(1) No construction work, including demolition, shall be started until prior written approval has been given by the Agency’s Office of Plans and Construction. This includes all construction of new facilities and any and all additions, modifications, renovations, or refurbishment of the site, building, equipment or systems of all existing facilities. Approval to start construction will be granted by the Agency when the design complies with all applicable codes and standards, as evidenced by a thorough examination of the documents submitted to the Agency, as required for Stage III construction documents.
    (2) Approval to start construction limited to demolition, site work, foundation, and building structural frame may be obtained prior to the approval of Stage III construction documents when the following is submitted for review and approval:
    (a) A Preliminary Stage II approval letter from the Office of Plans and Construction granted by the Agency when the design complies with applicable life safety code requirements, flood requirements and the layout will accommodate all required functional spaces as evidenced by a thorough examination of the documents submitted to the Agency as required in this rule for Stage II preliminary plans.
    (b) Construction documents, specifications and construction details for all work to be undertaken.
    (c) A letter from the facility holding the Agency harmless for any changes that may occur to the project as a result of the final construction document review.
    (d) An infection control risk assessment (ICRA) and a life safety plan indicating temporary egress and detailed phasing plans indicating how the area(s) to be demolished or constructed are to be separated from all occupied areas shall be submitted for review and approval when demolition or construction in and around occupied buildings is to be undertaken. Submissions that fail to provide an ICRA or depict the safety measures prescribed by the ICRA will not be approved.
    (3) Projects which have not received approval to begin construction will be considered abandoned following 12 months of inactivity and the project will be terminated. Construction must commence within 12 months of receiving approval from the Agency’s Office of Plans and Construction to begin construction. Once construction begins construction activities should be continuous until the completion of the project. Failure to commence construction within 12 months of plan approval or periods of construction inactivity exceeding 12 months following commencement of construction will result in termination of the project. Restarting a terminated project will require resubmission of the construction documents accompanied by a new plan review application and will be subject to all fees prescribed by Florida Statutes § 395.0163 Projects requiring a Certificate of Need (CON) must also comply with the conditions of the CON relating to the commencement, completion and continuity of construction.
    (4) When construction is planned, either for new buildings or additions, alterations or renovations to existing buildings, the plans and specifications shall be prepared and submitted to the Office of Plans and Construction for approval by the appropriate Florida-registered design professionals as required by the Florida Building Code, chapter 471, F.S., and chapter 481, F.S. All architecture or engineering firms not practicing as a sole proprietor shall also be registered as an architecture or engineering firm with the Florida Department of Business and Professional Regulation or Board of Professional Engineers, as applicable.
    (5) The initial submission of plans to the Agency’s Office of Plans and Construction for any new project shall include a completed Application for Plan Review, AHCA Form 3500-0011, June 2014, incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-05456, and a valid Certificate of Need if required by the Agency. This information shall accompany the initial submission, and approval will not be granted for any project without a certificate of need if required by the Agency. Applications for Plan Review are available from the Agency for Health Care Administration, Office of Plans and Construction, 2727 Mahan Drive, Mail Stop #24, Tallahassee, Florida 32308, or at the web address at: http://ahca.myflorida.com/MCHQ/HQALicensureForms/index.shtml.
    (6) Projects submitted for review shall be subject to the fees authorized by Florida Statutes § 395.0163 All fees shall be payable to the Agency for Health Care Administration and shall annotate the Office of Plans and Construction and the facility log number. The initial review fee is due with the first submission of plans. Fees are not refundable. The Agency will conduct onsite construction inspections as needed to verify compliance with applicable codes and standards.
    (7) Plans and specifications may be submitted for review at any of the three stages of development described in this rule. Only the submission of stage III documents is mandatory.
    (a) Stage I, schematic plans.
    (b) Stage II, preliminary plans or design development drawings.
    (c) Stage III, construction documents, including specifications, addenda and change orders.
    (8) For each stage of submission, a program or scope of work shall be submitted. It shall consist of a detailed written description of all contemplated work and any required phasing and shall identify the types of medical services to be provided.
    (9) For projects involving only equipment changes or system renovations, only Stage III, construction documents may be submitted. These documents shall include the following:
    (a) Life safety plans showing the fire/smoke compartments in the area of renovation.
    (b) Detailed phasing plans indicating how the new work will be separated from all occupied areas.
    (c) Engineering plans and specifications for all of the required work.
    (10) Stage I, Schematic Plans.
    (a) The following shall be incorporated into the schematic plans:
    1. Single-line drawings of each floor that indicates the relationship of the various activities or services to each other and the room arrangement in each.
    2. The function of each room or space shall be noted in or near the room or space.
    3. The proposed roads and walkways, service and entrance courts, parking, and orientation shown on either a small plot plan or on the first floor plan.
    4. A simple cross-section diagram showing the anticipated construction.
    5. A schematic life safety plan showing smoke and fire compartments, exits, exit passageways and gross areas of required smoke and fire compartments.
    6. Indication of which areas are sprinklered, both new and existing.
    (b) If the proposed construction is an addition or is otherwise related to existing buildings on the site, the schematic plans shall show the facilities and general arrangement of those buildings.
    (c) If the project involves increasing, decreasing, relocating or transferring licensed beds, a schedule showing the total number of beds, types of bedrooms and types of ancillary spaces must be provided.
    (11) Stage II, Preliminary Plans. The following shall be incorporated into the preliminary plans.
    (a) A Vicinity Map. For new facility construction, provide a vicinity map showing the major local highway intersections.
    (b) Site Development Plans.
    (c) Plans depicting existing grades and proposed improvements.
    (d) Building location dimensions.
    (e) Evidence of compliance with the hospital disaster preparedness site standards of the Florida Building Code, must be provided for projects that involve a new facility, an addition to an existing facility, or substantial improvements to an existing facility.
    (f) Location of the fire protection services water source to the building.
    (g) Architectural Plans.
    1. Floor plans, 1/8-inch scale minimum, showing door swings, windows, case work and mill work, fixed equipment and plumbing fixtures. Indicate the function of each space.
    2. A large-scale plan of typical new bedrooms with a tabulation of gross and net square footage of each bedroom. Tabulate the size of the bedroom window glass.
    3. Typical large-scale interior and exterior wall sections to include typical rated fire and fire/smoke barriers and a typical corridor partition.
    4. All exterior building elevations.
    (h) Equipment which is not included in the construction contract that requires mechanical or electrical service connections or construction modifications shall be identified to assure coordination with the architectural, mechanical and electrical phases of construction.
    (i) If the project is located in an occupied facility, preliminary phasing plans indicating how the project is to be separated from all occupied areas.
    (j) Life Safety Plans.
    1. Life safety plans must include the following:
    a. Single-sheet floor plans depicting required fire and smoke compartmentation, all means of egress and all exit signs. If smoke compartmentation is required, depict and provide the dimension for the longest path of travel in each smoke compartment to the door(s) accessing the nearest adjoining smoke compartment, calculate the total area of the smoke compartment in square feet, and tabulate exit inches.
    b. All sprinklered areas.
    c. All fire extinguishers.
    d. All fire alarm devices and pull station locations.
    2. If the project is an addition, or conversion of an existing building, fully developed life safety plans must be submitted.
    3. If the project is a renovation in an existing building, life safety plans of the floor being renovated and the required exit egress floor(s) must be submitted.
    4. When demolition or construction in and around occupied buildings will be undertaken, a life safety plan indicating temporary egress, and detailed phasing plans indicating how the area(s) to be demolished or constructed will be separated from all occupied areas must be submitted.
    (k) Mechanical Engineering Plans.
    1. Single-sheet floor plans with a one-line diagram of the ventilating system with relative pressures of each space. Provide a written description and drawings of the anticipated smoke control system, passive or active, and a sequence of operation correlated with the life safety plans.
    2. The general location of all fire and smoke dampers, all duct smoke detectors and fire stats.
    3. If the building is equipped with fire sprinklers, indicate the location of the sprinkler system risers and the point of connection for the fire sprinkler system. State the method of design for the existing and new fire sprinkler systems.
    4. The locations of all plumbing fixtures and other items of equipment requiring plumbing services and/or gas services.
    5. The locations of any fume, radiological or chemical hoods.
    6. The locations of all medical gas outlets, piping distribution risers, terminals, alarm panel(s), low pressure emergency oxygen connection, isolation/zone valve(s), and gas source location(s).
    7. The locations and relative size of major items of mechanical equipment such as chillers, air handling units, fire pumps, medical gas storage, boilers, vacuum pumps, air compressors and fuel storage vessels.
    8. The locations of hazardous areas and the volume of products to be contained therein.
    9. The location of fire pump, stand pipes, and sprinkler riser(s).
    (l) Electrical Engineering Drawings.
    1. A one-line diagram of normal and essential electrical power systems showing service transformers and entrances, switchboards, transfer switches, distribution feeders and over-current devices, panel boards and step-down transformers. The diagram shall include a preliminary listing and description of new and existing, normal and emergency loads, preliminary estimates of available short-circuit current and all new equipment and existing equipment serving any new equipment, short-circuit and withstand ratings of existing equipment serving new loads and any new or revised grounding requirements.
    2. Show fire alarm zones and correlate with the life safety plan.
    (m) Outline Specifications. Outline specifications must include a general description of the construction, including construction classification and ratings of components, interior finishes, general types and locations of acoustical material, floor coverings, ventilating equipment, plumbing fixtures, fire protection equipment, medical gas equipment and electrical equipment.
    (n) Whenever an existing building is to be converted to a health care facility, the general layout of spaces of the existing structure shall be submitted with the preliminary plans for the proposed facility.
    (o) Whenever an addition, alteration, renovation or remodeling to an existing facility is proposed, the general layout of spaces of the existing facility shall be submitted with the preliminary plans.
    (12) Stage III, Construction Documents.
The Stage III, construction documents shall be an extension of the Stage II, preliminary plan submission and shall provide a complete description of the contemplated construction. Construction documents shall be signed, sealed, dated, and submitted for written approval to the Office of Plans and Construction by a Florida-registered architect and/or Florida-registered professional engineer. These documents shall consist of work related to civil, structural, mechanical, and electrical engineering, fire protection, lightning protection, landscape architecture and all architectural work. In addition to the requirements for Stage II submission, the following shall be incorporated into the construction documents:
    (a) Site and civil engineering plans indicating building and site elevations, site utilities, paving plans, grading and drainage plans and details, locations of the two fire hydrants utilized to perform the water supply flow test, and landscaping plans.
    (b) Life safety plans for the entire project. Projects located on floors above or below the exit discharge level must also include life safety plans for the exit discharge serving the project area.
    (c) Architectural Plans.
    1. Typical large-scale details of all typical interior and exterior walls and smoke walls, horizontal exits and exit passageways.
    2. Comprehensive ceiling plans that show all utilities, lighting fixtures, smoke detectors, ventilation devices, sprinkler head locations and fire-rated ceiling suspension member locations where applicable.
    3. Floor/ceiling and roof/ceiling assembly descriptions for all conditions.
    4. Details and other instructions to the contractor on the construction documents describing the techniques to be used to seal floor construction penetrations necessary to prevent smoke migration from floor to floor during a fire.
    (d) Structural engineering plans, schedules and details.
    (e) Mechanical engineering plans including fire and smoke control plans. Show all items of owner furnished equipment requiring mechanical services. Provide a clear and concise narrative control sequence of operations for each item of mechanical equipment including, but not limited to, air conditioning, heating, ventilation, medical gas, plumbing, fire protection and any interconnection of the equipment of the systems. Mechanical engineering drawings shall depict completely the systems to be utilized, whether new or existing, from the point of system origination to termination. Provide a tabular schedule giving the required air flow (as computed from the information contained on the ventilation rate table) in cubic feet per minute (cfm) for supply, return, exhaust, outdoor, and ventilation air for each space, as applicable, shown on the architectural documents. The schedule shall also contain the HVAC system design air flow rates and the resulting space relative pressures. The schedule or portion of the schedule as applicable shall be placed on each floor plan drawing sheet containing the spaces depicted on the drawing.
    (f) Fire protection system layout documents as defined by the Department of Business and Professional Regulation in Fl. Admin. Code R. 61G15-32.002, where applicable, that shall include the existing system as necessary to define the new work. These documents shall be signed and sealed by a Florida-registered professional engineer.
    (g) Electrical engineering plans describing complete power, lighting, alarm, communications and lightning protection systems and power system study.
    (h) A power study that shall include a fault study complete with calculations to demonstrate that over-current devices, transfer switches, switchboards, panel boards, motor controls, transformers and feeders are adequately sized to safely withstand available phase-to-phase and phase-to-ground faults. The study shall also include an analysis of generator performance under fault conditions and a coordination study resulting in the tabulation of settings for all over-current device adjustable trips, time delays, relays and ground fault coordination. This must be provided for all new equipment and existing equipment serving any new equipment. Power studies for renovations of existing distribution systems shall include only new equipment and existing equipment upstream to the normal and emergency sources of the new equipment. Renovations involving only branch circuit panel boards without modifications to the feeder do not require a full power study; instead, the power study shall be limited to the calculation of new and existing loads of the branch circuit panel.
    (13) A complete set of specifications for all work to be undertaken.
    (a) All project required contractor supplied testing and/or certification reports shall be submitted in writing reviewed and accepted by the Engineer of Record prior to presenting to the agency for review.
    (b) The specifications shall require a performance verification test and balance air quantity values report with the specified air filters installed for each air handling unit system operating in the minimum pressure drop condition (clean filter state) and at the maximum pressure drop condition (dirty filter state).
    (14) All construction documents shall be coordinated to provide consistency of design intent throughout the documents and phasing plans shall be clear and provide continuity of required services. It is specifically required that in the case of additions to existing institutions, the mechanical and electrical, especially existing essential electrical systems and all other pertinent conditions shall be a part of this submission.
    (a) All subsequent addenda, change orders, field orders and other documents altering the above shall also be signed, sealed, dated, and submitted in advance to the Agency’s Office of Plans and Construction for review. The Agency will either approve or disapprove the submission based on compliance with all applicable codes and standards and shall provide a listing of deficiencies in writing.
    (b) All submissions will be acted upon by the Agency within 60 days of the receipt of properly executed construction documents and the initial payment of the plan review fee. The Agency will either approve or disapprove the submission and shall provide a listing of deficiencies in writing. All deficiencies noted by the Agency must be satisfactorily corrected before final approval will be provided from the Agency.
    (15) Additions or revisions that increase the scope of the project work greater than fifty percent or change the original scope of the project more than fifty percent will be required to be submitted as a new project.
    (16) Record Drawings. Within 60 days after final approval of the project has been obtained from the Agency, the Office of Plans and Construction shall be provided with a complete set of legible record drawings showing all of the construction, fixed equipment and the mechanical and electrical systems as installed. These drawings shall include the life safety plans. Record drawings may be submitted electronically in Portable Document Format (PDF).
Rulemaking Authority 395.0163, 395.1055 FS. Law Implemented 395.0163, 395.1055 FS. History-New 1-1-77, Amended 4-26-78, Formerly 10D-28.80, Amended 1-16-87, 11-23-88, Formerly 10D-28.080, Amended 9-3-92, 6-29-97, 5-12-16.