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HomeMy WebLinkAbout19-21144 CITY OF ZEPHYRHILLS • 5335-8TH STREET (813)780-0020 2 44 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21144 Address: 6901 MEDICAL VIEW LN Permit Type: COMMERCIAL 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: 02-26-21-0290-00000-0040 Improv. Cost: 213,000.00 OWNER INFORMATION Date Issued: 5/30/2019 Name: MARCHINIAK, LAWRENCE &VIRGINIA Total Fees: 1,734.57 Address: 6905 MEDICAL VIEW LN Amount Paid: 1,734.57 ZEPHYRHILLS, FL. 33542 Date Paid: 5/30/2019 Phone: 813-645-7058 Work Desc: INTERIOR REMODEL 2,569 SQ FT CONTRACTORS APPLICATION FEES PRECISE CONSTRUCTION INC BUILDING FEE 1,127.09 ALSPACH CONSTRUCTION & ELECT CO ELECTRICAL FEE 248.63 W H ALDERMAN PLUMBING & HEATING PLUMBING FEE 165.75 FLORIDA AIR SERVICES INC MECHANICAL FEE 116.03 FIRE PLAN REVIEW FEES 77.07 pa Ins ections a uired FOOTER 2ND ROUGH PLUMB Misc INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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. RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER March, 28, 2019 C b,N$T R U C T I#N City of Zephyrhills Building Department 5335 8" Street Zephyrhills, F133542 RE: Permit Agent Authorization Letter Zephyrhills Contractor Certificate I,Scott G.Johnson,Contractor's License No. CGC 1514771,hereby authorize the following to act as my agent(s)in obtaining permits in the City of Zephyhills,Florida. Name of Agent: Leslie Szabo (Precise Construction) Jeff Schmidt(Precise Construction) Matt Jurusik (Precise Construction) Gloria Landa(Precise Construction) Cedric Holloway(Precise Construction) Celeste (Cece) Valdez (Judy's Permit Services) Juan(John)Valdez III (Judy's Permit Services) Louisa Carfi (Judy's Permit Services) This writing supersedes any previously submitted letter(s) of authorization. This authorization will remain in effect until cancelled in writing by the undersigned license holder. / a License Holders' Signa re STATE OF FLORIDA COUNTY OF HILLSBOROUGH Sworn to and subscribed before me this Z9 day of 11?tgrCj, , 20L by Scott G. Johnson license holder making this statement. P � `"�� LESLIE A.ADAMS MY COMMISSION#GG228700 Notary Public State of Florida EXPIRES:July 20,2022 Name of Notary Typed, Printed or Stamped My Commission expires: 5 K�k( zoo Zoz.L Personally known ✓OR Produced Identification 5026 TRENTON STREET,TAMPA,FLORIDA 33619 PHONE:813-241-2403 WEBSITE:WWW.PRECISECONSTRUCTION.COM INSTR#201 908331 G OR BK 9907 PG 954 Page 1 of 1 05/16/2019 12:37 PM Rcpt:2055260 Rec:10.00 IDS:0.00 IT:0.00 Paula S. O'Neiry PhD., Pasco County CCerk&ComytroCCer 02-26-21-0290-00000-0040 Permit No. Pace!ID No NOTICE OF COMMENCEMENT Stateof Fla irla county of THE UNDERSIGNED hereby gives natice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Stab tes, the fb0owing information is provided in this Necks of Canmancemard 1 DesaipdmafPropmty.PmcelldendficadonNo. 02=26-21-0290-00000-0040 StreetAddrew: 6901 Medical View Lane, Zephyrhills, F1 33542 2. GenmeiDesedpamofimpmvenent Interior renovations of an existing suite 3. Owner infamadw or Lessee irdamadan if the Lessee contracted for the improvement Lawrence J & Virginia Marchiniak Name 6905 Medical View Lane Zephryhills Wm— CRY State Interest In Property: Name of Fee Simple Tdiehddw.. Of dfera t tram Owner 9sted above) Address State 4, C .Scott Johnson, Precise Constructionty 1 Name Ta-p f'T_ Ad City State cantractofs Telephone No: 813-241-2 40 3 5. Surely. Name Address City state Amount of Bond:S Telephone No.: S. Lender. Name Address CRY state _. LeadetaTelephoneNo.: — - ---- 7. Persons wdhtn the SFate of Fladda desiouded by the owner upon wham notices or other documents may be served as provided by Section 713.13(1)(0)(7),Florida Statutes: ['horwl Clark Name 5026 Trenton St. Tampa FL Address city ste18 Telephone Number of Dasipneted Person: S. In addition to hinseft the owner designates Of— to receive a copy of the Lienor s Ndke as provided in Section 713.13(1 Xb),Forda SWdits. Telephone Number of Parson or Entity DesJgneted by Owner. 9. Expiration daft of Notice of Commencement(fhe expiration date may not be before the completion of aanstrudtai and finer payment to the contractor,but wit be ant year non the dale of recorftg uadess a different data 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 71313 FLOR 13A STATUTES AND CAN RESULT IN YOUR PAYING TWIN FOR IMPROVEMENTS TO YOUR PROPbRTY. A NOTiC?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. deciae to d I have road the ftn"aing nodes of commencement and that the facts stated tsereln are true to the beg „��"„ BALESQA� 11eerhdb ;���� ;`<�'; NotS >E�ilflp sGpo Florida r�i� ,a u ��nPATT�47fd A rO—i Stigma ure of Owner sr Lesw%or Ownefs a Up—coeds Ahd�d =;, po;=My Comm.Expires May 23, OftcerlDbeetorlPertronl�nager %°����' 8ondedttmaugh Nallwal Nalary Assn. 4 OwNx e.r S40tays T+devfRce _ ` 1 The fin going Insta anent was admawfadged before me tds Ld y of &4264 �20 fl by Lpu--+reo Q- 'IoNA VA d"ecp MM D.L as - (type of eathodty,a g•,cM—.tnatee,atarney ah fact)for (name amirutrtmment was emorded). PerwweW Known 0 O$Produced Identifiraton Nosy Sipnahs0 r Type of Idendsaatlan Produced $::L 17!I L— Name(Pdrd)�lw wpdetalbasmudeecanmanaanenLaW53US r i iAT I OF' FLORIDA,COUNTY OF PASC© DuIie THIS IS'TO CERTIFY THAT THE FOREGOING IS A `CO, TRUE AND CORRECT COPY OF THE DOCUMENT. ON FILE OR OF PUBLIC RECORD IN THIS OFFICE, WITNESS MY HAND AND OFFIC-IAL SEAL T HIS a r DAY OF PAULA S O VEIL, CLE K COMPTROLLER BY DEPUTY CLERK DocuSign Envelope ID:86A82CI3-FF5C-450E-A96B-7CF27BA522DB TM AIA DocumentA101 - 2017 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum AGREEMENT made as of the day of in the year ADDITIONS AND DELETIONS: The author of this document has BETWEEN the Owner: added information needed for its completion.The author may also Lawrence and Virginia Marchiniak have revised the text of the original 517 Mirabay Blvd. AIA standard form.An Additions and Apollo Beach,FL 33572 Deletions Report that notes added PH:813-645-7058 Information as well as revisions to the standard form text is available from and the Contractor: the author and should be reviewed.A vertical line In the left margin of this document indicates where the author Precise Construction has added necessary information 5026 Trenton Street and where the author has added to or Tampa,FL.33619 deleted from the original AIA text. PH:813-241-2403 This document has important legal consequences.Consultation with an for the following Project: attorney Is encouraged with respect to its completion or modification. The parties should complete Watson Clinic LLP Al 01--2017,Exhibit A,Insurance 6901 Medical View Lane and Bonds,contemporaneously with Zephyrhills,FL.33542 this Agreement.AIA Document A201 T"-2017,General Conditions of The Architect: the Contract for Construction,Is adopted In this document by reference.Do not use with other The Lune Group general conditions unless this 585 Main Street,Suite 201 document is modified. Dunedin,FL.349698 PH:727-733-9400 The Owner and Contractor agree as follows. AIA Document A101 -2017.Copyright 0 1915,1918,1925.1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The Init. American Institute of Architects.All rights reserved.WARNING:This AIAO Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA'c Document,or any portion of It,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET an 0 310 512 01 9 under Order No.48607091 51 which expires on 1010212019.and Is not for resale. User Notes: (1919377707) DocuSign Envelope ID:86A82Cl3-FF5C-450E-A96B-7CF27BA522DB TABLE OF ARTICLES 1 THE CONTRACT DOCUMENTS 2 THE WORK OF THIS CONTRACT 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 4 CONTRACT SUM 5 PAYMENTS 6 DISPUTE RESOLUTION 7 TERMINATION OR SUSPENSION 8 MISCELLANEOUS PROVISIONS 9 ENUMERATION OF CONTRACT DOCUMENTS EXHIBIT A INSURANCE AND BONDS ARTICLE 1 THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement,Conditions of the Contract(General,Supplementary,and other Conditions),Drawings,Specifications,Addenda issued prior to execution of this Agreement,other documents listed in this Agreement,and Modifications issued after execution of this Agreement,all of which form the Contract,and are as fully a part of the Contract as if attached to this Agreement or repeated herein.The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations,representations,or agreements, either written or oral.An enumeration of the Contract Documents,other than a Modification,appears in Article 9. ARTICLE 2 THE WORK OF THIS CONTRACT The Contractor shall fully execute the Work described in the Contract Documents,except as specifically indicated in the Contract Documents to be the responsibility of others. ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION §3.1 The date of commencement of the Work shall be: [ ] The date of this Agreement. [ ] A date set forth in a notice to proceed issued by the Owner. [X ] Established as follows: The date of construction commencement will be established after issuance of required building permits from the City of Zephyrhills. If a date of commencement of the Work is not selected,then the date of commencement shall be the date of this Agreement. §3.2 The Contract Time shall be measured from the date of commencement of the Work. §3.3 Substantial Completion §3.3.1 Subject to adjustments of the Contract Time as provided in the Contract Documents,the Contractor shall achieve Substantial Completion of the entire Work: IniL AIA Document A101`"—2017.Copyright 0 1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Law and International Treaties. 2 Unauthorized reproduction or distribution of this AIA°Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the low.This document was produced by AIA software at 09:03:49 ET on 0 310 6/2 01 9 under Order No.4860709151 which expires on 10102/2019,and is not for resale. User Notes: (1919377707) Docu Sign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB Not later than Seventy 70 calendar days from the date of commencement of the Work. By the following date: 3.3.2 Subject to adjustments of the Contract Time as provided in the Contract Documents,if portions of the Work are to be completed prior to Substantial Completion of the entire Work,the Contractor shall achieve Substantial Completion of such portions by the following dates: Portion of Work Substantial Completion Date §3.3.3 If the Contractor fails to achieve Substantial Completion as provided in this Section 3.3,liquidated damages,if any,shall be assessed as set forth in Section 4.5, ARTICLE CONTRACT SUM §4.1 The Owner shall pay the Contractor the Contract Sum in current funds for the Contractor's performance of the Contract.The Contract Sum shall be Two Hundred Thirteen Thousand and Fifty Five Dollars (S 213,055.00 subject to additions and deductions as provided in the Contract Documents. §4.2 Alternates §4.2.1 Alternates,if any,included in the Contract Sum: Item Price §4.2.2 Subject to the conditions noted below,the following alternates may be accepted by the Owner following execution of this Agreement.Upon acceptance,the Owner shall issue a Modification to this Agreement. Item Price Conditions for Acceptance §4.3 Allowances,if any,included in the Contract Sum: Item Price §4.4 Unit prices,if any: Item Units and Limitations Price per Unit($0.00) §4.5 Liquidated damages,if any: §4.6 Other; Cost of Building Permits are excluded and are in addition to the stipulated contract sum, —p be. --1 L I vim.e ups-km Init. AIA Document A101-—2017.Copyright 0 1915.1918.1925.1937.1951.1958,1961,1963.1067,1974.1977,1987,1991,199T,2007 and 2017 by The American Institute of Architects.All rights reserved.WARNING:This AIAI Document is protected by U.S,Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAm Document,or any portion of It,may result In severe civil and criminal penalties,and will be Prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03A9 ET on 0310612019 under Order No.4860709151 which expires on 10102/2019.and is not for resole. User Notes: (1919377707) DocdSign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB ARTICLE 6 PAYMENTS §5.1 Progress Payments §5.1.1 Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect,the Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents. §5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month,or as follows: 5.1.3 Provided that an Application for Payment is received by the Architect not later than the 1st day of a month,the Owner shall make payment of the amount certified to the Contractor not later than the 20th day of the same month. If an Application for Payment is received by the Architect after the application date fixed above,payment of the amount certified shall be made by the Owner not later than twenty (20 )days after the Architect receives the Application for Payment. §5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by the Contractor in accordance with the Contract Documents.The schedule of values shall allocate the entire Conti-act Sum among the various portions of the Work.The schedule of values shall be prepared in such form,and supported by such data to substantiate its accuracy,as the Architect may require.This schedule of values shall be used as a basis for reviewing the Contractor's Applications for Payment. §6.1.5 Applications for Payment shall show the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. §5.1.6 In accordance with AIA Document A20 IT'11-2017,General Conditions of the Contract for Construction,and subject to other provisions of the Contract Documents,the amount of each progress payment shall be computed as follows: §5.1.6.1 The amount of each progress payment shall first include: .1 That portion of the Contract Sum properly allocable to completed Work; .2 That portion of the Contract Sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction,or,if approved in advance by the Owner,suitably stored off the site at a location agreed upon in writing;and .3 That portion of Construction Change Directives that the Architect determines,in the Architect's professional judgment,to be reasonably justified. §5.1.6.2 The amount of each progress payment shall then be reduced by: .1 The aggregate of any amounts previously paid by the Owner; .2 The amount,if any,for Work that remains uncorrected and for which the Architect has previously withheld a Certificate for Payment as provided in Article 9 of AIA Document A201-2017; .3 Any amount for which the Contractor does not intend to pay a Subcontractor or material supplier, unless the Work has been performed by others the Contractor intends to pay; .4 For Work performed or defects discovered since the last payment application,any amount for which the Architect may withhold payment,or nullify a Certificate of Payment in whole or in part,as provided in Article 9 of AIA Document A201-2017;and .5 Retainage withheld pursuant to Section 5.1.7. §6.1.7 Retainage §5.1.7.1 For each progress payment made prior to Substantial Completion of the Work,the Owner may withhold the following amount,as retainage,from the payment otherwise due: 10%Retainage InIt. AIA DocumentA101"—2017.Copyright 0 1915,1918,1925.1937.1951,1958,1961.1963.1967,1974,1977,1087,1991,1997,2007 and 2017 by The American Institute of Architects.AH rights reserved.WARNING:This ATAQ Document Is protected by U.S.Copyright Law and International Treaties, 4 Unauthorized reproduction or distribution of this AIA"Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03A9 ET on 0310612019 under Order NOAS60709151 which expires an 10102/2019,and Is not for resale, User Notes., (1919377707) DocuSign Envelope ID:86A82C I 13-FF5C-45OF-A96B-7CF27BA522DB §5.1.7.1.1 The following items are not subject to retainage: N/A §5.1.7.2 Reduction or limitation of retainage,if any,shall be as follows: N/A 5.1.7.3 Except as set forth in this Section 5.1.7.3..upon Substantial Completion of the Work,the Contractor may submit an Application for Payment that includes the retainage withheld from prior Applications for Payment pursuant to this Section 5.1.7.The Application for Payment submitted at Substantial Completion shall not include retainage as follows: §5.1.8 If final completion of the Work is materially delayed through no fault of the Contractor,the Owner shall pay,the Contractor any additional amounts in accordance with Article 9 of AIA Document A2012017 Aa-qCLrLA-L&,r amc,%ArAs il %d-ar-- Wej- ' CE f §6.1.9 Except with the Owner's prior approval,the Contractor shall not make advance payments to suppliers for K materials or equipment which have not been delivered and stored at the site. §5.2 Final Payment §5.2.1 Final payment,constituting the entire unpaid balance of the Contract Sum,shall be made by the Owner to the Contractor when .1 the Contractor has fully performed the Contract except for the Contractor's responsibility to correct Work as provided in Article 12 of AIA Document A201-2017,and to satisfy other requirements,if any, which extend beyond final payment;and .2 a final Certificate for Payment has been issued by the Architect. §5.2.2 The Owner's final payment to the Contractor shall be made no later than 30 days after the issuance of the Architect's final Certificate for Payment,or as follows: §5.3 Interest Payments due and unpaid under the Contract shall bear interest from the date payment is due at the rate stated below, or in the absence thereof,at the legal rate prevailing from time to time at the place where the Project is located, Eight% 8% ARTICLE 6 DISPUTE RESOLUTION §6.1 Initial Decision Maker The Architect will serve as the Initial Decision Maker pursuant to Article 15 of AIA Document A201-2017,Unless the parties appoint below another individual,not a party to this Agreement,to Serve as the Initial Decision Maker. Init. AIA Document Al 01 2017.Copyright0 ISIS,1918,1925.1937.1951.1956,1961,1963,1987,1974,1977,1987,1991.1997,2007 and 2017 by The American Institute of Architects.Ali rights reserved.WARNING:This AIAP Document Is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA6 Document,or any portion of It,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET on 03/0812019 under Order No.4860709151 which expires on 1010212019,and Is not for resale. User Notes: (1919377707) DocdSign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB §6.2 Binding Dispute Resolution For any Claim subject to,but not resolved by,mediation pursuant to Article 15 of AIA Document A201 2017,the method of binding dispute resolution shall be as follows: [ X ] Arbitration pursuant to Section 15.4 of AIA Document A20I 2017 [ j Litigation in a court of competent jurisdiction [ ] Other(Spec) If the Owner and Contractor do not select a method of binding dispute resolution,or do not subsequently agree in writing to a binding dispute resolution method other than litigation,Claims will be resolved by litigation in a court of competent jurisdiction. ARTICLE 7 TERMINATION OR SUSPENSION §7.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of AIA Document A20I 2017. §7.1.1 If the Contract is terminated for the Owner's convenience in accordance with Article 14 of AIA Document A20I2017,then the Owner shall pay the Contractor a termination fee as follows: N/A. §7.2 The Work may be suspended by the Owner as provided in Article 14 of AIA Document A201 2017. ARTICLES MISCELLANEOUS PROVISIONS §8.1 Where reference is made in this Agreement to a provision of AIA Document A201 2017 or another Contract Document,the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. §8.2The Owner's representative:1„�,o -A, �c�r�$dn+ t��c�tM1�[4tll. q t Shin Ao")rr+ e�c-�..f<�c..;e 5 artl q ar......+�� Ck�w�te+rwr_a"�+-•--� w�l.,. S��c �n.��rC.. l-w�+ �. '�'I.�e-ey-w�.to.�'"'t�he.'�� Timothy Mercier " 3-f 3-t Watson Clinic ct 1600 Lakeland Hills Blvd Lakeland,FL.33805 PH:863-944-9194 §8.3 The Contractor's representative: Scott Johnson 5026 Trenton Street Tampa,FL.33619 PH:241-2403 Intl AIA Document A101^d—2017.Copyright®1915.1918,1925.1937.1951.1958.1961.1963.1967,1974.1077.1907.1991.1997,2007 and 2017 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document Is protected by U.S..Copyright Law and International Treaties. 6 Unauthorized reproduction or distribution of this AIAO Document,or any portion of it,may result In severe civil and criminal penalties,and will be 1 prosecuted to the maximum extent possible under the law.This document was produced by ALA software at 09:03A9 ET on 0 310 6/2 0 1 9 under Order No.4860709151 which expires on 10102/2019,and Is not for relate. User Notes: (1919377707) DocuSign Envelope ID:86A82C13-FF5C-45OF-A96B-7CF27BA522DB §8.4 Neither the Owner's nor the Contractor's representative shall be changed without ten days'prior notice to the other party. - §8.5 insurance and Bands §8.5.1 The Owner and the Contractor shall purchase and maintain insurance as set forth in ATA Document AIOITAI 2017,Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum,Exhibit A,Insurance and Bonds,and elsewhere in the Contract Documents. §8.5.2 The Contractor shall provide bonds as set forth in AIA Document A10ITl`4 2017 Exhibit A,and elsewhere in the Contract Documents. §8.6 Notice in electronic format,pursuant to Article 1 of AIA Document A201-2017,may be given in accordance with AIA Document E203T`1-20I3,Building Information Modeling and Digital Data Exhibit,if completed,or as otherwise set forth below: §8.7 Other provisions: ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS §9.1 This Agreement is comprised of the Following documents: .1 AIA.Document Al OITm-2017,Standard Form of Agreement Between Owner and Contractor .5 Drawings: See the enclosed Exhibit B-Index of Drawings Number Title Date .6 Specifications:See the enclosed Exhibit B—Index of Drawings Section Title Date Pages .7 Addenda,if any:NIA Number Date Pages Portions of Addenda relating to bidding or proposal requirements are not part of the Contract Documents unless the bidding or proposal requirements are also enumerated in this Article 9. .8 Other Exhibits:Exhibit A—Schedule of Values Exhibit B—index of Drawings Exhibit C—Insurance. Exhibit D-Qualifications AIA Document A101 Te—2017.Copyright 01915,1918,1925,1937,1951,1958,1961.1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The in)L American Institute of Architects.All rights reserved.WARNING:This AIA"Document Is protected by U.S.Copyright Law and international Treaties. 7 Unauthorized reproduction or distribution of this AW Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET on 0310612019 under Order No.4860709151 which expires on 1010212019,and Is not for resale. User Notes: (1919377707) DocUSign Envelope ID:86A82Ct3-FF5C-450E-A96B-7CF27BA522DB ( ] AIA Document E204Tst-2017,Sustainable Projects Exhibit,dated as indicated below: [ ] The Sustainabiiity Plan: Title Date Pages [ ] Supplementary and other Conditions of the Contract: Document Title Date Pages .9 Other documents,if any,listed below: L This Agreement entered into as of the day and year first written above. DS DocuSigned by: OWNS (Si naltrre) RAMMftnature) Lawrence and Virginia Marehiniak Scott Johnson Chief Operating Officer AIA Document A101 T"—2017.Copyright 0 1915,1918.1925,1937.1951.1958.1961,1963.1967,1974,1977,1987,1991,1997,2007 and 2017 by The Init. American Institute of Architects.All rights reserved.WARNING:This AIA'Document Is protected by U.S.Copyright Law and International Treaties. 8 Unauthorized reproduction or distribution of this AIAa Document,or any portion of it,may result In severe civil and criminal penalties,and will be 1 prosecuted to the maximum extont possible under the law.This document was produced by AIA software at 09:03:49 ET on 03/0612019 under Order No.4860709151 which expires on 1010212019,and is not for resale. user Notes: (1919377707) DocuSign Envelope ID:821762DD-BA2A-4795-9C72-405OIE014268 Al A document G802"" U - 2.017 Amendment to the Professional Services Agreement PROJECT: AGREEMENT INFORMATION: AMENDMENT INFORMATION: Watson Clinic 1-1,11 Date:March 22,2019 Amendinent Number:001 6901 Medical View Lane Date.-March 22.2019 Zcphyrhills, FL 33542 OWNER: ARCHITECT, Lawrence and Virginia Marchiniak The LLInZ 01'01.111 517 Mirabav Blvd. 585 Iv Main Street,Suite 201 Apollo Beach, Ft. 33572 Dunedin, Ff. 34698 'I'he Owner and Contractor amend the Agreement as follows: 'rhe Contractor's scope of work shall be adjusted as follows: Precise Construction, Inc. will supply two(2) new 4 ton air handlers(A HLJ I,—'))and two new matching 4 ton as per condensing units(CU 1,2),as per the drawings at no additional charge. P DS � SIGNATURES: CONTRACTOR OWNER + /� t�tio� e—DocuSigned by: e-- SIGNATURE Scott Johnson Chief operating officer PRINTED NAME AND TITLE PRINTED NAME AND TITLE 3/22/2019 DATE DATE AIA Document G80211—2017.Copyright Q 2000,2007 and 2017 by The American Institute of Architects.All tights reserved.WARNING:Tills AW Document is protected by U.S.Copyright Law and International Tr*aties.Unaulhortz-ad reproduction or distribution of this AIA'Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosocuted to the maximum extent possible under the law.This document was produced by AIA software at 13:31:39 ET an 03/2212019 under Order No,4860709151 which expires on 1010212019,and is not for resale. User Notes: (3B9ADA53) Jacqueline Boges From: Jacqueline Boges Sent: Tuesday, May 7, 2019 9:20 AM To: 'Gloria Landa' Cc: Janice Trimble; Mindy Alspach; Leslie Szabo; Bill Burgess Subject: RE: 6901 Medical View Lane,Zephyrhills FI 33542 1 have received updates...as I mention yesterday once I receive information I currently update and take off notes. If I do not receive can not honesty say updates are done... thank you for resending updates apologize if I did not currently receive. We need copy of contract for price given on permit application and noc upon pick up the cost for permit#1,734.57 check or cash . { Jackie Boges - - 813-780-0020 ext3513 "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine, but it is He Himself we have."Dwight L. Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error, please do not read, forward, copy, etc. and delete immediately. From:Gloria Landa<gloria.landa@preciseconstruction.com> Sent:Tuesday, May 7, 2019 9:03 AM To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us> Cc:Janice Trimble<janice@alderman plum bing.com>; Mindy Alspach<mindy@alspachconstruct.com>; Leslie Szabo <Leslie.Szabo@preciseconstruction.com>; Bill Burgess<bburgess@ci.zephyrhills.fl.us> Subject:6901 Medical View Lane,Zephyrhills FI 33542 EXTERNAL EMAIL Good Morning Jacky, This morning I called to see if our information and our subs information was received.The gentleman who checked the permit notes told me that they have not been cleared yet. I re-emailed you a copy of our contract, GC License &our Tax Receipt yesterday. 1 OFFICE MEDICAL- PRECISE CONSTRUCTION 2,569 SQ FT Column SQ. FEET PRICE MAIN OR LIVING: 2,569 $ - OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 213,000.00 FEE SHEET $ 1,105.00 ADDRESS DRIVEWAY BUILDING: $ 1,127.10 ELECTRICAL: $ 248.63 PLUMBING: $ 165.75 MECHANICAL: $ 116.03 SUB-TOTAL $ 1,657.50 TOTAL $ 1,657.50 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 77.07 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 77.07 PUBLIC SAFETY IMPACT FEES POLICE FIRE $ - 5% $ - TOTAL: $ - na SUB-TOTAL $ 1,734.57 PARK IMPACT FEESI na SIF'S: 100.0% $ - 1.0% $ - TOTAL: $ - na TIF'S: $ - na 99% $ - 1% $ - TOTAL: $ 1,734.57 I City of Zephyrhills BUILDING PLAN REVIEW COMMENTS r Contractor/Homeowner: c S �C� h S �u C j 0 V) Date Received: Site: os��QO ��� 00,) LYIL Permit Type: Q 1��-1 �Q m o h I 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. Bill Burgess-Bui d g Official Date Contractor and/or Homeowner (Required when comments are present) l DocuSign Envelope ID:676A329C-6359-4955-B5CB-C1061BD79052 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Recelved - 0 3/2 8/19 I Phone Contact for Permitting 2 41-2 4 0 3 EXt. 1 -rrr r-rT Owner's Name Lawrence & Virgini:a Marchiniak Owner Phone Number Owner's Address 6905 Medical View Lane Owner Phone Number Fee Simple Titleholder Name F Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6901 Medical View Lane,Zephyrhills, FI 33542 LOT# SUBDIVISION PARCEL ID# 02-26-21-0290-00000-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT © SIGN Q 0 DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = " DESCRIPTION OF WORK interior renovation t0 an existing suite Including Arch., &MEP BUILDING SIZE F SQ FOOTAGE 2 569 sf HEIGHT ITI"ITrrITrlTI"ITITrI"T =BUILDING $213 000.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = P GRESS ENERGY Q W.R.E.C. =PLUMBING $ �/ t =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION { �' �' P\ 6u - l CJ =GAS = ROOFING 0 SPECIALTY = OTHER AJ0(f rQ rn FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA =YES NO :•-L-.-.. . . . . . .-1-. . . . :+t-:� . . .. . . .. . �• I COMPANY Precise Construction Inc. vJ E EGISTERED I Y/N FEE CURREA LY/N Address 5026 Trenton St T pa, FI 33619 1License#I CGC1514771 ocu rgne y: ELECTRICIAN o cu In' .'J/. COMPANY Alspach Construction&Electrical Co. SIGNATURE 6A r AS (MM� I REGISTERED I..Y/N FEE CURREI I Y/N Address 4 W B �ftT Tama Fl 33614 License# I EC0002854 r� PLUMBER his Q`�,t^ w1. COMPANY W.H.Alderman Plumbing&Heating Co. SIGNATURE REGISTERED I Y/N FEECURREp I Y. 0 OFB8E485z48F... Address 1755 Ua 1CO. a eland FL Llcense# CFC056821 eeuSigned MECHANICAL � � bvf COMPANY Florida Air Services SIGNATURE REGISTERED I Y/N I FEE CURREN Y!N F4 A04!✓E9C4 ' Address 7796 Fro�essionalIace Tampa,F133637 License# CMC124886 OTHER COMPANY SIGNATURE REGISTEREDI Y/ N FEE CURREn I Y/N Address License# . 1'111111111111111111111111111111111111111-IIIIIIIIII11111.11111111.1111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance .. SIGN PERMIT Attach(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A!C upgrades over$7500) Agent(for 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 IMPACT/UTILITIES 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$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners 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. 1 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: - 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. .ae 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 F LNANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM CE FLORIDA JURAT(F.S.117.03) o O OWNER pR AOEN ��•c N �„�u•a• � �l.���—�—� GONTETOR� N o Subscribed and sw�o to(or affi�ne )before me this A& DHr Sub n an sworn to(or 7rrnpd)before me this Q o OiMF�R/9 by—,rune v /�l eYe!w eJ by SGof F Ci.�lni�SnvD Q a c11 Who is/ ersonally known a or has/have produced Who s/ar ersonal yf cTnown me or hasthave produced z dg as identification. as identification. Q�tr� F�ttt�nnn m r_,Lu'� /rr �I�v NotaryiP.ub1£c l.�• Diary Ubli W 4 Commasson Ntr.�$�7�f�� � Commission No. Z ZN,q 700 C _� �i try St q,►1�� /...C?.Sll N� C7 Name of Note d,printed o stffi i artfe'of Notary typedrin�d[o mped o �.v i - -;v .. - .,. , ..- � ,. � ..'�i�..... �Yt- .� .. .. i J APPENDIX CA � FORMS 1 FLORIDA BUILDING CODE;ENERGY CONSERVATION 1 CHAPTER Cil-r—COMMERCIAL ENERGY EFFICIENCY 1' ,Form C402-201TALTERATIO.NS,RENOVATIONS.and BUILDING SYSTEMS �. Climate Zone: 1 Praje tName: WATSON -ZEPHYRHILLS DERMATOLOGY Occupancy we: OFFICE-BUSINESS 1 Address: 6901 MEDICAL VIEW LANE Alteration CK Renovation 17 Building System 0 1 Ciil,zipC°ds: ZEPHYRHILLS, FL 33542 Building Permit No.: 1 Builder: Permitting Office: 1 akVner: .... .._. 1 - BUILDING ENVELOPE INFORMATION(Where changed) 1 Requirement Efficiency1 Envelope Component ;Description _ Location Unit Required. Installed fyaeo Table C402.1.4 or U-factor or 1 R0°f N/A existing Table,C402.1.3 R-value ' Roof refiectance"rEmitlance Table CdU2.3 Solar rellecfanca, (Icwstope tools) N/A existing ?.Thermal emlttance 1 Wall type;:above grada N/A existing 1 <U-factor.'or Wall,below grade N/A existing Table C4t)2.1:4 or Table Cd172.1.3 j R-value i 1 Floor type existing1 Vertical fenestrations 5 U-{actor. 1 N/A existing <srltisc 1 Table 0402.4 _...............,_,.___:, 5 U-factor 1 Sky9ights N/A <SHGC 1 BUILDING SYSTEMS INFORMATION[tor HVAC,service hot water or pool heating;lighting systems and replacement fenestration(C501.7)] 1 Requirement 1 System Type(describe system) Efficiency 1 Location Unit Required Installed Ali-crindllioning system N/A existin Tables C403.2.3(1-3;6-8.9-11) SEER or EER,IEER 1 Heating system N/A existing Tables C 03.2.3(2-8) HSPF or COP AFUE,!:,or E Verrtflatfonlatr handling system Tables C4032.12;if 12) Fan power(cfrti) Ducis Lposti°n: concealed Table C403.2.9.1 R-value 4.2 6 1 1. Piping Fluid design.operating temp: Table 0403.2.10' Inches tlot ester EXISTING Table C404.2 r F,E,COP 1 Lightin' EA-LTH CARE, (append!!s#) Table C4()5.4.2(1 or2) Lighting power density ;: 0.9 0.9 ] Fenestrations:Enter information In.BUILDING ENVELOPE INFORMATION box above. 1 Uflier: atthcw D.Lewis,,P.E. 1 I89 2257 Tlw v COMPLIANCE IS BYANSUASHRA,EAE'SNA 90,1 L3 Wesley,Chapel,FL 33544 (s6btnit eHernate:frrrii)orappand dmitnents as nodded). 8 a-991=1 48 1 1 hereby certify that this.plans an_specifications cove by hs ti tllaffot�aradq compliance with.the Review of plans and spermcations--red y t is 1 {lodde Building Code,.Energy Carrsorvativn_ calculation indicates cpmplfanaa,with-the Florida Building PREPAt"iEL7BY. Cods,Energy Conservation.Before constructioa,is 1 DATE_ _ '^.' u ` ,� ,;-: '. ,f 4. completed,,this buildingwill.belnspact torcomplfance.' I horebi certity.that this`building is in'compliance wit}j'thfr filollc a4arl mg Goi ap fin', onserWllow in Accoidance.•ith ection S �. OWNEWAGENT. =_ b•' BUILDING OFFICIAL:.-- � IJATE i. DATE.. 1. f,r r FLORIDA BUILDING CODE ENERGY.CONStRV', T,I}dj 6th. '12017) C-101 ,, ., 1�6t D STEPANEK- LEWIS & ASSOCIATES M CONSULTING MECHANICAL ENGINEERS (CERT. OF AUTH. # 8397) -------------------------------------------------------------------------------------------------------------------- HVAC LOAD SUMMARY SHEET -------------------------------------------------------------------------------------------------------------------- Project Name: Watson Clinic— Dermatology Office Remodel Project Address: 6901 Medical View Lane, Zephyrhills, FL 33542 Sizing Method Used: Carrier's HAP 8,760-Hour(E-2011) Computer Software -Version 4.5 Utilizes ASHRAE accepted Transfer Function Method Zone#/ Equipment ID: AHU-1/2= (2)4-ton a/c systems Area in Square Feet: 1,958 sgft Outdoor Dry Bulb Used: 92 OF Outdoor Wet Bulb Used: 79 °F Relative Humidity: 52 % Indoor Dry Bulb: 75 °F Total Heating Required: 53,200 Btu/h (With Outside Air) Total Sensible Gain: 68,200 Btu/h Total Latent Gain: 21,500 Btu/h Grains of Moisture per pound of dry air: 54 (Difference) Total Cooling Required: 89,700 Btu/h (With Outside Air) -------------------------------------------------------------------------------------------------------------------- Summary By: AN c,`�J t� Matthew D. Lewis, PE €'do. 5G i 89 Fl. License#56189 -ca ` a �� SU, TE 0i- �°r ev 01ti 2257 Twelve Oaks Way, Suite 103 * Wesley Chapel " Florida * 33544 ' P: 813/991-1248 4, DocuSign Envelope ID:86A82CI3-FF5C-450E-A96B-7CF27BA522DB A 1A Document A101"m 2017 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum AGREEMENT made as of the day of in the year ADDITIONS AND DELETIONS: The author of this document has BETWEEN the Owner: added information needed for its completion.The author may also Lawrence and Virginia Marchiniak have revised the text of the original 517 Mirabay Blvd. ALA standard form.An Additions and Apollo Beach,FL 33572 Deletions Report that notes added PH:813-645-7058 information as well as revisions to the standard form text is available from and the Contractor: the author and should be reVJewed.A vertical line in the left margin of this document indicates where the author Precise Construction has added necessary information 5026 Trenton Street and where the author has added to or Tampa,FL.33619 deleted from the original AIA text. PH:813-241-2403 This document has important legal consequences.Consultation with an for the following Project: attorney is encouraged with respect to its completion or modification. Watson Clinic LLP The parries should complete A1011m-2017,Exhibit A,Insurance 6901 Media View Lane and Bonds,contemporaneously with Zephyrhills,FL.33542 this Agreement.AIA Document A201 1"1-20.17,.General Conditions of The Architect: the Contract for Construction,Is adopted in this document by The Lunz Group reference.Do not use with other general conditions unless this 595 Main Street,Suite 201 document is modified. Dunedin,FL.349698 PH:727-733-9400 The Owner and Contractor agree as follows. iy AIA Document Al 01 2017.Copyright 1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The Init. American Institute of Architects.All rights reserved.WARNING:This AIAO Document Is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAO Document,or any portion of It,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03*49 ET on 0 310 61201 9 under Order No.060709151 which expires on 1010212019,and Is not for resale, User Notes: (1919377707) DocuSign Envelope ID:86A82CI3-FF5C-450E-A96B-7CF27BA522DB TABLE OF ARTICLES I THE CONTRACT DOCUMENTS 2 THE WORK OF THIS CONTRACT 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 4 CONTRACT SUM 5 PAYMENTS 6 DISPUTE RESOLUTION 7 TERMINATION OR SUSPENSION 8 MISCELLANEOUS PROVISIONS 9 ENUMERATION OF CONTRACT DOCUMENTS EXHIBIT A INSURANCE AND BONDS f ARTICLE I THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement,Conditions of the Contract(General,Supplementary,and other Conditions),Drawings,Specifications,Addenda issued prior to execution of this Agreement,other documents listed � p in this Agreement,and Modifications issued after execution of this Agreement,all ofwhich form the Contract,and are as fully a part of the Contract as.if attached to this Agreement or repeated herein.The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations,representations,or agreements, either written or oral.An enumeration of the Contract Documents,other than a Modification,appears in Article 9. ARTICLE THE WORK OF THIS CONTRACT The Contractor shall fully execute the Work described in the Contract Documents,except as specifically indicated in the Contract Documents to be the responsibility of others. ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION §3.1 The date of commencement of the Work shall be: The date of this Agreement. A date set forth in a notice to proceed issued by the Owner. [X Established as follows: il The date of construction commencement will be established after issuance of required building permits from the City of Zephyrhills. If a date of commencement of the Work is not selected,then the date of commencement shall be the date of this Agreement. 3.2 The Contract Time shall be measured from the date of commencement of the Work. §3.3 Substantial Completion 3.3.1 Subject to adjustments of the Contract Time as provided in the Contract Documents,the Contractor shall achieve Substantial Completion of the entire Work: AIA Document A11017m—2017.Copyright @ 1915.1918,1925.1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The Init. American Institute of Architects.All rights reserved.WARNING:This AIAO Document Is protected by U,S.Copyright Law and International Treaties. 2 Unauthorized reproduction or distribution of this AIAO Document,or any portion of It,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03.49 ET an 03106/2019 under Order No.4860709151 which expires on 1010212019,and is not for resale. User Notes: (1919377707) DocuSign Envelope ID:86A82CI3-FF5C-450E-A96B-7CF27BA522DB Not later than Seventy 70 calendar days from the date of commencement of the Work. By the following date: §3.3.2 Subject to adjustments of the Contract Time as provided in the Contract Documents,if portions of the Work are to be completed prior to Substantial Completion of the entire Work,the Contractor shall achieve Substantial Completion of such portions by the following dates: Portion of Work Substantial Completion Date §3.3.3 If the Contractor fails to achieve Substantial Completion as provided in this Section 3.3,liquidated damages,if any,shall be assessed as set forth in Section 4.5. y. ARTICLE 4 CONTRACT SUM §4.1 The Owner shall pay the Contractor the Contract Sum in current funds for the Contractor's performance of the Contract.The Contract Sum shall be Two Hundred Thirteen Thousand and Fifty Five Dollars 213,055.00 subject to additions and deductions as provided in the Contract Documents. kq— Cc §4.2 Alternates §4.2.1 Alternates,if any,included in the Contract Sum: Item Price §4.2.2 Subject to the conditions noted below,the following alternates may be accepted by the Owner following execution of this Agreement.Upon acceptance,the Owner shall issue a Modification to this Agreement. Item Price Conditions for Acceptance §4,3 Allowances,if any,included in the Contract Sum: Item Price §4.4 Unit prices,if any: 14 Item Units and Limitations Price per Unit($0.00) §4.5 Liquidated damages,if any: §4.6.Other: Cost of Building Permits are excluded and are in addition to the stipulated contract sum, to be Tstw' Ll Dia,'ALA AIA Document A101Tm-2017.Copyright Q 1916,1918,1925,1937.1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The Xci 11 Init. American Institute of Architects.All rights reserved.WARNING:This AIAO Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAO Document,c�r any portion of It,may result In severe civil and criminal penalties,and will be 3 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03A9 ET on 03/0612019 under Order No.4880709151 which expires on 10/02/2019,and is not for resale.User Notes: (1919377707) DocuSign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB ARTICLE 5 PAYMENTS §5.1 Progress Payments §5.1.1 Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect,the Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents. §5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month,or as follows: §5.1.3 Provided that an Application for Payment is received by the Architect not later than the 1st day of a month,the Owner shall make payment of the amount certified to the Contractor not later than the 20th day of the same month. If an Application for Payment is received by the Architect after the application date fixed above,payment of the amount certified shall be made by the Owner not later than twenty (20 )days after the Architect receives the Application for Payment. §5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by the Contractor in accordance with the Contract Documents.The schedule of values shall allocate the entire Contract Sum among the various portions of the Work.The schedule of values shall be prepared in such form,and supported by such data to substantiate its accuracy,as the Architect may require.This schedule of values shall be used as a basis for reviewing the Contractor's Applications for Payment. §5.1.5 Applications for Payment shall show the percentage of completion of each portion of the Work as of the end of ' the period covered by the Application for Payment. I §5.1.6 In accordance with AIA Document A201 rm-2017,General Conditions of the Contract for Construction,and subject to other provisions of the Contract Documents,the amount of each progress payment shall be computed as follows: §5.1.6.1 The amount of each progress payment shall first include: ` .1 That portion of the Contract Sum properly allocable to completed Work; .2 That portion of the Contract Sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction,or,if approved in advance by the Owner,suitably stored off the site at a location agreed upon in writing;and .3 That portion of Construction Change Directives that the Architect determines,in the Architect's professional judgment,to be reasonably justified. t §5.1.6.2 The amount of each progress payment shall then be reduced by: R 1 The aggregate of any amounts previously paid by the Owner; .2 The amount,if any,for Work that remains uncorrected and for which the Architect has previously withheld a Certificate for Payment as provided in Article 9 of AIA Document A201-2017; .3 Any amount for which the Contractor does not intend to pay a Subcontractor or material supplier, ; unless the Work has been performed by others the Contractor intends to pay; .4 For Work performed or defects discovered since the last payment application,any amount for which a the Architect may withhold payment,or nullify a Certificate of Payment in whole or in part,as provided in Article 9 of AIA Document A201-2017;and ' .5 Retainage withheld pursuant to Section 5.1.7. §5:1.7 Retainage s §5.1.7.1 For each progress payment made prior to Substantial Completion of the Work,the Owner may withhold the a following amount,as retainage,from the payment otherwise due: i� 10%Retainage V. i AIA Document A101 T"'—2017.Copyright©1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The [nit. American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Law and International Treaties. 4 j Unauthorized reproduction or distribution of this AIAa Document,or any portion of It,may result In severe civil and criminal penalties,and will be S prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET on 03/06/2019 under Order a N0 .4860709151 which expires on 10102/2019,and is not for resale. S User Notes: (1919377707) 4 r ` DocuSign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB §5.1.7.1.1 The following items are not subject to retainage: N/A §5.1.7.2 Reduction or limitation of retainage,if any,shall be as follows: N/A §5.1.7.3 Except as set forth in this Section 5.1.7.3,upon Substantial Completion of the Work,the Contractor may submit an Application for Payment that includes the retainage withheld from prior Applications for Payment pursuant to this Section 5.1.7.The Application for Payment submitted at Substantial Completion shall not include retainage as follows: i I §5.1.8 If final completion of the Work is materially delayed through no fault of the Contractor,the Owner shall pay the Contractor any additional amounts in accordance with Article 9 of AIA Document A201 2017. gddPl�o,.c�l cawtour•�lS ♦dt a r`-t;�.cd ..� }�tA Z-Lt CIL � 5.1.9 Except with the Owner's prior approval,the Contractor shall not make advance payments to suppliers for ` § P P PP � P Y PP� ..r( materials or equipment which have not been delivered and stored at the site. I §5:2 Final Payment i §5.2.1 Final payment,constituting the entire unpaid balance of the Contract Sum,shall be made by the Owner to the Contractor when .1 the Contractor has fully performed the Contract except for the Contractor's responsibility to correct Work as provided in Article 12 of AIA Document A201-2017,and to satisfy other requirements,if any, which extend beyond final payment;and .2 a final Certificate for Payment has been issued by the Architect. 3 §5.2.2 The Owner's final payment to the Contractor shall be made no later than 30 days after the issuance of the Architect's final Certificate for Payment,or as follows: ti §5.3 Interest Payments due and unpaid under the Contract shall bear interest from the date payment is due at the rate stated below, or in the absence thereof,at the legal rate prevailing from time to time at the place where the Project is located. a 3 Eight% 8% f ARTICLE 6 DISPUTE RESOLUTION 1 §%1 Initial Decision Maker The Architect will serve as the Initial Decision Maker pursuant to Article 15 of AIA Document A201 2017,unless the d parties appoint below another individual,not a party to this Agreement,to serve as the Initial Decision Maker. 4 F 3 AIA Document A101 TM'_2017.Copyright 01915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The I Init. American Institute of Architects.All rights reserved.WARNING:This AIA®Document Is protected by U.S.Copyright Law and International Treaties. 5 1 Unauthorized reproduction or distribution of this AIA°'Document,or any portion of it,may result in severe civil and criminal penalties,and will be I prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET on 03/06/2019 under Order f No.4860709151 which expires on 10/02/2019,and is not for resale. User Notes: (1919377707) it i i DocuSign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB §6.2 Binding Dispute Resolution For any Claim subject to,but not resolved by,mediation pursuant to Article 15 of AIA Document A201 2017,the method of binding dispute resolution shall be as follows: [ X ] Arbitration pursuant to Section 15.4 of AIA Document A201 2017 j ] Litigation in a court of competent jurisdiction [ ] Other(Spec) i i I i If the Owner and Contractor do not select a method of binding dispute resolution,or do not subsequently agree in writing to a binding dispute resolution method other than litigation,Claims will be resolved by litigation in a court of i competent jurisdiction. !C ARTICLE 7 TERMINATION OR SUSPENSION §7.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of AIA Document A201 2017. i §7.1.1 If the Contract is terminated for the Owner's convenience in accordance with Article 14 of AIA Document A201-2017,then the Owner shall pay the Contractor a termination fee as follows: A N/A f 7 §7.2 The Work may be suspended by the Owner as provided in Article 14 of AIA Document A201-2017. d ARTICLE 8 MISCELLANEOUS PROVISIONS §8.1 Where reference is made in this Agreement to a provision of AIA Document A201 2017 or another Contract Document,the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. ] §8.2 The Owner's representative: „�-o s-4 { tic ^y�+ '� rrr,'� ccGv. on•.� 54k��c�l S�u� d��� Timothy Mercier Watson Clinic 1600 Lakeland Hills Blvd 3 Lakeland,FL.33805 fl PH:863-944-9194 N i §8.3 The Contractor's representative: a Scott Johnson i 5026 Trenton Street s Tampa,FL.33619 j PH:241-2403 p4 t AIA Document A101 TM—2017.Copyright©1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The Init. American Institute of Architects.All rights reserved.WARNING:This AIA°Document Is protected by U.S.Copyright Law and International Treaties. 6 a Unauthorized reproduction or distribution of this AIA°Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:46 ET on 03/06/2019 under Order No.4860709151 which expires an 1010212019.and is not for resale. User Notes: (1919377707) s 4 'DoLSign Envelope ID:86A82Ct3-FF5C-450E-A96B-7CF27BA522DB §8.4 Neither the Owner's nor the Contractor's representative shall be changed without ten days'prior notice to the other party. - §8.5 Insurance and Bonds §8.5.1 The Owner and the Contractor shall purchase and maintain insurance as set forth in AIA Document Al OlTm-2017,Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum,Exhibit A,Insurance and Bonds,and elsewhere in the Contract Documents. §8.5.2 The Contractor shall provide bonds as set forth in AIA Document Al O1T"t 2017 Exhibit A,and elsewhere in the Contract Documents. §8.6 Notice in electronic format,pursuant to Article 1 of AIA Document A201 2017,may be given in accordance with AIA Document E203TM-2013,Building Information Modeling and Digital Data Exhibit,if completed,or as otherwise set forth below: §8.7 Other provisions: ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS §9.1 This Agreement is comprised of the following documents: .1 AIA Document AIO1T"L-2017,Standard Form of Agreement Between Owner and Contractor i i . i t .5 Drawings: See the enclosed Exhibit B-Index of Drawings f Number Title Date t .6 Specifications:See the enclosed Exhibit B—Index of Drawings i Section Title Date Pages f t { .7 Addenda,if any:N/A i Number Date Pages a i Portions of Addenda relating to bidding or proposal requirements are not part of the Contract Documents unless the bidding or proposal requirements are also enumerated in this Article 9. .8 Other Exhibits:Exhibit A—Schedule of Values } Exhibit b—Index of Drawings Exhibit C—Insurance r Exhibit D-Qualifications i a s AIA Document A101T1—2017.Copyright©1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991.1997,2007 and 2017 by The F Init. American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Law and International Treaties: 7 Unauthorized reproduction or distribution of this AIA°Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET on 03/06/2019 under Order ! NoA860709151 which expires on 1010212019,and is not for resale. s User Notes: (1919377707) I±C L DocuSign Envelope ID:86A82C13-FF5C-450E-A96B-7CF27BA522DB [ ] AIA Document E204rm-2017,Sustainable Projects Exhibit,dated as indicated below: [ ] The Sustainability Plan: Title Date Pages [ ] Supplementary and other Conditions of the Contract: Document Title Date Pages .9 Other documents,if any,listed below: DS This Agreement entered into as of the day and year first written above. Ds �r � I G I DocuSigned by: OWNE (M nature) ilfTM?Mgnature) Lawrence and Virginia Marchiniak Scott Johnson Chief Operating Officer 1 t f I i F I I S i S R ) W 5 AIA Document A101 T —2017.Copyright©1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997,2007 and 2017 by The j Init. American Institute of Architects.All rights reserved.WARNING:This AIA°Document Is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA°Document,or any portion of It,may result In severe civil and criminal penalties,and will be 8 f prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 09:03:49 ET on 03/06/2019 under Order No.4860709151 which expires on 1010212019,and is not for resale. ' User Notes: (1919377707) .I I r DoW8191h Envelope IA;B21762DQ-8A2A-4795-9G72-406.01 E014268 1A Document G8027' - 2017 Amendment to the Professional Services Agreement PROJECT;. AGREEMENT INFORMATION: AMENDMENT INFORMATION: Watson Clinic LLP Date:March 22,.2019 Amendment Number:001 6901 Medical View Latie Date:March 22,2019 �phyrift.6, Ft. 33542 OWNER: ARCHITECT.: LawiericeaptlVirgiaia.tldarchiffiak TheLoz-Group 517 l llrti a_ay Blva., 585 Main Street,Suite 201 Apollo-Beach, FL. 33572 Dunedin, FL 34698 The Owner acid Contractor amend the Agreetnent as follows: The Contractor's scope of work shall be adjusted as follows: T?iedise..Ctirts".Ction,.Itzc,will supply two(2) new 4 ton air Handlers(AHU1,2)and tiro new matching 4 ton as per condensing units(CU1,2),as per the:drawing at.no additional charge. DS SIGNATt1RE3: � CONTRACTOR OWNER It T�aaaA9... SIGNATURE Scott Johnson Chief Operating Officer PRINTED NAME AND TITLE PRINTED NAME AND TITLE 3/22/2.019 - 'DATE DATE i i S E C A(A Document G80211, 21147 Copyright g 2000,2007 and 2017by The American Instiltule:of Architects.All rights reserved:W.ARN.t4VG th1s:Ato' F l3Q!A- [1grA1s.grQf"Ped:by :6;ic4 ribAti:aw@rid!*M'Ationat�isaila :.t#>;aufhart d:tepceductiailOra'sUtlitttlaits�ftii '1�11k b' '-wif;orcn�+: l ortlosi.of it rrtay.trefruit in sp wfr.ttvft acid cflmirw ponaltie's,aid wfli.ke prosecutiid td 1hrf maArewn axtgttt0cttf$ta uelda.ethe 14Wv Thts document Was produced byAtA softiVare at 13:31:35ETon 03/2212019 under Order No_48607091'51 which expires on-1010212019,and is not for resale. r User Notes;, (3$9AOA53) i a ZEPHYRHLL3 FIRE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 FIRE SERVICE USER FEES increase 1/1/2018 Occupancy No.: Plan No.:— 0 -q Contractor: Business Name: Vre—C & din Billing Address: Business Address: Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE Annual- Education,healthcare,De tention&Correctlonal Public Assembly,Buslness, schools, Storage,Mercantile and Churches Site etan N/C Industrial. no charge Sprinkler $50 Ifl-Fam1ly/<o:m:aec P .03 sf up to 800 sq ft $ 24.00 Standpipes $50 (Minimum Charge$24.00 801-1,500 sq ft $ 34.52 Fire Pump $50 0-Plan Revisions DBL 1,501-2,500 sq ft $ 60.02 Hoods $50 2,501-3,500 sq ft $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50 �0-25 Heads $50 5,501-7,500 sq ft $ .187.52 Natural Gas $50 ,26.plus•Heads $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks- pertank $50 STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100 ®'-Per Riser $50 15,001-20,000 sq ft $ 525.02 1 Fire Works $500 FIRE PUMP 20.001-30,000 sq ft $ 750.02 Camp Fire(recreafion' $25 11:Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15da': $100 FIRE ALARM SYSTEM 40,001-60,000 sq.ft $ 1,500.02 Hood/Duct $50 0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual 80,001-($2,100.02)per 26 plus Devices $100 ea add 1,000sq ft $ 0.06 Fire Protection $25 SUPPRESSION SYSTEMS (Business closed until Flammable Application $50 Annual Wet $50 —violations corrected) Waste Tire Storage $50 Annual Dry $50 SPRINKLER SYSTEMS Generator<KW $100 CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100 Other $50 Hydrostatic Test $65 per system Blo-Hazard Waste $100 Annual KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50 Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50 OTHER Haz.Materials $50 Annual 8 LP Installation per tank $50 FIRE ALARM SYSTEM FuelTank Installation $50. System Acceptance $50 (Per Tank) $50 Recall Acceptance $50 Natural Gas Installation $50 OTHER (Per System) Fite Wall/Smoke Wall $15 perwall 0 Spray Booth $50 LP Gas $25 per tank Natural Gas $25 per system Tent 1 O'xl 0'or greater $15 per tent Fire Pump $45 Fire Suppression $30 System Acceptance Exhaust Hood/Duct $30 Re-inspection DBL (other than annual) Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Acce $50 PLANS TOTALj �l � INSPECTION TOTAL PERMITTOTAL= GRAND TOTAL Comments: Date: Inspector: seeback nth FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm -N/C 4th Alarm $100 5th Alarm $150 6th Alarm $200 NON COMPLIANCE $150 Cont.Annual Inspection Fees 3-11 Units price per unit $ 5.36 12-25'Units price per unit $ '4.82 26w50'Units price per unit $ 4.29 51-100 Units price per unit $ 3.75 100 or more Units price per unit $ 2.68 Fire Safety re-inspection:types First Re-inspectloi N/C Second reinspect- $75 Third re-inspectior $ 125.00 Inspection,scheduled but aand6lied=24 hrs $ 50.00 TOTAL AM NAL Square Feet Dollar Amount bg Valuation ;? 71 CD Building Electric Plumbing Mechanical Radon P-A ev Connection Fees: Sewer Water Meter School Impact Fee: Transportation Impact Fee: C. p U c YLi ' Dr.Office 6901 Medical View Lane Column Es SQ. FEET PRICE MAIN OR LIVING: 2,569 OTHER AREA UNDER ROOF: OTHER: - $ - VALUATION $ 213,000.00 FEE SHEET $ 1,105.00 ADDRESS $ 00 DRIVEWAY $ BUILDING: $ 1,202.10 ELECTRICAL: $ 248.63 PLUMBING: $ 165.75 MECHANICAL: $ 116.03 SUB-TOTAL $ 1,732.50 TOTAL $ 1,732.50 SEWER: WATER: IRRIGATION: $ - TOTAL: $ - WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTAL: $ - SUB-TOTAL $ 1,732.50 PARK IMPACT FEES n/a SIF'S: n/a 100.0% 1.0% $ - TOTAL: $ - TIF'S: 99% $ - 1% $ - TOTAL: $ 1,732.50 CITY OF ZEPHYRHILLS, FLORIDA 5335 8TH STREET CONTRACTORS COMPLETION NAME: Precise Construction Inc DATE: October 2, 2019 ADDRESS : 6901 Medical View Lane PARCEL I.D. 02-26-21-0290-00000-0040 SUBDIVISION : City of Zephyrhills TYPE OF BUILDING : Commercial - Interior Remodeling 2,569 sq ft PERMIT'(s) by#21144 Final: 10/01/2019 REMARKS : BILL BURGESS BUILDING OFFICIAL/ JB �'