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Permit Mech 989 Atl Blvd B 2011 (js' tilt x, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 s INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002778 Date 10/14/11 Property Address 989 ATLANTIC BLVD B Tenant nbr, name DOLLAR TREE Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 4950 Application desc CHANGE OUT 5 TON CONDENSING UNIT ON ROOF Owner Contractor EQUITY ONE BUILDING AIR SERVICES, INC 6785 114TH AVENUE ATLANTIC BEACH FL 32233 LARGO FL 33773 (727) 528 -3688 Permit MECHANICAL HVAC PERMIT Additional desc . CHANGE OUT 5 TON CONDENSER Permit Fee . . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/11/12 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 99.00 99.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. U1/14/ 07:43 2055339388 BASOALA PAGE 01/01 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 - 5845 JOB ADDRESS: :' 4 I, ,/ C 3 ,, v, ic 6 puma # I J 2 PROJECT VALUE S___,19.1-04-- A,Rt ; 9° . / � ' ` U — NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit _ Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT MR CONDITIONING & HEATING SYSTEM INSTALLATI Air Conditioning: Unit Quantity / Tons Per Unit Heat: Unit Quantity BTU's Per Unit Secr Rat' ; Duct Systems: Total CFM - RE r UL RE r FIRE PREVENTION Fire Sprinkler System Quanti Fire Stand i �' (Requires 3 sets of plans P Quantity (Requires 3 sets of lans) Underground Fire Main Value (Requires 3 sots of plan Fire Hose Cabinets Quantity Requires 3 sets of plains) Commercial Hoods Quantity Requires 3 sets of plans) Fire Suppression Systems Quantity ( 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets P umps -------. V ''' # Vented Wall Furnaces — Refrigerator Condenser BTU' # Water Heaters Solar Collection Systems Tans (gallons) OTHER: : -, --0 ,, L e z _ , -z .. jf",e7 Permit becomes void if work does not co mmence wit hin n six month period or work is y or abando for six months. 1 hereby certif that 1 have rend this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be compiled with whether spealtied or not. The permit does not give authority to violate the provisions of any other shuts or local law regulation construction or the perlbrmanec of construction. Property Owners Nam O, . t /a.,,, k c il� L �' """"`1 Phone Number Mechanical Company �� ���v�� ►� „� Y yr c e T,� Off ce Phone 5d8 Pa k 7 gS Z� Co, Address: (7g5 / / N lh 4v- .- City 4t9c Y 9 0 , State , L , Zip 5'5713 License Holder (Print): 1/43 K. ^ - LYc,.s. �.. State Certification/Registration # CAC IR 1 Mile Notarized Signature of License Holder , , e �� Swo rn and subscribed before �.is to( day of (t' br 20 /( r • B%'• SUSAN GRIFFITH . , ,.' * Notary Public . State of Florida Signature of Notary Public L - ;c My Comm. Expires Jul 24, -`��_ 2014 :t.,;;; q,°.V Commission * EE 10610 • « ORS LW 'Woo 6Uipling LS :60 LL-0L,-6LOZ Work Order 23 WEB- 133210 Page 1 of 1 DTR Date Reported: 9/26/2011 4:37:49 PM if QUOTATION Date Committed: 9/27/2011 5:00:00 PM WEB- 133210 Priority: 24 HOURS 4. TREE Operator ID: Angela Brown Requester Name: Hudson, Cary Alternate Contact: ASSISTANT MANAGER Telephone Number: 904 - 249 - 0837 Cost Center: 01010 Alt Contact Phone: 904 - 249 - 0837 Location ID: DTS - 01010 Description: DOLLAR TREE STORE - 01010 Address: 989 ATLANTIC BLVD SUITE B ATLANTIC BEACH, FL 322333311 US Service Location: Request Code: 183 - UNIT REPLACEMENT Vendor: BUILDING AIR SERVICES, INC Address: 13584 49TH ST. N. SUITE 10, CLEARWATER, FL 33762 Quote to replace unit Comments: We recommend the replacement of your Bryant 5 ton package unit. We will furnish and install 1 new Carrier 5 ton RTU. This unit has a 1 year parts and labor warranty with an extended 4 year compressor warranty. Thanks Bill Apple Equipment Eouioment # Description Manufacturer S rial # Asset # 7762320 7762320 - HVAC RTU UNIT 04 CARRIER - TON 5 - MFG 1/1/1996 4096G40767 5 SAPX060000ABBG Labor Date Laborcode Hours 9/26/2011 000051911 Rate t 16 $65.00 $1,040.. 00 Materials Date Cateaory Description, Manufacturer Serial Modei /Item# Number # Warranty Info Qty Price ..455 9/26/2011 Parts /Equipment Crane /Lift Rental N/A N/A N/A N/A 1 $725.00 $725.00 9/26/2011 Parts /Equipment Curb adapter seacoast N/A N/ 1 year parts and labor 1 $1,085.00 $1,085.00 9/26/2011 Parts /Equipment Drain Pan, Line, P -traps labor parts and $62.00 PVC N/A N/A 1 $62.00 9/26/2011 Parts /Equipment Other Hi voltage N/A N/A 1 year parts and labor 1 $225.00 $225.00 9/28/2011 Materials /Services Other discounted cost c untedjob 1,000.00 N/A N /A N/A -1 $1,000.00 $- 9/28/2011 Parts /Equipment Other Carrier 5 ton package unit N / A N/A 1 Year labor 5 1 year compressor $2,813.00 $2,813.00 Labor costs to date: $0.00 Additional labor costs: Materials costs to date: $0.00 $,940.00 Additional material costs: $33,910.00 Total costs to date: $0.00 Proposed additional costs: $4,950.00 Sales Tax: $0.00 Total Tax: $0.00 Current DNE: $4,950.00 Total Costs: $4,950.00 ACCEPTED BY: DATE Client will issue a valid purchase order prior to this work being performed or has read the above scope of work and by their signature above, or by separate approval email accepts and approves the scope of work as stated. This quotation is valid for 30 days from the date submitted unless otherwise stated. http:// www. fmpilot. com/ DollarT /Desk/Pop /WOQuote.asp ?wonum= WEB - 133210 10/12/2011 TABLE 2 - AHRI COOLING RATING TABLE 1 -STAGE COOLING COOLING NOM. NET UNIT STAGES CAPACITY COOLING TOTAL (TONS) CAPACITY POWER (kW) SEER EER IEER (MBH) A04 1 3 36.0 T �" 1 4 2.9 15.00 12.50 N/A 48.5 15.60 A06 1 5 57.5 3.7 13.00 N!A A07 1 6 4 . 6 15.20 12.45 N/A 73.0 6.0 N/A 12.20 13.20 TABLE 3 - AHRI COOLING RATING TABLE 2 - STAGE COOLING NOM. NET UNIT COOLING CAPACITY COOLING TOTAL STAGES (TONS) CAPACITY POWER (kW) SEER EER IEER (MBH) D08 2 7.5 89.0 7.3 N/A 12.20 13.20 = D 2 8.5 97.0 8.0 N/A 12.20 13.20 0 10 115.0 9.8 N/A 11.70 12.20 `f) LEGEND NOTES: AHRI - Air Conditioning, Heating and Refrigeration 1. Rated in accordance with AHRI Standards 210/240 Institute Test Standard (04 -06 size) and 340/360 (07 -12 size). ASHRAE - American Society of Heating, Refrigerating 2. Ratings are based on: and Air Conditioning, Inc. Cooling Standard: 80 °F (27 °C) db, 67 °F (19 °C) wb EER - Energy Efficiency Ratio indoor air temp and 95 °F (35 °C) db outdoor air temp. IEER - Integrated Energy Efficiency Ratio IEER Standard: A measure that expresses cooling SEER - Seasonal Energy Efficiency Ratio part -load EER efficiency for commercial unitary air - conditioning and heat pump equipment on the basis of weighted operation at various load capacities. wuo. , 3. All 50HC units comply with ASHRAE 90.1 2001, 2004 . •+ • .II CERTIFIED Use of R mad Energy Standard for minimum SEER and EER TM Mark intlicatas a requirements. anufacturees °aMcspahoninth° 4. 50HC units comply with US Energy Policy Act (2005). program For vedfi°albn °'°°"'""t'°n for individual To evaluate code compliance requirements, refer to pr�d aas, g° t° "dire °' °ry.o,g state and local codes or visit the following website: http: //bcap- energy.org. A3IIHAE C Yi. US COMPLIANT ENERGY STAR 8 A R� BUILD -3 OP ID: EN CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS I 10/12/11 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE A FORDED THE POLICIES HOLDER. THIS 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 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 MORROW INSURANCE GROUP 813 - 963 -1669 NAMEACT MORROW INSURANCE GROUP LENORA C. OLNEY/A196064 813 - 961 - 3743 PHONE SA E 963 -1669 FAX _.. -.- 18936 NORTH DALE MABRY HIGHWAY E MAIL L - Lac, No� 961 TAMPA, FL 33548 ADDRESS EILEEN MORROWINSURANCE.NET -- STEVEN M. MITZEL INSURER(S) AFFORDING COVERAGE I NAIL 8 _ AMERICAN FIRE & CASUALTY --- ---- - -- -- INSURER A : -_ - - -- INSURED BUILDING AIR SERVICES, INC. 24066 TOR US SPECIALTY INSURANCE CO 5 114TH AVENUE INSURER B -1 - - - -- LARGO, FL 33773 EM PLOYERS PREFERRED INSURANCE INSURER C 110346 OHIO CASUALT INSURANCE COMPAN INSURER D : 24074 INSURER E : - - - INSURER F . - - COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A BOV E 6 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 SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR - - - 1ADDL SUM' - - -- - - PE OF INSURANCE POLICY EFF POLICY EXP - - - - INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) LIMITS GENERAL LIABILITY , BKA (12) 54252811 A C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 10/01/11 10/01/12 � TORENTED PREMISES Ea occurrence $ 100,000 X ] CLAIMS MADE I OCCUR I I L X CONTRACTUAL UAB l MED EXP (Any one person) 1 $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 1 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X 1 JEGT LOC I PRODUCTS COMP /OP AGG $ 2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT A X ANY AUTO W BAa (12) 54252811 ODILY iEa accident) $ 1,000,000 10/01/11 10/01/12 B INJURY (Per person) $ ALLONED SCHEDULED � AUTOS __AUTOS I - - BODILY INJURY (Per accident) $ X , HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE _ $ - - i X 1 PIP FL X I STATUTORY Per acaden� - - - - PIP _ — B f XI UMBRELLA UAB I X OCCUR i I j$ 10,000 n. EXCESS UAB EACH OCCURRENCE ! $ 3,000,000 U r CLAIMS -MADE UMB11021001 AGGREGATE 10/01/11 10/01/12 t $ 3,000,000 DED X1 RETENTION $ 0 - WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY I X 1 WC STATU I OTH C I ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N WCV 4238958 01 01/01/11 01/01/12 1 TORY LIMITS j ER OFFICER /MEMBER EXCLUDED? I N / A I EACH —- - -- (Mandato in NH) E L ACCIDENT $ 500,000 - -- - yes, describe under E.L. DISEASE - EAEMPLOYEEJ $ _.- 500,,000 000 DESCRIPTION OF OPERATIONS below D ,Equipment Floater E DISEASE - POLICY LIMIT 1 $ 500,000 BMO (12) 54252811 10/01/11 I 10/01/12 Schl Equp 29,000 � Leased/Own /Rented Unschl Eq 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) CERTIFICATE HOLDER CANCELLATION CITYATI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF ATLANTIC BEACH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 800 SEMINOLE ROAD ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTIC BEACH, FL 32233 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD a r STAT !OFFLORIDA 'ITS (1 ' x, , D}'PAT n t � 4. �3-- Li 1 ." '.. e , ; Y )o�`g, -1 `p^�y �' $p" 1 � j ,, i ce }'3�C 'mss T - v 18] � t-u^ - C� � - .., ,�- E 38 1836 a • td , - ... 7. .,� CERTIF .e, ' O ,re ..-.7:-.4.:"' :e `' B +� LE5I G ^' P 7' e Y S A�7 f t f- 1 t i r �Cr i� } • IS CERTIFIED '� �k ,v ' uadet"t4, progi vipp Pt. Ch ' A - 89 F$ Exp tion de ..ATj( r f Q�12 ' r ..' 71r ` ` azrk, ._ o +£fi CITY OF PINElLAS PINELLAS PARK, FLIRI.� BUSINESS TA>^ R� ^ ^ C[TxoT STATE LICENSE #; TAX ',EN CAC1813948 OTHER LICENSE #: ========================= 12-0'1 BUSINESS NAME, OWNERS NAM========== === I-CAC1B13948 AND MAILING ADDRESS o' ` ---- ��====�=�====�==== BUSINESS LOCAL A�DR�8S == BUILDING AIR SERVICES, INC STEPHEN BOOGE PRESIDENT ' STEPHEN BOOGE PRESIDENT 6785 114TH AVE 678S 114TH AVE =LARGO ================F� 7'7771 LARGO F� ��77�-�415 =======================,=============================== THE ABOVE NAMED PERSON, IRM OR ' 8U8INES8 CORpORATION ; HAS PAID A BUSINESS TAX TO ENGAGE IN THE FOLLOWING CODE DESCRIPTION 1711/ HEATING AND AIR CONDITIONING CONTRACTOR AIR CONDITIONING SALES & SERVICE, NO OUTDOOR STORAGE UNITS AMOUNT BUSINESS TAX AMOUNT ======================= ===================================,======= ---~==== BUSINESS TAX FEE 80^00 FOR PERIOD ENDING: Sept enber 30, 2012 BALANCE DUE 80.00 ==========__________============================ THI��O ORDINANCE HOLDER TO OPERATE IN VIOLATION ===============�=== PRACTICE. ANY --AN AND IS IS '� OF COMpETANCE OR BUSINESS OF ANY CITY --GT~IL �' ON �T A z O m OR OWNERSHIP MUST BE AppROVI� '`^- '` �/� �5. E BY THE CITY, SUBJECT TO ZONING BTR# 000000153452 PAID: 80.00 DATE: 10/12/11 TIME: 102029