HomeMy WebLinkAbout19-21763 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21763
BUILDING PERMIT
PERMI r IN CYR.MATION LOCATION INFORMATION
Permit Number: 21763 Address: 6429 GALL BLVD
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: 03-26-21-0020-00000-0030
Improv. Cost: 107,000.00 OWNER INFORMATION
Date Issued: Name: WALGREENS
Total Fees: 1,065.00 Address: 6429 GALL BLVD
Amount Paid: 1,065.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/25/2019 Phone: (847)315-4717
Work Desc: INTERIOR RENOVATION
CONTRACTORS APPLICATION FEES
EXODUS CONTRUCTION LLC BUILDING FEE 862.50
GIBSON ELECTRIC ELECTRICAL FEE 67.50
H.E.S. SERVICES LLC PLUMBING FEE 67.50
ALL VETERANS AIR CONDITIONING IN MECHANICAL FEE 67.50
�
4 f �
Ins ections Required
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 Rennspection 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.
C T CTOR 61GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\813, City of Zephyrhills Permit Application Fax-81?�
e6_
a Building Department
NICQ �0
red Phone Contact for Permitting 13 C q 3 - 09 0
ner°s Name .�0.\, e n CO . M7 Owner Phone Number
Owner's Address I �� l� ��h�� Z�- Owner Phone Number I
Fee Simple itleholder Nam ��� Owner Phone Number
Fee Simple;Titleholder//Address (�
JOB ADDRESS lD (sav i>`V LOT#
SUBDIVISION �'rt�� �C6 e-S PARCEL ID# D3'Z(V-Ik -002-0 -C OOO 6)— C'30,30
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR /ALT = SIGN 0 = DEMOLISH
INSTALL -REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q—� BBLLO,CK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE &50 -a HEIGHT
P?nBIJILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ `
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION p,
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER ; �6 COMPANY 56 ( �n
SIGNATURE REGISTERED Y/ N FEE CURREN Y7 N
Address License# b Z
ELECTRICIAN Q i c ' COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBERC r , COMPANY
SIGNATURE )� REGISTERED Y/ N FEE CURREN
s
License#
MECHANICAL Q p �Ph COMPANY
SIGNATURE a`"' �S✓" — REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address I - License#
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
E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subjectto" wed"restrictions"
ic may be more restrictive than County regulations. The undersigned assumes responsibility for co pliance with any
h
ICE
Fb&d-
p I m
cable deed restrictions.
IC 41
NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired contractor or,,or
contractors to undertake work, they may be required to be licensed in accordance with state and local r�mations. if the
contractor
I
ontractor is not licensed as required by law, both the owner and contractor may be cited for a mistif,'neanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements�"y apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the.,*.*contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change-of
use in existing buildings, or expansion of'existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact.Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Im,pact
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—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'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 installatiorf has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws reguilating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I 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 tc:
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, Altbriing
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 folio%wrig 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 addressi lkg 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 applicatio6. 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.'i
WARNING_ T TO-OWNER: YOUR FAILURE__ TO-RECORD'_`—ANOTICE__OF COMMENCEMENT MAY-RESULT i N*-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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who istare personally known to me or has/have produced
asidentificafion. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
,M
• City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: A ) C1 ra Y� 60 .
Date Received: 711S'J // q
Site: �ojyr l 1 OIVW
Permit Type: pt t f geltow,11,00-
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
ov
cam`
This comment sheet shall be kept with the permit and/or plan
BiII 4urgess—Buildin cial ate Wonoctor an •Homeowner
(Required when comments are present)
INSTR#2019153643ORBK997OPG1 453 Page 1 of I
09/10/2019 10:27 AM Ropt:2088801 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,PascoCounty Clerk&Comptroller
5604
t. 0
Permit No, Parcel 10 No3-26-21-0020-00000-0030
NOTICE OF COMMENCEMENT
State., FL' -county of Pasco
THE UNDERSIGNED.hereby gives notice that Improvement will be made to certain real property,and Inaccordance with Chapter 713,Florida Statutes,
the following Information is provided in this Notice of Commencement
11. bisco.11.9n of Property. Parcel'Identification No. 03-26-21-0020-00000-0030
Street Address: 6429 Gall Blvd. Zephyrhills, FL
2. Rpti?"PI pepaiption of Impro.verent.' Construction of patient services room inside Walgreens#5604
< F- LIJ 3. Owner Information or Lessee Information 9 the Lessee contracted for the Improvement:
7. Of-Owner
. — ? -%��-` .
X w Walgreeni CO.
LU E W
_'5 LL
CO
0 Z =) E Tax CPO store 5856 PO Box 1159 Deerfield, IL 60015
0 0 city state
0 0
Q < 04 of
CL !ritprest!q property;
LL W 1-- U.J F- W
C) Cr W Z C/) (L 0 Name of Fee'Slmple Titleholder
C) (if different from Owner listed above)
>_ LL F- C).
I-- U-1 ILL 0Y C) 0 Addresscity State
ZMOOE 4 �omral6r.' Gregory Campion
I-_ >_ 0 06 Name
0 a LU X 7202 Aldnia Ave.#103 Winter Park,FL 32792
Q < o Address city State
X 0 0 F--
Contnect6r%Telephone No.: 321-229-2930
LL Ludt =n) r.a*. We
Name
o < ?
X 0 C3:E 4Z
LL
W Address', city state
0 aAmo- of Bond: Telephone No.:
% I- 1,
0 �— Z C) n(a
LLI U) < Marne.
(!) UJ E
Add city state
F
i-enders Telephone No.:
T. 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(I)(i)(7).Florida Statutes:,
Name
Address city State
Telephone Number of Deslonatec!Person.
in addition to himself,the owner designates Of
00'
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Numh!!pf'Person.or Entity Designated by Owner.
Expiration date-of Notice of Commencement(the expiration date may not be before the completion of construction and i payment to the
e contractor,but will be one year from the date of recording unless a different date is sped5ed):
.TO OWNER. ANY PAYMENTS. I I MADE BY-THE OWNER AFTER THE EXPIRATION THE NRITDICEA(O COMMENCEMENT
0 TI ' "
13' F ORID 'ST TU
Ti E.OF Co CEMENT
D To 0 IT IRA
$N
7 3 13, FLO
Ar ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,AFTER lr. SECTIC N 13 TES. AND CAN
0
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOT jOF CEMENT MUST BE
ICE Co ZS
0
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND OBT, INANCING.CONSULT
WITH Y.PUR�LFNoER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTIC F OMMENCEMENT.
_Me___ .d the facts
Under penalty of perjut ant ..
.y,I declare that I have the foregoing notice of commencement and that the facmgs s are true to the best
ofmyknowledgeend
STATE OF FLORIDA
COUNTY OF PASCO
-Zignaluor—ool Owner or Lessee,or Owner's or a's Authorized
OffirAr/Director/Partner/Manager 7
Signatory's Title/Office
The foregoing Instrument was acknowledged before me 111112;LANy 20rl.bN1
ae {type 0fau"^.e.ghcar,truWee,attorney in fact)for
,
g ltorb-L- Of w instrument was executed).
fersanelly KnowhXLOR Produced!deracation 0 Notary Signal t
Type pffdentification Produced Name(Print)
JOANN ROSZAK
Official Seal
Notary Public-State of Illinois
my commission Expires Nov 24,2021
813-780-002D City of Zephyrhills Permit Application Fax-813-780-0021
Q7 /s Building Deparbnent r,
V-&/ L -LLar S
Date Received �vs a(Q3 -0900
�' / Phone Contact for Permittin
l,�ners Nam9 0.a C e CO . r Owner Phone Number
Owner's Address .O,U �eQr e� ZL `��5 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder/Address (�
JOB ADDRESS __ LOT#
SUBDIVISION 'L—Ake NcfcS PARCEL to# 03-ZW/I —Ik-002-0 -0000 a- 0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONM /ALT = SIGN = = DEMOLISH
—
e INSTALL PAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION =; BBLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE&50��' HEIGHT
�IBUILDING $ 1 O'�r 000 VALUATION OF TOTAL CONSTRUCTION
v=ELECTRICAL $ l AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ )
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION rD ty (
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER I D COMPANY E� 661,6s efts(1LtADT1_/In
SIGNATURE REGISTERED Y/ N FEE CURREN YIN /I
Address License# �b
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER Q C�, COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address. 1,4 k,,� L ( C,- Cti r ,1 33."1 14 license# G�t r f}�3
MECHANICAL COMPANY
SIGNATURE REGISTFJiED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRM Y/N
Address 1 license#
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 Budding 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 wl 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.
Dlrecttons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC 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
Fee Simple'Tltleholder Name Owner Phone Number
Fee Simple Titleholder Address �.
JOB ADDRESS (v WZ R (G) RA i LOT#
SUBDIVISION PARCEL ID#F�'37-2-(D-2 t - (Do 2-0 -0000 67 C�G30,
(OBTAINED FROM PROPERTY TAX NOTICEI
WORK PROPOSED B NEW CONSTR � ) = SIGN = = DEMOLISH
INSTALL EPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION 0` BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE (OO O S�' HEIGHT
BUILDING $ ' r O()O VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION e/ J
=GAS = ROOFING = SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
�- 6fitiW BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN 1 YY N
Address License# �12 Z
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N-i FEE CURREN Y/N
Address `' �License# -p-�
MECHANICAL COMPANY vet
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address f 12 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# �-
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 subdivisionsharge 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 wl 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:
Citl n.►nnnllM/:nn nn...nlnlnhi
My of ZephyrhMs Permit Application PSX413-7W-M
Swifts DaMftant
'Tea,;,s
Date Rsolived Phone c U11 ocloo
whmt for Pmmmn R
"CL Xeenool. OwW PhorA Nurnbw
Owner's Addmss Ff..N,.W
Fee Simple"Wwkler Name Ownsr Phan Number'
fee 91011012 T1111"dor Addms
JOBADI)RESS (SM\_k %\A LOT N
SUMMBION Ium � bv-.c PARCEL 10#10-3 oozo-00006, C030
(08WRIM FROM PROPUl".NOTW4
WORKPROPOSED KEWCONS17REF SIGN DEMOLISH
E3 INSTALL
PROPOSED USE Q SFR COMM OTHER I
j TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL
dl DESCRIPTION WWORK
BUILDING SIZE 84FOUTAGE1650 HEIGHT E
loo,000 VALUATION OF TOTAL CONSTRUCTION
r--IELECTRICAL AMPSERVICE Q PROGRESS ENERGY Q WAE.C,
=PLUMBING Is
MMECHANM VALUATION OF MECHANICAL INSTALLATION
r-JeAS Q ROOFING 71 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOW ZONE AREA =1YES; NO
BULIDER COMPANY
SIGNATURE Rpocsymm I YIN FEEcuraqEh 1 YIN
Add, . Lkermv
ELECMCIAX COMPANY
SIGNATURE RWWrEm I YIN FEECURREV, I YIN
AddWom.
PLUMBER COMPANY
SIGNATURE pman3m L-yLN J FEE amm L_XLN J
Addrem.
MMUNWAL COMPANY
SIGNATURE REOMTS-m I YIN I FM MIRRM L.XLN--i
Address Ucann I,
OMER COMPANY
_XL SIGNATURE RMSTUM I YIN I Fmcma L NJ
uown#
Address
RESIDENTIAL Mitch(2)Plot Plons,(2)sets of BWkgng PI*ns:(1)&A of EnaW Fams;RA)-W Pam'dt for rKw cwmftam,
MInImum ton(10)wcM*dvym*fWruubmt0al date.ReqAted molls,ConshmIlon Plans,Stormweler Plans wl am Fmm Inawscl.
COMMERCIAL Attach M oDnVtoto aft of6ulWag Plans plus a Urs Sd*Page;(1)adof Energy Forma R-O-W Pemgtfor mewconstrudgm
Wrdmum ton(10)woft clap after oulualUdate
ScAtoy FadlOw 61 cimpuban SbWo*Parmftford now pmjo*.All cornmerclal raquImmants must meet complIonce
SIGN PERMIT Abch(2)asto of Engineered Plane.
—PROPERTY SURVEY reWjbad fw all NEW mmVuellm
Dias I a of to
FlIoutopplIcallonoomplaW
OWW&Ct)nb0dQT dgn back of appIllodon,notartied
tfom$200.aMoUnotCommwimmntlsmquk*& (Alcupomdev-117M)
Am*&ft owtamoor Pmwd Aftmey(for Ibis owneir)vmW be smom wM not uttaid leis horn awmar&M=Wm same
OVER THE COUNTER PERMITTING (cW of rwrrbectrWmd)
Remote lleWnglas Gomm SorAce Upgrades AfC Fences(PlobSurveWoolago)
DdvwwjwN*Icmw OmmWIf an pulft madwaymizaaft ROW
COMcheck Software Version 4.1.1.0
Interior Lighting Compliance Certificate
Project Information
Energy Code: 2017 Florida Building Code, Energy Conservation
Project Title: Walgreens#5604
Project Type: Alteration
Construction Site: Owner/Agent: Designer/Contractor:
6429 Gall Blvd Walgreens Store Development Ramesh Mirchandani
Zephyrhills, FL 33542 106 Wilmont Road RTM Engineering Consultants, LLC
Deerfield, IL 60015 650 E.Algonquin Road
Suite 250
Schaumburg, IL 60173
847-756-4180
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B X C)
1-PSC TOILET(Common Space Types:Restrooms) 53 0.98 52
2-PSC SERVICE AREA(Common Space Types:Office-Enclosed) 254 1.11 282
3-PSC WORK ROOM(Common Space Types:Office-Enclosed) 51 1.11 57
Total Allowed Watts= 390
Proposed Interior Lighting Power
A B C D E
Fixture ID : Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
PSC TOILET(Common Space Types:Restrooms 53 sq.ft.)
UL:Other:. 1 1 , 42 42
PSC SERVICE AREA(Common Space Types:Office- Enclosed 254 sq.ft.)
UL:Other: 1 6 42 252
E:Other: 1 1 1 1
PSC WORK ROOM (Common Space Types:Office- Enclosed 51 sq.ft.)
UL:Other: 1 1 42 42
Total Proposed Watts= 337
Interior Lighting Compliance Statement
Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the
building plans,specifications, and other calculations submitted with this permit application.The proposed interior lighting
systems have been designed to meet the 2017 Florida Building Code, Energy Conservation requirements in COMcheck Version
4:1.1.0 and to comply with any applicable mandatory requirements listed in the Inspection Checklist.
Name-Title Signature Date
Project Title: Walgreens#5604 Report date: 06/26/19
Data filename: P:\2019 Projects\19.GEN.001 -Walgreens Rol lout\005-Walgreens#5604-Zephyrhills, FL\07 Page 1 of 13
CALCS\05 ENERGY\Energy Calc#5604.cck
COMcheck Software ®Version 4.®1..1.0
Mechanical Compliance Certificate,
Project Information
Energy Code: 2017 Florida Building Code, Energy Conservation
Project Title: Walgreens#5604
Location: Zephyrhills, Florida
Climate Zone: 2a
Project Type: Alteration
Construction Site: Owner/Agent: Designer/Contractor:
6429 Gall Blvd Walgreens Store Development Ramesh Mirchandani
Zephyrhills, FL 33542 106 Wilmont Road Y RTM Engineering Consultants, LLC
Deerfield, IL 60015 650 E..Algpn,quin Road
Sul te;259.1
Schaumburg, IL 60173
847-756-4180
Mechanical Systems List
Quantity System Type& Description
1 HVAC System 1 (Single Zone):
Split System Heat Pump
Heating Mode:Capacity=29 kBtu/h,
Proposed Efficiency=8.20 HSPF, Required Efficiency=8.20 HSPF
Cooling Mode:Capacity=26 kBtu/h,
Proposed Efficiency=14.00 SEER,Required Efficiency: 14.00 SEER
Fan System: None
1 Water Heater 1:
Electric Storage Water Heater,Capacity:6 gallons
No minimum efficiency requirement applies
Mechanical Compliance Statement
Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application.The proposed mechanical systems have been
designed to meet the 2017 Florida Building Code, Energy Conservation requirements in COMcheck Version 4.1.1.0 and to comply
with any applicable mandatory requirements listed in the Inspection Checklist.
Name-Title Signature Date
Project Title: Walgreens#5604 Report date: 06/26/19
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CALCS\05 ENERGY\Energy Calc#5604.cck -
CbMcheck Software Version 4.1.1.
Inspection Checklist
Energy Code: 2017 Florida Building Code, Energy Conservation
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. ,
section
# Plan Review j Complies? Comments/Assumptions
& Req.lD
C103.2 ;Plans, specifications, and/or ;❑Complies ;
[PR2]1 calculations provide all information ❑Does Not
.with which compliance can be
:determined for the mechanical ❑Not Observable:
systems and equipment and []Not Applicable ;
document where exceptions to the
standard are claimed. Load
calculations per acceptable-
engineering standards and
handbooks. ;
--- - - _--- ---- ---------------
C103.2 Plans, specifications, and/or ClComplies
[PR3]1 calculations provide all information !❑Does Not
;with which compliance can be
determined for the service water ❑Not Observable
'heating systems and equipment and ❑Not Applicable ;
document where exceptions to the
-standard are claimed. Hot water
system sized per manufacturer's
sizing guide.
C405.6 ;Plans,specifications,and/or ;❑Complies ;
[PR17]1 calculations provide all information_ ❑Does Not
.with which compliance can be
determined for the electrical systems i❑Not Observable;
and equipment and document where ❑Not Applicable ;
:exceptions are claimed. Provisions are
made for metering individual tenant
units, Feeder connectors(for feeder
:and branch circuits) sized in
:accordance with approved plans with ;
maximum drop of 5%voltage drop
total.
3
C103.2 Plans, specifications, and/or ;❑Complies ;
[PR4]1 :calculations provide all information '❑Does Not
with which compliance can be
:determined for the interior lighting :❑Not Observable
and electrical systems and equipment '❑Not Applicable ;
:and document where exceptions to
:the standard are claimed. Information
provided should include interior
:lighting power calculations, wattage of
bulbs and ballasts, transformers and ,
control devices.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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section '
# Footing/Foundation Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.4. ;Snow/ice melting system sensors for -❑Complies
5, !future connection to controls. Freeze ❑Does Not
C403.2.4. ;protection systems have automatic
6 ;controls installed. ❑Not Observable;
[FO9]3 ❑Not'Applicable
F
E 1 i
f i
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
# Plumbing Rough-in Inspection Complies? Comments/Assumptions
& Req.ID
C404,5, Heated water supply piping conforms ;❑Complies
C404.5.1, !to pipe length and volume iUDoes Not
C40435.2 ;requirements. Refer to section details. ❑Not Observable
[PL6] '❑Not Applicable
- _.................. _-__.-_ __.._...__.._.... -------- __-___-__-__
C404.5, Heated water supply piping conforms ;❑Complies ;
C404.5.1, to pipe length and volume 3❑Does Not
C404.5.2 requirements. Refer to section details. ; Not Observable'
[PL6]3 '❑Not Applicable
C404.6.3 'Pumps that circulate water between a ;❑Complies
[PL7]3 heater and storage tank have controls ❑Does Not
;that limit operation from startup to
<= 5 minutes after end of heating UNot Observable
;
:cycle. ❑Not Applicable ;
C404.6.3 Pumps that circulate water between a ❑Complies
[PL7]3 heater and storage tank have controls ❑Does Not
;that limit operation from startup to
<= 5 minutes after end of heating ❑Not Observable
icycle. ❑Not Applicable ;
— -- ----..._..-- -......_......_;........... - ..........- -......�._.�................._...._ ___ --.... ----
C404.7 Water distribution system that pumps ;❑Complies ;
[PL8]3 :water from a heated-water supply :❑Does Not
pipe back to the heated-water source
;through a cold-water supply pipe is a ❑Not Observable
demand recirculation water system. ❑Not Applicable
Pumps within this system have
:controls that start the pump upon
4 receiving a signal from the action of a
user of a fixture or appliance and ;
limits the temperature of the water ;
entering the cold-water piping to
104°F.
C404.7 ;Water distribution system that pumps ;❑Complies ;
[PL8]3 :water from a heated-water supply ;❑Does Not
pipe back to the heated-water source 3
;through a cold-water supply pipe is a i❑Not Observable:
I demand recirculation water system. ;❑Not Applicable
Pumps within this system have
,,controls that start the pump upon ;
I receiving a signal from the action of a
user of a fixture or appliance and
limits the temperature of the water
,entering the cold-water piping to
104°F.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 1,2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
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ISection
# Mechanical'Rough-in inspection Complies? Comments/As ;
'& Req.ID 1,,
C402.2.6 ;Thermally ineffective panel surfaces of:❑Complies
[ME41]3 !sensible heating panels have ❑Does Not
;insulation >= R-3.5. 3
❑Not Observable:
t UNot Applicable
C403.2.12;HVAC fan systems at design ;❑Complies ;See the Mechanical Systems list for values.
.1 :conditions do not exceed allowable ❑Does Not
[ME65]3" 'fan system motor nameplate hp or fan
;system bhp. :❑Not Observable;
❑Not Applicable
C403.2.12'Fans have efficiency grade (FEG) >_ ;❑Complies ;
.3 67.The total efficiency of the fan at ❑Does Not
[ME117j2, the design point of operation <= 15% ❑Not Observable;
of maximum total efficiency of the
!fan. ❑Not Applicable ;
C403.2.9 !HVAC ducts and plenums insulated ❑Complies
1.1 =and sealed according to Florida ❑Does Not ;
[ME60]2 'Section C403.2.9,Table C403.2.9.1. ❑Not Observable;_
❑Not Applicable
C403.2.9. !All ducts, air handlers,filter boxes, ❑Complies ;
2 building cavities, mechanical closets '❑Does Not
[ME79]2 !and enclosed support platforms that. " ❑Not Observable
:form the primary air containment
z passageways for air distribution ❑Not Applicable
;systems are constructed and erected ;
in accordance with Table C403.2.9.2 ;
f and with Chapter 6 of the Florida"
;Building Code, Mechanical. Ducts are
be constructed, braced, reinforced ;
land installed to provide structural
;strength and durability.All transverse
;joints, longitudinal seams and fitting ;
connections are securely fastened in ;
accordance with the applicable
;standards of this section. ;
C403.2.9. ',Duct insulation is protected from ;❑Complies ;
1.2 Edamage but not limited to the ;❑Does Not
[ME80]2 !following: 1. Insulation exposed to ❑Not Observable;
weather is suitable for outdoor
!service. Cellular foam insulation is ❑Not Applicable ;
protected or painted with a coating
,that is water retardant and provides I
shielding from solar radiation. 2. !
=Insulation covering cooling ducts
!located outside the conditioned space ;
I is vapor retardant located outside the !
{insulation, all penetrations and joints
;of which shall be sealed. ;
C4.03.2.9. ;Additional insulation with vapor '❑Complies ;
13 'barrier is provided where the ❑Does Not
[ME81]2 ;minimum duct insulation requirements'
;of Section C403.2.9.1.1 are ❑Not Observable;
;determined to be insufficient to ;❑Not Applicable ;
}prevent condensation.
C403.2.13Unenclosed spaces that are heated ;❑Complies ;
[ME71]2 use only radiant heat. ❑Does Not
❑Not Observable
❑Not Applicable
C403.2.3 i HVAC equipment efficiency verified. ;❑Complies ;See the Mechanical Systems list for values.
[ME55]2, ;❑Does Not
❑Not Observable
'❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) I
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$ECtIOn
# Mechanical Rough-In,Inspection Complies. Comments/Assumptions
&Req.ID 7-
C403.2.9. ;Ducts, air handlers, filter boxes, ❑Complies
3 i building cavities, mechanical closets ❑Does Not !
[ME10]2 ; `fand enclosed support platforms that ❑Not Observable
;form the primary air containment
F passageways for air distribution ❑Not Applicable
;systems are sealed in accordance with;
;the applicable criteria of this section ;
land Table C403.2.9.2.
C403.2.9. ;Cavities in framed spaces are not ❑Complies
4 ;used to deliver air from or return air to?❑Does Not
[ME78]2 ;the conditioning system unless they
;contain an air duct insert which is ❑Not Observable;
!insulated in accordance with Section '❑Not Applicable ;
C403.2.9.1 and constructed and
'sealed in accordance with the
!requirements of Section C403.2.9.2
appropriate for the duct materials
used.
- --_ --------- -
C403.2.9. ;Air distribution systems are sized and ;❑Complies-.._......_...__.—
5 (designed in accordance with ❑Does Not
[ME76]2 !recognized engineering standards.
Refer to section details. ❑Not Observable
❑Not Applicable
C403.2.9. ;Air-handling units not installed in ❑Complies ; —
6 i attics of commercial buildings, `❑Does Not
[ME77]2 !
❑Not Observable
❑Not Applicable
— — - -.------------------.... --- - - ----...._..._..---.. — --- -- - -------
C408.2.2. ''Air system balancing accomplished in ❑Complies
1 i a manner to first minimize throttling ❑Does Not
[ME53]3 losses,then for fans with fan system
power greater than 1 hp,fan speeds '❑Not Observable
!shall be adjusted to meet design flow ;❑Not Applicable ;
;conditions. Balancing procedures shall !
;be in accordance with NEBB
!Procedural Standards, the AABC,
National Standards, or equivalent
procedures. !
C403.2.6. Demand control ventilation provided ❑Complies
1 `for spaces >500 ft2 and >25 ❑Does Not !
[ME59]1 ;people/1000 ft2 occupant density and
served by systems with air side ❑Not Observable
economizer, auto modulating outside ;❑Not Applicable
:air damper control, or design airflow
>3,000 cfm.
C403.2.6. ;Enclosed parking garage ventilation -:❑Complies
2 has automatic contaminant detection ;❑Does Not
[ME115]3 sand capacity to stage or modulate !
Jans.to 50%or less of design capacity. ❑Not Observable;
❑Not Applicable
-----........._.................. ---....._._........, -----.......__...._.._....--
C403.2.7 Exhaust air energy recovery on ❑Complies
[ME57]1 systems meeting Table C403.2.7(1) !❑Does Not
and C403.2.7(2). !
❑Not Observable
❑Not Applicable
C403.2.8 ;Kitchen exhaust systems comply with E❑Complies
[ME116]3 replacement air and conditioned ❑Does Not
,supply air limitations, and satisfy hood
rating requirements and maximum ❑Not Observable
_ :exhaust rate criteria. ❑Not Applicable ;
C403.4.4. ;,Multiple zone VAV systems with DDC ❑Complies— ;See the Mechanical Systems list for values.
6 of individual zone boxes have static T]Does Not
[ME110]3 E pressure setpoint reset controls.
❑Not Observable;
❑Not Applicable !
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) j
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Section '
# Mechanical Rough-In Inspection Complies? Comments/Assumptions
& Req.lb
C408.2.2. Air outlets and zone terminal devices ;❑Complies
1 have means for air balancing. ❑Does Not
(ME53]3
❑Not Observable
{ :❑Not Applicable
C403.5, :Refrigerated display cases, walk-in ❑Complies
C403.5.1; 'coolers or walk-in freezers served by ❑Does Not
C403.5.2 ;remote compressors and remote
(ME123]3 condensers not located in a ❑Not Observable:
:condensing unit, have fan-powered '❑Not Applicable
:condensers that comply with Sections
C403.5.1 and refrigeration compressor;
:systems that comply with C403.5.2..
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
# Rough-In Electrical Inspection Complies7, Comments/Assumptions
& Req.ID
C405.2.1 :Lighting controls installed to uniformly ❑Complies ;
[EL15]1 reduce the lighting load by at least 3❑Does Not
50%. ;❑Not Observable
❑Not Applicable
C405.2.1 'Occupancy sensors installed in ;❑Complies ;
[EL18]1 required spaces. 3DDoes Not
❑Not Observable;
❑Not Applicable
C405.2.1, ;Independent lighting controls installed ❑Complies ;
C405.2.2. jper approved lighting plans and all 1EIDoes Not
3 manual controls readily accessible and;
[EL23]2 }visible to occupants. ❑Not Observable;
❑Not Applicable j
r ,
C405.2.2. ;Automatic controls to shut off all ❑Complies —�
1 ;building lighting installed in all ❑Does Not
[EL22]2 ;buildings.
❑Not Observable:
❑Not Applicable
C405.2.3 !Daylight zones provided with ;❑Complies ;
[EL16]2 I individual controls that control the ❑Does Not
lights independent of general area
'lighting. s❑Not Observable:
❑Not Applicable
C405.2.3, ;Primary sidelighted areas are flComplies ;
C405.2.3. :equipped with required lighting ❑Does Not
1, controls. %
C405.2.3. ;❑Not Observable;
2 ❑Not Applicable 1
[EL20]1
C405.2.3, Enclosed spaces with daylight area ;❑Complies ;
C405.2.3. under skylights and rooftop monitors ❑Does Not
1, are equipped with required lighting
C405.2.3. :controls. ❑Not Observable
3 '❑Not Applicable
[EL21]1
C405.2.4 :Separate lighting control devices for ❑Complies
[EL4]1 ;specific uses installed per approved ❑Does Not
lighting plans.
❑Not Observable
❑Not Applicable
C405.2.4 'Additional interior lighting power ;❑Complies
[EL8]1 'allowed for special functions per the ❑Does Not
;approved lighting plans and is
:automatically controlled and ❑Not Observable'
separated from general lighting. ;❑Not Applicable
C405.3 Exit signs do not exceed 5 watts per ❑Complies
[EL6]1 face. 3❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3).
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Section l
# Final Inspection Complies? Comments/Assumptions
&Req.ID
C303.3, !Furnished O&M instructions for ❑Complies
C408.2.5. 'systems and equipment to the ;❑Does Not
2 building owner or designated
[FI17]3 representative. ❑Not Observable;
❑Not Applicable
=-- ._....__.... — —.....__............. - ----..............------...-----.._.._........-......---
C303.3, Furnished O&M manuals for HVAC ;❑Complies
C408.2.5. ;systems within 90 days of system ;❑Does Not
3 :acceptance. ❑Not Observable;
[FI8]3 ❑Not Applicable
C403.2.4. 'Minimum one humidity control device ;❑Complies
2.4 per installed '❑Does Not
[FI56]3 humidification/dehumidification ;
;system. Controls prevent ❑Not Observable
simultaneous operation of °❑Not Applicable ;
;humidification and dehumidification
;equipment.
C403.2.1 i HVAC systems and equipment design ❑Complies ;
[F150]3 !loads calculated in accordance with ❑Does Not
ANSI/ASHRAE/ACCA Standard 183 or
;ACCA Manual N or by an approved ❑Not Observable
!equivalent computational procedure. ❑Not Applicable
;Design loads shall be attached to the
code compliance form submitted to ;
:the building department when the ;
:building is permitted or, in the event
!the mechanical permit is obtained at a
:later time,the sizing calculation shall
be submitted with the application for
;the mechanical permit,
C403.2.2 'HVAC systems and equipment ❑Complies ;
[FI27]3 ;capacity does not exceed calculated '❑Does Not
loads.
❑Not Observable
❑Not Applicable
C403.2.4. ;Heating and cooling to each zone is ❑Complies
1 ;controlled by a thermostat control. ;❑Does Not
[FI47]3 ;Minimum one humidity control device
;per installed ❑Not Observable;
£humidification/dehumidification ❑Not Applicable
system.
C403.2.4. ;Heat pump controls prevent ❑Complies
1A :supplemental electric resistance heat ❑Does Not
[FI42]3 :from coming on when riot needed.
❑Not Observable;
❑Not Applicable
C403.2.4. ;Thermostatic controls have a 5 °F ❑Complies
1.2 deadband. . :❑Does Not
[F[38]3
;❑Not Observable;
3❑Not Applicable
C403.2.4. `:.Temperature controls have setpoint ;❑Complies ;
1.3 ;overlap restrictions. ❑Does Not
[F120]3
❑Not Observable:
❑Not Applicable
C403.2.4. Each zone equipped with setback ❑Complies
2 £controls using automatic time clock or :❑Does Not
[FI39]3 ;programmable control system.
❑Not Observable:
❑Not Applicable
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section '
# Final Inspection A Complies? Comments/Assumptions
& Req.ID
C404.12.2 Public lavatory facilities equipped with ❑Complies
[FI53]3 ;outlet devices which limit the flow of ❑Does Not
hot water to a maximum of 0.5 gpm or
are equipped with self-closing valves ❑Not Observable
;that limit delivery to a per cycle ❑Not Applicable
maximum of 0.25 gallons of hot water
;for recirculating systems and to a
maximum of 0.50 gallons for non-
;recirculating recirculating systems.
C404.12.2::Public lavatory water temperature ❑Complies ;
[F157]3 I<=110°F. =❑Does Not
❑Not Observable;
❑Not Applicable
C404.12.1Showers used for non-safety reasons ❑Complies.
[FI52]3 equipped with flow control devices to ❑Does Not
limit the water discharge to a
maximum of 2.5 gpm per shower ❑Not Observable
head. Flow restricting inserts used as ;ONot Applicable
a component part of a showerhead
are mechanically retained at the point
of manufacture
C408.2.2 ;Construction documents require that a;❑Complies
[F154]3 iwritten balance report be provided to ;❑Does Not
:the building owner or rep for HVAC
;systems serving zones with total ❑Not Observable
;condition area > 5,000 sgft.Air ❑Not Applicable ;
;distribution systems shall be tested,
;adjusted, and balanced by a licensed
engineer or certified company.
C403.2.4. `Automatic Controls: Setback to 55'F ❑Complies
2.1, ;(heat) and 85°F (cool); 7-day clock, 2- ❑Does Not
C403.2.4. ;hour occupant override, 10-hour
2.2 backup ❑Not Observable;
[F140]3 E❑Not Applicable
;
C404.3 ;Heat traps installed on supply and ❑Complies _
[F[11]3 ldischarge piping of non-circulating ❑Does Not
systems.
❑Not Observable
❑Not Applicable
C404.4. ;All piping insulated in accordance with '.❑Complies
[FI25]2 section details and Table C403.2.10. ;❑Does Not
' ;❑Not Observable
3❑Not Applicable
— .--........_.._ —.........
;-----..._.-........___.—
C405.4.1 ;Interior installed lamp and fixture ;❑Complies ;See the Interior Lighting fixture schedule for values.
[F118]1 !lighting power is consistent with what ❑Does Not
°is shown on the approved lighting
`plans, demonstrating proposed watts °❑Not Observable
:are less than or equal to allowed ❑Not Applicable
watts.
C408.2.1 'Commissioning plan developed by ;❑Complies —
[FI28]1 !registered design professional or ❑Does Not
approved agency.
❑Not Observable;
3❑Not Applicable
_.....-_..._.......................,..................._...._-..-_......,....._......_............_._W.W.................�.._ ___..--..._...•..............•.._._...-...................--._.............. __ ...................--_ -..............................
_
C408.2.3. HVAC equipment has been tested to ;❑Complies ;
1 "ensure proper operation. ;❑Does Not
[F131]1 ❑Not Observable;
❑Not Applicable 3
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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Section
# Final Inspection Complies? Comments/Assumptions
& Reg.ID
C408.2.3. HVAC control systems have been ❑Complies
2 :tested to ensure proper operation, ❑Does Not
[FI10]1 :calibration and adjustment of controls.
❑Not Observable:
❑Not Applicable
C408.2.4 ;Preliminary commissioning report ;❑Complies ;
[F129]1 ;completed and certified by registered ❑Does Not
;design professional or approved
agency. ❑Not Observable
❑Not Applicable
C408.2.5. Furnished HVAC as-built drawings ❑Complies
1 submitted within 90 days of system ❑Does Not
[FI7]3 ;acceptance.
❑Not Observable;
❑Not Applicable
C408.2.5. :Furnished as-built drawings for ❑Complies
1 electric power systems within 90 days ❑Does Not
[FI16]3 of system acceptance.
;❑Not Observable:
❑Not Applicable
C408.2.5. An air and/or hydronic system ❑Complies
3 :balancing report is provided for HVAC ❑Does Not
[F[43]1 ;systems.
❑Not Observable;
❑Not Applicable
C408.2.5. Final commissioning report due to ❑Complies
4 building owner within 90 days of ❑Does Not
[F130]1 °receipt of certificate of occupancy.
❑Not Observable:
❑Not Applicable
C408.3 :Lighting systems have been tested to ❑Complies
[FI33]1 .ensure proper calibration, adjustment, ;❑Does Not
:programming, and operation.
❑Not Observable;
3❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Walgreens#5604 Report date: 06/26/19
Data filename: P:\2019 Projects\19.GEN.001 -Walgreens Rollout\005-Walgreens #5604-Zephyrhills, FL\07 Page 12 of 13
CALCS\05 ENERGY\Energy Calc#5604.cck
. s
Project Title: Walgreens#5604
Data filename: PA2019 Projects\19.GEN.001 -Walgreens Rollout\005-Walgreens#5604-Ze h rhi
CALCS\05 ENERGnEnergy Calc#5604.cck Report date: 06/f 13
P Y lls, FL�07 Page 13 of 13
CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CONTRACTORS COMPLETION
NAME: Exdous Construction LLC DATE: November 7, 2019
ADDRESS : 6429 Gall Blvd Zephyrhills F1 33542
PARCEL I.D. 03-26-21-0020-00000-0030 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING : Commerical Building -Interior renovation
PERMIT(s) bp# 21763 complete : 11/1/19
REMARKS :
BILL BURGESS BUILDING OFFICIAL/ 0J13
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