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2160 S Fairway Villas Ln 2014 HVAC CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 X1Ia Application Number . . . . . 14-00000930 Date 6/10/14 Property Address . . . . . . 2160 S FAIRWAY VILLAS LN Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT Application valuation . . . . 0 ----------------------------------- Application desc 1 CU 1 AHU ---------------------------------- Owner Contractor _ ------------------------ MILLSPAUGH, CHRISTOPHE AIR SOURCE AMERICA INC 2160 FAIRWAY VILLAS LS 2615 CRYSTAL COVE CT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 ----- ------ Permit . MECHANICAL HVAC PERMIT Additional desc • Plan Check Fee . 00 Permit Fee . . . . 95 . 00 0 Issue Date Valuation Expiration Date . . 12/07/14 --------------------------------- Special Notes and Comments STICKER FOR OVERCURRENT PROTECTION MUST BE ON A/C EQUIPMENT PRIOR TO INSPECTION. FAILURE TO COMPLY WILL RESULT IN A FAILED INSPECTION AND REINSPECT FEES . NO EXCEPTIONS . ____ ---------------------------------- Other Fees STATE MECH DCA SURCHARGE 2 • 00 STATE MECH DBPR SURCHARGE 2 . 00 _ -------______ ---- Fee summary Charged Paid Credited ----Due--- . 00 _ _ ---------- ----- ---------- - . 00 Permit Fee Total 95 . 00 95 . 00 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I MECHANICAL PERMIT APPLICATION JOB ADDRESS: 2160 Fairway Villas Lane South PERMIT# *Pursuant to F.S. 553.721 & F.S. 468.631, a surcharge fee will be collected on any permit regulated under the FBC* VALUE OF WORK $ 3,538 AIR CONDITIONING, HEATING & DUCTWORK INSTALLATION ❑ Air Handling Equipment Only X Air Handling Unit & Condenser ❑ Condenser Only • Sizing calculations shall be submitted in accordance with FBC-Energ�Conservation 101.4.7.1.2 • Signed Duct Sealing C'ertificcrtion to be attached toAHUforfinal inspection in accordance with FBC-Energy Consenu ion 101.4.7.1 Air Conditioning: Unit Quantity 1 Tons Per Unit a-5 Heat: Unit Quantity 1 BTU's Per Unit 30.000 SEER/EER Rating 13 Duct Systems: Total CFM REQUIRED FIRE PREVENTION (Plan Review Required) Fire Sprinkler System #of Heads (Submit 3 sets of plans) OFFICE USE ONLY Fire Standpipe Quantity (Submit 3 sets of plans) FL SURCHARGE$ Underground Fire Main Value $ (Submit 3 sets of plans) CROSS CONNECT FEE Fire Hose Cabinets Quantity (Submit 3 sets of plans) Commercial Hoods Quantity (Submit 3 sets of plans) ❑$35-Well, 2 inches or less Fire Suppression Systems Value $ (Submit 3 sets of plans) ❑$200-Well, 2 inches or more FIRE PLACES MISCELLANEOUS Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Qty Boilers (BTU's) Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Gas Piping Outlets Qty APs Vented Wall Furnace Qty Refrigerator Condenser(BTU's) Water Heater Qty Solar Collection Systems LP or Gas Tank(gallons) WELL (Boundary Survey or Drawing detailing the following information is Required) Purpose GPS Coordinates Latitude: Lonffitude: Size Diameter/Depth in x ft Well Casing Depth ft Well Casing Material ****SJRWD Well Completion Form to be submitted to the Building Department prior to final inspection **** ****Separate permit(s)required from Duval County**** OTHER Permit becomes void if work is not done during six month period. 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 c coon a rformance of onstruction. Property Owners Name C h ri s m i ffs p a n g Phone Number 610-3889 Mechanical Co.Name Air Source America Office Phone 233-8831 Fax 372-9379 E-Mail Address airsourceamerica@gmail.com Co. Address 207 N. 20th Street City Jax Beach State FL Zip 32250 License Holder(Print): uehler State Certification/Registration# CAC 1816716 Notarized Signature of License Hol (Affix Notary Seal Below) N ARY P IC, STA E OF FLORIDA,COUNTY OF DUVaI o°"'"''B%, watnerine H.Smith �``4Y PUL - Swo or affirmed) and subscribed before me this 10 day of June 201 Ch'NIa&ON#EEO 10240 ;. EXPIRES.JULY 19,2014 Notary Public Signature •7%;�°;,;,`,d;•' V VWW.AARONNOTARYcan Notary Name: �ersonallvnown/Identification: 11 NORTH 3RD STREET PHONE(904)247-6235 FAx(904)247-6107 FBC 2010 REVISED 3/15/12 www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 5725541 Date: 6/10/2014 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 13HPX-030-230-17 Indoor Unit Model Number: CBX25UH-030-230-" Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: 13HPX SERIES Series name: Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. 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): 28400 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 27000 Region IV HSPF Rating (Heating): 8.00 Heating Capacity(Btuh) @ 17 F: 17300 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, AIR-CONDITIONING,HEATING, personal and confidential reference. &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. CERTIFICATE NO.: 110468871501760865 ©2014 Air-Conditioning, Heating,and Refrigeration Institute