HomeMy WebLinkAbout18-20330 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020 20330
EMERGENCY GENERATOR PERMIT ,
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20330 Address: 38250 A AVE
Permit Type: FIRE EMERG GENERATOR<30K ZEPHYRHILLS, FL.
Class of Work: FIRE-EMERGENCY GENERATOR 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: 288,061.00 OWNER INFORMATION
Date Issued: 10/16/2018 Name: SOUTH PASCO HEALTH CARE PROPER']
Total Fees: 100.00 Address: 485 N KELLER RD STE 250
Amount Paid: 100.00 MAITLAND FL 32751-7535
1 Date Paid: 10/16/2018 Phone:
Work Desc: INSTALLATION GENERATOR W/ELECTRIC
CONTRACTORS APPLICATION FEES
V T AIR GUNSTRUCTOR6 FIRE PERMIT FEES 100.00
Ins ections Required
FIRE INSTALLATION-Final
ELECTRICAL FINAL
FINAL
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"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."
CONTRACT R SIGNATURE PERMIT OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE - 813-780-0041
813-780-0020 City of Zephyrhills Fire a021
Permit Application
Date Received -v�t Phone ontact for ermit 813 867
Owners Name South Pasco Health Care Properties,Inc. Owner's Phone Number 407 975 3000
Owner's Address 485 Keller Rd.,Suite 250, Maitland 33542
Fee Simple Titleholder Name N/A Titleholder Phone Number
Fee Simple Titleholder Address
Job Address 38250 A Avenue, Zephyrhills, 33542 Lot# L�
Sub Division Parcel# 14-26-21.-0010-01300-0010
- - - (OBTAINED FROM PROPERTY TAX NOTICE
Bio-Hazard Waste Storage=ANNUAL F7 Fumigation Tent
Comm Exhaust Kitchen Hood/Duct FI Hazardous Material(Ter II or RQ Facility)ANNUAL
Controlled Bum F-1 Hood Installation
Emergency Generator<30 kw a LP/Natural Gas-Installatior
Emergency Generator 30 kw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
Qtd FS—E-11 An Other
Sprinkler ❑ ❑ ❑ 7 Recreational Bum
Fire Alarm ❑ ❑ ❑ Sparklers
Hood Cleaning El ❑, ❑ ❑ Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
aFire Pumps Waste Tire Storage ANNUAL
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
0 Other:
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address. License#
ELECTRICIAN Company VdWr Constructors,LLC
Signature o Zp Registered [YIN Fee Current Y/N
Address 220 W 7th Ave. Suite 210 Tama FL 33602 License# EC13006590
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered I Y/N Fee Current Y/N
Address License#
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000'
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
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.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 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.
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 YOUR NOTI COMMENCEMENT.
FLORIDA JURAT(F.S.117.0 )
David Rodman i
OWNER OR AGENT Officer CONTRACTOR
S sc dbed and sworn to(or affirmed)before me(his S bscribed and sworn raf�e of rtt a me this
by DPY�/fD RP�DNii�`Hd 'dam `0 by i aT� �'IY�L
Who is/are personally known to me or has/have produced Who is/are personal) known to me or has/have produced
as identification. as identification.
^I
o Notary Public / .��r Notary Public
Commission No. 1961 I`Z lbb� Commi ion No.
�'ffcts.*r.�e4 KYcrr✓� r,s�, e x
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
;,•s;F�'a�'•., KRISTIE A.WILLIAMS
Notary Public-State of Florida
opV P4r. Notary Public State of Florida ; �^`•-•= Comm;ssio i=GG 143225
Christina Hyland =,� t a . My Comm.Expires Dec 22,2021
• My Commission GG 199504 -',�c�
aR� Expires04/25/2022 BcrdedthrougFrvahcralNotzryAssn.
_c�Sj o
1_C0171 U R
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
9
Contractor/Homeowner: �)I (A /I,, ,
Date Received: 9-2,8--
Site:
Permit Type: tj
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
lIIIIII!!I!l111111lII!!I!I!I!IlIIIlII!!!II!!Illll!!!II!!!II!
♦ 2018163190
Permit No. ParcellDNo
NOTICE OF COMMENCEMENT
state of Florida County of Pasco
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. Description of Property:Parcel Identification No.14-26.21-0010-01300-0010 Zephyr Haven Health$Rehab Center,Inc.
street Address: 38250 A Avenue,Zephyr—hills,FL 33542
2. General Description of Improvement Installation of Emergency Generator
3. Owner information or lessee information if the Lessee contracted forthe improvement:
South Pasco Health Care Properties.Inc.
Name
485 N.Keller Rd.,Suite 260 Maitland FL 32751 FL
Address city state
Interest in Property: 100%
Name of Fee Simple Titleholder. NIA
(It different from Owner listed above)
Address City state
4. Contractor. VOitAlr Constructors LLC
Name
220 W 7th Ave Suite 210 Tampa,FL 33602 FL
Address City State
Contractoes Telephone No.: 888-891-9713
5. Surety: NW
Name
Address city State
Amountof Sond:$ Telephone No.:
6. Lender. NIA
Name RePt,:1993092 Reza: 10.00
Address DS: 0.00 IT: 0.00
Lendees Telephone No.: 09/26/2018 M. F. , DPW Clerk
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served ore provided by
Section?13.13(txa)(7),Florida Statutes:
NIA _
Name
Address PAULA S.0`NEIL,Ph.D.PRSC0 CLERK 6 COMPTROLLER?
Telephone Number of Designated Faison: 09/26/201 .55am 1 f{//I
e. In add tin to himself,the owner des grates NIA �R 5 6 � p V�5
to receive a copy of the Lienofs Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
a. Expiration date of Notice of Commencement(the expiration date may not 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 I. SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICEr 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 perfury,I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the beat
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Lessee,or Owner's or Lessee's Authorized
Officar/DirectodPertner/Mansg6r
David Rodman,Director of Finance d.Officer
�y Signatory's Trde/Ortice
The foregoing instrument was aalmawtedged before me thlsay of�U�i ..2&'y I IW DM'Ioi '
as r CPK.r` _ (type of authority,cog..officer,trustee,attorney in fad)for
r zl , : U-AV 4 C--MC (nem party on behalf of whom inallrarivrd was ex ed).
Personally Known JBIg Produced Identification 0 Notary Signature
Type of IdentficaGonProducad Name(Pdnt�'t+�k/.S7►NA NYe liN�
' OFNNotary.Public State of Florida
., Christina Hyland
'! +� My Commission GG 199604
Empires 0025/2022
wpdatVbcslnd0000mmencemernt�53O48
cow
' oc �fl STATE Or FLORIDA,COUNTY OF,PASCO
• ��A THIS IS TO CERTIFY THAT THE FOREGOING ISA
TRUE AND CORRECT COPY OF THE DOCUMENT
• ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
• "" `�r,,r tc WITNE MY HANDSNDFFICIAL SEAL THIS
DAY OF 2f PAULAEIL, &COMPTROLLER
DEPUTY CLERK
lj^.n�r�p qq
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i
�a I 'STATE LICENSES FL EC13006590'GA EN213455
CONSTRUCTORS
04/24/2018
AHS Generators
485 N. Keller Road
Maitland, Florida 32751
ATTN: Canute Hutchinson
RE: AHS Backup Generators-Zephyr Haven Health Building 2 (400 kW Generator)
Dear Canute:
Thank you-for the opportunity to provide you with our proposal for the above noted Project. Our proposal
is based and bid upon our initial site visits and current interpretation of the Florida Statute that requires
the HVAC systems to be backed up for 96 hours on an emergency generation. Electrical coordination
drawings to be engineered by VoltAir Engineering,and per our various coordination visits on site.
I believe the following.qualifications reflect the needs as illustrated in the Bid Coordination.
Price includes->
1) Full time on site Supervision for our tradesmen, to include coordination with Owner &
Engineers;
2) 100%Minority participation;
3) Per most cost effective construction application existing utility transformer locations to be
reutilized as automatic transfer switch new locations, Facility Utility transformers to be
relocated by others;
4) Supply and set in place, the generator and automatic transfer switch;
a) Manufacturer: Generac
b) KW Output:Per facility;
c) AC Output Voltage: 120/240 and 277/480 depending which facility;
d) Engine Fuel Type: Diesel;
e) Duty Cycle: Emergency Standby
f) Engine EPA Application: Emergency;
g) Genset Base Fuel Tank: 96 Hours, Double Wall Sub Base with Spill Fill
Containment,High, Low and Leak Detection Switches;
h) Remote E-Stop Break Glass Station;
Tampa Office Orlando Office Texas Office
220 West Th Avenue,Suite 210 2180 Central FL Parkway,Suite Al 5353 W.Alabama Street,Suite 3.01
Tampa, FL 33602 Orlando FL 32837 Houston,TX 71056
P:813.867.4899 F:813.867.4566 P:321.622.2230-f:813-867.4566 P:832.371.6181 F:832.371.6244
i
STATE LICENSES'FL EC13006590"GA EN213455
i) Start-up
5) Automatic Transfer Switches-NEMA 3R, sizing per facility;
6) ATS Standard Transition:
7) Manufacturer's Basic One(1)Year Limited Warranty;
8) All modifications to existing feeders as coordination per walk through;
9) Equipment and materials supplied being warranted only to the extent that the same are
warranted by the manufacturer;
16) Additional Switchgear Package in accordance with the coordination per walk through;
11) Existing building Switchgear to remain and re-utilized;
12) New feeders to be compact Aluminum conductors;
13) Saw butting and patch back of asphalt and concrete;
14) Fire Stopping of penetrations made during scope of work;
15) Labeling per Code;
16) Hand dug trenching;
17) Concrete Housekeeping pads;
18) ACHA engineering requirements, documents and construction requirements;
19) Backup Generator rental'during installation period and change over.
20) Fuel Allowance of$2,000.00 for each individual site generators.
21) Electrical Permit;
Zephyr Haven Health and=Rehab Building 2 (400 kW Generator)
• Generac SD400-(Sized to be confirm once utility PkWD is provided by client)
• L1 Enclosure/FDPR/HVHZ
• 96hr Capacity Fuel tank(shipped under a vacuum)
• Line adder for stairs and platforms
• .HVHZ rated drop-over for 1000A&600A SE rated ATS
Price does not include->
1) Correcting any exisitng Code violations that might be present, such corrections shall be
documented and completed on a Time&Material Basis;
2) Backup Generator fuel;
3) Post Installation Load Bank Test on Gen-Set;
4) Restoring any indoor or outdoor areas to its original or new finish;
5) Supplying and installing a Lightning Protection System or components;
6) Liability for indirect loss or damage;
7) Price excludes overtime installation (work after 4:30 pm Monday—Friday, weekends, or
holidays).
8) Tank breach of integrity test after installation(by Yd party)
9) Buyer referenced government requirements;
10) Missile impact rated Genset enclosure;
11) Genset enclosure wind-loaded P.E. calculations;
12) Genset enclosure UL site evaluation and/or testing;
13) IBC or seismic compliance and/or calculations;
VOLLT*491R
CONSTRUCTOR'S
Page 2 of 3
STATE LICENSES `FL EC13006590 GA'EN213455:
1.4) Equipment performance beyond manufacturer's design;
15) Third party electrical apparatus testing/inspections;
16) Specialty testing(emissions,noise,harmonics, etc.
17) Utility Company Fees. This would include relocation of existing Building Transformers
Fees;
Furthermore,the following information may clarify and assist in better understanding our Scope of Work.
1. Clean up for debris created by our work force will be collected daily and placed in an on-site
dumpster provided by others.
2. If selected as.contractor for this project,our contract must include by reference this scope of work
with negotiated modifications, if any. Further, we reserve the right to review and negotiate the
general conditions of the contract.
3. All work shall be completed during normal business hours, with the exception of the work
associated with the feeders to the 3`d floor.
4. Other than paining it is the intent of this proposal to be a turn-key project.
All of our work is guaranteed for one year. Due to the fluctuating cost of equipment and available staffing,
this price proposal is'only valid for 30 working days from the date of.this proposal.
Base Price Total...................................................... ........... $288,061.00
Sincerely, AHS
Daniel A.Thompson
Estimator/Project Manager
CC: Julius Davis,CEO ((����� ��►t..,,,,''ff c
Maurice Perez,V/P
Larry Pasetti,Project Manager Print Name and Title
Jim Ehlers, Director of Electrical Services
Date
CONSTRUCTORS Page 3 of 3