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447 Osprey Key 2014 HVAC CITY OF ATLANTIC BE AC J 800 SEMINOLE ROAD s) ATLANTIC BEACH, FL 32233 J =" INSPECTION PHONE LINE 247-5814 is) Application Number . . . . . 14-00000062 Date 1/21/14 Property Address . . . . . . 447 OSPREY KEY Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- ROCK WALTER D & DOROTHY C TRST AIR SOURCE AMERICA INC 447 OSPREY KEY 2615 CRYSTAL COVE CT ATLANTIC BEACH FL 322334367 JACKSONVILLE FL 32224 ---------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee 99 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/20/14 -------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ----------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- Permit Fee Total 99 . 00 99 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 103 . 00 103 . 00 . 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: NA- O" PERMIT# PROJECT VALUE $3710.00 ARI# REQUIRED Air Handling Equipment Only —x—Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 3 Heat: Unit Quantity 1 BTU's Per Unit 36,000_ Seer RatingREQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM 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.I hereby certify that 1 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 DOROTHY ROCK Phone Number ;?-4 l- Rq Mechanical Company AIR SOURCE AMERICA,INC Office Phone 904-233-8831_Fax 904-372-9379 Co. Address: 207 N. 20TH STREET City JAX BEACH State FL Zip 32250 License Holder(Print): JASON BUEHLER State Certification/Registration# CAC 1816716 Notarized Signature of License Holder Before me this da �, 20 Catherine H.Smith �_ y of -• `.COMMISSION#EE010240 Signature of Notary Public - off°.EXPIRES:JULY 19,2014 www.AARONNOTARY..com LAID Certificate of Product Ratings AHRI Certified Reference Number: 5764145 Date: 1/21/2014 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 213CN(A,W)036****B Indoor Unit Model Number: FB4CNF036 Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: LEGACY LINE PURON HP Series name: Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS Rated as follows in accordance with AHRI Standard 2101240-2008 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): 33600 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 33000 Region IV HSPF Rating (Heating): 7.70 Heating Capacity(Btuh) @ 17 F: 20200 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, w "� Air-Conditioning,Heating, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on A. ■o -' and Refrigeration Institute which the certificate was issued,which is listed above,and the Certificate No.,which is listed below. ©2013 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130347819571161939