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1079 ATLANTIC BLVD #3 HVAC ?lel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �•�i3 � MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-1218 Job Type: MECHANICAL HVAC ONLY Description: 1 CU 1 AHU UNIT 3 Estimated Value: Issue Date: 5/21/2015 Expiration Date: 11/17/2015 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 8 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 $24.00 AC and Refrigeration $24.00 State Mach DBPR Surcharge $2.00 State Mach DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $107.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION lip CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904) 247-5845 OB ADDRESS: � ll I-I /7f L�Yl'�l Z.. _� l1Vd 4- 3 PERMIT# PROJECTVALUE$ ARL# D2O—I2S REQUIRED _Air Handling Equipment Only ZAir Handling Unit& Condenser _Condenser Only 4EW 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 REQUIHB' tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I— Tons Per Unit �3NZ—D-0— T� bN 12 Seer Heat: Unit Quantity 3 tity I BTU's Per Unit N' — Seer Rating Duct Systems: Total CFM REQUIRED ?IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main 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) TIRE PLACES MISCELLANEOUS: Prefabricated Fireplace QtyAutomobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators hLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Fumaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks(gallons) ------� Wells `— J )THER: x v--A crit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months I hereby certify that I have read its application and know the same to be trot and correct All provisions of laws and ordinances governing this work will be complied with whether specitied or X 1'he permit docs not give authorh to v olale the pruvis of any otherrsslate or local law regulation construction or the performance of construction. roperty Owners Name O � O,) `� rQP41 1 f�e S /� Phone Number 223'0WY �( 4echanicalCompany 2G2.n J4ri-��-� A Vit/ OfficePhoneel�Fax Z q-99 'o. Address: tLNP IAn- - F�t�l State Zipc _ ,icense Holder(Print): , ' C Sta ertiffcation/Registration#C&LI;4q,31 lotarized Signature of License Hol r WErm P.MOR4LU . NOTARY PuaLIC Be me this y o _ a 20 STATE OF FLORIDA Comm#EE879174 Signature lic Expilea 3/2/2017 AHRI Certified Reference Number: 7020725 Date'. 5/21/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: PA13NA036""E Indoor Unit Model Number: FB4CNF036L Manufacturer: PAYNE HEATING AND COOLING Trade/Brand name: PAYNE Region: Series name: 13 SEER PURON AC ,. Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING Rated as follows in accordance with AHRI Standard 210/240.2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity(Btuh): 32600 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 IEER Rating (Cooling): I ' 'RaOngs lolbratl by en esle,isk('j'ntlicab a volunUry resole olpreviousty pubYstmtl tlala,uMess a¢ompan etl aM a WNS,wui,A intltrares an'nvduntary rerale. i C I DISCLAIMER I AHRItices not endoner the produces)listed an this COmate and makes no repros¢ntafied,warranties or guarantees as W.and aasumes no reeponsibility for f.4" Y the Omd.01)listed on ViaCertfficate.MIR dammed,dlsotlma all liability he damages of any kind arising out of the use or perfarmance of the produces).or the naulhoriond aNeration of data listed an this CertiflWt¢.Cemsed rating are valid only for models and Configurations hated In me TERMS AND CONDITIONS ih Crtlflnt¢aM its nh Uare DropY to Yp duc6 of RHRI Th'a Certlflnte shall only be used Pori tl' E 1pe land Md e f renM p poses The cant ls (this Certificate may not In what Orin part,be reprotluwtl ptd d meted: orientedintoa computerdatabase ol.thinedsourrttd nti,k by rwmeas saceptfoV dwjdrfitl, ism V&6 'I personal and conndonrm retraux, r CERTIFICATE VERIFICATION j The informal for the model clad!on this caNMate wn be veibed al wwrc. r ',d'cN On U nfr-.ke IInN and enter the Met Certified Relererce Number and Me data on whlch Me certffiaa wasiiked, Yi which la listed above,a.the CertiWat No..which is Aided at bottom right 02014 Air-Conditioning.Heating,and Refrigeration Institute CERTIFICATE NO.: 130766924520224045 ,