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HomeMy WebLinkAbout20-783 v City of Zephyrhills w PER ,M T NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BAC-000783-2020 Phone: (813)780-0020 } r Fax: (813)780-0021 Issue Date: 10/28/2020 Permit Type: Add/Alter (Commercial) :R Street Address "' 35 25 21 0010 10500 0000 17050 Gall Boulevard Ownerinf_o a on° Pkrmit'`I,n ormaton, , Contractor Informat o�n ' Name: ADVENTIST HEALTH Permit Type:Add/Alter(Commercial) Contractor: BERGLUND CONSTRUCTIC SYSTEM/SUNBELT INC Class of Work:Add/Alter Commercial COMPANY Address: 7050 Gall Blvd Building Valuation:$1,689,409.00 ZEPHYRHILLS,FL 33541-1347 Electrical Valuation:$404,525.00 f Phone: (813)788-0411 Mechanical Valuation:$199,020.00 Plumbing Valuation:$438,590.00 Total Valuation:$2,731,544.00 ✓� Total Fees:$20,897.57 Amount Paid:$20,897.57 [ {, Date Paid:10/28/2020 9:11:50AM v) taxi:P +E:�'w:. ro�ect Descption RENOVATE DIETARY AREA/KITCHEN&SERVING AREAS App ication F044� _ ,.��y'* 9 0Mr" Building Permit Fee 4, ( 2771 Is--5�, $8,477.04 Mechanical Permit Fee 7c t3 -Z, $1,035.10 Electrical Permit Fee $2,062.62 Mechanical Plan Review Fee $517.55 Plumbing Permit Fee 3 3�q-q3 $2,232.95 Building Plan Review Fee a, $4,238.52 Fire Plan Review Fee i $186.00 Plumbing Plan Review Fee $1,116.48 Electrical Plan Review Fee 3 7 3115 5 $1,031.31 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. CO NATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: I Site: -?05-6 cj)u- Permit Type: 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. P-11 Bill urgess-B fficial Date Contrac r and/or eowner (Required w en comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 863 899 — 1172 Owners Name ADVENTIST HEALTH SYSTEM Owner Phone Number 352-518-1006 Owner's Address 7050 GALL BLVD, ZEPHYRHILLS FL Owner Phone Number Fee Simple Titleholder Name NSA Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 7050 GALL BLVD, ZEPHYRHILLS FL LOT# SUBDIVISION PARCEL ID# 35-25-21-0010-10500-0000 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR Xe ADDIALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM ® OTHER HOSPITAL TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK RENOIATION-TQEXISTING DIETARY INCLUDING KITCHEN & SERVER BUILDING SIZE .06S 1,208,4 F SO OTAGE 6,200 HEIGHT 4 StOry - NO Change =BUILDING $ 1,689,409 VALUATI,N OF TOTAL CONSTRUCTION =ELECTRICA $ 404,525 AMP SERV E = PROGRESSENERGY = W.R.E.C. =PLUMBING $ 199,020 =MECHANIC L $ 438,59 0 VALUATI OF MECHANICAL INSTALLATION OGAS 0 ROOFING Q ECIALTY = OTHER FINISHED FLOOR ELEVATI S E FLOOD ZONE AREA DYES X NO BUILDER COMPANY Berglund Construction SIGNATURE REGISTERED LJILN JFEE CURREN Y/N Address 4616 Eagle Falls P1 License# FCGC1525570 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address I cense# OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address I License# !.[.!.!9_9.5A[1111.11.8 1.9.El.[.!.!!.!a.1.!_!!1:1!!a It 11 aX2[I!_!.[.!!_[,[!1[[!_l.CCl.l.It111!_!_I[!a It f 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,Stornwater 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. ------------------- Dtrections: 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 essTeD aGG2o City of Zephyrhills Permit Application Fas-613.78D-D021 Buftng Oapadment Dote Recslved Phone.:it ct for Permitting e 8 63 8 9 9 "b 1172 tsetsees >7 OwasesName ADVENTIST HEALTH SYSTEM Owner Phone Number 3�52 5�28 1d06 OwnstsAddress 7050 GALL BLVD, ZEPHYRHILLS -FL Owner Phone Number I Fee Simple TWehoider Name N/A_ _j Orener Phone Number Fee Simple Titleholder Address �OBADDRESS 7050 GALL BLVD',, Z'EPHYRHILLS FL tp7s C� I PARCEL 35-25-21-0010-10500-0000 SUBDIVISION I tastAwlin roost psanitrr TAXNVICIIi WORK PROPOSED NEw=*TR® AGOIALT = SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q CDMM ®r OTHER TYPE OF CONSTRUCTION ® BLOCK Q FRAME L.� STEEL Q _ DESCRIPTION OF WORK RENOVATION TO EXISTING DIETARY INCLUDING KITCHEN & SERVER BUILDINGSIZE 1,208,447.06SF SO FOOTAGE 6,200, HEIGHT Story - NO Change cc'cc`ccccs:tcsrrcclecccrcc;crcc etc ctcc°CRtCi[cR'CCcFc-tCCCEccrccrcatcras, Q8UILOING S 1,689,409I VALUATION OF TOTAL CONSTRUCTION [ELECTRICAL s 4d4,525 AMP SERVICE Q PROGRESS ENERGY Q WA-F-C,. 1 ©PLUMBING s 199,020 =MECHANICAL. S VALUATION OF MECHANICAL INSTALLATION 438,590 I h IGAS © ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS 1 - NO _^ E FLOOD ZONE AREA MYES BUILDER I COMPANY Berglund Csinstruct:ion SIGNATURE gacrsTegaa Lily N_j FEECuarr.N I YIN Address. Eagle FallS PI Litenses CGC1525570 ELECTRIC COMPANY APO Electric,Inc.. SIGNATURE:'- Iu o+srenEo N sGt.eup€tW dN. " Address 40It1 ve.N.Clearwater FL 3978. License OFIFC707070704815 I PLUMBER COMPANY ' Cooudi Medutnicai SanriCes.LLC SIGNATURE geaurtaCO N FlECm0mgt7€ YFK Address 394 ya'M' Licenses CFC1d2gs66 MECHANICAL COMPANY Mecheiiga1SwA=,LLC SIGNATURE Rrsatuco FIX CURAC r Y r N Address Uunses CMC120574 r ..,. OTHER COMPANY SIGNATURE gEGStEA@d Y i N Fu t:ztVttrr Y€NY€N Address Lkensi s I t!!lltit[[t!R!![tlii!ltttlt[i[t!!!!Itliliit[!i!!lsiitlilt![t!!t[!!!t RESIDENTIAL Attach ta)Plot Plans;(2)sets of Building Plans;(1)set or Energy Forms,R!O•W Ptrmit for new eomf udan.. Minimum ten(101 working days after submittal date Required wMe.Corutruclton Plans,Siommater Pleas%id Sin Foxe installed, Sanitary Fatuities 8 1 dumpsler:Site Work PemA for subdirWwrlsllaroa projects COMMERCIAL Adadi 12)campleta sets of"rig Pans Pius a Lila Sifety Page:(1)set of Energy Form$.1114-W Permit for now con-In on. WSntnum ten(10)warting days after submittal data.Required omits.Consbuesian Plans;Slomtwatar Plans wr Set Fence Installed., Sanitary Faaldies 6 1 dumpster,Site Wank Permh for et new projects.At tammerciat requiremanls must meet rnrnpliance SIGN PERMIT Attach(2)sets of Entilneved Plans. "PROPERTY SURVEY required ror on NEW conic ucfar. Dlrectlone: F)[out appliewitmn CompIalOy Owner a Cww=or sign hack at application,natanzed if aver 12540.a Notice of Commencement Is required.(AtC upgredss over$700) Agent ifm the controWat)or Power cr Attomey(for the owner)would be someone with ri=r4od latter from owner authorizing same OVER THE COUNTER PERMITTING (copy of carhaat required) Rerools N shiogies Sowers Service Upgrades AtC Fences(PlotrSurvey7Footage) Driveways-Not over Counter if an oWc roadimys.,needs ROW INVOICE1111 FOR OF BILLING CONTACT ERIC DEXTER BERGLUND CONSTRUCTION COMPANY 4616 EAGLE FALLS PL TAMPA, FL 33619 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00001323 09/28/2020 09/28/2020 Due NONE REFERENCE NUMBER FEE NAME TOTAL BAC-000783-2020 Fire Plan Review Fee $186.00 7050 Gall Boulevard Zephyrhills, FLORIDA 33541 SUBTOTAL $186.00 REMITTANCE INFORMATION TOTAL $186.00 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 September 28,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 e1��[D oo2D City of Zaphyrhills Pifimit Application Fax-613-780-002I BuildingDepartment Oat Received Phone Contact forParmitling 11 663 1 699 1172 astaasts esaas aaaat Ow"seaName ADVENTIST HEALTH SYSTEM Owner Phone Number 352-518-1006 OwnetsAddress 7050 GALL BLVD, ZEPHYRHILLS Owner Phone Number Fee Simple Titleholder Name NSA Orm.r Phone Number l Fee Simple Titleholder Address J00ADDRESS 7050 GALL BLLV�D, ZE}PHYRHILLS FL 1.070 SUBDIVISION y I PARCELiw 3'5-25-21-OQ10-10500-00Q0 (OSTAINID►ROM►POrENTY TAX NOTICE) WORK PROPOSED NEW CONSTR® ADWALT SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM ® OTHER TYPE OF CONSTRUCTION ® BLOCK FRAME Q STEEL Q I DESCRIPTION OF WORK RENOVATIO14 TO EXISTING DIETARY INCLUDING KITCHEN & SERVER BUILDINGSiZE 1,208,447.06SF SOFOOTAGE 6,200 HEIGHT 4 StOry - NO Change lC'Cl"iClClti LCC CCCCCCWClt itLCCCCtt Ct CCt't CIL Cl ltCt tl CCL CWC'Cl t Clt C Va t t V.t"C Sr =BUILDING 5 1,6 89. 4 0 9 VALUATION OF TOTAL CONSTRUCTION MELECTRICAL 5 404,525 AMPSERVICE Q PROGRESSENERGY Q WA.EC.. ]PLUMBING 5 199,020 ��' MECHANICAL 5 436,59Q VALUATION OF MECHANICAL INSTALLATION 00GAS © ROOFING D SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS 1 - NO E FLOOD ZONE AREA [ YES X No BUILDER �G"�� COMPANY Berglund Construction SIGNATURE 1 RiotsTEM I LKYN PEeaatRw I YIN Address 'Eagle Fails Pi Lbcer,sas I CGCS525570 ELECTRIC COMPANY APE)Eleatic,Inc. t/( SIGNATURE'- �'"`--4_ REeasTCREa ' t PCa uAITJ4 t N_ Address 48444,40th ve,N.Clearwater,FL 3376? Licenses EC0000466 PLUMBER ... COMPANY Coostgi M-of"Cal Services.LLC SIGNATURE REt1 STLNCp N rEE t cwneN 7 N 394 ye,Me 54 st, Address Licensef r CFCf429466 MECHANICAL COMPANY )CaisW MetliarriraiSeru=LLC I SIGNATURE AcrastEACF I,G211 FEECIAMCN Y!N Address Ucenses 1 CMC1250574 OTHER COMPANY SIGNATURE I YIN pit vAkft r LY r N Address Llcanse i RESIDENTIAL Attach(2)Pict Plans:(2)sets of Building Plans;(1)set of Energy Fomu;R�O-W Permit for new construction. Minimum ten(10)working days after w6miltal date Required onsile.Construction Ptans,Sionnwater Plans wr SLT Fence installed. Sanitary FaczWes A I dumpater.Site Work Pearid for subdivisianzAarge projects COMMERCIAL Attach(2)complete sets of Buildng Prins plus a Ufa Solely Page:(1)set of Energy Fauns-RXSW Parrett for new constnKaon. WaIlim rn ten(101 working days after submittal date,Required onsits,Consirurzion Plans,61ormwater Plans w!Slit Fence Installed, Sanitary Fadidies 3 I dumpsler,Sde Work Permit for of new projects.As commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —FROPERTY SURVEY m*&ed far of NEW conuaucWti. Directions FA out applicatlan completely. Owner d Contractor sign back at application.notarized If over 62M.a Notice of Commencement is required.(AIC upgrades over$750) Agent(nor the conuaclar)or Power dr Attamey(for the omier)would be someone with notadied letter from owner authoring same OVER THE COUNTER PERMITTING (copy of contract required) Reroots a stdngies Sewers Service Upgrades A(C Fences(Plot7StavuyrFooiaoa) Oriveways-Not over Counter if an public roadmys.,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—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN END 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 t or agffjrmed)before me this S�jbscn d and sworn to(or a Wed)before" s Q fi by_ -d,!Lm Sits/Ftr $ I by -T-0v �— Who is/are personally known to me or has/have produced Who is/are personally known to me br has/hayy produced as Identification. Identification. r / `A u Notary Public �1 Notary Public X Commission No. I TS I Commission No.l� 1�s� Y I _1k ' ��vx aC•.: MINDY COLON t lic-State of J22 �-Y) NotarVRVWiQf SWt@ d&F4drldilnted stamped Name of Notary type ,printed or stamped y o Commission N GG 272 Helen Bonnie Ford "oFA My Comm.Expires Oct 3 My Commisalon GG 28145t Bonded through National Nota Expires 12/04/2022 i ZEPHYRHILLS FIRE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 FIRE.-,,.SERVICE USER FEES increase 1/1/2018 Occupancy No.: Plan No.: Contractor: Business'Name:- AVV&rw 14eg 4 rW Billing Address: Business Address: -7o s'o e.4 2/_J� 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 tentionBCorrectional Public Gd Assembly,Business, schools, a' Storage,Mercantile and Churches Site Plan CO ($ N/C industrial. no charge Sprinkler $50 Multi-Family/Commerclal .03 W 'up to 800 sq ft $ 24.00 Standpipes $50 (Mlnimum.Charge$24.00 801.-1,500 sq ft $ 34.52 Fire Pump $50 a'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' 00 sq ft $ 262.52 Fuel Tanks- pertank $50 STANDPIPE SYSTEM 10,001=15,000 sq ft $ 375.02 Sparklers $100 .0'Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire'Works $500 FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation' $25 Per.Pump $100 10,001-401000 sq ft $ 1,050.02 Controlled Bum(15da; $100 FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50 0-2&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. ;< ;(Busiriess`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 $56", ii lydrostaticTest $65 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUSTHJ�Acceptance Test $45 per system Fumigation Tenting $50 Hood/D.ucts $50 Hydrant'Flow $75 Torch.Pot/Applied $50 .OTHER Haz.Materials $50 Annual LP Installation,per tank $50 FIRE ALARM SYSTEM Fuel.Tanklnstallation $50.: lSystem;Acceptance $50 (Rer1 ankj $50 e'Recall Acceptance $50 ❑Natural!Gas Installation $50 OTHER (Pef',Syst'em) +FlPe Wall/Smoke Wall $15 perwall Spray.Booth $50 ],-Watural :.LP•Gas $25 per tank Gas. $25 per system Tent 10'x10'or greater $15 per tent :Fire Pump $45 Tire 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 E ergency Vehicle Acce $50 PLANS TOTAL F/1-6 INSPECTION TOTAL IaL PERMIT TOT S GRAND TOTAL Comments: Date: q 1ty7o..Inspector: see.back Am �F'>�P�ts.,?`r,wl�ittYSF�'.�«"�«'%R^e.`t:nn7^ i?^•t�s�5snf•7aPS'k"xF,s�R.aa"7��t:,s�'r?Z�:zt�n�a�s,•^:wrazw•...�.armc•.rw<t¢s.�s-��+«cc.�nmee».+.+w �,•..e..w,..,��,,,.»..r.....<...-..,.s.»..............�....�.............., RS&H 1715 West-shore Blvd.,Suite 600 O 813-289-5550 my'99W DWI ii: Tampa,Florida 33607-3999 rsandh.com ClITt'(W2:lfr . ;IIV C;i51P.C,IkL 2 Revision 01 Narrative—AHCA comments responses and Phasing revisions Kitchen & HVAC Renovation AdventHealth Zephyrhills 06-15-20 Narrative summary of revisions:AHCA comments response revisions are in italic font; additional revisions are in regular fonts. PROJECT SPECIFICATIONS REVISIONS: SPEC SECTION 011000—SUMMARY • Delete current Specification Section 011000 in its entirety and Replace with attached Specification Section 011000. Revised sections 1.5 A. and B SPEC SECTION 012600—CONTRACT MODIFICATION PROCEDURES • Delete current Specification Section 012600 in its entirety and Replace with attached Specification Section 012600. Deleted sections 1.4 A.2.d, 1.4 B and 1.7. Revised sections 1.4 A.2, 1.5, 1.6 A, 1.6 B SPEC SECTION 013100—PROJECT MANAGEMENT AND COORDINATION • Delete current Specification Section 013100 in its entirety and Replace with attached Specification Section 013100.Added sections 1.5.A.4, 1.7 A.5.h and 1.8 E.3.a.2. Revised sections 1.5 C.2, 1.6 A.1, 1.6 D, 1.6 D.3a, 1.6 F, 1.8 B.2.n, 1.8 B.3, 1.8 C.3, 1.8 DA, 1.8 E.1, 1.8 E.3.b.5, 1.8 F.2.b SPEC SECTION 013300—SUBMITTAL PROCEDURES • Delete current Specification Section 013300 in its entirety and Replace with attached Specification Section 013300. Revised 1.4 A.5 and 1.6 A.2. PROJECT DRAWING REVISIONS: G000—COVER • Revised sheet index to indicate new or revised sheets. AD101—DEMOLITION FLOOR PLAN • Revised keynotes D1 regarding GC coordination and D27 regarding locating existing underground utilities. • Added note to referencing Phasing plans for HEPA machines, temporary Fire Extinguishers and Exit signs, method and location of exhaust ducts and the Class Precautions. Page 3 of 8 RS&H 1715 Westshore Blvd.,Suite 600 O 813-289-5550 Tampa,Florida 33607-3999 rsandh.com PH001—PHASING PLANS • Revised phasing with Dishwash room,staff toilets and temporary pot wash sink(Bakery) portion of work in Phase 1. • Added extent of slab removal hatch for clarification • Revised Phase 1 sequence notes per updated phasing plan PH002—PHASING PLANS • Revised phasing with work in Servery and turning Bakery into temporary Prep, new dry storage and diet office portion of work in Phase 2. • Revised Phase 2 sequence notes per updated phasing plan PH003—PHASING PLANS • Revised phasing with main Kitchen work in Phase 3. • Added extent of slab removal hatch for clarification • Phase 4 consist of clearing equipment and providing storage racks. • Revised Phase 3 and 4 sequence notes per updated phasing plan PH004—PHASING PLANS • Added new Sheet for Construction complete plan A102—NEW CONSTRUCTION FLOOR PLAN • Revised elevation tags 2/A401 and 4/A401 in floor plan. • Revised equipment and Servery counter layout in floor plan. A103—REFLECTED CEILING PLAN AND ROOF PLAN • Revised exhaust hood size on ceiling floor plan. • Revised light fixtures in Engineering 116 in floor plan. A104—FINISH PLAN AND SCHEDULE • Added P-1 finish tags in floor plan to show extent of new finish • Revised Acoustical Ceiling grid manufacturer and style in finish schedule A401—ENLARGED PLANS AND INTERIOR ELEVATIONS • Revised elevation 1/A401 title • Revised 2/A401 elevation tags and note for GC to coordinate with equipment vendor and provide shopdrawing of millwork counter with coordinate equipment cut-outs for review. • Revised 3/A401 to depict servery counter • Revised 4/A401 to show elevation view from behind the counter. A503—MILLWORK DETAILS • Revised server counter millwork details 8/A503 and 9/A503. P001-GENERAL INFORMATION -PLUMBING • Added new sheets to Plumbing Drawing Index. Page 4 of 8 RS&H 171 S Westshore Blvd.,Suite 600 O 813-289-5550 Tampa;Florida 33607-3999 rsandh.com PD101-LEVEL 1 DEMOLITION PLAN-PHASE 1—GRAVITY • Note added to demo all existing below slab piping. PD102-LEVEL 1 DEMOLITION PLAN-PHASE 2—GRAVITY . • Notes added and Revised phasing. PD103-LEVEL 1 DEMOLITION PLAN-PHASE 3—GRAVITY • Sheet added. PD201-LEVEL 1 DEMOLITION PLAN -PHASE 1—PRESSURE • Notes added. • Revised phasing. PD202-LEVEL 1 DEMOLITION PLAN-PHASE 2—PRESSURE • Notes added. • Revised phasing. PD203-LEVEL 1 DEMOLITION PLAN-PHASE 3—PRESSURE • Sheet added. P101-LEVEL 1 RENOVATION PLAN - PHASE 1—GRAVITY • Notes and pipe sizes added. • Revised phasing. P102-LEVEL 1 RENOVATION PLAN-PHASE 2—GRAVITY • Grease waste piping previously shown as new changed to existing. • Revised phasing. P103-LEVEL 1 RENOVATION PLAN- PHASE 3—GRAVITY • Sheet added. P201-LEVEL 1 RENOVATION PLAN -PHASE 1—PRESSURE • Notes and pipe sizes added. • Revised phasing. P202-LEVEL 1 RENOVATION PLAN - PHASE 2—PRESSURE • Moved natural gas meter and regulator and associated piping to correct Phasing. • Natural gas piping for charbroiler removed. P203-LEVEL 1 RENOVATION PLAN-PHASE 3—PRESSURE • Sheet added. Page 5 of 8 RS&H 1715 Westshore Blvd.,Suite 600 O 813-289-5550 Tampa,Florida 33607-3999 rsondh.com P401—PLUMBING RISER DIAGRAM • Natural gas piping for charbroiler removed. • Revised phasing. P402—PLUMBING RISER DIAGRAM • Revised phasing. M001-GENERAL INFORMATION-HVAC • Sheet added to sheet index. MD101-LEVEL 1 DEMOLITION PLAN -PHASE 1-DUCTWORK • Revised phasing which includes demo of the dishwash room. • Removed steam note. MD102-LEVEL 1 DEMOLITION PLAN -PHASE 2—DUCTWORK • Revised phasing which includes demo of existing ductwork in the dining room. • Removed steam piping note. MD103-LEVEL 1 DEMOLITION PLAN -PHASE 3—DUCTWORK • Sheet added. MD201-LEVEL 1 DEMOLITION PLAN-PHASE 2&3—PIPING • Sheet added. M101-LEVEL 1 RENOVATION PLAN-PHASE 1-DUCTWORK • Revised phasing. M102-LEVEL 1 RENOVATION PLAN-PHASE 2-DUCTWORK • Revised phasing. M103-LEVEL 1 RENOVATION PLAN-PHASE 3-DUCTWORK • Revised phasing. M201-LEVEL 1 RENOVATION PLAN-PHASE 2&3-PIPING • Revised phasing. M221-MECHANICAL ROOF PLAN • Revised phasing. . • Revised exhaust duct sizes. M301-MECHANICAL SCHEDULE • Revised exhaust fan schedule. • Revised duct heater schedule. Page 6 of 8 RS&#f 1715 westshore Blvd.,Suite 600 O 813-289-5550 Tampa,Florida 33607-3999 rsandh.com M501-MECHANICAL CONTROLS • Revised AHU Sequence of Operation. • Revised notes. E001—GENERAL ELECTRICAL INFORMATION • Drawing index will change E002—ELECTRICAL ONE-LINE DIAGRAM • Updated coordination plot ED101-LEVEL 1 DEMOLITION PLAN-PHASE 1-POWER • Redesign plan to show demo work in Dishwash Room and temp Dishwash under phase 1 • Re-phase floor plan to accommodate new scope ED102-LEVEL 1 DEMOLITION PLAN- PHASE 2-POWER • Redesign plan to show demo work in the Kitchen under phase 2 • Re-phase floor plan to accommodate new scope • Modify notes E101-LEVEL 1 RENOVATION PLAN'-PHASE 1-POWER • Redesign power plan to show new work in Dishwash Room and temp Dishwash under phase 1 • Re-phase floor plan to accommodate new scope • Modify notes E102-LEVEL 1 RENOVATION PLAN.- PHASE 2- POWER • Redesign power plan to show new work in the Kitchen under phase 2 • Re-phase floor plan to accommodate new scope • Modify notes E103-LEVEL 1 RENOVATION PLAN-PHASE 3- POWER • Added sheet • Re-phase floor plan to accommodate new scope E201-LEVEL 1 RENOVATION PLAN-PHASE 1-LIGHTING • Redesign lighting plan to show new work in Dishwash Room and temp Dishwash under phase 1 • Re-phase floor plan to accommodate new scope • Modify notes Page 7 of 8 RS&H 1715 Westshore Blvd.,Suite 600 0 813-289-5550 Tampa,Florida 33607-3999 rsondh.com E202-LEVEL 1 RENOVATION PLAN-PHASE 2-LIGHTING • Redesign lighting plan to show new work in the Kitchen under phase 2 • Re-phase floor plan to accommodate new scope • Modify notes E203-LEVEL 1 RENOVATION PLAN-PHASE 3- LIGHTING • Added sheet • Re-phase floor plan to accommodate new scope E401—PANEL SCHEDULES • Adjusted panel schedules FP001—PLUMBING RISER DIAGRAM • Sheet added to sheet index. FP101-NEW FLOOR PLAN-PHASE 1- FIRE PROTECTION • Sprinkler components moved to correct phasing. FP102-NEW FLOOR PLAN-PHASE 2-FIRE PROTECTION • Sprinkler components moved to correct phasing. FP103-NEW FLOOR PLAN-PHASE 3-FIRE PROTECTION Sheet added. T001—GENERAL INFORMATION—TECHNOLOGY • Sheet added to sheet index. T101-LEVEL 1 RENOVATION PLAN-PHASE 1—TECHNOLOGY • Moved Technology devices to correct Phasing. T102-LEVEL 1 RENOVATION PLAN-PHASE 2—TECHNOLOGY • Moved Technology devices to correct Phasing. T103—LEVEL 1 RENOVATION PLAN—PHASE 3—TECHNOLOGY • Sheet added. Note: Narrative descriptions of changes to the drawing and specifications are general in nature, refer to actual revised documents for the full extent of changes. End of Revision 01 Narrative Page 8 of 8 RS&H 1715 Westshore Blvd.,Suite 600 O 813-289-5550 Tampa,Florida 33607-3999 rsandlixom June 15, 2020 Said Baniahmad AHCA, Office of Plans and Construction 2727 Mahan Drive a Mail Stop#24 Tallahassee, FL 32308 AHCA.MyFlorida.com 850-412-4471 RE: Facility Name:Advent Health Zephyrhills Project Name: Kitchen and HVAC Replacement Client Code/File-Project Sub Number:23/100046-123-4 Dear Said: The following are RS&H's responses to plan review comments dated March 15, 2020. Drawing revisions have been clouded and tagged under revision delta 1, described as"REVISION 1", dated for June 15, 2020. There have been some additional revisions due to Phasing change per Owner request. Supplemental drawing changes have also been included under revision delta 1 and are included with this submittal. See"REVISION 01 NARRATIVE", included in this narrative. Please do not hesitate to contact me if you have any questions. Thank you very much for your consideration in this matter. Sincerely, RS&H, Inc. t Yoo-Jin Kim, RA Project Architect FL Cert.Prins hAC091886.1826700956•i C.0000210 RS&H 1715 Westshore Blvd.,Suite 600 O 813-2.89-5550 Tampa,Florida 33607-3999 rsondhxom ARCHITECTURAL: G-1 The primary and first inspection of an ICRA is the responsibility of the facility, their procedures include a permit and daily inspection that is to be logged in. At the 80%the Arch reviewer is to request a copy of the ICRA log and permit (signed by facility and contractor)from the facility(at the initial meeting)and then conduct the survey of the area for ICRA compliance. G-1 Response Will Comply. Notes are included in Phasing plans on 'I.C.R.A DUST BARRIER LEGEND'. Refer to Sheets PH001,PH002, PH003. A-4 Show the locations of the HEPA machines,the temporary Fire Extinguishers and the temporary Exit signs on the Demolition plans and the method and location of the exhaust ducts and the Class Precautions during Construction/ Upon Completion of construction in accordance with the 2014 Guidelines sections 1.2- 1.3.2 and 1.2-3.2.2 A-4 Response HEPA machines, temporary Fire Extinguishers and the temporary Exit signs, method and location of exhaust ducts and the Class Precautions are indicated in Phasing plans PH001, PH002, PH003.Added note on Demolition plan to refer to Phasing plan. See updated AD101. ELECTRICAL: E-1 Panel NHK schedule does not properly identify the breaker feeding transformer T-NLK. Make changes as necessary. E-1 Response Will Comply.See updated sheet E401 E-2 Provide a panel schedule for all affected panels, including but not limited to, MSB, EQHK, and EQLK. E-2 Response Will Comply.See updated sheet E401 E-3 New 250A breaker in EQB does not coordinate with the upstream 600A breaker. E-3 Response Will Comply.See updated sheet E002 Page 2 of 8 ' . ^ RS&H 171swestshomm"�suue600 0813-289-5550 Tampa,Florida 33607-3e99 svmdh.mm Addendum no. 1 Narrative =ywew��»� If Kitchem & HVAC Renovation - - --- AdventHea|thZephyrhiXls ------�-- O7-17-20 Narrative summary of revisions:The following are issued for revision/clarification PROJECT SPECIFICATIONS REVISIONS: SPEC SECTION 092216—NON-STRUCTURAL METAL FRAMING w Revise section 2.2 8.1.e. Minimum Base-Metal Thickness to 0.8269 inch SPEC SECTION 0824QO—CEMENT PLASTERING w Delete White color requirement from.section 2.4A.1. SPEC SECTION 223100—DOMESTIC WATER SOFTENERS * Delete Specification Section 223100 in its entirety.See attached revised MEP TOC pages PROJECT DRAWING REVISIONS: GOOO—COVER * Revised sheet index to indicate revised sheets. A104—FINISH PLAN AND SCHEDULE w Revised LVT-1to American Bi|trite [EO-O3 * Added LVT'2 American Bi|triteVTG-13O for new Dry Storage Ill w Revised Paint P-1toSVV7O16' Eggshell, Mindful Gray w Revise Hollow metal doors and frames paint to SVV7675,Semigloss,Sealskin * Added VVP-3 Color:Sharkskin O3SO * Revised Plastic laminate PL1tnVVi|sonart7966K-1Z m Revised Solid Surface SS-1toVVi|sonart93O4CE ' A6Ql—DOOR FRAME SCHEDULE AND DETAILS w Revised doors 11O, 11S and 123to hollow metal doors. w Revised door 133 type toB P001—GENERAL INFORMATION-PLUMBING w Water softener(VVS'1) information changed in plumbing fixture schedule. ,P202—LEVEL l RENOVATION PLAN'PHASE 2- PRESSURE w Hot and cold water serving equipment in Temp Kitchen removed, no longer applicable. M102—LEVEL 1RENOVATION PLAN—PHASE 2—DUCT WORK ^ w Moved AHU-1 one foot plan west sa^m� ,IL Cert.Nos Vmm�6-IR2mOq9�^ cmM2m RS&H 1715 Westshore Blvd.,Suite 600 O 813-289-5550 Tampa,Florida 33607-3999 rsondh.com M103—LEVEL 1 RENOVATION PLAN—PHASE 3—DUCTWORK • Revised condensing unit note E001—GENERAL ELECTRICAL INFORMATION • Added floor box symbol E002—ELECTRICAL ONE-LINE DIAGRAM • Adjusted notes and added SPD ED101-LEVEL 1 DEMOLITION PLAN-PHASE 1-POWER • Added note ED102-LEVEL 1 DEMOLITION PLAN-PHASE 2- POWER • Added note E101-LEVEL 1 RENOVATION PLAN - PHASE 1-POWER • Added conduit routing and notes E102-LEVEL 1 RENOVATION PLAN - PHASE 2- POWER • Adjusted notes E103-LEVEL 1 RENOVATION PLAN-PHASE 3-POWER • Added notes E201-LEVEL 1 RENOVATION PLAN-PHASE 1- LIGHTING • Adjusted lighting in elec room E300-LEVEL 1 RENOVATION PLAN—FIRE ALARM • Added sheet E301—ELECTRICAL DETAILS • Adjusted elec room and added detail E401—PANEL SCHEDULES • Added SPD. Note: Narrative descriptions of changes to the drawing and specifications are' general in nature, refer to actual revised documents for the full extent of changes. End of Addendum 01 Narrative Page 2 of 2 INSTR#2020182000 OR BK 1020 rJ PG 1046 Page 1 of 2 * ' 10/28/2020 01:48 PM Rcpt:2220581 Rec:18.50 DS:0.00 IT:0.00 Nikki Alvarez-SoWles,Esq.,Pasco County Clerk&Comptroller .s PemntNo. �j CMQQa 793~?—'OZQ PamxlIDNo 35-25-21-0010-10500-0000 NOTICE OF COMMENCEMENT state of Florida sty of Pasco THE UNDERSIGNED hereby Gives notice that Improvement va be made to certain real property,and in accords—with Chapter 713,Florida Statutes, the folowiog information Is provided In this Notice of Commencement 1. Description of Property: Parcel IdantllicadOn No. See attached exhibit Streetaddress: 7050 GALL BLVD ZEPHYRHILLS FL 33541-1347 z Genorai Description of improvement Renovate existing dietary including servery and kitchen 3. owner information or Lessee Information if the Lessee contracted for the Improvement ADVENTIST HEALTH SYSTEM 7050 GALL BLVD-0 2EPHYRHILLS FL Address City Slate interest in Property. Owner Na of Fee Simple Titleholder. N/A Nam (K different from Owner tried above) Address City State 4. Contractor:Berglund Construction Company Name 4616 Eagle Falls Place Tampa FL Address City State Contractor`s Telephone Ne.: 863-899-1172 5. Surety. N/A Name Address City State Amount of Hand:S Telephone No.: 8. Lender: N/A Name Address City State Lendots Telephone No.: 7. Persons within the State of Florida designated by the,owner upon whom notices or otter doom ft may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: JORDAN SMITH Name 7050 GALL BLVD ZEPHYRHILLS FL Address City State Telephone Number of Designated Person: 352-518-1006 8, in addition to himself,the owner designates of— to receive a copy of the U"Ws Noiico as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. 9. E)Vfation data of Notice of Commenaemment(to expfortion data may not be before the completion of constnx don and final payment to the contractor,but vA be one year from ow data of recording unless a different daft Is spediled): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read to foregoing notice of,commencement and s stated herein are true to the best of my knowledge and belef. STATE OF FLORIDA COUNTY OF PASCO Signaffira of Owngc s or Lessee a Autodzed � 1 signatoryya 9wofficeg�� �^ / (/ The foregoing instrument was admowledged before me thisge of�,2QYIt,by S�a r 5744�� as F/ i f; bwoo/*nn- (type of authority,e.g.,officer,trustee,attorney in fad)for (name f party on of whom insbument was executed). Personally Known M Produced Identification❑ Notary Signature rfJd`� Type of Identification Produced Name(Print) 1-1dPA ._ Nomry Public State of Florida Helen Bonnie Ford My Commissar GG 281451 EY Exptes 12/0412D22 wpd atskesJmnofroecommencorrraat_pco53o48 OR E3KI0205PG1047 Page 2 of 2 LEGAL DESCRIPTION ZEPHYRHILLS COLONY CO LANDS PB 1 PIS 55 FOLLOWING DESC PROP LYING W OF DAIRY RD R/W AS NOW LOCATED TRACTS 103,105,106,119 ,120 & 122 & E 100 FT OF TRACT 104 & E 105.76 FT OF TRACT 121 EXC W 187 FT OF E 267 FT OF N 172 FT OF TRACT 103 & EXC US HWY 301 R/W & EXC R/W FOR DAUGHTERY RD;& ARBOR RIDGE SUB PB 22 PG 44 LOTS 5,6,7 & 8 OR 3041 PIS 160 OR 3154 PG 65 OR 164 PG 724 IL State Of Florida,County Of Pasco This Is to certify that the foregoing is a true and correct copy of the document on file or of public record in this office, Witness my hand and o ial seal this in godlft M'rmst V C-9 0 dayof 2 Nikki Alvarez-Sowles,Esq.,Clerk&Comptroller Pasco county,gorida 1887 By —,Deputy Clerk