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306 12th St 2015 HVAC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-327 ONLY Job Type: MECHANICAL HVAC Description: 2 cu 2 ahu 5 tons Estimated Value: Issue Date: 2/13/2015 Expiration Date: 8/12/2015 PROPERTY ADDRESS: Address: 306 12TH ST RE Number: 171923-0000 PROPERTY OWNER: Name: TOUSEY JR, CLAY B & PHYLLIS, Address: 2225 ALICIA LN 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: Furnaces and Heating $28.00 AC and Refrigeration $40.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $127.00 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 �06,Seminole Rd Atlantic Beach, Fl,32233 Ph(904)247-5926 Fax(904)247-5845 PERMrr JOB ADDRESS: -4 ARI# REQUIRED , e— PROJECT VALUE & Condenser Condenser Only Air Handling Equipment Only Air Handling Unit NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity -? Tons Per Unit t-ToLs 4 1 11,C Seer Ratm, /,b ,e2 Heat: Unit Quantity_z BTU's Per Unitf4A—,ve REQUIRED Duct Systems: Total CFM 2eE!L-- REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Seer Ratin Heat: Unit Quantity BTU's Per Unit REQUIRED Duct Systems: Total CFM FIRE PREVENTION Quantity (Requires 3 sets of plans) Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Value (Requires 3 sets of plans) Underground Fire Main (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 MISCELLANEOUS: FIRE PLACES Automobile Lifts prefabricated Fireplace Qty— Boilers BTU's Gas'Piping outlets 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 OTHER: ftrmit 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 hav this application and know the same to be true and correcL All provisions of laws and ordinances g6verning this work will be complied with whether specified not The permit does not give authority to violate the provisions of any other state gr local law regulation construction or the performance of construction. Property owners Name Phone Number aX 4tQt-,q"1f Mechanical Company office Phone F _�j_ Co. Address:19a(, d 4 C city yw&A--e�- State R - zip 12��—b6 -i- S!!�;Certification/Registration#Cj9C-0,L(q 3 (0 License Holder(Print): VL r4 -anaN% Notarized Si NOTARY PUBLIC 20 15 STATE OF FLORI Be re I- "y of — Comm#EE879174 Signature of Rotary-pu�lic Expires 3IM17 .................... 7 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service Now anal CERTIFIEEr between Feb 17, 2009 and Dec 31, 2013. www,a h ri dire c to ry.org L Ce,,�� rtificate of Product R`- a "tin 4, VMW"W J,x IM AHRI Certified Reference Number: 6938389 Date: 2/12/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HNB648A**31 Indoor Unit Model Number: FE4AN(B,F)005L+Ul Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: INFINITY SERIES PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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): 46000 ik EER Rating (Cooling): 12.50 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh) @ 47 F: 46500 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 29400 at Ratings followed by an asterisk indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary reu a. 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 IMF TERMS AND CONDITIONS a nd Th C t'f' te and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,person I a co'nsfidern'tlialcareference 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,i*,AIMC personal and confidential reference. &REFRIGERATION INSTJITUTL' 0 CERTIFICATE VERIFICATION click on link The informati n for the model cited on this certificate can be verified at and enter the0AHRI 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. 130682547458937572 @2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: This combination qualifies for a Federal Energy R) Efficiency Tax Credit when placed in service IL CERTIFIED between Feb 17, 2009 and Dec 31, 2013. emu 11 FFL No IL www.ahridirectory.org 0�41� wficate of Product Ratings AHRI Certified Reference Number: 3837467 Date� 2/12/2015 Product: Variable Speed Mini-Split System: Heat Pump with Outdoor Unit-Air-Source, Ducted Outdoor Unit Model Number: SUZ-KAl2NA Indoor Unit Model Number: SEZ-KD12NA 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 I Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Rated as follows in accordance with AHR Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 11500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh)@ 47 F: 13600 Region IV HSPF Rating (Heating): 10-00 Heating Capacity(Btuh) @ 17 F: 9000 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 NCE#TO QUICKLY LOCAT�THIS COMBINATION IN THE DIRECTORY. THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERE Ratings followed by an asterisk i')indicate a voluntary rerate of Previously published data,unless accompanied with a VIJA ,which indicates an involuntary rerate. i DISCLAIMER t s no responsibility for, AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees s o,and assume 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 TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal e contents of this Certificate may not,in whole or in part,be reproduced;copied:disseminated; confidential reference purposes.Th ,except for the user's individual, entered into a computer database;or otherwise utilized,in any form or manner or by any means per.son.1,Cand confidential reference. &Rr,'VRIGERATION .E T., ATE VERIFICATION link click on The information for the model cited on this certificate can be verified at I , 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.: 130682563888810840 @2014 Air-Conditioning,Heating,and Refrigeration Institute