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851 MAIN ST - HVAC A 4 A CITY OF ATLANTIC BEACH sA A 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 1..'t0.111SP MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-1707 Job Type: MECHANICAL HVAC ONLY Description: HVAC- 2 TON, 1 CU, 1 AHU Estimated Value: Issue Date: 7/17/2015 Expiration Date: 1/13/2016 PROPERTY ADDRESS: Address: 851 MAIN ST RE Number: 170944-0010 PROPERTY OWNER: Name: SAPIA TRUSTEE ET AL, PETER C Address: 1655 SELVA MARINA DR GENERAL CONTRACTOR INFORMATION: Name: BROWARD FACTORY SERVICE BFS Address: 2071 EMERSON ST QA JERRY LEROY BRIGHTWELL 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 $16.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $99.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND TIIE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 _nA-ECt-I 7 01 JOB ADDRESS: 5 ( 'k ( n ---i-- PERMIT# PROJECT VALUE $ ,7) 00 . 00 NEW 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 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # 51-1ILia (0V Air Conditioning: Unit Quantity / Tons Per Unit -2 REQUIRED/ 3 Heat: Unit Quantity / BTU's Per Unit Seer Rating 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) 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: Permit 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 not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name -e_+-t__ 3a.. p 1/4-a__ Phone Number9Oq-3 J-(o0(60 Mechanical CompanyB O( ati FackCc( SerL i c,e_ Office Phone 3%-i031,SFax 3'9(.,-(1,5$0 Co. Address: 20 )( c=—/r-e(S 6/1 G-k- s City Ac SOrw; 11-c Statek_ Zip-3)2(.37 License Holder (Print): _ . _ s Ir _ 4 .tellijg4r4 - -rti!tion/: ,;�.4 .tion#CACU5(o7 7q Notarized Signature of License Holder ' 1�.I .. ,_-�.1 . •sr . ,Ci subsci bed ,- 'ore a this f day of �.11�1(.V 20 /0 `,, . MICHELLE K. LSON 1 .: ,r my�M � ,f of Not.ry Public , EXPIRES February 14.2016 (407)3 S.O103 me dsHoiryerMw.aorn N 9.*1 CERTIFIED' www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 5414268 Date: 7/17/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: VT4BD-024K Indoor Unit Model Number: B6BW-024K(*) Manufacturer: AIRTEMP Trade/Brand name: AIRTEMP Series name: AIRTEMP VT4BD SERIES Manufacturer responsible for the rating of this system combination is AIRTEMP 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): 22400 EER Rating (Cooling): 10.50* SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 23000 Region IV HSPF Rating (Heating): 8.00 Heating Capacity(Btuh) @ 17 F: 13900 •Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary relate. 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 www.ahridirectory.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-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better- 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.: 130816109836000654