day of 20 ("Effective Date"), is made and entered into by and between Adventist Health (hereinafter "Owner") and Daikin Applied Americas Inc. (hereinafter"Contractor"), WHEREAS, Contractor is in the business of providing equipment, labor and/or material, which may involve subcontracting a third party ("Subcontractors") to provide labor and material, to perform the scope of work described in the Proposal No. Q-00019284 Dated: 8/23/2018 hereto("Work"), and, WHEREAS, Contractor has offered to perform the Work for Owner with respect to the property located at 38250 A Avenue,City of Zephyrhills,State of Florida (hereinafter"Property"); WHEREAS,Owner desires to retain Contractor to perform the Work; NOW,THEREFORE, in consideration of the promises and the mutual covenants and agreements of the parties,it is agreed as follows: 1. Work.Subject to credit approval, Contractor agrees to furnish all labor, materials,tools,equipment, and samples necessary to complete the Work. Contractor acknowledges that in providing such Work,-it shall at all times comply with all laws and regulations affecting, Contractor. Owner agrees that Contractor may retain one or more subcontractors ("Subcontractors") to perform the Work through a Subcontract Agreement, 2. Term of Agreement. Contractor will commence Work on the commencement date ("Commencement Date"). Owner will notify Contractor of the Commencement Date in writing by issuing a Notice to Proceed. The Notice to Proceed shall be issued at least fourteen (14)days before the Commencement Date. Upon substantially completing the Work; Contractor shall present a Certificate of Substantial Completion to Owner. 3. Contract Price. For full performance of the Work in conformance with this Agreement, Owner shall pay the Contractor the fixed sum specified in the Proposal hereto ("Contract Price"), subject to adjustment per mutual agreement of the parties should the scope of Work change. The Contract Price does not include sales tax. 4. Relationship of Parties. Contractor is retained by Owner only for the purpose and to the extent set forth in this Contractor Agreement. Contractor's relationship with Owner shall, during the entire term of this Contractor Agreement, be that of an independent contractor. Contractor, and any employee, agent, servant, officer, director or shareholder of Contractor, shall not be deemed an agent,servant,or employee of Owner. 5. Compliance with Laws. Contractor and Owner agree that parties shall comply with all federal,state, and local laws and regulations applicable to its activities under this agreement, including without limitation to the hiring, safety, and taxation of its employees, as well as obtaining and maintenance of any applicable licenses and/or permits as required by all laws and regulations applicable to its activities under this Agreement. 6. Insurance. At all times while performing the Work, Contractor shall maintain, at its sole cost and expense, insurance as customary within the industry. If requested Contractor will present a copy of their certificate of insurance. ©2018 Daikin Applied Page 15 Project Proposal Proposal#:Q-00019284 Michael Opal DAIKI 4 that of Contractor. "Subcontractor Agreements will contain warranties that Subcontractors will perform the Work in a similar manner.Valid for one year from completion of the Work. 12. Asbestos and Hazardous Materials. In the event Contractor encounters asbestos, lead and/or other hazardous materials, Contractor will stop work and notify Owner, and shall have the right to suspend its work at no penalty to Contractor until such products or materials and the resultant hazards are removed. Completion of the work shall be extended to the extent caused by the suspension and the contract price equitably adjusted. Owner shall remediate any asbestos, lead or other hazardous materials at Owner's expense, and shall be responsible for all costs, expenses, damages, fines, penalties, claims and liabilities associated with or incurred in connection with any hazardous materials or substances, upon; beneath, about or inside Owner's equipment or property, shall bear title to, ownership of, and legal responsibility and liability for any and all such hazardous materials or substances, and shall be responsible for the removal, handling and disposal of all hazardous materials and substances in accordance with all applicable Governmental Regulations. Owner shall defend, indemnify, reimburse and hold harmless Contractor and its officers, directors, agents, and employees from and against any and all claims, damages, costs, expenses, liabilities, actions, suits, fines and penalties (including without limitation, attorneys' fees and expenses) suffered or incurred by any such indemnified parties, based upon, arising out of or in any way relating to exposure to, handling of, or disposal of any hazardous materials or substances, in connection with the services performed hereunder. Contractor reserves the right to engage others in a subcontractor status to perform the work hereunder. 13. Confidentiality. Owner agrees to keep confidential and use its best efforts to cause any sales representative and employees to keep confidential all trade secrets, proprietary, and confidential information (hereinafter "Confidential Information") related to Daikin Applied and safeguard all Confidential Information from disclosure or use by any person directly or indirectly under Owner's control. Confidential Information does not include (i) information which is in the public domain other than through a breach of this clause and (ii) information which was received by Owner independently of Daikin Applied. Neither expiration nor termination of this.Agreement for any reason shall release Owner from the obligations of this Section. 14. Notices. Any information or notices required to be given under this Agreement shall be in writing and shall be delivered either by(a)certified mail;return receipt requested, in which case notice shall be deemed delivered three (3) business days after deposit, postage prepaid, in the U.S. mail; (b) a reputable messenger service or a nationally recognized overnight courier, in which case notice shall be deemed delivered one (1) business day after deposit with such messenger or courier; or (c) personal delivery with receipt acknowledged in writing, in which case notice shall be deemed delivered when received. All notices shall be addressed as follows: If to Contractor: Daikin Applied Americas Inc. Attn: Legal Department 13600 Industrial Park Blvd. Plymouth, MN 55340 If to Owner: Adventist Health Attn:Canute Hutchinson 250 5 Chickasaw Trail Orlando, Florida 32825 02018 Daikin Applied Page 17 Project Proposal Proposal#: Q-00019284 Michael Opal FDAIKIN August 22, 2018 To: City of Zephyrhills Subject: Authorization for permits This letter is to authorize Kevin Lynch (kevin.lynch@daikinapplied.com) to sign/pick up permits. Thank you, Craig Szenay Date: 40-23-2018 Daikin Applied District Manager Tampa Office 813-621-8440 Fax 813-621-6979 Craig.szenay@daikinapplied.com ""—""'�" CHRISTINAF,I:EENBRINSON =, ,'z: Notary public—State of Florida Commission:GG 145545 My Comm.Expires Sep 24,2021 ••••�O`:.:" 8ordedtF.r.uchNzBcrzlNetzryAssn. i Daikin Applied Tampa District 1911 U.S.Highway 301 N,Suite 300 Tampa,FL 33619 813-621-8440 DAIKIN SUBMITTAL DATA for Assisted Living Facility Prepared for Michael Opal Job Number: G991TQ Customer PO#: Prepared by . Kevin Kelly 8/14/18 mEVIEW DATE �Ilzt[I CITY OF ZEPHY HI:L S g PLANS EXAMINER ALL WORK SHALL COMPLY WITH PREVAILING CODES FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODE, AND THE CITY OF ZEPHYRHILLS ORDINANCES Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 1 of 14 www.DaikinApplied.com r Ta;6"-64m—ts Technical Data Sheet for CH-1208 Volt.......................................................................................................................................3 AGZ070E_PKG_MCC Drawing for CH-1208 Volt........................................................................................................................6 AGZ040-070E_CndLuv_wrps_Drawing for CH-1208 Volt............................................................................................................7 FieldWiring AGZE_SP_Drawing for CH-1208 Volt......................................................................................................................8 AGZ-E Close Spacing_Drawing for CH-1208 Volt........................................................................................................................9 ADZEClearance MCC Drawing for CH-1208 Volt...................................................................................................................13 Job Number: G991TQ Page Prepared Date: 8/W18 Job Name: Assisted Living Facility 2 of 14 www.DaikinApplied.com Technical Data Sheet for CH-1208 Volt . . Informatione. Job Name Assisted Living Facility I i Date - _ - 8/14/2018 Submitted By Kevin Kelly Software Version 08.90 Unit Tag CH-1 208 Volt Overview - E t'i e_ .�. �o� s �`� .7.w "� � 7c� .G.0 y .� � - { ?.7 0-• .i dt$--�4 - -.�'f I Sct�*.�. - --Across the I-- --- - --=-"- --- - - - -- ; L AGZ070E I 68.60 16.12 III 208 v/60 Hz/3 Ph I — I '07,'10,'13 &'16 Pass Line *IPLV reflects AHRI standard rating conditions and does not change with user defined conditions. 1 Previously LEED EA Credit 4 Under LEED V2009 Unit Type Platform Unit Revision- Air-Cooled Scroll Compressor Chiller Packaged 00 Head Pressure Tubing Fantrol Only(32°F Min) Replaceable Filter Dryer with Discharge&Liquid Valves and HGBP Ready Unit Controls Display - - Thermal Expansion Valve On Controller only Refrigerant Type Refrigerant Weight R410A 46 lb(per unit) _ Pump Controls - Dual Evaporator Pumps-Dual Control Output - - - Approval - - - - - ETL/cETL,AHRI&ASHRAE 90.1 _ — Evaporator ---- -- -- ----- - ------- -- ----- --- ------ - -- -- Water Volume: 3.2 gal Connection Hand: Left Hand Connections Connection Size: 2.5 in Insulation: ' Single Layer Insulation to Suction at each Compressor Entering Fluid Leaving Fluid Fluid Type Fluid Fluid Flow T Pressure Pressure Drop Fouling Factor Temperature Temperature Flow Min/Max y, Drop _Min/Max 54.00°F 44.00°F Water 163.9 96.2/256.4 19.0 6.90/44.5 0.000100 gpm gpm ft H20 ft H2O °F.ft'.h/Btu -- - --- ------ -- --- -- --- --- ------------- Condenser Coil Fins: MicroChannel Guards: Condenser Coil Louvers only i Design Ambient Air Temperature Altitude Fan Diameter i Minimum Design Ambient Temperature 95.0°F 0.000 ft 30.0 in 35.07 Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 3 of 14 www.DaikinApplied.com Technical Data Sheet for CH-1208 Volt ' Unit Performance Desig n - ---- - -- -- ------ --- -- Capacity Input Power Efficiency(EER) IPLV.IP*(EER) 68.60 ton 76.58 kW 10.75 Btu/W.h 16.12 Btu/W.h Performance Points rated at AHRI Ambient Relief Unit Evaporator Condenser Point It %Load Capacity Input Power Efficiency Fluid Flow Pressure Entering Leaving Ambient Altitude ton kW (EER) gpm Drop Fluid Fluid Air ft Btu/W.h 1 ft HZO !Temperature (Temperature;Temperature - - - - 'F .F - `F - - 1 100.0 68.60 76.58 10.75 163.9 19.0 54.00 44.00 95.0 0.000 2 90.0 61.74 62.07 11.94 163.9 19.0 53.00 44.00 89.0 0.000 3 80.0 54.88 49.78 13.23 163.9 19.0 52.00 44.00 83.0 0.000 4 70.0 48.02 39.27 14.67 163.9 19.0 51.00 44.00 77.0 0.000 5 60.0 41.16 30.64 16.12 163.9 19.0 50.00 44.00 71.0 0.000 6 50.0 34.30 23.59 17.45 163.9 19.0 49.00 44.00 65.0 0.000 7 40.0 27.44 18.04 18.25 163.9 19.0 48.00 44.00 59.0 0.000 8 30.0 20.58 12.96 19.06 163.9 19.0 47.00 44.00 55.0 0.000 9 20.0 This load point is below the chiller minimum load. 10 10.0 This load point is below the chiller minimum load. *IPLV reflects AHRI standard rating conditions and does not change with user defined conditions Sound(Without insulation) Sound Pressure(at 30 feet)--63Hz i 125Hz-- - -_ _- - - --- ----- - -- --_-- - -__----- -- --------- -- - - _ _ _ _ j 250 Hz i 500 Hz I 1 kHz 2 kHz 4 kHz 8 kHz Overall '' 75%Load ! 50%Load_;i 25%Load dB dB- dB dB dB_ _ _- dB dB dB dBA dBA. ! dBA dBA - - 68 68 67 62 60 54 49 44 65 64 63 62 ---- - -- - - ------ ------- --- - ------ ----Sound Pooww-- er-- -- --- - Sou 63 Hz 125 Hz 250 Hz 500 Hz 1 kHz 2 kHz 4 kHz J 8 kHz-- Overall 75%Load 'I 50%Load 25%Load de _I dB dB dB dB dB dB dB dBA dBA dBA dBA - ; 95 95 94 89 87 81 76 71 - 92 - 91 90 89 - Octave band is non A'weighted and overall readings are A'weighted. Sound data rated in accordance with AHRI Standard-370. Physical _Unit _ Length* :I Height i Width* Shipping Weight* - Operating Weight* 94 in 100 in 88 in 3639 lb 3664 Ib *Shipping and Operating Weights include the below Option weights only and do not include the weights of any Accessories. Contact Chiller Applications for additional information. _ Option Weights � � --- - - - -_- Louvers_ 167 lb -- Total: 167 lb Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 4 of 14 www.DaikinApplied.com Technical Data Sheet for CH-1208 Volt Electricall Unit Electrical Data _ _ _ Voltage Starter Type Fan Motor Quantity - LRA Fan Motor(each) i FLA fan Motors(each) 208 v/60 Hz/3 Ph Across the Line 4 32 A 7.8 A Power Connection Type: Single Point Disconnect Switch with Circuit Protection - Short Circuit Current Rating:J 5 kA Phase Voltage: Phase&Under/Over Voltage Protection with LED I _Single Point Power Connection - - MCA: 305.8 A Fuse Size(recommended): 350 A Fuse Size(maximum): 350 A - Connector Wire Range_ (2) 3/0-500MCM L _ Compressor Electrical Data Compressor Type ; Compressor Quantity Starter Type Scroll 4 Across the Line Circuit#: •i 1 ( - - 2 - - Compressor#: 1 I 3 2 -i- --- 4 - - RLA: 55.8 A - 72.4 A 55.8 A - 72.4 A Inrush Current: 340 A 538 A 340 A 538 A Note: Power wiring connections to the chiller may be done with either copper or aluminum wiring. Wire should be sized per NEC and/or local codes. Wire sizing and wire count must fit in the power connection lug sizing listed in latest installation manual. Please contact your local sales office for more information. iOptions -----Ba - - - ------ ----- L---_ — sic Unit Control Box Ambient: High Ambient with Exhaust Fans(1259F maximum) C _Control Communication: BACnet MS/TP - ----- - ---- ------ - ------- Electrical Ground Fault: ' Unit Ground Fault Protection Water Flow Indicator: Thermal Dispersion Type Unit Startup Domestic i _Standard Warranty: ;, 1st Year Entire Unit Parts&Labor Extended Unit Warranty: Entire Unit; Extended 4 years parts&labor(5 Years Total) Refrigerant Warranty 5 Years Total AHRI Certification Certified in accordance with the AHRI Air-Cooled Water-Chilling Packages Using Vapor Compression Cycle Certification Program,which is based on AHRI Standard 550/590(I-P)and AHRI Standard 551/591(SI). Certified units may be found in the AHRI Directory at www.ahridirectory.org Accessories Optional ; Part Number - 'Description - - - 331776671 Hot Gas Bypass Kit;AGZ:030-070E, ELWT>=40.0°F Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 5 of 14 www.DaikinApplied.com r z z AGZ070E Packaged (Microchannel Condenser) °A 0 fD /.11•Nl,ISptATCA UgUNi1tK.R1IXElIXATX%'15ON a07TOra 5IIRACE01 tl'aI BASL Unit Weight Data 1Or1 i N3 Ahl Weight Lifting Weight Mounting Weight1-3 I.9 t)3 I 676 to -113t1_--i 'Sij Units Shipping Operating Ll L2 L3 L4 M3 M2 M3 M4 X LID CcvPIdd$55= _ 2D Ib 3472 3497 1180 847 842 1. 1157 830cwwn 880 631 [ dA 1 '•T -—C nel kg 1575 1586 535 384 — 274 525 337 1 399 1 286 n j• T0�)1N'veRl '�'•��, '' Unit and Center of Gravity Dimensions CDnSX1000 SA:'S�I.YrfcO I y 7 Units A B Connection Site Center of Gmvlty, 0) (No Strainer) (With Strainer) (victaulic) X Y Z Q 0n < (I 1 in 17.6 0.3 2.5 36.8 1 41.8 42.6 G 447 8 64 935 1 1062 1082 1 Otte 2ai S NOTE �W� 0 ��t IT IS RECOMMENDED THAT THE SIDE LN N1 71n 1 coNlsnE - LOCATIO00 NS BE USED FOR POWER ENTRY C BOX^I WIRE SIZES LARGER THAN 350 MCM. Cn :r Cm F -- - -- - ,S11 19b • 1 D71 Dx7suvcrorts !iA9S[w6tR•iUtHRLFO7r1LuOKA4iCA U75 -�-- ^� __ 0EC0.75 v YAECOiCqr DSy S :E31 127i r6 D c0=' Y t. 3] I3 t7a6 ' I751dS"CR COl 0ox C.M3 ;too r ---'' [157 w aTTR fi0 - _ IL _roltu[Hrar I e j Nl�Cr.W15 I NOTE y.. � cE'fc r Id "•�t�c'�:.. rFotOoc t° 151 ( j nr.,HT 510C Y ' I A water strainer must be installed at the R'rr. y j inlet of the evaporator to protect it from 175 It•u 7, tY, -- a G�.. , (7G61 75a I t :S- damage.Please refer to the IDM far 11 L",14 L^': — ! / I•i J 195 J I 1 t additional details. LC<ATViS r Doi �..'506 1.�ii aliiv I� :_Ilsoo_ FRONTL1IF1 / (piai�awEk !-- ----x-- --- - --. Wwostcr - r inRD j ! _ .;79�! ruontN us7AILIDuuoor7twn I a1.t t•-_______12194.-_____.--_._� r• DlWMN DOES NO'c1aW C� 913 t1fn'iGURAOi17S C N F o Product Drawing Unit Tag:CH-1208 Volt 71 Sales Office:Carroll Air Systems,Inc. r7 �. 0 Product:Air-Cooled Scroll Chiller Project Name:Assisted Living Facility Sales Engineer:Kevin Kelly ®~��`®� 13600 Industrial Park Blvd.Minneapolis,MN 55441 t1 F+ Model: AGZ070E Aug.14,2018 Ver/Rev: Sheet:l of 1 Scale:NTS Tolerance:+/-1.0" Dwg units:in[mm] t, www.DaikinA Iled.com Software Version:08.90 3 No change to this drawing may be made unless approved in writing by Daikin Applied.Purchaser must determine that the equipm ent is fit and sufficient for the job specifications. tr z z AGZ-E Guards: Condenser Coil Louvers, Front and Rear Wraps, Painted Base o Q 0 V O Cr n ri bib�w 00 i F o a O Diagram Notes cl) Diagram simulates wrap,grille and louver ;? options as selected only.Refrigeration components may vary depending on selected options. m x D Product Drawing UnitTa :CH-1208Volt Sales Offce:Carroll Air Systems,lnc. ��7®�e��� v �. Product:Air00 -Cooled Scroll Chiller Project Name:Assisted Living Facility Sales Engineer:Kevin Kelly n. 13600 Industrial Park Blvd.Minneapolis,MN 55441 A Model:AGZ040-070E Aug.14,2018 Ver/Rev: Sheet:1 of 1 Scale:N/A Tolerance:N/A Dwg Units:N/A -.DaikinApplied.com Software Version:08.90 O Fes,, No change to this drawing may be made unless approved In writing by Daikin Applied.Purchaser must determine that the equipment is fit and sufficient for the job specifications. 00 Fie ldWiring_AGZE_SP_Drawing for CH-1208 Volt AGZ030-241E Single-Point Connection Field Wiring Diagram °D E1F1DY(D91D mADW9 vu+¢ a�NlrtreraF/.aal m (BY DIIrtAS) I i011la BlDU I ...........�p_____________i________ I 3 M¢ mrra> J I WI ft61 I TI I I I I Eus 3Bl l:D zsB I mwoxnBcr 1 mInlNLmmRf VPL I (BY DINERS) ux -_ ------- N OV)IRDLL I Dt5(ONXECTBW1101 TBI I � El¢DSWmlED m,ay mppl IGb IS INA ]o4b]ANA 1 I I I I OXVRI 1 PUMVN¢ I I k I I Ixam—)Drnv)14u i Tel � �.� I ......................"'-'I---�Jp$�I-�110 VrG 1 OAVPx I I Iwlr xo.z REur 1 I --- I I I 7a1 I I 1^^II rvan I i I �p� � AL1RN m310.FL1T I I � I1DlrCP DIMC NAtI I 1 81 o3Bi/ rBR O OR 1 317) I ^1VIEODD(\ 1 lex I r.. REMOIE 6REMO)E SIDP I i I 585 mNTR0.15 USED 1 PF/q'YE IFAp 565 1 (BYOMERS) I mWrITEPH 1 ____________i I 33)! O`Dls � Dame sBTvalxrrrmB I i 19 vu 0-._i.-"""'---•---'-'--'-'--- �f rtsa) I � roan B¢I (BT DRIERS) I � OPIIDN _! .p._�-_________--_E._ 51 BEl�L C/317/ I lBT X IJ---r....-'-------_!51--'---------: Fbw sMtM CdtaCt r---.-._ _._...___l___ 94 M i 11MCpe4Vte NAY. tt]]1) u24Ymromuh mlm i ` I I •cgrran.--mrW ______ I 1 I -�evnmr�wwt --rp�i .-uti I 1B1 TB] 1 ............................... DO nucm/ I 6E%fEANAI 95 ___r______________________________ I . I 6USED� SSG 1 . E%iERI✓.l I IEI4WEIFE I .. • EVFNr 1 ix0111ERn I 1 I TO/ERP1 m5) mnnrnw�) I I ..__'---------------- ----i--- (BY0 axDu rDR 1 EV RESET I I (BYORDRS)/ _per__________________________'------------------ ('> TD/iRDEI BAS NDM FOR� 1 PrOIETn1TP (') I CDNx ) (BT IpT1H6I _ _________________i___ )1 1 41111 CnmRnlmUvs Ortivc I ObTOnER I ��--� TOIIIDCTIOI♦) 1 I (3+)) doles: I (')I •f rortap9eas l.)Au mTnvrDmueroaE DTSTrumAs xaawss I vnwxD srsTEn vrtxX I M00°� (') �wvanDx) mxacTm xATEDEoovaTs. I 1 1.)ff E)en swwan,mNrmE vDNme uffie GND- NIbT REMOh R.Ti,AxDVIfPF NUXBFAS (317) nrno-.. D9,30U\DBIDFmN1Ro!rAN¢ 3.)"•DZ TMYmMrC15 DIET.DO XOE TD/IRDI BAS 9IDRT 9ElD rONERroTXI50RO1R I �. _ ¢. UXR 9)m NO)mWIY FIOD Ip.VERro 1 BMY�___� mxlRollfxt 1rvACDR I1WrL mxIRDECWODIS ---------------- Field Wiring Diagram Unit Tag:CH-1208 Volt r7DAFKIN Product:Air-Cooled Scroll Project Name:Assisted Living Facility �' 136001ndustrial Park Blvd.Minneapolis,MN 55441 Model:AGZ030-241E Single-Point Sales Office:Carroll Air Systems,Inc. www.DaikinA lied.com Software Version:08.90 Sales Engineer:Kevin Kelly Aug.14,2018 I Ver/Rev: Sheet 1 of 1 Scale:N/A Tolerance: N/A Dwg Units:N/A No change to this drawing may be made unless approved in writing by Daikin Applied. Purchaser must determine that the equipm ent is fit and sufficient for the job specifications . Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 8 of 14 www.DaikinApplied.com AGZ-E Close Spacing_Drawing for CH-1208 Volt AGZ-E Close Spacing Performance OA Case 9: Building or Wall on One Side of Unit Assumes a solid height wall taller than unit. Refer to Case 4 for partial wall openings. Building or Wall on One Side of Unit For models AGZ030-100E, maintain a 4 feet minimum from a wall of any height. For models AGZ110-130E, maintain a 6 feet minimum from a wall of any height. For models AGZ140-241 E, maintain an 8 feet minimum from a wall of any height. Wil "N9_� I �4e1 t F!F I Case 2: Two Units, Side-by-Side For models 030-180,there must be a minimum of 4 feet between two units placed side-by-side; however, performance may be affected at this distance. For models 190-211,the minimum is 6 feet as closing spacing may cause air recirculation and elevated condenser pressure.Assuming the requirement of one sid having at least 8 feet of service clearance met. Case 2 fig ires show performance adjustments as the distance between two units increases. Ful]Load Capacity.Reduction Two Units,Side-by-Side Catef 2-=Full--oad-Capacity-R ductio - -- �) C I 00 ® ®® D —� E.5' so sod.5_ a 5 0. gistii7ce 13et1vaen l7ntts(tt} �:�LSktiG?Gii —i•GeC35-:0"� .:.Cs3150.?f1= --AGM2&2:fE ase: —Powe Inerea ePowerincrease. . 0.5 OsstSfice BetWecn.'units,(nj: •�.�.r•G2330.OTGL -------;,GZ47G=1�iC., ' •-iw?770.1.r:E �=FAi1+0=16� -•FGZi5f3.a17E -- —AGi2252ifE': Product Drawing Unit Tag:CH-1208 Volt Product:Air-Cooled Scroll Chiller Project Name:Assisted Living Facility ��® �� 13600 Industrial Park Blvd.Minneapolis,MN 55441 Model:AGZ-E Sales Office:Carroll Air Systems,Inc. www.DalkinApplied.com Software Version:08.90 Sales Engineer:Kevin Kelly Aug.14,2018 I Ver/Rev: I Sheet 1 of 1 Scale:NTS Tolerance:+/-1.0" Dwg Units:in[mm] No change to this drawing may be made unless approved in writing by Daikin Applied. Purchaser must determine that the equipment is fit and sufficient for the job specifi cations. Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 9 of 14 www.DaikinApplied.com 4- AGZ-E Close Spadng_Drawing for CH-1208 Volt Case 3:Three or More Units,Side-by-Side For all models,there must be a minimum distance between any units placed side-by-side;however,performance may be affected at this distance.Minimum distances are:models 030 to 070-4 feet,models 075 to 100-5 feet,models 110 to 241-6 feet.The Case 3 charts below depict Case 3 performance adjustments as the distance between units increases.Data shown is for the middle unit with a unit on each side. See Case 2 adjustment factors for the two outside units. Three or More Units,Side-by-Side Cher 1 Chller 2 Ch■er 3 i I I Case 3—Full Load Capacity Reduction Full Load:,Capaclty Reduction .b a:u g Dittake'sotmen Units, ` ^^A374.3-0:cE:. ••?CZ4i0 070E` ---pfiZ07�i9Qs" — 01,'iZ07i4¢79QE "'-A4$74d18C� ^•--�'�f.QZ78r1-:PtE`. NZOIS54tE' Case 3—Power Increase iPower 66.Tease tt:0 7.0 1I. 5_D.4:0- 3.0 - 2U�' ,3c0: 4- Oistlrice�®tiveeo Uriits(t4}" ^hG"2f1$10r.E' ••.Ar3y6iQ-0.Tpt. •--l.:.Gc"6'7�.1 p0�- � A 20POAKE - --,AGZND-1r*E rG27�Z11E: Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 10 of 14 www.DaikinApplied.com AGZ-E Close Spacing_Drawing for CH-1208 Volt Case 4:Open Screening Walls Decorative screening walls are often used to help conceal a unit either on grade or on a rooftop.When possible,design these walls such that the combination of their open area and distance from the unit(see chart below)do not require performance adjustment.If the wall opening percentage is less than recommended for the distance to the unit,it should be considered as a solid wall.It is assumed that the wall height is equal to or less than the unit height when mounted on its base support.If the wall height is greater than the unit height,see Case 5:Pit Installation for performance adjustment factors.The distance from the sides of the unit to the side walls must be sufficient for service,such as opening control panel doors.For uneven wall spacing,the distance from the unit to each wall can be averaged providing no distance is less than 4 feet.Values are based on walls on all four sides. Case 4-Allowable Wall Open Area Wail Free Area:vs:Distance If 7.8 a to io so 40 so 0A'u WalI,Ai°d rculation and restriction and require care that sufficient air clearance is -ACZOI"A6 t` ` . rx.Z4r5.1n�E .A solid wall surrounding a unit is substantially a pitand this data should Steel grating is sometimes used to cover a pit to prevent accidental falls or trips into the pit.The grating material and installation design must be strong enough to prevent such accidents,yet provide abundant open area to avoid recirculation problems.Have any pit installation reviewed by the Daikin Applied sales representative prior to installation to ensure it has sufficient air-flow characteristics and approved by the installation design engineer to avoid risk of accident. Models AGZ030-070E: The Case 5 figures for models AGZ030-070E show adjustment factors for pit/wall heights of 4 feet,5 feet,and 6 feet. Case 5-Full Load Capacity Reduction and Power Increase (AGZ030E-070E) Case 5-Pit Installation m 7,G N ai :S.G - - H t-D-> p � Y m s.o.. 1.0 / s KEY: -1 o.a ---------- : Power Increase o; S tg p t3; to :Capacity Reduction Dep 0 of Pit l WA IJileiglit(fi) ® ®D'.::,nci 61;1anoe=6Y.' --r- �sCe6:e=6ft - -'D$!IlfltRa�B - DSi9flGs'$f: CSl99CEII6fi . Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 11 of 14 www.DaikinApplied.com AGZ-E Close Spadng_Drawing for CH-1 208 Volt Models AGZ075-130E: The Case 5 figures for models AGZ075-130E show adjustment factors for pit/wall heights of 5 feet,6 feet,and 8 feet. Case 5-Full Load Capacity Reduction and Power Increase(AGZ075-130E) 7-O 6.0- KEY: 6,0. ---------- Power Increase Capacity Reduction _70 Q.c '4 Dopih.6l`Pii I Wait Models AGZ140-241E: The Case 5 figures for models AGZ140-241E show adjustment factors for pit/wall heights of 6 feet,8 feet,and 10 feet. Case 5-Full Load Capacity Reduction(AGZ140-180E) Case 5-Power Increase(AGZ140-211E) FiAMPad Cbacitv Rcduc.flpii'(.�GZ1 4Q.1 90 E): Power Increase(AGZ140-211E) 7 cc !w C6 Depth of Pit I Wall Height(ft) ob 08 lo. n 14 DMW#PL'-6 TL Full Load Upac lity.Kedtictlon(AGZ166 24ip) PoWerin&e6sL(AGZ225-241 E): - 7.0 11.0 10,0 :9,0 7.0 -0-- -tn 2.0 10. 12 13 14 D'O 4 --------— Depthi:ifPi.t/Will Heiiqhl(ft) 10 12 13, '14 Dept 11 of Pit I Wall Height(11) Job Number: G991TQ Page Prepared Date: 8/14/18 Job Name: Assisted Living Facility 12 of 14 www.DaikinApplied.com — — — — z fGZ-E Service Clearance s I °B N t IA I I Minimum =4 ft (1.2 m) I d 075-241 Ton Models: 8ft (2.4 m) recommended on one siderD I i° a GO v Minimum = 7.5 ft (2.3 m) I E for models 030-070 Minimum =4 ft with Microchannel Coils I I. 1 l U (1.2 m) I = T 1 0 Minimum = 4 ft (1.2 m) 0 I o' for models 075-241 a INOTE:Additional clearance is required fo p @Pl@et Cog I M or additional details. I I 1 t I Minimum = 4 ft (1.2 m) I I I I I — — — — — — — — — — — — — — — — — — — — — — — — — — — — - to to 2 s D Product Drawing UnitTa :CH-1208Volt Sales Offce:Carroll Air Systems,Ina ��®�j�®� v 00 Product:Air-Cooled Scroll Chiller Project Name:Assisted Living Facility Sales Engineer:Kevin Kelly m 136001ndustrial Park Blvd.Minneapolis,MN 55441 0- N Model:AGZ-E Aug.14,2018 Ver/Rev: Sheet:1 of 1 scale:NTS Tolerance:+/-1.0" Dwg Units:in[mmj �v.DaikinA lied.com software Version:08.90 OFes No change to this drawing maybe made unless approved In writing by Dalkin Applied.Purchaser must determine that the equipm en[is fit and sufficient for the Job specifications. 00 1111111111111�111 Illli Illli IIIII IIIII IIIII Illli IIIII IIII III - . 018170071 Permit No. 20232 ParcellD No 14-26-21-0010-013000-0010 r- (jill CD NOTICE OF COMMENCEMENT ®m 10-16 Ln State of Florida County of Pasco Co (D THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, (31 the following information is provided in this Notice of Commencement: py 1. Description of Property: Parcel Identification No. 14-26-21-0010-013000-0010 Street Address: 38250 A Ave,Zephyrhills,FL,33542 3 •• M D 2. General Description of Improvement Replace(1)air cooled 70-ton chiller with new 70-tan chiller. 'Q t9 O r� 3. Owner Information or Lessee information if the Lessee contracted for the improvement: South Pasco Health Care Properties,Inc. 0 6-- Name 485 N.KELLER RD.SUITE 250 Maitland FL 7 Address City State Interest in Property: Owner Name of Fee Simple Titleholder: NIA (If different from Owner listed above) Address --`—'-- - ---- City - -— - - - -- State ►" r 4. Contractor. Craig Szenay (OBA)Daikin Applied t9 v Name Lill 1911 US HWY 301 SUITE 300 TAMPA FL CD D Address City State Co u Contractors Telephone No.: ;K 5. Surety: NIA d r+r*i Name OD t- o�t9 v Address City State (Q�� ? Amount of Bond: S Telephone No.: (® v �i°�Q! '06. Lender: N/A 3 N Name O Address City State 0 F+ r Lenders Telephone No.: r iiV 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by (( -" 2° Section 713.13(1)(a)(7),Florida Statutes: �i9�on David Rodman,Executive Director of Finance&Officer Name H x 485 N.Keller Rd,Suite 250 Maitland FL 32751 Address City State M Telephone Number of Designated Person: 407-975-3000 s 8. In addition to himself,the owner designates N/A of to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration date may riot be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date Is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commence an at the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Signature of Owner or Lessee,or Owners or Lessee's Authorized Officer/Director/Partner/Manager David Rodman,Executive Director of Finance&Officer Signatory's Title/Office / The foregoing instrument was acknowledged before me this day of_ F-0—,20/9by L)'q l l 1� 12 G as _ (type of authority,e.g.,officer,trustee,attorney in fact)for P/4 SC f! /{CFI G? name of rty n behalf of whom instrume a ecuted). Personally Known I��Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) i L"6'- i REARON State of.Florida landn GG 199604 wpdata/bcs/noticecommencement_pc053048 /2022 STATE OF FLORIDA, GOUN y OF PASCO � .- •�,.: �� THIS IS TO CERTIFY THAT THE FOREGOING ISA `� TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE twf JVI S MY HAND AN FFlClAL SEAL THIS _t DAY OF 2 InCafS'e 7rtux PAULA S. 'NEIL,CLER &COMPTROLL RAli ° 1 6 BY Y f DEPUTY CLERK .. , 1887