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Permit Mech 990 Seminole 2010 S � J CITY OF ATLANTIC BEACH I 800 SEMINOLE a 7.r s} ATLANTIC BEACH, FL 32233 # .....4 INSPECTION PHONE LINE 247 -5826 10- 00001445 Date 12/08/10 Application Number 990 SEMINOLE RD Property Address Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . • • 5600 Application desc install 3 ton water to air heat pump Contractor Owner BALLIS, GEORGE DONOVAN HEATING & AIR 990 SEMINOLE ROAD 315 SIXTH AVENUE SOUTH JAX BEACH FL 32250 FL 32233 ATLANTIC BEACH (904) 241 -3785 Permit MECHANICAL HVAC PERMIT Additional desc INSTALL 3 TON WATER TO AIR SYS .00 Permit Fee . . . . 99.00 Plan Check Fee . 0 Issue Date . . . . Valuation . . Expiration Date . . 6/06/11 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 g Fee summary Charged Paid Credited Due Permit Fee Total 99.00 99.00 .00 .00 .00 .00 Plan Check Total .00 4.00 .00 4. .00 Other Fee Total 4.00 .00 .00 Grand Total 103.00 103.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 0 Se WI n v 1x ( PERMIT # r0 / 7 r � PROJECT VALUE $ S.o co A 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 ct Air Conditioning: Unit Quantity 1 Tons Per Unit 3 REQUIR Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM W ct f r, fh cJ ,� i R IRED FIRE 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) 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 Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells 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 6-e o r-9 e- 6 / 1, S Phone Number Mechanical Company /ov (va ✓) / ec -/ -t A — / Office Phone Z 'i / - Y2 Fax Z WY ` l i J Co. Address: 3 /S (a -b a v-c. ST City Tay l&ck State 7 Z 3 0SZ ) License Holder (Print): _ t;✓ a/ ati4 a' /Le/a/A State Certification/Registration # Notarized Signature of License Holder i-c./ `2 Sworn and subscribed before me this ' day of L c e 14424-9-k- 20 / ‘I'''' , ,; Signature of Notary Public _}' i oi-44 fs.. til..I CERTIFIED TM ww w.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 3567789 Date: 12/8/2010 Product: Split System: Heat Pump with Remote Outdoor Unit - Air- Source Outdoor Unit Model Number: HRG1430 -1B Indoor Unit Model Number: HFE3617GX +RCSL -H *3617 Manufacturer: HEAT CONTROLLER, INC. Trade /Brand name: COMFORT -AIRE Manufacturer responsible for the rating of this system combination is HEAT CONTROLLER, INC. Rated as follows in accordance with AHRI Standard 210/240 -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): 29600 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.50 Heating Capacity(Btuh) © 47 F: 28800 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) © 17 F: 17900 * 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, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims 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 www.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 The information for the model cited on this certificate can be verified at www.ahridirectory.org, � � . Air Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on A. -' and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2010 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129363029275998628