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Home My WebLink About19-20331 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 20331 EMERGENCY GENERATOR PERMIT PERMIT INFORMATION LOCATION INFORMATION Pdrmit Number: 20331 Address: 7350 DAIRY RD Permit Type: FIRE EMERG GENERATOR<30 ZEPHYRHILLS, FL. _Class of Work: FIRE-EMERGENCY GENERATOR Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 35-25-21-0010-06900-0020 Improv. Cost: 267,545.00 OWNER INFORMATION Date Issued: 10/31/2019 Name: ADVENTIST HEALTH SYSTEM Total Fees: 170.00 Address: 7050 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/16/2018 Phone: (407)975-3000 Work Desc: INSTALLATION GENERATOR W/ELECTRIC- REOPEN 1 X CONTRACTORS APPLICATION FEES VOLT AIR CONSTRUCTORS FIRE PERMIT FEES 100.00 FIRE PERMIT FEES 50.00 CALADESI CONSTRUCTION CO CONTRACTOR CHANGE 20.00 ,Y 7 �G l Ins ection i,ed FIREINSTALLATION-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 REC NG OUR NOTICE OF COMME MENT " ro ;�OFPERMIT OR SIGNATURE PERMIT OFFIC60 EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 CITY OF ZEPHYRHILLS 5335-8TH STREET (813) 780-0020 2033�1' EMERGENCY GENERATOR PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20331 Address: 7350 DAIRY RD Permit Type: FIRE EMERG GENERATOR<30K%A ZEPHYRHILLS, FL. Class of Work: FIRE-EMERGENCY GENERATOR Township: Range: Book: 'Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 35-25-21-0010-06900-0020 Improv. Cost: 267,545.00 OWNER INFORMATION Date Issued: 10/16/2018 Name: ADVENTIST HEALTH SYSTEM Total Fees: 100.00 Address: 7050 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/16/2018 Phone: (407)975-3000 01 Work Desc: INSTALLATION GENERATOR W/ELECTRIC CONTRACTORS APPLICATION FEES' VOLT AIR CONSTRUCTORS FIRE PERMIT FEES . o 0\ v` FIRE N-Final Inspections Re uired 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." -k/,,g CONTRA OR S GNATURE 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 Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name Owner Phone Number Owner's Address Owner:Phone Number Fei,Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# / SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . ._L. . . . BUILDER COMPANY ) `fin 5 VlUctTo SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# Illlllllltlllllllllllllllllllltllllllllllllllllllllllllllllllllllli RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 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.All 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 B13-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit 813 867 4370 Owner's Name Dairy Road Health Care Properties,Inc. Owners Phone Number 407 E 3000 Owners Address 485 Keller Rd.,Suite 250 Fee Simple Titleholder Name N/A Titleholder Phone Number . Fee Simple Titleholder Address Job Address 7350 Diary Road, Zephyrhills, 33540 Lot# Sub Division Parcel# 35-25-21-0010-08500-0020 (OBTAINED FROM PROPERTY TAX NOTICE) Bic-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RG Facility)ANNUAL Controlled Bum Hood Installation X1 Emergency Generator<30 kw LP/Natural Gas-Installatior Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL• ® Semi Ant Other Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm El ❑ ❑ ❑ L� Sparklers 2,0 Hood Cleaning El ❑ ❑ ❑ Sprinkler System Installations Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) QFire Alarm Installation Torch RoofinglTar Kettle Fire Pumps Waste Tire Storage ANNUAL Flammable Application-ANNUAL - Valuation of Project Fuel Tanks Q Other: Contractor Company Signature Registered Y/N Fee current Y/N Address License# ELECTRICIAN Company VoltAirConstructors,LLC Signature Registered Y N 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 Y/N Fee Current Y/N Address License# Directions: Fill out application completely. Owner&Contractor sign track of application,notarized(Or,copy of signed contract with owner) If over S2500,a Notice of Commencement is required(Mechanical work over$5000: Supply two(2)sets of drawings with applicable documentation AIIow.10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/approiser.pascagov.r-om) 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 ari 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 Depaitt'nent 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. 1 also certify that I understand that the regulations of other govemment'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 NO NCEMENT. FLORIDA JURAT(F.S.71 ` David Rodman OWNER OR AGE 1 Officer CONTRACTOR ___�A� 5��bsyc�ri egd.and sworn Co or affirmed_beforert)a this Subscribed and sworn to r affirmed`bgore me this by Af3 Vt D !EO Drip AN �?/v/X by 1/a.rr.G L J YN—re—`- ho ts/are ep rsonally known to me or haslhave produced Who is/are personally 'nown to me or haslhave produced -as identification. -- as identification. � Notary Public U Notary Public Commission No. 04T 1g9tO0#- Commi ion No. Name of Notary typed,printed or stamped Nae of Notary typed,printed or stamped o�VY�b Notary Public State of Florida KRISTIE A WILLIAMS _ Christina Hyland . .•: Notary Public-State of Florida •. ^` Commission=GG 143225 �j. My Commission GG199604 ®�: n ' Fxpires04125/2022 ;�,� ,,' MyCamm.ExpiresDec22,2021 " '' 9crJulthrough National NobgAssn. 813-789.0020 City of Zephyrhills Permit Application F2x.813.780.0021 Building Department Date Received Phone Contact for Permitting 813 867 _ 4370 rm rrr m-1 T Owner's Name Dairy Road Health Care Properties,Inc. Owner Phone Number I 407-975.3000 Owner's Address 1 485 N.Keller Rd.,Suite 250 Owner Phono Number Fee Simple Titleholder Name NIA Owner Phono Number Fee Simple Titleholder Address JOB ADDRESS 3350 Diary Road,Zephyrhills,33540 LOT a SUBDIVISION PARCEL IDtI 35-25-21-0010-08500-0020 103TAINEO FROM PROPERTY TAIL NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT x0 SIGN Q 0 DEMOLISH B INSTALL 8 REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q DESCRIPTION OF WORK Installation of emergency generator BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING S VALUATION OF TOTAL CONSTRUCTION X=ELECTRICAL S 267.545 AMP SERVICE = PROGRESS ENERGY W.R.E.C. =PLUMBING S =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED YIN FEE CURREI Y!N Address License k ELECTRICIAN j COMPANY VoltAir Constructors,LLC SIGNATURE 7( i' ,.�1 REGISTERED I I Y I N FEE CURREN I Y I N Address 220 W 7th Ave..Sude 210.Tampa.FL 33602 License N I EC13006590 •PLUMBER COMPANY SIGNATURE REGISTERED Y I N FEE CURREI, Y!N Address License A MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREM1 I YIN Address 71 Licensed OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREt I Y/N Address License$I rrrrtlrrltrllrrttllltlttrtrtttrrlttttlllttrrtrrrtrtrrtttNirrtrrtltl RESIDENTIAL. Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms:RA-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 li 1 dumpster,Site Work Permit for subdivislonsAarge 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 ensile,Construction Plans,Slomrvrater 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. i r r Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over S2500,a Notice of Commencement Is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attomey(for the owner)would be someone%%th 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 91ock"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 Met 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 most 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 1, 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 cif 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,Welland Areas and Environmentally Sensitive Lands,WateiMestewaler Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland Areas, Altering Watercourses, - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Envlronmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement, Federal Avlatibn Authority-Runways. I understand that the following restrictions apply to the use df 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 wa1L - If fill material is to be used in any area, I certify that use of such rill 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 froth 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 TP_OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOMeISOF COMMENCEMENT. FLORIDA JURAT(F.S. David Rodman OWNER OR cor CONTRACTOR �sale nd svro@ to(off airv�d ¢Moro mo Ws S on cd a sworn Ip, r aPormad)bafor a this hy IJHViDIS�P/Yl }N' �by a,i F I, o Israre pEp2r ll known to me or hasihave produced Who is/are persorrally own to me or hasihave produced as Identification. —�/ es identification. /' 'Neott�ary Public V/ Notary Public Commission No. Gc 1�19��T Cemmis(an No Name of Notary typed,printed or stamped Name of Nolary typed,printed or stamped KRISTIEA.WILLIAMS �V •4e Notary Public State of Florida Notary Public-State of Florida `� Christina Hyland My Commission GG 198604 o �: Commission=GG 143225 ' Expires 0412512D22 .• My Comm Expires Dec 22.2021 Bended through National NotaryAssn. VOL.T�4:11R STATE LICENSES'FL ECT3006590'GA EN213455, CONSTRUCTORS 04/24/2018 AHS Generators 485 N.Keller Road Maitland,Florida 32751 ATTN:Canute Hutchinson RE: AHS Backup Generators-ZephyrhMs Health and Rehab(350 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 interptetation 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) Fulf time on site Supervision for Our tradesmen, to include coordination with Owner& Engineers; 2) 1006/6 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) SuppIy: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 Wail 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 r Avenue,Suite 210 2180 Central FL,Parkway,Suite A10 5353 W.Alabama Street,Suite 301 Tampa,FL 33662 Orlando FL 32837 Houston,TX•77056 P:813.867.4899,F:813.867.4566 P:.321.622.2230 F:813-867.4566 P:832.371.6181 F:-832.371.6244 STATE LICENSES'FL EC1300'65,90•GA EIV213455 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; .10) Additional Switchgear Package in accordance with the coordination per walk through; 11) Existing building switchgear io remain and re-utilized; 12) New feeders to be compact.Aluminum conductors; 13) Saw cutting 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 requirement"§; 19) Backup Generator rental during installation period and change over. 20) Fuel Allowance of$2,000.00 for each individual site generators. 21) Electrical Permit; Z60hyrhills.Health and Rehab (-350kW Generator) • Generac SD350(Sized to be confirm once utility PkWD is provided by client) • Ll Enclosure/FDPR/HVHZ • 96hr Capacity Fuel tank(shipped under a vacuum) • Line adder for stairs and platforms • HVHZ rated drop-over for 2000A SE 'rated ATS Price does not include-> 1) Correcting any exisitng Code violations that might be present, such corrections shall.be documented and completed on a Time&Material Basis; 2) Backup Generator fuel; 3) Post Installation Load Bank Test on Gen-Set; 4) Restoring any indoor or outdoor areas to its original or new finish;. 5) Supplying and installing a Lightning Protection System or components; 6) Liability for.indirect loss or damage; 7) Price excludes overtime installation(work-after 4:30 pm Monday—Friday,weekends,or holidays). 8) Tank breach of integrity test after installation(by Yd party) 9) Buyer referenced government requirements; 10) Missile impact rated Gensetenclosure; 11) Genset enclosure wind-loaded P.E.calculations; VOLT*RIR CONSTaucrcn Pagd 2 of 3 STATi V_UMN'S_E$• FL EC13.006590'GA EN213455`• 12) Genset enclosure UL site evaluation and/or testing; 13) IBC,or seismic compliance and/or calculations; 1.4)• Equipment-performance beyond•manufacturer's design; B) Third party electrical apparatus testing%inspections; 16) Specialty testing(emissions,.noise;harmonics,etc. 17) Utility Company Fees. This wduld 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 bf the contract. 3. All work shall'be completed during normal business Hours, with the exception of the work' associated with the feeders to the 31 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 ..............:..:::..:.:............ $267545:00 Sincerely; AHS DD '� By: Daniel A.Thompson Estimator/Project Manager CC: Julius Davis;CEO Maurice Perez,WP CL Larry Pasetti,Project Manager Print Name and Title Jim Ehlers,Director of Electrical Services Date VOLT*R1'R CONSTRUCTORS Page 3 of-3 . Illlllillilllf{Illlllllillll{IiIllllllli{il{IIIII{i11111IiI{ 2018164200 Permit No. Parcel ID No 3 S-c95 % 1 'mod tJl r/ J CIC) "CXl NOTICE OF COMMENCEMENT state of Florida Countyof Pasco _ THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713.Florida Statutes, O p the following information Is provided in this Notice of Commencement: (O y O 1. Description of Property:Parcel Identification No.35.25.21-0010-06500-0020 Zephvrhills Health&Rehab Center.Inc. h1" eV► street Address: 7350 Dairy Road ZePhyrltills FL 33540 ,.. • N f9(D 2. General Description of Improvement Installation of Emergency Generator 0 W Oa tr Ja 3. Owner Information or Lessee Information if the Lessee contracted for the Improvement: 13airy Road Health Care Properties.Inc. 485 N.Keller Rd.,Suite 250 Maltland.FL 32751 FL 3 p Address City State m" Interest in Property: 100% r a OMB Name of Fee Simple Titleholder. N/A Of different from Owner listed above) Address 4. Contractor,yoltAir Constructors,LLC city Stara 6 220 W 7th Ave,Suite 210 Tampa,F'L 33602 FL '7 Address city State Contractors Telephone No,: 688.891.9713 5. Surety.NIA Name Address city state Amount of Bond: 3 Telephone No.: 8. Lender.NiA :�i Name ;1DD N a Address • City state y m Lenders Telephone No.: �N o B� 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by ��` Section 713.13(1 Ha)(7),Florida Statutes: , NIA "�G J Name % 6 ��ro Address City Slate 3 rin E Telephone Number of Designated Person: o 8. In addition to himself,the owner designates NIA of_ '�►�'m to receive a copy of the tenors Notice as provided In Section 713.13(i)(b),Florida Statutes. �O x Telephone Number of Person or Entity Designated by Owner. �ft 9- 0 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the OD 3 contractor,but will be one year from the dale of recording unless a different data Is specifloo 1 a WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT c 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 NOTICE OF COMMENCEMENT'MUST BE s 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 commencement and that the fads stated therein are true to the best of my knowledge and belief. /D STATE OF FLORIDA COUNTY OF PASCO Signature pf.Owner or Losses,or Owners or Lessee's Authorized Of Icerklirector/Partner/Manager David Rodman,Director of Finance&Officer signalory's Ttlle/ormce The foregoing Instrument was acknowledged before me this day of Cy '200by U 4 b 113 kG b1-r7 f7/V as t��F (type of authority,e.g.,officer,trustee,attorney In fad)for Q �L`� � of party on behalf cfwhom Ins executed). Personally Known U,f Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) ' �dsr� Notary Public State of Florida Christina Hyland My Commission GG 1998D4 q R Expires 04/25/2022 wpdata/beslnollcecornmencemenLpcOS394e C�� STATE OF FLORIDA,COUNTY 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 ' eM # W THE MY HAND ND FFICiAL SEAL THIS tny, DAY OFwl Z ULA EIL.C &COMPTROLLER DEPUTY CLERK F� VOLToRiR . '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 VoItAir 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 301 Tampa,FL 33602 Orlando FL 32837 Houston,TX 77056 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 311,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, 10) 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 aftd 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. 20 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) •• LI Enclosure/FDPR/HVHZ e 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; VOUT*RWR CONSTRUCTORS Page 2 6(3 STATE LICENSES'FL EC13006590r*-GA'EN213455: 14) Equipment performance beyond manufacturer's design; 15) Third party electrical apparatus testinglinspections; 16) Specialty testing(emissions,noise,harmonies,etd. 17) Utility Company Fees. This would include relocation of existing Building Transformers Fees; Furthermore,the following infdrmation 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 durripster provided by others. 2. If selected ascontractor 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 Yd 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, AH5 D,_J A By: A Daniel A.Thompson Estimator/Project Manager CC: Julius Davis,CEO Maurice Perez,V/P Larry Pasetti,Project Manager Print Name and title Jim Ehlers,Director of Electrical Services Date VC3L.T*491R CONSTRUCTORS Page 3 of 3 w[] nomw.ovnmma.m,som.orr _� t.dwwwm+n n2z:mwPn'wN'oa'Ma=3.LoaaaoAvel3N39xA uw ,wad wnnmo,aw / //gym arewm.r. \ )Pal Not Ml ml at l aro } two 1 alo ' 2 e ' vunnw..um�mu.uova.xu.wmovomnai.a. .. al � �. a r 3N3 7 '�n�v°fn'"n•m�v�mu�'mv°�iva.mmwu'�'i. 6' miewumm.mnouee , �w'n m�a nnn,s,ra ena,w IJ �m�i°om°O��ii�3ivauawm_��on .:u�o.aw�ir Homo n•ew.n mi muodau.v, ., ml --I� _ ,uorauuo.m.nnu.roouo.,�,°°�°°m..m""',00n''"°�on � snmlivNiiNauero' ' j Q �o.wamr.�vumurm.uw mmmummucnium ry'nr��Nim, l.dw4r.w nam+a+cn'Pu.aMWVaNlala law�.l 1+m•wwa.w.Vota9n.n to alllolure�nlsalaaw.gl m at Ma) Ml ml at 1 sn wl Mml At xi ml of i aro 1111 too �ron. mn aom �ie.°.maw�m.nm w: .ow�mw.mumnrummvom�a��i , a iowmuu'mnw.gBr", . . .o...,am.w..,..mmu'.,anemn.mumi'�ao vmreuo.mn,r.m.,anvwm°�i`o�. mro awe„n.��tln".r.m°Y1Ovwr�mmm.mom,mo�n m�,m m,°'m'�' I alv a o q .o _ �a..unauwmn,mao:u'na"iov` 4p1,.omoaiuwm,' o �m'u_vuo.�`ummn�. 1_ . 13 wu ww�u c � I )J Xr r �'Yuauruea�rsmno vumb.a.aq�, vam unaranun. _ qpj�douw ® 1. _ I �'�+.m� ,w9w�au�n cw�+r�_www.r�'vt anmain..w m.mrw r�mma�nua�can�u�rL.ni m � . li• i} uuema.m,m®w mr® m.n�twmmiro�,�onma+moowawu� bgbg .. 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KEY RAN IN.rs.l: j d� g m minin -nra o m.. o m.. o w. — NURSE STATION-ELECTRICAL EMERGENCY ELECTRICAL ROOM MAIN ELECTRICAL ROOM KEY PLAN aaaRDwMATE' °o quu w-" BGIPW-M MMEW-M WTMBwE LOCATION OF p GENERATOR E01•ci ZEPHYR HAVEN .HEALTH & REHAB CENTER IrrW PLANS FOR 5 � Z -m } v; GENERATOR ADDITION H. s' aVe11 38250 A AVENUE ephy�' H 0 H4LTH&'REHAB CENTER ZEPHYRHILLS, FLORIDA 33542 1 JUNE 26; 2018 . CONSTRUCTION DOCUMENTS $ I VOLT*f:IIR < -AREA MAP .. KEY PLAN V01wr Cor=16w Er Ineere,Ir- - I_ • � � _ � � 220 West 7df Ave,Suite 210 • - Tampa,Flodda 33602 TEL 813.887.4899 _ N COA i27158 Prated No.01.1,7. - •. _ .•✓..fai<ir_� Jr ui:'••�.••; •'�=.i i;t.i{ w�S• CODE COIVIPLUWCE a I , r-�.g^?�.i:ri t::�� ;iit-• fn^,."" SCOPE OFWORK� 77 rys�.•;�c .r I'• �:}i:. s"I_. si!. "n�T: s w If, ?i13.. :i brio� rofrm artN°�°iai v �' Iwcemen°�uenauroivAonmuomiaman.'�`m P •�h:. �'��•^'•• �� • f� Y� � 1 �oTi Bvmavwim�ulmulelnNaa M9Gl41q : .�{.j. Y::'�t... L � mmTvmmrm�ibatVMMlrtwenampa�~.. _ :.'?%(:.i�l-.�I.�:::f:!•c'.t:.... I:.�J'-'t� i al3il{ t•:,K. r' :r :;Fi .=r, .,��.�,iC� f0i'•� pt t._•' .NURSING HOME INFORMATION �� -- 4... .• f:: .L. ••>ffrC:.::.'.�`^:i�j�,p'{ ` � .. MAl91IiHUE NIIIT/R5if1 UCENUMBIM a v AREA OF WORK SHEET INDEX ow � urz . 3 Sheet Number Sheet Title Q_. CVRd - I C�o M City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: (� L Ty 14e Date Received: �'� Z 466 Site: 73S6 ,D&�gq Permit Type: 6rp, e Approved w/no comments:09 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)