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900 Seminole Rd 2015 HVAC CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J-�JJ31>f- MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-22 Job Type: MECHANICAL HVAC ONLY Description: 3.5 tons Estimated Value: Issue Date: 1/8/2015 Expiration Date: 7/7/2015 PROPERTY ADDRESS: Address: 900 SEMINOLE RD RE Number: 171971-0000 PROPERTY OWNER: Name: FAIRBAIRN TRUST, JACQUELINE B Address: 900 SEMINOLE RD GENERAL CONTRACTOR INFORMATION: Name: OCEAN STATE HEAT & AIR,INC. Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES 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 $28.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $87.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION POC CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 (� Ph (904) 247-5826 Fax (904) 247-5845 OB ADDRESS: 0 se't 1 1' C. �O Ct cl PERMIT# PROJECT VALUE $ �)2- 16.a ARI# I q 2 1 �-39 REQUIRED _Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 4EW 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 tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit 3• s IUB 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 El evators/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 )THER: L6 E D ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mo iat ave read tis 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 X. The permit does not give authority to violate the provisions of mother stalIteor local law regulation construction or the performance of construction. 'roperty Owners Name rT CC,.tAe_lI.!1n e, +6u Y �'JCi.Iyn Phone Number Z �q1" L!SS Mechanical Company cce0_- .S�( - U i' Ay Office Phone2` 14ZS_l Fax_Mj 4999 'o. Address: ` �� �t L I J�✓l.Q - City C State Zip�� ,icense Holder(Print): ate Certification/Kegistration# C t 13)D iotarized Signature of License Holder YVETTE P.MORALES Be f re me this y of 20 NOTARY PUBLIC STATE OF FLORIDA Sign re of tary Public J%/_�Vj _1W Expires 3/2/2017 i CERTIFI r t . FAHRI rtificate of Product Ratingb r . .7 Certified Reference Number: 7921839 Date: 1/8/2015 tStatus: Active i Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: SV042-lVT/CF/HZ*-***T/A*B Manufacturer: BOSCH THERMOTECHNOLOGY CORP Trade/Brand name: BOSCH Rated as follows in accordance with ANSI/AHRI/ASHRAE/ISO Standard 13256-1 for Water-to-Air and Brine-To-Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Air Flow Rate: 1400.0/ 1400.0 Heating Air Flow Rate: 1400.0/ 1400.0 WLHP (Water-Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 40900/40900 Cooling EER Rating(Btuh/watt) 14.10/ 14.10 Cooling Fluid Flow Rate(gpm) 10.00/ 10.00 Heating Capacity(Btuh) 45300/45300 Heating COP(watt/watt) 4.40/4.40 Heating Fluid Flow Rate(gpm) 10.00/ 10.00 GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) GLHP (Ground-Loop Heat Pumps) Cooling Capacity(Btuh) 43500/43500 Cooling EER Rating(Btuh/watt) 16.30/ 16.30 Cooling Fluid Flow Rate(gpm) 10.00/ 10.00 Heating Capacity(Btuh) 30100/30100 Heating COP(watt/watt) 3.50/3.50 Heating Fluid Flow Rate(gpm) 10.00/ 10.00 Ratings followed by an asterisk t";indicate a voluntary cerate 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 i' TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and E confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied:disseminated; 222{ 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 ;ftrlca r=;etrry.org,click on"Verity 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 ) Refrigeration 130651995148280298 ©2014 Air-Conditioning.Heating,and Institute CERTIFICATE NO.; n , , �, .. ... v,. „...... ....