1079 ATLANTIC BLVD #1 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-1215
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS UNIT 1
Estimated Value:
Issue Date: 5/21/2015
Expiration Date: 11/17/2015
PROPERTY ADDRESS:
Address: 1079 ATLANTIC BLVD
RE Number: 177416-0000
PROPERTY OWNER:
Name: HARBOUR PLACE PROFESSIONAL
Address: 13133 PROFESSIONAL DR STE 100 13133 PROFESSIONAL
DR STE 100
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT&AIR,INC.
Address: 1476 ATLANTIC BLVD OA 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 $24.00
AC and Refrigeration $24.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION M C�
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
—'I G /n� 1Ph(90114)247((-55826 Fax (904) 247-5845
on ADDRESS: ( u I I I"+iGA(. IJIl,f-t 4. 1 -PERMIT#
PROJECT I AL UE S 1is j & .`7 LP ARI# 9 O2D1 2 S 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-fDN 1,
Heat: Unit Quantity BTU's Per Unit Seer RatingC r,
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)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ILL 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 numth period or work is suspended or ahandoned for six nths.1 hereby cera y 1 at vc read
its application and know the same to be true and correct All provisions of laws and ordinances governing this work ilicd of
3t 1'he permit docs not give authority to violate aw pwv. s of any other slate or local law regulation construction or the performance of construction.
voperty Owners Name_�la"Yl l ' 1 _ 'des" - Phone Number 2Z.3- DWV
4echanical Company D� CCA ) AL Lkc'147r f Office Phone 9 Fax
'o. Address: 1 U CityN°DState��+InZ`iD32 _
,ieense Holder(Print): C S ertification/Registration#l�7LYi 3k)
iotarized Signature ofLicense older
YVETTE p'".,, Before me this f 20
TlNOTARY Pl1aLIC
STATE OF FLORIDA Si ure of No Public
famrn#EESM74
Explitas 342=17
OFEU
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AHRI Certified Reference Number: 7020725 Date: 5/21/2015
Product: Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number: PAI 3NA036f--E
Indoor Unit Model Number: FB4CNF036L
Manufacturer: PAYNE HEATING AND COOLING
Trade/Brand name: PAYNE
Region:
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 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:
Cooling Capacity(Btuh): 32600
EER Rating (Cooling): 11.00
SEER Rating (Cooling): 13.00
IEER Rating(Cooling):
i
E
i,.
S !
Fe me b bwod no an memA rl Msale a vnn nbry remle of enrcreiy pulx snea Rod unless accompanied Man a VIVS xfi'cn iminde a,nvoumary reale. 1
DISC"IMER i
{ AHRI does trot Needed,am aboducRsl Modica are Comflcate."makes no repreaentatlons wamnllnm parstrume Ad b a ad assumes noreslonsabili1M, {i
ei the produdp111sted on this CerdOwh.AHRI expressly declalmer all liadMy for damagesal any kind arising out of the use on performance of the pradulfaI,or the 4
authorized alteration of data listed on this Certificate.Certified ratings are YOUonly for models and configumbove Ilsmd m the
abettor,at
TERMS AND CONDITIONS { .
This CerOfeate and Its conten6 are proprietary prmheis id AHRI.Thb Cer iff.te small only be ulna for adelded,personal and
confidential reference purposes.The contents of the Certificate may not in while or In part,be reproducedt copieda65errmunil;
enteratlnto a computer database or Mherwlie Client in any form by any meam,exceptl the mer a individual,
g 6Refrigerationorva u
paraoral and canlaentlal refect..
CERTIFICATE VERIFICATION aFinIGL t.rs.
aThedd information for Me motl¢I Reference
thus Number and
can be ve lfl tl l - n le d Non 4 hCc fM1cato it k
indenter the A bove,a andfied
Numberich the o bottom
rig tlfl ate was slued
which s I smtl above antl the Certlflate No which e listed at bottom aM1t
®2014 AlpCondltionln ,Heating,and Institute CERTIFICATE NO.. 130755924520224045
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