Permit Mech 95 10th Street 2011 MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH •
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
Pi # // 2(. 3
- o$ ADDRESS: qS� /U �i'u.L
PROJECT VALUE $ degd . `'`)
iTEW MR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REOUI ED
ZEPLACEMENT AIR. CONDITIONING & HEATING SYSTEM INSTALLATION
ARI #i�
Air Conditioning: Unit Quantity 1 Tons Per Unit of .� - D
Heat: Unit Quantity BTU's Per Unit Seer Rating_ /l
Duct Systems: Total CFM REQUIRED
{IRE PREVENTION to - 1 -
1 1
Fire Sprinkler System Quantity. (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans) e
Underground Fire Main. Value (Requires 3 sets of plans) ( LO
Fire Hose Cabinets Quantity (Requires 3 sets of plans) GO
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
IRE 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
Ori HER:
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 r � �SK fc24' ► e.,t_ Phone Number % PW ~ MC/
Mechanical Company 4,, frL4 aej., ,ewe Office Phonelfl-Sai Fax
Co. Address: '07 A/. d1e' aria l City;i2ElercovaA4g4ta State Zip ,5.24.
License Holder (Print): 04!'� Al e - State Certification/Registration # (1k. /S/47 /40
i
Notarized Signature o, f License Hold' �.
' . , � . o rn and subscribed before me this 4/ day of /A 201/
........ �. � '_. My COMMISSION N EE 022726 `� ignature o f Notary Public ''��
ES 201♦
lixe.r,..4)i.-,:f....! 8onck rhru sotery Se'tember2 Pub . UndrV ReI$ 1
li # + �,. STATE OF FLORIDA
- �! DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
r °a "1 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
=r` 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
BUEHLER, JASON M
AIR SOURCE AMERICA, INC
2615 CRYSTAL COVE CT
JACKSONVILLE FL 32224
S TATE OF FLORIDA
AC# 542276(
Congratulations! With this license you become one of the nearly one million -' DEPARTMENT OF . , BUSINESS AND
Floridians licensed by the Department of Business and Professional Regulation. q „ PROFEESSIONAL IItEGULATION
Our professionals and businesses range from architects to yacht brokers, from ;
boxers to barbeque restaurants, and they keep Florida's economy strong. AC1816716 01/21/11 100307460
Every day we work to improve the way we do business in order to serve you better.
For information about our services, please log onto www.myfloridalicense.com. CERTIFIED AIR COND ` CONT R
There you can find more information about our divisions and the regulations that BU sER, J A S ON : M
i you, subscribe to department newsletters and learn more about the AIR SOURCE AMERICA, ,INC
Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers. xs , CERTZFxED n
under the provieio6 of cb. 489 Pt
Thank you for doing business in Florida, and congratulations on your new license! , Expiration data, AUG 31 2012 L21012100514
DETACH HERE
AC# 5422760 , . STATE -OF FLORIDA
DEPARTMENT OF" II IE'� ; _S� 1+ L RE U LATSON
CONSTRU RY PRO L LENSING � ' E L11o12100519
DATE BATCH NUMBER LICENSE NBR "
01/21/2011 100107460 C 18 .6715 , ; z
The CLASS. B AIR CONDITIONING �R C
Named below :IS csierir
Under the provisions of` Chapt
Expiration date: AU G 2012 �.,
NUEI LER, JASON M a1 1 � r
2IR SCTJRCF A RICA ;INC g K s
2615 CRYSTAL COVE CT
JACKSONVILLE FL 32224
RICK "SCO'T T = CEARLI.E E1
GOVERNOR - SECRETARY LI
DISPLAY AS REQUIRED BY LAW - _
A V�/ This combination qualifies for a Federal Energy
•a+• •• .� CERTIFIED TM Efficiency Tax Credit when placed in service
www.ahridirectory.org
between Feb 17, 2009 and Dec 31, 2011.
Certificate of Product Ratings
AHRI Certified Reference Number: 4385449 Date: 5/27/2011
Product: Split System: Heat Pump with Remote Outdoor Unit- Air - Source
Outdoor Unit Model Number: 4TWR5030E1
Indoor Unit Model Number: *AM7A0B30H21
Manufacturer: TRANE
Trade /Brand name: XR15 WEATHERTRON
Manufacturer responsible for the rating of this system combination is TRANE
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): 31600
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 15.75
Heating Capacity(Btuh) @ 47 F: 29800
Region IV HSPF Rating (Heating): 9.50
Heating Capacity(Btuh) @ 17 F: 18000
• 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
faze or manner or by any means, except for the user's individual, personal and confidential reference.
CERTIFICATE VERIFICATION
w LIO'
The infatuation for the model cited on this cendficate can be verified at www.ahridirectory.org, Air - Conditioning, Heating,
click on Verify Certificate" link and enter the AHRI Cedt ied Reference Number and the date on A. gm ,' and Refrigeration Institute
which the certificate was issued, which is listed above, and the Certificate No., which is listed below. g
02011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129509869386138760