366 Royal Palms Dr 2014 HVAC ' r
i
CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
MECHANICAL HVAC PERMIATLANTIC BEACH, FL 32233
U CALL BY 4PM FOR NEXT DAY I W0#;E LINE 247-5814
JOB IN .
Job ID: 14-MECH-151
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 1 ton
Estimated Value:
Issue Date: 10/6/2014
Expiration Date: 4/4/2015
PROPERTY ADDRESS:
Address: 366 ROYAL PALMS DR
RE Number: 171713-0000
PROPERTY OWNER:
Name: SALFER, ALLEN R. & ROSE ANN,
Address: 366 ROYAL PALMS DR 366 ROYAL PALMS DR
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
Address:
Phone: - -
PERMIT INFORMATION: 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.
FEES:
AC and Refrigeration $4.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $63.00
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
OB ADDRESS: ' 6 6 koVed 10c,(aA D(� PERMIT#
PROJECT VALUE $ 3 1 `�•y !� ARI# `� D b`I a S 3 REQUIRED
_Air Handling Equipment Only �it Handling Unit & Condenser Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity L Tons Per Unit 3# /o'l
Heat: Unit Quantity I BTU's Per Unit ill man Seer Rating t�
Duct Systems: Total CFM -- REQUIRED
tEPLACEMENT 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
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
ermit 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 I have read
tis application and know the same to be true and correct. All provisions of laws and ordinances governingpis work will be complied with whether specified or
3t. The permit does not give authority to violate the provisions of any other state or local law regulatio�onstruction or the performance of construction.
'roperty Owners Name P14 5Ct L t Ed` Phone Number fD`/-024 9•?86
Mechanical Company 0eeaq S-�aje k6a_44A 4 decry— Office Phondj0ya =8W"l
'o. Address: City ae FcA Statef)_Zip 3297 6 G
,icense Holder(Print): -G) s State Certification/Registration#(r#C4Ye1 3f'0
iotarized Signature of License Holder 1 - , 1
01 .
YVETTE P.MORALES Before e is y of C�e,1�u�' 20NOTARY PUBLISTATE OF FLORIDA Signa e of Notar ublicComm#EE879174
Expires 3/2/2017
This combination qualifies for a Federal Energy
■ '' Efficiency Tax Credit when placed in service
0!'10"!23 C E RT I between Feb 17, 2009 and Dec 31, 2013.
it
Certificate of Product Ratings
AHRI Certified Reference Number: 7064983 Date: 10/6/2014
Product: Variable Speed Mini-Split Heat Pump, with Remote Outdoor Unit Air-Source, Free Delivery
Outdoor Unit Model Number: MUZ-GE09NA2
Indoor Unit Model Number: MSZ-GE09NA
Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING
Trade/Brand name: MR. SLIM
Series name:
Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING &
HEATING
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): 9000
EER Rating (Cooling): 13.60
SEER Rating (Cooling): 23.20
Heating Capacity(Btuh)@ 47 F: 10900
Region IV HSPF Rating (Heating): 11.00
Heating Capacity(Btuh)@ 17 F: 6600
CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS
(BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED
EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON
THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY.
Ratings followed by an asterisk(}indicate a voluntary rerate of previously published c;:ta,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,ahridiirectory.or;.
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;
AM
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. AIR-CONDITIONING,INSTITUTE&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
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. 130570957150012436
02014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: