Permit 62 17th St HVAC 2011 es r. r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001650 Date 2/08/11
Property Address . . . . . . 62 17TH ST
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
1 CU 1 AHU
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Owner Contractor
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BYROD, ROBERT AIR SOURCE AMERICA INC
62 17TH STREET 2615 CRYSTAL COVE CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 87 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/07/11
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 87 . 00 87 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 91 . 00 91 . 00 . 00 . 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: PERmrr#
PROJECT VAGUE $ :20001 "',
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 INSTALLATIO
f ARu# 4
Air Conditioning: Unit Quantity Tons Per Unit Q ULK ED
Heat: Unit Quantity J ii BTU's Per Unit Lib Seer Ratio 13, u
Duct Systems: Total CFM REQUIRED
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 c4-7 Phone Number5�1?/
Mechanical Company Office Phone-? 3 Fax-47
I-
Co. Address: City� ar State96.zip
License Holder(Print): State Certification/Registration#
-Notarized Signature of License Molder
�,,`..r..... rn and subscribed before m this y of 20.C!
KRISTINE JOANN WRIGHT
MY
MISSION*EE 0227261 atE e Of Notary PLYb
r
EXPIRES:September t2�
',� ' Bonded Thru Notary Public
CERTIFIEDT
Certificate of Product Ratings
AHRI Certified Reference Number: 3017099 Date: 2/8/2011
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source, Free Delivery
Outdoor Unit Model Number: QSHC-181
Indoor Unit Model Number: OSHE-181
Manufacturer: QUIETSIDE
Trade/Brand name: QUIETSIDE
Manufacturer responsible for the rating of this system combination is QUIETSIDE
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): 18000
EER Rating (Cooling): 11.70
SEER Rating(Cooling): 13.00
Heating Capacity(Btuh)@ 47 F: 19000
Region IV HSPF Rating(Heating): 7.70
Heating Capacity(Btuh)@ 17 F: 9600
"Ratings followed by an asterisk(")indicate a voluntary cerate 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 AHRL 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.
which the certificate was issued,which is listed above,and the Certificate No.,which is listed below. ■n -' and Refrigeration Institute
02010 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 129416462627644387