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Permit Mech 5402 Fleet Landing 2012 J � e ;� CITY OF ATLANTIC BEACH tV 800 SEMINOLE ROAD '�j ATLANTIC BEACH, FL 32233 v*AA,, INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000104 Date 1/26/12 Property Address 1 FLEET LANDING BLVD 5402 Application type description MECHANICAL HVAC ONLY Property Zoning PLANNED UNIT DEVELOPMENT Application valuation . . . 0 Application desc 1 cu 1 ahu Owner Contractor NAVAL CONTINUING CARE DAVID GRAY HEATING AND AIR INC FLEET LANDING 6491 POWERS AVENUE 1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32217 ATLANTIC BEACH FL 32233 (904) 724 -7211 Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . 180.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/24/12 Other Fees STATE MECH DCA SURCHARGE 2.70 STATE MECH DBPR SURCHARGE 2.70 Fee summary Charged Paid Credited Due Permit Fee Total 180.00 180.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.40 5.40 .00 .00 Grand Total 185.40 185.40 .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: .- Opt 4 (--4 v‘) t K 6 o v l eiiiC PERMIT # �GN`L 6eacl � 3� � PROJECT VALUE $ 3 C oG U,.y ti-540L 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 # /t/t-/ 7977- Air Conditioning: Unit Quantity 1 Tons Per Unit 22- REQUIRED Heat: Unit Quantity 1 BTU's Per Unit 4 /c, Seer Rating /'3 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: U0, f t 9 2- 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 0 (le e.1 (.4,�) ; N' n Phone Number ?of -7 `{ ( - Q4 cx Mechanical Company )c ■ v )) ( er 0-004 ��.a� 4 I t C Office Phone 72,c-I -?-ztt Fax ' Z Li- 59'25 Co. Address: 6c-19 j i, 9 l e r 3 A - % e / City TGkC.ks cmo r /If State C— _ Zip 32 g License Ho1d�iilNit�� I�o✓�fc + / v 40e , State Certification/Re istration # C-14 0 57 - /ec Notarized � +� �Ase Holder MY Comm. ,,,.,, = S worn and subscribed before me this 2- day of T tot.a,r7 20 12 January 10, 201•; No. DD S. Nom .`, o 950913 • O Signature of Notary Public fZ, vLv\ A. 1 ' , `OF it`0` A CERTIFIED,. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 1443977 Date: 1/26/2012 Product: Split System: Heat Pump with Remote Outdoor Unit - Air- Source Outdoor Unit Model Number: GSZ130421A* Indoor Unit Model Number: AR *F364216B* 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 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): 40500 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 40000 Region IV HSPF Rating (Heating): 8.00 Heating Capacity(Btuh) @ 17 F: 24000 * 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 lung 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 AIM $N as and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129720639258423202 CHECK REQUEST DATE 02/01/12 ;. `� VENDOR NO. `'- ; �' c PAYEE David Gray Heating and Air, Inc. �� ,�• ADDRESS 6491 Powers Avenue CITY Jacksonville STATE Florida ZIP CODE 32217 ACCOUNT DESCRIPTION ACCOUNf NUMBER PROJECT NO. AMOUNT Mechanical HVAC 45500003221b01 Permit Fee 45500001040000 $78.40 Subtotal from Page 2 TOTAL $78.40 DESCRIPTION OF ITEM OR SERVICE: Permit #12 -104 was overcharged 78.40 in error SPECIAL INSTRUCTIONS: C ° To expedite processing, please attach adequate documentation to support payment. ADDITIONAL APPROVALS ONLY REQUIRED WHEN CHECK REQUEST IS OVER $500 dwhite 2 -1 -12 REQUESTED BY / DATE DEPT HEAD / DATE FINANCE DIR / DATE CITY MGR / DATE Effective: 5/10/04 Revised: 5/19/04 BP400UO3 1 CITY OF ATLANTIC BEACH 2/01/12 Permit %epup - Charge and Information Maintenance 14:03:58 Application and stru4titre : 12 00000104 000 000 Application type . . : MECHANICAL HVAC ONLY Property Address : 1 FLEET LANDING BLVD 5402 AB RE number . . . . . . . : 169397 -0200- - Permit type . . . . : MECHANICAL HVAC PERMIT Type information, pr Enter. Issue /reissue dates 1/26/12 1/26/12 Expiration date '. : 7/24/12 Additional descriptiun . Base permit fee . . . 55.00 Plan check fee . . .00 Qty Uni !Charge UOM or Mult 3.50 X 0 ;0000 EA M COMMERCIAL HOOD INSTALL 1.00 X 40 0000 EA M <200K BTU .00 X 0 ;0 EA M SOLAR COLLECTOR SYSTEM .00 X ;'',8;0000 EA M <10 TONS EA TON .00 X 14 :0000 EA M 10 -25 TONS EA TON .00 X 1'0000 EA M >25 TONS EA TON + F3 =Exit F9= Change unit charges F12 =Cancel ' 1 i i CC) 3 . 4 �` � CITY OF ATLANTIC BEACH . , ., s3 800 SEMINOLE ROAD J " , ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 1 ■ Application Number 12- 00000104 Date 2/01/12 Property Address 1 FLEET LANDING BLVD 5402 Application, type description MECHANICAL HVAC ONLY Property Zoning PLANNED UNIT DEVELOPMENT Application valuation . . . 0 Application desc 1 cu 1 ahu Contractor NAVAL CONTII1UING CARE DAVID GRAY HEATING AND AIR INC FLEET LANDING 6491 POWERS AVENUE 1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32217 ATLANTIC BEACH FL 32233 (904) 724 -7211 Permit . . . . . . .M E C H A N I C A L HVAC PERMIT Additional 4esc . . Permit Fee 1'. . . . 180.00 Plan Check Fee . . .00 Issue Date . . . . 1/26/12 Valuation . . . . 0 Expiration pate . . 7/24/12 IL Other Fees STATE MECH DCA SURCHARGE 2.70 STATE MECH DBPR SURCHARGE 2.70 Fee summary; Charged Paid Credited Due Permit Fee'Total 180.00 180.00 .00 .00 Plan ChecklTotal .00 .00 .00 .00 Other Fee *otal 5.40 5.40 .00 .00 Grand Total 185.40 185.40 .00 .00 j 1I /'gi ,, 4 % v � / d7 0� la , ? i I /1/ ��' g n • 42) co? 1 1' dlb \ 22, 414 z 1 io 0 PERMIT IS APPROVED ONLY i IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA ( 4 , BUILDING CODES. 1 h