HomeMy WebLinkAbout14-14876 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14876
BUILDING PERMIT
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Permit�Number: 14876 � Address: 38130 PRETTY POND RD
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-07100-0000
Improv. Cost: 1,170,915.00 ��y,� ;� w��� ��� �;;
Date Issued: 1/09/2014 Name: LOAN FUNDING SOLUTIONS II LLC
Total Fees: 3,246.83 Address: 4600 WELLS FARGO CNTR 90S 7TH ST
Amount Paid: 3,246.83 MINNEAPOLIS, MN 55402-3903
Date Paid: 1/09/2014 Phone: 612)851-3026
Work Desc: RENOVATE EXIST APT INTO MEMORY CARE/FIRST FL ONLY
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ERWIN ELECTRIC INC PLUMBING FEE 60.00 MECHANICAL FEE 60.00
MODERN PLUMBING INC
FRENCH'S AIR CONDITIONING INC
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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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CO TRACT IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
""'-�"v-"""' �..i�y �i c.CNi ryi�inia 1'"Cl l l lll/'1FJ�.JIIl:clliUll r-ati-o io-iov-wc i
Building Department
Date Received
Phone Contact for Permittin
C' 's Name /""V �tJ"'I�C�lS Owner Phone Number
Owner's Address H l Owner Phone Number
Eee Simple Titieholder Name � � Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS J`0 fIlL� LOT# �
SUBDIVISION r PARCEL ID# - Q- -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NSTALLS7R� REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK - '�. `�c(ST J�(G I�RTI�S I�T�G (./f�I�
BUILDING SIZE SQ FOOTAGE� HEIGHT 1-[,prJ
�UILDING $ � i - VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ _ ; j ) '�7��.� � �a"y`-S
�
;. .
�
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �.�-�YU_��� �1 '
,�,� {J�t�,�,�5 �#13��
OGAS Q ROOFING Q SPECIALTY �] OTHER `--� p��'1�
� 1
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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a
BUILDER ���j � COMPANY �
SIGNATURE REGISTERED � Y J N FEE CURRE� Y/N
Address Jr G U OKT �Vf7. Q/� License# 3
SI��f��:l� _ _¢�T,�
�:�:< � ' COMPANY �!V ( � b
�� ��� REGISTERED Y/ N FEE CURRE� Y/N �l;�
Address� / \O�i ' 3 License# 7
s; K�� �-�'k I�Gu �xG �'Cl�
�° `�� r/-i��� � COMPANY
�� REGISTERED Y/ N FEE CURREA Y/N
` 4'yS
Address � � RtiVE 17. C. �y7S�. License#
�� ��6ME HC ANICAL ,~�.�� 41��L�`�,�r��, � COMPANY TL�C�'S � G
C 'TURE �`f REGISTERED Y/ N FEE CURRE� Y/N
Address f�14 FC- 3 ��d License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Pians,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 constructlon.
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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""""PROPERTY SURVEY requfred for all NEW construcUon.
. tions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is required. (A!C upgrades over ST500)
•" Agent(for the contractor)or Power of Attorney(for the ovmer)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/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
,.,..-,.,,...,.�„ �.��y u��.oNiiyiim�a rci�iu�i��uuc.a�wn �a..-.,�.,-�uo-..�<�
9uilding Departrnent
Date Received Pl�one Contaq for Permittin " ';j -'
�
_r ,
C s Name ��� r 'i}i"r:' - -, �:.� _. Jwner°hone Number - - "'J 1L.-
Owner'sAddress - -:�tii`: `_�oZ:::ufrr _>• . `� .•o•i:�t`:;'_' OwnerPhaneNumber
Fee Simpie'T;Ueholder Yame Ownar Phone Tlumber _--�
ree Simpfe Titlenolde;Addte^.s
/�7 r� �
.�oa.qnoK�ss ���;!"�<� YZ:t�`;' -`:�,r.:, �•'n _:',�., _ �o?a
SUBDIVISION � � PAftCEL IDA "i: ' � ' "� - ' J ' ' ..�L':".�
(OBTIUNFA iROM PROPERTY T117C NO'i1CF�
?MORK PROPOSED e NEW CONSfR� ADO/ALT � SIGN Q Q DEMOLISH
INSTALL REP/UR
PROPOSED USE Q SFR Q COMM � OTHER
7YPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK !"VCrJV�V.I'T� �=�i S�;.4� i i%��i 1 G i i�4f� > /N�T�o �,G1,V /��`i .;.l0 Y C,/��•
BUtLDING S1ZE ,_��� S4 FOOTAGE{� HEIGHT �.ec!({c
[�BUILOING S � � — VALUATION OF TOTAL CONSTRUCTION
DEIECTRICAL S AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ \�) j;t t'� n�a'"S
r'�, �.Q-�.�
OMECHANICAL $ VALUATION OP MECHANICAL INSTA�lAT10N i� n.ti'ti�`���'� �� �
,,;;� �,�, �,�1 j-�E��!
;�� �
QGAS Q ROOFING Q SPECIALTY � OTNER ��' �
,� jc��"1�-,
FINISHED FLOOR ELEVATIONS �� FLOOD ZOIVE AREA QYES NO
, -:
BUILDER ��1LS/tj�/L�n.--_� '. COMPANY ��I f(,i.,!/kM S ��t 1�1b�(Y T 1LP/` i�{Y�
SIGNATURE aEGisrEREO/,Y Y/ N �E wru�n Y/N
Address 5 G u�arT F?-vo .— ?�/� License# ('�G' �J�y�,3�
��n �a�ga�k. � ,. �'�- � gT�
I,ECTRICIAN � COMA0.NY j`�1�Wy�l L�ZCGTXI ��n�
SiGNAT.URE r�c�stES�o v/ N �cunn�r. Y/N ,ti C_
�
Address �ONRoE� L �tt.3� ,',�nlC �3S License# ,�G"C�Y).,2�n l.C� I
�Lk
Jp};^� �� �COMPATdY /�'tUt�,"RN �LlJl�7f3lNG h�
3�!t/►�lRE '-- " A�l !�� r�oisrv�o Y 1 N �cuween Y!N
y7 �. 7t!'1�5 5
Address . /LC7l T l�V:`i�,r.�, ��C.. 3yy$�� Llcense# �
�;'' �
�'�;��MECHANICAL : ��'� '1 � - � COMPANY 'R�TfC� � G
-:i�. `, �� ,- 1 1.��l:lll�:_,�. � ��� j':.
.:•i° �TURE - . Y rtEGISTERED Y/ N FEE CuRRED Y/N
Address � i-,,a,(•'�c �L ,3 �(O License# [�/� GS�7�.2Ln �
OTHER COMPAPIY
SIGNATURE r�o�s7ertEO Y/ N �cunnen Y/N
AddtlSS Ucense#
RE3tOENTIAL Altacti{2)Plot P�ens;(Zj sets of Bulldi�Plans;('I)set of Energy Farms;R-O-W Pertnit(w new oonstrucNo�.
Minimum ten(10)workfig days aiter submitfal tlate. Req�iiretl onsite,Crnstructlon P1ans,Stormurater Plans w/Silt Fence instaifed,
SanlWry Fadlitles 6 1 dumpster;Sile Wark Permlt far s�divlsionsllerge pcoJeds
COMMERClAI Attach(3)cnmplele sets of BNI��g Plans plus a Llfe Satety Page;(7)set of Energy Fortns.R-O-W Permit for new wnshuctlon.
Minimum ten(10)world�days afler submtttal date. Required onslte,ConstrucNon Plans.Stormwatw Pians wl Siit Fence instal�ed.
SaMlary Facilities 81 dumpstar.Site Work Partnil tor ali new projects.Ail cammercial requirements must meet compllance
SIGN PERMIT Atfach(2)sets of En9lneared Plans.
""'PROPERTY SURVEY requlred for aN NEW co�sWCtion.
. tions:
Fill out applicatlon c:ompletely.
Ovmer&ConUactor stgn badc of applicallon,nolartzed
!!over 52500,a Notice of Commencemeot!s reqW red. (AJC uygredas over 8750D)
" Agent(for the contractor)or Power of Atlorney(for the owner)would be wmeone wlfh nolarized leltar from owner aulho�izing same
OYER THE COUMfiER PERNIITTIVG (Front of Application Only)
Reroofs il shingles Sewers Service Upgrades A1C Fences(PIoVSurve;�/FOOtage)
Driveways-Not over Counler if on public roadways..needs ROW
01/08/2014 09:47 7277250049 ERWIN ELECTRIC PAGE 91/02
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SUBID{VIPION � � PARCELID! ' - d• �
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RESID�M�L AltaCh I�I Plet F a�i(�1 xeb a e�akNr+a P�m,�:(v)eet af Enmef�rartna�R^4w Pmnl!fer new CMrbvelkm,
M�fmum iCN(1I)Mn�tMg dsye dfl�xubmWal OWa RnquhE�enslt�,Ca�abuallen PkMn�SMertwueter fl�+a wI 5Ri Fmeo qnlstl.M..
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CCIMMEYtCIAI. ANsoh(3)a�mplelt'eola ol OuYtlMKi Ptans(�M��Ufs 8�b PuCeI t41 eet ot�nnrpy Forma.A.0-W Pemdt�er new coMh�xMm,
&�F�tII1�A a dumpa�iix..Sn VVark PenNlli eN naw Ptok�cb�,l�cwmms��equMom�,muat nM�eompiFdma!�:.�t1eC�
9MN PEFeMfl' I1tMCh C21�el EnplM�rotl�fe�
��pROPEIt'IY 3uitVEY.t:qWtea tor MI N5w eenetivcNm.
, al�:
FNI an MM��^cemG�e�eb.
Ovmnr 6 Conkaetar sh�n beCk+1 nppllee6on�noM��atl
n evar!���NoNes ol GmmmencomeM is�«m�h�d. (MC�pgrarlee ov�r f750o1
.• ppcnt(tor the con�raelorl a Pcwer of A1bmeY na the rnx,�x)wnutd bn eomeenn wlni rmtnNZr.e telter from owner eiuherizlnp sAmo
OaERTMECOUlftE�PERMITTBrO (F7on1o�A�pl�na+O�IY)
qr.rpete tl al+tnglae 3m�+�'x seMCO upgr�ac�A/C Fenex+tP�+�,rveyf�aepn!
Delvo+�mfa•Not wa Counter It a�pudk faedwefM„nM.rin ROW
01/08/2014 09:47 7277250049 ERWIN ELECTRIC PAGE 02/02
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Fse Almpte TMieholder Nrne �,..^�.-- �►PNb^e Number I �
Pcc Slmple tMlr.hettlx Address �
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PROPOSFA IMJE �� SFR Q COMM � 07HER
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BUp.�►MG SItE � �.�,,.�.J 9Q FO�TAGE MEKiHT ��
�ltI1,D1P1G �� I ^ VR4UATION OF TaTAL CDN97RUCTION
��LECTRICAL �� I1MP 9ERbICE p PROGRESS EN�RGY Q W.R,E.C,
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SIGNATURE 11E�ISSTFnEO �
Addros■ � � U�#�
+1?1i?MfIH�� FoMt6i p�}W PKmlt fM M�+r�h11Ctl0�.
RCs91DENTIA� Atblol+(2)pbt P'aarv:(2)!eq af 9ufltlkm Pl�im;(11 fa�of GriKPY
��a+n f+o►we�c�no�r*�!rr�.��+i aa�e�Roq1AM1�d oM1'He�GxnlntoN�Pktno�SMrmvmtd'Plene w�Sllt fenor+Mslallcd,
q,�ry Fadlltlee 8 1 dumCa�!f:311e�k Permlt hf►nt�l�1lbM•Jlarga P�I'x�
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Mr�mum�en Na)��^9 a*Ye rM�,uen�n�at dn�e.Ro4uao�omuro�can:kue�ron�.9qrmwenx�ns w!itNt Ferx�+kxlxle�,
SxMnN FAdNd�e 6�Oumpel�.Sne Wrxk Permtt for aR new Prokcla.!+u commerc►al ratu�►anerns'Muxt m�M eanvNs�r+�
src�N e�rtl�rc Aaaen 1�1 xtn o'endmMrea F�s�,
�"PROP6RTY gURVEY requM�d for aN NEW canAlructlon•
� lb�M:
PIN aA el+Pn�l�eomM�Y�
ownar a e�naacro.elpn baae��►■apN«iu^��no�ea wn�r s�9oo}
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O�►ER TIIE COINITeR PERMI'RIN6 (FroM at AppWatbn OnW1
F{esnote 1(:.h�aM�.o se�uar: Servics Upproao�NC F�nees 4�eV:�eYlFeoteO�)
n.weweir-�•NO►wer r�u�e on ounae rarOwnYs..needa Aow
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 o.
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.
TRANSPORTATIAN 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 TranspoFtation 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
finai 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 T13, 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'SIOWNER'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 regulatin�
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I als
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 expressty 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 witl 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 p�omise in good faith to inform the owner of the permitting conditions set forth in
this affidauit 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. �'
permit issued shall be construed to be a license to proceed with the work and not as authority to.violate, cancel, alter, a
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 FAtLURE 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.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscrfbed and sworn to(or affirmed)before me this Subscrlbed and swo o(or affirmed)befor�.m e this
by by l t t��-��'L J 1-��N 1i71��
Who islare personally known to me or haslhave produced Who is/are personally known to me or has/have produced
as Identlfication. as identification.
�
Notary Public Notary Public
Commission No. Commission No.
�
Name of Nota • ed, rinted or s mped "�jr%""�, N�EARA�A�1%
Name of Notary typed,printed or stamped ry typ p ,�';sC � �,�p�q���p�4�
�� :� EXPIRE3:Au�e�14,p17
',� . 6onaed nru Wfe�r vud�c uneervNil.ri
�����J.s.sS�- :`�
� ����
_ �
1
City of Zephyrhills
BUILDI?vG PLAN REVIEW COMMEI�'TS
Contractor/Homeowner: -�U, !��L�� C,tJ /��'�t�
Date Received: _ �Z-��'"�,j
Site: �f'/-3D � /�/�h�
Permit Type: ��'I �1�� � -� �/�,r�S'
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
�'
� � �'��rE�c` �t �t`�,� �t' � 4� ;�.� ��,�-f���
a `�
''f l'� � �`-f�;`` �' e�'7 � t_� r� rr(�'.�:
This comment sheet shall be kept with the permit and/or plans.
�"°`s�
�� (
Kalvi S zer—P Examiner Date Contractor and/or Ho eowner
(Required when comments are present)
� �
==�== Document A102TM — 2007
Standard Form of Agreement Between Owner and Contracfor where the basis of
payment is the Cost of the Work Plus a Fee with a Guaranteed Maximum Price
� AGREEMENT made as of the 13th day of November in the year 2013
(In words, indicate day, month and year.) ADDITIONS AND DELETIONS:
The author of this document has
BETWEEN the Owner: added information needed for its
(Name, legal status, address and other information) completion.The author may also
have revised the text of the original
Loan Funding Solutions II,LLC AIA standard form.An Additions and
90 South Seventh Street Deletions Report that notes added
Minneapolis,MN 55402 information as well as revisions to the
Telephone Number: 612-851-3026 standard form te�ct is available from
the author and should be reviewed.A
and the Contractor: vertical line in the left margin of this
(Name, legal status, address and other information) document indicates where the author
has added necessary information
Williams Company Tampa and where the author has added to or
5402 Beaumont Center Blvd.,Suite 114 deleted from the original AIA text.
Tampa,FL 33634 This document has important legal
Telephone Number: 813-418-3810 consequences.Consultation with an
Fax Number: 813-418-3819 attomey is encouraged with respect
to its completion or modification.
for the following Project:
(Name, location and detailed description) This document is not intended for
use in competitive bidding.
The Commons on Pretty Pond Memory Care Renovation AIA Document A201 T""-2007,
38130 Pretty Pond Road General Conditions of the Contract
Zephyrhills,FL 33540 for Construction,is adopted in this
document by reference.Do not use
The Architect: with other general conditions unless
(Name, legal status, address and other in,formation) this document is modified.
ROJO Architecture
5701 E.Hillsborough Avenue
Tampa,FL 33610
The Owner and Contractor agee as follows.
Init AIA Document A102T"'—2007(formerly A111 TM-1997�.Copyright OO 192�0,1925,1951,1958,1961,1963,1967,1974,�978,1987,1997 and 2007 by The
American Institute ofArchitects.Ail rights reserved.WARNING:This AIA Document is protected by U.S.Copyright Law and International Treaties. .�
Unauthorized reproduction or distribution of this AIA�Document,or any portion of it,may result in severe civil and criminal penalties,and will be
� prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 15:32:56 on 12/04/2013 under Order
No.7858055208_1 which expires on 07/15/2014,and is not for resale.
use�Noces: �e2nasazs�
TABLE OF ARTICLES
1 THE CONTRACT DOCUMENTS
2 THE WORK OF THIS CONTRACT
3 RELATIONSHIP OF THE PARTIES
4 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION
5 CONTRACT SUM
6 CHANGES IN THE WORK
7 COSTS TO BE REIMBURSED
8 COSTS NOT TO BE REIMBURSED
9 DISCOUNTS,REBATES AND REFUNDS
10 SUBCONTRACTS AND OTHER AGREEMENTS
11 ACCOUNTING RECORDS
12 PAYMENTS
13 DISPUTE RESOLUTION
14 TERMINATION OR SUSPENSION
15 MISCELLANEOUS PROVISIONS
16 ENUMERATION OF CONTRACT DOCUMENTS
17 INSURANCE AND BONDS
ARTICLE 1 THE CONTRACT DOCUMENTS
The Contract Documents consist of this Agreement and all exhibits specified in Article 16 hereof,Conditions of the
Contract(General,Supplementary and other Conditions),Drawings,Specifications,Addenda issued prior to
execution of this Agreement,other documents listed in this Agreement and Modifications issued after execution of
this Agreement,all of which form the Contract,and are as fully a part of the Contract as if attached to this Agreement
ar repeated herein.The Contract represents the entire and integrated agreement between the parties hereto and
supersedes prior negotiations,representations or agreements,either written or oral. If anything in the other Contract
Documents,other than a Modification,is inconsistent with this Agreement,this Agreement shall govern.
ARTICLE 2 THE WORK OF THIS CONTRACT
The Contractor shall fully execute the Work described in the Contract Documents,except as specifically indicated in
the Contract Documents to be the responsibility of others.
ARTICLE 3 RELATIONSHIP OF THE PARTIES
The Contractor accepts the relationship of trust and confidence established by this Agreement and covenants with the
Owner to cooperate with the Architect and exercise the Contractor's skill and judgment in furthering the interests of
the Owner;to furnish efficient business administration and supervision;to furnish at all times an adequate supply of
warkers and materials;to perform the Work in an expeditious and economical manner consistent with the Owner's
interests,and to furnish the Contractor's services and perform the Work with the skill and care of a sophisticated
contractor with experience in projects similar to the Project.The Owner agrees to furnish and approve,in a timely
Init A�A Document A702TM—2007(fortnerly A111 T"'—1997).Copyright O 192�0,1925,1951.1958,1961,1963,1967,1974,1978,1987,1997 and 2007 by The
American Institute of Architects.All rights reserved.WARNING:This AIA Document is protected by U.S.Copyright Law and International Treaties. 2
Unauthorized reproduction or distribution of this AIA�Document,or any portion of it,may result in severe civil and criminal penalties,and will be
� prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 15:32:56 on 12/04/2013 under Order
No.7858055208_t which expires on 07/15/2014,and is not for resale.
User Notes: (827749426)
manner,information requued by the Contractor and to make payments to the Contractor in accordance with the
requirements of the Contract Documents.
ARTICLE 4 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION
§ 4.1 The date of commencement of the Work shall be the date of this Agreement unless a different date is stated
below or provision is made for the date to be fixed in a notice to proceed issued by the Owner.
(Insert the date of commencement,if it diff'ers from the date of this Agreement or,if applicable,state that the date will
be frxed in a notice to proceed.)
Date of Commencement shall be one(1)business day after the last of the following dates to occur: Contractor's
receipt of executed contract,Contractor's receipt of recorded copy of Notice of Commencement,receipt of all required
permits,Contractor's receipt of verification of Owner's financing.
If,prior to commencement of the Work,the Owner requires time to file mortgages and other security interests,the
Owner's time requirement shall be as follows:
§ 4.2 The Contract Time shall be measured from the date of commencement.
I § 4.3 The Contractor shall achieve Substantial Completion of the entire Work not later than One Hundred Fifty ( 150
)days from the date of commencement,or as follows:
(Insert number of calendar days.Alternatively, a calendar date may be a{sed when coordinated with the date of
commencement.Ijappropriate, insert requirements for earlier Substantial Completion oJcertain portions of the
Work.)
Portion of Work Substantial Completion date
,subject to adjustments of this Contract Time as provided in the Contract Documents.
(Insert provisions, if any,for liquidated damages relating to failure to achieve Substantial Completion on time, or for
bonus payments for early completion of the Work.)
I See section 15.6.1.
ARTICLE 5 CONTRACT SUM
§ 5.1 The Owner shall pay the Contractor the Contract Sum in current funds for the Contractor's performance of the
Contract.The Contract Sum is the Cost of the Work as defined in Article 7 plus the Contractor's Fee.
§ 5.1.1 The Contractor's Fee:
(State a lump sum,percentage of Cost of the Work or other provision for determining the Contractor's Fee.)
� Lump sum of$70,000.00(based on$14,000.00 per month).
§ 5.1.2 The method of adjustment of the Contractor's Fee for changes in the Work:
I5%of the Cost of the Work,plus 1.23%of the cost of subcontracted work for Subguard,0.5%of Cost of Work for GL
insurance,0.5%of Cost of Work for Builder's Risk insurance.
§ 5.1.3 Limitations,if any,on a Subcontractor's overhead and profit for increases in the cost of its portion of the Work:
I 15%of the subcontractor's Cost of Work
Ir1it AIA Document A102T"—2007(fortnerly A111 TM-1997).Copyright�O 1920,1925,1951,1958,1961,1963,1967,1974,1978,1987,1997 and 2007 by The
American Institute ofArchitects.All rights reserved.WARNING:This AIA�Document is protected by U.S.Copyright Law and International Treaties. 3
Unauthorized reproduction or distribution of this AIA� Document,or any portion of it,may result in severe civil and criminal penalties,and will be
� prosecuted to the maximum extent possible under the law.This document was produced by AIA sofhvare at 15:32:56 on 1 210 4/201 3 under Order
No.7858055208_1 which expires on 07/15/2014,and is not for resale.
User Notes: (827749426)
I § 5.1.4 Rental rates for Contractor-owned equipment shall not exceed one hundred percent( 100 %)of the standard
rate paid at the place of the Project.
§ 5.1.5 Unit prices,if any:
(Identify and state the unit price;state the quantity limitations, if any, to which the unit price will be applicable.)
Item Units and Limitations Price Per Unit($0.00)
§ 5.2 GUARANTEED MAXIMUM PRICE
§ 5.2.1 The Contract Sum is guar ed by the Contrac or not to exceed One Million,One Hundred Seventy
Thousand,Nine Hundred Fifte ($ 1,170,915.00 ' clusive of all federal,state and local taxes,subject to additions
and deductions by Change Or er as provi ' the Contract Documents.Such maximum sum is referred to in the
Contract Documents as the Guar ee Maximum Price.Costs which would cause the Guaranteed Maximum Price to
be exceeded shall be paid by the Contractor without reimbursement by the Owner.
(Insert specific provisions if the Contractor is to participate in any savings.)
I100%of the Cost Savings will be returned to Owner. The cost of the work will be open-book and fully audited by the
Owner. Cost summary details will be submitted to the Owner each month with the Application For Payment.
§ 5.2.2 The Guaranteed Maximum Price is based on the following alternates,if any,which are described in the
Contract Documents and are hereby accepted by the Owner:
(State the numbers or other identification of accepted alternates.If bidding or proposal documents permit the Owner
to accept other alternates subsequent to the execution of this Agreement, attach a schedule of such other alternates
showing the amount for each and the date when the amount expires.)
§ 5.2.3 Allowances included in the Guaranteed Maximum Price,if any:
(Identify allowance and state ezclusions, if any,from the allowance price.)
Item Price
§ 5.2.4 Assumptions,if any,on which the Guaranteed Maximum Price is based:
General Conditions are a Fixed Lump Sum of$95,000.00(based on$19,000.00 per month). If Substantial
Completion is achieved two or more weeks early,then the foregoing Fixed Lump Sum for General Conditions will be
reduced by the amount of any remaining unspent or uncommitted General Conditions costs.
§ 5.2.5 To the extent that the Drawings and Specifications are anticipated to require further development by the
Architect,the Contractor has provided in the Guaranteed Maximum Price for such further development consistent
with the Contract Documents and reasonably inferable therefrom. Such further development does not include such
things as changes in scope, systems,kinds and quality of materials,finishes or equipment,all of which,if required,
shall be incorparated by Change Order.
ARTICLE 6 CHANGES IN THE WORK
§ 6.1 Adjustments to the Guaranteed Maximum Price on account of changes in the Work may be determined by any of
the methods listed in Section 73.3 of AIA Document A201-2007,General Conditions of the Contract for
Construction.
§ 6.2 In calculating adjustments to subcontracts(except those awarded with the Owner's prior consent on the basis of
cost plus a fee),the terms"cost"and"fee"as used in Section 73.3.3 of AIA Document A201-2007 and the term
"costs"as used in Section 73.7 of AIA Document A201-2007 shall have the meanings assigned to them in AIA
Document A201-2007 and shall not be modified by Articles 5,7 and 8 of this Agreement.Adjustments to
subcontracts awarded with the Owner's prior consent on the basis of cost plus a fee shall be calculated in accordance
with the terms of those subcontracts.
Init AIA Document A102T"—2007(formerly A111 T"—1997).Copyright�O 192�0,1925,1951,1958,1961,1963,1967,1974,1978,1987,1997 and 2007 by The
American Institute of Architects.All rights reserved.WARNING:This AIA Document is protected by U.S.Copyright Law and International Treaties. 4
Unauthorized reproduction or distribution of this AIA�Document,or any portion of it,may result in severe civil and criminal penalties,and will be
� prosecuted to the maximum extent possible under the law.This document was produced by AIA software at'1532:56 on 12/04/2013 under Order
No.7858055208_1 which expires on 07l15/2014,and is not for resale.
User Notes: (827749426)
12/11/13 RedTeam View Team
',� Williams Company - Tampa VIEW TEAM
�,��� � Powered by RedTeam Software
�;c��F���F�'
Viewed by: Workorder 2020002-13503 The Commons on Pretty Pond
Date: Wednesday, December 11, 2013
Service Provider
Williams Company-Tampa 5402 Beaumont Center Blvd, Suite (p): 813-418-3810
Duane Miller, Project Manager 114 (m): 813-326-8626
Dmiller@williamsco.com Tampa, FL 33634
Jason Lyman, Project Superintendent 5402 Beaumont Center Bivd., Suite (p): 813-418-3810
jlyman@williamsco.com 114 (m): 407-948-7361
Tampa, FL 33634 (f): 813-418-3819
Jonie Angelotti, Project Accountant 2301 Silver Star Rd (p): 407-295-2530
jangelotti@williamsco.com Orlando, FL 32804
Melanie Rambeaux, Admin Assistant 5402 Beaumont Center Blvd #114 (p): 813-418-3810
mrambeaux@williamsco.com Tampa, FL 33634 (f): 813-418-3819
Reading File, Reading File 2301 Silver Star Rd (p): 4�7-295-2530
readingfile@williamsco.com Orlando, FL 32804
Richard Shannon 5402 Beaumont Center Bivd #114 (p): 813-418-3810
richs@williamsco.com Tampa, FL 33634 (m): 813-787-7534
(f): 813-418-3819
Shannon Horn, Insurance Coord / Estimating Assista 2301 Silver Star Rd (p): 407-295-2530
nt Orlando, FL 32804 (f): 407-297-0459
shorn@williamsco.com
Customer
Loan Funding Solutions II, LLC 90 South Seventh Street (p): 612-851-3026
Jon Lanners Minneapolis, MN 55402
jlanners@tpgcredit.com
Third-Party
PRN Capital 600 Highway 169 South (p): 763-591-5135
Greg Zoidis, Executive Vice President Minneapolis, MN 55426 (m): 612-578-2138
gzoidis@prnct.com
ROJO Architecture, LLC
No contact
Other
No Other Members selected for this section
Vendors
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12/11/13 RedTeam Vi ew Team
Division 02: Site Work
Crusader Contracting, Inc. P.O. Box 90224 (p): 863-940-4831
Clayton Dix, Estimator/Project Manager Lakeland, FL 33804-0224 (m): 863-640-3789
cdix@crusadercontracting.com (f): 866-550-0669
Safway Services, LLC 8006 East Sligh Avenue (p): 813-623-6228
Ed Smith Tampa, FL 33610 (f): 813-623-6866
ed.sm ith@saf�nray.com
Simpson Environmental Services Inc 21310 Highway 98, N, P.O. Box 73 (p): 352-583-2509
Casey Mattox 5 (f): 352-583-3371
cmattox@simpsonenv.com Trilby, FL 33593
Smith Industries, Inc. dba Smith Fence Company 4699 110th Avenue North (p): 727-573-5440
Raymond Smith, III, President Clearwater, FL 33762 (f): 727-573-2075
rsm ith@sm ithfence.com
South Florida Fence, Inc. 1505 Lenna Avenue, P.O. Box 925 (p): 813-689-9262
Clay Hester Seffner, FL 33583 (f): 813-681-9175
southfloridafence@tampabay.rr.com
Standard Demolition Corporation 1607 North 43rd Street (p): 813-626-6552
William Lorenzen Tampa, FL 33605-5937 (m): 813-294-8943
bill@standarddemo.com (f): 813-626-0840
Division 03: Concrete
Carr&Sons Masonry, Inc 3750 70th Avenue, N, Suite A (p): 727-526-9585
Kade Sanchez, Sales Pinellas Park, FL 33781 (m): 727-361-8022
kade.sanchez@carrandsons.com (f): 727-526-9196
Jenasis Structures, Inc. 104 W Hollywood Street (p): 813-238-7620
Kellie Jaeggi, Estimating Tampa, FL 33604 (m): 813-625-9950
kelliejsi@yahoo.com (f): 813-239-2632
LCM Group Services, LLC 8478 Cypress Lake Circle (p): 941-400-4688
Lou Mancini, Owner Sarasota, FL 34243 (m): 941-400-4688
Imanc@verizon.net (f): 941-355-3037
Division 05: Metals
Capital Steel Inc 6260 S. Tex Point
Matt Bunce, Estimating Homasassa, �p)� 352-628-1700
FL 34448 (f): 352-628-2600
capitalsteelinc@yahoo.com
Coastal Steel Construction, Inc. 1000 31st Street, South (p): 727-327-7123
Brian McGovern, Sales Manager St. Petersburg, FL 33712 (m): 727-510-8646
brian@coastalstpete.com (f): 727-323-3396
Division 06: Woods&Plastics
S&S Craftsmen, Inc 1307 E 2nd Avenue
(p): 813-247-4429
Joe Stroup, Estimator/Project Manager Tampa, FL 33675 (f): 813-248-5046
joestroup@s-scraftsmen.com ext: 116
Division 08: Doors&Windows
Cardinal Door&Hardware, Inc. 12855-B Daniel Drive (p): 727-561-0099
Connie Peffers Clearwater, FL 33762 (m): 727-638-1099
connie@cardinaldoors.com
(f): 727-561-0120
www.redteamsoftware.com�TS/html�ewTeam.asp?p=dGlwbz1wcmludA# y4
12111/13� RedTeam View Team
Pinnacle Doorand Hardware, Inc 2165 Sunnydale Blvd, Suite K (p): 727-447-7300
Alex Passarello Clearwater, FL 33765 (f): 727-447-7301
apassarello@pinnacledh.com
Division 09: Finishes
Adrienne Floorcovering, Inc. 4400 118th Avenue North, #110 (p): 727-592-0922
]ohn Smith Clearwater, FL 33762
joyce@adriennefloors.com
Cornerstone Lathing, Inc. 4405 126th Avenue North (p): 727-540-0277
Steve Short Clearwater, FL 33762 (f): 727-540-9188
steve@cornerstonelathing.com
Five Arrows, Inc. d/b/a Service Painting Corp;SPC 910 E. 127th Avenue (p): 813-972-1400
Construction Group Tampa, FL 33612 (m): 850-685-8706
Christa Hess, Estimator (f): 813-978-1065
estim ating @servicepa inting.com
Five Arrows, Inc. d/b/a Service Painting Corp;SPC 910 E 127th Avenue (p): 813-972-1400
Construction Group Tampa, FL 33612 (f): 813-978-1065
Estimating Department, Estimator(Send Bid Req. H
ere)
bids@plummerinc.com
Hanlon Acoustical Ceilings, Inc. 182 Douglas Road East (p): 813-855-3913
Anthony Girard, Estimating Oldsmar, FL 34677 (f): 813-855-1098
anthony@hanlonceilings.com
RCDCIncorporated 6810 Luana Lane (p): 813-662-0909
Johnny Giunta Seffner, FL 33584 (f): 813-681-9909
johnny@rcdcpainting.com
ShawContract Flooring Services, Inc. d/b/a Spectr 1802 Grant Street, Suite 200 (p): 813-254-7278
a Contract Flooring Tampa, FL 33605 (m): 813-465-8835
Chip Johannes (f): 813-254-4331
chip.johannes@spectracf.com ext: 9863
Sound Interiors, Inc. 5032 Tampa West Blvd (p): 813-630-5700
Gary Kelly, Pres Tampa, FL 33634 (m): 813-918-8383
gkelly@sitampa.com (f): 813-628-5700
The Perfect Painters 1361 Park View Court (p): 803-981-2756
Felipe Aguilar, Painting company Rock Hill, SC 29732 (m): 8039812756
the_seven77@icloud.com
Wal-Mark Contracting Group, LLC 5203 N Howard Ave (p): 813 348 4711
Ben Engle, VP of Operations Tampa, FL 33603 (m): 813 267 1859
bengle@wm.nceusa.com (f): 813 348 6888
Division 10: Specialties
Mardale Specialties Direct, Inc. 29656 US Highway 19 North, #100 (p): 727-772-8099
John Matteson Clearvvater, FL 33761 (f): 407-830-0080
jmatteson@specialtiesdirect.com
Division 15: Mechanical
Cox Fire Protection, Inc. 7910 Professional Place (p): 813-980-3282
Scott Cox, Estimating Tampa, FL 33637 (f): 813-980-0631
scott@coxfire.com
Energy Air, Inc 2009 Airport Road (p): 813-750-1401
Jeff Steiner, Estimator Plant City, FL 33563 (m): 727-512-0323
jsteiner@energyair.com (f): 813-885-5287
French's Air Conditioning, Inc. 3818 N. 40th Street (p): 813-626-4630
Don Gibbs, Project Manager Tampa, FL 33610 (m): 813-918-4327
wvwv.redteamsoflv✓are.com/TS/htmlMewTeam.asp?p=dGlwbz1wcmludA# 3�4
12/11/13' RedTeam View Team
dgibbs@frenchac.com (f): 813-628-4288
] &J Plumbing of Florida 13200 Crowell Road (p): 352-596-9797
John Labrie, Vice President Brooksville, FL 34613 (m): 813-478-6854
jjplmbng@gmail.com
Modern Plumbing, Inc. 4196 S. Pleasant Grove Road (p): 352-726-5601
James Lewis, President Inverness, FL 34452 (m): 352-220-2335
jlewis.modernplumbing@tampabay.rr.com (f): 352-726-5704
R. CarrInc 250 9th Avenue, North (p): 727-725-1687
George Curry Safety Harbor, FL 34695 (f): 727-726-6201
curry.george@gmail.com
RoyalAire Mechanical Services,Inc 101 Dunbar Avenue, Suite D (p): 813-749-2370
Luis Galeano Oldsmar, FL 34677 (f): 813-749-2371
luisgaleano@royalaire.com
Division 16: Electrical
All Phase Electric and Maintenance, Inc. 4301 W. South Avenue (p): 813-876-7074
Ron Kinseila, Senior Estimator Tampa, FL 33614 (f): 813-874-5408
ronk@allphaseelectricfl.com
DynaFire, Inc. 109-B Concord Drive (p): 407-830-6500
Nick Stetz Casselberry, FL 32707 (m): 813-415-6884
nick.stetz@dynafire.com (f): 407-831-1347
Erwin Electric, Inc. 13817 Monroe Business Park (p): 813-855-0048
Doug Erwin Tampa, FL 33635 (f): 813-855-5404
doug@erwinelectric.com
Suncoast Electric, Inc 7199 30th Avenue North (p): 727-347-2176
Bill May, President St. Petersburg, FL 33710 (m): 727-423-9751
bmay@suncoaste.com (f): 727-343-2929
www.redteamsoftware.corrdTS/htmlMewTeam.asp?p=dGlwbziv�mludA# q�4
From:Frenehs Air Conditionin� 6136284266 l2/�7/2013 13:25 #297 P.002/002
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2013213508
NOTICE OF COMMENCEMENT Rep!:1570148 Ree: 10.00
Permit No. DS: 0.00 IT: 0.00
12/18/13 K. Garcia, Dply Clerk
Properry[dentification No. 3s2s-2�-oo�o-m�oa0000
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
l. Description of properry(lega!descrlplfon:) T�Commons on Pretty PonC
8� St[CCt Add(CSS: 38130 Pretty Pond Road,Zephyrtiilb,FL 33540
2. General description of improvements Reirovetions F+D
N
O�r�-
3. Owner Information �a N
a) N3I11C BfICI 3CIdI'CSS: ���Fundinp Solutfons II,LLC,4600 Wetls Farpo Cenler.90 South Savont�St�oel,Minneapolls,MN 55402 �W o
b) Name and address of fee simple titleholder(if other than owner) m
c) Interest in property �,mp�
4. Contractor Information �m�
�
� 8� Ni1I17C 8I1d aCldieSS: Williams Comparry Tampa,5402 Beaumont Cenler Bbd.,Suite 114,Tampa,FL 33634 �~o
b) Telephone No.: Bt3-+ia-saio Fax No.(Opt.) 8�34�8'38�9 N3 a
5. Surety Information ,,,o
a) Name and address: NiA � �
r
b) Amount of Bond: � �
c) Telephone No.: Fax No.(Opt.} N�,„
6. Lender � c,
a) Name and address: N�^ F�w �
V■ ~
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; �
a) Name and address: �'we��e R��e,3s�ao a�ny Po�d R�a,z�ny�naie,F�33sao A
b) Telephone No.: e�a-»s-+soi Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13{1)(b),Florida Statutes:
a) NflIl1C 8�d 3ddiC55: V�9�nla Rice,38130 Predy Pond Road.ZaphyrAiUs,FL 33540
b) Telephone No.: 813-»s-aso� Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording uriless a different date is
specified):
WARNINC TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPiRAT10N OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART l,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IIY YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AlV ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCE NT.
STATE OF FLORIDA
COUNTY OF PASCO �(
S' nat e OF Owner or wner Authorized Otlicer/Director/Partner/Manager
u1e K. raun,Vice Presida
P'nt ame
The foregoing instrument was acknowledged before me ihis�%�ay of ��-t.�ii/�B'� ,20�,by .�Ul��� `C,gJl-.+�/N
as l/1L S_ �l�l�f�31.U���� (type of authority,e.g.officer,trustee,attomcy in fact)for
[DAN�VND�N(�S-oL,✓TL a�K �� L!.(� (name of pazty on behalf of whom inswment executed).
Personally Known�OR Produced Identification_ Notary Signature
Type of ldentification Produced Name(print) Cm�ni Q. `���C'�1.�-7 C�
Verification pursuant to Section 92.525,Florida Statutes.Under penalties uf perjury,I declare that ave read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief. �
FORMSMOC.n•sd711117 x �
$igna re f �lurel Person Si}{ning bore �
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40NSfiMICEAND1iF.A�P
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� � i gYqT�a� FLORIDA,COUNVY OF PASCO
� ������fit��EI�TIFY THAT THE FORECi01NG 18 A
�x ,�. TRUE AND CORREG'f COPY QF TME DOCUMENT
,�=-'` ; '�'` ON FILE OR OF PUBLIC RECORD IN THIS OFF�CE
� ° WITNESS MY HAND AND OFFICIAL SEAL THIS _
�� ,., 2��/ ��
� DAY OF ,���-
1�} � 4� . * PAULA S. O' IL,C &COMPTROLLER
^���� � � ` �DEPUTY CLERK
(a � •$ � gY� .__
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From:Frenchs Air Conditionin� B136284266 72/20/20�3 06:13 #300 P.002/002
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Flt�rida Energy Ef�iciency Cod+� For Buildirt� Construction
, EnergyGauge Summit�FlafCflm-2010, Effec#iue Qate: Mareh 15, 2�'f 2—Fo►�n 5fl6-2�10
Total Buitding Performance Method far Com�nercial Buildings
PROJECT SUMMARY
Short Desc: 2013577 Description: The Commons on Pretty Pond
Owner:
Addressl: 38130 Pretty Pond Road City: Zephyrhills
Address2: State: FL
Zip: 33540
Type: Dormitory Class: Renovation to existing building
Jurisdiction: ZEPHYRHILLS,PASCO COUNTY,FL(611600)
Conditioned Area: 5370 SF Conditioned&UnConditioned Area: 5370 SF
No of Stories: 3 Area entered from Plans 5370 SF
Permit No: 0 Max Tonnage 2
If different,write in:
EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Soflware.Effective Date:March 15,2012
10/14/2013 Page 1 of 10
Compliance Summary
Component Design Criteria Result
Gross Energy Cost(in$) 2,256.0 3,344.0 PASSED
LIGHTING CONTROLS PASSES
EXTERNAL LIGHTING None Entered
HVAC SYSTEM PASSES
PLANT None Entered
WATER HEATING SYSTEMS None Entered
PIPING SYSTEMS PASSES
Met all required compliance from Check List? Yes/No/NA
IMPORTANT MESSAGE
Info 5009-- -- --An input report of this design building must be submitted along with this
Compliance Report
EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/20]3 Page 2 of 10
CERTIFICATIONS
1 hereby certify that the pla��drtd,s�cifi��ti 'eqvered by this calculation are in compliance with the
a; �
Florida Energy Code �° � �°�-�` /� . �
,' �4A��°"��V �.1 /� �^ .:
/
•/�i �
K�parec�$y: ��,� .�� Building OfficiaL• �
1�+^'i`ry:�i%. � .
�f
G� /'�
� �o Date: �� ✓ � �-�� Date:
�, r
I certify that this buildirig.is�,;�r�ph�nc,e,,�►th tFu��LOrida 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: Rojo Architecture Reg No: AA0002952
Electrical Designer: David D.Patton Jr. Reg No: 52909
Lighting Designer: David D.Patton Jr. Reg No: 52909
Mechanical Designer: Mark E.Awmiller Reg No: 53973
Plumbing Designer: Mark E.Awmiller Reg No: 53973
(") Signature is required where Florida Law requires design to be performed by registered design
professionals.
EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/2013 Page 3 of 10
Project:20135'7'7
Title:The Commons on Pretty Pond
Type:Dormitory
(WEA File:FL TAMPA INTERNATIONAL AP.tm3)
Building End Uses
1)Proposed 2)Baseline
Total 143.60 264.70
$2,256 $4,180
ELECTRICITY(MBtulkWhla) 143.60 264.70
42084 77553
$2,256 $4,180
AREA LIGHTS 39.20 6�.�0
11484 18089
$616 $975
MISC EQUIPMT 26.90 26.90
7868 7868
$422 $424
PUMPS 8�MISC o.�o o.00
zos o
$11 $0
SPACE COOL 3s.2o 9�.60
11198 28604
$600 $1,542
SPACE HEAT S.2o 9.40
1526 2753
$82 $148
VENT FANS 33.40 69.�0
9800 20239
- _ _ _
$525 $1,091
_
Credits Applied: None PASSES
Passing Criteria=3344
Design (including any credits)=2256
Passing requires Proposed Building cost to be at most 80% of
Baseline cost.This Proposed Building is at 54%
EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/2013 Page 4 of 10
External Lighting Compliance
Description Category Tradable7 Allowance Area or Length ELPA CLP
(W/Unit) or No.of Units (W) (W)
(Sqft or ft)
None
Project:2013.577
Title:The Commons on Pretty Pond
Type:Dormitory
(WEA File:FL TAMPA INTERNATIONAL AP.tm3)
Lighting Controls Compliance
Acronym Ashrae Description Area Design Min Compli-
ID (sq.ft) CP CP ance
AHU-I 7.001 Dormotory Living Quarters 300 1 1 PASSES
AHU-2 7.001 Dormotory Living Quarters 315 1 1 PASSES
AHU-3 7,001 Dormotory Living Quarters 280 1 1 PASSES
AHU-4 7,001 Dormotory Living Quarters 300 1 1 PASSES
AHU-5 7,001 Dormotory Living Quarters 465 1 1 PASSES
AHU-6 7.00] Dormotory Living Quarters 650 1 1 PASSES
AHU-7 7,001 Dormotory Living Quarters 520 1 1 PASSES
AHU-8 7,001 Dormotory Living Quarters 840 1 ] PASSES
AHU-9 7,001 Dormotory Living Quarters 840 1 1 PASSES
AHU-10 7,001 Dormotory Living Quarters 430 1 1 PASSES
PASSES
EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/2013 Page 5 of 10
Project:2013577
Title:The Commons on Pretty Pond
Type:Dormitory
(WEA File:FL TAMPA INTERNATIOIYAL AP.tm3)
System Report Compliance
System 1 System 1 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 7
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 15.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 2 System 2 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 3
Component Category Capacity Design Eff Design IPLV Comp-
E17' Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 15.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 3 System 3 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 1
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 15.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 4 System 4 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 1
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/2013 Page 6 of 10
Cooling System Air Conditioners Air Cooled 15.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Fumace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 5 System 5 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 1
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 15.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 6 System 6 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 1
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria ]PLV Criteria liance
Cooling System Air Conditioners Air Cooled I5.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capaciry
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 7 System 7 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 3
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 15.10 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Fumace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Soflware.Effective Date:March 15,2012
10/14/2013 Page 7 of 10
System 8 System 8 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 1
Component Category Capacity Design Eff Design 1PLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 16.50 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 9 System 9 Constant Volume Air Cooled No.of Units
Split System<65000 Btu/hr 1
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 16.50 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 I.00 PASSES
Air Handling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
System 10 System 10 Constant Volume Air Cooled No.of Uoits
Split System<65000 Btu/hr 2
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 16.50 12.23 8.00 PASSES
Split System<65000 Btu/h
Cooling Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Ha�dling Air Handler(Supply)- 0.80 0.82 PASSES
System-Supply Constant Volume
PASSES
EnergyGauge Summit0 FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/20]3 Page 8 of 10
Plant Compliance
Description Installed Size Design Min Design Min Category Comp
No Eff Eff IPLV IPLV liance
� None
Water Heater Compliance
Design Min Design Max Comp
Description Type Category Eff Eff Loss Loss liance
None
Project:2013577
Title:The Commons on Pretty Pond
Type:Dormitory
(WEA File:FL TAMPA INTERNATIONAL AP.tm3)
Piping System Compliance
Category Pipe Dia ls Operating Ins Cond Ins Req lns Compliance
�inches] Runout? Temp �Btu-inlhr Thick�in� Thick�in�
�F� .SF.F�
Domestic and Service Hot Water 0.50 False 105.00 0.30 1.00 0.56 PASSES
Systems
PASSES
EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
10/14/2013 Page 9 of 10
Project:2013577
Title:The Commons on Pretty Pond
Type:Dormitory
(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 cfm/ftZ;all �
other products:0.3 cfm/ftz
Joints/Cracks 502.3.3 To be caulked,gasketed,weather-stripped or otherwise sealed �
Dropped Ceiling Cavity 502.3 Vented:seal&insulated ceiling.Unvented seal&insulate roof& �
side walls
HVAC Efficiency 503.2.3 Minimum efficiencies:Tables 503.2.3(1)-(8) �
HVAC Controls 503.2.4 Zone controls prevent reheat(exceptions);separate thermostatic �
control per zone;
Ventilation 503.2.5 Outdoor air supply&exhaust ducts shal]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-retardant or liquid cover or other means proven to reduce �
heat loss on heated pools;Time switch(exceptions);readily
accessible on/off switch.
Motors 505.7.5 Motor efficiency criteria have been met �
Lighting Controls 505.2,502.3 Automatic control required for interior lighting in buildings>5,000 Q
s.f.;Space control;Exterior photo sensor;Tandom wiring with 1 or
3 linear fluorescent lamps>30W
EnergyGauge Summit�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012
]0/14/2013 Page 10 of 10
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