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1479 Laurel way 2012 HVAC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001665 Date 11/13/12 Property Address . . . . . . 1479 LAUREL WAY Application type description MECHANICAL HVAC ONLY Property zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 7424 ---------------------------------------------------------------------------- Application desc Replace 1 cu 1 ahu & duct system ----------------------- ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ HENDRICKS TIMOTHY R & BARBARA WILSON HEATING & AIR 1479 LAUREL WAY 100 MASTERS DR FL 32084 ATLANTIC BEACH FL 32233 ST.AUGUSTINE (904) 827-1216 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc - . REPLACE 1 CU 1 ARU & DUCT . 00 Permit Fee . . . . 127 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . - 5/12/13 -------------- ------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 127 . 00 127 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 00 131 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 11/08/2012 11:40 9048271219 WILSON HVAC PAGE 01/03 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 322')3 Ph(904)247-5826 fax (904)247-5845 PERMIT# JOB ADDRIESS: 0A) PR OJEC T VAL UE C 0 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air conditioning, Unit Quantity Tons Per Unit Heat: Unit QuantitY BTU's Per Unit Seer Rating TE—QUtRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION A R 14—`-'i&I�� r Unit REQUI D Air Conditioriinf,: Unit Quantity I Tons PQ Heat: Unit Quantity--L— BTU's Per Unit L45 00 Seer Rating Duct Systems: Total CFM Len() REQUIRED FIRE PREVENTION Quantity (Requires 3 sets of plans) Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe (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 FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty— Automobile Lifts Gas Piping outlets Boilers BTU's Elevatorsffiscalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps 4 Vented Wall Furnaces Refrigerator Condenser BTU's Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: 00 dond for six months.I hereby certify tiiat I have read Permit becomes void if work does not commence within a six month period or work is suspended or aban this application and know the same to be true and correct, All provisions of laws and ordinvince.5 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 iocal law regulation construction or the performance ofconstruction. Property Owners Name Phone Number qq ax Mechanical Company frice Phone, AX1 I. F Co. Address: city /L -EY#State—Zip te ertificatxorvRe-istration#aAr—()st5-75a License Holder(Print)- St�i / Notarized Signature of License Holder Sworn and subscribed before me this of 201z� KN� JMIFM F.GAMMM Signature of Notary Public WC0MM1$$M#8E1UW =I.R7=4�2016 q&FUpdraWs #0375 P.001 /002 11/06/2012 12:49 9048271257 WILSON-HVAC _j rowell-IRREMMI includes em#1, PureAir d-on &Solar Bonus. 0 �#* 10 — 2 Q/Z To be eligible for a system rebate, homeowner must purchase one qualifying product from each category: Outdoor, Indoor,and Controls. PureAir can be added to any guafifVing system below for an additional rebate. icomfort"rouch XCIG XC211 lcomtoftTw Touch [CornfortWI-Fl XP16 XP2 IlcornfortTm M-FI CSTOOO MIMI Z4 Hannany III HonaywoUt-sw UV A MOW rtTOucn )(P211 Ilcornfort Wl-FI XC1T1 XP1171 W_A� XC14 jeornfort Touch .4 icomfortVA-Fl XP14 CS7000 HarMOny CS7000 XC21 A " - �% XP21 C$50W Honeywell t-StW XC17 Harmonylll� XP17 13C P 15C I lcornfort enabled uniL Must have an lconnfort-enabled Indoor unit to use the immfort control option, icomfort control can be either touch or wvfl. Must submit serial number for Icomfort wl-fl. 2 No Wparate Woor unit is needed W qualify for a Padqge Mt�Y"rn- .1 Mu5t be a.lew rnmal)le Honeywell thenTtostjt purrhased fromj I be purchase wit 'th a reAir re a is system add-on only,it Joiili I lot qualify for al�l' in ividualreb ust W h sy-stem above to receive rebate amount.one PureAir per system. cannot be combined with ividual unit offers below. ms 1,�'2,&*3 qualify for Solar Bonus. Must Purchase a qualifying system and install 4 solar panels. one bonus per installation/household.Sales will be verified by Lennox. Individual Unit Rebates--M' ZT, G61M CBX32MV LENN17X Page 4 of 7 11/08/2012 12:49 90482712�7 W I L S 01T-��7A` #037S P.002 /0012 ARJ10P U CERTIFIED71 Certificate of Product Ratrinpm I AHRI Certified Reference NUMber: 5272168 Date: 1118/2012 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number:XP21-048-230,** Indoor Vnit Model Number;CBX32MV-048-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name:XP21 SERIES Manufacturer responsible for the rating of this system combin2tion is LENNOX INDUSTRIES,INC. Rated as follows in accordance with AKRI Standard 2101240-2008 for Un"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)-. 47500 EER Rating(Cooling): 12.20* SEER Rating(Cooling): lltbd Heating Capacity(Btuh)@ 47 R 465100 Region IV HSPF Rating(Heating): 9.20 Heating Capacity(Btuh)@ 17 F; 29000 FZatings fpIk-*d by an asterisk indi-Le a Voluntary rerats of PrCViQVt;[Y?Ubli-&hed data.uNeGs acpQrnps(ved"tn a',VAS,YA�d''nd"'a" e'ate DISCLAIMER wa" or arameas as to.and jrurnes no rusponsibaity for, AHRI does not endorse the produc4s)i1sted on this carfificzft aod makcs no'"m5efit3fiOnS, ntlea gu ma e 0ithe ucgs),or the tft produc4s)risted on ths CertMeate.AHRI exprus*disclauns 4 ILWky for damages Gf M kind arising out ofthe use Or pedol ne prod in the directoty at wvAy.shridirectory"g. Wrauthorized aftrafign of(tata listed on this Ca;tftjw_ce4tyied ratings are vafid only for m4dels and wnfigurabon!s WW TEF,Ms AND CONDITIONS identiall reference purposes This CertfirJte and irm contents aft PrWdetarY products of AKRI,Th4 cerolicsia shag only bt used for individual,pemonal and conf The cordents of thr.cerdfr,*c may not in WtW19 or in Wrt,he reprodudM:copied;dmswi&.-Aed:erMmW iPW a(;:QFnPLrtef d3tabasei or othermse utilked,ir;any imm or manner w by any meam,except fvr the umerN3 individual.personal and confldentw rufwwce- CF-RTiFICATE vERIFICATION The Information f�wthefflodel clWd on thps ;erwycate can be verifiw atw�.ahridiyectory.wg, Air-Conditioning,Soaring, click on"W�Cettfficate ink and qnbewr the AHRI Certified Ro"nce Number and the daft On 1WIN and Refrigeration Institute vAlch tM cer6ficate w,;ia i9sued,vftch iS NAed above,WW the cenftate NoL,which is Wed beWw, 1695 @)2012 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: