1079 atlantic Blvd 2014 HVAC i f�j rl\l'r✓�i
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
MECHANICAL HVAC PERMIRTLANTIC BEACH, FL 32233
CALL BY 4PM FOR NEXT DAY IY#qFTt47Pffi4fkE LINE 247-5814
]OB IN
Job 14-MECH-332
oType:
Description: 1 cu 1 ahu 3 tons
Estimated Value:
Issue Date: 10/29/2014
Expiration Date: 4/27/2015
PROPERTY ADDRESS:
Address: 1079 ATLANTIC BLVD
RE Number: 177416-0000
PROPERTY OWNER:
Name: HARBOUR PLACE PROFESSIONAL
Address:
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:
Furnaces and Heating $24.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
i
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATIONS000
CITY OF ATLANTIC BEACH FAsXED
800 Seminole Rd Atlantic Boacb,FL 32233
(904)247-5826 Fax(904)247-5845
Jos AnnREss: �� -T�Q✓� C a7
PExAffr#
PROJECT VALUE$ , L'�° ARI# 53-/2-3 6 REQUIRED
Air Handling Equipment Only LAir Handling Unit & Condenser Condenser Only
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2
Heat: Unit Quantity BTU's Per Unit`ASO Seer Rating J O
Duct Systems: Total CFM REQUIRED
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)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty ' Automobile Lifts
Gas Piping Outlets Boilers BTU's
ElevatorsTEscalators
ALL OTHER GAS PIPING Heat.Exchanger
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 sic month period or work is suspended or abandoned for six months.I hereby certify that I have rear
this application and know the same to be true and corrom All provisions of laws and ordinances gdverning this work will be complied with whether specified
not The permit does not give authority to violate the provisions of any other state w local law regulation construction or the performance of construction.
Property Owners Namebl�Ah �i C lOma►-� Phone Numberq*- 22 3. 0 k1SS
Mechatu ��-eQt'1 'S*fc 4k4+A lC-
cal Company Office Phone 2' 1 SZ� Fax 2��I $�
Co.Address: 1 It -�0 n t 1�- '�6City � - State Zip3�8 Z
License Holder(Print): n State Certification/Registration# CA-C&q'9 3
Notarized Signature of License Solder
4 FRIEWI S.JONES Be re me day o C, 20
)NOTARY PUBLIC
STATE OF FLORIDA Signature of Notary Public
Comm#EE210055
. Expires 7/18/2016
CERTIFIED
@7
certificate of Product Ratings ,
AHRI Certified Reference Number: 5372363 Date: 10/22/2014
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: PA13NA036"—B
Indoor Unit Model Number: FB4CNF036
Manufacturer: PAYNE HEATING AND COOLING
Trade/Brand name: PAYNE
Series name: 13 SEER PURON AC
Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING
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): 32600
EER Rating (Cooling): 11.00
SEER Rating (Cooling): 13.00
IEER Rating (Cooling):
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.ahrld1rectary.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
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. 130584802692455819
@2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.:
!