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Home My WebLink About12-13367 CITY OF ZEPHYRHILLS • . 5335-8TH STREET ' (si3)�so-oozo 13367 BUILDING PERMIT Permit Number: 13367 Address: 7920 GALL BLVD 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: ZEPHYR COMMONS Est. Value: Parcel Number: 35-25-21-0130-0000-0140 Improv. Cost: 295,328.00 Date Issued: 8/22/2012 Name: SF ZEPHYR COMMONS LP Total Fees: 18,691.52 Address: 2851 JOHN ST STE 1 Amount Paid: 11,994.23 MARKHAM ON CANADA L3R 5R7 CANAD Date Paid: 8/22/2012 Phone: Work Desc: BUILDOUT FOR HUMANA OFFICE 4,939 SQ FT ALVAREZ PLUMBING COMPANY WATER CONNECTION COMMERC 1,899.54 PLUMBING FEE 160.95 ABSOLUTE AIR SYSTEMS INC MECHANICAL FEE 112.67 SEWER CONNECTION COMMERC 5,956.43 SUTPHIN ELECTRIC INC FIRE PLAN REVIEW FEES 296.34 TRAFFIC IMPACT FEE 99% 8,840.41 TRAFFIC IMPACT FEE 1% 89.30 �� I�j � ' �T� '`�g IMt� �� r�n�tt '" 2�'�� t�✓ �_ �� C' ' . ,�a, r�Law Lc��'c�.o� �L�__.--% 3.I�e..�✓� '�^@ BP P�� uQ �- u � i �.��-r�c� � R,t �.27-�z c��s8�t��G �-j s �Jc�z F�--`��, b . z9 _ P� �.sao 7T� �z, zaZ.y2 g�--�� e,k-�.,P�zo 3 �.5�� ,�,-� -�� :�� -�,.d► P zz-,y �� g��zG � � Y �--�f-C v t�� PA n�e c�l• �.s'a4A� ��" n�"c� R- '�.i..s�c�;ar, -�d �wz.-u� B-2�-(7,r 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)oondemned 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� 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 requir�d 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 properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � � NT R SI TURE PERMIT OFFI R PERMI PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams F� (813) 780-0044 17 August 2012 Plan Number 12-030 Project: Build out of Humana Guidance Center, 7920 Gall Blvd, Zephyrhills. Number of Pages: 42 Pages This O�cer has reviewed the submitted plans for the build out of Humana Guidance Center, 7920 Gall Blvd Zephyrhills. Plans are approved as submitted with the following conditions: 1. Emergency Lights are required inside each restroom. 2. Any existing fire separation shall remain as per plans, should any modification(s)be required they shall require plan submission and inspection. 3. Places of Assembly Permit shall be required for training area. 4. Combination Emergency/Exit light units are allowed. 5. Fire Alarm plans from a Florida licensed fire alarm contractor must be submitted for review, approval and permitting. 6. Fire Sprinkler plans from a Florida licensed fire sprinkler contractor must be submitted for review, approval and permitting. Payment of permit fee indicates acceptance of the requirements of these review comments. Inspections Required: 1. FinalInspection. 2. Firewall inspection, onlv if any modifications occurred durin work. 3. Final Fire Alarm acceptance test/inspection, responsibility of Fire Alarm Contractor. 4. Sprinkler rough-in inspection and final inspection, responsibility of Fire Sprinkler Contractor. Review and approval of the submitted plans does not relieve the contractor from the responsibility of correcting any deficiencies noted during inspection. Respectfully submitted on 17 August 2012 by, � + Keith A. Williams, EFO, CFO, CEMSO, MIFireE Fire Chief Fire Safety Inspector, #148104 . , ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Raad, Zephyrhills FL 33542 Fire Chiefi Keith Wiiliams Bus (813}780-�041 Fax (E313)780-0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: 12-030 Contractor� Wilson & Co Business Name Humana Guidence Ctr Billing Address 1227 E Broadway Suite 101 Business Address _7920 Gall Blvd, Zephyrhilis _Oviedo, FL 32765 Business Phone No Billing Phone No 407-509-0834 Business Fax No Billing Fax No Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE SitePlan N/C Annual N/C Sprinkler $50 1stAlarm N/C X Multi-Famtly/Commercial 06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$25 00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � 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 $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25 Devices $50 FIRE ALARM SYSTEM X Place of Assembly $50 Annual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 nnnuat Wet $50 OTHER Waste Tire Storage $50 Annual �ry $50 Fire WaluSmoke wall $15 Pe�wan Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 pertent 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 $30 �Natural Gas Installation $50 Re-inSpection DBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp N/C Emergency Vehicle Ac $50 FALSE ALARM PLANS TOTAL� INSPECTION TOTAL PERMIT TOTAL 50 TOTAL 296 34 GRAND TOTAL 346 34 Comments Date �l G�/� Inspector �,,�,1� ,,.,.� /Ilh s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Receiyed � ��=7�� Phone Contact for Permitting (? � __ (�"�� Owner's Name �� r � Wt, S �-P Owner Phone Number Owner's Address �v�lJ� � {�n bT S-C� I Owner Phone Number C Fee Simple Titleholder Name ��rk m �� 3 Owner Phone Number C Fee Simple Titleholder Address JOB ADDRESS 7920 Gall Blvd., Zephyrhills, FL 33541 LOT# � SUBDIVISION PARCEL ID# 35-25-21-0130-00000-0140 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT �X SIGN � C� DEMO�ISH INSTALL REPAIR PROPOSED USE � SFR � COMM x� OTHER TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � DESCRIPTION OF WORK Interior renovation �7 J S �-�' BUILDING SIZE SQ FOOTAGE� HEIGHT �Jh,./� �Y/��i� '��` _-5/ � � � � � � � � � � � � � � � � � � � � � � � � � � � i � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � i � � � �BUILDING $ ' i ,) � VALUATION OF TOTAL CONSTRUCTION G �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.C. �PLUMBING $ �'/�/_� � �lllt�' r c� �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� I`,�„ �� GAS Q ROOFING � SPECIALTY � OTHER � � i��r 1��"��r FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �,� p�'" �`�-��{.�S L� /-"� BUILDER COMPANY Wilson & Company, IC1C. SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N Address 1227 E. Broad ay St., St 01, Ovi o, FL 32765 License# CGC 021945 „_.-- - ELECTRICIAN -� � COMPANY t�� rry�i L SIGNATURE REGISTERED Y I FEE CURRE� Y 1 N Address � a� rQC�2Lc�CL �-� �`�Y -( License# � f� � �� PLUMBER COMPANY 'Q/c9L �(�`ljl.�`/Lf �hC��-� SIGNATURE � ' _ REGISTERED Y FEE CURRE� Y N �/' Address 2 S � f c__.License# �n�11'7� � v" — MECHANICAL +'�� `� COMPANY • `JOI (R � 1 R .T ��1�'�5 � C SIGNATURE REGISTERED N FEE CURRE� N Address 7` C�C= 1,g l 3�� Oq License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 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 8� 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. �� Dlrections: Fill out application completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is requlred. (A/C upgrades over a7500) *' 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(PIoUSurvey/F�tage) Driveways-Not over Counter if on public roadways.needs ROW IOTICE O� DEED�RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" rhich may be more restrictive than County regulations. The undersigned assumes responsib(Ifty for compliance with any �pplicable deed restrictfons. JNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or ;ont�actors to unde�take work, they may be required to be I�ensed in accordance with state and local regulations. If the :ontractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation inder state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the �tended work, they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847- t009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractons) sign �ortions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the :ontractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco ;ounty. �R�►NSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands hat Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of ise in existing buildings, or expansion of existing buiidings, as specifed in Pasco County Ordinance number 89-07 and �0-07, as amended. The undersigned also unde�stands, that such fees, as may be due, will be identified at the time of �ermitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to eceiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or inal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact ees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. �ONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes, as amended): If valuation of work is $2,500.00 or more, I :ertify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's �rotection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone �the�than the"owne�", 1 certify that 1 have obtalned a copy of the above described document and promise in good faith to �eliver it to the"owner"prior to commencement. CO�ITRACTOR'S/OWNER'S AFFIDI+►VIT: I certiry that all the information in this application is accurate and that ail work roill be done in compliance with all applicable laws regulating construction, zoning and land devetopment. Application is �ereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has �ommenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating �onstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also �ertify that I understand that the regulations of other government agencies may apply to the intended work, and that it is �ny 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 8 Rehabilitative Services/Environmental Flealth 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 fili: - 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 owne� may be cited for violaiing 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 requlred. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in ;his a�davit prior to commencing constructfon. I understand that a separate permit may be required for electrical work, alumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A �ermit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or �et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter •equiring a correction of errors in plans, construction or vfolations of any codes. Every permit issued shatl become invalid �nless the work authorized by such permit is commenced wlthin six months of permit issuance, or if work authorized by :he permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension �nay be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate ustifiable cause for the extension. If work ceases for ninety(90)consecutive days,the Job is considered abandoned. JNARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IINPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANCING, CONSUL7 �IVITH YO R D R AN TT R E FO E ORDING Y U O =LORIDA JURAT{F.S. 117.03) � �WNER OR AGENT CONTRACTO iubscribed and sworn to(or aiflrmed)before me thls Su scrlbed and 9bee to t aiflr e th by ?2!y by � Nho Is/are personally known to me or has/have produced Whqls/ar�persona ly_known to me or haslhave produced as Identlficadon. ��l?'7 !/�l� L.t� as ldentlfiqtion. Notary Pubflc � Notary Public �ommisslon No. C ml ion N 'ti��"''• JACQUELINE ES �° :�: Expires December 12,2014 Vame ot Notary typed,printed or stamped Name of Notary � 08-09-'12 07:49 FBOM-�ilson & Company,Inc 40?3650806 T-272 P001/001 F-291 s�� r1O� ca,MY� Pasco �z"�iz'i�3 88�nmNtnnq�n�l�m�u��NUINI , THE�INIDEJt61Gl�b hRllby�rec rpyx Ih�l N�prorament w�be mAAe b oatsin reel propeAy.and in Acoordana,wRh(kfip4er 719;Floiida�Islules, ' tlM f�loirNg iilnrtndbn is pnvfded i�tlis Noebe ol C� 7. Desa�p�ion oiPrapnt�: �roet roa�odon t�o. 85-25-21�0130-OOOOa01�0 Rop!:1�53248 Rs�: 10.00 slneetndd►as: ,7920GstlBwd..Zovhyl'hiNe,F�33541 .._.,. D�� 8.N IT: e.e0 Isb/�6/17 p. 8w�f1La, bply Clerk z. �c�ena�oer�aiauon a�ovemene•Ir�erior renovation 3. owner hbrm�aon er Las�rtitam�rran if�he 1.es�ee aoaarae�ed iar ene�mprn�erna�t; SF Z��Hy R CeMMOrs t,P N �s�� r" �r-sr�7 ��t,�t tc�lA,w �, owr,�w�,�•!�t oN �� S,r��, citr sute . Nwne d Fa�SYnpbT�M: � (K dYle�snt han Owner iskd above) !' � VYisan d►Campany,Mc. � . sa�. ' �- 1227 E�Sir�est.Sui�101 O� 32.� la''�'`� �L j ca�,r�.aors Tdeo�on�No.: 407.366.0906 � � . I� ZgpHyR CpI�WNS PHAS$ 1 PB 6 S' PG 13 2 � LOT 14 • SUSJEGT TO & TOGE'�kiER WITH i p��G gp�SR�]T AGRBEMSNT pER QR 8046 PG 413 i OR 84�6 PG 817 � s. teAam: u8��tfi1R� OrP�rle, NA7haM. I�si'ee�.!•riaw, W+�sreN x'il�+N La4� �Tyt .1 .l�:''"�.Rn. �;. w,.�►s,s�--�.�ce�, ,u c. , urd.rsTNephone 1�%: 7�_'" 7�Y'"��► � Slsk 7. Pieisa�s wMhin tlK 8p�e oi Flo�id�depgn�d br ihs owne�upon whom noboea ar olher documems eraY be aerMed as pro�ided hy See1e�719.1�(11N3�1�Fhridr Slalules' �'CA�'�!!'! /�1�7�1u Nsn�e yf�Sa I�7bNM.� Ro:x /Q� �+�'i� �o PAt.�h �6�ltV Frb�t�yVS '�Z,. �ekp�a�e�.►�,ero�o.�nateoPer6w. ��►�",t�I9� Sr.,a6 � rma�.A s.o��r�,Pr,.D.WiS� ix.EAK � COMPTROLLER 8. �,.��c��►�� D.ic� ��r�� °Ba ei� ��;�j �'�36a6 PR�r►+�'+� �-r► aea�►P � to�aaeire a w�p o!lhs Ueno1`6 NClipe as provldeu in 5eexion 713.19(1 xb).F7o�s+aeutea. TMephorle�MN17Me1o!Pa�son or EnIMrD�ipnslsd�Qwner, �3`l3�43Zro�$�fi 8. E�iNion dple d NoGoe ot C,amrner�a►�ent hhe e�k�Ha+drte may�ot be be/ooe ths campkGan ot ooncwe6on�►w firwl�rae�t W Ihe • ooNra�.buc wlr ee ane v�►tram aro wta ot isoo�IM►p ul�e�.dAlener►t dnte(a ip.dledf: �W1RI�NG TO CMVI�R 11NY pAYMENTfi MACiE BY 7'!1�W1M�R APi'ER THE FafiNRA710N OF Tli�NGTICB OF C01a1�1E1dT AI� CON�IOBIEp #�OPER PAYMENTS tJNDER CPIAP7FR 7�5. PAkT 1, S�CTtbl�t 713.t F1.ORIDA STATItiES. AHO �AN II�NLT IN YCUR PAYMIG 71NIC� �'dt IMPhOVEA1ENTS TO YOUR PR�P�RTY. A NOl1C� OF COIYIMI�NC�AAEI�['t' NlllST QE �L�NpE�OR AN A n R��+�'OR��ENFlR�GING VY�R�CO I�NG� O�LNt N071C�.�T0�1'�NGFOM�IAE�N�NT'CbNSU�T �pp�r,�af pe�aY�ro�hat I hov�e rsa0 tne�meY�9 noNOe M cane�nsnt antl tbrt me(ads sbkd 11►erein sro Ws�o�hc besc wd - STATE OF Fi.ONIpA • or i.eiisa or Own�a or Lasee'a Aulhafrsd �� , .{��. , . . . �,� 'r • - • . . . � ` 'pa%n�es�ih'a � xOl�bp�e�" '��.LC�.�''^ . . '�' "�;re�dij-': . . ��—. i ia,J��s,�� (tYPe ol a�Anor7ty�e.g.,aiAOer�tnotse,anorney in tset)tm i �, L�,__j��a�n�,! _� (nem■ ny on bebi� whofA iranume�+K waa exrcwed), P�eexaroR�r Known B"�R�idmY7Kxf+�on� Nomry Signartw�s � Type o►�alion P�oduoed N�me tPrtnq ��1,��rn i�l1 I �S`tAr-crnh��y � �,eT � �,/,/svYr�cm�.;o.y''t,� � Humana Office-7920 Gall 4,939 sq ft-contractor Wilson 8 Co. �� o u n � �� SQ. FEET PRICE MAIN OR LIVING: 4,939 OTHER AREA UNDER ROOF: - OTHER: - $ _ VALUATION $ 295,328.00 FEE SHEET $ 1,073.00 ADDRESS DRIVEWAY BUILDING: $ 1,094.46 ELECTRICAL: $ 241.43 PLUMBING: $ 160.95 MECHANICAL: $ 112.67 SUB-TOTAL $ 1,609.50 TOTAL $ 1,609.50 SEWER: $ 5,956.43 WATER: $ 1,899.54 IRRIGATION: $ - TOTAL: a 7,855.97 WATER METER: �/a IRRIGATION METER $ - n/a FIRE DEPARTMENT FEES PLANS TOTAL: $ 296.34 INSPECTION TOTAL: PERMIT TOTAL TOTAL: S 296.34 PUBLIC SAFETY IMPACT FEES POUCE FIRE 5% $ - TOTAL: ; - pd bp#8063 SUB-TOTAL $ 9,761.81 C-"- PARK IMPACT FEES n/a SIF'S: 100.0% $ - 1.0% $ - TOTAL: n/a T I F'S: $ 8,929.71 developer agreement$1808 per thousand 99% $ 8,840.41 office space o � 1/o $ 89.30 2 5�io �-22' (2 C,k�Sg� TOTAL: $ 18,691.52 $ Z' 23��Z z �� I�,(�R� 9 Ja�queline Boges From: Jacqueline Boges Sent: Tuesday,August 21, 2012 12:00 PM To: 'sharonhisey@wilsoncompany.neY Subject: 7920 gall blvd humana office cost sheet Attachments: contractor certificat.docx; 7920 gall blvd humana office buildout 4939 sq ft.xls Sharon per your request I have attached our fee sheet for the job at zephyr commons. Again TIF impact fee will have to either be paid entire amount or 25%of the fee due upon permit pick up and 75%be paid before pre-meter. Thank you let me know if you have any additional questions 813-780-0020. FYI again Need electrician to register with us to put in our contractor file attach requirements for you.They may fax in everything and we will put in the system. Need page 2 of application may bring in upon permit pick up . If owner signature not on application notarized than we would need a copy of the contract or proposal for the job. Jackie Boges Code Support Specialist ext. 3513 i CONSTRUCTION CON'I`RACf This Consttvction Contract("Contcsct")madc and effoctivc this 25th day of July,2012 ("Et�octive Date'�, by and betwoen Humana Inc.with offices at 500 We.st Main Str+at,Louisville,Kentucky 40202("Humans"), and Wilson 8t Company,Inc.with a principal place of busie�ss at 1227 East Broadway Strat,Suite 101, Oviodo,Florids 32765("Contractor"). WTTNESSETH, WHEREAS Humana intends to con.4wct: MazicetPODVT-Towaview Square-Relocation#1001294 �"�1�t") At the premises locatod at: �920 Gall Boulevard,Zephyrhills,Florida 33541 ("Premises"); NOW THEREFORE,Ham�ma and Contractor,for the considastions hereinafter set forth agroe as follows: Ardde 1.THE WOItK TO BE DONE: Contrsctor agrees to provide all the labor aad materials and to do all things nocessary for the gmper constr��ctioa of the work as described in Ez6ibit A,Proposal,sttsched herdo(the"Work"). ArHde 2.TIME OF COMPLETION: 1. The Work to be performod urder this Contract shall be c�ommencod after the exocution of this Convsct aad upon Contractor obtaining any necessary building pemrits.T6e Work�aU b�complet�d no bter t�an October 1,ZQ12. 2. The Wmic shall be decmod complete upon obtaining an approval at the final building inspoction by Humans and any otha pn�p�r aut6orities if applicable,obtaining any necessary Cutificate of Occupaacy, and receipt by Humana of all s�boontrsctor lien waivers.Pos,�ession of the Premises shsll be delivaed to Humana or its designa after issuance of a Final Permanent Certificate of Occupancy where applicable,and written punch list has boen developod,agr+eed to,signed amd dated by Humana and Contractor. 3. The time of completion nnay be extendod if delay in the}n+ogress of the Work is caused diroctly and solely by an act of negligence by Humam,material changes in the Work sppmved by Humana in writing, force majeure events,or a cause not within Coutractor's c+easonable conh+ol.Lack of materials or workforce on the part of Contractor shall not be considered a force maje�u�e event. Artlde 3.LUMP SUM CONTRACT: Contractor shall perfoim all of the above refenacod Work for the lump sum of two 6undrai nlnety-tive t6ousand,three 6uadrai twenty-dg6t ddbrs and one cent(S29S,3Z8.01). Artide 4.CHANGES IN WORK: Changes in the Work may bc accomplishod after the exocution of the Contract by a Chaage Oider.A Change Ordtr is a written instnuneat preparod by the Contractor aod submitted to the praper autl�orized Hun�am r�►taave for written appmval.Chaage Orders shall u�clude: description of the chsnge in the Work, amounts of adjuatinents to the Contract svm if any,and the extent of the adjustment in the Contract time if Page 1 of 8 any.Tbe Change Order shall be substantially in the fonn as attached as Ezhibit B,and Contiactor sbell not perfotm any Worlc tmder a Chsnge Order unless aad tmtil it is ezecuted by Humans. Artlde 5.WAItRANTY AND CORRECTION OF WORK: 1. Contracto�wanants to Humana tbst(a)the Worlc to be performod and the mataials fu�nishod unda tl�e Co�ract shall be of g�ood quality and n�w udess otherwise requirod or paaniuod by the Contract Doaune�; (b) the Waic shall be free fram defocts in design a�d worlanaa�hip; and(c)t�Work shsll conform with the spec,�fications and roquiremeuts of thc Co�ntract. Work not oonfo�miag to t6ese roquir�nts, including substitutioos not P�per1Y �p�nved and s�horiz�d, may bc oonsidened defective. Contractor's wartanoty exchdes damage or�fect catisod by abuse or improQa apera�an by Humana 2. Cont�acwr s6a11 raperform all Work thst is defxtive or does not c�nfonn to the n�quirun«�s of the Contract Documems; provided that such defects or iwn-coaformities appear within one (I) year S+o� acceptanoe by Humet�a of the Wrnic. All oosts of re-perforniing suc� Work, including additional te.ating and ins�ectian, shaU be bome by Contrador. In the e�+eat Contra�tor fails t4 ro-perform suc6 Work witi�in thitty (30) days following Humana's noticx fliereof to Contrsctor, Hwasna shatl have the right tfl 6ave the same corr+ected at Contractor's expense. Artide 6.APPLICATION FOR PAYMENT: 1. At the completion of the Work,Contractor sball submit a payment roquesVinvoice for the lump sum oost of the Work set forth in Article 3,which roqu�t sb�all ideatify any retainage previously agreod. 2. Whene applicable,Contrsctor shall svbmit to Humana releasos or lien waiveas of all liens(including �bvontrsctor,sub-subcontractor,msterial meq and laborers)(partial or final)showing that all payments and or indebtedness from d�e previous period requisition 6ave ba,�t duly satisfied. 3. Humana shall review Contrecto�s roquisition for funds due as set out in this Article 6,and upon apprvval,shall pay Contractor within 4S calendar days of such approval. 4. Payment(s)otherwise due may be widiheld on account of defective Wak that preveats the use of the space, for damsge by Contractor or its ageats to others,or failure to make payments properly to subcontiactors for materials or labor(whether or not a lien has been filod). Fiml payment wiU bc made no later than 45 days after completian.On construction projocts,before final payment is msde to Contractor, Contra�ctor shall furnish final lien waivers from all sub-conhactors end material suppliers clearing all "Notices to Owner"or a bond satisfactory to Humana indemnifying against any liea,and a Contracta's Final Affidavit. Ardck 7.DISBURSEMENTS: Should Contractor ncglect or refuse to pay,within thirry(30)days after ft falls due,any bill legitimately incucred by Contr�tor heirunder in relation to the Work,Humans,after giving the Contractor twenty-four (24)hours written notice of intention so to do,shall have.the right(but not the obligadon)to pay such bill directly and deduct the amount fi+om the Contract ainouat. Page 2 of 8 Artlde 8.TERMINATION OF CONTRACT: 1. Should Contractor fail to execute the Work pmpecly,or fail to pea�'am any provision of the Contnet, Humana may,after written notice to Contiactor, immediately termiaate the Contract,in whole or in patt,and tak�possession of the site,tnaterials,and tools to finish the Worlc,without further obligation or liability to Contr�ctor. Humana shall have all ranedics available to it w�dv this Coatract,at law or in oquity. 2. Should Humaaa fail to pay Contractor any undisputod payment when due,Contractor upon sevw(7) days written notice,may stop Work undl such time as paymdrt is received. 3. Notwithstanding anythiag in this qrticle to the oontrary,Humana may,at any time upon s�wen(7) days written nodce,tuminate this Contract. In such evrnt,Humam wiU pay Contractor nd amounts,if any ar�due,for�ompleted Work by Contractor up to the effoctive date of teiminstion. 4. Contrsctor shall,as a conditio�of roceiving the paymeats memioned in this Article,exer,ute and deliver all such papers and talce all such steps,including the legal assignment of his contracwal rights, as Huma��a may require for the�rpose of fully vesting the rights and benefits of Convactor undtr such obligations aad oommitrnents to Humana, S. In the eveat that either party shall bresch this Contract,the non-breaching puty shall be endded to rocover ressonable legal foes and costs in�n�rod in so�king complianoe with the Contract Artide 9.INDEMNITY AND IIVSURANCE: 1. Connactor shall maintain such insurance as will pr�tect fmm claims under workers compensadon acts and otha employee benefits acts as required by the law of the state wha�e the Work is Pert'orn�ed, fi+om claims for damages because of bodily injury, including death, and from clsims for damages because of bodilY mlurY+ including death, and fcvm claims for damages co pro�erty which may arise out of snd during operations under this Contract. Contractor shall maintain a minimum of S 1,000,000.00 for general liability per occumeace, 52,000,000 in the agg�+egate. Contractor shall maintain employoe t6eft and dishonesty ooverege in an anrount not less than 51,000,000, Contrsctor shatl requine its subcontrsctors to have the same amount of insurance or provide evidence that Contractor's insurance cov�cs its subcontractors, Contractor's insurance shall be primary and pay beforc aay insuiance of Humana and aU policies of insuraace shall contaia an duiorsement waiving any right of subrogation against Hwnsna with regard to genp�al liability coverage. Evidence of alI ins�uance ha�der shall be pmvided by CertiScate of Insurance acceptable to Humana prior to starting Work. Certificates shall contaia a pmvision prohibiting msterial modification or cancellation of the coverage except upon at least 10 days prior writtea notice to Humana. No inswance catriad her�undtr shall be constiued to limit the liability of Contractor or it agents. 2. To the fWl�st extent pennittod by law, Cont�actor shall indannify and hold hamrniless Hmnana� its officers,directors,agants and empby�ees 5+om and again4t claims,damages, los.ses and expa�ses,including but not limited to artton�s fa�,arising out of or resulting from performance of the Woric, for any claim,damage, loss or expeose awibutable to bodily injury,siclrness,disease or death,or to iujury to or des�uction of taz�ible prapaty inchiding loss of use raulting therefram, to the extent caused in w►twle or in pact by aogligent or willful scts or omissions of Coa��, its suboonvsctors, anY�one directly or indiratly empbyod by tlxm ar any�ne for whose acts they may be liable, regardless of whether or not such claim, damsge, loss�expa�se is caused in part by a party indemniSed heramder. Page 3 of 8 Ardde 10.LIENS: Contrsctor shaU immediately satisfy any lien or cacumbrance that is fikd ag,�iast the Pranisos as a res�ilt of an acd�al or alleg�ed sct or omission of Contrsctor,or its suboolwsctor or matarialmea performing a Portion of t6e Wozic,and shall indesnnify a�d hold hmmk,as against all rwulting loss aod acpmses,including attotneys' fees and c�an't oosts. Artide 11.SEPARATE CONRAG'TS: Hmnana sl�all at all times have the right to anploy other oontn�ctas far work in connoction with the Work and Cont�acwr shail pro�rlY coope�te with any such other contractors. Artlde 12.NQSCELLANEOUS: 1. Cka��Up.Contrsctor sl�ll keep the Pc+emises free fnom ax�uladon of waste material and n►bbish and at the completion of the Work shall ranove fmnn the Premises all rubbisli,imPlements aad aurplus materials and leave the Pranises broom-clean. 2. Jnrbdkdoo and Appiksbk Law►.Tl�e Contrsct and any dispu�es of the parties�+elated the�+eto shall be govemed by d�e laws of the Commonweatth of KeMucky without givio8 efferrt to its chaice of law niles. 3. Compdaaee w►lth I.aw�s. In pe,rfornning Work under this Contract, Contractor shall comply with all applicable federal, stste, aad local laws and a�+dinu�s �nnd all orders, niles, and regulations iasued therau�der(including any provisions, rcpr�atadons or agra�ants, or coatrsctual clauses required thereby to be inclnded or incorporated by refd�eacx or operation of law in this Agroemeat), inch�ding but not limited t�o, t6e requiremeats of the Fair I.abor Standa�ds Ad of 1938, as ame�ded, including but not limitod to the child lsbor pr�visions set fo�in 5ection 12(a)di«+eof,and in c�apliance with the United States Citiunship and Immi�ion Service I-9 process. The Contractor fmther represeats, wanants, cartifies and covenants that none of the Work has ban or will be supplied utilizing forced, indenturod,convict,or child labor. 4. Confldeadslity.During the Contract and after its taminsnon,Contractor sl�all pt+eserve�ptvpsiewY and con5daitial,all business activities and aU infonnation related to the business of Hun�aaa that msy have been obtained or learned fmm any source(collectively"Confidential Information"). Upon the wriuen roquest of Hwnana,the Convactor shall deliva all tang�ible iteins which may contain any Confidendal Infonnstion.A11 documeMation,re�orts,mas►un1s,visual sids,blueprints,drawings,and any other materials pre,pared by Contrad�or for the pin�poses of paforming the Works are damed`�+orks made for hire"and shall belong exclusively to Human�whea cxrsted.Upon tamination of the Contract,Coatrsctor sha11 turu ova all such items devdopod for Humaoa ha+amder Page 4 of 8 'IN WTINESS WHEROF the parties bereto hc+eby execute this Contrect effective the dsy and date firat written above. H[�.1MAN BY: Tl'I'LE: nA�: �.� �12. wn.soN�co��, nvc. BY: � ��►"� � 1�' 'I'I1'I,E: � DATE: � � ��L' Page S of 8 EXHIBIT A-Pro�posal ��.� ��••�F«�• Hi JM A NA. *�+�� , w�..ac..*..� �� ■1� �.w��..«„� �e�mo�a s�.r.ylw -:.�.--� R�MC�My -- * Ow��i�r �.:.,,�,:�; If�s.�d dui� ��--�:: TM110bWs 1 _ M�G�r� Dw��w� �.:k MM.i Cw�M�� ;_,r-��-i�_: T�1 OwYr! C�wb iti�Cwwlt -.� TMM Oi�iw i ?=-4s� � Iiu M�ur� T�Id Ofdd��t �� :� :�°: irb Mw Ilrri _�. TMr Otwi�S ^ �Y NN�a��I�s �f lir� z:•: 1i�e 1AI�ar Nn�rs ��- �-.�:��— T�Obid��t �_�a�'».. T��A�i� Iin1Uw�11�W��lYw * *��°�- T�Id Ol�i��7 Own a/�ss AYs aM�� _ y�..� _,�, _ lie DrMS a�NiiNrs �^ -.;..r�.° T�Y Oldi�• �� Oi� ... fai�Y1��1�iys _.�.a 11CT�r�L �-..::�s:. t',a��1bhr1� CipttaM► �-a.�a:�sa� O�■+s .-�, IIYr iidM�s �rW..j:�..�;.��,a;: T�I�I Obilb�1 �.:;+� ..�P-. ��i1�1� �� TirlObbiM N i��t�! �E��t •�.. �� Ti�i Oi�b�11 � Page 6 of 8 Ez6[bit A—Pro'Posal.Page 2 is.w�w�. - .��,..�-,� �a.r..� ��-:�-�� ..w �,.a,.� �.�- T.�oww..a.wu �:.� r..�.M..i �� .,-- - �y.r�w�r.w,r� ;�- �. ��.G.'�-r, �� _T.'.a��.,^ T.wa�w..u v s�� ..r�..� �.■.►.rr ow�r�.� i� �.r,�+.n. 4...wid"�°'"�:.:.:9iFffi�- �� v:�r.,_;.:.."935""a�5rv'„�:" �f A�� ,X"'�`: ' �� -m. T��1e �.?�"".-- - �� •:�..:.rr �� T� "�`""�: t��S� 3.".'F":i�P, �N .'*y y.v' A�I�R .3H....,.5:.::�. A111�A •n:` �- ��t at�r � :�-F..� ��-°.--:.,�-�.:,s,r-,� �wl C�nq�01�s �'��° ,..�-_ �i��sr��s��{�1w1r1�O��IM�� a��r�ww�wa.��rw.�rarM.�.�wwwrrrs�a■�tat�s�t . � ae�a�w�m�e�as �� p aa�aas�saweoor�s�aaeMa we�war�o�wso� arNw c.�.r.►�...� w�.ac..'.�►��. c..�..r.��c ,ri8��e.�.Arst:l�fM� . . � �Oiiir►ll:�7�i" - . „ . CM1rt II�c fL�l,4`r�IN`w t, . _ ' ., r E�t . .. _ . �Mrnc � �11111�: �. v"a..r+ �,�4�,.. O�Y l�Mi�t 7.ts.12� . �1�Isr�lrlr�r�r!��a�a�� p WI�UMY AOlO�AL OM tFTt�pEllo 1qTAGi� ti�� _ t� rlr��s O��w: 5� �b �MMwc �w�wnM� Oq� Page 7 of 8 � Ez61bk B—Change Order t�rgt Ordler not r�Id unbi�i�d b�►Qonbaclor�nd Ow�er Pro�� Clwp�OrdK No. DM� Contra�t D�It: Coetra�or: TM Conlract it qw�d M FoNaws: O� r 1nr boo�a ehKk�d,conaa�t san.ndl nw�n aw�d Wocrnum Ria Th�Orlpintl CaNraet Seta w�r 50.00 INt CI�bf►P�wlo��lli�l�o�l�d Ch�q�O�d�s i0.00 TM Contraat 8an prlor to tlii�Clwt�ddrtw�s i0.00 TM Contrset 8an wN b� �� 50.00 ❑ro�� TM mw Ca�traat sum tnqudina tl�it Ch�g�o�dK wM b� io.00 TM Contraet TMn�wMl b� �� DJIYS ❑uo■■� contrsc�oe p��; FNJ��IANA MC. PO 8ox 1438 LouisviNe,KY 10201 BY: B�r:M�cs Wddox D�le: p�: - • nd o1 CAarns Oid Pe�►�n IA� ❑ Froj�et 11��r Iw nvMw�d tM Ch�n�OrdK�nd noon��ds aewpfn� PM: �P�Y� Dsb: Nobs: �u� Page 8 of 8 Pasco County Parcel: 35-25-21-0130-00000-0140 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, July 21, 2012 Parcel ID 35-25-21-0130-00000-0140 (Card: 001 of 015) Classification 16 - Shopping Center Community Mailing Address Property Value SF ZEPHYR COMMONS LP Ag Land $0 2851 JOHN ST STE 1 Land $2,589,795 MARKHAM ON CANADA L3R 5R7 Building $8,705,387 CANADA Phvsical Address - See All 30 addresses (First Extra Features $527,279 Shown) Just Value $11,822,461 7868 GALL BLVD Assessed (Non-School Amendment ZEPHYRHILLS FL 33541 1� $11,822,461 Legal Description (First 4 Lines) ZEPHYR COMMONS PHASE 1 Taxable Value $11,822,461 PB 65 PG 132 LOT 14 SUBJECT TO &TOGETHER WITH Land Detail (Card: 001 of 015) Line Use Description Zoning Units Type Price Condition Value � 1600 SHOPRNG MPUD 5.00 AC $285,000.00 1.00 $1,425,000 � 1600 S �R G MPUD 5.00 AC $285,000.00 0.65 $926,250 � 1600 S �R G MPUD 2.79 AC $285,000.00 0.30 $238,545 Additional Land Information Acres 12.79 Tax Area 30ZH FEMA Code �Commercial Code SITE9A2 Building Information - Use 16 - Shopping Center Local (Card: 001 of 015) Year Built 2009 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�jnd Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 VCT Fuel Electric Heat Forced Air- C)ucted A/C Packaged Roof Top Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BAS 1,532 $144,805 Extra Features (Card: 001 of 015) I.ine Description Year Units � Value 1 PAV ASP 2009 383,586 � $271,867 2 PAV CON 2009 5,200 � $6,825 3 SPRNKFP 2009 1,532 � $3,543 4 LIGHTDC 2009 33 $66,454 Sales Histor Previous Owner ZEPHYR COMMONS LLC Month/Year Book/Page Type C de Condition Amount 12/2010 8496/ 0817 Warranty 05 Improved Multi-Parcel Sale Deed 02/2007 7413 / 0626 Warranty � Vacant $0 Deed http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21&sbb=0130&b... 7/26/2012 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Office No. of Square Feet 4939 Impact Fees Within City Limits Outside City Limits Water Distribution System $ 1,899.54 $ 2,374.42 Wastewater Collection System $ 3,818.07 $ 4,772.59 Wastewater Treatment Plant Capacity $ 2,138.36 $ 2,672.96 TOTAL $ 7,855.97 $ 9,819.97 Florida Energy Efficiency Code For Building Construction EnergyGauge Summit�Fla/Com-2010, Effective Date:March 15,2012—Form 506-20'10 Prescriptive Compliance for Renavations, Occupancy Change, etc. PROJECT SUMMARY Short Desc: Humana Zephyrhills Description: Humana Zephyrhills Owner: Humana,Inc. Addressl: 7020 Gall Blvd. City: Zephyrhills Address2: State: FL, Zip: 33541 Type: Office Class: Renovation to existing building Jurisdiction: ZEPHYRHILLS,PASCO COLJNTY,FL(611600) Conditioned Area: 4797 SF Conditioned&UnConditioned Area: 4797 SF No of Stories: 1 Area entered from P►ans 4797 SF Permit No: 0 Max Tonnage 0 If different,write in: _ EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Sofiware.Effective Date:March 15,2012 7/27/2012 Page 1 of 7 Compliance Summary Component Design Criteria Result RENOVATED ENVELOPE PRESCRIPTIVE PASSES LIGHTING POWER 4,620.0 5,276.7 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM None Entered PLANT None Entered WATER HEATING SYSTEMS Not Checked PIPING SYSTEMS None Entered Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- --An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 7/27/2012 Page 2 of� CERTIFICATIONS I hereby certify that the nd speci ications covered by this calculation are in compliance with the Florida Energy Code ( i Prepared By: __ Building Official: � , .,..� _�� ✓� � Date: � Date: 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: ERNESTO ALOMA Reg No: 538.?3 Lighting Designer• ERNESTO ALOMA Reg No: 538.23 Mechanica]Designer: JOSE I.MARTINEZ Reg No: 53779 Plumbing Designer: JOSE I.MARTINEZ Reg No: 537'79 (*) Signature is required where Florida Law requires design to be performed by registered design professionals. Project:Humana Zephyrhills Title:Humana Zephyrhills Type:Oftice (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) Prescriptive Envelope Compliance Item Zone Description Design Criteria Meet Req. Glass tenant Percent glass Max allowed OOd 50.000 Yes SkyliQhts tenant Percent Skylight Max allowed .000 5.000 Yes Meets Shell Envelope Requirements--PASSES EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 7/27/2012 Page 3 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:Humana Zephyrhills Title:Humana Zephyrhilis Type:Oftice (WEA File:FL TAMPA INTERNATIONAL_AP.tm3) Lighting Power Compliance Space Ashrae Description Area Height No.of Design Effective Allowance ID (sq.ft) (ft) Spaces (W) (W) (W) tenant 16 Office-Open Plan 4,797 9 0 1 4620 4620 5,277 Design : 4620(W) � PASSES Effective: 4620(W) Allowance: 5276.7(W) Passing requires Design to be at most 100% of Criteria Project:Humana Zephyrhills Title:Humana Zephyrhills Type:Oftice (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) _ _ _ Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance tenant 16 Office-Open Plan 4,797 23 2 PASSES PASSES EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 7/27/2012 Page 4 of 7 System Report Compliance No.of Units Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance � None Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance � None Project:Humana Zephyrhills Title:Humana Zephyrhills Type:Oftice (WEA File:FL TAMPA INTERNATIONAL AP.tm3) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance tank water heater Electric water heater <=12[kW] 0.98 0.93 PASSES tankless Water Heater Electric water heater Unknown 0.99 Not Checked Not Checked EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 7/27/2012 Page 5 of 7 Piping System Compliance Category Pipe Dia ls Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp (Btu-inlhr Thick[in�' Thick[in] [F] .SF.FJ � None EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 7/27/2012 Page 6 of 7 Project:Humana Zephyrhills Title:Humana Zephyrhills Type:Office (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) Other Required Compliance Category Section Requirement(write N/A in box if not applicable) Check Report 506.4.2 Input Report Print-Out from EnergyGauge F1aCom attached � Operations Manual 303.3.1, Operations manual provided to owner � 503.2.9.3, 505.7.4.2 Windows&Doors 502.3.2 Glazed swinging entrance&revolving doors:max. 1 0 cfrn/ftZ;all NA other products:0.3 cfm/82 Joints/Cracks 502.3.3 To be caulked,gasketed,weather-stripped or otherwise sealed NA Dropped Ceiling Cavity 502.3 Vented:seal&insulated ceiling.Unvented seal&insulate�roof& NA side walls HVAC Efficiency 503.2.3 Minimum efficiencies:Tables 503.2.3(1)-(8) NA HVAC Controls 503.2.4 Zone controls prevent reheat(exceptions);separate thermostatic NA control per zone; Ventilation 503.2.5 Outdoor air supply&exhaust ducts shall have dampers that � automatically shut when systems or spaces served are not in use. Exhaust air energy recovery required for cooling systems (Exceptions). ADS 503.2.7.5 Duct sizing and Design have been performed � HVAC Ducts 503.2.7 Air ducts,fittings,mechanical equipment&plenum chambers shall � be mechanically attached,sealed,insulated&installed per Table 503.2.7.2.Fan power limitations. Balancing 503.2.9.1 HVAC distribution system(s)tested&balanced.Report in� � construction documents. Piping Insulation 503.2.8 HAC and service hot water.In accordance with Table 503.2.8. � Water Heaters 504 Performance requirements in accordance with Table 504.2.Heat � trap required. Swimming Pools 504.7 Vapor-retazdant or liquid cover or other means proven to reduce NA heat loss on heated pools;Time switch(exceptions);readiky accessible on/off switch. Motors 505.7.5 Motor efficiency criteria have been met NA Lighting Controls 505.2,502.3 Automatic control required for interior lighti�g in building,s>5,000 � s.f.,Space control,Exterior photo sensor;Tandom wiring with I or 3 linear fluorescent lamps>30W EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 7/27/2012 Page 7 of 7 ❑ .. � � E '�7 � o � •� L � Q � � � b[ ..�• `� � � � w H H '� � X N O R � y L � � d •� .a .--, R �^ U O � •7 O � F Z 0 R� ^ � � L � C �n ed � = O � � � � � -�-� � �O � R O � � � d � L� � � � � � s � � � O �,�y Q 7 .a�i � � � � � � z H � o � � � p � b � v a r,,,, ;� �o u ' � � 3 � � � � ; � � � � � � � o H � � � � �� ~ � � A� � _ �'' o a � C7 A � N Vf = R � �/� � •� � 6� �1 �"� � w Z �' °' i--+ Q w 0 � � q � z H o � � � � N F �. � � zs � � > N c�'', � � ai N � � � � � a 7 � � � ° � � .� � � f-aL, rMi x ? a o � '� c °' �' m °�' ca �" d � � � F" � � N O A ` A Z � � � � •i � �n Q/ a � o L � `� � CJ Q � � O N o z � z � N � � ❑ ❑ ❑ � y 7 = N 7 m d a+ � � � � v� > a; , G� o a a � a = � �,; � � � -- a � o � �� s �., z � � � � � Q u ^� C � �, d d A ^ O L�" F r (j y � �, x ca !d � fA � L � d `� � � x � � 7 = C � � E~ Z Z � � � � a A � � i O O O �' ia �t �d � � a�i L�. � U c�a c�a c�d eCV � W �"" � N � � � � � = x � L _ a � � d ° o o V � � 0 33 � o 0 0 3 � o � M �; - '� � d � L L � O O O A � �O v'� O p y L N y�,� � a �a F-� �' ; � � � : � •- "' � a R E �e ,� r� a i '��^ � � U o C7 � ^ > 0o C � � W `' � � � ^ +, = N � � 3 �' x '£ G1 o E � � ' = �p w C v'� 3 � "a � � o � z � � = G s � .a = u � y � ` ea � a? 3 � W � � �, L "nC d 'y C ^o W m � 5 � � s s o, ,� .� ,� '� w. � v� �, � � � 3 4 0 � :� :� o d � L � m � � � � � c� � � � O a � F a c � � F a� V U U v, � y y s�, � � G ? °- ° F � w w c=, � � cC � y r'�j � O �' � � a�i a u c c�a F" a�i o 0 o c`+ ° G R.' 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V �. ,•u� t Z � Y ra E"" O 0. ,n G� ^� � U ` d M� C,V7 � � u � � � � � � ' � � � o = ?� y � � •� � � a y � � 2 � ! � �� Z � � H � 1�1 � � d C = w � � � U R [7G� y Y wv, y �i � ^ � � � � � O V L C +• > "0 � d � C o W � y a � W U R'' p � c e � U O o u C z a � �L � � � C � W .a L � y, d a � '� Z N G � % N � � i d � GC � a � C y L E Q z O N � Z O N R � Z � z � � Notice b"� �nSPection or Tr atment � � Date of sDec'on � I r Date of Treatment � sticide p anism reated Wood-DeslroYing nJ pursuant to Ghapte�482•ZZ6'Florida Statutes,this notice�s re4uired to be Pogted.AnY��ensee wh°PerfO�s control of any w4od.destroy�ng organism shall post notice of said Veatment immediate�Y adj acent to the access to�the�t°eatedaw1 area or other readily accessible area of the p P Pro-Tek Services of Central Florida, Inc. 311 Alt monte Commerc��• Suite 1618 �`�� 32714 Altamonte Spr�n9s+ FL Phone 1-800-223-2606 ~ � � I .�3 �� er�. � � Notice of Preventative Treatments for Termites (as required by Florida Building Code(FBC) 104.2.6) Pro-Tek Services of Central Florida, Inc. Telephone: (407) 862-2511 • 1-800-223-2606 • Fax: 407-862-0051 �--�(,�� `��''�,� �� "k, �tl �f Address of Treatment or LotBlock of Treatment -- �/ l� �. : 3 s ��'�-�../ Date Time Applicator `b��G��C f`�� !�/� ��/�"t� � � Product Used Chemical used(active ingredient) Number of Gallons Applied �'- c�>; �`�� Percent Concentration rea Treated(square feet) Linear Feet Treated ,��c�� ,�'�,��c Stage of treatment(Horizontal, Vertical,Adjoining Slab, Retreat of disturbed area) As per 104.2.6 — If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to fnat building approval. If this notice is for the final exterior treatment, initial and date this line ��c 4� � r�-� O� �'`�s. Please Fill Out Below for Office Purposes: Grid: Tech#: ��' Builder: C C S�� - Zip Code of Prnperty: ��,� („� �