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Home My WebLink About96-6354 ~{'7s-:tvBUILDING PERMIT NO CITY OF ZEPHYRHILLS Permit. (813) 788-6611 9' .s--. OV 6S5~u 63548 /J -;2 tJ -7-b . Date / 0 ~. ?-...s- BUILDING ELECTRICAL PLUMBING /.!;> t:J . crv MECHANICAL Sewer Conn 7;.!>~-' (/i.) .Cvtr Water Conn: ~ 625'": lJOt/w~ ~operty Owne~ i;Uw!!i~" .~ Job Address:.J ~ C L~_ _' Parcell.D. # Zoning: I}~rg~ Code: 1 ~ ~adon Gas: ~. /J Description of Work ~~ ~ c.-J. (.f)'~Ar- 2t~(f1=-- Water Meter:' T.I.F.'s: 60/,2. R-'/ . NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee Signature Company Address Telephone# ~ e~,-,- . ,1 ~.~ Valuation or Contract Price / as r 7tJ. bV " City License Registration # I f;2 r- State Certified License# iJ1~ ~{~ BUILDING ,--/Ji;~/t.5-" Cfetj~"'I7OU ELECTRICAL PLUMBING 6 ~'rt ~ IY;;;S- MECHANICAL SLB 1"'~-91 SILL Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. BUILDER: HINSON BUILDERS ADDRESS: 38109 MARKET SQ. OWNER: FLORIDA MEDICAL CLINIC So. FT. PRICE LIVING OR MAIN AREAl 5,635 I $ 22.00 I OTHER AREA UNDER ROOF:l 0 I $ 11.00 I OTHER:~ 0 I $ 11.00 I SQUARE FEET UNDER ROOF:~ 5,635 I VALUATION:( $ 123,970.00 I ADDRESS: I $ - I DRIVEWAy:1 $ - I FEES: J $ 537.00 , BLDG. PLUMB. ELEC. MECH. PERMIT FEES:t $ 655.50 I $ 95.00 I $ 108.751 $150.00 3/4" 1" 2" WATER METER SIZE:I $ 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I SEWER WATER METER CONNECTION FEES:I $ 9,585.00 I $ 2,625.00 I $ - I RADON GAS: I $ PERMIT FEES:I $ CONNECTION FEES:I $ WATER METER:( $ - I 1,009.25 r 12,210.00 I CREDIT - I TRANSPORTATION IMPACT FEES: 99% 1% $ . 6,012.84 $ 5.952.71 $ 60.13 TRANSPORTATION IMPACT FEES EXPLANATION (OVER) CREDIT: I $ - 160.0oi~. /1S h)~lf fj - (J) 9 SUB-TOTAL(-S 7,022.09 r IRRIGATION METERI $ - ~ TOT~~.69 r--0j ~2.fr;.(}cr CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET PN WATER $1.75 GAL. SEWER $6.391GAL RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMERCIAL (Per fixtire) Sinks $ 87.50 $ 319.50 Water Closet $ 131.25 $ 479.25 Urinal $ 87.50 $ 319.50 Lavatory $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washina Machine-Commercial Size $ 350.00 $ 1 278.00 Washina Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 2,556.00 Sinks (3-Compartment) $ 175.00 $ 639.00 Car Wash (Per Stall) $ 1 000.00 $ 6390.00 SINKS 50 15 $ 1,312.50 $ 4 792.50 $ 6105.00 WATER CLOSETS 75 7 $ 918.75 $ 3 354.75 $ 4,273.50 URINALS 50 $ - $ - $ - LAVATORIES 25 7 $ 306.25 $ 1,118.25 $ 1 424.50 TUB/SHOWERS 50 1 $ 87.50 $ 319.50 $ 407. 00 WASH. MACH. COMM. 200 $ - $ - $ - WASH. MACH DOM. 560 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PERIST ALL 1000 $ - $ - $ - SUB-TOTAL $ 2,625.00 $ 9,585.00 $ 12,210.00 WATER METER GRAND TOTAL $ 12,210.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE 12/19/96 ~ APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT (~~iJaI-- ~ O)41~ ,.h/-/~~~~ //-:;2'l-'J!p g5 q a-l- -1')01 ? KF-f7/~; 00 ,~/ OWNER'S NAME FMC Market Square, Inc. PHONE 813-780-8440 OWNER'S ADDRESS 38109 Market Square, Zephyrhills, Florida 33540 JOB ADDRESS 38109 Market Square, Zephyrhills, Florida 33540 SEE ATTACHED EXHIBIT "A" (Legal Description) LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' See Attached Exhibit "A" (Legal Description)(OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install _Sign _Move ____Deaolish PROPOSED USE: _Single FOlily --"IF _' of Units _H/H _C~ercial ____Indus t. ____Swim. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: Interior build-out of vacant space for new Internal Medicine & Urology BUILDING SIZE: x , 5800 Square Feet~6' 0" Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~BUILDING $ 270,000 Valuation of Total Construction ~ELECTRICAL Existing AMP Service Florida Power Corp. _W.R.E.C. --X-HECBANICAL $ 60,000 Valuation of Hechanical Installation --X-PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fr8lle _Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION u COMPANY Hinson Building Corporation State Cert. or Regist. . CGCO 44505 City License Registration .1928 ****************************************** BUILDER Signature COMPANY Sheppard Electric Company State Cert. or Regist. fER 0000 375 City License Registration f 1685 **************************** PLUMBER COMPANY Joe Carlton Plumbing S te Cert. or Regist. ,CFCO 26553 City License Registration I 1926 ***************************************** Signature Signature dL~ COMPANY Britton Air, Inc. State Cert. or Regist.' CMCO 41076 City License Registration' 1925 ****************************************** MECHANICAL O1:JIWl ~ COIlPANY RoDan Fire S prinkier s. 1 nc . . ,L' ~~ State Cert. or Regist. . 008920000177 Signature ~~ City License Registration' 363 ~ .... '........................................ APPLICATION APPROVED BY PERMIT OFFICER. , CONDITIONS OF PERMIT AFFIDAVIT 'A. .NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit lilY be subject to -deed restrictions- wbieb lilY be lOre restrictive than City regulations. !be undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas bired a contractor or contractors to undertake work, they lilY 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 lilY be cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!ll!Dts laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the OlDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the -Contractor Sections- of this application for wbieb they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of -Plorida's COnstruction Lien Law - H(IIl!(JIIJ1er's Protection Guide- prepared by the Plorida Departlent of Agriculture and ConsUll!f Affairs. If the applicant is sOleOlle other than the "OlDer", I certify that I have obtained a copy of the above described dOCUll!Dt and prOlise in good faith to deliver it to the "owner- prior to co.enCl!leJlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlition in this application is accurate and that all IOrk will be done in cQIPliance with all applicable lillS regulating construction, loning, and land developleDt. Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perlit and that all work will be perfoI'led to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverIlleDtal agencies lilY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to: t Departlent of EnvirOlllelltal Regulation - Cypress Bayheads, Wetland Areas and Envirolllelltally Sensitive Lands, Water /Ifastewater 'I'reatlent t Southwest Florida Water Hanagl!ll!Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Ifavigable Watenays t Departlent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic 'I'anks t US EnvirOllleDtal Protection Agency - Asbestos abatl!lleDt I also certify that, if fill Iilterial is to be used in Plood Zone -A- or "A, etc. ", it is understood that a drainage plan addressing a -COIpeDSating vol_- will be sublitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beccE invalid unless the work authoriled by sueb perlit is COIIeDced within sillODths of issuance, or if work authorized by the pmit is suspended or abandoned for a period of sillODths after the tile the work is co.enced' One 90 day extension of tile, lilY be allowed for the perlit with fee ebarge of $15.00. !be extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb sillODth period, or the profect will be considered abandoned. WAlUlING '1'0 l*IfER: YOUR FAILURE '1'0 RECORD A IfOfICK OF C(JIMDCEHIIf'I' MAY RESUL! IIf YOUR PAYIIfG nICK FOR IMPROVEHEH'I'S '1'0 YOUR PROPER'I'Y. IF YOU IJI'I'BIfD '1'0 OB'I'JIIf PIWClIfG, COIfSUL'I' WI'I'B YOUR LBlfDIR OR AIf AnoRDY BEFORE RECORDllfG YOUR IfO'I'ICE OF aJOfElfCEMBJl'l'. JOBS ORDER $2,500 IN VALUE DO If Of IfUD '1'0 RECORD AIfD POS'I' A "MOfICE OF COMMEIfClMlJl'l'". JOt: EldatoFn, C.E.B-. Colleen Cuffe C-Fo John L. Wallace, Executive V.P./C.O.O. ~d C'AtfI=e i2 RJ ' 0-1--- 2' UALYcu->- SIGJlArURE: l*IfER OR AGEJI'I' . . / SIGJIA'I'URE: COJI'I'RACfOR FLORIDA MEDICAL CLINIC 'INSON BUILDING CORPORATION SrA!E OF FLORIDA COUIfrY OF /Ja..u .-l) The foregoing instrument was acknowledged before me this i.L::...d '-J , 19 9"_ by S'I'A'fE OP FLORjfA COUJI'I'Y OP 'a..xJ CD The foregoing instrument was acknowledged before me this _LL - 07 S- ~ 19~ by Uho is personally known ~r who has produced as identification and who did/did not ~':y'r~~ ignature) [l/lI2)EEN /J. St-/pjJE;e~ (Hame Typed, Printed or Stamped) HOT . PUBLIC CARLEEN A. STlPPERT NotIry Public. State of Rorida My Comm. Exp. Sept. 6, 1999 Comia.",,"o. CC 493590 (!lto is personally known to ~r who has produced as identification and who di~d n~ ~ an o~tb;/ ~ . b..Jz.b-~ ..A, - 1J"'y'-z- Signature) / / [l19~1 ee,1 .4. S f.1itl'"'f'+ (Name Typed, Printe or Stamped) HOTARY PUBLIC CARLEEN A. STIPPERT Notary Public. State of Aoric18 My Comm. Exp. Sept. 6. 1999 Comm. llo. cc. 4935.90 EXHIBIT" A" Legal Description That portion of Tracts 39, 40, 41, and 42, ZEPHYRHILLS COLONY COMPANY LANDS, in Section 2, Township 26 South, Range 21 East, as per plat thereof recorded in Plat Book 1, Page 55, Public Records of Pasco County, Florida, described as follows: Commence at the S.W. comer ofthe N.W. 1/4 of said Section 2, thence run North 00 13' 24" West, along the west boundary of said Section 2,622.75 feet, thence North 890 54' 51" East, 112.0 feet to the Easterly boundary of the Right-of-Way (R/W) of U.S. Highway No. 301, for a POINT OF BEGINNING: thence run North 00 20' 42" East, 382.70 feet along said Easterly R/W, thence run North 890 57' 16" East, 150.0 feet, thence North 00 20' 42" East, 200.0 feet, thence North 890 57' 16" East, 291.72 feet, thence North 0002' 44" West, 20.0 feet, thence North 890 57' 16" East, 449.44 feet, thence South 00 00' 04" West, 568.70 feet, thence North 890 54' 51" East, 38.34 feet, thence South 00 13' 24" East, 3.70 feet, thence South 890 54' 51" West, 45.82 feet, thence South 00 13' 24" East, 30.0 feet, thence South 890 54' 51" West, 887.26 feet to the Point of Beginning; TOGETHER WITH an easement for ingress and egress over and across the South 30.0 feet of the East 324.78 feet of said Tract 42 as shown on survey prepared by Mullins and Shoun, 509 East Church Avenue, P.O. Box 606, Dade City, Florida 33525 on December 28, 1976. LESS AND EXCEPT: That portion of Tract 41, ZEPHYRHILLS COLONY COMPANY LANDS, in Section 2, Township 26 South, Range 21 East, as per plat thereof recorded in Plat Book 1, Page 55 of the Public Records of Pasco County, Florida, described as follows: Commence at the S.W. comer of the N.W. 1/4 of said Section 2, thence run North 000 13' 24" W~st, along the west boundary of said Section 2,687.75 feet, thence North 890 54' 51" East, parallel with and 25.0 feet North of, the South boundary of said Tract 41, 297.22 feet, for a POINT OF BEGINNING; thence continue North 890 54~ 51" East, 40.0 feet, thence North 000 20' 42" East, parallel with the East Boundary of the R/W of U.S. Highway No. 301, 75.0 feet, thence South 890 54' 51" West, 40.0 feet, thence.South 00020' 42" West, 75.0 feet to the Point of Beginning. -'II. , ., .. II it, Thia lnlltnll1lCl'lt PrepllrCd By: N-.nc- John L. Wallace -Addrell. 9500 KOl!:er Boulevard - Suite 217 St. Petersburg, Florida 33702 Permit No. 1111111111111111 1111111111 11111 111lI II~IIIII lilt . 96123306 NOTICE OF COMMENCEMENT Tax Folio No. 0226210010039UUUU3U Rcpt: 115139 Bee: 10. SO 00: 0.00 IT: 0.00 11/22/96 Dpty Clerk THE UNDERSIGNED hereby givca notice that improvement will be modo to certain real property. and in 8CCOI'dance with Chapacr 713. Florida StalllCa. tho followinS inCormation i. provided in lhia Notice at Commencement. . STATE OF Florida COUNTYOF Pasco 1. Description of propcny: (le8&1 description or propcny. and str'cct addres. it available) See Attached Legal Description 2. GcnCl'al description oC improvement: Interior Office Build-out Urology/Internal Medicine 3. Owner.nlOmUlUon .. NMne and addro..: r.-'~' InlCrat in propcny: . , r:.::~ Name and address of fee simple tilleholder (if other lhlUl OWIlcr): $ lii'-~ , ;". .... ClonU'lctot: . ~'"1i~'''Namo and addras.: ~_ b. Phaao number: Co Fax numba' (aptional. it service by fax i. acceptable): 38135 Market Square Zephyrhills, Florida 33540 Florida Medical Clinic Market Square 38135 Market Square. Zephyrhills, Florida 33540 Hinson Building Corporation 9500 Koger Boulevard - Suite 217 St. Petersburg, Florida 33702 5.Surety a. Namo ad eddrcas: b. AmOWll o(bond S c. Phone number. d. Fax number (optional. if service by fax is acc::cptlblc): N/A JED PITTIIAN, PASCO COUllTY CLERK 11/22/96 01:21p. 1 of 2 OR BK 366.1. PG .1.B.1.3 6. Lender a. Namcandaddrcu: Suntrust Bank (Mr. Earl Young) b. PhonenUmbcr: 5435 Gall Boulevard c. Fax number (optional. itscrvic:c by Cox i. ar:ccplDble); Zephyrhills. Florida 33541 7. PCI'lIOII1. within the Stato ofFlarida design.. by Owner upon whom notices J. ~~ ~~fi9may be scrvoclas provided by Section 713.13(1)(a)7., Florida SlalllCa: a. N.... ad adclrcu: b. Phono nwnb<<; c. Fax number (optianal. ir.ervic:o by fax g IM:CCptDble): 8. In addition to himadt. Owner dnipales tho tolJowift. pcr.on(s} to receive 8 copy o(tho Li=or"s Notice as provided in Socc'on 7J3.13(l)(b). Florida StalUta: . 8. Name and eddress: b. Pbona nwnber. c. Fax number (optiOnal. if service by Cox g occ:cptable):" 9. upiration date of DOUce of commencement (the expiration date is ) year tram tho d i. specified) . Sworn to and lubscribed before me by J:)~ tJ a cLLJ.-t)> , who g pcnonally to me or produced P.t..\SoOI1.fl~/ I' identification. and who did take Owner's N8IIlC FMC ... oath. dds "o! :2...'- day ft.J{;U-Vnt-I....v.. . 19~. i/. Signature of Owner OwneJ".Addresl 38135 Market Square Zephyrhills, Florida 33540 T U' E AMERICAN INSTITUTE o F ARC H I. T E' C T S AlA Document Al 01 Standard Form of Agreement Between Owner and Contractor where the basis oJ payment is a STIPULATED SUM 1987 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN A TTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICA TION. The 1987 Edition of AlA Document A201, General Conditions of the Contract for Construction, is adopted in this document by reference. Do not use with other general conditions unless this document is modified. This document has been approved and endorsed by The Associated General Contractors of America. AGREEMENT made as of the Twentieth Nineteen Hundred and Ninety-six day of November in the year of BETWEEN the Owner: FLORIDA MEDICAL CLINIC, P.A. 38109 Medical Square Zephyrhills, Florida 33540 (Name and address) and the Contractor: (Name and address) HINSON BUILDING CORPORATION 9500 Koger Boulevard - Suite 217 Saint Petersburg, Florida 33702 The Project is: (Name and location) FLORIDA MEDICAL CLINIC Urology/Internal Medicine - Tenant Renovation 38109 Medical Square Zephyrhills, Florida 33540 The Architect is: (Name and address) HARVARD JOLLY CLEES TOPPE ARCHITECTS, P.A. 5201 West Kennedy Boulevard - Suite 515 Tampa, Florida 33609 The Owner and Contractor agree as set forth below. Copyright 1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, @1987by The American Institute of Archi- tec.ts, 173~ t:'lew Y~>rk Aven':le, N.W., :"'a.shington, D.C. 20006. Reproduction of the material herein or substantial quotation of Its provIsIons WIthout wntten permIssIon of the AlA violates the copyright laws of the United States and will be subject to legal prosecution. AlA DOCUMENT A101 . OWNER-CONTRACTOR AGREEMENT. TWELFTH EDITION. AlA"' . @1987 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 Al01-1987 1 WARNING: Unlicensed photocopying violates U.S. copyright laws and Is subject to legal prosecution. I / ARTICLE 4 CONTRACT SUM 4.1 The Owner shall pay the Contractor in current funds for the Contractor's performance of the Contrdct the Contract Sum of Two Hundred Seventy Thousand and 00/100********************************* Dollars (' 270,000.00***************************** ), subject to additions and deductions as provided in the Con- tract Documents. 4.2 The Contract Sum is based upon the following alternates, if any, which are described in the Contract Documents and are hereby accepted by the Owner: (State tbe numbers or otber identification of accepted alternates, If decisions on otber alternates are to be made by tbe Owner subsequent to tbe execution of tbis Agreement, attacb a scbedule of sucb otber alternates sbowing tbe amount for eacb and tbe date until wbicb tbat amount is !'(lUd) N/A 4.3 Unit prices, if any, are as follows: N/A AlA DOCUMENT A101 . OWNER-CONTRACTOR AGREEMENT. TWELFTH EDITION. AlA'" . @1987 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW" WASHINGTON, D,c. 20006 A101-1987 3 w"nNI~ln' IInllrpn"prl phnlnrnlwln" "lnl"lp" II!:; rnn"rl"hll"",.. nnd I.. """Iorl In I"n'l n,'nrnr"U"" 9.1.7 Other documents, if any, forming part of the Contract Documents are as follows: (List bere any additional documents wbicb are imended to form part of tbe Comract Documents. Tbe General Conditions pro, 'ide tbat bidding requirements sucb as adt1ertisement or invitation to bid, Instructions to Bidders, sample forms and the Contractor's hid are not part of the c.ontract Documents unless enumerated in tbis Agreemem. Tbey sbould be listed bere only if intended to be part of tbe Comract Documents.) Attachment "A" Qualifications & Clarifications Attachment. "B" - Post Bid Value Engineering Items This Agreement is entered into as of the day and year first written above and is executed in at least three original copies of which one is to be delivered to the Contractor, one to the Architect for use in the administration of the Contract, and the remainder to the Owner. CONTRACTOR HINSON BUILDING CORPORATION t~t.-<-,,- - Joe Delatorre, C.E.O. (Printed name and title) John L. Wallace, Exec. V.P./C.O.O. (Printed name and iiI/e) rm'CAUTION: You should sign an original AlA document which has this caution printed in red. WMI An original assures that changes will not be obscured as may occur when documents are reproduced. AlA DOCUMENT A101 · OWNER-CONTRACTOR AGREEMENT. TWELFTH EDITION. AlA'" . @1987 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW., WASHINGTON, D.C. 20006 WARNING: Unlicensed photocopylnq vlolatl!S II!; rOj'lVrlflht laws lInc1ls SlIhl..r! In I"..~' ",nonr"'i",, A101-1987 8 Form 4'00A.,.\9,4:; :/J.\,; Whole Building Performance Method for Commercial Buildings ..' -' : ,~ ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs "';:."IIJA ..,. . FLA/COM-94 Version 2.1A PROJECT NAME-F.M.C. - UROLOGY ADDRESS: Z~YRHILLS, FLORIDA OWNER: JLO~~tA ~~ 4.tINIC AGENT: BUILDING TYPE: _Institutional (Health) CONSTRUCTION CONDITION: Existing Building DESIGN COMPLETION: _Renovation CONDITIONED FLOOR AREA: _5640 MAX. TONNAGE OF EQUIPMENT PER SYSTEM: ____ -a.. PERMITTING OFFICE: _Zephyrhi lIs CLIMATE ZONE: _4 PERM I T NO: bJ.Jy _611600 JURISDICTION NO:_611600 r '. .'~:' ~; .. .' t. ,~.- ~~.' or NUMBER OF ZONES: 1 COMPLIANCE CALCULATION: METHOD A ----------------- A. WHOLE BUILDING PRESCRIPTIVE REQUIREMENTS: LIGHTING LIGHTING CONTROL REQUIREMENTS i HVAC EQUIPMENT COOLING EQUIPMENT 1. EER IPLV HEATING EQUIPMENT 1. Et AIR DISTRIBUTION SYSTEM INSULATION 1. With Insulated Roof WATER HEATING EQUIPMENT 1. EF PIPING INSULATION REQUIREMENTS 1. Circulating .COMPLIANCE CERTIFICATION:~ I hereby certify that the plans and specifications cover9d by this calcu- lation are in compliance with the Florida En~ygy ~fficie~~code. PREPAR:::D 8"':._ :r71!t'Vt/l ~~1/ DATE: /Z/. - __ . _--L.~ / . I hereby certify that this building is in compliance with the Florida Energy Efficiency Code. OWNER/AGENT: DATE: 23 ,'., ~, DESIGN CRITERIA RESULT, i ......----...... ", 69.51 100.00 PASSES PASSES 10.00 12.00 8.50 7.50 PASSES PASSES . 1.00 LEVEL 15.00 N/A .. 6.00 PASSE So-. . 20.00 0.89 PASSES 1.00 0.32 PASSES, ,~ "I C j .. Review of the plans and specifica~'" tions covered by this calculation indicates compl lance with the .'. , " . Florida Energy Efficiency Code. '. ~,1>',: Before construction is completed. this building will be inspected ";",: for compliance in accordance with, . ; Section 553.908, Florida Statutes. ..j ,"'''1 BUILDING OFFICIAL:, " " DATE: . -. ...I~ l';f t.:... . " ... I. hereby certify(*) that the system design is in compliance with the Florida ~nergy Efficiency Code. SYSTEM DESIGNER REGISTRATION/STATE ARCHITECT : MECHANICAL: PLUMBING ELECTRICAL: LIGHTING ( *) Signature by registered be used where '" ~ is requ1red were Florida law requires esign to be performed design professionals. Typed names and registrat.ion numbers may all relevant information is contained on signed/sealed plans. ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- "". .. ~- ...." Mf1MffMMf1Mf1MMMMMt1t1Mt1t1t1t1Mt1f1f1t1t1f1t1Mt1t1t1MJ'-1Mf1.MMMf1t1Mt1!1Mt1!1t1MMMt1t1Mt1t1Mf1f1f1MMMMMf1Mt1t1f:1MMMMMt1 ~RQjECT TITLE : F.M.C. - UROLOGY . 3UILDING TYPE Institutional (Health)" 3UILDING LOCATION Zephyrhills 3UILDING AREA (ft}) 5640 MHt1Mt1f-1t1MMMt1Mt1f-1f-1t1t1MMt1Mt1MMt1Mt1MMMMt1MMMMHMMMMMMMMt1t1t1MMMt1t1t1/1/1H/1/1/1/1/1/1/1H/1/1Hf1/1H/1/1/1t1HH'~ """:1 BUILDING ANNUAL ENERGY USE DODOODDODDDDDDOODOOOOODDODDDODBDDDDODODDDDDDDDDDDDDODDBDDDDDDDDDDDDDDDDDDDDDD 3 DESIGN BUILDING 3 BASELINE BUILDING 3 (%) 3 (%) DDDDDDDDDODDDDDDDDDDDDDDDDDDDDEODDDDDDDDDDDDDDDDDDOODOEDDDDDDDDDDDDDDDDDDDDDD .". 3 3 3 3 3 8 .16 3 3 3 3 3 3 36.43 3 3 3 3 3 3 0 .04 3 3 3 3 3 3 15.60 3 3 0.95 3 3 3 3 3 3 8.32 3 3 3 'LANT MISCELLANEOUS 3 3 >ODDODDDDDDDDDDDDDDDDDDDDDDDDDEDDDDDDDDDDDDDDDDDDDDDDDEDDDDDDDDDDDDDDDDDDDDD 3 3 3 69.51 3 3 3 'f1/1t1f1/1/1/1MMt1f1t1t1t1Ht1MHt1/1/1t1t1t1t1t1/1/1t10t1t1t1t1t1Mt1t1t1t1t1Mt1t1f-1t1t1t1t1Ht1t1/1Ot1/1/1/1/1/1/1t1t1/1t1/1/1/1MMMt1Mt1M -iEATING ENERGY Electric Resistanc& 5.92 :OOLING ENERGY Direct Expansion 53.52 )OMESTIC HOT WATER ENERGY Electric DHW System(s) 1.00 3UILDING MISCELLANEOUS Lights Equipment 22.71 0.95 ;YSTEM MISCELLANEOUS Fans 15.90 'OTAL ENERGY CONSUMPTION : 100.00 ******* PASSES ****** ff1Mt1f1MMf1HMt1Ht1Mt1t1f-1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1f1t1t1t1t1t1t1t1t1t1t1t1t1Mt1t1t1t1t1t1t1Mt1t1t1t1t1 ROJECT TITLE : F.M.C. - UROLOGY UILDING TYPE Institutional (Health) UILDING LOCATION: Zephyrhills UILDING AREA(ft2): 5640 ~ 0000000000000000000000000000000000000000000000000000000000000000000000000000 BUILDING DESIGN : Exterior Lighting Power 0 W " KTERIOR LIGHTING CRITERIA: AREA AREA AREA OR ALLOWANCE . CODE DESCRIPTION LENGTH WATTS ~Mt1f1t1Mf1f1t1t1f1t1Mt1t1t1t1t1Mt1MMt1t1t1MHt1f1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1Mt1t1Mt1t1t1t1t1t1t1t1t1t1t1t1f1f1t1t1f1t1t1f1t1t1f1f1t1t1 '1f1f1t1t1f1f1t1t1t1t1t1f1t1f1t1f1t1t1t1t1t1t1t1t1t1t1t1t1t1t1t1f1f1M/1/1/1f1/1MMMt1MMMMMMt1t1MMMMMMt1MMt1MMMMt1MMMt1f1Mt1M/1 Exterior Lighting Power Allowance 0.00 W ~DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDODDDDDDDDOOOOOOD **** Not Applicable **** "', I. ~HE LIGHTING SYSTEM CONTROL REQUIREMENTS: TOTAL EQUIVALENT", :,!. DDDDDDDDD SPACE 00000000 NO. DDDDDDDDD CONTROLS DDDDDDDD CONTROL POINTS;"':: NO. DESCRIPTION AREA TASKS TYPE 1 NO. TYPE 2 NO. INSTLD. REQD.~' ; HHHHHMHMMMMMMMMMMMMI1HHMHMMMMMHKH,.1HHHMHMMHMHHHOHMHMHI1MMHMMI1HHKHHHMMMMHMMMMMHHHM i,', 64 Dental Sui 5640.0 1 :On/Off 283 0: '28 > . .',.' 4.." ;~;; HHHMHMMMMMHMHHHMHMMI1MHMMMMf1HHI1~THMI1HHHMM"1MMMHMOHHHHHHHHHHHHMItJMHHHHHHHHMHHHMHI1M '. ' ******** PASSES ******** ,'.).i~;I:;;~...i\ :.""''-0.\; ~' '~,il~I." 'i "I'If~: , '.,:.,:'ri~~""-:: t .:, :'.'.! ;. '~ ~ HHHHHHMHHM,.1MMMHMHHHMHMHMMHMHHHHMHHHHHM,.1HMMMMMHMMMMMMMMHMMMMHMHHHMMHMHMMHHHHHM i PROJECT TITLE F.M.C. - UROLOGY ~. BUILDING TYPE Institutional (Health) BUILDING LOCATION Zephyrhills BUILDING AREA(ft2): 5640 DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ':. HVAC SYSTEMS PERFORMANCE: MI1MMMMMMHMMHMHOHMHMHMHMMOHHMMHMOHMMM,.,HOMMHHHMHHOMMMMMHMHOMMMMMMMHMOMMHMMMMMMH Cooling System3 Measure 3Minim.3Minim.3 System ;3 System;3 Result;3 Result.' ., Type 3#1 #23 #1 3 #2 3 Eff.#l 3 Eff.#2 3 for #1 ;3 for #2 DDDDDDDDDDDDDDEDDDDDDDDDEDDDDDDEDDDDDDEDDDDDDDDEDDDDDDDDEDDDDDDDDDEDDDDDDDDDD Air Cooled. ~~ER, IPLV3 8.503 7.503 10.00 3 12.00 3 PASSES 3 PASSES HHHHHHHMMHHHHHXHHHHHH,.1HHXHMMMMMOHHHHMMXMMMMHMMHOHHHMHHMHXHHHMHHHMMOMHMMMMMMHM Heating System3 Measure 3 Minimum Req.3 Efficiency 3 Result DDDDDDDDDDDDDDEDDDDDDDDDEDDDDDDDDDDDDDEDDDDDDDDDDDDDDDDDEDDDDDDDDDDDDDDDDDDDD Ele. Resis. 3 Et 3 3 1.00 3 N/A DDDDDDDDDDDDDDADDDDDDDDDADDDDDDDDDDDDDADDDDDDDDDDDDDDDDDADDDDDDDDDDDDDDDDDDDD ******** PASSES ******** ., . . ~~.,.ti~~'r':' AIR DISTRIBUTION SYSTEM INSULATION LEVELS: DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD Zone # Duct Location Minimum R-Value Design R-Value Result HI1MMHMMHI1MHHHHHHHMHMHMHHMMHMMHMMHHMMHM,.,MMMMMMMMMMMMMMMHMMHMMHHMHMMMMHMHHHMMMM 1. With Insulated Roof 6.00 15.00 . PASSES MHMMHMMHMMMI1MHHMHMMMHNMMHMHHMMHMMMMMMMMMHMMMMMMMMMHMHMMHHMMMMHMMMMMMMMMMMMHHI1 .,; ; ******** PASSES ******** MMMMMMMMI1MMMHHMMMMMMMMHMMMMMMMMMMMMMMHMMHHMHMMHMMMMHHHHHHHHMMMMMMMMMMMMMMMMMM :.' PROJECT TITLE F.M.C. - UROLOGY BUILDING TYPE Institutional (Health) BUILDING LOCATION: Zephyrhills . ~! BUILDING AREA(ft2): 5640 DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDqrDDDDO:' WATER HEATING SYSTEMS PRESCRIPTIVE CRITERIA MMHHHMMHHI1MMMHMHMOMMMMMMMOMMMMMMMNMMOMMMMMMMMf1HOHHHHHHHMHHOHHHHMHHHHHOHHHHHHM System ~~easure3 Minimum 3 Maximum 3 Design 3 Design ~mesult, Type ~l ~1 EF / Et;3 SL ;3 EF / Et 3 SL 3 I1MHHHHMHMHHMMHHHHXMMMNHHHXMHHHHHMMHHXMHHHMMHHHHXMMMMMMMMMMXMMMMMMMMMHXMHMHHHH . ..' Electr ic <,;. 12kW3 EF 3 0.8900 3 0 .0000 ~l 20.000 ;3 0 .600 ~1PASSES ': '" DDDDDDDDDDDDDDDDDADDDDDDDADDDDDDDDDDADDDDDDDDDDADDDDDDDDDDADDDDDDDDDDADDDDOOP ******** PASSES ********;:; -, I i ..~ :.:, :'~ : PIPING INSULATION REOUIREMENTS: .,' ':"A~:J DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDODDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD "'1 \, Pipe Insulation Thickness( in) " HI1HMHMMMMHHMMMMHMOMMHHMMHHMOMHMN,.1HMMMMHMHMHHMMHHOMMMHMMMMMMMHOMMMMMMMMHMMMHMM .'; . L System Type 30.D.(in)3 Minimum Req. 3 Design ;3 Result;,.. MMMMMMMMHMMMHMMMHXMMMMMHMMMXMMMMMMMMHMMMHMMMMHMMXMHMMHHHHMMHMXMMMHMMMt:1HMHMMHM cil"culating 3 0.75 3 0.318' 3 1.00;3 PASSI!S . DDDDDDDDDDDDDDDDOADDDDDDDDDADDDDDDDDDDDDDDDDDDDDADDDDDDDDDDDDADDDDDDDDDDDD~DD ;',. ******** PASSES ******** -<.. i'. : I Y~ii",:f !; u....... . i',! I 1:1 .'i ... j 1, I i ,1.')1 I ,_,Ill l. 1.-, It: ' East Commercial CHECK' l------------------------------------------------v- U SC VL T . Shadi ng Area( Sqft ): -------------- ----------, I o 0.01 0 None 0: Total Glass Area in Zone 1 = 0:- Total Glass Area .~ 0: 1------------------------------------------------:--- U Added R Gross(Sqft) ~ -401.------GLAZING--ZONE Elevation Type 402.------WALLS--ZONE Elevation Type --------- -------------------------------- ----- ------- ----------- East Hvywt. Concrete Wall + 8" Concre 0.115 0 1800 Total Wall Area in Zone 1 = 1800 Total Gross Wall Area = 1800 403.------DOORS--ZONE 1------------------------------------------------ Elevation Type U Area(Sqft) ~ East No doors 0.00 0 Total Door Area in Zone 1 = 0 Total Door Area = 0 1------------------------------------------------.--- Color U Added R Area(Sqft) 404.------ROOFS--ZONE Type STEEL ROOF W/l.5" INSUL/4"BATT Light .08 0 5640 Total Roof Area in Zone 1 = 5640 Total Roof Area = 5640 1-----------------------------------------------~ R Area( Sqft ) 405.------FLOORS-ZONE Type \ dt',..~ Slab on Grade/Uninsulated 6 5640 Total Floor Area in Zone 1 = 5640 Total Floor Area = 5640 406.------INFILTRATION-------------------------------------------------- :CHECK Infiltration Criteria in 406.1.ABC.l have been met. : 407.------COOLING SySTEMS------------------------------------.---________t__~ Type No Efficiency IPLV Tons ---------------------------- ---------- ----- -------------- 1. Air Cooled ( >= 65,000 Btu/h 1 10 12 23.00 408.------HEATING SySTEMS-----------------------------__________________ Type No Efficiency BTU/hr -------------------------------- ---------- -------------- 1. Electric Resistance 4 1 20478 409.------VENTILATION--------------------_____________________________,_ :CHECK Ventilation Criteria in 409.1.ABC.l have been met. : 410.-----AIR DISTRIBUTION SySTEM------------------------________________ AHU Type Duct Location R-value ----------------------------------- ---------------------- 1. Packag~d Variable Air Volume With Insulated Roof 15 411.-----PUMPS AND PIPING-ZONE 1-------------------------______________ Type R-value/in Diameter Thickness ------------------------ 1. Circulating 10 .75 1 412.-----WATER HEATING SYSTEMS-ZONE 1----~-------------------__________ ___ , I Type Eff iciency St!:mdbyLoss I nputRate Gallons: ,;. ------------------------ t L I --------r- --: ------- ---------- --------__ f I I ......... 1. Electric(<=12 KW) 20 .6 9 30: _ 1. ~ Electr ic( <=12 KW) 20.6 9 30', 413.-----ELECTRICAL POWER DISTRIBUTION-------~--_-______________________ lCHECK Metering criteria in 413.1.ABC.1 have been met. : Transformer criteria in 413.1.ABC.2 have been met. : 414.-----MOTORS----------------------_____________________--._____:_____ Motor efficiencies in 414.1.ABC.l have been met. : 415.-----LIGHTING SYSTEMS-ZONE 1------------------------------_________ Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft) Dental Sui -------------- --- ------ ---------- 5640 6200 5640' 6200 5640 :CHECK Lighting criteria in 415.1.ABC have been met. : ------------------------------------------------------------------,----- 1 On/Off 28 6200 Total Watts for Zone 1 = Total Area for Zone 1 = Total Watts = Total Area = ",. 16. HVAC load sizing has been performed. (407.1.ABC.l) -------------------------------------------------------------.----- ----- ------------------------------------------------------------------ ----- 17. Duct sizing and design have been performed. (410.1.ABC.l.2) ------------------------------------------------------------------ ----- 18. Testing and balancing will be performed. (410.1.ABC.4) ---------------------------------------------------------------------------- 19. Operation/maintenance manual will be provided to owner.(102.1) , T_ '" I/J'1/O, 7 d.~~t1') z -' Cc-Cf '1 3-\ ~ .- en F>c.......~ I E(ec.-k;c.. , Pfl.ltYlb>'5 o ~ LJoJ..t;r> ?t LJ W'O: N~ ~q)J \/y- ~~ ~.L ~(Is Dt\ly Ncrfk S;Ji 1~ R,B JS'tt13 .cdf R4{ ZEPHYRHILLS FIRE DEPARTMENT 38410 SIXTH AVE PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-3293 /. Business Name .l L.Jr<' I t;'(I'l /);(':':',.' Ie (1 t ';1 .5 Qo I..(~.) /) r) I '" , Address ....) () It:""'" . ..~ I~ {Z ((i I' :~~'(l' Bus. Phone '\ ) . (. (, , ", I ' -" .' ..~ -r- j1 _ ( . _"'\ ::-- OwnerlMg[~~~"') /':-- '/ c. I'). I I) R \... Occupancy Load Posted yeso noD Date Posted Emergency Phone Contact Person Alarm Company Phone # Type of Inspection Conducted Annual /' Reinspect _ Quarterly _ Final _ Commercial Check ~ Other ,,/ APPROVED I/"'/NOT APPROVED_ OK NOT OK LL../~ Exit Signs L/' _ Emergency Lights _ ".:.::..::::.. Heat Detectors ",/ ......-- Sprinkler .System ("r' ~ .' Exits Window Size Control Valves _ Water Supply Duct Detectors _ Exposures OK NOT OK v' _ Fire Extinguishers k::::..../ _ Smoke Detectors .L::::./_ Alarm Systems _ _ Hood System (__../ _ Storage Pressure Test _ _ Fire Dampers _ _ Fire Walls (.. // ...,..-- Address posted j.L.....'- Hydrants OK NOT OK _ _ HV AC Shutdown _ _ Smoke Doors _ Elevators t,..~ Electrical Panels _ ~ Tamper Switch ~/'~ Inspectors Test _ _ Smoke Separation _ _ Yard Trash _ _ Tenant Separation Smoke Evac. Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. Comments: LA:<: 7 '-/i.J n 15~;A .' 1..__1:> (..l a /.:; Inspection Date 0 t.j - 0.3 .. q -1 Time of Inspection J 0,'50 Re-Inspection Date Inspectors Nape-.l'^" ,;" (5' I .~, (./' '-'-''' ' Fire Department I. D.# 5"5 to Owners I Mgt Name h'd (~L{A. ...-1) Title S lJ r)'.. Thb buDding has been "~Sled by the Zephyrhills Fire Department. Utilizing tbe Codes and Standards of, NFPA Minimum Standards, the State Fire Marshals Uniform Fire Safety Rules and other local fire safety code.. Revised 9\10\96 White Copy - File Yellow Copy - Business