1761 Ocean Grove Dr 2014 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
N, INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000390 Date 3/14/14
Property Address . . . . . . 1761 OCEAN GROVE DR
Application type description MECHANICAL HVAC ONLY
Property zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 0 ----------------------
-- --------------------------------------------------
Application desc
1 cu 1 ahu
------------------------------------
Owner Contractor--------------
----------
------------------------ OCEAN STATE HEAT & AIR, INC.
CURY, JAMES D & REAGAN 1476 ATLANTIC BLVD.
1761 OCEAN GROVE FL 32266
ATLANTIC BEACH FL 322335844 NEPTUNE BEACH
(904) 249-8251
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc - - 87 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 9/10/14 -------------------------------
-------------------------------------------- H DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE MEC
STATE MECH DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ----------- ---------- ---------- ---------- ----------
Permit Fee Total 87 . 00 87 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 91 . 00 91 . 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 Fy&...X- ED
800 Seminole Rd Atlantic Beach, FL 32233 311 11L<Z�r _j
Ph(904) 247-5826 Fax(904) 247-5845
Dy— —PERMIT
10B ADDRESS: 'I rov e- PROJECT VALUE $"�
qEW AIR CONDITIONING & 11EATING SYSTEM INSTALLATION
Air Conditioning: UnitQuantity_ TonsPerUnit
Heat: Unit Quantity— BTU's Per Unit Seer UIRED
Duct Systems: Total CFM
IEPLACEMENT AIR CONDITIONING & BEATING SYSTEM INSTALLATION
ARI#�(s U2-7
Air Conditioning: Unit Quantity Tons Per Unit RE(I?UIRED
BTU's Per Unit SeerRating V6-00
Heat: Unit Quantity UI�RED
Duct Systems: Total CFM
FIRE PREVENTION Quantity (Requires 3 sets of plans)
Fire Sprinkler System (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
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
cjw 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
OTMR:
.1000000000NOMM
or six months.I hereby certif�that I have read
Permit become e s,void if work does not commence within=Mmonth period or work is suspended or abandoned f
this application and know the same to be true and correcL 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 LA-0- Phone Number-.2-LA-11-
_kA -
Mechanical Company. Oflice phone -�;61 Fax ;N�
Co. Address: I LA-1 u- city State��_Zip 32::�
on/Registration# C_AC_0"4q310
License Holder(Print):
��oe �ay
Notarized Signature of License Holder of LP�� 201-4
Sworn scribe e re m
FRIEDA S.JONES
(V NOTARY PUBLIC Signature 0 lic
STATE OF FLORIDA
Comm#EEZOD65
Expires 7/18/2016
03/14/2014 08 :46 FAX 9042498949 OCEAN_STATE-A/C 4 ATLANTIC-BEACH 001/002
WcRANIc.AL PERMff APPLICATION
7'
CITY OF ATLANTIC IBFACEI
goo Seminole Rd Alb�atic BeacJ36 FL 32233
ph(904)247-5926 fax(904)247-5945
3B ADDRM: 1'7 tf- PERMff
PROJECT VALUE
EW AIR CONDMONING & HKATMG SYSTEM INSTALLAT'ON
Air Conditioning: Unit QuzndtY Tons Per Unit Ro ft,
Heat: Unit Quantity BTU's Per Unit sea REQ
Duct Systwns: TotEd CTM
EPLACEWNT AIR CONDITIONING & BEATING SYSTIEM INSTALLATION
AM# UUTS-7,t,96
Air Conditioning, Unit qusm��Y Tons Per Unit )WOUMED
SeandbTa—
Heat unit ouantity BTLP s Per Unit-11-'Laa k_�:00 -
Dud Systems: TOW�11FM AEQVMED
GLE PREVENTION (RMnirex 3 wis of PIAM)
Fire Spfinider System quall�ty 3 soft of
Fire Sbndpi Quantity
unp=, Mim main value 3 Beft of=P111
gteqWrw 3 9M of PIMM)
Fire Hose Cabinets gum4ty qWm seb.of pii;j
CommercialHoods Quantity
Fire Suppression Systems QuHnfitY (Requires3 sets of
M PLACES MISCEMANEOUS!
pre&bricated FiTeplace QtY— Autombile,Lifts BTU's
Gas Piping Outlets BOB= —
Elevabors/Escalaton
LL OTHER GAS PIPING HOd EKcbaugu -----------
Quavaty of Oudeft P-=-*S s
0 Vented Wall Fumaces ReffigmtM Cmim=
#Water Hadas Sola collactim Systems
Tanks(gd1M)
Wells
ITRER.
ndt b==void if work do=na c=Mcc wftbiu a dx m0wh PNW Or ww"s susPanded at abandonW umft I 6WOby=dfy 1W I bm rad
is applic2don 2ad lmowft smeto be=e and cmem AUpvvWoworl&wgmdanflnmwmgovmfttbwmkwWbecumplicd*AhwbedmRxctW
wYL The petmmit d=DDt gim wAhGrity tD viobft the pmvlqicw of my ad=Ston qr Igeal JAW tOP19fiOn wnswxiian or ft pwftmnm=Of wmucdm
- ) Ph=Number
K
ropmtyOwners Name 0_Urq1
MoePhowA__q!;1S1 Fax
jed�Company -FL
-1 U_ city Staw
b. Addiess: _J_�L
Ft C9, 4q 6 1
Icense Holder 0�rin* .-0
rouwized Skmaa"of Licewe Hokler
SWOM of 20-&-
A. D. MWA 5-X)Ws Signature o 0
03/14/2014 08 '.47 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH IaOO2/002
0% "IMF
a-uamLd CERTIFIED'
i L www.a hri d I rectory,a rg
Certificate of Product Ratings
AHRI Certified Reference Number: 6687890 Date: 3/13/2014
Product; Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 4TWR3018Dl
Indoor Unit Model Number: GAM5BOA118MI1111
Manufacturer: TRANE
Trade/Brand name. XR13
Series name:
Manufacturer responsible for the rating of this system combination is TRANE
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(Stuh)- 19800
EER Rating (Cooling): 12,00
SEER Rating (Cooling): 15,00
Heating Capacity(Stuh) @ 47 F., 17700
Region IV HSPF Rating (Heating); 8.00
Heating Capacity(Btuh) @ 17 F: 10900
litiliripg roliomid by iin iml(irli%k(-)indinalft I%vcilunijiry virrim W pisivimiwy owooiN)(i(wm,tinlow)ncuoriepwiled Willi ts WAS.whicii iniiiamog iiri
DISCLAIMER LA o,and smumos no responsibility 1`01.
AHRI doos not oni!10010 tht;product(,14)haled on this Certificate and makes no ropre!&Qi1wtI*iIS,wArrAn06S or 9 aniinices aN 1 11
the product(s)listed on this cartimcate.AHRI expressly discitilms ioll liability fur damages of any kind arising out of the use or perpormijoCe of the prodott(t).or the
unauthorized IllaratiOn of OMO INtod on this CortifIcote.Certified ratings are valid only roe models and can[Igurv0;in,,;Ilstoo in the
directory at www.iiIIrI(IIreCt6iry.0r�!-
TERMS AND CONDITIONS ki 10
This CarthlentO and ItS C011WILN are Proprietary product&of AHRI,TfII3 CqrtlflC�Ikv%hJII only 00 osoo to(irdlyldunl,Pgroonal r P,l
confidential roferonco purposo5.TMio contents of this Cartificato may not,0 whole or III part,be reproeJuced;cwitd;div%trmlnated; a*
entered IrIto B Computer d.11abase:or otherwise uIlliled.in ziny form or manner or by iriy meeknS,oxcept for the user's individual. Allf-CONL)ITIONIN10.HLAIING.
porwol amel confIdamOol rol'arnmed, K rMFINKRATION INSTITUTE
CERTIFICATE VERIFICATION
Trio Information for thea model cited on this ccrtIficato Con be voriflod 9t www,iAhtiAii,roctory.ovL,click on "Vorify Cuftilicato,link
wN0 pritor the AHRI cartitirid floriurtinru NvIrribrif ond thu OwLu Qn which the coptificuto was issued,
which is Ilited 3bove,and the oertificote No.,which Is listed at bottom right. 130392005230734569
02U4 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: