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Permit 1540 Francis AvenueCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000874 Date 7/13/10 Property Address 1540 FRANCIS AVE Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc temp pole ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WEST DUTCHER ELECTRIC INC 1122 NORTH 3RD AVENUE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-5800 ------------ - --------- ----------------------- Permit -------------- ELECTRICAL - ---------------- PERMIT Additional desc TEMP POLE Permit Fee 90.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/09/11 -------------- - --------- ----------------------- Fee summary -- -------------- Charged ---------- - - -------------- Paid Credited Due --------- ---------- ------- --- --------------- Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00 90.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 Jos ADDRESS: PERMIT # NEW SERVICE ^Overhead ^ Underground ^ Underground up Pole ^ Residential (Main) Service ^ 0-100 amps ^ 101-150amps ^ 1 S 1-200amps ^ amps # of Meters ^Commercial (Main) Service ^ 0-100 amps ^ 101-150amps ^ 1 S 1-200amps ^ amps ^ CT Service _ Conductor Type Size ^Multi-Family (Main) Service ^0-//100 amps ^ 101-150amps ^ 151-200amps ^ amps # of Unit Meters ~'emporary Pole ^~_Q__amps SERVICE UPGRADE ^ amps ^ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ^100amps ^1SOamps ^200amps ^ amps ^CTService amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ^ Swimming Pool ^ Sign ^ Smoke Detectors _Qty ^ Transformers KVA ^ Motors FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ^ Replace Burnt/Damaged Meter Can ^ Safety Inspection ^ Panel Change ^ OH to UG ^ Other: amps hp Permit 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 this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name ~~i~QH~lt~~~d~ Phone C ~5 ~rQ / ~ f / ~ Electrical Company ' ~ it Office Phone o? ~j- S~UV Fax Co. Address: rv~ ~, ~ City ~„~q~C ~C ~ State ~ Zip _32ZS`?) License Holder (Print): l St to ertification/Registration # ~ ~/~~ JZS~2 Notarized Signature of License Holder .,~;^ Sworn and subscribed before *~ `~' Y s ~,yc~,,~" 20 jC d Thru otary ers ~ Signature of Notary Public " CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000915 Date 7/27/10 Property Address 1540 FRANCIS AVE Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation 53325 ---------------------------------------------------------------------------- Application desc Repair Fire Damage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WEST A WORK OF ART OF N. FL, INC. 1212 N 7TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904} 294-2253 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc REPAIR FIRE DAMAGE Permit Fee 296.00 Plan Check Fee .00 Issue Date 7/23/10 Valuation 53325 Expiration Date 1j19/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 296.00 296.00 .00 .00 .00 .00 .00 .00 296.00 296.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .1 f~"~,, r ,; ~~ M ~ w "'.a;i v~ City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Builtling Department.) Date routed: = ~ ~~ APPLICATION REVIEW AND TRACKING FORM Property Address: ~~/~ f' /I7~L~ ~S ~~ Applicant: ~ ~~~,~ Q„l _~T ~/ /U ~f Project: ~/ ,~~, //' (~~ ~ -Bepat~ent review required I Yes I No Building ~ g & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Dept Signature 1=', r ~ /' ~~a i r cr ~- / 1 Required Review or Receipt ~ y ~ ra ~7C f 4 ~ (2~ S;r7~~~1 TrQ~. of Permit Verified B tion ~~- 7_ 2 2~lCJ Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES First Review: Comments: District 'obacco LIGATION STATUS ^Approved. ^Denied. Reviewed by: Second Review: ^Approved as revised. ^Denied. Comments: Date: Reviewed by: Date: Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Date Revised 05N4/09 BUII,DING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: ~~"TCJ ~~~(x I.U ~U~ ~ ~~ ~~, `)~ > Permit Number: t ~a -~ 9/ S Legal Description ~ ' Parcel # ~ ~ ~~~~ ~ r " oor ea o q. t. q. t Valuation of Work ~s3 ~~ Proposed Work heated/cooled non-heatedlcooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/pro osed structure(s) (circle one):. Commer ' esidential ~ `` If an existing struc~ure, is a fire sprinkler system installed? (Circle one): o '\N , Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed:~j t ~ 4 5~fi~~: c ~.~~t,~r ~~ ~ ao ~,l t f V~5 U ~1'~i ~ ~, ~v'~~~ ~ ~ f •~~ r1V G1L vVF'uca iui ...uuvu. ~ \ f ~ p~~} , r~ ' ` +k;::xnv^'rtTV.~K<rxR•.7t'~M~re't,:"i,ycM N, . J~ _. . r ~^ Name: ~' ~1~ ~~ Address: ~ ~~ s City - ~l n ~c ~ Stat L_Zip ~~-Phone E-Mail or Fax # (Optional) le Contractor Information: I ° ~` ~~"" ' a.-a.. e; K..e•u.a...x a.:....~ ts:-~.+c ms ua ~r:` Company Name: ~ ~ ~ F/1 t ' ArirlrPCC• 1 .a. 1 7-rh Q~ t ~ ~ "C ~~ ~- ~( Quay' g e t: C1tV \ 1.~ ~[ ~~~ /~~ f ,.t~ it State ___ ~ _ Zip `. Office Phone {. - ~ ` ``~~ Job Site/ State Certification/Registration # ~_ Architect Name & Phone # Engineer's Name & Phone # --~ Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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 issuance o, f a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes . and void f work is not commenced within six (6) months, or if construction or work is sus ended or abandoned fora enod of six (6) months at any time a work is commenced. I understand that separate permits must be secured for ElectricalpWork; Plumbing, Signs, ells, Pools, Furnaces, Boilers, Heat Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONIlVIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb cert<;fy that I have read and examined this placation and know the same to be true and correct. All provisions of Zaws type ojywork will be complied with whether sppeci~d herein or not. The granting of a permit does not presume to gcve aut provisrons of any other federal, state, or local Imv regulating construction or the performance of construction. 1 Signature of Ow r ~~~ Print Name ...............-'~....~.~,.L~-.......~~.. ~...---................ th1S and subscrjbed before me QALASSO Signature of Contractor Print Name t~ and subscri~ed^before me r~___ _r ordinances governing this v to violate or cancel the /o Notary ~ lt4y Comm: Expires Apr 2.2014 ~G My Comm. Expires Apr 2, 2014 ~;~ ~r Commission ~ OD 975503 ="o, ,,~ Commission 4E DD 975503 w '~%°c "``'~ Booded Through National Notar Assn. ~"~,EO; ~t.'~r-, ,~ d 01.26.10 ~,,,~~~ y ,~~ Bonded Thro h National Nota ~. Doc #2010169212, OR BK 15313 Page 453, 4 Number Pages: 1 NOTICE OF COMIVVIENCEMENT Recorded 07/21 /2010 at 02:37 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Permit No. r©" ~_~~ Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to cerkain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal a) Street (job) Address: Z.Generai description of improve 3.Owner Information a) Name and address: b) Name and address of j c) Interest in property _ 4.Contractor Information ~.. a) Name and addres b) Telephone No.: S.Surety Information a) Name and address: _ b) Amount of Bond: c) Telephone No.: 6.Lerider a) Name and address: 7. Identity of person within the State of Florida a) Name and address: b) Telephone No.: __ 8.In addition to himself; owner designates the f 713.13(1)(b), Florida Statutes: a) Name and address: J( b) Telephone No.: 9.Expiration date of Notice of Commencement is specified): ~~.._ ,=, C:- c ~, d G WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P05TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA ~•„~•~~,,, NADINEGAlASSO ~ COUNTY OF PINELLAS s~~'"Y p ~~4, N~uy Public -State of Florida 0• ` • : My Comm. Expires Apr 2, 2014 Sign a of Owa or O er's Authorized Officer/Dir~ctor/Partner/Manager ';'~,,~ u~r Commission #r DD 975503 ~~~ - -11- •~°~ ~~ ••' Bonded Through National Notary Assn. Print Name n'~ The foregoing instrument was aclrnowledged before me this ~~ day of 20/ y , by f ~ ~~ p ~ lu ~ ~ }- as ~z j ~' (type of authority, e.g. officer, trustee, attorney in fact) for (~ o~ ~+ c '~-(' ~~='~ ~ ~f- (name of party on behalf of whom instrnment was executed). Personally Known _ C~ OR Produced Identification Type of Identification Produced Notary Signature ~~ C`~ ~ ~ bra. .~-a~i~ Name (print) ~~ ; , ~ ~ r1 ~= ~~ .~ l ~ c C OIa. Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my lmowledge and belief. soxnasmroc,~azoio 3 X33 Phone No. by owner upon whom notices or other documents may be served: Fax No. (Opt.) __ person to receive a copy of the Lienor's Notice as provided in Section I Fax No. (Opt.) expiration date is one year from the date of recording unless a different date Signature ofNatural Person Signing (in line # 10.}Above `~ Fax No. (Opt.) Q" a Y ~/ y N ~ N .Q ~ Tye "~ ii ~-+~ ~' ~ ~`~`$ ~ 0 ~ ~ ~~ ~ a O ~ a ~ o ~~ ~' ~ ' ~ ~ ~ '~ `~ y ', o ~ ,~ ~ ~~~ -~ o ~ . a~ ~ ~ ~ ~ ¢, ~ ! o `, o~~, ,a, ~ ~ =-- O ' ~ °r ~ V ~ ~ '.= o~„ a _ ¢, ~„ ~ ~ ~ ~ .d' ', w. 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'~ v O a ~ a~ -c ~ ~ .~ a~~, ~ o 0 ~ ~ ~ ~ o a~ ~ ~ ~ o~> ~ ~; Q O. r" ¢, s'Jn O ~ ^•~ . n .~., ,.... ~ ~ '~O O y O 4 ~+ ~ ~~~ v ~~ ~ a, ~ y -o ~ ~ ~~ O ~ Tn O ,~ '~ '~ ~ ~ u o ~ 0 0 j ~ ~ ' U c~` ,-~ N 'TS y ~ ~#~ ~ rc°~ ~ .~ ^,~ ~~ O ~, N U "~~ 5 .~ .._.s. ~./ a --~- --~ ~t `~'~ `~~) "~~ ` O v N ~+_ _ ~c ~; ~ '~ .n d ~ ~ w w -2 1 `~ ~ ~~ ,~- t1s Z ~ tt~~~,, ~ ~ ~a2~ ~ ~ ~ ~ ~ a z cC '~ Z N Z ~ ~ o ~ ~ a o `/ ~. ~ ~ •~ ~ ~ ~ U ~ U ~ V Installer Address; Product approval for window # Product approval for shatters # Method of opening protection: D impact Glass t~lywood ^ Shutters (rcquires serrate perm;t) Component and Cladding Charts ~,.~,F~a ..,m...,,,,~ C Exposure only 30' MRI3 Opening Size in SgFt End Zone** PSF Inferior Zone PSF 0-10 25.9- -48.6 25.9- -39.4 11-20 24.7- -45.4 24.7- -37.8 21-SO 23.2- -41.0 23.2- -35.6 51-i00 22.0 • -37.8 22.0. -34.0 Sketch footprint of buildiag; indicate size and location of windows to be replaced and location of bedrooms, ~~ -, ~; 's ~~ lj P ~~. 3~ fir; _.,,„~ ,y t 1. ~ ,.- t ~~. t 3 ~1, ...J •^„„'~ ~' ~~ ,. f ~~ ~~ =*~, .. , ~ f .r~~ .w.M~'-~ k L w. j...r.7 .v ~ ~~N ....J \\ 1. \ j/p' ~. ~., g.,,,~. y f ::, \'' } ~? "~ ~' s "^`..~ *Opening protection is required in the wind-borne debris region when the replacement glazing exceeds 25 percent of the aggregate area of glazed openings in the dwelling. **End Zone I O% of the length of wall and not less than 3 feet. CITY OF ATLANTIC BEACH One and Two Family Dwelling Window Replacement Worksheet* HARLESTON PARKES, R.A. ARCHITECT 1838 Seminole Road ATLANTIC BEACH, FLORIDA 32233 904-962-6368 FAX 904-241-7377 July 15, 2010 Art Regnier, Certified Building Contractor Jacksonville Beach, Florida Re: Fire Damage 1540 Francis Street Atlantic Beach, Florida Dear Art, I have visited the house in question and inspected the fire damage to the three trusses spanning the kitchen area. The bottom chords of the three trusses have some surface charring and have been subject to some period of high heat. Both of these cause loss of strength of the member. My recommendation is that the bottom chords be sistered with one new SYP 2X4 at each truss from the south wall bearing to the north side of the Hall to the north of the kitchen. Attach the sistered member with 8d common nails 2@12" o.c. Place nails an approximately 3/4" from ea. edge of the new member. ,, ~~~ Harlestort Parkes, R.A. AR0006496 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000915 Date 7/29/10 Property Address 1540 FRANCIS AVE Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation 53325 ---------------------------------------------------------------------------- Application desc Repair Fire Damage ---------------------------------------------------------------------------- Owner ------------------------ WEST ATLANTIC BEACH FL 32233 Contractor A WORK OF ART OF N. FL, INC. 1212 N 7TH STREET JAX BEACH FL 32250 (904) 294-2253 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 125.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/25/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 125.00 125.00 .00 .00 .00 .00 .00 .00 125.00 125.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 A~~ ~z~ ~ IGYZ-- ~~# o - oo~no~a JOB ADDRESS: I ~~~ ~r~ n C'- NEW OR REPLACEMENT I~NST~ALLATION: TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures RE-PIPE: TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures MISCELLANEOUS: Project Value $ QTY TYPE OF FIXTURE QTY ~ Septic Tank & Pit Shower ~_ Shower Pan ~_ Slop Sink Three Compartment Sink Toilet ~ Urinal ~ Vacuum Breakers Water Connected Appliances Z. Water Heater ~_ Water Treating System QTY TYPE OF FIXTURE QTY Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System ^ Sewer Replacement ^ Back Flow Preventer ^ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ^ Lawn Sprinkler System-Number of Heads ^ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** r~Other Permit 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 this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company CHRISTY FIRST COAST PLUMBING INC Office Phone 247-4419 Fax 249-4660 Co. Address: PO BOX 50446 City JACKSONVILLE BEACH State FL Zip 3 2240 License Holder (Print): BRIAN D. CHRISTY State Certification/Registration # CF C056487 Notarized Signature oJLicense Holder Sworn and subscribed before me this Signature of Notary Public PERMIT # day of 20 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000915 Date 7/29/10 Property Address 1540 FRANCIS AVE Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation 53325 ------------------------------------------------------------------- Application desc Repair Fire Damage ----------------------------------------------------------------------- Owner ------------------------ WEST ATLANTIC BEACH FL 32233 Contractor A WORK OF ART OF N. FL, INC. 1212 N 7TH STREET JAX BEACH FL 32250 (904) 294-2253 ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee 95.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/25/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 95.00 95.00 .00 .00 .00 .00 .00 .00 95.00 95.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. j~ - 0 9i~' 3~~~~>t~r CITY OF ATLANTIC BEACH "-`..~n 600 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 - i-1 OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 " ' '" ~MMN.COAB.US ~;-;,~,~ MECHANICAL PERMIT APPLICATION ~ o- ~~I~~~~f ~~I DUVALCOUNTY __ ,',1. JOE ADDRESS: THIS A SUB PERMIT: 3. DATE: 2, IS /~ / ~ ~ ^ r ` ~PES PERMIT#: ~ 'r PROPERT Y'OWNERi - 5 4. NAME: - 6. PHONE: . AI~RE~ IF DI FERENT~ J ~ J , ~~ ~~"' '~ ~ / ~~~ /v7 r/ ~ v ME CHANICAL CONTRACTOR: ~ME OF COMPANY: 8 . ADDRESS.: 9. STA E OF FLORI LICENSE NO: 10. CELL PHONE: 11. FAX NO.: ^ ~ r ~~e'~ 12. EMAILADDgESS: ~~/ ~~Z ` ~w^ 13. OFFICE PHONE: ~, /~ ~ ~ ~~p 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) onstruction or work is suspended or abandoned for a period of six (6) mont sat an ime after work is commenced. c months, or if l ~ ~ `~~~ f ARI # CONTRACTORS SIGNATURE: "" 15. CLA OF WORK: 18. BUI ING: 17. RVICE: t8. CU ..,ENT CODEr ^ INSTALLATION ^ RESIDENTIAL 7 FLORIDA BUILDING CODE- EPLACEMENT OF EXISTING SYSTEM XISTING ^ COMMERCIAL MECHANICAL ^ ALTERATION /ADDITION TO EXIST SYSTEM ^ REPAIR ^ OTHER MECHANIC A4;EQU,IPMENT TO BE TALLED: 19. HEAT: ^ SPACE ^ CESSED CENTRAL ^ FLOOR BURNERS: 20. AIR CONDITIONING: ^ ROOM ENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: ~ MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23. COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ^ PUMP ^ WELL ^ PIPING 29. GAS PIPING: # OF OUTLETS: ^ GAS AHU: ^ GAS WATER HEATER: 30. OTHER -SPECIFY: SOLAR HEATING, BOILERS, UNFIRED PRESSURE VESSEL, HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31. COOLING EQUIPMENT: ;lR CONDITIONING REFRIGERATI N EQUIPMENT CONOENSOR.S ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY ~G9~/~~ 1~ , 5 t1 1- 32. HEATING EQUIPMENT: ' FURNACES BO ILERS'FIREPLACES AIR HANDLERS: ETC. Ar Jc.; OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU A ENCY ~-- 3 3r~ /~~ ~ 33. T ANKS: TYP LIQUID APPR VIN NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY Mech Permit Applicaton 2010 s I Certificate of Product Rahn s AHRI Certified Reference Number: 1492609 Date: 7/29/2010 Product; Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number; GSZ130301A* Indoor Unit Model Number: AR*F303016B* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2101240-2006 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): 28400 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 26400 Region IV HSPF Rating (Heating}: 8.00 Heating Capacity(Btuh) @ 17 F: 16000 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, wamarKies or guarantees as to, and assumes no responsibility for, the produd(s) listed on this Certificate. AHRI expressly disdaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at wwrw.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION ~Q~ ~ The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air-Conditioning, Heating, " " Verify Certificate click on link and eMerthe AHRI Certified Reference Number and the date on ~. ~~ =r and Refrigeration Institufe which the certificate was issued, which is Rsted above, and the Certificate No., which is listed below. ©2010 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129249074062341384