390 SKATE RD HVAC CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J 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-1075
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2 tons
Estimated Value:
Issue Date: 5/7/2015
Expiration Date: 11/3/2015
PROPERTY ADDRESS:
Address: 390 SKATE RD
RE Number: 171667-0000
PROPERTY OWNER:
Name: SAMPSON, LUCY
Address: 390 SKATE RD
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME AIR COND DBA ARS
Address: 4211 EMERSON ST QA DENNIS M BROWN
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:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $16.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAY/06/2015/WED 02; 37 PM FAX No, P, 002
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
Joe Awwms: S K a7e- g 0 aD) PFRmi r#
PROJECT VALUE$
a
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Aix 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 INSTALLATI
ARI# -7 CO) 7.
Air Conditioning: Unit Quantity Tons Per Unit - RE UIlID
Heat: Unit Quantity I BTU's Per Unit Seer Ratin /'D;
Duct Systems: Total CFM _ REQULR. E.D
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of pians)
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 plana)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
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: � c
Pcrmit 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
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 riot give a ority to vi late the provisions of any other state or local law regulation construction or the performance of constructicxt.
Property Owners Name �Y�P_�� n hoc n Phone Number
Mechanical Company -10 r i a. cz �Oyv_, {Office Phone_n7-�'?no Fax�`�S'
Co. Address. Q�rl �J
City ft-)( State H Zip :3fyo
License Holder (Print): �,...�` . t . State Cerki£ication/Registration# m `' /
,Notarized Signature of.License Holder
eGNNIE A.T1M1cMMttworn and subscribed before this day of A?l 2Q
NbUry Pubilc-=t�da 0 WOO
commtatlon M"200082 gnat-are of Notary Public
My Comm.EXPI M Mar S,2010
��rui ti`'r Banded tNlxo}WIoIW Mulary Anil•
MAY/06/2015/WED 02: 38 PM FAX No, P, 003
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2014.
Certificate of Product Ratings
AHRI Certified Reference Number: 7509022 Date: 5/5/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: RP1524AJ1
Indoor Unit Model Number: RHIV2417STAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM; RUUD
Series name:
Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC.
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third
party testing:
,.• .u'.. '=err" •?,• ��.': - - .(�.. . .
•:�oniin Ca cit Btuh• 24Qa0,..., �.:�;;.•,,�°•... . ...
• :.E�R'Rafin• :(Cooliiig�)::. .. =� 12•.50 • '.,,,:• •
'.�'-ER: .'atln • .Cf!4n .._:-:.:�:••: •.:�:. 5:;_:d0_=:,'... -'�•' ':•.>� --
I.
°Neating CapaCity(Btuh)'[d�47 F:-;;_,:; 22M .
..t.
�tegioriaV HPF.Rtili Ho 68 ; '::;:,• :, =.;... ,,;•:: :,5 . ..T.,;.:
r .
Heating Capadity(Btuh) @ 17.F: 13700
Ratings followed by an asterisk(4)indicate a voluntary rerste of previously published data,unless accompanled 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 responsiblllty fpr,
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.shrldirectory.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,
personal and confidential reference. AIR-CONDMONING,HEATING,
&REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridlrectory.org,click on"Verify Certificate`link we make l;k better"
and enter the AHRI Certified Reference Number and the date on which the certtflcate was issued, _
which is listed above,and the Certificate No.,which is listed at bottom right. 3
130753023152624738
02014 Air-Conditioning, Heating, and Refrigeration Institute .';CERTIFICATE NO.: