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Permit Mech 1964 Sevilla Blvd W 2011 A *, t 7' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . . . . . 11- 00002328 Date 7/14/11 Property Address 1964 W SEVILLA BLVD Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BROCKWELL SERVICE EXPERTS 8475 WESTERN WAY STE 100 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 641 -2333 Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee • • • • 115.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/10/12 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 119.00 119.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION - CITX OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 0 ..• V " 1) .e AC I PERwr # • PROJECT VALUE $ ' ?/ NEW AIR CONDITIONING & HEATING SYSTEM INSTALIrATION Air Conditioning: Unit Quantity Tons Per Unit Duct Systems: Total Quantity BTU's Per Unit Seer Rating__ _ REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM STALL GN Air Conditioning: Unit Quantity / Tons Per Unit . � p ARI R E ` � u Heat Unit Quantity / _ BTU's Per Unit 4� a Seer Ratio Duct Systems: Total CFM W D FIRE PREVENTION Fire Spxini er System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Reqtares 3 sets of plans) Underground Fire Main. • Value (Requires 3 sets of plans Fire Hose Cabinets Quantity (Requires 3 sets of plans) Connmexcial Hoods Quantity (Requires 3 seta of plains) 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 Collaection. Systems t CI l S w� ( ) OTHER: 0) -'" Permit becomes void if wo does not commence within a six month period or work is =apt :aided or abandoned for shit months. I hereby certify that I have read ibis applitetiom and know it same to be true and **met All provisions of laws and ordinances goyaming tins work will be compiled: with whether specified Or oat• The permit does . ■ t give amherityto violate the provisions of any other state or local last regolatioa constriction or the performance of construction. Property Owners N. r. e , 2 4 . 5/ d C K t e // Phone Number ____,2„. -.V_6__,_5.,,,/ Mechanical Conipan • . A m Oi ce Phone 109) Fax Co. Address: S l Ut1u nuf i I: let City N .K1CrW Ile. Stated Zip s License Holder (Print): ' d 4 J - — State Certification/Registration # I J8/3 K' .N'tarized Signature of License Holder r..� • ae i A 6s�'m WO= and • ,+ cribed before me this day • f 4104_,.. ys 0 t >� CaROR A. BRESSI - , N Public - St of P ' S ' �' ' e O f Ot�ry Public .� + '.�,ei;�' Ill C amm Ex at arid 'O`; t° Con gfres Jui 5. 2014 ' "� mission � ft 35 112 • ZOO 'd LOP0D9V06 ' °N XV SN331\119N3 Nld Wd 17V: O 03M IIOZ-8 -irr This combination qualifies for a Federal Energy Arta N. CE RT I FIE D TM Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 1275807 Date: 7/13/2011 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: 14HPX- 060 -230` Indoor Unit Model Number: CBX27UH- 060 - 230" +TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade /Brand name: 14HPX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. 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): 59000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 55500 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 36000 * 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, (•■ AM and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2011 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129550581601410000 i Lt 1/ 1 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: / 9 (Tic) U / //,4 (13 U Jr Gt.) PERMIT # PROJECT VALUE $ ? d 9 / 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 �. ARI# 25 Air Conditioning: Unit Quantity / Tons Per Unit RE� l�, Heat: Unit Quantity / BTU's Per Unit 6 O, p D Seer Ratin . J Duct Systems: Total CFM QUIRED 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 QmAntity 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. P r o p e r t y O w n e r s N a m e 5 7 M 45,c0 C W to // Phone Number G.2 V6,5:5 Mechanical Company 3 't V 1 jJ am ' ` PP.�L 7 S Office Phone lo `a�i `), Fax Co. Address: eq -J' 1�-S C (oL 3U i Inc) cit Stated Zip 3a License Holder (Print): C✓4k'E j I— � p S tate Certification/Registration # N r tarized Signature of License Holder "" worn and sui�scribed before me this day s f ��� ' 20 1/ `� o , CAROL A. BRESSLER ! / Notar a S ' . afore of Notary Public s ; M Y u61ic - State of Florida + " ' o�. Co • Y Comm P es 'k ��.°.a`` Ex it Ju15, 2014 mmissi p EE 361 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of FL OA/ 43,61 County of O U if 4 To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: ` 9 (a �{ c1 V / /14 eL I /L7 co n- L4 C ,a Iv,( r L 3 �, 3 s Address of property being improved: / 56, y t.51 V J //4 4 L 1'O t ) 4TL/4N7 c / t' 4c F 3 3 General description of improvements: C Owner S G / .� /r !� (7 ,' G64.)r-// / ( 1— Address ! fP t/ se t/ / // JU L ✓,() & T..9 /T/C 23e/- C V I " L Owner's interest in site of the improvement 0 /4 ) it/ 3 3 -3 Fee Simple Titleholder (if other than owner) Name Address () Contractor 5'L 11 / c to L It PPS T S • rsto) Address S/ S �� ° 5 7`'�"_."/ A) 1.JA/ 5L✓l ° /6.0 JT4 Fe. 3 5 � . Phone No. L / a 3 3 Fax No. 6 �,,2 �-,�} y t Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other a „ r• documents may be served: %f % a Name • �r't►1 Address .. " " "'��, Phone No. ; z Fax No. 0 3 e , C In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in : v o rn Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). a Name m PPP Address - CT Ca Phone No. Fax No. -'in a Pe co Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a • different date is specified): • THIS SPACE FOR RECORKR'S USE ONLY OWNER ,/J / 2 B . DATE 7 / ✓ ` /� Signed: aY Before me this d of in the County of Duval, la of Florida, ha ers na ly ap red AO"' C ✓ riv herein by himself/ herself and affirms that all statements an declarations herein are true and accurate Doc # 20'i 1153452, OR BK "I 5656 Page 419, Number Pages: 1 06 "Recororded 07?14 -2011 at 09:41 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL Notary Public al Larpe, Slate or County of .or L[ L My commission expires: COUNTY Personally Known r i r / or RECORDING $10.00 Produced Identification C><, 9-, -Joy,