HomeMy WebLinkAbout20-1138 p
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naioe City Of ZephyrhillSPERMITNUM ER
' 5335 Eighth Street .z NP.
Zephyrhills, FL 33542 BGR-0011 8-2020
' Phone: (813)780-0020
{{ Fax: (813)780-0021 Issue Date: 1/30/2020
4
Permit Type: Building General (Residential)
a Pro` a Number Street Addiress „
P rtY`
35 25 210130 00000 0060 7780 Gall Boulevard
.d.-:x*,4:.'. :�'-k- ..
lnformat�on_ : .Perrin nformatton ;Contractor Information .,, _
Name: ZEPHYR WELLS POOH LLC Permit Type:Building General(Residential) Contractor: CONSERV BUILDING
Class of Work:HVAC Changeout SERVICES LLC
Address: 101 W 55Th St PH E Building Valuation:$0.00
NEW YORK,NY 10019-5351 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$38,215.55
Plumbing Valuation:$0.00 af
Total Valuation:$38,215.55
Total Fees:$231.08
Amount Paid:$231.08
Date Paid:11/30/2020 12:08:53PM
Project Description
(3)-4 TON A/C CHANGE OUT RTU
Application Fees .m .
Mechanical Permit Fee $231.08
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.
r w
i
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Budding Department
Date Received Phone Contact for Permitting (727 ) 648 -- 5682
lit%a S H s a a+r era B E E f i e
Owner's Name Zephyr Wells Pooh LLC Owner Phone Number
Owners Address I 101 W 55th St Ph E, New York,NY 10019 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7780 Gall Boulevard,Zephyrhills, FL 33541 LOT;#
SUBDIVISION Zephyr Commons PARCEL IDi* 35-25-21-0130-00000-0060
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Like for like replacement of(3)4-Ton RTUs and electrical disconnects
BUILDING SIZE I SO FOOTAGE 4526 HEIGHT .
C-]E.CJ'A:'r7C C'C'C'ICC'CC'cCfi:"4Ct.C._C_S.C..C..C.-C..yt.;_Q_C.C..C.. ..C'C'C-[;E-Z"C€.5.CC..4'C'_C'Z'L4"�'✓E'�'6:'�Z'C-E._C.L_f.
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING �, $
®MECHANICAL $38215.55 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES x NO
BUILDER COMPANY
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 I Y/N FEE CURREN Y/N
Address License T
MECHANICAL COMPANY ConSery Building Services
SIGNATURE REGISTERED N FEE CURREN /N
Address 63 118th Ave N, Largo, FL 33773 License4 I CAC1814721
OTHER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN I Y I NN
Address Licenseff I
F{{FE{FH{E €EEE@{E{{Fg{t £E6EE'fFEf@{aFt{{{{9@lt@4F.{€ IBEflEE6@@EF8€ ifFFE%
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,Stormvater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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.
Ovnter&Contractor sign bock of application,notarized
If over$2500,a Notice of Commencement is roquired.(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(PIOUSurvey/Footage)
Driveways-Not over Counter if on public roadways-needs ROW
INSTR#20201528/5 OR BK 1 01 77 PG 1485 Page 1 of 1
09/15/2020 03:16 PM Rcpt:2204269 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel to No 35-25-21-0130-00000-0060
NOTICE OF COMMENCEMENT
Slamof Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement vill be made to certain real property,and In accordance with Chapter 713.Florida Statutes,
the folimving information is provided in this Notice of Commencement
1. Description of Property:Parcel Identification No.35-25-21-0130-00000-0060
Street Address: 7780 Gall Boulevard,Zephyrhills,FL 33541
2- Generel Descrpgon of Improvement Like for like replacement of(3)4-Tan RTUs and electrical dfsconnects .
3. Owner Information or Lessee information if Ilia Lessee corrected for the improvement:
7� � C�y tic r3e,xcE�t,�c Z-e,9�,q�� Us FL
Address City Stale
Interest In Properly: Lessee
Name of Fee Simple Titleholder:
(if different from Owner listed above)
Address City State
4. contractor. ConSery Building Services
Name
6350 118th Avenue N Largo FL
Address City State
Contractor's Telephone No.: 727-541-5503
5. Surety: A1;.✓-�
Name
Address city State
Amount of Bond.S Telephone No.:
6. -Lender:
Name
Address city Stale
Lender's Telephone No.:
7. Persons within the Stale of Florida designated by the owner upon whom notices or other documents may be,served as provided by
Section713.13(1)(a)(7),FF I S lutes:
Name
Address City Slate
Telephone Number of Designated Person: 1
8. In addition to himself,the owner designates IJ! of_
to receive a copy of the Uenors Notice as provided in Section 713.13(1)(b),French slam...
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the dale of recording unless a different data is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,SECTION 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 OBTAJN 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 thalthe facts stated therein ere fine to the best
of my knowledge and belief, f
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Own r or Lessee,or Owner's or Lessee's Authorized
Officer/Director/Pa hlanagerr
IL Ate;ALL - -Signatory'sTitietOffice The foregoing instrument was acknowledged before me this�J}day of 244)by Ajnemf
�
as >S�—!'�'�!��r (type of authority,e.g..officer,trustee,attorney in fact)for
r�Qalte inameofparty a fwhory inslnunent—executed).
Personally Known[ OOB Produced gentification Notary Signature {�
Type of Identification Produced T! '—f�L. Name(Print) TLIA�A �
e4PP�>ea' Ketan Mehta
+� State of Florida
nos M I �3 Commission No.GG 347718
eF
wpdatelbes/noticecommenmmentycg53048
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 69-07 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 occurpancy'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 Constriction 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 faitin 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 NI work will be performed to meet standards of all
laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that I
understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I
must take to be in compliance.Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
�. US Environmental Protection Agency-Asbestos,abatement. �..
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume'will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A"in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area. I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,yells,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 Wit demonstrate justiciable 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
m^riTk YOUR LEND_FR OR AN ATTORNEY BEFORE RFCORDING YOUR NOTICE OF OMMENCFf.,,1.1FN,T
FLORIDA JURAT(F.S.117.003) _
OWNER OR AGENT `f `1t/.�1L-�✓ +�f j'�'F't"i U CONTRACTOR , -Ine
gbsc bed and swo to(or affirmed)before me this Subs nbe and savor a red)be �e m this
�a �rzZr by�'��n+zri�"T�e w /d o by �[ - -/G 11
o islare personally known to me or has1have produced Who 1 are personally known
to ,or has/have produced
arrdnf FLl�ifvFY5L((C,01''asidentification. �—� as identification.
Notary Public Notary Public
Commission No. 1; i!j _ _ Commiss r No.
Name of Notary typed,printed or startnped Name of Notary typed,printed or stamped
oa�p ff Mote Lyfft4 i¢�p`r,t . Cp CommHN ission GG 326426
LDS
State of Flcdd€!
a e` Gbmmission Expires iTVI Mt
vr � Commission No,GG 312448 "; Pa=Expires July 31,2023
B��t° Bonded Thru Troy Fein Insurance 800-365-TO19
, s
COMFORT11
SYSTEMS %0 A.,
Quality People.Buildink Solutions
INTRACOMPANY PROJECT MEMORANDUM OF AGREEMENT
Agreement made as of the 7th day of August 2020
Between Comfort Systems USA, Strategic Accounts /
(Division of Comfort Systems USA)
2655 Fortune Circle West Suite E
Indianapolis, IN 46241
And Operating Company: CSUSA Consery
6350 118th Avenue North
Largo, FL 33773
For this project:
Wells Fargo/BE#144909 Project No. C00184
Zephyr Commons PO#C00184001
7780 Gall Boulevard BE# 144909
Zephyrhills, FL 33541
I. SCOPE OF WORK:
Provide equipment, labor and materials to replace HVAC equipment per proposal (Exhibit A).
Included in this scope of work is the following as it applies:
• Operating Company shall coordinate all work with store manager each day.
• Operating Company is responsible to verify equipment nameplate, specifications and voltage at
delivery. Wrong equipment accepted by the Operating Company shall not be considered a change
order.
• All crane/helicopter cost and scheduling will be the responsibility of the Operating Company.
• Operating Company shall provide all necessary permits and inspections per local and state codes. If a
permit is not required, please provide a written statement indicating that permits are not required.
• All reconnections of existing duct work and controls are the responsibility of the Operating Company.
• All utility reconnections, gas, electric, and condensate piping will be the responsibility of the
Operating Company.
• Curb adaptor(s) shall be single stacked and fastened to roofed;in curb. Double stacking of curb
adaptors is prohibited.
• Equipment and curb adapters will be received at Operating Company's location or crane yard
(Equipment should not be staged or stored on roof of location).
• Completion time on the project is of the essence Estimated Completion Date 10/31/20.
• Operating Company shall qualify Energy Management System (EMS) as per customer requirements.
• Operating Company shall provide all smoke detectors as required by local code(s) and fire marshal.
• Units shall be commissioned per factory standards, Et according to manufacturer specifications.
• Operating Company shall provide EPA Record Maintenance documentation. Scope includes recovery of
refrigerant from unit and disposal as per EPA regulations.
1
,
• Operating Company shall provide close-out documentation per Section IV.
• Completion pictures of equipment shall be as follows:
o Pictures shall indicate unit identification, show all sides with close-ups of gas and electrical
connections, all photos shall be in focus and details are to be distinguishable.
• Operating Company shall remove all debris/equipment and leave job site clean. Operating Company
shall remove all debris within 48 hours of installation of new units or components.
• Operating Company shall provide one-year parts and labor warranty for provided equipment or
equipment purchased by Strategic Accounts on behalf of operating Company.
• Any owner-required correspondence shall be submitted directly to CSUSA Strategic Accounts LLC, for
final review prior to submission to the owner.
• Operating Company shall submit daily reports, to Don Phelps/Charity Reed by a-mail at
don.phelps@comfortsystemsusa.com / charity.reed@comfortsystemusa.com
II. AGREEMENT VALUE:
Strategic Accounts shall pay the Operating Company on a Lump Sum Basis to include all cost.
Total Agreement Amount: $38,216.65
III. CHANGE ORDERS:
The Operating Company may be ordered in writing by Strategic Accounts to make changes in the work
within the general scope of this Agreement. The Operating Company shall submit promptly to Strategic
Accounts a written proposal of costs to be added to or deducted from this Agreement for each change in work.
IV. INVOICING REQUIREMENTS:
The Operating Company shall remit one complete invoice package no later than 14 days after
completion of project to be considered for payment (via mail, overnight package, email or fax). The Operating
Company invoice shall include all of the following documents to be considered for payment: 1) Permit, 2) New
Equipment Installation Start Up Form, 3) Inspection Records, 4) Pictures, 5) Refrigerant Form (must be
completed in attached Excel format), 6) Invoicing/Project Checklist, 7) HVAC Commissioning Documents
(must be completed in attached Excel format) and 8) Payment Request. Payment will be made to the
Operating Company by Strategic Accounts in the approved amount.
NOTE: BE# must be included on all documentation.
V. TIME OF PERFORMANCE:
Time is of the essence and all actions taken by the parties shall be taken to the end that the
performance of each Purchase Order and/or Job specific agreement is expedited and performed in accordance
with its scope. It is required that the Operating Company maintain continuity of personnel for each job to
expedite the completion of the purchase order. Provide daily job reports to Strategic Accounts for each day
Operating Company performs work on the project.
CSUSA Strategic Accounts CSUSA Consery
Operating Company
r Digitally signed by Bill Moyer
Bill Mo e,r_,�te:2020.08.1208:29:23 a � P8.�� �/��2�20
Y V4o0
Bill Moyer Signature Date
For this project: CSUSA, Strategic Accounts Project No. C001 84
COMFORT
SYSTEMS. 6;A,
Quality People.Building Solutions
INVOICING / PROJECT CHECKLIST
Please return this form along with the following documents. All documents must be included with invoice(or previously
received by CSUSA) prior to invoice being processed for payment, as per the terms of signed contract.
Store Name Store# City State
Copy of Permits-State and Local permits as required
❑ Permits Required by State/Local Codes(circle as applies):YIN Mechanical YIN Electrical YIN Plumbing
(Note: If permit was not required,we will need a statement indicating that a permit is not required.)
❑ Copy of Inspection Records (as applies) ❑ Equipment start-up sheets completed entirely
_Mechanical_Electrical_Plumbing /
❑ Refrigerant Form ❑ Fiqui men+warranty+ono GGMpleted
stamped when available
❑ Completion Pictures
• Completion pictures of equipment shall be as follows:
o Pictures shall indicate unit identification, show all sides with close-ups of gas and electrical
connections, all photos shall be in focus and details are to be distinguishable.
❑ HVAC Commissioning Documents
❑ Invoice Payment Request
Signature Date
*****CSUSA Strategic Accounts Use Only*****
❑ EMS Qualification Verified ❑ Unit Commissioning Reported to Acct. Mqr.
PAYMENT REQUEST
(This form should accompany all invoices submitted for payment& be completed in its entirety)
Operating Company Name:
Address:
Operating company:
Job Name: Phone#:
Job Address: Fax#:
Purchase Order#: Invoice#:
Invoice Date:
Base Contract Amount: $ Percent Complete
CO# $ Invoice Amount: $
CO# $ Less 10% Retention: $
CO# $ Subtotal: $
CO# $ Less Previous Invoiced: $
Revised Contract Amount: $ mount Due this Invoice: $
Site Name: Site Number# Date: �a /� o
SYSTEMS if,OMF
Unit# Make: Model: U ATM
'
Serial: Tonnage: STRATEGIC ACCOUNTS
Please complete all service tasks listed below. No work other than what is on this checklist shall be done without prior approval. All check and recordings must be filled out complete
one form per unit installed. If any units installed do not have a Ne
New Equipment Installation Start Up Form
Check list
,d Record
Must check the field left&the list
_,yoltage at,Unit Terminal Block
Verify that all packing materials have been removed from unit. Measured Voltage Rated Voltage
Check blower wheel,bearings,pulleys and belts are aligned per specifications. L 1 L2 L3 L 1 L2 L3
Check condenser fan motors.Pulleys and belts are aligned per specifications.
Check all electrical connections and terminals for tightness. Check and Record , owcr MotorDraws
Check condensate connection is installed per installation instructions and local codes. Measured Amperage Rated Amp Rating
Check damper motor/economizer for proper operation and travel. Ll L2 L3 L1 L2 L3
Visually inspect condenser coils for leaks and oily spots. Blower Motor
Check thermostats and sensors for proper operation and calibrate if necessary. , ' , , 1' Draws
Inspect all access panels/doors and insure screws&latches are in place. Measured Amperage Rated Full Load Am Rating
Test fire heating/Inspect draft inducer motor. L 1 L2 L3 L 1 L2 L3
Verify that unit installation is level. Compressor#1
Check and Record Ambient Tem erature : Compressor#2
CheckRecord, Compressor#3
Check ' Record RefrigerantCompressor#4
Stage#1 Stage#2 Stage#3 Stage#4 , , , , 1
Suction psig prig prig psig I Measured Amperage N Rated Am Rating ••�
Discharge psig psig psig psig Ll L2 L3 L1 L2 L3
Suction Line Temr degF aegF aegF aegF CFM#1
Gas Line ' CFM#2
CFM#3
Gas Line Pressure Downstream , , CFM44
SERVICE COMPANY
TECHNICIAN NAME&SIGNATURE
Exhibit A
E2020 Wells Fargo Quote Form for HVAC Projects Back to Overview
Prolect e:Comfort 5 stems USA Stra[ WP Vendor number:
en/Pr emit Tv Aee�as:2655 Fortuna Circle West sal Number
reE rvumber: 144909 R City.state,Zip:Indiana oils IN 46241 be
C umr:
ulldinq/Pro eR Name: DOnlacl Name:Pete Yacavone chan ce
DE Service or Oelivery Addreaa: Phme: u,dPOR:
Prolect Area(sq.fl.): call:704.712.6888
Eltimeled Start Date: E,limeted Completq Data: mall:
Detail Needed:GO,as dl-ptive as posslN,and ll Nere are multlpes Of items pease apathy hqw man].OetallsaM numbers of unlit help Dvetlassen delennlne asset value antl will helpe ate 4ues0ons era[he need tO resuDmlt propmals Or lnvolres.. ; In
Replacement of three(3)4 ton AM.Crane needed/roof hatch key taqukad.ARer hams work slace crane needed. .
YIF eeed,le ue IM1a lafwr Co,t„ssuiatM with Ne
Ir Quote t,for I,bor enh•lu a Product Section
bYnkubtlade ap,nb,a IUIWAC Lempovmb„
a uparN,9va for,gv1pmt,vd mrtad,b Mvled to-thatt
TT a"O"S TOTE UIRORDCT
wmpeomL nulacturer Medal o Serabl s(II Qn, Each RP,, pp000CT Taxable](Y/N) 6 aoHy Un`n R'n TOTAL LAaOR �bo(1.'ble]
v liable) eple ill Rate
moos awrx,Rva b.groerob eomPmmb p.a era
m,e.NerolM.a.YR..mm a bmmemtA mlen9a.ea
,l,).1.aed.leber a,od.e,e.Rb,P,dna.gmpmeat
ov 16,uma Rea
New HVAC end Plumbln9 Equlpnent and tabor TRANE WHC048H 3 S 8,32].30 E 8,327.20 Y 3 2 $120.00 N $ 720.00 N $ 9,047.20
ew HVAC and Plumbin9 EAulpnent end u TRANE WHCD48H 1 $ 8,327.20 $ 8,327.20 Y 3 1 2 $120.00 N $ 720.00 IN $ 9,047.20
NYACA Plumbin9 Equlp 1;m 1tabor TRANE WHC048H 1 $ 4,327.20 $ 8,327.20 Y 3 2 , §I30.00 N $ 720.00 N ,$ 9,047.20
$ f $ N $
$ $ _ $ N $
$ $ $ N $
$ $ $ N $
$ $ $ N $
Thermostat WBGODU5000B 3 $ 551.6D $ 1,654.00 Y 1 4 $120.D0 $ 480.OD N $ 2,134.80
ewB H-1 Matedals A LODO, 3 $ 225.00 $ 675.00 Y 1 8 $120.D0 N $ 960.00 N $ 1,635.00
E $ . $ N $
Plp:p natenels 1 $ 75.00 $ 75.00 Y 1 6 $120.00 N $ 720.00 N $ 795.00
$ - $ $ N $
ew Conbda Epulpment and LADO, 1 $ 100.00 $ too.DO Y 1 8 $120.00 N $ 960.00 N $ 1,060.00
f $ f N $
Ganes6 m99m9 1 $ 1,650.00 $ 1,650.00
f N $ 1,650,00
1 $ 750.00 $ 75OAO 1 2 , $95.00 N $ 190.00 N $ 940.00
$ 39,886.40 46: $ 5,470.00 'p,#pt f 35,356.40
TOTAL DEMO
/ • • ] PRODUCT&
IntludawN Of demolitbn end d-Ruion labor. Ell, Pn1e-1h TOTAL DEMO Ta,-?(Y/N) People s Hourly Orlon Rate TOTAL LABOR LaborY/N
TaxableT LABOR
alit Rate (Y/N) ( )
Demolt--Removal $ N 2 pa2an $120.00 N $ 480.90 N $ 48O.DO
D-ld,on-Recycling $ $ N 2 2 $120.00 N $ ASI.00 N $ 480.00
Patching and Repalrs(walls,-hn9s) $ $ N $120.OG N $ N $
Patchlag and Repairs(roO6n9 repairs) $ $ N __ $120.00 N $ N $
$ $ $ N $ N $
$ 8 3 960.00 $ 960.00
Clanfy assumptions,clarifications,and exclusions in this space.
Manuall,Insert Tax aired
:'SdsW At'a14All:f;idlY:Ytl SRi'dRH s±l:fiiM1 Ve Y�$BEii;3: a71I[,P,f
7.00% PRODUCE$ 2"386.40 $ 2,092.05 $ 31,978.45
Enter tax rate for location,even A LABOR f 5,470.00 $ - $ 5,470.00
0%
SUBTOTAL $ 35,356.40 $ 2.09M5 $ 37,448.45
DEMO PRODUCT$ - $ $ -
DEMO LABOR f 960.00 $ $ 960.00
SUBTOTAL $ 960.00 $ $ 960.00
- --- It - FREIGHT E $ - $ -applicable 3%Labor Discount§ (192.90) § (192.90)
SHIPPING 8 HANDLING S f $
TGTALl 36,123.50 1$ ;D92.05 I$ 38,215.55