2335 FIDDLERS LN HVAC j 'L`1'r
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-1876
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3/4 TON
Estimated Value:
Issue Date: 8/5/2015
Expiration Date: 2/1/2016
PROPERTY ADDRESS:
Address: 2335 FIDDLERS LN
RE Number: 169463-0116
PROPERTY OWNER:
Name: LASCH, WAYNE D
Address: 2335 FIDDLERS LN
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
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
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC and Refrigeration $8.00
TotalPayments: $91.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTI-C BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 S 5
OB ADDRESS: ae>s -F- tL J 1--er j � au- PERMIT# L5-MCC-9-1
PROJECT VALUE $ l ! �O-�- ARI# V O(p 55 Z (D 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)4
Heat: Unit Quantity �_ BTU's Per Unites Seer Rating
Duct Systems: Total CFM REQUIRED
SIRE 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 c Automobile Lifts
Gas Piping Outlets Boilers BTU's
E levators/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
)THER:
ennit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I have read
its 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Toperty Owners Name �,U�-- '�1 - Phone Number (Q-3 l' q 1(6-7
4echanical Company Q l ,�14 r'1 �+1� � + 4-A-1 Office Phone-2`46W9 -
'o. Address: I L-4 rlI�'�+L ✓ City n State �L Zi0Z�
,ieense Holder(Print): State ertification/Registration# d
lotarized Si nature gi� jer
OwlNOTARY PUBLIC Be a me this day o 20
STATE OF FLORIDA
Comm#EE879174 Signatu of Notary Public
Expires 3/2/2017
08/05/2015 10 : 44 FAX 9042498949 OCEAN_STATE_A;'C ATLANTIC-BEACH 002/002
D"
Certificate of Product R
AHRI Certified Reference Number: 7065526 Date: 8/5/2015
Product; Variable Speed Mlnl-Split Heat Pump, with Remote Outdoor Unit Air-Source, Free Delivery
Outdoor Unit Model Number: MUZ HE
09NA
Indoor Unit Model Number: MSZ-HE09NA
Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING
Trade/Brand name: MR. SLIM
Series name:
Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING &
HEATING
Rated as follows In accordance with AHRI Standard 210/240-2008 for Unitary Alr-Conditioning and air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third
party testing:
Cooling Capacity(Btuh): 9000
EER Rating (Coaling): 12.00
SEER Rating (Cooling): 18.00
Heating Capacity(Btuh) @ 47 F: 10900
Region IV HSPF Rating (Heating): 8.50
Heating Capacity(Btuh) @ 17 F: 6600
CERTIFIED RATINGS FOR VARIABLE-SPEED, MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATION$OF INDOOR UNITS
(BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED
EQUIPMENT.VISIT`/WNW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON
TtSllERTowoa nTE,laSatn�k�(�R�TE SEAR arly��D HE�Fv oualy vunFehRdaSoEm oseOaQompanicu wIiCAv�n wH'clSi ��ca�BPNrA��oOiw,ii+INTHEDIRECTORY.
ntlDISCLAIMER
AHRI does not andorse the product(s)hlFtad on this Cartlflcato and make:no ropraxentntlons,warrmntles or gunranleos as to,rind owiumm no responelblllty for,
the product(s)listed on this Certificate.AHRI expressly discialms all liabllity for damages of any kind arising out of tine 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 confl qurations listed in the
directory fit www.ohrldlriratnry.fir f;,
TERMS AND CONDITIONS
This Certificate and Its contents aro proprletnry products of AHRI.This Carllfieeita yhrnll only be used for Individual,personal and HRI
cdntldentlal reference purposes.The contents of this Certlfleate may not.in whole or In part,be reproduced:copied:disseminated:
entered Into a computer detpme:or otherwise uti lzed,in any form or manner or by any means,except for the user's Individual, Allt„Cuwul'noNINd.rIE'ArINc,
personal and confidentini reference. 8,REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Inforrnatlon for the model cited on this certificate can be verifled at www.niirfillrcatory.oet;,rllek or,'Vniity C�,rlificntp”Ilnh r,,,,,t,•hi,•I,rn r
and enter the AHRI Certltlbd Roteranco Number and tho data on which the certiticete was Issued,
which Is listed move,and the Certificate No..which Is listed at bottom right. 130832595111078783
02014 Air-Conditioning, Heating, >and Refrigeratlon Institute CERTIFICATE NO.: