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1079 ATLANTIC BLVD - HVAC �" - : \s\ CITY OF ATLANTIC BEACH J " f; rte 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-1547 Job Type: MECHANICAL HVAC ONLY Description: 1 cu 1 ahu 3 tons unit 5 Estimated Value: Issue Date: 6/26/2015 Expiration Date: 12/23/2015 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.ING. 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 $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 Total Payments: $107.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mt. IDIk MECHANICAL PERMIT APPLICATION 4 CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 - 4 /0 '9 Ph (904) 247-5826 Fax (904) 247-5845 E*0 ` / � J 5ie-OB ADDRESS: � /� � ' J���% PERMIT# PROJECT VALUE $ !_5( f ARI# 71.e q5/_39 REQUIRED _Air Handling Equipment Only ( Air Handling Unit & Condenser Condenser Only 1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION i Air Conditioning: Unit Quantity Tons Per Unit Heat: g Unit Quantity _ BTU's Per Unit Seer Rating R�Q4UIRED Duct Systems: Total CFM tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity ' Tons Per Unit 3 ) (� Ov Heat: Unit Quantity . BTU's Per Unit '33, ((00 Seer Rating REQUIRED Duct Systems: Total CFM ■IRE PREVENTION Re wires 3 sets of plans) Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires p ) 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 LL 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 month period or work is suspended or abandoned for six months.I hereby certify that I have read us 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 of M. The permit does not give authority to violate the provisions lof any other state or local law regulation construction or the performance of construction. 'roperty Owners Name l9 1CV.S S010 �'( Phone Number 22-3-°�i?f�l >r 1-06( Fax g1-,W(1 Mechanical Company O e-oy� -�' - \- ^ { Office Phone :o. Address: I CO(Q t'r 1 ,c e . 1� City I` J2 7ck -() State// Zip_/2 � 7 / /S State Certification/Registration# til'Q�� ,icense Holder(Print): - J LLB ii!� lotarized Signature of License Holder 111M - YVEITE P. -- A— VA• ,ay of +�-�Z. 20 1 NOTARY PUBLIC Before me this -'� STATE OF FLORIDA 1,u 6 e_- pc,c, AA..._ X04. Comm#EE879174 Signature of Notary Public , . Expires 312/2017 i 1 rani" ■.r/ CERTIFIED® www,ahfidirectory.org rtif i cate I 4, c. c,......... AHRI Certified Reference Number: 7645939 Date: 6/24/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: PA14NC036****A Indoor Unit Model Number: FB4CNP036L Manufacturer: PAYNE HEATING AND COOLING Trade/Brand name: PAYNE HEATING AND COOLING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: 14 SEER R410A 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): 33400 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 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 products)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 ....."(Itrt;L:tf; p.■Srj. TERMS AND CONDITIONS 't,,, ,; This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and £s' -..mt ,lit r4, ' 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at,'.A y, click on "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. ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130796487344594512