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50 OCEAN BREEZE DR HVAC � ' 'I , 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 ]OB INFORMATION: Job ID: 15-MECH-1825 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 AC; 1AHU , 3 TON Estimated Value: $4,282.00 Issue Date: 7/31/2015 Expiration-Date: 1/27/2016 PROPERTY ADDRESS: Address: 50 OCEAN BREEZE DR RE Number: 168908-8245 PROPERTY OWNER: Name: GROSSBERG, MICHAEL & CYNTHIA, Address: 50 OCEAN BREEZE DR PO BOX 330494 GENERAL CONTRACTOR INFORMATION: Name: CREEKS AIR CONDITIONING & HEATING Address: 120 Cumberland Park Dr ST 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 TotalPayments: $107.00 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 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 ` S _ © c OB ADDRESS: zy DK— PERMIT# PROJECT VALUE $ O ARI# _REQUIRED _Air Handling Equipment Only __YAir 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 I Tons Per Unit 3 Heat: Unit Quantity ( BTU's Per Unit 24goo Seer Rating Duct Systems: Total CFM REQUIRED IRE 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 a 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: N X ID - ii�ennit becomes void if work does not commence within a six month period or work is suspended or abandoned foFisere y ce i y at I have read tis 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 x. The permit does not give author'ty to violate the provisions of any other state orlocallaw regulation construction or the performance of construction. 'roperty Owners Name �� 7 I Y 1 (J ^'� Phone Number a2--X?- 4echanical Company tl � Z � �k Office Phone o?_ Fax 'o. Address: `Y f/ /' � City /�.rYl State k Zip32-2 ,icense Holder(Print): C7C M0 �onCS State Certification/Registration # �3/v Jotarized Signature o,�License older YVET E P.MORAL. %ExpiNOTARY PUBLIC Before me this day of ��.lr 20 STATE OF FLOR10A res Comm#EE879174 Signature of Notary Public 3/212017 ��i * I, This combination qualifies for a Federal Energy w Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. 07 !L irf rod U AHRI Certified Reference Number: 7599415 Date: 6/18/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWR5036G1 Indoor Unit Model Number: TEM6AOC36H31+TDR Manufacturer: TRANE Trade/Brand name: TRANE Series name: XR15 Manufacturer responsible for the rating of this system combination is TRANE 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): 35800 EER Rating (Cooling): 12.50 Rating (Cooling): 15.00 SEER Rat g ( g) � Heating Capacity(Btuh) @ 47 F: 34000 Region IV HSPF Rating (Heating): 9.50 Heating Capacity(Btuh) @ 17 F: 21400 Ralinus 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 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 -= ,> i --{a,>''"u• TERMS AND CONDITIONS Ulm 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: lilt ILO entered into a computer database;or otherwise utilized,in any form or manner or by any means.except for the user's individual, A, r ON 01 W i(Al k �t D,t i personal and confidential reference. t CERTIFICATE VERIFICATION click on".x link The information for the model cited on this certificate can be verified at 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.: 130791009047625965 02014 Air-Conditioning, Heating,and Refrigeration Institute