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1145 Rinehart Rd 18-1631; (a) INTERIOR REMODEL
3 2018 y{. J cc Building & Fire Prevention Division PERMIT APPLICATION No: 0t' Documented Consttuction Value: $ oo:oo .3 a- Job Address: 1145 Rinehart Road,. Sanford, FL 32771 Historic District: YesONoa 19-30-502-0000-0020ParcellD. Residential[E]Commercial 4/ Type of Work: NewE]Addition Alterations Repair Demo Change of Ilse Move Description of Work: Expansion of existing suite, Including new partitions constructed of metal studs, drywall, new millwork, lighting, finishes, acoustical ceiling. Plan Review Contact Person Michael J. Albanese Title:Architect Phone: 407-363-6136 Fax: Email: maibanese@c4architecture.com Property Owner Information Name Deno P. Dikeou Phone: Street: 543 N. Wymore Rd., .suite 1.0.6 Resident of property? City, State zip: Maitland, FL 32751 Contractor Information 7 Name TBD jh --'kg CJtX 361 I `'t tCTfIN Phone: 40 ! - % 7( Street: ?100 (7hW a&r- U'L-P 6 AI jt?. i bi Fax: lf% %7 " City ` State Zip: (1 ifa d ( 17L. 3 -280V State License No.: o C Name: Mich Street: 135 W. Central a] Architect/ Engineer Information C4 Architecture Phone; 407 363-6136 city, St, zip: Orlando, FL 32801 Bonding Company: Address: 340 E- mail: maibanese@cAarchitecture.com Mortgage Lender: Address: WARNING TO ORVNEk: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST .INSPECTION._ IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OIL COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated, I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet shuidards of all laws regulating constriction in this jurisdiction. I understand that a separate permit must be secured for electrlcel work,.plunubing; signs, Wells, pools, furnaces, boilers, heaters, tanks; And ahi c6"ditloners, etc. FBC 105.3 Shall be Inscribed.with ilne d to of application and.the code in effect as of that dntet 6tt' Edition (201) Florida Building Codo Remised: January 1, 2018 / Permit Application pp.. JIMt Afift . 1. , VI4111r0iftnts 6 Slspf";Wuhb' maybeadditidnilresklodo bl d theri re4urecordsofthisCounty,, 'kit -may be lied iYottt other go Ia state agencies, or federal 0 of errilit is verification that I WiVj notify the owner of the property of the requirements of Plorl, 1.1e Ctty of Sanford requires payment off plan ,review fee at the time of permit submittal. A copy of the executedDInO0aTtocalculate, a plot) review charge And will be considered the estimated construction value of the job at the time: 3 The actual construction value will be'rjgured based on the current ICC Valuation Table in effect at the time the 06WhWif accordance with local ordinance. should calculated charges figured off the executed contract exceed the actual coualrua illit fees when the permit is issued. credit will be applied to Your P. OWNER'S Av' PDAVIT: I certify that all of the foregoing information Is accurate and that all w be done In complim I ice with all applicable laws regulatingconstruction- ffl—IdTonin9. ', MISEALKLM WIDOMM010NOW-00 Owner/Agentis/_Persona yKnown toMeor Produced ID — Type of ID win— a—ture Si:t1Q6cior/Agcnt Date Zrpht in Awhpk- Print conimclor/Agent's Nam V 0T. 19ignaiuro OrNoin-T00-164— DEBBIE CLANTOIN Ni Y COAANII 15 3 1 10N # F F,,78648 EXPIRES: F&uary 25,2019 Bonded Thru Nota!y Public Underwriters, Coiitracto r/gent-is—Personaily,*Ki!}own to Me or Produced ID Type of ID M LItEflA BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical 0 Mechanical[ Plunibingo Gas[] Roof D Construction Type: r,2 Occupancy Use: ^ A""./cs r Flood Zone:. kld- Total Sq Ft of Bldg: 5' r Min. Occupancy Load: Cl 1 #of Stories: 15 V 6 New Construction: Electric - # of AmP s r'/ Plumbing - # of Fixtures Fire Sprinkler Permit: Yesn NoE] # of Heads Fire Alarm Permit: YesE] No [I APPROVALS: ZONING: UTILITIES: WASTE WATER: — ENGINEERING: FIRE: BUILDING: -:L- i Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 8/14/2018 I hereby name and appoint: Brent Christopher an agent of: Johnson-Laux Construction, LLC Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: 1145 Reinhart Road Sanford, F1 32771 Street Address) Expiration Date for This Limited Power of Attorney: 8/21/2019 License Holder Name: Gina Johnson State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF orange The foregoing instrument was acknowledged before me this 21 day of August , 20018 , by Gina Johnson who is personally known to me or who has produced as identification and who did (did n& te an oath. 1Aaq SignsLre( Notary Seal) (LybcL \ Notary Public State of Florida Anita Bifball My Commission GG 216860 or Expires 0511312022 Print or type name Notary Public - State of D Commission No. 216 -D My Commission Expires: jtll 2022 Rev.08.12) Grant Maloy, Clerk Of The Circuit. Court & Comptroller Seminole County, FL Inst #2018096433 Book:9196 Page:940; (1 PAGES) RCD: 8/21/2018 12:37:34 PM REC FEE $10.00 THIS INSTRUMENT PREPARED BY: Name: Johnson-Laux Construction, LLC Address: 8100 Chancellor Drive, Suite 165 Orlando. FI 3280g NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: 18-1631 —Parcel ID Number: 32r %`I V30' 5 2— _CJ 9,d The undersigned hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter 713. Florida Statutes, the following Information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 1145 Rinehart Road Sanford. FI 32771 GENERAL DESCRIPTION OF IMPROVEMENT: Interior Alteration OWNER INFORMATION: Name: Leaseholder Interest Owner: Children's Health Alliance Address: 6900 Tavistock Lakes Blvd. Suite 356, Orlando, FL 32827 Fee Simple Title Holder (if other than owner) Name: Deno P. Dikeou Address: 543 N Wymore Rd. Suite 106, Maitland, FL 32751 CONTRACTOR: Name: Johnson-Laux Construction, LLC Address: 8100 Chancellor Drive, Suite 165 Orlando, FI 32809 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Joseph W. Baker Address: 6900 Tavistock Lakes Blvd. Suite 350, Orlando, FL 32827 In addition to himself, Owner Designates Kenneth Donaldson of Nemours/Children's Health Alliance Section 713.13(1)(b). Florida Statutes. To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) N/A WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under pT ties of perjury, 1 declare that I have read the foregoing and that the facts stated in it are true to the bt o my knowledge and belief. Iv,;*Rl w Owner's Signature Owner's Printed Name Florida lute 713.13(1)(g): • The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' State oAyx&_ County of `5 Q The fore ing in(sttrument w s acknowledged /before this day of .2011 by .{1Y Who is personally known to e game of person making statement rvu OR v& vi gpp gd identification type of ]do tificatfon produced: ar WiRES:MW22,2t120 i%oFtnP BattM Ro ticf9dWA y3wAl a o n;Pu DE iISEM VY UALIS Notary Signature w. * Rf1'COMfl033lONpFP.lg DXPfRES: Oi FIOPo' tiarW Thnr 4-ow_wy8WW= COUNTY OF SEMINOLE IMPACT.FEE STATEMENT STATEMENT NUMBER::18100006 DATE: August 16, 20'18 BUILDING APPLICATION #: 18-10000690 BUILDING PERMIT NUMBER:- 18-10000690 UNIT ADDRESS: RINEHART ROAD 1145 32-19-30-'502-0000-0020 p TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: — SUBDIVISION: TRACT: PLAT BOOK.: PLAT .BOOK PAGE: BLOCK; LOT: OWNER NAME:`.. ADDRESS: APPLI:CANT.NAME: DENO P DIKEUO.. ADDRESS: 543 N WYMORE..RD STE 106 MAITLAND FL 3275`1 LAND'. USE: MEDICAL —OFFICE TYPE USE: I WORK DESCRIPTION: CITY—SANFORD SPECIAL NOTES: ,, 1145 RINEHART ROAD / NEMOURS URGENT CARE, EXPANSION / MEDICAL OFFICE FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE ROADS—ARTERTALS N/A oo i ROADS —COLLECTORS N/A 00—, FIRE`RESCUE N/A 00 LIBRARY N/A 00 SCHOOLS. N/A 00 PARKS N/A 00 LAW'ENFORCE N/A 00 DRAINAGE N/A 00 AMOUNT- DUE 00 PERSONSARE ADVISED THAT THIS IS.A STATEMENT OF FEES DUE UNDER THE' SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL , ISSUANCE OF A BUILDING PERMIT. PERSONS, ARE ALSO ADVISED THAT ANY RIGHTS. OF THE APPLICANT, OR OWNER, TO. APPEAL THE CALCULATION OF ANY OF,THE ABOVE MENTIONED IMPACT FEES MUST BE'EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR~ DAYS OF THE DATE ABOVE, BUT NO LATER•THAN s CERTIFICATE OF OCCUPANCY OR OCCUPANCY- THE'REQUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED"UP, OR REQUESTED', s FROM THE BUSINESS OFFICE: 1101 EAST FIRST STREET, SANFORD FL; 32771;; 407-665-7356. PAYMENT SHOULD -BE MADE TO: SEMINOLE-COUNTY, OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL,'32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT"NUMBER,AT,THE TOP LEFT OF THIS STATEMENT. THIS STATEMENT I.S NO LONGER VALID IF;A BUILDING PERMIT IS NOT ISSUED WITHIN 60 CALENDAR DAYS FROM THE DATE ABOVE s Y s N 3 2019 SCITY OF Building & Fire PrevenHO" Division Alai F - . pp Irna: ur.rnitrri_r i A lication`No: Documented coi s; Unction Valtte: $ 1.90,000:00 Job Address;1145 Rinehart Road, Sanford, FL 32771 Historic District: Yes No Parcel ID' JZ;c-19-30-502-0000-0020 ResidentialE Commercial m Type of Work: New. AdditionF Aiteratioua Repair Demo 0 Change of Use Move Description of Work: Expansion of existing suite, Including, new partitions co n§tructed of metal studs, drywall, new Nmillwork, lighting, finishes., acoustical ceiling, Plan Review Contact Person: Michael J. Albanese Tit>e:Architect a . 407- 363-6136 Fax: Email: malbanese@c4architectu.re.com Phone. Property Owner Information H D Name Deno P. Dikeou Phone:`_ Sheet: y 543N..W more :Rd., Suite 1.0.6 Resident of property? Maitland, FL 32751 City, State Zip: Contractor information Name TBD Phone:. _ Street: Fax. State License No.: City, State Zip: Architect/ Engineer Information Name: Michael J. Albanese, C4 Architecture phone: 407.363-6136 ext. 207 Street:, 135 W. Central Blvd., Suite 340 ' Tax: city, St, zip: Orlando, FL 32801 -mail: malbanese@04architecture.com Bonding Company: Mortgage Lender: Address: Address: WARNING TO ONimIER: YOUR FAILURE TO RECORD A NOTICE OF GOMMENCCMENT MAY RESULT 11[ YOUR PAYING TWICE FOR mtpRovEMENTS' TO YOUR PROPERTY. A NOTICE Q7-C-OMMENC)aMGNT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE 1RST .INSPECTION.. it YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BT+;FORE RECORDING YOUR NOTICE Or COMMENCE- MENT. Application is hereby made to obtain'a permit to do the work and installations as indicated. L certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of -pit laws regating co.0s,ntpools, in this jurisdiction. -I understand that .it separate penultmust be secured for electrical tvork,.plunubing;signs, furnaces, boilers, heaters, tauks; and air coAditloners, etc.. F13C 195: 3 Shall be tnscriBcd irlth the date ofapplication and -the code in effect as of that dates Wh Edition (2011) Florida Building Code heinsil Applica( ion- n t— ti. lanuarV 1.2018 the a eilitiren ettt8 dt offs prrtittt, tliero niay,btz addifuoiipl u aslildtiotia hpplttabl of this eoiittty, and there Y may 6a additio ttil permils regmia Notfi'etl l3r<gaV'a>t` suite agencies, or federal aF•.>znoics, is veriGoation that I will, notify the, owner of the property of the reduirenttjnts of ltlo: he`Ctty ofSonford requires payuiet t of; plan review fee at tite tine of permit submittal, A copy of the execute char' etiv go and will be considered the estimated construction value of the job at duioxdertocalculateaplanrevi Tlua actual construction value will be. figured based on the current ICC Valuation Table in effect at the Cline the accordance with local ordinance. ;Mould calculated charges figured off the executed contract exceed the actual credit will be applied to your p m)it fees when the pennit is issued. A`NC+R'SArTiDA'VIT: I certify that all of the foregoing information is accurate and that all be done in compliance with all applicable laws regulating construction and zoning. Signature of Contractor/Agent Date i Print Contractor/Agent's Name Signature of Notary -State of Florida Date 1 r k4;t, DENt9EM.WIU.fItlt3 e C3t IRESt ay22..Wa+ 40;0 BandedTlwBvdp fNomjtBaMoeO Owner/Agent'is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID ProducedID Type of ID Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min, Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Mire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No P, iMP3r APPROVALS: ZONING: UTILITIES: WASTE WATER: -- ENGINEERING: FIRE: BUILDING: CITY OF y; Building & Fine Prevention Division S--IN R D.,- _--------PERMIT_APPLICATION _. rail: ur.rnitrri_r`i Application No: Doc mented Colistrnetion Value: $ 1.90,000400 1145 Rinehart Road,. Sanford, FL 32771 Historic District: Yes NoaJobAddress. 3ZA 9-30-5.02-0000-0020 , Residential Commercial t i Parcel ID; ' Type of Work: Newo Addition Alterationz Repair De1rio Change of Use[] Move Description of Work: Expansion of existing suite, Including new partitions constructed of metal studs, drywall, new millwork, lighting, finishes., acoustical ceiling, Michael J. Albanese Title: Architect Plan Review Contact Person. Phone. 407-363-6136 Fes; maiL• malbanese@c4architecture.com Property owner information Name Deno P. Dikeou Phone: Street: 543 N. Vymore Rd., suite 1.0.6 Resident of property? Maitland, FL 32751City, State Zip: i Contractor Information Name TBD _ Phone: _ Street: Fax: j City, State Zip: State License No.: Architect/Engineer Information MichaelName: J. Albanese, C4 Architecture Phone: 407 363-6136 ext. 207 street:.135 K Central Blvd:, Suite 340 Fax: j malbanese@04architecture.com city, St, zip: Orlando, FL 32801 >J-mail: a Bonding Company: Mortgage Lender: . Address: Address: WARNING TO O YNgit. YOUR FAILURE TO RECORD A NOTICE OF COMM) NCEMENT MAY RESULT IN YOURERTY, A NOTICE OF COMPAYINGTWICEFORIMPROVEMENTSTOYOURPROP IIIENCIaMGNT IVIIIST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST.INSPECTION.. Ih' YOU INTEND TO OBTAIN 1, NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Or' COMMENCEMENT. Application is Hereby made to obtain a permit to do the work and installations as indicated, I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating constnt otols in this jurisdiction. I understand that it separate periult must be secured for electriefll work,.plunibing;.signs, Wells, p furnaces, boilers, heaters, tanks; and air conditioners, etc. FBC 105,3 Sha11 be lnscrlbcd.irltl the date of application and.ttte code in effect as of that date; Wh Edition (!'Oil) Florida Building Code Veimit Application Revised: January 1, 2018 Ctt]IltVlt 1V:;111G v ie'.vrv"`y e" r yl7tlll, tilt; iB )naj',DG tltltltltVllUl;133n111V1/ya161111J J iyltticr ot s of this coti tty, and the ; may W edditidittil peri tits xe4ilhi Cott eliii6r t dlK ets, state agencies, or federal ap,Bnoies, of pormit is verifioation that I will, notify the owner of tits property of the requirentt3n(8 Che City ofSanfard requires payment of.a plan review fee at fire time of permit submittal, A copy of the executed 0, or to calculate a plan review charge and will be considered the estimated construction value of the job at it 1110 achtal construction value will bt; figured based on the current ICC Valuation Table in effect at the tune the accordance with local ordinance. '3hould calculated charges figured off the executed contract oxeecd the actual credit will be applied to your USrntit fees when the permit is issued. CD't?t NER)S AbMAVIT: I certify that all of the foregoing information is accurate and that all be done in compliance with all applicable, laws regulating construction and zoning. Signature of Contractor/Agent Date Print Contractor/Agent's Namo Signature of Notary -State of Florida Date 1M q DMISE6t.WalA1tlS tdYNOOMMOIDNOW-00 MREkft2Z2b20 0 O- zqaoraaannrttuWroom'rtt«, = Owner/ AgentIsz Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID Permits Required: BuildingEl Electrical Mechanical Plumbing Gas[] RoofEl Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Dire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No y: APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING; -- FIRE; -- - BUILD i 0 3 2018 CITY OF u BrriCdng &Fine Prevention Division PElt°MIT_AP UTGATION . cllsc ur.rnitrri:.nr Application No: I Documented Construction Value: $ 190000;00 1145 Rinehart Road,sSanford, FL 32771 Historic District: YesJobAddress.. ParcellD: 32Z.19.30-502-0000-0020 Residentiala Commercial 0/ s . Type of Work: NeivD Addition Alterations Repair Deirio Cbeuge of Use Move Expansion of existing suite, Including new partitions constructed of. metal studs, dry" wall, newDescriptionofWork: p millwork, lighting, finishes, acoustical ceiling, i Plan Revieiv Contact Person: Michael J. Albanese Tit1e:Arctitect 407-363-6136 >;inail: malbanese&4archltecturexom Phone. Pam' Property Owner" Information Mn Name Deno P. Dikeou street: 543 N.-Wymore Rd., suite 10.6 city, state Maitland, FL 32751 Phone Resident of property? E '"Contractor Information Phone: Name TBD Street: FAX: City, State Zips State License -No.: Architect/Engineer Information Michael J. Albanese, C4 Architecture p,d11e; 407363 -6136. ext. 207 Nam - Street. 135 W.. Central Blvd., Suite 340 Tax: City, St, Zip. Orlando, FL 32801 >;-mails malbanese@c4architecture.com Bonding. Company! Address: Mortgage Lender: . Address: NyARNING-TO ONVNER: YOUR FAILURE TO RECORD A NOTICE OF COMMT NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IIYIPRovEMENTS TO YUUR PROPERTY. A NOTICE :OF COMII ENCiaMGNT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST.INSPECTION.. II`YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY.BEFO ItT;CORDING YOUR NOTICE Or COMMENCEMENT; Application is Hereby made to obtain a permit to -do the work and installations as indicated. I certify that n0 work Or installation has commenced prior, to the issuance of a permit and that all work will be performed to meet stiuidards of all Taws regitlatuig o9nstni otols, ion m this jurisdiction. °:I understand that a separate periult must be secured for electrical work;.plunihtug; signs, Wells, P furnaces, boilers, heOters, tauks; and air coAdittoners, etc. hgc 10s.3 Shall be inscrIk dmIth, the irate of apnllcatian and -the code in effect as of that date: 641i Edition (2017) Florida Itullding Code Peiniit Application Aivised: lahoary 1.2018 tYs of taus eosin , stud them' , ty, may be additioiial pefittils retiinred iYoi btli3r kte'agencies, or federal "g QUOies, verification that I will; notify the owner of the property of the requirenibals y The City otsanford requires payuteltt of a plan t view fee at the time of permit submittal. A copy of the execute Mr't. r iv calculate a plan review charge and will be considered the estimated construction value of the job at tb The actual construction value will bg figured based on the current ICC Valuation Table in effect at (lie tune the accordance with local ordinance. hould calculated charges figured off the executed contract exceed lite actual credit will be applied to your permit fees when the pennit is issued. O'? NER'S AbMAVIT: I certify that all of the foregoing information is accurate and that all be done in compliance with all applicable laws regulating construction and zoning, Signature of Conlraelor/Agent Date Print Contractor/Agent's'Namo Signature of Notary -State of Florida Date aotN' DENt9EM.YVAJ.tAIIS GI YCOMI 9$llNt F' e MRES tJlay22, M o o gwideATlwaudpefNo6tjr8errloeo Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known, to Me or Produced ID Type of ID. Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use; Flood zone: Total Sq Ft of Bldg: Min, Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Hetids Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: AN WASTE WATER: ENGINEERING: FIRE: rriillf it I y ME CITY or Br ildi rg & Fire PreventionDivisofi . A .T !Q ' > mmrT APPLICATION Application No. 0 i r ,. i F Documented Construction Vahte: $ 190,000 ;00 Job Address 1145 Rinehart Road, Sanford, FL 32771 Historic District: YeSoNoa Parcel ID: 32A 9-30-502-0000-0020 Residentiala ommCel ciat v Addition Alteratioua Repair ElDemo Change of Use Move Type of Work: Nei Expansion. of existingsuite, Including new .partitions constructed of metal studs, drywall. new DescriptionofWork: millwork, lighting, finishes, acoustical ceiling. Plan Review Contact -Pei son. Michael J. Albanese Architect 407- 363-6136 Fax; Email. malbanese@c4.architecture.com Phone.. property Owner Information Name Deno P. Dikeou Phone Street: Y 643N.MW more Rd., suite 1.0.6 Resident, of property? City, state zip: Maitland, FL 32751 Contractor Information Name TBD _ Street: Phone: Fax: City, State Zip: State License No.: Architect/ Engineer Information Name- Michael J. Albanese, C4 Architecture Pl>oue: 407 363-6136 ext:,207o street: 135 W. Central Blvd., Suite 340 Fax: Orlando, FL 32.801 E-mail: malbanese@04architecture.com Clay, St, Zip:, Bonding Company: Address: Mortgage Lender: Address NVARNING TO OWN14b YOUR F.AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR FOR IMPROVEMENTS TO PAYINGTWICEYOUR PROPERTY, " A NOTICE OF COMMENCEMENT MUST BE FIRST. INSl?ECTXON-IF YOU INTEND TO RECORDEDANDPOSTEDONTHEJOBSITEB.XIE Y BEFORE RECO. DING YOUR NOTICEAO TINANCING, CONSULT WITH YOUR LENDER OR AN COMMENCEMENT, Application is hereby made to obtain a ermit to do the work and in as indicated. Lcertify that no work or installation has p eoinmenced prior to the issuance of a pemik and that.aliwork will be perfVrmetl to meet standards of all laws regulating ells, otols in thisjurisdiction. . I under land that A'aeparRte permit must be secured'for electrical work,:piunlbing; signs, Wells, P; $ furnaces, bolters, heaters tanks; and air conditioners, etc. ne 10543 Shall be InscrIbcd.ii'ith the dote of application and.the code in effect as of that dote- 616 Edition (Z017) Florian Building Code Peimit Application Rel- ised: January t, 2018 11,1`'G\111gyu•vsaw r. •+••— it .irrnt[j Ilerti IIIaY,' s of this county,1aitd theft'. may ba additid ih rite agencies, or federal ap oltoies. M , pt n p . notify the owner of the property of the requirements of P1orlda gleneooforntitisvertfioationthatlwill. y,The City of Stanford requires payuleut of a plan review fee at the tinla of permit submittal, A copy of the execute w.6 er to calculate a plan review char o and will be considered the estimated construction value of the job at d T1tc actual construction value will be figured based on the current ICC Valuation Table in effect at the thile the accordance with local ordinance. oltould calculated charges figured off the executed contract exceed the actual credit will be applied to your p.,rnrit fees when the permit is issued. QjyNERIS Aj'6 IDAVIT: I certify that all of the foregoing information is accurate and that all be done in compliance with, all applicable laws regulating construction and zoning. Signature of Contractor/Agent Date Print Contractor/Agent's Nanro Signature of Notary -State of Florida Dato ao# Z4d, DMISEALWIt1lW tAYt MIr!(9$IDNOF A@ 89 e iMRE§>ft2Z= o oP BonQeeTtweuCpaftlomryttadoae Owner/Age it -is Personaly Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced lD Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures _ Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5051 DATE: 1-1i I U BUSINESS/PROJECT NAME: ' \Vvl ADDRESS: CONTACT NAME: PHONE: PHONE: PERMIT NUMBER: PLAN REVIEW INFORMATION rl NSTRUCTION [ ]C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER []HOOD [ ]PAINT BOOTH [ ]TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL FEES: CC; C L EA R ENGINEERING April 26, 2018 Permit Number: 18-1631 Project: Interior Renovations Nemours Clinic Address: 1145 Rinehart Road Clear Eng. Project #78102) Comment -Response/ Change Narrative 13651 Crystal River Drive Orlando, FL 32828 Phone (407) 277-3431 Fax (407) 536-5081 www.clear-engr.com Comment: Electrical services will have to be grouped and identified as one address. RESPONSE: Refer to revised drawing E-001 for corrections by adding requirement to identify two electrical disconnects as one address. Please let us know if you have any questions. Sincerely,ADA Darius AdaTs, P.E. UJ President f FLOC ols d J a a REVISED: June 2014 INSPECTION SEQUENCE BP# 18-1631 ADDRESS: 11 BUILDINGPERMIT " - Min Max Inspection Description Footer / Setback Stemwall 10 Slab / Mono Slab' Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In 20 Frame 30 Insulation Rough Firewall Screw Pattern 40 Drywall. / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'1) Building Ceiling Grid Final Roof Final Stucco / Siding Final Insulation Final Firewall Final Door Final Window' Final Utility Building Final Screen Structure Final Pool Screen Enclosure Pre -Demo Final Demo Final Single. Family Residence Final Commercial — 1000 Final Commercial - Addition / Alteration Final Commercial — Change of Use Final Building (Other) 45 Rinehart Road EECTRICAL PERMIT , ar _ s Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Roughg 10 Electric Rough Pre -Power Final Temporary Pole11000ElectricFinal G IPE R T,' a n 4 1 Min Max Inspection Description - Rough Plumb 10 Plumbing Underground 20 Plumbing 2nd Rough Plumbing-Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing -Steam / Chill Water Rough 1000 Plumbing Final MECHANICALkPERMIT o: gym, . Min Max - Inspection Description 10 Mechanical Rough - Mechanical Fire Damper Framing Mechanical Ceiling Rough Mechanical Fire Damper Annular Space Mechanical Insulation Wrap Mechanical Fire Damper Angle Light / Water Test Ck Welds Mechanical Grease Duct Wrap 1000 Mechanical Final 1 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32771 Phone: 407.688.5150 Fax: 407.688.5152 PLAN REVIEW COMMENT Date: April 23, 2018 Project: Interior Renovations Contact Person: Michael Albanese Job Address: 1145 Rinehart Road Contact Phone Number: Application Number: 18-1631 Contact E-mail: malbanese@c4architecture.com Contact Fax Number: ARCHITECTURAL 1. We have classified the main use of the building to be Business. 2. The lounge and waiting rooms are ancillary uses to the main building use. 3. Sheet 1A200. Building cannot be occupied during construction. STRUCTURAL 1. No comment. MECHANICAL 1. No comment. PLUMBING 1. Occupancy load of 55 will require 3 bathrooms based on table 403 .1 for an occupancy classification of Business. 2. Cannot locate any water closets on plumbing riser diagram. 3. No plumbing details sheet P 100 and P300 for water closets. ELECTRICAL 1. Electrical Services will have to be grouped and identified as one address. 2. Submit two sets of revised plans addressing all above comment. Please direct any questions you may have to Joy Deen at 407.688.5064 or fax to 407.688.5152. You may also contact me by e-mail at joy.deen@sanfordfl.gov. Respectfully, e been, Jo From: Deen, Joy Sent: Monday, April 23, 2018 1,01 PM to: 'malbanese@c4architecture.com' Subject: 18-1631 j Attachments: 18-1631.pdf Joy Deen City of Sanford Plans Examiner PH: 407.688.5064 Fax: 407.688.5152 1 , x April 26, 2018 City of Sanford Building Division 300 N. Park Avenue Sanford, FL 32771 RE: Nemours Children's Primary Care Urgent Care Expansion - 1145 Rinehart Road, Sanford, Florida 32771 Job # 17376 Permit Number: 18-1631 To Mr. Joy Deen: The following response to comments and revised drawings refer to the reference permit number above. BUILDING: ARCHITECTURAL: 1. We have classified the main use of the building to be Business. RESPONSE: Agree per the 2017 Florida Building Code section 304. 2. The lounge and waiting rooms are ancillary uses to the main building use. RESPONSE: Understood and sheet IA200 reflects this determination. 3. Sheet IA200. Building cannot be occupied during construction. RESPONSE: Sheet IA200 has been revised to include this note during the phases of construction. PLUMBING: 1. Occupancy load of 55 will require 3 bathrooms based on table 403.1 for an occupancy classification of Business. Florida Plumbing Code 2017. RESPONSE: The occupant load has been revised to reflect 30 occupants for 2,956 SF at 1/100 SF. Thus, requiring per table 403.1 of the Florida Plumbing Code 2017 requires two restrooms. 2. Cannot locate any water closets on plumbing riser diagram. 3. No plumbing details sheet P100 and P300 for water closets. RESPONSE: Please see attached revised plumbing drawings and cover letter addressing these comments. ELECTRICAL: 1. Electrical services will have to be grouped and identified as one address. RESPONSE: Please see attached revised electrical drawing and cover letter. 2. Submit two sets of revised plans addressing all above comments. RESPONSE: Please see attached revised drawings and cover letters addressing all comments. Thank you for your time in reviewing this project. Please contact me if you need any additional information or have questions. Respectfully, Michael J. Albanese, RA, NCARB Architect Florida License # AR 0015472 C4 Architecture, LLC 135 W. Central Blvd., Suite 340 Orlando, FL 32801 407) 363-6136 ext. 207 malbanese@c4architecture.com Cc: file 00154 2 ' V RED P RG EIERANN ENGINEERING INC. 1015 Webster Ave Phone: (407) 296-6991 April 26, 2018 Subject: Application # 18-1631 — Sanford Nemours Orlando, Florida 32804 E-Mail: EBENGOMOL.com john0eiermanneng,com Comment 2 & 3: Cannot locate water closets on plumbing riser diagram, no plumbing details sheet P100 an P300 for water closets. Response: Plumbed up restrooms on plumbing floor plans and added restroom fixtures to isometrics to reflect plans. John Hermann Revision 0 City of Sanford13 , s Response to Comments Building & Fire Prevention ivision r Ph: 407.688.5150 Fax: 407.688.51522,0 q `; Email: building@sanfordfl.gov 1Y. i 7 1 001PermitSubmittalDate Project Address: LIS- i2iI r)ekcr4— 2G) SGn 4,,cl( EZ 3z %l l Contact: Ph: Email: /N4&Ae5 e 0q Aries; °G1" COS Trades encompassed in revision: E esBuilding V mbing ctrical Mechanical Life Safety Waste Water Department Utilities Waste Water Planning Engineering Fire Prevention C lding r e ,-- l Fax: General description of revision: ee A4,-c ecJ &r See A4)r-J vl fell e P rd ,e<,l .e hie ROUTING INFORMATION Approvals noc4uSign,Enyelope ID: F3E3CEF5-DOB7-45rMCCF-7A3210055C2C Stipulated Sum The S ' , Stmi shell • N/A 3.2) r o o3C}fl tS{}il) ii umtuct a t Cd` 'ebtheiiali6 CO3Y 2 tea'" Altercates tlpulated based on the following alternates, if any:: The S ' Sum is 3.2.1) L Un1f Prices prices,.. i..yunitfasi Allowances Allowances inchuicd in the Sti elated S"" ' if any: 3.2.3) i Cost of Work Plus The Contractor's Fee shall be: U' `; 3.3.2) Contractor's Fee Cost of Work Plus _ _ _"___ The Contractor'sFee s>all be: `, _ _--- _ _ 3.4.2) Contractor's Fee With a Guaranteed Maximum Price Guaranteed Maximum Price The sum of the Cost of the -Work and the Contractor's Fee is guaranteed by the Contractor not to exceed;- Alternates The C'raaranteed Maximum Price is based on the following alternates; 3.4.3.2) if any: 7 Vnit Prices Unit prices, if any. 3.4.3.3) Allowances ' - Allowances included in the Guaranteed Maximum Price, if any: 3.4.3.4) Assumptions Assumptions, if say, on which the Guaranteed Maximum Price 1s 3` 4.3.5 ) based: etainage REtainage, if any, shall be withheld as follows: 4.1.4) of each Payment Application The Supplemental or Other Conditions, if eny. 3 is 12697 vl V%',0gn, Envelope ID: F3E3CEF5-DOB7-45Fg-8CCF-7A3210055C2C o a - Work Order - A107 JOHNSON-LAUX CONSTRUCTION, LLC Contractor) CHA A107 Standard Terms and Conditions Work Order - (Work Order) All:work/services performed under this Work Order shall be performed subject to and in accordance with the terms of the CHA A107 Standard Terms and Conditions between Owner and Contractor. The project specific terms of the Work Order are deemed incorporated into the identified sections of the CHA A107 Standard Terms and Conditions to form the Agreement with regard to the Project. By signing this Work Order below, the Parties agree and consent that they nre deemed to have signed and are bound by the CHA A107 Standard Terms and Conditions attached hereto. OWNER CONTRACTOR Children's Health Alliance, LLC ("CHA') Johnson-Lauz Construction, LLC 9145 Nancoossee Road, Suite A203 8100 Chancellor Drive Orlando, FL 3282 Suite 165 Orlando, FL 32809 Phone: 407.770.2180 Architect (if applicable) C4 Architecture, LLC 155 West Central Boulevard, Suite 340 Orlando, FL 32801 and Conditions _ LL Scope bfWork (General Description) _ The work of thus Contract is for the Sanford Clinic eXpansion. slRee'1nrnnnnrated Rxhihitc feir further deccrintion of Workt IO ener's Representative (19 6) Archrtect's Reg; 1f applicable (19 Contractor's Represp3tative (19 6) ' k'yq'n411 wxy d5ggg i . i Joe Baker 'L 'r ` F' k 4m - # 1Mtchael Albaneseuri X M'i'i iX de ' ". i it L 1,, - rtn4J0d7_ 27V0n2id91 40754820; 1"AmM41L i" n 6 FI,' ii Pi g '0 Tel 3Tel TiM-eel{ n ;*' 113ma11 atmoWO j 4 rv) hrecoma lkoaun Oeha WL Jl- F Title Description Contract Section Commencement Date The Date of Commencement will bey- uglis <2018 `1= ail_ Time to Complete The Contractor shall achieve Substantial Completion of the en Project b}9- 96Kt'il (the "Substantial Completion Date' 2. 02 Liquidated Damages NIA, per day (if no dollar amount is inserted then Sections 2.4.1 and - 2.4.1) vT 2.4. 2 shall not be applicable). Contract Sum UX ] . Stipulated Sum, in accordance with Section 3.2 below 3.1) LLJ Cost of the Work plus the Contractor's Fee, in accordance with Section 3. 3 below f', .: 1 Cost of the Work plus the Contractor's Fee with a Guaranteed Maximum Price, in accordance with Section 3.4 ,belo_w, 31912697 vl t Florida Building Code, Sixth Edition (2017) - Energy Conservation EnergyGauge Summit® Fla/Com-2017, Effective Date: Dec 31, 2017 IECC 2015 - Prescriptive Compliance Option PERMIT /63 Check List Applications for compliance with the Florida Building Code, Energy Conservation shall include: E5 This Checklist L_I The full compliance report generated by the software that contains the project summary, compliance summary, certifications and detailed component compliance reports. Ef The compliance report must include the full input report generated by the software as contigous part of the compliance report. Boxes appropriately checked in the Mandatory Section of the complaince report. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Pagel of 21 e 2 PROJECT SUMMARY Short Desc: Nemours Sanford Description: Primary Care Urgent Care Owner: Nemours Childrens Addressl: 1145 Rinehart Rd City: Sanford Address2: State: FL Zip: 32771 Type: Healthcare -Clinic Class: Renovation to existing bui Jurisdiction: SANFORD, SEMINOLE COUNTY, FL (691500) Conditioned Area: 1470 SF Conditioned & UnConditioned Area: 1470 SF No of Stories: 1 Area entered from Plans 0 SF Permit No: 0 Max Tonnage 5 If different, write in: EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 2 of 21 a Compliance Summary Component Design Criteria Result ENVELOPE PRESCRIPTIVE PASSES LIGHTING POWER 1,153.0 1,875.6 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING No Entry HVAC SYSTEM PASSES PLANT No Entry WATER HEATING SYSTEMS No Entry 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-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 3 of 21 CERTIFICATIONS I hereby certify that the plaid %d by this calculation are in compliance with the Florida Energy Code v. .% Prepared)* ie gineerinj, pc_ Building Official: TA FT OF ;t Date: R 10 I certify that this building is in ' J QW bits. onda Energy Efficiency Code 10/111111111 Owner Agent: Nemours Children's Date: If Required by Florida law, I hereby certify (*) that the system design is in compliance with the Florida Energy Efficiency Code Architect: C4 Architecture Reg No: Electrical Designer: Darius D. Adams, PE Reg No: 53236 Lighting Designer: Darius D. Adams, PE Reg No: 53236 Mechanical Designer: Eric R. Eiermann, PE Reg No: 76956 Plumbing Designer: Eric R. Eiermann, PE Reg No: 76956 Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_0RLAND0_SANF0RD_A1RP0RT.tm3) Prescriptive Envelope Compliance 1Item Zone Description Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL ORLANDO SANFORD AIRPORT.tm3) Design Criteria Meet Req. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 4 of 21 External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP W/Unit) or No. of Units (W) VV) Sgft or ft) None Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_ORLANDO_SANFORD_AWORT.tm3) Lighting Power Compliance Space Ashrae Description Area Height No. of Design Effective Allowance ID (sq.ft) (ft) Spaces W) W) W) 117A 10,011 Radiology (Hospital) 66 9.0 1 60 60 100 120A/124A 16 Office - Open Plan 420 9.0 1 222 222 412 118A 10,004 Exam/Treatment (Hospital) 182 9.0 1 194 194 309 121A 10,009 Medical Supply (Hospital) 126 9.0 1 60 60 93 106A 6 Toilet and Washroom 42 9.0 1 30 30 41 122A 10,004 Exam/Treatment (Hospital) 100 9.0 1 74 74 170 125A 10,004 Exam/Treatment (Hospital) 90 9.0 1 74 74 153 127A 10,004 Exam/Treatment (Hospital) 90 9.0 1 74 74 153 100A 12 Lobby (General) - 200 9.0 1 111 111 212 Reception and Waiting 116A 10,011 Radiology (Hospital) 154 9.0 1 254 254 233 Design 1153 (VV) PASSES Effective: 1153 (W) Allowance: 1875.6 (W) — Passing requires Design to be at most 100% of Criteria EnergyGauge Summit@ Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 5 of 21 Project: Nemours,Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL ORLANDO SANFORD AIRPORT.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID sq.ft) CP CP ance 117A 10,011 Radiology (Hospital) 66 1 1 PASSES 120A/124A 16 Office - Open Plan 420 1 1 PASSES 118A 10,004 Exam/Treatment (Hospital) 182 2 1 PASSES 121A 10,009 Medical Supply (Hospital) 126 1 1 PASSES 106A 6 Toilet and Washroom 42 1 1 PASSES 122A 10,004 Exam/Treatment (Hospital) 100 1 1 PASSES 125A 10,004 Exam/Treatment (Hospital) 90 1 1 PASSES 127A 10,004 Exam/Treatment (Hospital) 90 1 1 PASSES 100A 12 Lobby (General) - Reception and 200 1 1 PASSES Waiting 116A 10,011 Radiology (Hospital) 154 26 1 PASSES PASSES EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 6 of 21 Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_ORLANDO_SANFORD AIRPORT.tm3) System Report Compliance Existing Existing RTU Constant Volume Air Cooled No. of Units Split System < 65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 60000 14.00 13.00 8.00 PASSES Split System < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 30717 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 1750 0.45 0.82 PASSES System -Supply Constant Volume Air Distribution ADS System (Sup) 6.00 4.20 PASSES System (Sup) DSI/DSO-1 Ductless Split - Supplemental Unit Constant Volume Air Cooled No. of Units Split System < 65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 10580 20.00 13.00 8.00 PASSES Split System < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 303 0.20 0.82 PASSES System -Supply Constant Volume PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 7 of 21 Water Heater Compliance Description Type Category Design Min Eff Eff Design Max Comp Loss Loss liance None Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_ORLANDO_SANFORD_AIRPORT.tm3) Piping System Compliance Category Pipe Dia Is Operating Ins Cond inches] Runout? Temp [Btu-in/hr F] SF.F] Ins Req Ins Compliance Thick [in] Thick [in] Heating System (Steam, Steam Condensate, & Hot Water) 0.75 False 105.00 0.28 1.00 0.50 PASSES PASSES EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 8 of 21 Mandatory Requirements (as applicable) Mandatory requirements compiled by US Department of Energy and Pacific Northwest National Laboratory. Adopted with permission Topic Section Component Description Yes NIA Exempt Insulation C303.2 Envelope Below -grade wall insulation installed per manufacturer's instructions. Insulation C303.2 Envelope Slab edge insulation installed per manufacturer's El instructions. Insulation C303.2 Envelope Above -grade wall insulation installed per 1:1 El manufacturer's instructions. Insulation C402.3 Envelope High-albedo roofs satisfy one of the following: 3-year-aged solar reflectance — 0.55 and thermal emittance — 0.75 or 3-year-aged solar Fenestration C402.4.4 reflectance index — 64.0. Envelope U-factor of opaque doors associated with the o building thermal envelope meets requirements. SYSTEM C403.2.12.1 Mechanical HVAC fan systems at design conditions do not El"El ElSPECIFIC exceed allowable fan system motor nameplate hp or fan system bhp. SYSTEM —SPECIFIC C403.2.12.2 Mechanical HVAC fan motors not oversized beyond allowable 0 1:1 El limits. SYSTEM C403.2.3(8) Table Mechanical Heat Rejection Equipment: Minimum Efficiency El Er ElSPECIFIC Requirement meet those listed in Table C403.2.3(8) HVAC C403.2.7 Mechanical Exhaust air energy recovery on systems meeting 13a 13 Table C403.2.7(1) and C403.2.7(2). SYSTEM C403.3 Mechanical Air economizers provided where required, meet 11ED/ ElSPECIFIC the requirements for design capacity, control signal, ventilation controls, high -limit shut-off, integrated economizer control, and provide a means to relieve excess outside air during SYSTEM C403.3.2 operation. Mechanical Economizer operation will not increase heating El ET ElSPECIFIC energy use during normal operation. SYSTEM —SPECIFIC C403.3.4, Mechanical Water economizers provided where required, C403.3.4.1, meet the requirements for design capacity, C403.3.4.2, maximum pressure drop and integrated C403.3.1 economizer control. SYSTEM C403.4.2.1 Mechanical Three -pipe hydronic systems using a common o ETSPECIFIC return for hot and chilled water are not used. SYSTEM C403.4.2.3.1 Mechanical Hydronic heat pump systems connected to a El Q/ SPECIFIC common water loop meet heat rejection and heat addition requirements. SYSTEM C403.4.3.4 Mechanical Open -circuit cooling towers having water cooledSPECIFIC chiller systems and multiple or vairable speed condenser pumps, are designed so that tower cells can run in parallel with larger of flow crtieria. C404.2 Mechanical Service water heating equipment meets efficiency El El requirements. Wattage C405.3 Interior Lighting Exit signs do not exceed 5 watts per face. d Plan Review C103.2 Envelope Plans and/or specifications provide all information with which compliance can be determined for the building envelope and document where exceptions to the standard are claimed. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 9 of 21 Plan Review C103.2 Mechanical Plans, specifications, and/or calculations provide all information with which compliance can be determined for the mechanical systems and equipment and document where exceptions to the standard are claimed. Load calculations per acceptable engineering st Plan Review C103.2 Mechanical Plans, specifications, and/or calculations provide all information with which compliance can be determined for the service water heating systems and equipment and document where exceptions to the standard are claimed. Hot water system sized per manufact Plan Review C103.2 Interior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the interior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided shoul Plan Review C103.2 Exterior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the exterior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided shoul Insulation C402.2.5 Envelope Slab edge insulation depth/length. Slab insulation 1:1 El extending away from building is covered by pavement or — 10 inches of soil. Insulation C402.2.6 Project Radiant heating systems panels insulated to R-3.5 on face opposite space being heated. HVAC C402.2.6 Mechanical Thermally ineffective panel surfaces of sensible heating panels have insulation — R-3.5. Insulation C402.2.6 Envelope Radiant panels and associated components, El designed for heat transfer from the panel surfaces to the occupants or indoor space are insulated with a minimum of R-3.5. Air Leakage C402.5.7 Envelope Vestibules are installed on all building entrances. Doors have self -closing devices. SYSTEM SPECIFIC C403.2.12.3 Mechanical Fans have efficiency grade (FEG) — 67. The total 11 efficiency of the fan at the design point of operation — 15% of maximum total efficiency of the fan. HVAC C403.2.13 Mechanical Unenclosed spaces that are heated use only 1:1 El radiant heat. HVAC C403.2.4.2 Mechanical Each zone equipped with setback controls using El automatic time clock or programmable control system. SYSTEM C403.2.4.4 Mechanical Zone isolation devices and controls installed 11 ElSPECIFIC where applicable. SYSTEM C403.2.4.7 Mechanical Fault detection and diagnostics installed withSPECIFIC air-cooled unitary DX units having economizers. SYSTEM SPECIFIC C403.2.5 Mechanical Hot water boilers supplying heat via one- or two -pipe systems include outdoor setback control. HVAC C403.2.6.1 Mechanical Demand control ventilation provided for spaces El 11 500 ft2 and >25 people/1000 ft2 occupant density and served by systems with air side economizer, auto modulating outside air damper control, or design airflow >3,000 cfm. SYSTEM SPECIFIC C403.4.1.1 Mechanical Hydronic and multizone HVAC system controls areVAV fans driven by mechanical or electrical variable speed drive per Table C403.4.1.1. SYSTEM C403.4.1.3 Mechanical Reset static pressure setpomt for DDC controlledSPECIFIC VAV boxes reporting to central controller based on the zones requiring the most pressure. SYSTEM C403.4.2 Mechanical Temperature reset by representative building 1:1 ElSPECIFIC loads in pumping systems for chiller and boiler systems >500,000 Btu/h. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 10 of 21 IFIC C403.4.2.3.2.1 SYSTEM —SPECIFIC C403.4.2.4 SYSTEM —SPECIFIC C403.4.2.5 SYSTEM —SPECIFIC C403.4.2.6 SYSTEM —SPECIFIC C403.4.3, C403.4.3.2 Mechanical Closed-circuit cooling tower within heat pump loop have either automatic bypass valve or lower leakage positive closure dampers. Open -circuit tower within heat pump loop have automatic valve to bypass all heat pump water flow around the tower. Open- or cl Mechanical Hydronic systems greater than 500,000 Btu/h designed for variable fluid flow. Mechanical System turndown requirement met through multiple single -input boilers, one or more modulating boilers, or a combination of single -input and modulating boilers. Boiler input between 1.0 MBtu/h and 5 MBtu/h has 3:1 turndown ratio, boiler input between 5.0 Mechanical Chilled water plants with multiple chillers have capability to reduce flow automatically through the chiller plant when a chiller is shut down. Boiler plants with multiple boilers have the capability to reduce flow automatically through the boiler plant Mechanical Fan systems with motors —7.5 hp associated El El with heat rejection equipment to have capability to operate at 2/3 of full -speed and auto speed controls to control the leaving fluid temperature or condensing temp/pressure of heat rejection device. NJ I] SYSTEM C403.4.4.5 Mechanical Multiple zone HVAC systems have supply airSPECIFIC temperature reset controls. SYSTEM C403.4.4.6 Mechanical Multiple zone VAV systems with DDC of individualSPECIFIC zone boxes have static pressure setpoint reset controls. SYSTEM C404.2.1 Mechanical Gas -fired water -heating equipment installed inSPECIFIC new buildings: where a singular piece of water -heating equipment — 1,000 kBtu/h serves the entire building, thermal efficiency — 90 Et. Where multiple pieces of water -heating equipment serve the building wi SYSTEM C404.4 Mechanical All piping insulated in accordance with sectionSPECIFIC details and Table C403.2.10. SYSTEM C404.5, C404.5.1, Mechanical Heated water supply piping conforms to pipeSPECIFIC C404.5.2 length and volume requirements. Refer to section details. SYSTEM C404.6.3 Mechanical Pumps that circulate water between a heater andSPECIFIC storage tank have controls that limit operation from startup to — 5 minutes after end of heating cycle. SYSTEM C404.7 Mechanical Water distribution system that pumps water from ElSPECIFIC a heated -water supply pipe back to the heated -water source through a cold -water supply pipe is a demand recirculation water system. Pumps within this system have controls that start the pump upon receiving Wattage C405.5.1 Exterior Lighting Exterior lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Plan Review C405.6 Project Group R-2 dwelling units have separate electrical meters. Plan Review C406 I Project Plans, specifications, and/or calculations provide El all information with which compliance can be determined for the additional energy efficiency package options. SYSTEM SPECIFIC C408.2.2.2 Mechanical HVAC hydronic heating and cooling coils have means to balance and have pressure test connections. SYSTEM C408.2.2.2 Mechanical HVAC hydronic heating and cooling coils haveSPECIFIC means to balance and have pressure test connections. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 11 of 21 3. To be checked by. Inspector Insulation C303.1 Envelope Roof insulation installed per manufacturers€Tms El instructions. Blown or poured loose -fill insulation is installed only where the roof slope is < 3 in 12. Insulation C303.1 Envelope Building envelope insulation is labeled with R-value or insulation certificate providing R-value and other relevant data. Fenestration C303.1.3 Envelope Fenestration products rated in accordance with NFRC. Fenestration C303.1.3 Envelope Fenestration products are certified as to El 11 El performance labels or certificates provided. Insulation C303.2, C402.2.4 Envelope Floor insulation installed per manufacturer's instructions. Cavity or structural slab insulation installed in permanent contact with underside of decking or structural slabs. Insulation C303.2.1 Envelope Exterior insulation protected against damage, sunlight, moisture, wind, landscaping and equipment maintenance activities. Insulation C303.2.1 Envelope Exterior insulation is protected from damage with 13 El a protective material. Verification for exposed foundation insulation may need to occur during Foundation Inspection. Insulation C402.1.3 Envelope Non -swinging opaque doors have R-4.75 insulation. Insulation C402.2.2 Envelope Skylight curbs are insulated to the level of roofs with insulation above deck or R-5. Insulation C402.2.2 Envelope Insulation intended to meet the roof insulation requirements cannot be installed on top of a suspended ceiling. Mark this requirement compliant if insulation is installed accordingly. Air Leakage C402.5 Envelope Building envelope contains a continuous air El barrier that has been tested and deemed to limit air leakage — 0.40 cfm/ft2. Air Leakage C402.5.1 Envelope The building envelope contains a continuous air El barrier that is sealed in an approved manner and either constructed or tested in an approved manner. Air barrier penetrations are sealed in an approved manner. Air Leakage C402.5.1.1 Envelope All sources of air leakage in the building thermal envelope are sealed, caulked, gasketed, weather stripped or wrapped with moisture vapor -permeable wrapping material to minimize air leakage. , Air Leakage C402.5.1.2.1 Envelope The building envelope contains a continuous air El barrier that is sealed in an approved manner and material permeability — 0.004 cfm/ft2. Air barrier penetrations are sealed in an approved manner. Air Leakage C402.5.1.2.2 Envelope The building envelope contains a continuous air barrier that is sealed in an approved manner and average assembly air leakage — 0.04 cfm/ft2. Air barrier penetrations are sealed in an approved Air Leakage C402.5.2, C402.5.4 Envelope manner. Factory -built fenestration and doors are labeled El as meeting air leakage requirements. Air Leakage C402.5.3 Envelope Where open combustion air ducts provide combustion air to open combustion fuel burning appliances, the appliances and combustion air opening are located outside the building thermal envelope or enclosed in a room, isolated from inside the thermal envelope Air Leakage C402.5.5, Envelope Stair and elevator shaft vents have motorized El C403.2.4.3 dampers that automatically close. Air Leakage C402.5.5, Envelope Outdoor air and exhaust systems have motorized 11 C403.2.4.3 dampers that automatically shut when not in use and meet maximum leakage rates. Check gravity dampers where allowed. Air Leakage C402.5.6 Envelope Weatherseals installed on all loading dock cargo doors. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 12 of 21 Air Leakage C402.5.8 Envelope Recessed luminaires in thermal envelope to limit ri infiltration and be IC rated and labeled. Seal between interior finish and luminaire housing. HVAC C403.2.1 Mechanical HVAC systems and equipment design loads El calculated in accordance with ANSI/ASHRAE/ACCA Standard 183 or by an approved equivalent computational procedure SYSTEM C403.2.10 Mechanical HVAC piping insulation thickness. Where pipingSPECIFIC is installed in or under a slab, verification may need to occur during Foundation Inspection. HVAC C403.2.3 Mechanical HVAC equipment efficiency verified. 1:1 El SYSTEM C403.2.3 Mechanical PTAC and PTHP with sleeves 16 in. by 42 in. SPECIFIC labeled for replacement only as per Footnote b to Table C403.2.3(3). SYSTEM C403.2.4.1 Mechanical Heating and cooling to each zone is controlled bySPECIFIC a thermostat control. Minimum one humidity control device per installed humidification/dehumidification system. SYSTEM C403.2.4.1.1 Mechanical Heat pump controls prevent supplemental electric El 1:1 ElSPECIFIC resistance heat from coming on when not needed. HVAC C403.2.4.1.2 Mechanical Thermostatic controls have a 5 A°F deadband. HVAC C403.2.4.1.2 Mechanical Thermostatic controls have a 5 A°F deadband. El HVAC C403.2.4.1.3 Mechanical Temperature controls have setpoint overlap restrictions. HVAC C403.2.4.2.1, Mechanical Automatic Controls: Setback to 55°F (heat) and El C403.2.4.2.2 85°F (cool); 7-day clock, 2-hour occupant override, 10-hour backup SYSTEM —SPECIFIC C403.2.4.2.3 Mechanical Systems include optimum start controls. 1:1 El HVAC C403.2.4.5, Mechanical Snow/ice melting system sensors for future C403.2.4.6 connection to controls. Freeze protection systems have automatic controls installed. HVAC C403.2.6.2 Mechanical Enclosed parking garage ventilation has 1:1 El automatic contaminant detection and capacity to stage or modulate fans to 50% or less of design capacity. HVAC C403.2.9 Mechanical HVAC ducts and plenums insulated. Where ducts or plenums are installed in or under a slab, verification may need to occur during Foundation Inspection. SYSTEM C403.2.9.1.3 Mechanical Ductwork operating >3 in. water column requiresSPECIFIC air leakage testing. SYSTEM C403.4.1.2 Mechanical VAV fans have static pressure sensors located soSPECIFIC controller setpoint < 1.2 w.c.. SYSTEM C403.4.2.2 Mechanical Two -pipe hydronic systems using a commonSPECIFIC distribution system have controls to allow a deadband > 150F, allow operation in one mode for at least 4 hrs before changeover, and have rest controls to limit heating and cooling supply temperature to < 30 OF. SYSTEM C403.4.2.3.3 Mechanical Two -position automatic valve interlocked to shut 11 ElSPECIFIC off water flow when hydronic heat pump with pumping system >10 hp is off. SYSTEM C403.4.4.5, Mechanical Zone controls can limit simultaneous heating andSPECIFIC C403.4.4.5.1-4 cooling and sequence heating and cooling to each zone. SYSTEM C403.4.5 Mechanical Condenser heat recovery system that can heatSPECIFIC water to 850F or provide 60% of peak heat rejection is installed for preheating of service hot water. SYSTEM C403.4.6 Mechanical Hot gas bypass limited to: SPECIFIC 240 kBtu/h - 50% capacity, 240 kBtu/h - 25% capacity SYSTEM C404.3 Mechanical Heat traps installed on non -circulating storageSPECIFIC water tanks. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 ' Page 13 of 21 SYSTEM —SPECIFIC C404.3 Mechanical Heat traps installed on supply and discharge piping of non -circulating systems. SYSTEM C404.3 Mechanical Heat traps installed on supply and dischargeSPECIFIC piping of non -circulating systems. SYSTEM C404.6.1 Mechanical Controls are installed that limit the operation of aSPECIFIC recirculation pump installed to maintain temperature of a storage tank. System return pipe is a dedicated return pipe or a cold water supply pipe. SYSTEM —SPECIFIC C404.6.1, C404.6.2 Mechanical Automatic time switches installed to automatically switch off the recirculating hot-water system or heat trace. SYSTEM C404.9.1 Mechanical Pool heaters are equipped with on/off switch andSPECIFIC no continuously burning pilot light. SYSTEM —SPECIFIC C404.9.2 Mechanical Time switches are installed on all pool heaters and pumps. SYSTEM C404.9.2 Mechanical Time switches are installed on all pool heatersSPECIFIC and pumps. SYSTEM C404.9.3 Mechanical Vapor retardant pool covers are provided forSPECIFIC heated pools and permanently installed spas. Controls C405.2.1 Interior Lighting Lighting controls installed to uniformly reduce the lighting load by at least 50%. Controls C405.2.1 Interior Lighting Occupancy sensors installed in required spaces. Controls C405.2.1, Interior Lighting Independent lighting. controls installed per C405.2.2.3 approved lighting plans and all manual controls readily accessible and visible to occupants. Controls C405.2.2.1 Interior Lighting Automatic controls to shut off all building lighting installed in all buildings. Controls C405.2.3 Interior Lighting Daylight zones provided with individual controls that control the lights independent of general area lighting. Controls C405.2.3, Interior Lighting Primary sidelighted areas are equipped with C405.2.3.1, required lighting controls. C405.2.3.2 Controls C405.2.3, Interior Lighting Enclosed spaces with daylight area under C405.2.3.1, skylights and rooftop monitors are equipped with C405.2.3.3 required lighting controls. Controls C405.2.4 Interior Lighting Separate lighting control devices for specific uses installed per approved lighting plans. Wattage C405.2.4 Interior Lighting Additional interior lighting power allowed for special functions per the approved lighting plans and is automatically controlled and separated from general lighting. Controls C405.2.5 Exterior Lighting Automatic lighting controls for exterior lighting installed. Controls will be daylight controlled, set based on business operation time -of -day, or reduce connected lighting > 30%. Wattage C405.4.1 Interior Lighting Interior installed lamp and fixture lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Mandatory Additional C406.4 Project Enhanced digital lighting controls efficiency package: Interior lighting has following enhanced lighting controls in accordance with Section C405.2.2: Luminaires capable of continuous dimming and being addressed individually, — 8 luminaires controlled in Mandatory Additional C406.6 Project Dedicate outdoor air system efficiency package: Buildings with hydronic and/or multiple -zone HVAC systems are equipped with an independent ventilation system designed to provide >_ 100-percent outdoor air to each individual occupied space, as specified by 11 EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 14 of 21 Mandatory Additional C406.7, C406.7.1 Project Enhanced Service Water Heat System efficiency 11 El package. One of the following SWH system enhancements must satisfy 60 percent of hot water requirements, or 100 percent if the building otherwise complies with heat recovery per Secttdn C403.4.5: Waste heat re HVAC C408.2.2.1 Mechanical Air outlets and zone terminal devices have means for air balancing. HVAC C408.2.2.1 Mechanical Air outlets and zone terminal devices have means for air balancing. Testing C408.2.3.2 Mechanical HVAC control systems have been tested to ensure proper operation, calibration and adjustment of controls. 4 To:be checked by inspector at Project Completion and Prior to Issuance of Cert f cate of Occupancy Post Construction C303.3, 6408.2.5.2 Interior Lighting Furnished O&M instructions for systems and 11 El equipment to the building owner or designated representative. Post Construction C303.3, C408.2.5.3 Mechanical Furnished O&M manuals for HVAC systems within 90 days of system acceptance. Fenestration C402.4.2.2 Envelope Skylights in office, storage, automotive service, 0 1:1 El manufacturing, non -refrigerated warehouse, retail store, and distribution/sorting area have a measured haze value > 90 percent unless designed to exclude direct sunlight. Post Construction C408.2.1 Mechanical Commissioning plan developed by registered 1:1 El design professional or approved agency. Post Construction C408.2.3.1 Mechanical HVAC equipment has been tested to ensure proper operation. Post Construction C408.2.3.3 Mechanical Economizers have been tested to ensure proper operation. Post Construction C408.2.4 Mechanical Preliminary commissioning report completed and certified by registered design professional or approved agency. Post Construction C408.2.5.1 Mechanical Furnished HVAC as -built drawings submitted 1:1 El within 90 days of system acceptance. Post Construction C408.2.5.1 Interior Lighting Furnished as -built drawings for electric power systems within 90 days of system acceptance. Post Construction C408.2.5.3 Mechanical An air and/or hydronic system balancing report is provided for HVAC systems. Post Construction C408.2.5.4 Mechanical Final commissioning report due to building owner within 90 days of receipt of certificate of occupancy. Post Construction C408.3 Interior Lighting Lighting systems have been tested to ensure proper calibration, adjustment, programming, and operation. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 15 of 21 I s, t1R 1, r I ., i Proiect Information Project Name: Nemours Sanford Project Title: Primary Care Urgent Care Expansion s Address: 1145 Rinehart Rd State: FL Zip: 32771 Owner: Nemours Childrens Building Type: Healthcare -Clinic Building Classification: Renovation to existing building No.of Stories: 1 GrossArea (SF): 1,470 Bldg. Rotation: None Zones No Acronym Description Type Area Multi Total Area Isf] sf] 1 Expansion Nemours Expansion Space CONDITIONED 1316.0 1 1316.0 2 X-Ray X-Ray CONDITIONED 154.0 1 154.0 Spaces No Acronym Description Type Depth Width Height Mult Total Total IN IN IN Area Vol[cf] sf] In Zone: Expansion 1 117A Control Radiology (Hospital) 1.00 66.00 9.00 1 66.0 594.0 2 120A/124A Team Work Areas Office - Open Plan 1.00 420.00 9.00 1 420.0 3780.0 3 118A Procedure Exam/Treatment (Hospital) 1.00 182.00. 9.00 1 182.0 1638.0 4 121A Lab/Meds Medical Supply (Hospital) 1.00 126.00 9.00 1 126.0 1134.0 5 106A Toilet Toilet and Washroom 1.00 42.00 9.00 1 42.0 378.0 6 122A Exam 6 Exam/Treatment (Hospital) 1.00 100.00 9.00 1 100.0 900.0 7 125A Exam 5 Exam/Treatment (Hospital) 1.00 90.00 9.00 1 90.0 810.0 8 127A Exam 4 Exam/Treatment (Hospital) 1.00 90.00 9.00 1 90.0 810.0 9 100A West Waiting Lobby (General) - Reception 1.00 200.00 9.00 1 200.0 1800.0 and Waiting In Zone: X-Ray 1 116A Radiography Radiology (Hospital) 1.00 154.00 9.00 1 154.0 1386.0 EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 16 of 21 Lighting No Type Category No. of Watts per Power Control Type No.of Luminaires Luminaire [W] Ctrl pts In Zone: Expansion 1 In Space: LED 117A General Lighting 2 30 60 Manual Continuous 1 Dimming In Space: 120A/124A 11LEDGeneralLighting637222Occupancysensorwithout Daylighting I In Space: LED 118A General Lighting 2 37 74 Occupancy sensor without I El Daylighting 2 LED General Lighting 4 30 120 Manual Continuous 1 Dimming 1 In Space: LED 121A General Lighting 2 30 60 Occupancy sensor without 1 Daylighting 1 In Space: LED 106A General Lighting 1 30 30 Occupancy sensor without 1 Daylighting 1 In Space: LED 122A General Lighting 2 37 74 Occupancy sensor without 1 Daylighting I In Space: LED 125A General Lighting 2 37 74 Occupancy sensor without 1 Daylighting 1 In Space: LED 127A General Lighting 2 37 74 Occupancy sensor without 1 Daylighting 1 In Space: LED 100A General Lighting 3 37 111 Occupancy sensor without 1 Daylighting In Zone: X-Ray 1 In Space: LED 116A General Lighting 6 30 180 Manual Continuous 25 i Dimming 2 LED General Lighting 2 37 74 Manual On/Off 1 EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31 „2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 17 of 21 Walls (Walls will be rotated clockwise by building rotation value) No Description Type Width H (Effec) Multi Area Orient Cond- Heat Dens. R-Value ft] [ft] plier [sf] ation uctance Capacity [Ib/cf] [h.sf.FBtu] lBtu/h.sf.Fl [Btu/sf.F] In Zone: Windows (Windows will be rotated clockwise by building rotation value) No Description Orientation Shaded U SHGC Vis.Tra W H (Effec) Multi Total Area Btu/hr sf F] ft] ft] plier [Sf] In Zone: In Wall: Doors No Description Type Shade? Width H (Effec) Multi Area Cond. Dens. Ht Cap. R ft] [ft] plier [sf] Btu/h.sf.F] [lb/cf] [Btu/st [h.sf.F/ F] Btu] In Zone: In Wall: Roofs No Description Type Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Value ft] IN plier sf] [deg] Btu/h.Sf. F] [Btu/sf. F] [Ib/cf] [h.sf.F/Btu In Zone: EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 18 of 21 Skylights No Description Type U SHGC Vis.Trans W H (Effec) Multi- Area Total Area Btu/hr sf F] IN IN plier [sf] [Sf1 In Zone: In Roof: El Floors No Description Type Width H (Effec) Multi Area Cond. Heat Cap. Dens. R-Value IN [ft] plier [sf] [Btu/h.sf.F [Btu/sf. F] [lb/cf] [h.sf.F/Btu In Zone: El Systems Existing Existing RTU Constant Volume Air Cooled No. Of Units Split System < 65000 Btu/hr 1 Component Category Capacity Efficiency IPLV 1 Cooling System 60000.00 14.00 8.00 2 Heating System 30717.00 1.00 3 Air Handling System -Supply 1750.00 0.45 4 Air Distribution System (Sup) 6.00 DSI/DSO-1 Ductless Split - Supplemental Unit Constant Volume Air Cooled No. Of Units Split System < 65000 Btu/hr 1 Component Category Capacity Efficiency IPLV 1 Cooling System 10580.00 20.00 8.00 2 Heating System 1.00 1.00 3 Air Handling System -Supply 303.00 0.20 EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 19 of 21 1 Equipment Category Size Inst.N(Eff. IPLV Water Heaters Ext-Lighting Description Category No. of Watts per Area/Len/No Control Wattage Lumin- Lumin- [sVft/No] Type 1w1 aires aire 0 on Piping Operating Insulation Nomonal pipe Insulation Is No Type Temp Conductivity Diameter Thickness Runout? F] [ Btu-in/h.sf.F] [in] in] 1 Heating System (Steam, Steam 105.00 0.28 0.75 1.00 No Condensate, & Hot Water) Fenestration Used Name Glass Type No. of Glass SHGC VLT Conductance Panes Btu/h.sLF] EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 20 of 21 Materials Used Mat No Acronym Description Only RValue Thick Cond- Density Sp. Heat R-Value [h.sf.F/Btu] IN uctivity [lb/cf] [Btu/Ib.F] Used [Btu/b.ft.F EI Constructs Used Simple Massless Conductance Heat Cap Density RValue No Name Construct Construct [Btu/h.sf.F] [Btu/sf.F] [lb/cf] [h.sf.FBtu] Layer Material Material Thickness Framing No. IN Factor El EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 21 of 21 Nemours Sanford HVAC Load Analysis for C4 Architecture Prepared By: Eric Eiermann Eiermann Engineering, Inc 1015 Webster Ave Orlando, FL 32804 Monday, April 2, 2018 GHVAC Full Commercial HVAC Loads Calculafion Program..; F ElI e-Software Development; Inc. Eiermann Engineering Inc Nemours Sanford` Orlando, F.L.32804 Pa a 2z Building Summary Loads Building peaks in August at 5pm. BldgLoad _ Area; Seri Tot Lat Sen Net Net,' Descrl tiois Quan. Loss Loss Gain Gam Galn. Galn Roof 1,470 2,830 12.77 0 2,831 2,831 4.22 Wall" 455 2,610 11.78 0 2,155 2,155 3.22 Glass 160 3,819 17.24 0 8,823 8,823 13.17 Floor Slab 0 0 0.00 0 0 0 0.00 Skin Loads 9,259 41.79 0 13,809 13,809 20.61 Lighting 1,470 0 0.00 0 5,267 5,267 7.86 Equipment 4,025 0 0.00 0 14,421 14,421 21.52 People 24 0 0.00 5,040 6,300 11,340 16.92 Partition 0 0 0.00 0 0 0 0.00 Cool. Pret. 0 0 0.00 0 0 0 0.00 Heat. Pret. 0 0 0.00 0 0 0 0.00 Cool. Vent. 210 0 0.00 7,643 4,143 11,786 17.59 Heat. Vent. 210 7,909 35.69 0 0 0 0.00 Cool. Infil. 55 0 0.00 2,100 1,148 3,248 4.85 Heat.lnfil. 88 3,654 16.49 0 0 0 0.00 Draw-Thru Fan 0 0 0.00 0 3,770 3,770 5.63 Blow-Thru Fan 0 0 0.00 0 0 0 0.00 Reserve Cap. 0 0 0.00 0 0 0 0.00 Reheat Cap. 0 0 0.00 0 0 0 0.00 Supply Duct 0 445 2.01 0 1,125 1,125 1.68 Return Duct 0 891 4.02 0 2,250 2,250 3.36 Misc. Supply 0 0 0.00 0 0 0 0.00 Misc. Return 0 0 0.00 0 0 0 0.00 Building Totals 22,158 100.00 14,783 52,233 67,016 100.00 Bulldmg Sen %Tot Lat f Sen Net Net Summa !Loss Loss Gain . Galn Gain Gain` Ventilation 7,909 35.69 7,643 4,143 11,786 17.59 Infiltration 3,654 16.49 2,100 1,148 3,248 4.85 Pretreated Air 0 0.00 0 0 0 0.00 Zone Loads 9,259 41.79 5,040 39,797 44,837 66.90 Plenum Loads 0 0.00 0 0 0 0.00 Fan & Duct Loads 1,336 6.03 0 7,145 7,145 10.66 Building Totals 22,158 100.00 14,783 52,233 67,016 100.00 C_ heck FI ores '_ T F .... . Total BuildingSupply Air based oppy ( n a 21 ° TD): 2,053 CFM Total Building Vent. Air (10.23% of Supply): 210 CFM Total Conditioned Air Space: 1,470 Sq.ft Supply Air Per Unit Area: 1.3966 CFM/Sq.ft Area Per Cooling Capacity: 263.2196 Sq.ft/Ton Cooling Capacity Per Area: 0.0038 Tons/Sq.ft Total Heating Required With Outside Air: 22,158 Btuh Total Cooling Required With Outside Air: 5.58 Tons FILESVR\Share\Eric\CHVAC Projects\C4Arch\2018-05 Nemours Sanford.CHV Monday, April 2, 2018, 1:12 PM II Air Handier #9 Summary Loads 66 852 4,222 3033 Direct Direct 1 117A Control 4pm September 594 0.78 3.37 0 13 23 154 1,884 4,775 428 Direct Direct 2 116A Radiography 1 121 226 0 22 22 4pm September 1,386 0.78 1.47 0 31 23 150 662 1,008 152 Direct Direct 3 120A Hallway 0 42 48 0 21 21 3pm June 1,350 0.28 0.32 0 11 5 182 803 3,706 1,024 Direct Direct 4 118A Procedure 4 51 176 0 26 26 3pm June 1,638 0.28 0.96 0 13 18 126 556 3,975 337 Direct Direct 5 121A Lab/Meds 1 36 188 0 18 18 3pm June 1,134 0.28 1.49 0 9 19 422 185 283 422 Direct Direct 6 106A Toilet 3pm June 378 0.28 0.32 0 3 1 124A Team Work 270 1,191 5,826 903 Direct Direct 7 Areas 3 76 276 0 39 39 3pm June 2,430 0.28 1.02 0 19 28 100 441 934 311 Direct Direct 8 122A Exam 6 1 28 44 0 14 14 3pm June 900 0.28 0.44 0 7 5 90 397 867 301 Direct Direct g 125A Exam 5 1 25 41 0 13 13 3pm June 810 0.28 0.46 0 6 4 90 397 867 301 Direct Direct 10 127A Exam 4 1 25 41 0 13 13 3pm June 810 0.28 0.46 0 6 4 200 5,591 16,406 2,516 Direct Direct 11 I00A West Waiting 11 358 777 0 29 29 6pm June 1,800 1.79 3.89 0 91 79 Zone Peak Totals: 1,470 12,913 43,340 6,620 Total Zones: 11 24 828 2,053 0 210 210 Unique Zones: 11 13,230 0.56 1.40 0 210 210 FILESVR\Share\Eric\CHVAC Projects\C4Arch\2018-05 Nemours Sanford.CHV Monday, April 2, 2018, 1:12 PM HVAC = Fuil'CommerciaLHVAC Loads Calculation Program Elite Software Eiermann Engineering inc Development; Inc. i Nemours Sanford jOrlarido,FL 32804 age4.' Air Handler #1 Total Load Summary Air Handler Description: Renovated Side Constant Volume - Proportion Supply Air Fan: Draw-Thru with program estimated horsepower of 1.49 HP Fan Input: 65% motor and fan efficiency with 3 in. water across the fan Sensible Heat Ratio: 0.87 This system occurs 1 time(s) in the,building. --- Air System Peak Time: 5pm in August. Outdoor Conditions: 92° DB, 77° WB, 116.27 grains Because of the diversity in zone, plenum and ventilation loads, the zone sensible peak time in June at 5pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible load of 42,360. Summer: Ventilation controls outside air, ----- Winter: Ventilation controls outside air. Zone Space sensible loss: 9,259 Btuh Infiltration sensible loss: 3,654 Btuh 88 CFM Outside Air sensible loss: 7,909 Btuh 210 CFM Supply Duct sensible loss: 445 Btuh Return Duct sensible loss: 891 Btuh Return Plenum sensible loss: 0 Btuh Total System sensible loss: 22,158 Btuh Heating Supply Air: 13,358 / (.996 X 1.08 X 15) = 828 CFM Winter Vent Outside Air (25.4% of supply) = 210 CFM Zone space sensible gain: 39,797 Btuh Infiltration sensible gain: 1,148 Btuh Draw- thru fan sensible gain: 3,770 Btuh Supply duct sensible gain: 1,125 Btuh Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: 45,840 Btuh Cooling Supply Air: 47,255 / (.996 X 1.1 X 21) = 2,053 CFM Summer Vent Outside Air (10.2% of supply) = 210 CFM Return duct sensible gain: 2,250 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 4,143 Btuh 210 CFM Blow- thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 6,393 Btuh Total sensible gain on air handling system: 52,233 Btuh Zone space latent gain: 5,040 Btuh Infiltration latent gain: 2,100 Btuh Outside air latent gain: 7,643 Btuh Total latent gain on air handling system: 14,783 Btuh Total - system sensible and latent gain: 67,016 Btuh Cheek FI ores Total Air Handler Supply Air (based on a 21 ° TD): 2,053 CFM Total Air Handler Vent. Air (10.23% of Supply): 210 CFM Total Conditioned Air Space: 1,470 Sq.ft Supply Air Per Unit Area: 1.3966 CFM/Sq.ft Area Per Cooling Capacity: 263.2196 Sq.ft/Ton Cooling Capacity Per Area: 0,0038 Tons/Sq.ft Total Heating Required With Outside Air: 22,158 Btuh Total Cooling Required With Outside Air: 5.58 Tons FILESVR\ Share\Eric\CHVAC Projects\C4Arch\2018-05 Nemours Sanford.CHV Monday, April 2, 2018, 1:12 PM r Florida Building Code, Sixth Edition (2017) - Energy Conservation EnergyGauge Summit® Fla/Com-2017, Effective Date: Dec 31, 2017 IECC 2015 - Prescriptive Compliance Option PERMIT Check List Applications for compliance with the Florida Building Code, Energy Conservation shall include: J7J This Checklist The full compliance report generated by the software that contains the project summary, compliance summary, certifications and detailed component compliance reports. dThe compliance report must include the full input report generated by the software as contigous part of the compliance report. Boxes appropriately checked in the Mandatory Section of the complaince report. la EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option r V2/2018 Page 1 of 21 r, PROJECT SUMMARY Short Desc: Nemours Sanford Description: Primary Care Urgent Care E) Owner: Nemours Children Addressl: 1145 Rinehart Rd City: Sanford Address2: State: FL Zip: 32771 Type: Healthcare -Clinic Class: Renovation to existing buildi Jurisdiction: SANFORD, SEMlNOLE COUNTY, FL (691500) Conditioned Area: 1470 SF Conditioned & UnConditioned Area: 1470 SF No of Stories: 1 Area entered from Plans 0 SF Permit No: 0 Max Tonnage 5 If different, write in: r EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 442/2018 Page 2 of 21 Compliance Summar3 Component Design ENVELOPE PRESCRIPTIVE LIGHTING POWER LIGHTING CONTROLS EXTERNAL LIGHTING HVAC SYSTEM PLANT WATER HEATING SYSTEMS PIPING SYSTEMS Met all required compliance from Check List? 1,153.0 Criteria Result PASSES 1,875.6 PASSES PASSES No Entry PASSES No Entry No Entry PASSES 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-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 42/2018 Page 3 of 21 CERTIFICATIONS 11 .itt'. I hereby certify that the plans and s d by this calculation are in compliance with the Florida Energy Code Prepared By: nn En in 1}# Building Official: z 4 No. /f 356 " a Dater ' t Date: STATE OF , F I certify that this building is in iYni1F energy Efficiency Code Owner Agent: Nemou i s/fCl lijcj tpls\Date: If Required by Florida law, I hereby certify (*) that the system design is in compliance with the Florida Energy Efficiency Code Architect: C4 Architecture Reg No: Electrical Designer: Darius D. Adams, PE Reg No: 53236 Lighting Designer: Darius D. Adams, PE Reg No: 53236 Mechanical Designer: Eric R. Eiermann, PE Reg No: 76956 Plumbing Designer: Eric R. Eiermann, PE Reg No: 76956 Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL ORLANDO_SANFORD_AIRPORT.tm3) Prescriptive Envelope Compliance Item Zone Description Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_0RLAND0_SANF0RD_AIRP0RT.tm3) Design Criteria Meet Req. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4412/2018 Page 4 of 21 External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP W/Unit) or No. of Units (W) W) Sgft or ft) None Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_ ORLANDO_SANFORD AMPORT.tm3) Lighting Power Compliance Space Ashrae Description Area Height No. of Design Effective Allowance ID (sq.ft) (ft) Spaces W) (W) W) 117A 10,011 Radiology (Hospital) 66 9.0 1 60 60 100 120A/124A 16 Office - Open Plan 420 9.0 1 222 222 412 118A 10,004 Exam/Treatment (Hospital) 182 9.0 1 194 194 309 121A 10,009 Medical Supply (Hospital) 126 9.0 1 60 60 93 106A 6 Toilet and Washroom 42 9.0 1 30 30 41 122A 10,004 Exam/Treatment (Hospital) 100 9.0 1 74 74 170 125A 10,004 Exam/Treatment (Hospital) 90 9.0 1 74 74 153 127A 10,004 Exam/Treatment (Hospital) 90 9.0 1 74 74 153 100A 12 Lobby (General) - 200 9.0 1 ill 111 212 Reception and Waiting 116A 10,011 Radiology (Hospital) 154 9.0 1 254 254 233 Design 1153 (W) PASSES Effective: 1153 (V) Allowance: 1875.6 (W) — Passing requires Design to be at most 100% of Criteria EnergyGauge Summit@ Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 5 of 21 Project: Nemours,Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL ORLANDO SANFORD AWORT.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID sq.ft) CP CP ance 117A 10,011 Radiology (Hospital) 66 1 1 PASSES 120A/124A 16 Office - Open Plan 420 1 1 PASSES 118A 10,004 Exam/Treatment (Hospital) 182 2 1 PASSES 121A 10,009 Medical Supply (Hospital) 126 1 1 PASSES 106A 6 Toilet and Washroom 42 1 1 PASSES 122A 10,004 Exam/Treatment (Hospital) 100 1 1 PASSES 125A 10,004 Exam/Treatment (Hospital) 90 1 1 PASSES 127A 10,004 Exam/Treatment (Hospital) 90 1 1 PASSES 100A 12 Lobby (General) - Reception and 200 1 1 PASSES Waiting 116A 10,011 Radiology (Hospital) 154 26 1 PASSES PASSES y EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 6 of 21 Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic - WEA File: FL_ORLANDO_SANFORD AIRPORT.tm3) System Report Compliance Existing Existing RTU Constant Volume Air Cooled No. of Units Split System < 65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 60000 14.00 13.00 8.00 PASSES Split System < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 30717 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 1750 0.45 0.82 PASSES System -Supply Constant Volume Air Distribution ADS System (Sup) 6.00 4.20 PASSES System (Sup) DSI/DSO-1 Ductless Split - Supplemental Unit Constant Volume Air Cooled No. of Units Split System < 65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 10580 20.00 13.00 8.00 PASSES Split System < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 303 0.20 0.82 PASSES System -Supply Constant Volume PASSES 1 Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 7 of 21 Water Heater Compliance Description Type Category Design Min Design Eff Eff Loss Max Comp Loss liance None Project: Nemours Sanford Title: Primary Care Urgent Care Expansion Type: Healthcare -Clinic WEA File: FL_ ORLANDO_SANFORD_AIRPORT.tm3) Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins inches] Runout? Temp [Btu-in/hr Thick [in] F] SF.F] Req Ins Compliance Thick [in] Heating System (Steam, Steam Condensate, & Hot Water) 0.75 False 105.00 0.28 1.00 0.50 PASSES PASSES EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 8 of 21 Mandatory Requirements (as applicable) Topic Section Component Descri Insulation C303.2 Insulation C303.2 Insulation C303.2 Insulation C402.3 Fenestration C402.4.4 SYSTEM —SPECIFIC C403.2.12.1 SYSTEM —SPECIFIC C403.2.12.2 SYSTEM —SPECIFIC C403.2.3(8) Table HVAC C403.2.7 SYSTEM —SPECIFIC C403.3 SYSTEM —SPECIFIC C403.3.2 SYSTEM —SPECIFIC C403.3.4, C403.3.4.1, C403.3.4.2, C403.3.1 SYSTEM —SPECIFIC C403.4.2.1 SYSTEM —SPECIFIC C403.4.2.3.1 SYSTEM —SPECIFIC C403.4.3.4 SYSTEM —SPECIFIC C404.2 Wattage C405.3 Plan Review C103.2 Mandatory requirements compiled by US Department of Energy and Pacific Northwest National Laboratory. Adopted with permission 3tion IYes N/A Exempt Envelope Below -grade wall insulation installed per 17119' El manufacturer's instructions. Envelope Slab edge insulation installed per manufacturer's instructions. Envelope Above -grade wall insulation installed per manufacturer's instructions. Envelope High-albedo roofs satisfy one of the following: 3-year-aged solar reflectance — 0.55 and thermal emittance — 0.75 or 3-year-aged solar Envelope reflectance index — 64.0. U-factor of opaque doors- associated with the 3 building thermal envelope meets requirements. Mechanical HVAC fan systems at design conditions do not exceed allowable fan system motor nameplate hp or fan system bhp. Mechanical HVAC fan motors not oversized beyond allowable limits. Mechanical Heat Rejection Equipment: Minimum Efficiency B El Requirement meet those listed in Table C403.2.3(8) Mechanical Exhaust air energy recovery on systems meeting rL-,—,/ Table C403.2.7(1) and C403.2.7(2). Mechanical Air economizers provided where required, meet El L the requirements for design capacity, control signal, ventilation controls, high -limit shut-off, integrated economizer control, and provide a means to relieve excess outside air during Mechanical operation. Economizer operation will not increase heating El ET El energy use during normal operation. Mechanical Water economizers provided where required, meet the requirements for design capacity, maximum pressure drop and integrated economizer control. Mechanical Three -pipe hydronic systems using a common ElE El return for hot and chilled water are not used. Mechanical Hydronic heat pump systems connected to a common water loop meet heat rejection and heat addition requirements. Mechanical Open -circuit cooling towers having water cooled El El chiller systems and multiple or vairable speed condenser pumps, are designed so that tower cells can run in parallel with larger of flow crtieria. Mechanical Service water heating equipment meets efficiency requirements. Interior Lighting Exit signs do not exceed 5 watts per face. d El Envelope Plans and/or specifications provide all information 0 El El with which compliance can be determined for the building envelope and document where exceptions to the standard are claimed. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 9 of 21 Plan Review C103.2 Mechanical Plans, specifications, and/or calculations provide all information with which compliance can be determined for the mechanical systems and equipment and document where exceptions to the standard are claimed. Load calculations per acceptable engineering st Plan Review C103.2 Mechanical Plans, specifications, and/or calculations provide all information with which compliance can be determined for the service water heating systems and equipment and document where exceptions to the standard are claimed. Hot water system sized per manufact Plan Review C103.2 Interior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the interior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided shoul Plan Review C103.2 Exterior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the exterior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided shoul Insulation C402.2.5 Envelope Slab edge insulation depth/length. Slab insulation extending away from building is covered by pavement or — 10 inches of soil. Insulation C402.2.6 Project Radiant heating systems panels insulated to R-3.5 on face opposite space being heated. HVAC C402.2.6 Mechanical Thermally ineffective panel surfaces of sensible heating panels have insulation — R-3.5. Insulation C402.2.6 Envelope Radiant panels and associated components, 130 El designed for heat transfer from the panel surfaces to the occupants or indoor space are insulated with a minimum of R-3.5. Air Leakage C402.5.7 Envelope Vestibules are installed on all building entrances. Doors have self -closing devices. SYSTEM C403.2.12.3 Mechanical Fans have efficiency grade (FEG) - 67. The totalSPECIFIC efficiency of the fan at the design point of operation — 15% of maximum total efficiency of the fan. HVAC C403.2.13 Mechanical Unenclosed spaces that are heated use only radiant heat. HVAC C403.2.4.2 Mechanical Each zone equipped with setback controls using automatic time clock or programmable control system. SYSTEM C403.2.4.4 Mechanical Zone isolation devices and controls installedSPECIFIC where applicable. SYSTEM C403.2.4.7 Mechanical Fault detection and diagnostics installed withSPECIFIC air-cooled unitary DX units having economizers. SYSTEM C403.2.5 Mechanical Hot water boilers supplying heat via one- orSPECIFIC two -pipe systems include outdoor setback control. HVAC C403.2.6.1 Mechanical Demand control ventilation provided for spaces 500 ft2 and >25 people/1000 ft2 occupant density and served by systems with air side economizer, auto modulating outside air damper control, or design airflow >3,000 cfm. SYSTEM C403.4.1.1 Mechanical Hydronic and multizone HVAC system controlsSPECIFIC areVAV fans driven by mechanical or electrical variable speed drive per Table C403.4.1.1. SYSTEM C403.4.1.3 Mechanical Reset static pressure setpoint for DDC controlledSPECIFIC VAV boxes reporting to central controller based on the zones requiring the most pressure. SYSTEM C403.4.2 Mechanical Temperature reset by representative buildingSPECIFIC loads in pumping systems for chiller and boiler systems >500,000 Btu/h. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 10 of 21 SYSTEM —SPECIFIC C403.4.2.3.2.1 Mechanical Closed-circuit cooling tower within heat pump loop El have either automatic bypass valve or lower leakage positive closure dampers. Open -circuit tower within heat pump loop have automatic valve to bypass all heat pump water flow around the tower. Open- or cl SYSTEM —SPECIFIC C403.4.2.4 Mechanical Hydronic systems greater than 500,000 Btu/h 1:1 El designed for variable fluid flow. SYSTEM —SPECIFIC C403.4.2.5 Mechanical System turndown requirement met through multiple single -input boilers, one or more modulating boilers, or a combination of single -input and modulating boilers. Boiler input between 1.0 MBtu/h and 5 MBtu/h has 3:1 turndown ratio, boiler input between 5.0 SYSTEM —SPECIFIC C403.4.2.6 Mechanical Chilled water plants with multiple chillers have capability to reduce flow automatically through the chiller plant when a chiller is shut down. Boiler plants with multiple boilers have the capability to reduce flow automatically through the boiler plant SYSTEM —SPECIFIC C403.4.3, Mechanical Fan systems with motors —7.5 hp associated C403.4.3.2 with heat rejection equipment to have capability to operate at 2/3 of full -speed and auto speed controls to control the leaving fluid temperature or condensing temp/pressure of heat rejection device. SYSTEM —SPECIFIC C403.4.4.5 Mechanical Multiple zone HVAC systems have supply air temperature reset controls. SYSTEM —SPECIFIC C403.4.4.6 Mechanical Multiple zone VAV systems with DDC of individual zone boxes have static pressure setpoint reset controls. SYSTEM —SPECIFIC C404.2.1 Mechanical Gas -fired water -heating equipment installed in 0 new buildings: where a singular piece of water -heating equipment — 1,000 kBtu/h serves the entire building, thermal efficiency — 90 Et. Where multiple pieces of water -heating equipment serve the building wi SYSTEM —SPECIFIC C404.4 Mechanical All piping insulated in accordance with section El 11 El details and Table C403.2.10. SYSTEM —SPECIFIC C404.5, C404.5.1, Mechanical Heated water supply piping conforms to pipe C404.5.2 length and volume requirements. Refer to section details. SYSTEM —SPECIFIC C404.6.3 Mechanical Pumps that circulate water between a heater and storage tank have controls that limit operation from startup to — 5 minutes after end of heating cycle. SYSTEM —SPECIFIC C404.7 Mechanical Water distribution system that pumps water from a heated -water supply pipe back to the heated -water source through a cold -water supply pipe is a demand recirculation water system. Pumps within this system have controls that start the pump upon receiving Wattage C405.5.1 Exterior Lighting Exterior lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Plan Review C405.6 Project Group R-2 dwelling units have separate electrical meters. Plan Review C406 Project Plans, specifications, and/or calculations provide 11' all information with which compliance can be determined for the additional energy efficiency package options. SYSTEM C408.2.2.2 Mechanical HVAC hydronic heating and cooling coils haveSPECIFIC means to balance and have pressure test connections. SYSTEM C408.2.2.2 Mechanical HVAC hydronic heating and cooling coils haveSPECIFIC means to balance and have pressure test connections. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page I 1 of 21 3: To be: checked,tiy: Inspector, Insulation C303.1 Envelope perRoofinsulationBlown nut actll 1:1 El red insulationnorpouredinstructions.ion is installed only where the roof slope is < 3 in 12. Insulation C303.1 Envelope Building envelope insulation is labeled with El R-value or insulation certificate providing R-value and other relevant data. Fenestration C303.1.3 Envelope Fenestration products rated in accordance with NFRC. Fenestration C303.1.3 Envelope Fenestration products are certified as to 1:1 El performance labels or certificates provided. Insulation C303.2, C402.2.4 Envelope Floor insulation installed per manufacturer's instructions. Cavity or structural slab insulation installed in permanent contact with underside of decking or structural slabs. Insulation C303.2.1 Envelope Exterior insulation protected against damage, sunlight, moisture, wind, landscaping and equipment maintenance activities. Insulation C303.2.1 Envelope Exterior insulation is protected from damage with a protective material. Verification for exposed foundation insulation may need to occur during Foundation Inspection. Insulation C402.1.3 Envelope Non -swinging opaque doors have R-4.75 0 El insulation. Insulation C402.2.2 Envelope Skylight curbs are insulated to the level of roofs El with Insulation above deck or R-5. Insulation C402.2.2 Envelope Insulation intended to meet the roof insulation requirements cannot be installed on top of a suspended ceiling. Mark this requirement compliant if insulation is installed accordingly. Air Leakage C402.5 Envelope Building envelope contains a continuous air El barrier that has been tested and deemed to limit air leakage — 0.40 cfm/ft2. Air Leakage C402.5.1 Envelope The building envelope contains a continuous air barrier that is sealed in an approved manner and either constructed or tested in an approved manner. Air barrier penetrations are sealed in an approved manner. Air Leakage C402.5.1.1 Envelope All sources of air leakage in the building thermal envelope are sealed, caulked, gasketed, weather stripped or wrapped with moisture vapor -permeable wrapping material to minimize air leakage. Air Leakage C402.5.1.2.1 Envelope The building envelope contains a continuous air barrier that is sealed in an approved manner and material permeability — 0.004 cfm/ft2. Air barrier penetrations are sealed in an approved manner. Air Leakage C402.5.1.2.2 Envelope The building envelope contains a continuous air El barrier that is sealed in an approved manner and average assembly air leakage — 0.04 cfm/ft2. Air barrier penetrations are sealed in an approved Air Leakage C402.5.2, C402.5.4 Envelope manner. Factory -built fenestration and doors are labeled 0 as meeting air leakage requirements. Air Leakage C402.5.3 Envelope Where open combustion air ducts provide combustion air to open combustion fuel burning appliances, the appliances and combustion air opening are located outside the building thermal envelope or enclosed in a room, isolated from inside the thermal envelope Air Leakage C402.5.5, Envelope Stair and elevator shaft vents have motorized 0 C403.2.4.3 dampers that automatically close. Air Leakage C402.5.5, Envelope Outdoor air and exhaust systems have motorized C403.2.4.3 dampers that automatically shut when not in use and meet maximum leakage rates. Check gravity dampers where allowed. Air Leakage C402.5.6 Envelope Weatherseals installed on all loading dock cargo doors. EnergyGauge Summit@) Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 12 of 21 Air Leakage C402.5.8 Envelope Recessed luminaires in thermal envelope to limit infiltration and be IC rated and labeled. Seal between interior finish and luminaire housing. HVAC C403.2.1 Mechanical HVAC systems and equipment design loads 0 1:1 El calculated in accordance with ANSI/ASHRAE/ACCA Standard 183 or by an approved equivalent computational procedure SYSTEM —SPECIFIC C403.2.10 Mechanical HVAC piping insulation thickness. Where piping is installed in or under a slab, verification may need to occur during Foundation Inspection. HVAC C403.2.3 Mechanical HVAC equipment efficiency verified. SYSTEM —SPECIFIC C403.2.3 Mechanical PTAC and PTHP with sleeves 16 in. by 42 in. labeled for replacement only as per Footnote b to Table C403.2.3(3). SYSTEM —SPECIFIC C403.2.4.1 Mechanical Heating and cooling to each zone is controlled by 1:1 El a thermostat control. Minimum one humidity control device per installed humidification/dehumidification system. SYSTEM —SPECIFIC C403.2.4.1.1 Mechanical Heat pump controls prevent supplemental electric 11 El resistance heat from coming on when not needed. HVAC C403.2.4.1.2 Mechanical Thermostatic controls have a 5 A°F deadband. HVAC C403.2.4.1.2 Mechanical Thermostatic controls have a 5 A°F deadband. El 1 El HVAC C403.2.4.1.3 Mechanical Temperature controls have setpoint overlap restrictions. HVAC C403.2.4.2.1, Mechanical Automatic Controls: Setback to 55°F (heat) and 11 El El C403.2.4.2.2 85°F (cool); 7-day clock, 2-hour occupant override, 10-hour backup SYSTEM —SPECIFIC C403.2.4.2.3 Mechanical Systems include optimum start controls. HVAC C403.2.4.5, Mechanical Snow/ice melting system sensors for future El El C403.2.4.6 connection to controls. Freeze protection systems have automatic controls installed. HVAC C403.2.6.2 Mechanical Enclosed parking garage ventilation has automatic contaminant detection and capacity to stage or modulate fans to 50% or less of design capacity. HVAC C403.2.9 Mechanical HVAC ducts and plenums insulated. Where ducts or plenums are installed in or under a slab, verification may need to occur during Foundation Inspection. SYSTEM —SPECIFIC C403.2.9.1.3 Mechanical Ductwork operating >3 in. water column requires 1:1 El air leakage testing. SYSTEM —SPECIFIC C403.4.1.2 Mechanical VAV fans have static pressure sensors located so 11 El controller setpoint —1.2 w.c.. SYSTEM —SPECIFIC C403.4.2.2 Mechanical Two -pipe hydronic systems using a common El distribution system have controls to allow a deadband > 15°F, allow operation in one mode for at least 4 hrs before changeover, and have rest controls to limit heating and cooling supply temperature to < 30 OF. SYSTEM —SPECIFIC C403.4.2.3.3 Mechanical Two -position automatic valve interlocked to shut El El off water flow when hydronic heat pump with pumping system >10 hp is off. SYSTEM —SPECIFIC C403.4.4.5, Mechanical Zone controls can limit simultaneous heating and C403.4.4.5.1-4 cooling and sequence heating and cooling to each zone. SYSTEM —SPECIFIC C403.4.5 Mechanical Condenser heat recovery system that can heat water to 850F or provide 60% of peak heat rejection is installed for preheating of service hot water. SYSTEM —SPECIFIC C403.4.6 Mechanical Hot gas bypass limited to: El 240 kBtu/h - 50% capacity, 240 kBtu/h - 25% capacity SYSTEM —SPECIFIC C404.3 Mechanical Heat traps installed on non -circulating storage water tanks. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 13 of 21 SYSTEM —SPECIFIC C404.3 Mechanical Heat traps installed on supply and discharge piping of non -circulating systems. SYSTEM —SPECIFIC C404.3 Mechanical Heat traps installed on supply and discharge piping of non -circulating systems. SYSTEM —SPECIFIC C404.6.1 Mechanical Controls are installed that limit the operation of a recirculation pump installed to maintain temperature of a storage tank. System return pipe is a dedicated return pipe or a cold water supply pipe. SYSTEM —SPECIFIC C404.6.1, C404.6.2 Mechanical Automatic time switches installed to automatically switch off the recirculating hot-water system or heat trace. SYSTEM —SPECIFIC C404.9.1 Mechanical Pool heaters are equipped with on/off switch and no continuously burning pilot light. SYSTEM —SPECIFIC C404.9.2 Mechanical Time switches are installed on all pool heaters 0 El and pumps. SYSTEM —SPECIFIC C404.9.2 Mechanical Time switches are installed on all pool heaters and pumps. SYSTEM —SPECIFIC C404.9.3 Mechanical Vapor retardant pool covers are provided for heated pools and permanently installed spas. Controls C405.2.1 Interior Lighting Lighting controls installed to uniformly reduce the lighting load by at least 50%. Controls C405.2.1 Interior Lighting Occupancy sensors installed in required spaces. Controls C405.2.1, Interior Lighting Independent lighting controls installed per 1:1 El C405.2.2.3 approved lighting plans and all manual controls readily accessible and visible to occupants. Controls C405.2.2.1 Interior Lighting Automatic controls to shut off all building lighting installed in all buildings. Controls C405.2.3 Interior Lighting Daylight zones provided with individual controls that control the lights independent of general area lighting. Controls C405.2.3, Interior Lighting Primary sidelighted areas are equipped with C405.2.3.1, required lighting controls. C405.2.3.2 Controls C405.2.3, Interior Lighting Enclosed spaces with daylight area under C405.2.3.1, skylights and rooftop monitors are equipped with C405.2.3.3 required lighting controls. Controls C405.2.4 Interior Lighting Separate lighting control devices for specific uses installed per approved lighting plans. Wattage C405.2.4 Interior Lighting Additional interior lighting power allowed for special functions per the approved lighting plans and is automatically controlled and separated from general lighting. Controls C405.2.5 Exterior Lighting Automatic lighting controls for exterior lighting installed. Controls will be daylight controlled, set based on business operation time -of -day, or reduce connected lighting > 30%. Wattage C405.4.1 Interior Lighting Interior installed lamp and fixture lighting power is El consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Mandatory Additional C406.4 Project Enhanced digital lighting controls efficiency El El package: Interior lighting has following enhanced lighting controls in accordance with Section r C405.2.2: Luminaires capable of continuous dimming and being addressed individually, <- 8 luminaires controlled in Mandatory Additional C406.6 Project Dedicate outdoor air system efficiency package: Buildings with hydronic and/or multiple -zone HVAC systems are equipped with an independent ventilation system designed to provide >_ 100-percent outdoor air to each individual occupied space, as specified by EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 14 of 21 f Mandatory Additional C406.7, C406.7.1 Project HVAC C408.2.2.1 Mechanical HVAC C408.2.2.1 Mechanical Testing C408.2.3.2 Mechanical Enhanced Service Water Heat System efficiency 0 El package. One of the following SWH system enhancements must satisfy 60 percent of hot water requirements, or 100 percent if the building otherwise complies with heat recovery per Section C403.4.5: Waste heat re Air outlets and zone terminal devices have means for air balancing. Air outlets and zone terminal devices have means 11 El for air balancing. HVAC control systems have been tested to 0 ensure proper operation, calibration and adjustment of controls. Post Construction C303.3, C408.2.5.2 Interior Lighting Furnished O&M instructions for systems and U U U equipment to the building owner or designated representative. Post Construction C303.3, C408.2.5.3 Mechanical Furnished O&M manuals for HVAC systems within 90 days of system acceptance. Fenestration C402.4.2.2 Envelope Skylights in office, storage, automotive service, ri manufacturing, non -refrigerated warehouse, retail store, and distribution/sorting area have a measured haze value > 90 percent unless designed to exclude direct sunlight. Post Construction C408.2.1 Mechanical Commissioning plan developed by registered El design professional or approved agency. Post Construction C408.2.3.1 Mechanical HVAC equipment has been tested to ensure El proper operation. Post Construction C408.2.3.3 Mechanical Economizers have been tested to ensure proper 11 El operation. Post Construction C408.2.4 Mechanical Preliminary commissioning report completed and 11 El certified by registered design professional or approved agency. Post Construction C408.2.5.1 Mechanical Furnished HVAC as -built drawings submitted within 90 days of system' acceptance. Post Construction C408.2.5.1 Interior Lighting Furnished as -built drawings for electric power 11 11 systems within 90 days of system acceptance. Post Construction C408.2.5.3 Mechanical An air and/or hydronic system balancing report is provided for HVAC systems. Post Construction C408.2.5.4 Mechanical Final commissioning report due to building owner 0 within 90 days of receipt of certificate of occupancy. Post Construction C408.3 Interior Lighting Lighting systems have been tested to ensure proper calibration, adjustment, programming, and operation. EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 15 of 21 Inpuilt Data Report Project Information Project Name: Nemours Sanford Project Title: Primary Care Urgent Care Expansion s Address: 1145 Rinehart Rd State: FL Zip: 32771 Owner: Nemours Childrens Building Type: Healthcare -Clinic Building Classification: Renovation to existing building No.of Stories: 1 GrossArea (SF): 1,470 Bldg. Rotation: None Zones No Acronym Description Type Area Multi Total Area sfJ sfJ 1 Expansion Nemours Expansion Space CONDITIONED 1316.0 1 1316.0 2 X-Ray X-Ray CONDITIONED 154.0 1 154.0 Spaces No Acronym Description Type Depth Width Height Mult Total Total IN IN IN Area Vol[cfj sf] In Zone: Expansion 1 117A Control Radiology (Hospital) 1.00 66.00 9.00 1 66.0 594.0 2 120A/124A Team Work Areas Office - Open Plan 1.00 420.00 9.00 1 420.0 3780.0 3 118A Procedure Exam/Treatment (Hospital) 1.00 182.00. 9.00 1 182.0 1638.0 4 121A Lab/Meds Medical Supply (Hospital) 1.00 126.00 9.00 1 126.0 1134.0 5 106A Toilet Toilet and Washroom 1.00 42.00 9.00 1 42.0 378.0 6 122A Exam 6 Exam/Treatment (Hospital) 1.00 100.00 9.00 1 100.0 900.0 7 125A Exam 5 Exam/Treatment (Hospital) 1.00 90.00 9.00 1 90.0 810.0 8 127A Exam 4 Exam/Treatment (Hospital) 1.00 90.00 9.00 1 90.0 810.0 9 100A West Waiting Lobby (General) - Reception 1.00 200.00 9.00 1 200.0 1800.0 and Waiting In Zone: X-Ray 1 116A Radiography Radiology (Hospital) 1.00 154.00 9.00 1 154.0 1386.0 EnergyGauge Summit@ Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 16 of 21 Lighting No Type Category No. of Watts per Power Control Type No.of Luminaires Luminaire W] Ctrl pts In Zone: Expansion In Space: 117A 1 LED General Lighting 2 30 60 Manual Continuous 1 Dimming In Space: 120A/124A 1 LED General Lighting 6 37 222 _ Occupancy sensor without 1 Daylighting In Space: 118A 1 LED General Lighting 2 37 74 Occupancy sensor without 1 Daylighting 2 LED General Lighting 4 30 120 Manual Continuous 1 Dimming In Space: 121A 1 LED General Lighting 2 30 60 Occupancy sensor without 1 Daylighting In Space: 106A 1 LED General Lighting 1 30 30 Occupancy sensor without 1 Daylighting In Space: 122A 1 LED General Lighting 2 37 74 Occupancy sensor without 1 Daylighting 1 In Space: LED 125A General Lighting 2 37 74 Occupancy sensor without 1 Daylighting In Space: 127A 1 LED General Lighting 2 37 74 Occupancy sensor without 1 Daylighting 1 In Space: LED 100A General Lighting 3 37 111 Occupancy sensor without 1 Daylighting In Zone: X-Ray 1 In Space: LED 116A General Lighting 6 30 180 Manual Continuous 25 Dimming 2 LED General Lighting 2 37 74 Manual On/Off 1 EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 17 of 21 Walls (Walls will be rotated clockwise by building rotation value) No Description Type Width H (Effec) Multi Area Orient Cond- Heat Dens. R-Value IN [ft] plier [sf] ation uctance Capacity [lb/cf] [h.sf.FBtu] Btu/h.sf.Fl [Btu/sf.F] In Zone: Windows (Windows will be rotated clockwise by building rotation value) No Description Orientation Shaded U SHGC Vis.Tra W H (Effec) Multi Total Area Btu/hr sf F] IN ft] plier [sq In Zone: In Wall: Doors No Description Type Shade? Width H (Effec) Multi Area Cond. Dens. Ht Cap. R ft] IN plier [sf] Btu/h.sf.F] [lb/cf] [Btu/sf. [h.sf.F/ F] Btu] In Zone: In Wall: Roofs No Description Type Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Value IN [ft] plier sf] [deg] Btu/h.Sf. F] [Btu/sf. F] [lb/cf] [h.sf.FBtu In Zone: EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 18 of 21 r Skylights No Description Type U SHGC Vis.Trans W H (Effec) Multi- Area Total Area Btu/hrsfF] IN IN plier [sf) [Sl1 In Zone: In Roof: El Floors No Description Type Width H (Effec) Multi Area Cond. Heat Cap. Dens. R-Value IN [ft] plier [sf] [Btu/h.sf.F [Btu/sf. F] [lb/cf] [h.sf.F/Btu In Zone: El Systems Existing Existing RTU Constant Volume Air Cooled No. Of Units Split System < 65000 Btu/hr 1 Component Category Capacity Efficiency IPLV 1 Cooling System 60000.00 14.00 8.00 2 Heating System 30717.00 1.00 3 Air Handling System -Supply 1750.00 0.45 4 Air Distribution System (Sup) 6.00 DSI/DSO-1 Ductless Split - Supplemental Unit Constant Volume Air Cooled No. Of Units Split System < 65000 Btu/hr 1 Component Category Capacity Efficiency IPLV 1 Cooling System 10580.00 20.00 8.00 2 Heating System 1.00 1.00 3 Air Handling System -Supply 303.00 0.20 EnergyGauge Summit@ Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 19 of 21 Plant Equipment Category Size Inst.N(Eff. IPLV Water Heaters W-Heater Description Capacity Cap.Unit UP Rt. Efficiency Loss E)t-Lighting Description Category No. of Watts per Lumin- Lumin- aires aire Area/Len/No sVft/No] Control Type Wattage W] Piping No Type Operating Insulation Temp Conductivity F] [ Btu-in/h.sf.F] Nomonal pipe Diameter in] Insulation Thickness in] Is Runout. 1 Heating System (Steam, Steam 105.00 0.28 Condensate, & Hot Water) 0.75 1.00 No Fenestration Used Name Glass Type No. of Glass SHGC VLT Panes Conductance Btu/h.sf.F] EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page 20 of 21 Materials Used Only RValue Thick Cond- Density Sp. HeatMatNoAcronymDescription R-Value [b.sEFBtu] IN uctivity [lb/cf] Btu/1b.F] Used [Btu/b.ft.F EI Constructs Used Simple Massless Conductance Heat Cap Density RValue No Name Construct Construct [Btu/h.sEF] [Btu/sf.F] [lb/cf] [h.sLFBtu] Ej Layer Material Material Thickness Framing No. IN Factor El EnergyGauge Summit® Fla/Com-2017. TAM 2017-1.0 Compliant Software. Effective Date: Dec 31, 2017 Florida Building Code, Sixth Edition (2017) - Energy Conservation IECC 2015 - Prescriptive Compliance Option 4/2/2018 Page21 of21 N Nemours Sanford HVAC Load Analysis for C4 Architecture Prepared By: Eric Eiermann Eiermann Engineering, Inc 1015 Webster Ave Orlando, FL 32804 Monday, April 2, 2018 CHVAG Full Commercial HVAC Loads Calculation Program Elite°Software Development ;Inc.: Eierrriann Engineering Iric Nemours Sanford Orlando, FL 32804 Ra e2' Building Summary Loads Building peaks in August at 5pm. Bldg Load Area Seri Tot LatSen-Net.. Not Descri tions ' Quan Loss' Loss . Gain Gain . Galn:.` Gain` Roof 1,470 2,830 12.77 0 2,831 2,831 4.22 Wall 455 2,610 11.78 0 2,155 2,155 3.22 Glass 160 3,819 17.24 0 8,823 8,823 13.17 Floor Slab 0 0 0.00 0 0 0 0.00 Skin Loads 9,259 41.79 0 13,809 13,809 20.61 Lighting 1,470 0 0.00 0 5,267 5,267 7.86 Equipment 4,025 0 0.00 0 14,421 14,421 21.52 People 24 0 0.00 5,040 6,300 11,340 16.92 Partition 0 0 0.00 0 0 0 0.00 Cool. Pret. 0 0 0.00 0 0 0 0.00 Heat. Pret. 0 0 0.00 0 0 0 0.00 Cool. Vent. 210 0 0.00 7,643 4,143 11,786 17.59 Heat. Vent. 210 7,909 35.69 0 0 0 0.00 Cool.lnfil. 55 0 0.00 2,100 1,148 3,248 4.85 Heat.lnfil. 88 3,654 16.49 0 0 0 0.00 Draw-Thru Fan 0 0 0.00 0 3,770 3,770 5.63 Blow-Thru Fan 0 0 0.00 0 0 0 0.00 Reserve Cap. 0 0 0.00 0 0 0 0.00 Reheat Cap. 0 0 0.00 0 0 0 0.00 Supply Duct 0 445 2.01 0 1,125 1,125 1.68 Return Duct 0 891 4.02 0 2,250 2,250 3.36 Misc. Supply 0 0 0.00 0 0 0 0.00 Misc. Return 0 0 0.00 0 0 0 0.00 Building Totals 22,158 100.00 14,783 52,233 67,016 100.00 Budding Sen Tot N Lat Sen Net Summa, .Loss ' : Loss , Galn•>: Galn, ', Gain G.'a0w Ventilation 7,909 35.69 7,643 4,143 11,786 17.59 Infiltration 3,654 16.49 2,100 1,148 3,248 4.85 Pretreated Air 0 0.00 0 0 0 0.00 Zone Loads 9,259 41.79 5,040 39,797 44,837 66.90 Plenum Loads 0 0.00 0 0 0 0.00 Fan & Duct Loads 1,336 6.03 0 7,145 7,145 10.66 Building Totals 22,158 100.00 14,783 52,233 67,016 T 100.00 Check Fi lai=es r, fl Total Building Supply Air (based on a 21 ° TD): 2,053 CFM Total Building Vent. Air (10.23% of Supply): 210 CFM Total Conditioned Air Space: 1,470 Sq.ft Supply Air Per Unit Area: 1.3966 CFM/Sq.ft Area Per Cooling Capacity: 263.2196 Sq.ft/Ton Cooling Capacity Per Area: 0.0038 Tons/Sq.ft Total Heating Required With Outside Air: 22,158 Btuh Total Cooling Required With Outside Air: 5.58 Tons FILESVR\Share\Eric\CHVAC Projects\C4Arch\2018-05 Nemours Sanford.CHV Monday, April 2, 2018, 1:12 PM 0 HVAC Full Commercial HVAC Loads Calculation Program Elite Software Development, lnc: 1ermar Engineenng"Inc Nemours Sanford. Orlando, FL 32804.. . : Pa' e 3, Air Handier #1 Summary Loads Zn Desch tlon Area . Htg Loss Sen Gain Lat Gain Htg.O.A CIg.O A: t No p People Htg CFM Clg CFM S Exh Req:CFM Req CFMPeakTlme volume CFM/S ft CFM/S ft U1%.Exh Act.CFM .: Act.GFM 117A Control 66 807 4,692 303 Direct Direct 1 4pm September 594 0.78 3.37 0 13 23 116A Radiography 154 1,884 4,775 428 Direct Direct 2 4pm September 1 121 226 0 22 22 1,386 0.78 1.47 0 31 23 120A Hallway 150 662 1,008 152 Direct Direct 3 3pm June 0 42 48 0 21 21 1,350 0.28 0.32 0 11 5 118A Procedure 182 803 3,706 1,024 Direct Direct 4 3pm June 4 51 176 0 26 26 1,638 0.28 0.96 0 13 18 121A Lab/Meds 126 556 3,975 337 Direct Direct 5 3pm June 1 36 188 0 18 18 1,134 0.28 1.49 0 9 19 106A Toilet 4 12 283 4 Direct Direct 6 3pm June 00 1 00 6 6 378 0.28 0.32 0 3 1 124A Team Work 270 1,191 5,826 903 Direct Direct 7 Areas 3 76 276 0 39 39 3pm June 2,430 0.28 1.02 0 19 28 122A Exam 6 100 441 934 311 Direct Direct 8 3pm June 1 28 44 0 14 14 900 0.28 0.44 0 7 5 125A Exam 5 90 397 867 301 Direct Direct 9 3pm June 1 25 41 0 13 13 810 0.28 0.46 0 6 4 4 90 397 867 301 Direct Direct 10 3pm Junep 1 25 41 0 13 13 810 0.28 0.46 0 6 4 100A West Waiting 200 5,591 16,406 2,516 Direct Direct 11 6pm June 11 358 777 0 29 29 1,800 1.79 3.89 0 91 79 Zone Peak Totals: 1,470 12,913 43,340 6,620 Total Zones: 11 24 828 2,053 0 210 210 r Unique Zones: 11 13,230 0.56 1.40 0 210 210 FILESVR\Share\Eric\CHVAC Projects\C4Arch\2018-05 Nemours Sanford.CHV Monday, April 2, 2018, 1:12 PM F HVAC Full Gommer601AVAC Loads.Calculation Program ` Elite Software Development;'Inc. Eierma'nn Engineering IncfA Nemours Sanford' Orla o, FL, 32804,` _' Padb'4 Air Handler #1 Total Load Summary Air Handler Description: Renovated Side Constant Volume - Proportion Supply Air Fan: Draw-Thru with program, estimated horsepower of 1.49 HP Fan Input: 65% motor and fan efficiency with 3 in. water across the fan Sensible Heat Ratio: 0.87 --- This system occurs 1 time(s) in the building. --- Air System Peak Time: 5pm in August. Outdoor Conditions: 92° DB, 77° WB, 116.27I grains Because of the diversity in zone, plenum and ventilation loads, the zone sensible peak time in June at 5pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible load of 42,360. Summer: Ventilation controls outside air, ----- Winter:) Ventilation controls outside air. Zone Space sensible loss: 9,259 Btuh Infiltration sensible loss: 3,654 Btuh 88 CFM Outside Air sensible loss: 7,909 Btuh 210 CFM Supply Duct sensible loss: 445 Btuh Return Duct sensible loss: 891 Btuh Return Plenum sensible loss: 0 Btuh Total System sensible loss: 22,158 Btuh Heating Supply Air: 13,358 / (.996 X 1.08 X 15) = 828 CFM Winter Vent Outside Air (25.4% of supply) = 210 CFM Zone space sensible gain: 39,797 Btuh Infiltration sensible gain: 1,148 Btuh Draw-thru fan sensible gain: 3,770 Btuh Supply duct sensible gain: 1,125 Btuh' Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: 45,840 Btuh Cooling Supply Air: 47,255 / (.996 X 1.1 X 21) = 2,053 CFM Summer Vent Outside Air (10.2% of supply) = 210 CFM Return duct sensible gain: 2,250 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 4,143 Btuh, 210 CFM Blow-thru fan sensible gain: 0 Btuhl Total sensible gain on return side of coil: 6,393 Btuh Total sensible gain on air handling system: 52,233 Btuh Zone space latent gain: 5,040 Btuh', Infiltration latent gain: 2,100 Btuh Outside air latent gain: 7,643 Btuh Total latent gain on air handling system: 14,783 Btuh Total -system sensible and latent gain: 67,016 Btuh Check FI ores Total Air Handler Supply Air based on a 21' TD :2,053 CFM Total Air Handler Vent. Air (10.23% of Supply): 210 CFM Total Conditioned Air Space: 1,470 Sq.ft Supply Air Per Unit Area: 1.3966 CFM/Sq.ft Area Per Cooling Capacity: 263.2196 Sq.ft/Ton Cooling Capacity Per Area: 0.0038 Tons/Sq.ft Total Heating Required With Outside Air: 22,158 Btuh Total Cooling Required With Outside Air: 5.58 Tons FILESVR\Share\Eric\CHVAC Projects\C4Arch\2018-05 Nemours Sanford.CHV Monday, April 2, 2018, 1:12 PM S PUkjJ CITY OFBUILDING I Sk 40RD DIVISION L PERMIT APPLICATION Application No: Documented Construction Value: $ 3 18S . 00 Job Address: I IL45!S 9—.%r)er)Qr+ 1Zd . Historic District: Yes [I Noff" Parcel ID: --3Z. • A • SO. 502. • QO • C-Jc Z O Residential Commercial Type of Work: New Addition LJ Alteration Repair Demo Change of Use Move Description of Work: AcI aril c2 c N FEA 13 / 7003, Ca.c- (.031 - -- Plan Review Contact Person: Tide: rc ticr-1 Property Owner Information Name t) i I r o , 1r . Phone: Street: 10Cn City, State Zip: MQ i -t- kQY-CA , VE L 2,71 S 1 all Resident of property? : Contractor Information Name (e PrcrygncT cA!:) Phone: 4C 1 3 V200 Street: 3$01 E S 9Z L4Co Fax: L 0-132i) £' G31 City, State Zip: SCE F- 32-1'-71 State License No.: 1=PC 1 Z - OCR\S Z Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. 0nn l J FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 66 Edition (2017) Florida Building Code 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 districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contrail gent Date iCevic% IZade-aci&.)qr, Print Contractor/Agent's Name q•t•t8 Signature of N a e S;aYo THER LEE BURKHART MY COMMISSION # GG014762 @, EXPIRES July 24, 2020 Contrac or/A6 ' o Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FI 91J/$ BUILDING: SOUTFIR-02 TYLERS CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 12129/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Office of America, Inc. 1855 West State Road 434 Longwood, FL 32750 CONTACT NAME: PHONE FAX A/C, No, Ext): (800) 243-6899 (A/c, No):(407) 788-7933 ADDRIES_S_:__ INSURER(S) AFFORDING COVERAGE I NAIC # INSURER A: Everest Indemnity Insurance Company j151 INSURED Southern Fire Protection of Orlando, Inc. INSURER B:Auto-Owners Insurance Company __ INSURER C _Landmark American Insurance Company 18988 33138 INSURER D : Zenith Insurance Company 13269 _ 3801 E. State Road 46 Sanford, FL 32771-9155 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._ INSRLTR TYPE OF INSURANCE INSD SUERWVD POLICY NUMBER POLICY EFF POLICY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X I 51GL005992-181 01/01/2018 01/01/2019 EACH OCCURRENCE 1,000'000 DAMAGE TO RENTED PREMISES (Ea occurrence) 500,000 MED EXP Any one person)__ 10,000 PERSONAL 8, ADV INJURY 1'000'600 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT 1_J LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS -COMP/OP AGG 2,000,OOO B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSSSWN pXAUTOSONLYiXATOSONY X 5155651000 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT Ea accident) 1,000,000 BODILY INJURY Per person_ BODILY INJURY (Per accident)_ acEciidntZAMAGEPerr C X UMBRELLA LIAR X EXCESS OCCUR CLAIMS -MADE X LHA081767 01/01/2018 01/01/2019 EACH OCCURRENCE 10,000,000 AGGREGATE 101000,000DEDRXIRETENTION $ 0 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A I I Z071831007 01/01/2018 01/01/2019 X I STATUTE EORH E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Sanford is additional insured as respects general liability per forms ECG20583 07/04 & ECG20598 05109 and for auto liability as required by written contract. Umbrella is excess over GL, Auto and workers compensation/employers liability. 407)688-5041 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Sanford P O Box 1788 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SEMINOLE COUNTY BUSINESS TAX RECEIPT m JOEL M. GREENBERG, SEMINOLE COUNTY TAX COLLECTOR P ' x O BOX 630 1 SANFORD, FL 32772 1 407-665-1000 WWW.SEMINOLE000NTY.TAX VALID THROUGH 09/30/19 SOUTHERN FIRE PROTECTION OF ORLANDO INC 3801 E SR 46 Account #:053465 SANFORD, FL 32771 REGULATED LEONARD M HOLLIS (PRES) License # - 740723000290/190 Qualifier- LEONARD HOLLIS Receipt #:OLHS2018082200397 Amount Paid: $ 45.00 Date Paid08/22/2018 Jimmy Patronis Casia Sinco CHIEF FTNANCI_aL OFFICER ` Y l ~ BUREAU CHIEF Julius Halas ! .; Keith McCarthy. DIVISION DIRECTOR _ SAFETY PROGRAM MANAGER a Wa FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL 200 East Gaines Street - Tallahassee, Florida 32399-0342 Tel_ 850-413-3644 Fax. 850410-2467 CERTIFICATE OF COMPETENCY OFFICIAL COPY THIS CERTIFIES THAT: Kevin R Rodebaugh 3801 East State Road 46 Sandford FL 32771 BUSINESS ORGANIZATION: Southern Fire Protection Contractor I includes the execution of contracts requiring the ability, experience, knowledge, science, and skill to intelligently layout, fabricate, install, inspect, alter, repair, or service all types of Fire Protection Systems, excluding Pre -Engineered Systems. Issue Date: Type: Class: County: License/Permit # Expiration Date: 07/01/2018 07 10 Seminole FPC 12-000152 06/30/2020 Southern Fire .Protection of Orlando, Inc. 3801 E. SR 46, SANFORD, FL 32771-9155 PHONE: (407) 323-4200 FAX: (407) 328-8931 EMERGENCY: (407) 328-2912 LIMITED POWER OF ATTORNEY C 1+\-1 CCI Building Department I hereby name and appoint the following: Anton Mihelic, Brian Moore, and/or Jeremy Wilkerson, Christy Caldwell, Vince Hollis, Kenny Callaghan, Les Jones, Lou Mirenda, David Dewey, Kent Bowman, Edward Russel, Fred Griffin and/or Joseph A. Mello, Joseph Gracey, William Martin Printed Name Of Appointee(s) Southern Fire Protection of Orlando, Inc. Company Name of Appointee To be my lawful attorney -in -fact to act for me in submitting and receiving Commercial/Residential Permitting, and to do all things necessary to this appointment. Nit Maur5 SQ.n+c-rd Project Name hLA 5 \Rice-r-cr+ go. Project Address Signed: By: evin Rodeb Vice President License # FPC12-000152 WITNESS WITNESS State of Florida County of Seminole Sworn to and subscribed before me this day of ,Se_0f M)0P_(2018 By Kevin Rodebaugh who is ersonally known to me. Fl i'',',,__ HEATHER LEEMY C0NAK1SSI(DN # GG01 ! 'NotaryPubli , ' O?K EXPIRES Jul, 24, 2,.,2, My Commissi )Upires: i ------ -- JOHNSON Lit, LAUX License: CGC 1518236 8100 Chancellor Drive Suite 165 Orlando FL 32809 407)770-2180 Billed To: Southern Fire Protection of Orlando, Inc. 3801 E. State Road 46 Sanford FL 32771-9155 Order#: 3086-15A Date: 09/07/2018 Project: Nemours Sanford Primary Care 1145 Rinehart Road Sanford FL You are hereby requested to provide the following materials/services to the above named project for the price listed below. Ordered By: 6 - Johnnie Isner Accepted By: Date: Notes Part # Description Unit Quantity Price Amount Fire Sprinkler Work as. Listed Below: 1.00 3,185.00 3,185.00 Add & relocate the existing white recessed pendenr sprinklers center of file throughout the renovated office area to meet code. Subtotal: 3,185.00 6 Terms: All changes to quantity, specification or price must be approved in writing. All Subtotal: 3,185.00 materials services must be delivered to job site unless otherwise instructed in writing. Failure to deliver materials or services in a timely fashion will release contractor from Sales Tax: 0.00 any obligation to purchase implied by this order. Total Order 3,185.00 Grant Matoy, Clerk Of The Circuit Court & Comptroller Seminole County, FL nst #2018096433 Book:9195 Page:940; (1 PAGES) RCD: 8/21/2018 12:37:34 PM REC FEE $10.00 A, THIS INSTRUMENT PREPARED BY: Johnson-Laux Construction, LLC t Name: Address[ ance r nve uite «,. Orlapdo_ FI 3280 T NOTICE OF COMMENCEMENT State of Florida County of Seminole ( Permit Number, 18-1631 Parcel iD Number23- I R-30- Stull The undersigned hereby gives notice that Improvement will be made to .certain real property, and in accordance with Chapter.713. Florida Statutes, the following information is provided In this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available) 1145 Rinehart Road Sanford F-2771 ' GENERAL DESCRIPTION. OF IMPROVEMENT: Interior Alteration OWNER INFORMATION Name: Leaseholder interest Owner: Children's Health Alliance Address: 6900 Tavistock Lakes Blvd. Suite 350, Orlando, FL 32827 Fee Simple Title Holder (if other than owner) Name: Deno. P. Dikeou Address: 543 N Wymore Rd. Suite 106, Maitland, FL 32751 CONTRACTOR: Name: Johnson-Laux Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes, Name: Joseph W. Baker _ Address: 6900 Tavistock Lakes Blvd. Suite 350, Orlando, FL 32827 In addition to himself, Owner Designates ._ mennetn Lionalason -. . ..:..... . of Nemours/Children's Health Alliance To receive a copy of the Uenoes Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless a different date Is specified), I NIA WARNING -TO.OWNER, -ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMENCiNG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under pe lal as of perjury, 1 declare that I have read the foregoing and that the facts stated in it are true to. the 6dst o[my knowlodge and belief. Ficrida mute 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead' States ° County of f The fore Fag instrument w s acknowledged before this day of , 20 ! by ftQlWho is personally Wally knownto e, me or person making at.tiinent rpv OR v lieEk d identification type of Ide tffcation produced: My Domm " 0 Pot tolrn o Dt pES: Mpy2Z2W0 f ear 8abot1lwta+4pe t#>I+yEe _ -- t R'ypu& DIIifBElitiNIU-WiS Notary signature * e` LtyCOFtlNISgJpfl9F a oFtto1ia16fd lastTttl•Nms i O vidJaftmN%CFA C i.INOk.I= R+fIY,. r-U>1CA Legal Description LA2OTORD SAMS CLUB PGS18& 19 Taxes Property Record Card Parcel: 32-19-30-502-0000-0020 Property Address: 1151 RINEHART (1125-1185) RD SANFORD, FL 32771 Value Summary 2018 Working 2017 Certifier Values Values Valuation Method Income income Number of Buildings 1 1 Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) Land Value Ag Just/ Market Value " 4,398,734 4,327,768 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 255,000 i $560,737 P& G Adj 0 0 Assessed Value 4,143,734 3 767,031 Tax Amount without SOH: $75,413.00 2017 Tax Bill Amount $75,413.00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice Helo I ` Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 4,143,734 0 4,143,734 Schools 4,398,734 0 , 4,398,734 City Sanford 4,143,734 0 4 143,734 SJWM( Saint Johns Water Management) 4143,734 v.__ _ _.... __. 0 4,143,734 County Bonds _ '^ 4,143,734 ; 0 4,143,734 Sales Find Comparable Sales f Land Method ^ f' roMage Depth Units Units Price vTLand Value SQUARE FEET 108002 $11.33 ?._... $1,223,663 Building Information T_.._..-.._ _.__. —— W. _,.__..,. _._..... 7- LD-.! Pt.-# YearAduaUEBu$ReGiveStories Total SF I Ext Wall a Adj Value Rep$ Value i Appendages T — ffiff j 1 s MASONRY 2005 1 ' 24,396 ` CONCRETE BLOCK -STUCCO - $1,463,401 ', $1,747,345Desorption Area PILASTER. ;MASONRY FIN SHED ORT 1170.00 OPEN PORCH 30611.00 FINISHED Peffnits Permit # Description j Agency Amount CO Date Permit Date 01454, WALL SIGN- 1133 RINEHART RD SANFORD 1,900 5/23/2018 00537 INTERIOR REMODEL-1133 RINEHART RD SANFORD 27,9001 3/15/2018 00667 FIRE ALARM SYSTEMS - #1125 SANFORD 796 4/20/2016 00670 WALL SIGN WIELECTRIC - #1149 SANFORD 2,054 3W2016 03118 WALL SIGN #1149 ISANFORD 2,454, 11/10/2015 02644 INTERIOR RENOVATION - 1149 RINEHART RD iSANFORD $166,613 9/2412015 02691 20 X 18 CARPORT SANFORD 2,703 1 911012015 01512 i REPIPE THE EXISTING FIRE SYSTEM IN THE EXHAUST HOOD- 1133 RINEHART RD SANFORD 1,100 i 5/1212014 01419 s NEW WALL MOUNTED CHANNEL SET- 1133 RINEHART RD iSANFORD 6,6W 1 4/2812014 00107 BURGLAR ALARM & CCTV - 1125 RINEHART RD SANFORD 1,419 10/15=13 Page I of 6 (58 items) [1) 2 3 IPefmt dXto does rmt orWnmft *m dw SwWncle COMW PMPWW App,~S affte. frM dbft - "".. --.kM . 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I.P.V ft — I Extra Features Description Year Built Units Value New Cost COMM: ALUM CARPORT WISLAB 311/2015 460 2,691 2,9901 WALKS CONC COMM 3/1/2005 2,240 5,004 7,414,1 STUCCO WALL i 311/2005 372 1,004 1,488 POLE LIGHT CONCRETE 4 ARM 3/11/2005 1 5,707 i 5,707 POLE LIGHT CONCRETE 3 ARM 2 8,302 8,302 POLE LIGHT CONCRETE 2 ARM 3/1/2005 3 i 7,782 7,782 POLE LIGHT CONCRETE I ARM 3/11/2005 2 2,0761 2,076 COMMERCIAL CONCRETE DR 4 IN 3f1/2005 220 3171 469 COMMERCIAL ,—ASPHALT --D-R-2-1-N-,--,-*---"--,-"-,- 311/2005 46,819 28,758 42,605 6- CHAIN LINK FENCE 3/1/2005 22 7i I $132 Model F1 FR56 Sprinkler Types Standard Upright Standard Pendent Conventional Vertical Sidewall Horizontal Sidewall Model F1 FR56 Recessed Sprinkler Types Standard Pendent/F1/F2/FP Horizontal Sidewall Model F1 FR56 Concealed Sprinkler Types Standard Pendent Model F1 FR42, F1 FRXLH & F1 FR28 Sprinkler Types Standard Upright Standard Pendent Model F1 FR42, F1 FRXLH & F1 FR28 Recessed Sprinkler Types Standard Pendent Model F1 FR56LL & F1 FR42LL Low Lead Sprinkler TYPeS* Standard Pendent Less than 0.25% Lead Content Listing & Approvals 1. Underwriters, Laboratories Inc. and Certified for Canada (cULus). 2. Factory Mutual Approvals (FM) 3. Loss Prevention Council (LPCB, UK) 4. VdS Schadenverhotung GmbH 5. *NSF Certified to NSF/ANSI Standard 61 Annex G UL Listing Category Sprinklers, Automatic & Open (VNIV) Quick Response Sprinkler Product Description Reliable Models F1FR56, F1FR56LL, F1FR42, F1FR42LL, F1 FRXLH & F1 FR28 Series Sprinklers are quick response sprinklers which combine the durability of a standard sprin- kler with the attractive low profile of a decorative sprinkler. The Models F1 FR56, F1 FR56LL, F1 FR42, F1 FR42LL, F1 FRXLH & F1 FR28, Series Recessed automatic sprinklers utilize a 3.0 mm frangible glass bulb. These sprinklers have demonstrated response times in laboratory tests which are five to ten times faster than standard response sprinklers. This quick response enables the Model F1 FR56, F1 FR56LL, F1 FR42, F1 FR42LL, F1 FRXLH & F1 FR28 Series sprinklers Bulletin 014 Rev. K co del F1 FR Series Quick Response Standard Spray Upright Pendent Vertical Sidewall Horizontal Sidewall Recessed Horizontal Sidewall Pendent XLH Upright XLH Pendent Conventional Recessed Pendent/F1/F2 w„ Recessed Pendent/FP XLH Recessed Pendent F1/F2 to apply water to a Tire mucn taster man standard sprinklers of the same tem- perature rating. The glassbulbconsists of an accu- rately controlled amount of special fluid# hermetically sealed inside a precisely manufactured glass capsule. This glass XLH Recessed bulb is specially constructed to provide Pendent FP fast thermal response. At normal temperatures, the glass bulb contains the fluid in both the liquid and vapor phases. The vapor phase can be seen as a small bubble. As heat is applied, 'the liquid expands, forcing the bubble smaller and smaller as the liq- uid pressure increases. Continued heating forces the liquid to push out against the bulb, causing the glass to shatter, opening the waterway and allowing the deflector to distrib- ute the discharging water. The Reliable Automatic Sprinkler Co., Inc., 103 Fairview Park Drive, Elmsford, New York 10523 Application Quick response sprinklers are used in fixed fire protection systems: Wet, Dry, Deluge or Preaction. Care must be exercised that the orifice size, temperature rating, deflector style and sprinkler type are in accordance with the latest published standards of the National Fire Protection Association or the approving Authority Having Jurisdiction. Quick response sprinklers are intended for installation as specified in NFPA 13. Quick response sprinklers and standard re- sponse sprinklers should not be intermixed. Pl*n tle XLH Only) Deflector Lood Screw Wosher Bulb Frome Cup 014FG06A Model F1FR42, F1FRXLH Upright Thread Max. Min. Temperature 13 Coefficient Response Size Working Working Rating Finish Pressure Pressure 5.6 Quick 1/2" NPT See See 4.2 Response R 112) 175 PSI 7 PSI Temperature Finish Table" Ratings" Table. 2.8 Ie only with Temperature Rating 200oF/93oC ector Load Screw Pintle Cup Washer Bulb Iloy 260, lloy 220 CDA Alloy 360 CDA Alloy 360 CDA Alloy 651 Nickel Alloy 440 or Alloy 360 or or or coated with PTFE Adhesive Glass X Oloy510 CIDA Alloy 544 I CIDA Alloy 544 I CIDA Alloy 693 I Tape I I 2. Model F1 FR56, Upright, Pendent & Conventional Sprinklers Model F1 FR42, F1 FRXLH & F1 FR28 Upright & Pendent Sprinklers Installation Wrench: Model D Sprinkler Wrench Installation Data: Nominal Thread Nominal K Factor SprinklerP ApprovalpP Sprinkler Identification Number SIN) Orifice Size US Metric Height Organization Upright Pendent Standard -Upright (SSU) and Pendent Deflectors Marked to Indicate Position 1/2" (15mm) M 1/T NPT (R1/2) 5.6 80 2.25" (57mm) 1,2,3,4 RA1425(1)(2)(3)(4) RA1414(1)(2)(3)(4) 7/16" (10mm) 1/2" NPT (R1/2) 4.2 60 2.25" (57mm) 1 RA1423(1)(4) RA1413(4) 3/8" (10mm) 1/2" NPT (R1/2) 2.8 40 2.25" (57mm) 1 RA1421(1)(4) RA1411(4) Conventional -Install in Upright or Pendent Position 15mm ') 1/2" NPT (R1/2) 5.6 80 57mm 3,4 RA1475(3) cLlLus listed corrosion resistant (Polyester coated) sprinkler. z) Polyester coated FM approved sprinkler. 3) Polyester coated LPCB & VdS approved sprinkler RA1425, RA1414 & RA1475. 4) Electroless Nickel PTFE (Teflon')` Plated - cULus listed Corrosion Resistant Upright Pendent Conventional Model F1 FR56LL & F1 FR42LL Pendent Sprinklers Installation Wrench: Model D Sprinkler Wrench Installation Data: Nominal Thread Nominal K Factor SprinklerP ApprovalPP Sprinkler Identification Number SIN) Orifice Size US Metric Height Organization Pendent Standard -Pendent Deflectors Marked to Indicate Position 1/2" (15mm) ') 1/2" NPT (R1/2) 5.6 80 2.25" (57mm) 1,5 RA1415 7/16" (11mm) 1/2" NPT (R1/2) 4.2 60 2.25" (57mm) 1,5 RA1410 cULus listed corrosion resistant (Polyester coated) sprinkler. DuPont Registered Trademark 3. Model 171 FR56, F1 FR42, F1 FRXLH & F1 FR28 Quick Response Recessed Pendent Sprinkler(') Installation Wrench: Model GFR2 Sprinkler Wrench Installation Data: Nominal Orifice Thread Size K Factor Sprinkler Height Sprinkler Identification Number SIN) us Metric 1/2" (15mm) 1/2" NPT(R'/2) 5.6 80 2.25" (57mm) RA1414 7/16" (10mm) 1/2" NPT (R1/2) 4.2 60 2.25" (57mm) RA1413 3/8" (10mm) 112" NPT (R112) 2.8 40 2.25" (57mm) RA1411 1) Refer to escutcheon data table for approvals & dimensions Model F1 FR56LL & F1 FR42LL Quick Response Recessed Pendent Sprinkler[') Installation Wrench: Model GFR2 Sprinkler Wrench Installation Data: Nominal Orifice Thread ., Size K Factor Sprinkler Sprinkler Identification Number us Metric Height (SIN) 1/2" (15mm) 112" NPT(R'/2) 5.6 80 j 2.25" (57mm) RA1415 7/16" (10mm) 1/2" NPT (R1/2) 4.2 60 2.25" (57mm) RA1410 1) Refer to escutcheon data table for approvals & dimensions r v.-rae ar. I I ENCN BJ.SS l / J/ Fr FSCl/2HEtlNjr9mmJ -C/LLL AglU6M£Ni FACE OF FlIIlNU . r0 FACE OF CEhu+G gMENSgN '. FI ESCUTCHEON Ar Naxrwuw RErR= - 1 jzs..mm/ AT YFVWUN RECESS = J/8j9.smmJ t3 ESCUTCHEON i WNIWUY RECESS J% j 1Wu2ECES5 = 5/9 j9.5-/ rAwxWuwRECEs - %a IITm) wrN aECESs = r-s/ej, I Att._uctlEaYnrRECEss = r- r/eTzasmmJ WUM RECESS = i-s/eja r.JmmJ L I I I" X 1/2" REDUCER 2 5/ IX8" DK (66.7mmJ E cEiuNc25/ 16" K [5&7m 1 CUP L - CE1UNG FACE OF FlITNC TO FACE OF CEXM DIMENSION AT MAXIMUM RECESS - 1J At MINIMUM RECESS - IT15..m25.—mJ I TAT AKYINUMRECESS - 9/I6TIA.J Mj Y,T12-7- 1 J ar MINIMUM RECESS - IT25.Mnm1 ADA/STMENT 82. 6mmf ". Model F1FR56, F1FR56LL, F1FR42, F1FR42LL, FIFRXLH & Model F1FR56, F1FR56LL, F1FR42, F1FR42LL, FIFRXLH & F1 FR28 F1 or F2 F1 FR28 FP Model F1 FR56 Quick Response Vertical Sidewall Sprinkler Installation Wrench: Model D Sprinkler Wrench Installation Position: Upright or Pendent Approval Type: Light Hazard Occupancy Installation Data: Nominal Nominal K Factor Sprinkler Approval Sprinkler us Metric Orifice Thread SizeHeight Organizations Identification Numbers (SIN) 1/ 2" (15mm) 1/2" NPT (R1/2) j 5.6 80 2.25" (57mm) 1,2,3 15mm 1/2" NPT R1/2) 5.6 80 2.25" 57mm) 30) RA1485(2)(3) 1) LPC Approval is for pendent position only. 2) cULus Listed corrosion resistant (Polyester coated) sprinkler. 3) Electroless Nickel PTFE (Teflon®)* Plated - cULus listed Corrosion Resistant Vertical Sidewall DuPont Registered Trademark 4. Sprinkler Type Deflector to Ceiling Distance Min. - Max. I Upright 4" ( 102mm) - 12" (305mm) Pendent 4" 102mm) - 12" 305mm) RR Model F1 FR56 Quick Response Horizontal Sidewall Sprinkler Deflector: HSW Installation Wrench: Model D Sprinkler Wrench Installation Data: Horizontal Sidewall Nominal K Factor Sprinkler Approval Organizations SprinklerHeightandTypeofApproval Nominal Orifice Thread Size Identification us Metric i Light Hazard Ordinary _ SIN) Numbers SIN Hazard 2" (15mm) 1/2" NPT (R1/2) 5.6 80 2.63" (67mm) 1;2 1 RA1435(1)(2)(3) _ 1) cULus Listed corrosion resistant (Polyester coated) sprinkler. c2) Polyester coated FM approved sprinkler. 3) Electroless Nickel PTFE (Teflon')* Plated - cULus listed Corrosion Resistant FACE OF ETANG TO FACE OF CEILING DIMENSION F1 ESCU'CiIFON AT MAXIMUM RECESS 1 725.4mm17 AT A.NIMUM RECESS 3/8'[95mmJ F2 ESCUTCHEON AT MAXIMUM RECESS = 314[19,m] AT MINIMUM RECESS = 3/8'T9.5., m7 2 1/4" HOLE DMA.. _ 57.2mmJ I" X 1/2" REDUCER n) XFf ESCUTGHEON ' i AT MAXIMUM RECESS AT MINIMUM RECESS = 2-1116'i52.4m J I F2 ESCUTCHEON - AT :VAX,AfUM RECESS = 1-5/8 [41.3mm] 1/8„ AT PAINIMUM RECESS = 2-1/16 [52.4mmJ 3.2mm] p 4 "— 12" 1 15/16" DIA L__ I l L101.6mm-304.8mm,] 49.2mm] 0 1 2 271',32" DIA. CEILING TO l72.2mm] _.. DEFLECTOR TURN COLLAR UNTIL FIGHT AGAINST SPRINKLER Fl ESCUTCh'EyNV/RENCH BOSS. 3/4[19mmJ ADJUSTMENT F2 ESCUTCHEON 1/2[I2.7mmJ ADJUSTMENT RECESSEDHSW W/F1 OR F2 ESCUTCHEON 1) FM APPROVED FOR 4" — 6."T101.6MM — 152.40M] CEILING TO DEFLECTOR WITH F2 ONLY. Note: For Recessed HSW Sprinklers use installation wrench GFR2. clJLus permits use with F1, F2 or FP escutcheons for "Light Hazard" only. While FM limits use for the same hazard with the F2 escutcheon only. Model F1 FR56 Quick Response Concealed Pendent Sprinklers Installation Wrench: Model RC1 Sprinkler Wrench Technical Data: Nominal Orifice K" Factor Thread Size Model Temp. Rating Max. Ambient Temp Bulb Color Approvals Sprinkler - Identification Number(SIN) US Metric Sprinkler Cover 1/2" (15mm) 5.6 80 1/2" NPT F1 FIR, 135°F/57°C, 135°F/57'C 100°F/38°C Orange- 1 RA1414 112" (15mm) 5.6 80 1/2" NPT F1FR 155°F/68°C 1 1350F/57°C 100°F/3$°C Red 1,40) RA1414 112" (15mm) 5.6 80 1/2" NPT F1FR 175°F/79°C j 165°F/74°C 100°F/38°C Yellow 1 RA1414. 1/2" (15mm) 5.6 80 1/2" NPT F1FR 200oF/93°C i 165°F/74°C 150°F/65°C Green 1 RA1414 1) For VdS only = 155°F/68°C Norbulb and 112" [12,7mm] adjustment. Model F1 FR56LL Quick Response Concealed Pendent Sprinklers Installation Wrench: Model RC1 Sprinkler Wrench Technical Data: Nominal Orifice K" Factor Thread Size Model Temp. Rating Max. Ambient Temp Bulb Color Approvals Sprinkler Identification Number(SIN) us Metric Sprinkler Cover 1/2" (15mm) 5.6 80 112" NPT FlFR56LL 200°F/931C 165°F/74°C 150'F/65°C Green 1,5 i RA1414 DuPont Registered Trademark 5. I" x 1/2" REDUCING TEE OR ELBOW _ __ _ _ r 2 518" DIA. 2 5/75" DIA — r I HOLE IN CEILING CUP 1 7 112" MAX. FACE OF RTTING TO FACE OF CEILING, DIMENSION - CEILINGJ__ 1/ 2" MAX. -J COVER ADJUSTMENT I r 15/ 76" COVER PLATE — I — IASSEMBLY — J 5/16 DIA. SPRINKLER - CONCEALED, 1/2" ADJUSTMENT DI7—A Figure 1 Installation Aid A protective cap is included for use during installation. Important: The FlFR56 Sprinkler with Model CCP cover plate is not an FM Approved combination. Installation Quick response sprinklers are intended for installation as specified in NFPA 13. Quick response sprinklers and stan- dard response sprinklers should not be intermixed. The Model F1FR56, F1FR56LL, F1FR42, F1FR42LL, FIFRXLH & FlFR28 Recessed Quick Response Sprin- klers are to be installed as shown. The Model F1 or F2 Es- cutcheons illustrated are the only recessed escutcheons to be used with the Model F1 FR56, F1 FR56LL, F1 FR42, F1FR42LL, FIFRXLH & FlFR28 Sprinklers. The use of any other recessed escutcheon will void all approvals and ne- gate all warranties. When installing Model F1 FR56, F1 FR56LL, F1 FR42, F1FR42LL, FIFRXLH & FlFR28 Sprinklers, use the Model D Sprinkler Wrench. Use the Model GFR2 Wrench for install- ing F1 FR56, F1 FR56LL, F1 FR42, F1FR42LL, F1 FRXLH & FlFR28 Recessed Pendent Sprinklers. Any other type of wrench may damage these sprinklers. NOTE: A leak tight 112" NPT (R1/2) sprinkler joint can be obtained with a torque of 8-18 ft-lbs (10,8 - 24,4 N-m). Do not tighten sprinklers over maximum recommended torque. It may cause leakage or impairment of the sprinklers. The Models F1 FR56/CCP & F1 FR56LLICCP Concealed Sprinkler use the 112" orifice, 112" NPT (R1/2), Model FlFR56 FlFR56LL Pendent Sprinkler with a threaded Model CCP cup which is factory attached to the sprinklers. The Model FlFR56 Pndent is available in temperature rating of 1350F 570C), 155°F (680C), 175°F (79°C) or 200OF (93'C). The Model F1 FR56LL Pendent is available only in a rating of 200OF ( 930C). The concealed sprinkler assemblies are com- pleted by the installation of the attractive low profile Model CCP push on cover plate assembly, rated 1350F (570C) or 165° F (74'C) for the F1 FR56 and 165°F (74°C) for the FIFR56 ILL. The cover plate and sprinkler cup assemblies are joined using a cover plate skirt with flexible tabs for threaded en - DuPont Registered Trade Mark 6. I" x 112" REDUCING TEE OR ELBOW 2 5/8" DIA. 2 5/76" DIA HOLE IN CEILING CUP 1 1/2" MAX. i T.. FACE OF FITTING TO FACE OF CEILING DIMENSION 5/ 16 MAX. CO ER ADJUSTMENT J/ 4" CO ER PLATE — ASSEMBLYJ 5116 DIA. SPRINKLER - CONCEALED. 5/16" ADJUSTMENT m>r oa Figure 2 gagement. A choice of two cover plate assemblies provide either 1/2" (13mm) or 5/8" (8mm) of cover adjustment, Do not install these sprinklers in ceiling which have positive pressure in the space above. After a 25/8" (67mm) diameter hole is cut in the ceiling, the sprinkler is easily installed with the Model RC1 Wrench. A Teflon* based thread sealant should be applied to the sprin- kler threads only. The Model RC1 Wrench is then used to engage the sprinkler wrenching surfaces and to install the sprinkler in the fitting. When inserting or removing the wrench from the sprinkler/cup assembly, care should be tak- en to prevent damage to the sprinkler. DO NOT WRENCH ON ANY OTHER PART OF THE SPRINKLER. The cover plate is then pushed onto the cup. Final adjustment is made by hand turning the cover plate until the skirt flange makes full contact with the ceiling. Cover plate removal requires turning in the counter clockwise direction. After installation, inspect all sprinklers to ensure that there is a gap between the cover plate and ceiling and that the four cup slots are open and free from any air flow impedi- ment to the space above. Concealed cover plate/cup assemblies are listed only for use with specific sprinklers. The use of any other concealed cover plate/cup assembly with the Model FlFR56 Pendent Sprinkler or the use of the Model CCP Concealed cover plate assembly on any sprinkler with which it is not specifi- cally listed my prevent good fire protection and will void all guarantees, warranties, listings and approvals. Glass bulb sprinklers have orange bulb protectors to minimize bulb damage during shipping, handling and in- stallation. REMOVE THIS PROTECTION AT THE TIME THE SPRINKLER SYSTEM IS PLACED IN SERVICE FOR FIRE PROTECTION. Removal of the protectors before this time may leave the bulb vulnerable to damage. RASCO wrench- es are designed to install sprinklers when covers are in place. REMOVE PROTECTORS BY UNDOING THE CLASP BY HAND. DO NOT USE 'TOOLS TO REMOVE THE PRO- TECTORS. Temperature Ratings Finishes (1) Classification Sprinkler Temperature Max. Ambient` Temp. p. Bulb Color oC of Ordinary _ 57 135 100-F (38-C) Orange Ordinary, 68 155 100-F (38-C) Red Intermediate 79 175 150-F (66-C) Yellow Intermediate 93 200 150-F (66-C) Green High (') ' 141 286 225-F 107°C Blue Not available for recessed sprinklers. Escutcheon Data cil SIN RA1435 - cULus permits use with F1, F2 or FP escutcheons for "light hazard" only, while FM limits use for same hazard with F2 escutcheon only. Maintenance . Standard Finishes' Sprinkler Escutcheon Cover late0) Bronze Brass Chrome Chrome Plated Chrome White Polyester Plated Coated White Painted SDecial Application Finishes Sprinkler Escutcheon Cover plateM Electroless Nickel PTFE Teflon® *(') Electroless Nickel PTFE Teflon®* Bright Brassg Bright Brass(3) Bright Brass Black Plating Black Plated Black Plated Black Paint Black Paint(2)(6) Black Paint Off White Off White(2)(6) Off White Satin Chrome Chrome Dull Chrome Dull The Model ,,FlFR56, F1FR56LL, F1FR42, F1FR42LL, rn Other finishes and colors are available on special order. Consult the F1 FRXLH and Model F1 FR56, F1 FR56LL, F1 FR42, factory for details. Custom color painted sprinklers may not retain their F1 FR42LL, F1 FRXLH & F1 FR28 Recessed Sprinklers should UL Corrosion resistance listing. Coverplate custom paint is semi -gloss, be inspected and the sprinkler system maintained in accor- unless specified otherwise. 2) cULus Listed only: dance with NFPA 25. Do not clean sprinklers with soap and 3) 200°F (93°C) maximum. water, ammonia or any other cleaning fluids. 'Remove dust 4) cULus listed "corrosion resistance" applies to SIN Numbers RA1435 by using a soft brush or gentle vacuuming. Remove any HSW), RA1485(VSW), RA1425 (Upright), RA1414 (Pendent) and sprinkler which has been painted (Other than factory ap- RA1415 (Pendent) in standard black or white. Corrosion resistance in other polyester. colors is available upon request. plied] or damaged in any way. A stock of spare sprinklers 5) FM Approvals finish as 'Polyester coated" applies to SIN Number should be maintained to allow quick replacement of dam- RA1414, RA1435 and RA1425 in standard black or white. aged or operated sprinklers. Prior to installation, sprinklers 6'LPCBandVdSApprovedfnishappliesonlytoRA1425,RA1414andRA1475. should be maintained in the original cartons and packaging rdlisted corrosion Resistant to minimize the potential for damage to sprinklers that would Ordeeriri ng information cause improper operation or non -operation. Specify: 1. Sprinkler Model Sprinkler Types 2. Sprinkler Type Standard Upright 3. Orifice Size Standard Pendent 4. Deflector Type Conventional 5: Temperature Rating Recessed Pendent 6. Sprinkler Finish Vertical Sidewall 7. Escutcheon Type I Horizontal Sidewall 8. Escutcheon Finish (where applicable) Recessed Horizontal sidewall 9. Cover plate Model Concealed pendent 10. Cover plate Thread size 11. Cover plate Temperature Maximum Working Pressure 12. Cover plate Adjustment 175 psi ( 12 bar) 13. Cover plate Finish 100% Factory tested hydrostatically to 500 psi (34.5 bar) Note: When Model F1 FR56 Recessed sprinklers are ordered, the sprinklers and escutcheons are packaged separately. DuPont Registered Trademark Ili 7 Rellabla...For Complete- Reliable offers a wide selection of sprinkler components. Following are some of the many precision -made Reliable products that guard life and property from fire around the clock. Automatic sprinklers Flush automatic sprinklers Recessed automatic sprinklers Concealed automatic sprinklers Adjustable automatic sprinklers Dry automatic sprinklers 10 Intermediate level sprinklers Open sprinklers Spray nozzles Alarm valves Retarding chambers Dry pipe valves o Accelerators for dry pipe valves o Mechanical sprinkler alarms Electrical sprinkler alarm switches o Water flow detectors Deluge valves Detector check valves Check valves Electrical system Sprinkler emergency cabinets Sprinkler wrenches Sprinkler escutcheons and guards Inspectors test connections Sight drains Ball drips and drum drips Control valve seals Air maintenance devices Air compressors Pressure gauges Identification signs Fire department connection J OERF/R IL 0 DUCTILE IRON THREADED FITTINGS- D gi ANVIL FOG, 3201 90° Elbow iE— q 1 w T Maximum Nominal Size Dimension A Approx. Wt. Each Working Pressures In fmm) PS! (kPo}'In.'( 1 11 1 500 1.50 0.62 L' 3450 v. 11/4 500 1.75 0.90 3%' 3450INA, 0,4I F/z 500 1.94 1.20 40, 34 0 499 76 0.54 2 500 2.25 1.85 3450 5T i 5 0.84 Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or contact your local Anvil Representative. NOTICE: Ductile iron Fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four tarns. axz 4' 5' 9'W t"} d ' X :3'p , ` !! i 3. i'a ' 4t+-- M- Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPHDI-1.15 7 FIGo Reducing 90° Elbow 4.- g 2I A 1 f 1 X 2 Dimensions Approx. Nominal Size Max. Working A B1x2Pressured Wt. Each In (tnml PS!`(kPa) In (mire) mm lA's(kgJ ." Mtn 1 x I/z 500 1.26 1.36 0.44 25;. 15 34 32.0119 54 C.20 1 x 3/4 500 1.37 1.45 0.52 25 x 20 3450 34.74 35.33 111 ?4 11/4.x Ih 500 1.34 1.53 0.64 32 x ` 3455G A",I).: 0 1_ jv 1 I/4 x 3/4 500 1.45 1.62 0.72 32 x ?r 3450 36 83 41.14 u.33 11/4 x 1 500 1.58 1.67 0.75 32 r 75 345U 40j 3 42.» i.3 1'/2 x 1 500 1.65 1.80 0.92 40:t 25 3450 41,91 45,72 Vf 42 11/2 x 1 I/4 500 1.82 1.88 1.08 40 x 32 3450 46.22 7 75 1. 2 z 1/2 500 1.49 1.88 1.08 50 ; 3455- 37,84 47J5 U.4g 2 x 3/4 500 1.60 1.97 1.24 5„ i0 34 4t.b 5003 5d 2 x 1 500 1.73 2.02 1.40 50X 25 345() 411,v4 51.3 fi» 2 x 1 I/4 500 1.90 2.10 1.52 5U r 32 345C 4a 2n 53,34 710 2 x 11/z 500 2.02 2.16 1.65 1 t 41; 345v a 1. 30 1 741.56, 1 U.75 Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit anvilintl.com or contact your local Anvil Representative. lD <a> TED APPROVED ippm'al Details and Limitations, ell at viww.anvilintlxom or i AnviP Sales Representative. Dimensions: ASME B16.3 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved. NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. R,'7 t f-:,,6„+ t "Y qj q' yE ."; • 0 • l ] ``.; i'.,: t'i„, fh'"} i"x' 2'' P 'lt{Y „y l• • rl , v. x,.':, i Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPF/11)I-1.15 4_ - L20 DUCTILE IRON THREADED FIG. 3202 45° Elbow: a Nominal Size Maximum Dimension A Approx. Wt. Each Working Pressures k), In (mm) Lbs (kg} 6I 1 500 1.12 0.46 25 23s4 027 11/4 500 1.29 0.73 32 3430 3Z76' 0.33 11/2 Soo 1.43 0.92 40 3t510 35.32 2 500 1.68 150 3450 42,67 US contact an Anvils Sales Representative. -- Dimensions: ASME B16.3 l I Material: ASTM A536 Grade 65-45-12 Finish: Black i Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved_ NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe A — Working Pressure Ratings are for reference only and based on5ch. 40 pipe. For the Therefore, over tightening can cause damage to pipe threads which may cause latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or leakage. Ductile iron fittings should be tightened approximately three turns, beyond contact your local Anvil Representative. hand tight, but no more than four turns: a ZjtiOf,..:,. ,.. ot., , 4 "`-n'vta' `5,, c. 20 s.' t _ ...'. _, 1. k ,ti s Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPHDI-1.15 DUCTILE jpi_wD FITTINGS ANVIL FOG. 3205 Straight Tee A r JrFof C 4L US FM AN,t, — - LISTED APPROVED fin s/g Approval Details antl Limitations, our website at www.anvilintl.com or as an AnviP Sales Representative. I 10 250 Nominal Size Maximum Working Pressures Dimension A Approx. Wt. Each In (mm) P51(kPa1fn(mm kg) F 1 500 1.50 0.85 25 345fi 3H.10 34 1'/< 500 1.75 1.22 31 3YSIJ tom d, n 55 1 '/z 500 1.94 1.55 tr 34t,, 9.27 L 711 2 500 2.25 2.45 5U 3450 1 51.15 1 1 ? r Dimensions: ASME B16.3 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved. NOTICE: Ductile iron finings have higher tensile strength than that of steel pipe A — Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the Therefore, over tightening can cause damage to pipe threads which may cause latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or leakage. Ductile iron fittings should be tightened approximately three turns beyond contact your local Anvil Representative. hand tight, but no more than four turns. A , 'fir F` '+T- i= • • ' t E. s 4}yl ut , 9.5 t s, i q r. ),"c. yx X' ay F' J"Y A. t...• Approved Approved as noted Not approved Remarks: te: F-F/R DL DUCTILE IRON THREADED FITTINGS t.. 2 4 3 KA rt 1 x 2 x 3 Nominal Size Max. Working Dimensions Approx. Wt. Each l x 2 x 3 Pressures A B C n (mmJ P51(kaP) Inr (mm) In (mm) In (mm) lbskg) r „ 1 x'h x l 500 1.50 1.36 1.50 0.64 - 25 x ?5;<25 3450 s 0 34.54 38 r0 J.29 1 x 3/4 x 1 500 1.50 1.45 1.50 0.73 25 x 20 Y 25 34150 3 % 3633 38 ' 9 3 7 1 x 1 z /2 500 1.26 1.26 1.36 0.71 2.5 x 2 x 5 3 1 o 32.N 34-54 0.32 1 x 1 x 1/4 500 1.37 1.37 1.45 0.76 ' 25 x 25 X 20 34fj u L 34, 30 36-63 J-.J• 1 x 1 x l t/4* 500 1.67 1.67 1.58 0.98 25x25X3' 345042. 4; 42.4 4J.i3 J.44 1 x 1 x 1 /2* 500 1.80 1.80 1.65 1.16 25 r? S.e d,? 350 45.12 45.72 1 4.47 0.53 PA x 1 x /2* 500 1.34 1.26 1.53 0.82 32 r 2; x 15 3-'50 34.04 32 0111 38.86 J.37 PA x 1 x 3b 500 1.45 1.37 1.62 0.90 32x2' Y20 341 50 83 34 0 41.15 Q'i PA x 1 x 1 500 1.58 1.50 1.67 1.00 32X LjX iS 3750 40;.13 38.?u 2 1.1 jf1 t/ 4 X 1 X 1 t/4 500 1.75 1.67 1.75 1.08 32 x 25 x 32 3450 44.45 2.42 44 45 g 1 t/ 4 x l x 1 t/z 500 1.88 1.80 1.82 1.42 32 x 25 v 40 3450 417 7' 5 7? SG.2" J 4 1 t/ 4 x 1 tb x /2 500 1.34 1.34 1.53 0.86 32 x 32 x 15 JI 150 µ04 34. 38.86 0.39 NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. Nominal Size Max. Working Dimensions Approx. Wt.,Each 1 x 2 x 3 Pressures A B C mm) 1'/ 4 x 11/4 x 3/4 500 1.45 ` 1.45 1.62 0.92 32 '9 x 20 3450 3,6V 36 8; 47,15 3 42 PA x 1'/4 x 1 500 1.58 1.58 1.67 0.95 3' x u' :95 3450 4 0. 13 1 4 x 1 t/4 x 1'/2* 500 1.88 1.88 1.82 1.45 3% x0 3450 775 d77c 462' 366 Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or contact your local Anvil Representative. Part supplied as "Bull Head Tee". e ? v3= s+ q #ay7'.a x'cy _ r'c o'ra ''cz i 'lX 'tg, -' t• ' 4....... ' I c > r t - .i.t v l 1 }m'° p Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPF/DI- 1.15 i SPF/ANVIL`DUCTILE IRON THREADED FITTINGS ANVIL FIG. Reducing Tee t<- C Tt 2 3 x BF A 1 x 2 x 3 1 Nominal Size Max. Dimensions Approx. Working Wt. Eachlx2x3PressuresAB gtn mmi2 P51(kP) " to (mm) Mtn (mrr8 M 4, (kg) a mm) 1'/4 x l i/4 x 2* 500 2.10 2.10 1.90 1.75 32r 32 x 50 3456 53 34 5134 43 Iy 1'/ 2 x 1 x'/z 500 1.41 1.34 1.66 0.95 4vx25, t15 3450 353i i4v4 42.16 3 1'/ 2 x 1 x 3/4 500 1.52 1.37 1.75 1.14 25Y10 3450 3 r, 31817 4445 0,52 1'/ 2 x 1 x 1 500 1.65 1.50 1.80 1.17 4fi 0Y 25 x 25 3450 38, 5.72 1 / 2 x 1 x 1'/4 500 1.82 1.67 1.88 1.34 40r, 75x31 3450 4c.23 42.4/2 4415 0,6r 1'/ z x 1 x 1'/2 500 1.94 1.80 1.94 1.45 40, r75x40 3450 49.25 45J2 4928 0.1co 1 i/2 xl'/4 x i/2 500 1.41 1.34 1.66 1.05 4Jx 2x15 34J0 358 a." 42.re 0.f3 1'/ 2 X11/4 X 3/4 500 1.52 1.45 1.75 1.15 IV 4 32 x 10' 3450 38. 30. $3 44,45 U. 1'/ 2 x 1'/4 x 1 500 1.65 1.58 1.80 1.25 3 u2x25 35i' G% 0.,x57 11/ 2 x 1'/4 x 2* 500 2.16 2.10 2.02 1.90 40 ,, 32 ;t 50345C 5 86 53.34 1.30 0. °6 1'/ 2 x 1'/2 x'/2 500 1.41 1.41 1.16 1.15 4ti v 40 x 15 345ci v5.8' H31 217410 0 52 1'/ s x 1'/2 x 3/4 500 1.52 1.52 1.75 1.24 4u 40 x 20 34310 8 5 i 336 i 44.45 1 i/ 2 x 1'/2 x 1 500 1.65 1.65 1.80 1.30 40 X 40x 25 3450 91 4 4512 OS° 1'/2 x 1'/2 x 1'/4 500 1.82 1..82 1.88 1.48 40 x 40 x 32 3450 46.23 162.E 4775 J e,,n Nominal Size Max. Dimensions Working Approx. l x 2 x 3 Pressures A B C Wt. Each In fmm) i PSI (kPa) °c In l i/ 2 x l i/2 x 2* 500 2.16 2.16 2.02 1.98 0 x 40 / 50 3:! {0 54.86 54.61 2 x 1 x 2 500 2.25 2.02 2.25 2.15 50 x 25 x ,'r 3450 5115 2 x 1'/4 x 2 500 2.25 2.10 2.25 2.30 SO'i 5 3'? 1 ir4 2 x 1'/ 2 x'/2 500 1.49 1.41 1.88 1.50 50 x JJ i 5 3450 37.85 35.8 S 0.68 2 x 1'/ 2 x 3/4 500 1.60 1.52 1.97 1.62 50 x Jo x 01 3450 45).64 38.61 4G `4 0.13 2 x 1'/ 2 x 1 500 1.73 1.65 2.02 1..64 7>];i J' r'G'J J4-0 43.94 Yi St.J? 0 74 2 x 1 i/2 x 1'/4 500 1.90 1.82 2.10 1.80 50 x r, 0 x 32 3s50 48.2a 6 23 53 J4 0.22 2 x 1 i/2 x 1 /2 500 2.02 1.94 2.16 2.00 r, L3 7 lS 2 x 1 i/2 x 2 500 2.25 2.16 2.25 2.35 55,t 40X 55' 3450 57. 15 54.86 57. i5 f.{17 2 x 2 x i/2 500 1.49 1.49 1.88 1.60 50 x 5" ' S 3 #57 37 ,65 3/'.81 r. r"5 0.7v 2 x 2 x 3/4 500 1.60 1.60 1.97 1.68 2 x 2 x 1 500 1.73 1.73 2.02 1.85 5 x 5'' x.ZS 3450 4394 G4 ii ,J; 0.34 2 x 2 x 1 i/4 500 1.90 1.90 2.10 2.04 50x51,t3_' 3450 44.45 2 x 2 x 1'/2 500 2.02 2.02 2.16 2.18 n;<5'x 0 3450 14.45 2.42 45 0.99 Working Pressure Ratings are for reference only and based on $ch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or contact your local Anvil Representative. Part supplied as " Bull Head Tee". SPF/DI-1. 15 SPF/RNVIL DuGirBLE BRON THREADED FITTING 7 Cross A A I m Ai h Asy"I LISTED APPROVED kLFor Listings/Approval Details and Limitations, visit our website at www.anvilintl.com or 011711 contact an Anvil" Sales Representative. ws Nominal Size Maximum Dimension A Approx. Wt. Each Working Pressure• In ( mm) P51>(Pa) 1 500 1.50 0.98 25 3450 38. i 0 0.44 1' A 500 1.75 1.50 32 3450 44.45 0.68 1'/ 2 500 1.94 1.90 40 3450 49.27 0.86 2 500 2.25 2.95 50 3450 57. 175 1.34 Dimensions: ASME B16.3 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ ULC Listed and FM Approved. NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe Working Pressure Ratings are for reference only and based on sch. 40 pipe. For the Therefore, over tightening can cause damage to pipe threads which may cause latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or leakage. Ductile iron fittings should be tightened approximately three turns beyond contact your local Anvil Representative. hand tight, but no more than four turns. rs En Project: q • • , L ' t''.{ ` G ''.,. r. L • I 1 1 s. lu.'''r Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPUDI- 1.15 I" - g 7 - rye-' s BR a THREADEDy}'.- ,; T 4 y FITTINGS1- >r; - DUCTILEki,... ..•3 i'',f ..tl F^d h ?„.. a.1, 3.,^ S._. I.,T.. t. i l_ $ ...+ FIG. 3207R Reducing Cross B B I T A i A Nominal Size Max. Working Dimensions PressureA A B Approx. Wt. Each1x1x2x2 FSIrIbs(kg) 11/4 x 11/4 X 1 X 1 500 1.58 1.67 1.27 32x 32 x 25 x 25 3450 1? 42.4 i 0.58 1 I/z x 1 Ih x 1 x 1 500 1.65 1.80 1.48 Q r 40 ;t 2 ;; Z 450 1 r. 1 45.72 0.67 2 x 2 x 1 x 1 500 1.73 2.02 2.10 5v X 50 ;i 2ti n 25 451i 43,>? 51 `ifs 0.95 A — Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or contact your local Anvil Representative. uSTED APPROVED ngstAppmval Details and Limitations, W mbsite at w anvilmtl.com or ct an Anvil' Sales Representative. Dimensions: ASME B16.3 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved. NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPHDI-1.15 ForriclucirDLEIRONirHREADED A.a _ FiG. 32214 Cap Maximum Nominal Size Dimension A Approx. Wt. Each Working Pressures 1., r. 500 1.16 0.32 25 3450 29.46 0. i5 11/4 500 1.28 0.43 37 3450 32.51 0.20 1l/z 500 1.33 0.60 40 31450 33.78 0.27 2 500 1.45 0.91 50 3450 1 36.83 0.47 C&uS <a> LISTED APPROVED For Listings/Approval Details and Limitations, visit our website at www.anv I ntl—rn or contact an Anvil' Sales Representative. 1 1 0 Dimensions: ASME B16.3 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved. NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the Therefore, over tightening can cause damage to pipe threads which may cause latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or leakage. Ductile iron fittings should be tightened approximately three turns beyond contact your local Anvil Representative. hand tight, but no more than four turns. Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPHDI-1.15 ZW>l DUCTILE I I'; ON irNREADED ForriNGS IG. 3221 Coupling 0 Maximum Nominal Size Dimension A Approx. Wt. Each Working Pressure In'(mm) P51(kPa)In(mrn)4 Ihsq,(kq) M . { l,, 500 1 61 0.40 25 3450 42.42 0.18 11/4 500 1.93 0.57 32 3450 49.02 0.20 llh 500 2.15 0.75 40 3450 54.61 0.34 2 500 2.53 1.15 50 3450 ZdU 0.>2 Working Pressure Ratings are for reference only and based on Sch. 40 pipe. for the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit onvilintl.com or contact your local Anvil Representative. C& FM LISTED APPROVED For Listings/Apprwal Details and Umitations, visit our website at vnww.anvilintl.com or contact an AnviP Sales Representative. Dimensions: ASME B16.3 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved. NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. a=PROJECT INFORMA t` a, n i. :. J_..., . I TION° a d l ..Y: °,APPROVAL ST{1MP ,. Approved 1 1 Not approved 5PF/RNVtLDUCTILE- IRON THREADED FITTINGS AN-1-- I 8 Plug Nominal Size Maximum Dimension A Approx. Wt. Each Working Pressures Y In (mrnl 1-0RSI (kFn}'_ In °(mm} z* 500 0.94 0.10 3450 0.0 3b 500 1.07 0.17 20 3450 i. 0.08 1 500 1.25 0.28 34150 0,i3 P/4 500 1.36 0.44 3-2 34i0. 34,54 0.2 1 /z 500 1.45 0.62 41 3450 b.SJ O.rB 2 500 1.56 0.91 u 3450 1 R 62 1 16 41 I I Dimensions: ASME B16.14 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ULC Listed and FM Approved. A Pressure - Temperature Ratings in accordance with ASME B16.3 Class 150 NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. I A - Working Pressure Ratings are for reference only and based on Sch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit anvilintl.com or 9 contact your local Anvil Representative. Part supplied as Solid Plug. I f-. ' 3.$, w } L1fogy Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPF/Dk5.16 DUCTILE IRON THREADED FITTINGS FIG3283 Bushings F-IC IB M- _M- :.. Inside Head Outside Head Nominal Size Max. Working Dimensions Approx. Male (M) x Female (F) Pressure. A B ( Style Wt. Each fn(mm):Y 1 PSf (kPa)N 4to (mm)" In ,(mm)ss to (mm) tbs ,{kg) 1 x i/7 500 0.75 0.25 1.42 Outside 0.22 25t 15 u30 19.05 b'S 0.u: U.1r, 1 x 3/4 500 0.75 0.25 1.42 Outside 0.17 25- X;'r 2dyr itj,05 6-55 3b.0 i:J6 1 IA x 1 500 0.80 0.28 1.76 Outside 0.28 11/ z x 1 500 0.83 0.31 2.00 Outside 0.45 u t 25 50 08 7,874 50.80, U:70 1 iA x 1 IA 500 0.83 0.31 2.00 Outside 0.30 4ut32 3i10 t 1.EiJ Su.S' 14 2 x 1 500 0.88 0.41 1.95 Inside 0.67 50t75 34Sv 22.35 i0.dt,' qS3 23u 2 x 1 /4 500 0.88 0.34 2.48 Outside 0.73 x 3" D. 2235 8,636 62.29 G.3' 2 x 11/2 500 0.88 0.34 2.48 Outside 0.61 50 x. do 345U 22.:35 e 6.3 62 ?9 8 A - Working Pressure Ratings are for reference only and hosed on Sch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit anvilintl.com or contact your local Anvil Representative. C& S FM USTED APPROVED Listings/ Approval Details and Limitations, risit our website at www.anvilintl.com or ontact an AnviP Sales Representative. Dimensions: ASME B16.14 Material: ASTM A536 Grade 65-45-12 Finish: Black Threads: NPT per ASME B 1.20.1 Agency Approvals: All ductile iron threaded fittings are UL/ ULC Listed and FM Approved. NOTICE: Ductile iron fittings have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. r r . .>wr. tq,vy.r s sL !? " r• WIN wiuI Project: Approved Address: Approved as noted Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: v, A FOG. 21 Reducing Coupling t u A x Nominal Size Maximum Dimension A Approx. Wt,:"Each Working Pressure- 1 x'h 500 1.69 0.39 2 _-1 r 15 3430 92 0. i 8 1 x 1/4 500 1.69 0.53 25 x v 340 42.92 0.21 I! C 4L US FM LISTED APPROVED For Listings/Approval Details and limitations, visit our website at www.an Ilintl.mm or -' w fcontact an Anvil• Sales Representative. - ell Dimensions: ASME-B16.3 Material: ASTM A536 Grade 65-45-12 Finish: ,` Black Threads 4' NPT per ASME B1.20.1 Agency Approvals: All ductile iron threaded fittings are WorkingPressureRatingsareforreferenceonlyandbasedonSch. 40 pipe. For the latest UL/ULC, and FM pressure ratings versus pipe schedule, please visit anvilintl.com or QC/6 ' Listed and FM Approved. contact your local Anvil Representative. NOTICE: Ductil' tti eironfngs have higher tensile strength than that of steel pipe. Therefore, over tightening can cause damage to pipe threads which may cause leakage. Ductile iron fittings should be tightened approximately three turns beyond hand tight, but no more than four turns. X 3 Via. & st , x lr ": t.,, f , S A;p n .. Project: Approved, Address: Approved as noted lr . Contractor: Not approved Engineer: Remarks: Submittal Date: Notes 1: Notes 2: SPF/ DI-1.15 Fire Protection Steel Pipe Submittal All o Q steel pipe to be used on this project meets or exceeds the requirement one or more o following standards as required by Section 6.3 of NFPA 13-2010 ition: AS SPeCif cats for` atack aria Kot OtPPed Z" coate E't anize 1 t@lE rtE lea keSs Steed - fog PCOtection- ulw, ANSVASTM A 5 pec ficatio fog' black anO, Hot--' a Zinc Coated t r}. cl and Seamless Steel P- ASTM A 135 Spec.,:': at*on fOX F-lec_tric eS Stagy a WeIctea SW- et Pip Manufacturers may vary. As per Sect w 6.3 IQLmarkedalongitslengthtoproperlyident Additional approvals or listings are no qui 1. Steel pipe meeting the above re or roll -grooved pipe and fittings, psi shall be in accordance with 8"-10" pipe. rof NFPA 13-2010 edition, all piping shall be type, schedule and manufacturing standard. when: iced AST specifications is used and joined by welding minimum no al wall thickness for pressures up to 300 lule 10 for sizes to 6 inches and .188 inches for inches 2. Steel pipe meeting the ove referenced ASTM specifics fittings, the minimum .. 1 thickness shall be in accordance 8 inches for pressur p to 300 psi. is used and joined by threaded Schedule 40 in sizes less than Exception: Pipe =eting the above referenced ASTM specifications Nh wall thickness and pressure limit ;.A ns less than Schedule 40 for threading or Schedule 10\ thUL and roll - grooving, w have been investigated for suitability in automatic spriations and listed for "'service, shall be permitted when installed in accordance wor FM listing 1' 1 ations. All s piping is to be installed in strict accordance with the guidelines of NFPA 13d the' re requires no special submittal of specific manufacturer's installation instructions, per A 13-2010 22.1.3. w._ J A Lightweight Schedule 40 Replacement Pipe That Has a Corrosion Resistance Ratio of 1.0 Bull Moose Tube Company has been making pipe for a long time and is recognized as a producer of quality pipe products. Eddythread 40 is designed with the same thoroughness as our other fine pipe products and now our customers have an option to buy a carefully designed replacement for Schedule 40 that: Has a Corrosion Resistance Ratio of 1.0 Has a Pressure Rating of 300 psi Is Lighter Weight Than Schedule 40 Is Approved by Factory Mutual and Listed by Underwriters Laboratories Is Produced in Accordance to ASTM A-135 and A-795 Can be Used With Standard Schedule 40 Threaded Fittings, Couplings and Valves Is Produced From Steel With Excellent Properties of Strength and Threadability Can be Used in Wet, Dry, Preaction, and Deluge Type Sprinkler Systems* Offers Lower Freight Costs EDDYTHREAD 40 SPECIFICATIONS CORROSION RESISTANCE RATIOS Eddythread 40 can be hot dipped galvanized to meet FM's requirement for dry systems M.,... ,.. afflai 'u.1M.. t5 QN40 Che Clarkson Road For additional information, Chesterfield, MO 63017 contact your salesperson today at C L us J ( BULL MOOSE TUBE COMPIA.NY (800) 325- 4467 (800) 325-4467 or (636) 537-2600 LISTED V FAX: ( 636) 537-2645 in the USA, or from Canada www.bullmoosetube. com call (800) 882-4666 A O company e-mail:sales@bultmoosetube.com <13> APPROVED All information contained herein is accurate as known at the time of publication. Bull Moose Tube reserves the right to change product specifications without notice and without incurring obligation. 8/08 7 i s *h `n to t OR w ,a "sr- ¢ s jsc%- - a „1;i .e a D L1 S'TAEoLE`WIVIEPIZI NGNGE RS a x atiK' i.',2 :.J:Y`E3t&F;°t. ..:€::d4'€za:`..=,`4+k",i#3lti'.;?",b:-=..Y Y'r'&`..,-,3•a+'...t- .., --.r ii&.^ws'c s't. .. ,. . .•t"..-apt'-?Fi.,.....3:.a3it ."-='i.c:'at+.,':`.7ra+,3.'w: Nti9=::n,';.shV:2r;.'e^..1' :a%'.:. d'Yt%F',',. ' FUNCTION: Designed for the suspension of non -insulated stationary pipe lines. They Y knurled insert nut that allows a vertical adjustment after installation, is iq, IgM 1 41 -c L 141F° to ed to NFPA reduced rod size standards. Fig. 141E has a layer of felt* t" pp g y NFPA SW IV,EL, which separates the pipe from the hanger to reduce vibration and sound. GRIN; HA°NGER' A a APPROVALS: Underwriters' Laboratories Listed in the U.S._(UL), Canada (CUL), and x , , r1-.ti _ Factory Mutual Approved for sizes %" to 8". Complies with Federal Specifications A-A-1192A (Type 10), and Manufacturers' Standardization F_.__ 141 PRE -GALVANIZED Society ANSI/SP-69 and SP-58 (Type 10). ORDERING: Specify pipe size and figure number. Wan Rod; s}= t MaxFiec EacFPipeLSize; Ad Ikr Wt Size B LL Load/Ibs in Ibs,)* wn. C1 ?p r;y 1/2 3/8 17/6 17/16 23/4 3'/16 300 10 3/4 3/8 111/16 11/6 21/2 3'/16 300 10 1 3/8 15/8 1 21/2 33/16 300 10 11/4 3/8 115/16 11/16 213/16 39/16 300 11 1'/2 3/8 21/8 11/16 31/8 31/8 300 11 2 3/6 27/16 11/e 35/16 43/6 300 14 21/2 3/B 31/16 15/8 375/16 53/8 525 19 3 3/8 311/16 17/8 49/16 65/16 525 23 3'/2 3/8 33/4 17/8 45/8 65/8 525 25 4 3/8 43/16 17/8 51/16 75/16 650 30 5 1/2 45/8 15/8 55/e 83/8 1000 50 6 1/2 55/8 2'/4 6'/2 913/16 1000 1 58 8 1 1/2 613/16 27/16 715/16 121/4 1 1000 90 WITH FELT LINING Note: If ordering Fig. 141F felt lined hangers for pipe sizes of 3'l2" or under, order the next largest size to allow for the thickness of the felt lining. MATERIAL: Low carbon steel FUNON: Designed for the suspension of non -insulated stationary pipe lines. The knurled insert nut, allows for vertical adjustment after installation. ig. 151F has a layer of felt which separates the pipe from the hanger to re ce vibration and sound. APPROVALS: Underw s' Laboratories Listed in the U.S. (UL) and Factory Mutual Approved fo sizes. Complies with Federal Specification A-A-1192A Type 10), and facturers' Standardization Society ANSI / SP-69 and SP-58 (Type 10). ORDERING: Specify pipe size and figure P Peti Sizes Adl 1 ax Rec Wt Each Load/Ibs in Ibst) c 2'/2 1/2 23/4 11/4 3"/1s 00, 514 600 33 3 1/2 31/8 11/8 4 57/8 35 3'/2 2 354 1'/2 16 65/8 600 37 4 5/6 3'/e 11/4 415/16 7% 1000 48 5 5/8 4 3/ 8 13/ 55/8 81/2 1000 5 6 3/4 55/16 611/16 10'/8 1250 1.06 8 3/4 6t5/,6 25/8 85/16 127/8 1250 1.32 1 PRE -GALVANIZED 151F PRE -GALVANIZED WITH FELT LINING A Note: 1f orderin tg. 151E felt lined hangers or pipe sizes of 3'/2" or under, order the next large ize to allowr the thickness of the felt lining. FM PHD Manufacturing, Inc. • 44018 Columbiana -Waterford Road • Columbiana, OH 44408 Toll Free (800) 321-2736 • Phone: (330) 482-9256 • Fax: (330) 482-2763 • www.phd-mfg.com 19.05) Rs O LMEa i A FUNCTION: Designed for attaching hanger rod to the top flange of a beam or bar joist, where the flange thickness does not exceed 3/4 inch (19.05mm). The open U design permits rod adjustment. The universal design of the 3/8" Fig. 350 allows it to be used in an inverted position on the bottom flange of a beam as well. APPROVALS: Underwriters' Laboratories Listed in the U.S. (UL), Canada (CUL), for all sizes. Factory Mutual Approved for rod sizes 318" and'/2" only. Complies with Federal Specifications A-A-1192A (Type 19) and Manufacturers' Standardization Society ANSI/SP-69 and SP-58 (Type 19). Fig. 350 sized for 3/ s" rod can be used in an inverted position (bottom of beam) and follows the same U.S. (UL), Canada (CUL), and Factory Mutual Approvals. Used in this manner the 3/s" Fig. 350 also complies with Federal Specifications A-A-1192A Type 23) and Manufacturers' Standardization Society ANSI/SP-69 and SP- 58 ( Type 23) (Approvals are only for Fig. 350 with locknut). MATERIAL: Malleable iron with hardened steel cup point set screw FINISH: Plain or electro-galvanized ORDERING: Snecifv rod size, finish and fiL-ure number. 5T a "3 cl" IV F k A 3/8 a 22.23) 102 (38.10) 1518 41.28) 1/2 12.70) 4 (100) 400 1.78) 33 15) 2 1 25.40)1 1'/2 (38.10) 11'/1s 42.86) 2 12.70) 8 (200) 500 2.22) 34 15) 5/ 8 1 /16 26.99) 02 (38.10) 1'/s 47.63) 5/8 15.88) 8 I (200) 600 2.67) 39 18) 3/ 4 15l1s 33.34) 13/4 (44.45) j 23/8 60.33) 5/8 15.88) 8 1(200) 800 3.56) 63 29) 7/ 8 15/16 33.34)104 44.45) 23/8 60.33) 5/ 8 15.88) 8 (200) 1200 5.34) 60 27) Note: See MSS ANSIISP-69 and SP-58 specifications for proper set screw torque values. A Reversible design approved for bottom beam use. Unless otherwise specified, all dimensions on drawings and in charts are in inches and dimensions shown in parentheses are in millimeters. PHD Manufacturing, Inc. LETTER OF TRANSMITTAL 7 SOUTHERN FIRE PROTECTION, INC. 3801 E. State Road 46 Sanford Florida 32771 TELEPHONE (407) 323-4200 FAX (4077 328-8931 C'0 CITY OF SANFORD BUILDING PO BOX 1788 DATE: 1091111181 1 1 JoB No: 5G678 ATTN: PERMIT DEPARTMENT RE. NEMOiTRS SANFORD 1145 RINEHART RD. SANFORD, FL SANFORD, FL 32772 WE ARE SENDING YOU F% Attached Under separate cover via Shop drawings E] Prints [—] Plans O Samples Specifications Letter Change order the following items: COPIES DATE NO. DESCRIPTION 1 09111118 1 FIRE PERMIT APPLICATION 1 091 11118 1 CERTIFICATE OF INSURANCE 1 091I 1118 1 CONTRACTOR LICENSE/BUSINESS TAX 1 09111118 1 POWER OF ATTORNEY 1 09111118 1 PROPERTY APPRAISER 1 09111118 1 NOTICE OF COMMENCMENT 3 109111118 1 SHOP DRAWINGS 3 09111118 1 EQUIPMENT SUBMITTALS El1091I11181SIGNEDPROPOSAL THESE ARE TRANSMITTED as checked below: X For approval Approved as submitted Resubmit copies for approval For your use Approved as noted Submit copies for distribution MAs requested Returned for corrections C Return corrected booklet For review and comment n PRINTS RETURNED AFTER LOAN TO US RE: COPY TO: FILE SIGNED. HEATHER BURKHART OCT 0 1 2018 ZSF,QRp` O CITY OF NFC)PERMIT APPLICATIONRD BUILDING DIVISION Job Address: / / J'- Application No:., Documented Construction Value: $ / 3 K/ zw Historic District: Yes [I No Parcel ID: Residential CommerciarK Type of Work: New Addition Alterations Repair Demo Change of Use Move Description of Work: re `/ "vet / . /// S%l Yes / de nPlanReviewContactPerson: Title: Phone: % 'J_C J-7 3 J Fax: Email: u >'a G6 1i1 f'8 V/L Property Owner Information Name Phone: Street: Resident of property?: City, State Zip. ,, r r : ki R Contractor Information Name Phone: 40_% 30 Street: Z / f J/ c r/Z Fax: City, State Zip: Crn cJ .z % State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E'-mail: Bonding Company: Address: Mortgage Lender: Address:` WARNING TO OWNER: YOUR FAILURE TO, RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO. YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON- THE„JOB SITE BEFORE THE. FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORERECORDING YOUR NOTICE OF COMMENCEMENT Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all. work will be performed, to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers; heaters; tanks, and air conditioners, etc. 9 I FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61h Edition (2017) Florida Building Code I NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date ,Signature of ntractor/Agent / Date Print Owner/Agent's Name Pri Con ractor/Agent's Name,, Signature of Notary -State of Florida Date Signa . re o plgry- a e o on a 1 P%,, ANNETTE BLAND t Notary Public _ State of Florida Commission # GG 060623 Owner/Agent is Personally Known to 1VIe or Corlrac>arrii i erityiComm. Eersot gl'Ii Produced ID Type of ID Produce ID Type o D BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: jo l /--S 10 to Me or Fire Alarm Permit: Yes []No WASTE WATER: BUILDING: l 0 .0 SON 'l SHORT FORM SUBCONTRACT LUMP SUM) Subcontract Number: 308645B Date: August 17, 2018 CONTRACTOR Johnson-Laux Construction, LLC Project Manager: Johnnie Isner 8100 Chancellor Drive, Suite 165 Phone: (407) 770-2180 Orlando, Florida 32809 Mobile: (407) 353-1667 SUBCONTRACTOR Accurate Comfort Inc. Project Manager: Sergio Ordonez ` 12833 Gettysburg Cir. Phone: 407-856-5730 Orlando, FL 32837 Mobile: Email: ser io 2Z244ac.com THIS SUBCONTRACTOR'S SCOPE OF WORK (HEREINAFTER THE "WORK") INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING: PROVIDE LABOR, MATERIAL, EQUIPMENT, TOOLS, TAXES, OVERHEAD, SUPERVISION AND ALL OTHER SERVICES AND FACILITIES, NECESSARY TO COMPLETE THE HVAC FOR THE FOLLOWING PROJECT: PROJECT NAME: Nemours Sanford Primary Care OWNER: Children's Health Alliance SUBCONTRACT PRICE: Thirteen Thousand Five Hundred Twenty and.00/100 Dollars 13,520.00) SUBCONTRACTOR RETAINAGE PERCENTAGE: 10% Contractor and Subcontractor, effective as of this 17th day of August 20 88, with offices at the addresses shown above, agree for themselves, their successors and assigns as follows: I WORK. Subcontractor shall perform and furnish all labor, competent supervision, services, materials, installation, supplies, equipment, tools, scaffolds, hoisting, transportation, storage, taxes, insurance, and all items and things necessary to prosecute and complete the Work identified and described in, or which can be reasonably inferred from, the above description of Work, being a portion of the work required of Contractor under its contract for the Project (the "Contract Documents"). The Work shall be performed by Subcontractor in a good and workmanlike manner and strictly in accordance with the Contract,Documents and duly issued modifications thereto. Subcontractor shall be bound to Contractor by the terms and conditions of the Contract Documents, as the same shall be applicable to the Work and this Subcontract, and hereby assumes toward Contractor all. of the duties, obligations and responsibilities that Contractor has by the Contract Documents assumed toward Owner. Subcontractor shall be responsible for any Joss or damage to other subcontractors engaged in work on the site caused by failure of the Subcontractor to correctly layout or perform its Work. Subcontractor shall not deviate from the plans and specifications without the written consent of Contractor. Any changes in plans or specifications, or substitutions of materials as an "or equal" proposed by Subcontractor, must be approved by Owner orits authorized representative, and are Subcontractor's full responsibility, including without limitation, total responsibility for additional costs incurred by Contractor and other subcontractors. 2. PRICE. Contractor shall pay to Subcontractor, for the full and satisfactory performance and completion of the Work and performance, of all the duties, obligations and responsibilities of Subcontractor under this Subcontract, the sum set forth above as the Price, which includes all,permits, fees, inspection costs and/or taxes applicable to the Work, subject only,to additions and deductions as expressly provided in this Subcontract. Retainage withheld shall be released to Subcontractor with its final payment. Initials: Page 1 of 4 3. , PAYMENTS. If the duration of Subcontractor's Work extends beyond forty-five (45) days, the subcontractor may submit to Contractor, in such form and supported by such data as Contractor may require, an invoice for progress payment for all Work properly completed:and installed through the date of the progress payment application. Otherwise, Subcontractor shall only submit'one payment 6 application, which shall be its final payment application. It shall be an express condition precedent to any liability of the Contractor to the Subcontractor for any payment to the Subcontractor that the Contractor is in receipt of payment from the Owner for the Subcontractor's work: If the Owner has not paid the Contractor for any reason whatsoever, the Subcontractor agrees that the Contractor shall not,be liable for payment nor be indebted to the Subcontractor. The Subcontractor agrees that it is relying on the credit of the Owner, and not the Contractor, to fulfill the payment obligations of this Subcontract. If Contractor has provided payment or performance bonds or a combination payment -and performance bond, the obligation of Contractor and its surety under any of those bonds to" make any payment (whether a progress payment or final payment) to a claimant on that bond is similarly subject to the express condition precedent of Contractor's prior receipt of payment from'the Owner for the progress payments due the Subcontractor. " This provision is incorporated by "reference Into any such bond or bonds. Within seven (7) business days after receiving a progress payment from Owner under the Contract, Contractor shall make a progress payment to Subcontractor equal to the value of the Work properly completed and installed after deducting current retainage and all charges or backcharges for services, materials, equipment, or other items furnished or otherwise chargeable to, Subcontractor. A final payment, consisting of the unpaid balance of the Price, I shall be made within thirty (30) days'after the last of the following to occur: (a) satisfactory completion of the Work by Subcontractor and fulfillment of all requirements of the Subcontract and Contract Documents, (b) Contractor's receipt of final payment from owner, and (c) unqualified acceptance of the Work by Architect and Owner. 4. PAYMENT CONDITIONS. Subcontractor will receive the payments made by Contractor and Subcontractor will hold such payments as a trust fund to be applied first to the payment of laborers; suppliers; subcontractors and others responsible for the Work for which such payments are made. Contractor reserves the right towithhold, as an additional reserve and without limiting its other rights and remedies, an amount sufficient: (a) to defend, satisfy and discharge any, asserted claim that Subcontractor (or anyone providing any of the Work hereunder) has failed to make payment for labor," services, materials, equipment, taxes, or other items or obligations furnished or incurred in connection with the Work or has caused damage to the Work or to any other work on the Project; b) to complete the Work if it appears that funds remaining in this Subcontract, including retainage and exclusive of backcharges, are insufficient tocomplete the Work; (c) to reimburse Contractor. for any backcharges incurred as, a result of any act or omission. by Subcontractor hereunder, or (d) to protect Contractor from the possible consequences of any other breach or default by Subcontractor hereunder. As a condition precedent to Subcontractor's entitlement to "payment, Subcontractor shall submit to Contractor a waiver/ release in the amount of the payment through the date of the payment application in the form required by the Contractor. 5. TIME. Subcontractor agrees to commence, pursue diligently and complete the work in such sequence and order and according to such schedules as Contractor shall establish from time to time duringthe course of the work, and shall perform the work so as not to delay any other trades or contractors, time being of the essence of this Subcontract. Any,written dates furnished by the Subcontractor and approved by Contractor and Owner for delivery of materials, samples, shop drawings, etc.; shall become a part of this Subcontract. Subcontractor agrees to supply sufficient work force to complete the Work in the time period or project schedule directed by Contractor without additional compensation: Subcontractor hereby agrees that Contractor relies on"the Subcontractor's timely performance. 6. CHANGE ORDERS. Owner has reserved the right under the Contract Documents to require Contractor to make changes in the i Work, including additions thereto and deletions therefrom. Contractor may, from"'time to time, by written order ("Change. Order") to s Subcontractor, make changes in the Work to the same extent and in`the same manner as may be required of Contractor by Owner under the Contract -Documents. Subcontractor shall thereupon perform the changed Work in`accordance with the terms of this Subcontract and the Change Order. Any additional time and/or compensation for the changed work allowed by the Owner shall, be final and binding on Subcontractor. A condition precedent to Contractor's obligation to pay Subcontractor for changed work is Contractor' s receipt of payment from the Owner for the changed work.' 7. NOTICES. All written notices provided for in this Subcontract or in the Contract Documents shall be deemed given if, delivered personally to a responsible representative of the party or sent by regular mail to the party at its address specified herein. 8. ° INSURANCE. Before commencing the Work and until completion and final acceptance thereof by Owner, Subcontractor shall obtain' and maintain, at its expense, insurance coverages from. companies,and, in form, substance and limits, acceptable to Contractor. Subcontractor shall provide automobile' liability insurance, Comprehensive General Liability Insurance, and Workers Compensation insurance all naming Contractor and Owner as; an additional, insured: As a condition precedent to Subcontractor's entitlement to any payment for the Work, Subcontractor shall furnish a certificate, satisfactory to Contractor, from each insurance company showing the required insurance coverages to be in force and stating that the insurance coverages will not be canceled or changed except upon at least thirty (30) days' written notice thereof to Contractor or as otherwise required by the Contract°Documents, along with an endorsement naming Owner and Contractor as additional insured on Subcontractor's 'insurance policies, Waiver of Subrogation. - Subcontractor waives all rights against Contractor, Owner, and all of their agents, officers;` directors, and employees for recovery of ° damages to the extent these damages are'covered by the Subcontractor's commercial general liability, business auto liability, or worker' s, compensation insurance. 9. INDEMNITY., Subcontractor shall fully protect, indemnify and defend Contractor, Owner, and all of their agents, officers, and employees, and hold -them harmless from and against any and all claims, demands liens, damages, causes of action, liabilities of any ` and every nature whatsoever; losses and expenses, including; butnot limited to, attorneys' fees and court costs, arising in any manner, directly or indirectly, out of or in connection with,.or in the course of, or incidental' to, any of Subcontractor's Work and obligations as Initials Page 2 of 5 provided in the Contract Documents, including any extra'work (regardless of cause or of any concurrent or contributing fault or negligence of Contractor, Owner, or any of their agents; officers, or employees), or any breach of or failure to -comply with any of the provisions of this Subcontract or the Contract Documents by Subcontractor. The Subcontractor's indemnificatior' obligation to Contractor, Owner, and all of their agents, officers, and employees (the "Indemnitees"), for occurrences caused by the sole, contributory, or concurrent negligence of the Indemnitees shall be limited, on a per occurrence basis, to the greater of $1,000,000.00 as prescribed by Florida Statute § 725.06), the price of this Subcontract, or the limits of liability of the insurance policies provided pursuant to paragraph 8, which Subcontractor acknowledges, and agrees bears a reasonable commercial relationship to this . Subcontract. Neither final payment by Contractor nor acceptance of the Work performed. by Subcontractor shall constitute a waiver of the foregoing indemnities, and notwithstanding any other provision contained in this Subcontract, the provisions of this paragraph shall "survive its expiration and termination for any reason. Should Owner or any other person or entity assert a claim or institute a suit, action, or proceeding against Contractor involving the manner or sufficiency of the performance of the Work, Subcontractor, shall, upon request of Contractor, promptly assume the defense of such claim;'suit, action or proceeding at Subcontractor's expense; and Subcontractor shall indemnify and save harmless Contractor as well -as anyone to be defended, indemnified and held harmless by Contractor and its or their agents, servants and employees, from and against any liability, loss, damage, or expense arising out of or related to such claim, suit;" action, or proceeding 10. PROHIBITION ON ASSIGNMENT. Subcontractor shall not assign this Subcontract, or any monies due or to become due hereunder, or subcontract any substantial part of the Work without the prior written consent of Contractor. No assignment by Subcontractor of any right hereunder shall be effective and any such attempt shall be null and void. NEITHER THE OWNER NOR THE CONTRACTOR SHALL BE LIABLE TO ANY THIRD PARTIES°FOR PAYMENT OF ANY ASSIGNED ACCOUNTS RECEIVEABLE. 11. COMPLIANCE AND SAFETY. Subcontractor shall, at its own expense, obtain all necessary licenses and permits pertaining to the Work and comply with all statutes, ordinances, rules, regulations and orders of any governmental or quasi -governmental authority having jurisdiction over the Work" or the performance thereof, including, but not limited ;to, those relating to safety, wages, discrimination, and equal employment opportunity. Subcontractor agrees that the prevention of accidents to workers engaged upon or in the vicinity of the Work is its responsibility, even if Contractor establishes a safety program for the entire Project. Subcontractor shall establish and implement safety measures, policies and standards conforming to those required or .recommended by current governmental or quasi -governmental authorities having jurisdiction and by, Contractor and Owner, including, but not limited to, any requirements imposed by the'Contract Documents. Subcontractor shall stop any,part of the Work which Subcontractor and/or Contractor deems unsafe until corrective measures satisfactory to Contractor have been taken. Contractor's failure . to stop Subcontractors unsafe practices shall not relieve Subcontractor. of its responsibility therefore. 12. CLEANING UP. Subcontractor shall, at its own expense, keep the premises at all times free from waste, materials, packaging and other debris accumulated'in connection with the Work. 13. GUARANTEES. Subcontractor warrants and guarantees the Work to the full extent provided, for in and required by the Contract Documents..' 14. LIENS. Subcontractor shall defend, indemnify and save harmless Contractor, Contractors sureties and Owner from any lien or claim of lien filed or maintained by any laborer, materialman, subcontractor, or other.person or entity directly or indirectly acting for, through, or under Subcontractor, against the Project or any part thereof or any interest therein or against any monies due or to become duefrom Owner to Contractor or from Contractor to Subcontractor. Without limiting the foregoing, Subcontractor shall cause any such lien, or claim of lien to be satisfied, removed, or discharged by bond, payment, or otherwise within such time as provided under the Contract Documents or ten (10) days from the date of receipt by Contractor, whichever is shorter. 15. DAMAGE. Contractor shall not be liable or responsible for loss or damage to the equipment, tools, facilities, or other personal property owned, rented, or used by Subcontractor, or anyone employed by or through Subcontractor, in the'performance of the Work; and Subcontractor shall maintain such insurance coverages and take such protective action as Subcontractor deems desirable with respect to such property. 16. DEFAULT AND TERMINATION. (A) The Contractor, upon forty-eight (48) hours written notice to Subcontractor, shall have the right to (1) terminate and cancel this Subcontract, in whole or in part, 'for any cause or for its own convenience without being at fault, and ( 2) require the Subcontractor to immediately stop work. In such event, the Contractor shall pay the Subcontractor as specified herein: The Contractor shall not be liable to the Subcontractor for any costs other than work performed, including but not limited to, Contractor shall not be liable to Subcontractor for prospective profits and overhead on Work not performed or any commitments to suppliers or laborers. However, if the reason for the termination of this Subcontract is due to any default or action by the Owner,' Architect/ Engineer or as a result of Court Order or public authority, then the Contractor shall not be liable to the Subcontractor for any sum greater than that which the Contractor receives from the Owner on behalf of the Subcontractor's performance, less any costs incurred by the Contractor. (B) Should Subcontractor at any time: (a) fail to supply the labor; materials, equipment, supervision and other things required of it in sufficient quantities and of required quality to perform the Work with the skill, conformity, promptness and diligence required hereunder; (b) cause interference, stoppage or delay to the,Project or any activity necessary to complete the Project; ( c) become insolvent; or (d) fail in the performance or observance of any of the covenants, conditions, or other terms of this Subcontract, then in any such event, each of which shall constitute a default hereunder by Subcontractor, Contractor shall, after giving Subcontractor notice of default and forty-eight (48) hours within which to cure, have the rights to supplement Subcontractor and back-. Initials a Page 3 of 5 charge all costs to Subcontractor, and/or to terminate this Subcontract without thereby waiving or releasing any rights or remedies against Subcontractor and, by itself or through others, take possession of the Work and all materials, equipment, facilities, plant, tools, scaffolds and appliances of Subcontractor relating to the Work, for the purposes of completing the Work and securing to Contractor the payment of its costs (plus an allowance for administrative burden equal to fifteen percent (15%) of such costs) and other damages under this Subcontract and for the breach thereof. Contractor shall, for the stated purposes, be the assignee of, and have a security interest in, the property described above to the extent located on the Project site, and Contractor may at any time file this Subcontract as a financing statement under applicable law. The amount of completion costs, as well as any other costs, damages, extended general conditions, liquidated damages, reasonable overhead and profit, and/or expenses, including Contractor's legal fees and expense, incurred as a result of such default shall be charged against any unpaid balance due to the Subcontractor under this Agreement or under any other agreement between Contractor and Subcontractor; and, if said total costs, damages or expenses shall exceed the balance due, the Subcontractor agrees to pay the amount of said excess upon demand of the Contractor. The foregoing remedies shall be considered separate and cumulative and shall be in addition to every other remedy given hereunder or under the Contract Documents or now or hereafter existing at law or in equity. 17. DISPUTES. In the event of any dispute between Subcontractor and Contractor arising out of or relating to this Subcontract, or the breach thereof, which involves the correlative rights and duties of Owner, the dispute shall be decided in accordance with the Contract Documents, and a decision thereunder shall be final and binding on Subcontractor. Mediation is an express condition precedent to any litigation or arbitration of any dispute arising between Subcontractor and Contractor under this Subcontract. All disputes between Subcontractor and Contractor to which owner'is not a party arising under this Subcontract or any bonds issued for the Project shall be resolved through arbitration or litigation at the sole discretion of Contractor. If the Contractor elects litigation as the dispute resolution process, the litigation shall be maintained solely and exclusively in Orlando, Florida. Subcontractor agrees to continue to perform the Work despite the existence of disputes. The existence of a dispute shall not be grounds for any failure to perform by Subcontractor nor limit the right of Contractor to proceed, in good faith, to remedy any default by Subcontractor. 18. MISCELLANEOUS. All matters relating to the validity, performance, or interpretation of this Subcontract shall be governed by the law applicable to the validity, performance, or interpretation, as the case may be, of the Contract. This Subcontract was awarded, on the condition that this form of Subcontract would be executed, without change or alteration, by Subcontractor and on the condition that Subcontractor would commence performance of the work on the date established by Contractor. Commencement of performance of the work described herein shall constitute Subcontractor's agreement to each and every term hereof irrespective of whether this Subcontract is executed by Subcontractor. This Subcontract, including the documents incorporated herein by reference, embodies the entire agreement of the parties and supersedes all prior negotiations, agreements, bids, proposals, quotes, representations or understandings, whether written or verbal, relating to the subject matter hereof. Contractor may not waive any terms or provisions of this Agreement except in writing by a duly authorized officer. This Subcontract may not be changed in any way except as herein provided or by a writing signed by a duly authorized officer or agent of each party. The provisions of this Subcontract and the Contract Documents are intended to supplement and complement each other. If, however, any provision of this Subcontract irreconcilably conflicts with a provision of the Contract Documents, the provision imposing the greater duty on Subcontractor shall govern. In the event any part of this Subcontract shall be declared void or unenforceable, only the offending works shall be interpreted out, and such removal shall not affect the validity or enforceability of the balance of the provision or this Subcontract. The following attachments to the above printed conditions are hereby acknowledged by both parties to form a part of this contract: REFERENCE• PLANS' AND SPECS DATED 313.0/18: 19. SUBCONTRACTOR'S WAIVER OF JURY TRIAL. In the event that the Contractor elects to litigate any dispute with the Subcontractor, the Subcontractor and its Surety expressly and voluntarily waive all rights to a jury trial in any claim or dispute arising from the Subcontract or any associated bond(s). Subcontractor agrees that Contractor's Surety is an intended third party beneficiary of the Subcontractor's waiver of jury trial and that any action brought against Contractor's Surety or any Bond posted by Contractor on this project is subject to the Subcontractor's waiver of jury trial. Initials 15;1 Page 4 of 5 IN WITNESS WHEREOF, the parties have duly executed this Subcontract as of the date first above written. JOHNSON—LAUX CONSTRUCTION, LLC ACCURATE COME"INC. By, By. / I a Title: Title: President Attest: Attest: 1 i Subcontractor '. Check ONE: X Corporation Partnership/Joint Venture Individual Subcontractor's Federal Employer Identification No.: 20-0914025 If no Federal Employer identification Number, enter business owner's Social Security No.: 4843-3738-1161, v. 1 Page 5 of 5 CITY OF C'CT 3 1 l PERMIT APPLICATION BUILDING DIVISION c 4 w`! Application No: Documented Construction Value. $ 2,17 Job Address: 1145 Rinehart Rd Historic District: Yes Nod Parcel ID: 32-19-30-502-0000-0020 Residential Commercial f Type of Work: New Addition Alteration d Repair Demo Change of Use Move Description of Work: Wall Sign to Existing Electrical ^^^ Plan Review Contact Person: Luke Minton Title: Phone: 407-885-4097 Fax: Email: Iminton@poblocki.com Property Owner Information Name '1 i 1 Phone: Street: t r4 •yJ` emdLt 'Nbrao City, State Zip: 61, 327 5 1 Resident of property?: 1\1 Contractor Information Name C&S Signs Street: 970 Shallowford Street Phone: 407-331-5299 Fax: City, State Zip: Altamonte Springs, FL 32701 State License No.: Architect/Engineer Information Name: Easy Seals Street: 1200 N Federal Hwy #200 City, St, Zip: Boca Raton, FL 33432 Bonding Company: Address: F oow Phone: 561-246-3713 Fax: _ E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Application is hereby made to obtain a permit to do the work and installations as indicated. I certify, that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall,be inscribed with the date of application and the code in effect as of that date: 6n' Edition (2017) Florida Building Code TIC An addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public records of this county, and there may be additional permits required frean other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of O ner/Agent Date i ature of .ontractor/Agent Date nt ON i r/Age is Name Print o tractor/Agent's Name Dfalff 6 1 A Signature of Notary -State of Flori; 0'414r, DElitN.YVILLYIM3 Signature of Notary State of 1 lon dF„ W COMMISSION t Fg OOM SCIPM:Mov22 2020 „' d , ANNETTE BLAND oFati P Bord dTlw dpsltdofetySoMe°a WF Notary Public - State of Florida Commission # GG 060623Owner/Agent iD_LPersonally Known to Me or Confrg ytab,nnt EX Bea3anl>f110 wn to Me or Produced ID Type of ID PrQ4 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes [I No # o eads APPROVALS: ZONING: I i - I2.* Is ITIES: ENGINEERING: COMMENTS: Fire Alarm Permit: Yes No WASTE WATER: FIRE: BUILDING: Based on 20" linear feet of building length, ok to install one 18.85 square foot "& Children's Urgent Care" wall signaage. Any additional attached signage on canopy, wall or window shall require approval by City of Sanford Planning Department. SCPA Parcel View: 32-19-30-502-0000-0020 Page 1 of 2 a ,CIA 01F eEascocaaiv rtnrmr, Property Record Card Parcel: 32-19-30-502-0000-0020 Property Address: 1151 RINEHART (1125-1185) RD SANFORD, FL 32771 Value Summary 2019 Working 2018 Certified Values Values Valuation Method i Income Income Number of Buildings 1 1 Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) Land Value Ag Just/Market Value " 4,398,734 4,398,734 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 255,000 P&G Adj 0 0 Assessed Value 4,398,734 4,143,734 Tax Amount without SOH: $79,384.80 2018_Tax..Bi.I.I..Amount $79,384.80 s;niator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 2 SANFORD SAMS CLUB PB62PGS18&19 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 4,398,734 $0 $4,398,734 Schools City Sanford j 4 398 734 $0 $4,398,734 4,398,734 $0 $4,398,734 SJWM(Saint Johns Water Management) 4,398,734 $0 1 $4,398,734 County Bonds J$ 0 $4,398,7344,398,734 1 Sales Description Date Book Page Amount Qualified VaGlmp SPECIAL WARRANTY DEED 8/1/2001 04183 0635 $669,600 Yes Vacant WARRANTY WARRANTY DEED 6/1/1993 02600 1644 $78,000 No Vacant WARRANTY DEED 12/1/1979 01265 1570 1$133,300 No Vacant 1 Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value SQUARE FEET 108002 $11.33 $1,223,663 Building Information Description Year Built Stories Actual/Effectroe Total SF Ext Wall I Ad/ Value Repl Value Appendages j 1 MASONRY PILASTER. 2005 1 24,396 CONCRETE BLOCK -STUCCO- MASONRY 1,566,051 $1,869,912 ' µ _ Description Area j OPEN PORCH 3061.00 FINISHED I i http://parceldetail.sepafl.org/ParcelDetailInfo.aspx?PID=32193050200000020 10/31/2018 OFFICE Concept Elevation & Plan View of Property Location - -- Sign Placed n fette ng re nam<as is Here -X New (acefit LED fettering PERMIT # - tl j 5'P Children's Urgent Care to, POBLOCK I 5=`" OCl n.- u w YJwnWo vJlx.in, Yw.ry.Yh y.vNw wwW.., Ywaweh i p leis n f 15LL Nemours s Urgent Care m 1145 Rinehart Roadgm Sanford FL 32771 off Scats: geS' I apiRdvegrsrrr. trxlr 1 1 • • g" r - a Aefiku'vj.j rL iy jog 1 ` • .,+ • Reu. OrµO.N.. %U f y'• a 3idr tr aa, • Siam Based on 20" linear feet of building length, ok to install j • one 18.85 square foot "& Children's Urgent Care" wall C L E signage. Any additional attached signage on canopy, wall Channel Lettering g 8 y ' 4`• _ ` ` • P or window shall require approval by City of Sanford , .. ey- Planning Department. M E1 F r 1r + -02 FWO MR. (R1G<[t M0.: OwG. Iy—Sh<et General . xwLnr+*lrtr myircmmnoltM1 f4 Wg44iq Npn111n u!r wNe6oW 2ex.Wli'hWY14 x.rr latss llVMn..!I e er gmtrr.im.:".•. ±,ry lG,n'a1w:...N ry::;Nv .:n y.a.u:e1W a ut'r avVWenmfglM yeokdnertn 0'IDOIx14W.qlYuap Itllt«eY61gv Ih elrrE sItYI1M1RImYtle A1 1 1Yfe0lexl t Rkl.4dd 11*IxlR YrlvbMA0li61l AlS(1i616 A0Mi-IS IOS-IS Notes: namaat ;nrl.m p,..rs nau hlwtt.R+^R'.autlerwiN ow:enre ayxnt:w.mun orr lar selLo!.t;uze.wm ulmocmammc:ar wro:NmmNxAntl•n ov veh .di er aar+rai e Rnxrama geNmeem6RMi-'Nlat, cr dr+rcrNMmv wlxa nRe6A•Nepee fpm[o Yel4fSaMesp.IMemggLanfWapaaaMa•MaMqdal lal7r/M#ANSA •Ael dkll U6sslu•M iw.lk Ugflei6•Nun.xmleMv 66 46-9KH -3 13 P I 1 -4,39g SIGN SPECIFICATIONS IAI • LETTERS - FACELIT SO Material: 5' Deep FatiTicated Aluminum Trim and Return Color: PMS 2995c Blue Face Color: Perlorated Opaque Vinyl Painted n. !o - , • ; -E- PMS 2995C Blue Mounting: Flush Mount to Building. Fascia Is 5/8- Thick Plywood Over Stucco AI 1 Ch iten's Ur 18.88 sgft copy area Based on 20" linear feet of building length, ok to install one 18.85 square foot''& Children's Urgent Care" wall signage. Any additional attached signage on canopy, wall or window shall require approval by City of Sanford Planning Department. t Care 0 OPOROCK1 15tuti 00 vyH n ou MlWlra».isl 1. w. my p,R PAL^-Gt o t dVLLV Nemours Urgent Care<m 1145 Rinehart Road Sanford FL32771 Scale:.75" = I' Ixp1l Pageslm-Ir,l:,. Bates a nNCNDR scNEnDIE WRLL MRRIWL RNOIDR 1wIE QrYrYRm+6 UNL0.i:t IRY,n u. XULIUW MA4lN41 lWTHREADI—MI Wm1 MINYEMREDINP01— MIN III PR,El,ER 1<'TAPCDNS WR IpUNI ,IN T- EMRED MIN III PER I 31I'R VJ E%P.WSIDN ANE11GIS W 25-EMRED MIN (3) PER IETIER 1/}^PI N+t1DD INOR[CESS RF l 1/4"TO uYDLTS IN 131 PER IETRFR 1/6• WODD SCREWS OR TNP(i3115. iULL EMRED MM 131 PER lnRR METRL ITUpS/PpNEtS PM MnNLSC—Y. MW SRRDRN0ar AWM MINIM PIR D,", Np1:UW WAIL NIOCMNG a-TNRURCLR DR 1AriS TDSWCRIDCRIND an"ND IN 131 RER LEPER N V U ea `wn J s" N Evo Rendering (Not To Scale) c i 3 N xw. rr.LRn aaIwNP E x afleylsl0oeEE IablRarl vw Prue NLY DESCRIPTION DY UATt. ll NftCM m RO uR.Rr mnr t S iomw\ HSlO6RMR01WRR rn[stIRYWfOB R C bW111111 Children's Urgent Care DYUTr1R y P oWINNEI-dIlnatelLWnl, saNldelweawNrRLEN i u N urorowexs I Ala — 3arRRY IUYIRrw. Woe Mlmon :}q C.Ie IO/t1/18 pgrQli'9iram', Rr lake Murton Ak.NRPR nRita ooxnur Sigaly- o a l IrarMRlcenI WM1HOAcry1FEYeR r3rRM,Irwrl 1 V L L R R - LPO Nooula Channel Lettering Etl 8 D W Standard Face Lit - LED Illuminated C-01 C oPRT. Tyne-ST,-1 p 3 Ge33en1 .Orugnnm Nraldm[r nnRlM npPmmnMJIM[IYBNpraRYeMN118in lmurwnhnecunde UNNphMIbaR WmkaMZRRe INUNTI•TRRengxuelmgr<HRrIunlJtlw lwnud nueyRNr PlnmelplNrll mnpR,rnq amVaroDln raMM'w1ey111n0y,pnfiN linen .Fka,nnllrvle,,dr,+lh.2 apalls'awiln+rr lInvdAlry+M+rt lleu4 rrlynllWWIIy.Ilhr rkc:It+l anDxmr µirk<InrJ nvNwl'.+, Moll tr'+IunieduMronHlkaWn ol,lallnnlenatd SW@Ra1AlIgeIRRNIgIYusaeTAp 311-11, Af5C 160.10.80M1-15,e Np5-ti NateR: x+14-6 St- rem1-1 lul Pa (cdrM. Pa Kordloi wlm—W AtSeI 2211I11II]1d- AMn Rnpianita In mNarl vAlR lwl nl tmprdtled;n rac+h,lull Ee pemM ar puYxMxpeulkM In AN,-IgW.a P1u1RJ—mP, ,pllen—INI Werpuwl lx,.rrr, rlwll4r SS al AIw+Imwmm mNp br nmmlun PmtMba All midnJ rhaf rom S'wraI AWS IryWmleml•SVel welh ENv rM:mAn•MmIMn wYtCtW YeIbA•Atao n'mwoln'b663-f6vteag4 LL110 C & 5 Signs 970 Shallowfor4 Street Altamonte Springs, FL 32701 Phone (407) 331-5299 Fax (407) 331-5548 CandSSigns@aol.com POWER OF ATTORNEY To the C ai t;- Building Department: Please accept this letter as Power of Attorney: ( 46 To sign for and pick up any and all permits pertaining to the signage and electrical or located at -4- 1 Should you have any questions, please contact me at (407)331-5299. Thank you for y ur help in this matter. John Colado KIM1I11110 09rel Acknowledged: Sworn to me and subscribed before me this 25Day of O Gt' 201$ Notary Public, State of Florida Seal) ' P6+riL1 % Kj(-6v-( My commission Expires,:'' PATRICIA KIRBY NOTARY PUBLIC MIUM STATE OF FLORIDA l " . CorrrO GG1720B5 EOM 1/2/M C & 5 Signs 970 Shallowforcl Street Altamonte Springs, FL 32701 Phone (407) 331-5299 Fax (407) 331-5548 C2111455ign502IO .com POWER OF ATTORNEY To the (2 q j K` Building Department: Please accept this letter as Power of Attorney: [ u+/:e &7,'vu-(oPt To sign for and pick up any and all permits pertaining to the signage and electrical or Neawr5 , located at .,fi :Z S-?77 / Should you have any questions,.please contact meat (407)331-5299. Thank you for y ur help in this matter. Acknowledged: Sworn to me and subscribed before me this Day of O C--y Z 018 Notary Public, State of Florida Seal) 'Pa+riL1 X Kjrb My commissionommissionExpires: PATRICIA KIRBY NOTARY PUBLIC STATE OF FLORIDA Car W GG172065 Expires 1/212022 John Colado ES- 0000236 Report Listing P019 COMPANY GLN: Purchase Order: 710 ORIGINAL CHILDREN'S HEALTH ALLIANCE Page: 1 Date: 10/12/18 SHIP TERMS: FREIGHT: FOB ORIGIN SHIP VIA: VENDOR: 11004577 SHIP TO: POBLOCKI SIGN COMPANY LLC Children's Health Alliance 201 KITTY HAWK DR Attn: CHA Practices SUITE 100 13535 Nemours Parkway MORRISVILLE NC 27560 Orlando FL 32827 United States of America CONTACT: CONTACT: JANICE JUDGE PHONE: 919-354-3800 PHONE: FAX: FAX: BUYER GLN: EMAIL ADDRESS: DISCOUNT TERMS DAYS RATE NET ACCOUNT NUMBER NET 30 DAYS 30 Deliver on December 28, 2018 unless specified by line Purchase Order Currency: US Dollars Invoice by mail Process Level: 91 QUOTE #: 41700 Bill To Address: Children's Health Alliance Attention: Accounts Payable 10140 Centurion Parkway North Jacksonville FL 32256-0532 United States of America ITEM NUMBER QUANTITY LINE DESCRIPTION PRICE EXTENDED AMOUNT 1 QTE 41700--SANFORD Fascia Lettering - Internally Deliver To: SANFORD: JOE BAKER Luke Minton SENIOR SALES CONSULTANT 1.0000 EA 2,425.00 2,425.0000 Report Listing P019 COMPANY GLN: Purchase Order: 710 ORIGINAL CHILDREN'S HEALTH ALLIANCE Page: 2 Date: 10/12/18 ITEM NUMBER QUANTITY LINE DESCRIPTION PRICE EXTENDED AMOUNT 2 QTE 41700--SANFORD Continued Fascia Lettering - Internally Requesting Location: CHPOP 1.0000 EA Req Comp: 0011 Item Detail: QTE 41700--SANFORD 3 QTE 41700--SANFORD 1.0000 EA Installation of new lettering Deliver To: SANFORD: JOE BAKER Requesting Location: CHPOP 1.0000 EA Req Comp: 0011 Item Detail: QTE 41700--SANFORD 4 QTE 41700--SANFORD 1.0000 EA Engineering & Permit Acquisiti Deliver To: SANFORD: JOE BAKER Requesting Location: CHPOP 1.0000 EA Req Comp: 0011 Item Detail: QTE 41700--SANFORD 5 QTE 41700--SANFORD 1.0000 EA Shipping & Crating Deliver To: SANFORD: JOE BAKER Requesting Location: CHPOP 1.0000 EA Req Comp: 0011 Item Detail: QTE 41700--SANFORD eLuke Minton SENIOR SALES CONSULTANT Purchase Order Summary Goods Total: 2,425.00 Order Total: 2,425.00 Quotation No. 41700 Bill To: Nemours Childrens Hospital 1149 Rinehart Rd Sanford, FL 32771 Nemours Childrens Hospital Jobsite: 13535 Nemours Pkwy Orlando, FL 32827 Bill Phone 407-567-4820 Bill E-mail joe.baker@nemours.org Description Nemours Primary & Urgent Care - Sanford Exterior Bill Fax Jobsite Phone 407-567-4820 Jobsite Mobile 407-223-5960 Report Listing P019 COMPANY GLN: Purchase Order: 710 ORIGINAL CHILDREN'S HEALTH ALLIANCE FOB Install Terms 1/2 Deposit, Balance Net Luke Minton Item Quantity Item Description Unit Price Extension Date Printed: 10/8/2018 Jobsite E-mail joe.baker@nemours.org Sales Rep Attn: Jospeh Baker Attn: Jospeh Baker Luke Minton SENIOR SALES CONSULTANT End of Purchase Order: 710 Page: 3 Date: 10/12/18 INSPECTION SEQUENCE BP# 18-4398 ADDRESS: 1145 Rinehart Road BUILDING PERMIT Min Max Ins ection Description Footer / Setback Stemwall Slab / Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'l) Building Ceiling Grid Final Roof Final Stucco / Siding Final Insulation Final Firewall Final Door Final Window Final Utility Building Final Screen Structure Final Pool Screen Enclosure Pre -Demo Final Demo Final Single Family Residence Final Commercial — Final Commercial — Addition / Alteration Final Commercial — Change of Use Final Building (Other) ELECTRICAL PER{1VII7T i j Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Rough Electric Rough Pre -Power Final Temporary Pole 1000 Electric Final W - %"-- Min Max Ins ection Descri tion Rough Plumb Plumbing Underground Plumbing 2nd Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough Plumbing Final 1VIECHANICA'L PERMIT GAllvK w , Min Max Inspection Description Mechanical Rough Mechanical Fire Damper Framing Mechanical Ceiling Rough Mechanical Fire Damper Annular Space Mechanical Insulation Wrap Mechanical Fire Damper Angle Light / Water Test Ck Welds Mechanical Grease Duct Wrap Mechanical Final REVISED: June 2014