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1079 ATLANTIC BLVD #9 HVAC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Y MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-949 Job Type: MECHANICAL HVAC ONLY Description: UNIT#9 3TONS 36K BTUS Estimated Value: Issue Date: 4/23/2015 Expiration Date: 10/20/2015 PROPERTY ADDRESS: Address: 1079 ATLANTIC BLVD RE Number: 177416-0000 PROPERTY OWNER: Name: HARBOUR PLACE PROFESSIONAL Address: 13133 PROFESSIONAL DR STE 100 13133 PROFESSIONAL DR STE 100 GENERAL CONTRACTOR INFORMATION: Name: OCEAN STATE HEAT&AIR,INC. Address: 1476 ATLANTIC BLVD OA JAMES GLENN JONES Phone: - - PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Furnaces and Heating $20.00 AC and Refrigeration $24.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $103.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CM OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION LSI t{S CITY OF ATLANTIC BEACH y 806 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5926 Fax(904)247-5845 JOB ADDRESS: 16-1 G 14�- GI-✓�•�"i�. 814. * c1 T# PROJECT VALUE$ �1 S A&# rI 2D"YZ S _REQUIRED _Mr Handling Equipment Only ✓Air Handling Unit& Condenser _Condenser Only 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 AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit 3 IMI3 �feY Heat: Unit Quantity---T— BTU's Per Unit b �l Seer Ratinn Duct Systems: Total CFM REQVMED FIRE PREVENTION ti (Requires 3 sets of plans) Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Q ty Underground nMain Value (Requires 3 sets of plans) ) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty- Automobile Lifts Gas Piping Outlets Boilers BTU's awators/Escalators ALL OTHER GAS PIPING Heat.Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser . BTU's #Water Heaters Solar Collection Systems 'tanks(gallons) Wells OTHER: permit becomes void if work does nor commevce within a s&month period or work is suspended or abandoned for six months I hereby ratify Wet I have rear this application and know the seine m be We and cmrer:c All provisions oflaws and ordinates governing this work will be complied with whether specified not 'the pmnit does not give auWmity to violate the provisions of any other slate or local law regulation construction or the performance Ofcooswclim Property Owners Name : 'u�a'11L7, RL)P?.('ftQ�S� � �y Phone Number7U3- tTSD Mechanical Company 06-eco, -5 twk u2G�.+ rc'y�--& Ofine Phone 2 -VS—)FFax 2_q -� f� 6 Co.Address: 1y'11P A.} lyd City Ne pAwt State) L Zip License Holder(Print): Ly? Certification/Registration#CA C QL49X Notarized Si era r r kic older raorAav puauo Before m t.�day of 20 I5 UTA It OF FLO IOA corn o EE879174 Signature of N tary Public r Expires 312/2017 04/23/2015 08 45 FAX 9042488948 OCEAN-STATE-A/C + ATLANTIC-BEACH IZ001/002 MECHANICAL PERMIT APPLICATION Wvgw CITY OF ATLANTIC BEACH Sob,Seminole M Atlantic Beach,FL 32233 'Pb(904)247-5926 Fax(904)247-5945 JOB ADDRESS: 10�G A4 1 FA✓1+IL B 1 VG # PERMfT# PROJECT VALUE$ �7 S low ARI ft REQUIRED _Air Handling Equipment Only ✓Air Handling Unit & Condenser —Condenser Only 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 AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit !)JWS 13 SCeY Heat: Unit Quantity –T— BTU's Per Unit ;a Se Ratin¢REQ�� Duct Systems: Total CFM FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 seta of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requites 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity - (Requirea 3 seta of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace QtyT. Automobile Lifts Gas Piping OutletsBoilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat.Exchanger Quantity of Outlets Pum)rs #Vented Wall Furnaces ; Refngerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks(gallons) Wells OTHER: Permit bmomes void ifvork does not mtnmenee within a sin mwlh penodur wart:is saspmded or ebsWaned for sin months.I hereby mnify tital I have reed this appli®tion and kmw the soma m he bee end mttat All Provisions of laws and ordirwe s g5"ming this work will be complied with whMrr sPccWtd a nor. The permil does not give authority to Violate the Provisio�jn,ofmy outer ala,or load iaw regulaio.ran roetion or the P�oe^m ofmnmctim. Property Owners Name S U� 1 4 i I�Oe�'I Q S /�,' Phone Number' ) u-3-�2�� MechaniealCompany DC{'r-IJt-, 5+�,�,,~♦t �'�,�' A OfSeePhone2 �Z�Fmc�,l�_l._t_i Co.Address: 1 �� V(� City IJv I ham SmteFl- Zip License Holder(Print): Q^71' Ce[afication/Regisaation# Notarized S' n-YOEttE F AIORAe Holder ccc--- �T 'PUBLICBefore m f yof I 20 J STATE OF FLONIOA cammFee. Te ;gpamre of tary Public 04/23/2015 08:46 FAX 9042498949 OCEAN—STATE—A/C • ATLANTIC-BEACH IM002/002 I ma CERTIFIED' 1 Certificate of Product Ratings AHRI Certified Reference Number: 7020725 Dates 4113/2015 a.,xMrnx.e.� j Product: Split System:Air-Cooled Condensing Unit, Coll with Blower C Outdoor Unit Model Number: PA13NA036---r Indoor Unit Model Number: P54CNF036L 1µi Manufacturer: PAYNE HEATING AND COOLING �k 4 Trade/Brand name: PAYNE s All Sµ II Series name: 13 SEER PURON AC I Manufacturer responsible far the rating of this system combination Is PAYNE HEATING AND COOLING Rated as follows In accordance with AHRI Standard 210/240-2008 for Unitary Alr-Conditioning and Air—Source !i Heat Pump Equipment and subject to verification of rating accuracy by AHRlsponsored, independent,third l party testing: (}' I I, Cooling Capacity(Stuh): 32600 f EER Rating(Cooling): 11.00 p . SEER Rating(Cooling): 13.00 LEER Rating(Cooling): A b!b� i� i ( i 'R.ngs lolberm by an se.,"ly sRIGNa.Imery reale of on....rpthered ads.me .ea:empenlab.ine Vast Ntn.,"we an ewalunwy I la I' I, DISCLAIMER ANat does hot Nltlaae the paitMlq IIeNd an this CMUII Am no,epnemdtiMF boommebe or Enna men an to,and menace 04 respanaiblliry lor. the Inha a rated on this Csnp to.AHRI dprooly dhdelms all Ildblllty her aemaps of any NIM aneing out T the uae or ami ...al the pmdup0l,or In. .Mahan e1bGYan of MW Area as Wa C•nlAGte.Cei...trip m we,emy is,Measle and mnllidnab m list.In the t daystAtw 111111;U ractory.;46 II] TEAMS AND CONDITIONS �1 ar Y�f°I� TLIe Cdlhhab mW lW nnWnW ere pppfbtery Prods,cWOfAXpl.IDlr Wyllflale Msll mybelW lorIMNI01Yh peryyMl and A m"^�NM6shA�a I aoMGnlWlrMe.nG ppro00M,TAS CanWnW VINiF CertHkeW mry npl,Wwaale ar In paK os.prodptW:mpiatl:dhseaminebd; 2IBa '1, {�I: ordered Into a mmpubr dmNbxe:orplppr Wlaa utinagl,I a am larm at mahnA or ay aft means.alTpt tel Ina WYa lndlvlauel, 411 t'll�xrplwlllrxll'16 ApL11Yx, itlitl! aRsaml and mnfidi realmmn. f CERTIFICATE VERIFICATION H IIIA 1MAmen"m or the modal Clad an lhhnrlllI.W Van be.111100 e1 xwv..111111:Ivmealp.na„011ok an'WdnY; aRHIIInOrepaN,n......... and enbr the ANRI Card oAdherence NumheraM the date on which the oHUHtWe wM iuwtl. I� ,ane the connotes No..wrkm Is 1'..a1 Woman right. mItIoning.Heating, I jw and Refrigeration Institute CERTIFICATE NO.: 1amaNa0aD9e020a p,q r�rEsw�...a.+rrdol.+umt