The URL can be used to link to this page

Permit Mech 1057 Beach 2012 S rl`1 \ 6.1 S CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD .0 . ATLANTIC BEACH, FL 32233 ` INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002652 Date 4/25/12 Property Address 1057 BEACH AVE Application type description MECHANICAL HVAC ONLY Property Zoning RES GEN MF DISTRICT Application valuation . . . 0 Application desc 1 cu 1 ahu Owner Contractor LOFF, HOWARD BURLESON INC 1057 BEACH AVE 1903 GREENLEAF LANE ATLANTIC BEACH FL 32233 LEESBURG FL 34748 (352) 748 -5247 Permit W /W /O MECHANICAL PERMIT Additional desc . JOB DONE PRIOR TO PERMIT Permit Fee . . . 182.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/22/12 Other Fees STATE MECH DCA SURCHARGE 2.73 STATE MECH DBPR SURCHARGE 2.73 Fee summary Charged Paid Credited Due Permit Fee Total 182.00 182.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.46 5.46 .00 .00 Grand Total 187.46 187.46 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. * Ciity of Atlantic Beach Oper: DStI RECEIPT * ** Date: 4 /25/12 01 Receipt t 7: 1 Description P no: : 4 47413 20 Quantity Amount BP BUILDING PERMITS 1.00 $187.46 Tender detail TO al Rtender CARD Total y $187.46 Pa Bent $187.46 $187.46 Trans date: 4/25/12 ?life: 15:08:06 PREPARED 9/20/11, 11:07:33 CITY OF ATLANTIC BEACH PAYMENTS DUE RECEIPT PROGRAM BP820L APPLICATION NUMBER: 11 00002652 1057 BEACH AVE FEE DESCRIPTION AMOUNT DUE STATE MECH DCA SURCHARGE 2.00 MECHANICAL HVAC PERMIT 91.00 STATE MECH DBPR SURCHARGE 2.00 TOTAL DUE 95.00 Please present this receipt to the cashier with full payment. 1 ' / ecl"). 1JQ'r) c i f Pl T/`$(-- �" COn v Le 30✓C la S /0 5 lied AN1``I /� / Ca 1`-ems` CaK - Ira cfUA/ /,f ,1, ' 5 -i (cx 1 1 -e v ij wv e O w h o l8'f + /140 Yry -Pt, i'e 4° vi) te 0 \k r'...d 7 s�� P 1 µS � PC . � +I r r ' \I (9 ( / 57 -‘9°J4m*t <: 4-0 b 6Q-0----- ,,,.._ I kk ) ,A ....._ Cdt:/----- jiol P---4- r ____________________........._ MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5 JOB ADDRESS: ) 1 oC 1 J V, , - �' 1( ` n //0Z PERMIT #E PROJECT VALUE S C1 . o) 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 # 'x-111 a-1 Air Conditioning: Unit Quantity 1 Tons Per Unit 0 REQUIRED Heat: Unit Quantity t BTU's Per Unit aLipoi.c20 Seer Rating i 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: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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 \-\ lacb , .1 Phone Number TA'FqVC\\11 Mechanical Company a k. es ; '' \ _ 0C_ Office Phone Wu Lit S i i2 a4i LI jjL' O Co. Address: A \ \ ''?„C ' - 7. City Ile \r\A State Vt- Zip ?L .S License Holder (Print): rsfrtr ki IQ ( Am State Certification/Registration # (PfLi g Val Notarized Signature of License Holder Sworn and subscribed before me this day of 20 Signature of Notary Public �.d 99 600917Z9 oui seoin.ies uosapnq A!RI CERTIFIED. Www.ahridirectafry.ofg ! i, a Certificate of Product Ratincis E. ,. :. • ! AHRI Certified Reference Number: 4341721 Date: 9120/2011 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source V Outdoor unit Model Number: PH13NA024 * * * *B indoor Unit Model Number: PF4MNA025 Manufacturer PAYNE HEATING AND COOLING k :; Trade /Brand name: PAYNE PH13 Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING 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): EER Rating 22400 (Cooling): g ( 9} 10.60 SEER Ratin Coolinr ...: ' 9 ( 9 }= 13.OQ Heating Capacity(Btuh) @ 47 F: 21000 Region iV HSPF Rating (Heating): 7.70 • Heating Capacity(Btuh) @ 17 F: 13000 • ' i , i i. I • ' Ratings followed by an asterisk ( ") it dicate a voluntary r crate of previously published data, unless accompanied with a 'NAS, which indicates an involuntary rerate. DISCLAIMER • I ; AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, theproduct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the products) Or the • unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the directory at vrr w.ahridi rectory.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 utNized, in any form or manner or by any means, except for the user's incividual, personal and confidential reference. CERTIFICATE VERIFICATION A llk The information for the model cited on this certificate can be verified at wwvr.ahridirectory.org, �� click on "Verify Certificate" fink and enter the AHRI Certified Reference Number and the date on A ir - Condilioning, Healing, i which the certificate was issued, which is listed above, and the Certificate No., which is listed below ail � � and Refrigeration institute •. ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1296099954134213425 Z' 9960091Z9C DUI seolAJes uosaianq