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HomeMy WebLinkAbout10-10833 CITY OF ZEPHYRHILLS 5335 - 8Th STREET (813)780 -0020 10833 BUILDING PERMIT Permit Number: 10833 Address: 38022 MEDICAL CENTER AVE Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0070-00000-0021 Improv. Cost: 148,705.00 t ` ° Date Issued: Name: KNIGHT, RANDOLPH Total Fees: 1,016.64 Address: 38022 MEDICAL CENTER AVE Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)782 -5543 Work Desc: INTERIOR REMODEL 1444 SQ FT (DEMO) .A. s � .. _, `" 3 ➢ , R • • • A • ` , • N I - I • N 810.00 L - AL 35.00 STRICKLAND POWER INC PLUMBING FEE 35.00 MECHANICAL FEE 35.00 DIVERSIFIED GLOBAL PIPING & CONS FIRE PLAN REVIEW FEES 86.64 FIRE INSPECTION FEES 15.00 WARD'S HTG. & AIR 3ft (Cv CjIL - AA) '':kC/ OA frW-( P 2 T - . /,( , j r Cita rro-n I. g e [ :1 _ s • S - � 2N1 - •U ' - MB � MI LA • FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Jacqueline Boges To: Kerry Barnett Subject: permit closed Greetings Kerry, Back in August on the 16` of 2010 you reviewed plans for Rodda construction for 38022 Medical center ave for a interior remodel. The permit has not been picked up and Rodda said that the job was put on hold. I have closed the permit and I told Rodda that they would need to resubmit plans for review before a permit would be issued. Thanks Jackie Boges Code Support Specialist ext. 3513 1 813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 I � Building Department f . . I ( 1 ' /� r3 Date Received � �[� g n __ , I , - `/ lJ._7 Phone Contact for Per it ,, / _ 1 - r - 1 1 1-7 1-r Owner's Name `.j �� Owner Phone Number LL �N ������ Owner's Address # �l� j__ J� y r bo►1 6$ umber [ " l / Fee Simple Titleholder Name ne'r'rhoihi NurrSb> Fee Simple Titleholder Address JOB ADDRESS D /,J n LJ`Il LOT # _ j s 00/ SUBDIVISION PARCEL ID# 3S` 25 1 —00W)— GoW)_ D O6 —c —DOA (\ 1-00 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM I I OTHER TYPE OF CONSTRUCTION I I BLOCK n FRAME I I STEEL I I 1 DESCRIPTION OF WORK J 1 V — /1 / O L / V BUILDING SIZE t 999 1 S. f4•FOOTAGE HEIGHT / t ]BUILDING VALUATION OF TOTAL CONSTRUCTION (ELECTRICAL $ r � V O AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. 0 ]PLUMBING $ t O`� 1 " 2 6 p 11� - 1 -- � 61 4 )....g4 IMECHANICAL $ 7 - -- - 0 0 VALUATION OF M INSTALLATION 2_ tA L IGAS 1 I ROOFING n SPECIALTY I I OTHER `./ C 00• ii FINISHED FLOOR ELEVATIO∎ FLOOD��Q�p{REA I NO •1111111111 ►����� 4 • 0- 11111111111111111111II1I •]]]•hl BUILDER , ,, - COMPANY a ���.�� �, �-Y/ !Lib A.......—. � SIGNATURE _ � REGISTERED wk . LA CURREN EMI Address 1 . 1 s. li11.11. _ ! ' ' ' �,' L3Li 5 � e � �3 itiomviiiRIJI ELECTRICIAN 11,. I S ( t SIGNATURE I .A._ REGISTERED Ir FEE CURREN Y / N I i•i■ Address ' r O C License # �� a lliallr PLUMBER �{/ //r COMPANY 11 ► t C1) Q�,M�� i I / SIGNATURE 1 REGISTERED Roam FEE CURREN ream t/ Address % ` _� �' / S I 3 3� License # ( F C 1 y 2� 3 MECHANICAL or� / . • PANY (V S 141 f C SIGNATURE — j s' j REGISTERED N FEE CURREN / N Address License # C -41C- 4 S - 1 33 OTHER / . COMPANY SIGNATURE � _ REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I I 1 1 1 1 I I 1 I 1 1 I I I I I I I I I I I 1 1 1 I 1 1 1 1 1 1 1, 1 I I 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: • Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot /Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor 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' 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, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT. N FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU - E OF .'• ENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTR•CTO - ►/��� Subscribed and sworn to (or affirmed) before me this Su. ri , e• a • Ar. 'o (` . firm d befo - by • annuli Who is /are personally known to me or has /have produced W o /are : - sona ly known to me - as /have produced as identification. -- '•entif • • /or Notary Public � otary Public Commission No. Co • ission No ., L I:i J p \a Gi/g f +p % Com m# 000728233 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Expi 1/16/2012 ° tia „F U , °,;ti..� Florid Notary Assn., Inc Pasco County Parcel: 35- 25 -21- 0070 - 00000 -0021 001 Page 1 of 1 I Data Current as Of: II Weekly Archive - Saturday, July 31, 2010 I Parcel ID I 35- 25 -21- 0070 - 00000 -0021 (Card: 001 of 001) I Classification Q 19 - Professional Service Building Mailing Address Property Value KNIGHT RANDOLPH A Ag Land $0 6425 BRENTWOOD DR Land $23,085 ZEPHYRHILLS FL 33542 -0622 Physical Building $145,712 hysical Address Extra Features $803 38022 MEDICAL CENTER AVE ZEPHYRHILLS FL 33540 -1383 Market Value $169,600 Legal Description (First 4 Lines) Assessed (Non - School Amendment 1) $116,878 See Plat for this Subdivision Non - School Taxable Value $116,878 PASCO MEDICAL ARTS CENTER PB School District Taxable Value $169,600 23 PG 24 WEST 36.00 FT OF LOT Warning: A significant taxable value increase may occur when sold. 2 Click here for details and info. regarding the posting of exemptions. OR 1396 PG 1724 Land Detail (Card: 001 of 001) Line I Use IlDescriptionl Zoning I Units 1 Type — II Price II Condition Ir Value 1 1900 PROF.BLDG 000P 4,860.00 SF $4.75 1.00 $23,085 I Additional Land Information Acres I 0.11 I Tax Area 30ZH FEMA Code I X 'Commerical Code PPMA7AA I Building Information - Use 19 - Offices Professional or Medical (Card: 001 of 001) Year Built 1985 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Rigid Frame w /Bar Joist Roof Cover Built -Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line I Description I Sq. Feet II Repl. Cost New I 1 I AOF I 1,440 $223,070 I 2 II CAN II 216 II $10,069 Extra Features (Card: 001 of 001) I Line II Description II Year II Units I I Valu ( 1 II PAV ASP 1985 II 3,417 $692 I 2 I SWC 1985 162 $111 Sales History I Previous Owner II N/A I Year II Month I I Book /Page II Type II Amount I 1985 II 02 II 1396 / 1724 11 WD II $0 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 35 &twn= 25 &rng =21 &sbb= 0070 &bl... 8/4/2010 Pasco County Property Appraiser - Legal Description for: 35- 25 -21- 0070 - 00000 -0021 Page 1 of 1 Welcome : Records Search : Parcel Details : Legal Description Legal Description 35- 25 -21- 0070 - 00000 -0021 Assessed in Section 35 , Township 25 South, Range 21 East of Pasco County, Florida PASCO MEDICAL ARTS CENTER PB 23 PG 24 WEST 36.00 FT OF LOT 2 OR 1396 PG 1724 Please be advised that our legal descriptions are for assessment purposes only, and are not intended for use in legal conveyances. Pasco County Property Appraiser Page Layout Modified: 2/17/2009 11:49:04 AM The Local Time Is: 8/4/2010 1:44:24 PM http: / /appraiser.pascogov. com /search/legal.aspx ?parcel= 21253 50070000000021 &cache= Fal... 8/4/2010 'Map - Pasco County Property Appraiser Page 1 of 1 Pasco County, Florida 2.0 miles of Zephyrhills Mike Wells I ■ 1 I AM!" = no '060 Z � MEDICAL CENTER AVE B -; When I click on the map: :+.' , (_ Quick Info , › 1 Full Info* ,47 ' ` t b 4 cii Zoom In 1.5x � ' � *� X. r + w• p W Choose Layers: . -- Parcel Lines (Default) ■ 021 020 < 030 -� y Z . 3 - - Parcel Labels (Automatic) -- Street Names (Automatic) 2009 1 ft - Color A { - - Select Additional Layer -- Select Grouping Drr w Help ',Print Image Size / Quality: 0000 (Quality applies if imagery is selected). Low Quality (Fast / )PEG) Links of Interest: • ■ 4 Recent Sales it this area Search for property ir. Pasco II N Map Search 405 Feet MapID# 10059098/4321 Street name information is maintained by the Pasco County BOCC GIS Department. http: / /maps.pascogov.com/ maps /showmap. asp ?Name = PascoMap_New &mdi = 10059098 &o... 8/4/2010 psi.., ,.:.:�. ..... City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Qo pick Q l- i \- 10-Y\ Date Received: B- ( - (0 Site: 3 i5o 22 Nect; I ' Ac -4-vk.. Permit Type: ! h ` +', Ci r ePP•odel S y t) Approved wino comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ This co • ent s et 'hall be kept with the permit and /or plans. i A t , . ft Kalvi S ∎'tzer' ' ans Examiner Date Contractor and /or Homeowner (Required when comments are present) Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnet0fire.zephyrhills.fl.us Plan Review #: 10 -092 Project: Reconstruction of Space Number of Pages: 14 August 11, 2010 I have received and reviewed the plans for the reconstruction of a medical space located at 38022 Medical Center Ave and will allow the plans to move forward. This project is considered as building reconstruction per NFPA 101, 43.5.2.1. The reviewing chapters used are Chapter 38 & 39 pending the guidance of 43. Any referencing chapter were also utilized for this review. By paying for permit contractor acknowledges to comply with the items below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. The plans received indicate a fire alarm system. Installing contractor shall submit separate plans to obtain a permit to perform the job. All cut sheets /details of devices used along with battery calcs shall be submitted. 2. Any penetration to the fire wall will require an approved listed method to maintain that rating. The method used shall be provided to this authority to ensure the rating is maintained. 3. Ensure the secondary egress (door) has a single motion to get out. No dead bolts or secondary locks. 4. The calculated cfm's are over 2000 therefore install a duct detector for the air handler unit per 6.4.2.1 of NFPA 90A. Duct detector shall also be tied into fire alarm system and shut down the unit per 6.4.4.2 of NFPA 90A. 5. Building appears to have a lightweight truss system. Per FAC 69A- 60.008 a lightweight truss sign shall be installed at the main door, left side at a height of 4 - 6 ft. Inspection Required 1. Penetration Inspection 2. Final KERRY BARNETT, FIRE MARSHAL ** *Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. -- ZEPHYRHILLS `FIRE1DEPARTMENT 6907 Dairy Road,-Zephyrhills•, FL 33542 t = I a r_ Fire .Chief Keith Williams - _ -- BUS (613)780 -004 Fax (813)780'; 0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: /lj 2 2 Contractor: ,,,, °- ( C #f // d Business Name: Billing Address: r — ��/ Business Address: jy-p / el. - A G, 3 Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: i PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE I — FALSE ALARM FEE — Site Plan N/C Annual N/C _ Sprinkler $50. — - Family /Commercial .06 sf 1st Re- inspection N/C :1st Alarm N/C Multi _ Standpipes $50 _ 2nd Alarm N/C (Minimum Charge $25.00 2nd Re- inspection $100 — Fire Pump $50 — :3rd Alarm N/C 0 Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50' — :4th Alarm $100 _ 4th Re- Inspection $500 Fire Alarm $50 _ 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until • _ LP Gas $50, — 6th Alarm $200 — 0 - 25 Heads $50 violations corrected) Natural Gas $501 — NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks - per tank $50� — STANDPIPE SYSTEM _ Hydro Undergrounds $45 _ Sparklers $100 0 Per Riser $50 ^ Hydrostatic Test $65 per system _ Fire Works $500 FIRE PUMP _ Acceptance Test $45 per system _ Camp Fire $25� El Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 . 0 - 25 Devices $50 _ FIRE ALARM SYSTEM Place of Assembly $50I Annual 26 plus Devices $100 System Acceptance $50 Fire Protection $251 SUPPRESSION SYSTEMS _ Recall Acceptance $50 _ Flammable Application $501 Annual Wet $50 OTHER Waste Tire Storage. $50 Annual — _ Dry $50 ire Wall/Smoke Wall 0 , r wall Generator < KW $100 _ CO2 $50 LP Gas per tank ^ _ Generator >30 KW 150 _ Other $50 Natural Gas $25 per system _ Bio- Hazard Waste $100, Annual KITCHEN EXHAUST _ _ Fumigation Tenting $501 Ei Hood/Ducts — Tent 10'x10' or greater $15 per tent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz. Materials $100 Annual LP Installation per tank $50 _ Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 _ Exhaust Hood/Duct 530' 0 Natural Gas Installation $50 _ Re DBL (Per System) (other than annual) _ 0 Spray Booth $50 0 Inspection scheduled DBL and cancelled less than . _ 24 hours _ Construction Insp. N/C _ f Air. Emergency Vehicle Po $50 ! FALSE ALARM PLANS TO AL 'If/, INSPECTION TOTAL) /5 I PERMIT TOTAL ! TOT GRAND TOTAL frf2:::2 . Comments: l 1 Date: { '� InsAgctor: i/r '/f/g40r Zephyrhills Fire Rescue 6907 Dairy Road • Zephyrhills, FL 33542 Fire Chief Bus (813) 780 -0041 Keith Williams Fax (813) 780 -0044 Notice to Comply Florida Statute, Section 633.027, (2008). Requires the owner of any commercial, industrial or multi -unit residential structure of three units or more constructed of tight - framed trusses, to install a symbol adopted by rule of the State fire Marshal's Office. This rule establishes the dimensions, color, and location of the symbol to be applied to every commercial, industrial and multi -unit residential structure of three units or more constructed of light -frame trusses. Your building has been inspected and it has been determined that you are required to comply with this rule. Therefore State Fire Marshall rule(s) 69A -3.012 for Uniform Code buildings or 69A60.008 for Minimum code buildings requires you to install the required symbol(s) within 90 days of receipt of this notice. Where the owner of the structure and the authority having jurisdiction disagree as to the use of light -frame truss -type construction within the structure, the owner shall be granted not more than 45 days to provide written verification from a licensed engineer or licensed architect; otherwise, the owner shall comply with the rule. O r1)* 4111110L R Lightweight Truss Floor Lightweight Tru ' •of Lightweight Truss Roof & Floor • Symbols must be all weather and contrasting with background • Maltese Cross shall measure 8 inches horizontally and 8 inches vertically • Maltese Cross shall be bright red reflective color • Maltese Cross shall be within 24 inches to the left of the main entry • Maltese Cross shall be not less than 4 feet above grade, walking surface, finished floor • Maltese Cross shall be not more than 6 feet above grade, walking surface, finished floor • Additional signs to be installed as determined by the Authority having Jurisdiction. • The complete rule is available on the State Fire Marshall web site under Rules of the State Fire Marshall I am in receipt of the Notice to Comply and understand that the required symbol shall be installed within 90 days of signing. ADDRESS: Date iss - • . i Date to comply: Fire ""s• `fir Building Owner or Representative � sr� a, " • � z , Y � :rP i '- a: ...,,....��s . � ,rs&+.�..�a'a�;a ,. , �6 « °; fa. <, -P,., s.�we� �:w £„�,, a ub , ✓.Sa:�,. � .� PROJECT SUMMARY Short Desc: 3148 Description: Dr. Tang Clinic Florida Hosl Owner: Addressl: City: Zephyrghills Address2: State: FL Zip: 0 Type: Healthcare - Clinic Class: New Finished building Jurisdiction: ZEPHYRHILLS, PASCO COUNTY, FL (611600) Conditioned Area: 1451 SF Conditioned & UnConditioned Area: 1451 SF No of Stories: 1 Area entered from Plans 1451 SF Permit No: 0 Max Tonnage 3.8 If different, write in: Ile1 9 EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 7/30/2010 Page 1 of 7 Compliance Summary Component Design Criteria Result Gross Energy Cost (in $) 1,225.0 1,252.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS None Entered PIPING SYSTEMS None Entered Met all required compliance from Check List? - o/NA IMPORTANT MESSAGE Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 7/30/2010 Page 2 of 7 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with he Florida Energy Code Prepared By: Michael Curkan Building Official: 1 j/ Date: D 7730/0 Date: pd.-to I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify ( *) that the system design is in compliance with the FLorida Energy Efficiency Code Architect: Reg No: Electrical Designer: Henryck Juszczyk Reg No: 58082/FL Lighting Designer: Henryck Juszczyk Reg No: 58082/FL Mechanical Designer: Michael Curkan Reg No: 45846/FL Plumbing Designer: Michael Curkan Reg No: 45846/FL ( *) Signature is required where Florida Law requires design to be performed by registered design professionals. EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 7/30/2010 Page 3 of 7 Project: 3148 Title: Dr. Tang Clinic Florida Hosp. Type: Healthcare - Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Building End Uses 1) Proposed 2) Baseline Total 78.30 93.90 $1,225 $1,473 ELECTRICITY(MBtu /kWh!$) 78.30 93.90 22935 27540 $1,225 $1,473 AREA LIGHTS 17.90 22.70 5255 6665 $281 $357 MISC EQUIPMT 21.80 21.80 6377 6377 $341 $341 PUMPS & MISC 0.00 0.00 3 11 $0 $1 SPACE COOL 28.80 25.10 8440 7361 $451 $394 SPACE HEAT 0.20 0.80 51 230 $3 $12 VENT FANS 9.60 23.50 2809 6896 $150 $369 Passing requires Proposed Building cost to be at most 85% PASSES of Baseline cost. This Proposed Building is at 83.1% EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 7/30/2010 Page 4 of 7 External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No. of Units (W) (W) (Sqft or ft) None Project: 3148 Title: Dr. Tang Clinic Florida Hosp. Type: Healthcare - Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance Zone 1 10,004 Exam/Treatment (Hospital) 1,451 2 1 PASSES PASSES Project: 3148 Title: Dr. Tang Clinic Florida Hosp. Type: Healthcare - Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) System Report Compliance AHU -1 Healthcare Clinic Constant Volume Packaged No. of Units System 1 Component Category Capacity Design Eff Design IPLV Comp - Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 0.20 0.90 PASSES System - Supply Constant Volume Air Handling Air Handler (Return) - 0.20 0.90 PASSES System - Return Constant Volume Air Distribution ADS System 6.00 PASSES System PASSES EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 7/30/2010 Page 5 of 7 • Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance None Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Reg Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick [in] Thick [in] [F] .SF.F] None EnergyGauge Summit® FIa /Com -2008. Effective: March 1, 2009 7/30/2010 Page 6 of 7 Project: 3148 Title: Dr. Tang Clinic Florida Hosp. Type: Healthcare - Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Report 13 -101 Input Report Print -Out from EnergyGauge FlaCom attached Er Operations Manual 13- 102.1, Operations manual provided to owner d 13- 410,13 -413 Windows & Doors 13- 406.AB.1.1 Glazed swinging entrance & revolving doors: max. 1.0 cfm/ft all other products: 0.4 cfm/ft / Joints /Cracks 13- 406.AB.1.2 To be caulked, gasketed, weather - stripped or otherwise sealed Q Dropped Ceiling Cavity 13- 406.AB.3 Vented: seal & insulated ceiling. Unvented seal & insulate roof & side walls System 13 -407 HVAC Load sizing has been performed Reheat 13 -407.B Electric resistance reheat prohibited HVAC Efficiency 13 -407, 13 -408 Minimum efficiences: Cooling Tables 13- 407.AB.3.2.IA -D; d Heating Tables 13- 407.AB.3.2.1B, 13- 407.AB.3.2.1D, 13- 408.AB.3.2.1E, 13- 408.AB.3.2F 12( HVAC Controls 13- 407.AB.2 Zone controls prevent reheat (exceptions); simultaneous heating and cooling in each zone; combined HAC deadband of at least 5 °F (exceptions) Ventilation Controls 13- 409.AB.3 Motorized dampers reqd, except gravity dampers OK in: 1) exhaust systems and 2) systems with design outside air intake or exhaust capacity <300 cfm 12( ADS 13 -410 Duct sizing and Design have been performed HVAC Ducts 13- 410.AB Air ducts, fittings, mechanical equipment & plenum chambers shall be mechanically attached, sealed, insulated & installed per Sec. 13 -410 Air Distribution Systems Balancing 13- 410.AB.4 HVAC distribution system(s) tested & balanced. Report in 12( construction documents Piping Insulation 13- 411.AB In accordance with Table 13- 411.AB.2 Water Heaters 13- 412.AB Performance requirements in accordance with Table 13- 412.AB.3. Heat trap required Swimming Pools 13- 412.AB.2.6 Cover on heated swimming pools: Time switch (exceptions); Readily accessible on/off switch Hot Water Pipe 13- 411.AB.3 Table 13- 411.AB.2 for circulating systems, first 8 feet of outlet El Insulation pipe from storage tank and between inlet pipe and heat trap Water Fixtures 13- 412.AB.2.5 Shower hot water flow restricted to 2.5 gpm at 80 psi. Public El lavatory fixture how water flow 0.5 gpm max; if self - closing valve 0.25 gallon recirculating, 0.5 gallon non recirculating Motors 13 -414 Motor efficiency criteria have been met Lighting Controls 13- 415.AB Automatic control required for interior lighting in buildings >5,000 d s.f ; Space control; Exterior photo sensor; Tandom wiring with 1 or 3 linear fluuorescent lamps >30W EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 7/30/2010 Page 7 of 7 0 u E cu .� • r E. E. U a�i ca U a 75- 4" o t al cu F " 0 x Z ~ -. —' = L Ui ' .o � cw C ° s wi - — O d — ' w .. w w . u) o C-. x ri el C r4 v z el p ® FBI u N � H L" N CD CD � — E la cu et 1.• C A cu u cA O. © E—{ 0 (1) g � • >, a L.1 to L. w Z z w 0 H 19. 04 Q o 0 F 0 o. b >> • 4-, H 0 w U U tO c 00 `, o U c i a ct :r M Ca L� O 'y O. u L 6 4., a a ca N H $. + N x A z — x u b 0 �� L E >a 0 O 0 tt s u o ca o N Q ° O N O Z M z ❑ ❑ ❑ El ❑ ❑ y N 00 00 00 CC M M M Q 4w y > 4 O O a — — a .c OS O L . 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