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265 3RD ST - HVAC 4 , CITY OF ATLANTIC BEACH 4 800 SEMINOLE ROAD t 7 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-2034 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 AC, 1AHU, 1 TON Estimated Value: $3,699.00 Issue Date: 8/28/2015 Expiration Date: 2/24/2016 PROPERTY ADDRESS: Address: 265 3RD ST RE Number: 172550-0000 PROPERTY OWNER: Name: HOWE, ANDREW M & KATHY L, * Address: 265 3RD ST GENERAL CONTRACTOR INFORMATION: Name: DONOVAN HEATING &AIR Address: 315 SIXTH AVENUES QA WILLIAM J DONOVAN Phone: 904-241-3785 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 $8.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 TotalPayments: $91.06 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 t S. �PA E-C l--(- 2 034- (OB ADDRESS: aG 3‘4s S4 PERMIT# PROJECT VALUE $ 3/699 ARI# _,7f) (o 65A1 REQUIRED _Air Handling Equipment Only XC Air Handling Unit & Condenser Condenser Only JEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit I 1 (n Heat: Unit Quantity I BTU's Per Unit 12 `A Seer Rating Duct Systems: Total CFM REQUIRED tEPLACEMENT 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 ■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 Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators LLL 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 or ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name , ■c i-1e - Phone Number a.I 9 — /OZ. Mechanical Company .01. \\i„e, C}- ,Ni( Office Phon@ .)-31'S ax ;o. Address:3' 5 64-1. p1/4Q., -4,pvk1., Cit},1;C1,k c \\>4- 1 a to IL Zip 3 3 3 4cense Holder(Print): 1A.)% t\'.e•-- rbbiwve.c■ State Certification/Registration#0z)./..0 3'P(. I Jotarized Signature of License Holder ` �i-�-- : , I ii OTO'MPKI ~-. Before me this cg) day of A,ug 20 1 'S ,J s" ���#Fc ���•. . ., i _E oJuly 20,23 Signature of Notary Public r: 'i CERTIFIED' • • • e'viw.ahridiret:tory.nrg • Certificate of Product Ratings • AHRI Certified Reference Number: 7065527 Date: 8/27/2015 • Product: Variable Speed Mini-Split Heat Pump,with Remote Outdoor Unit Air-Source, Free Delivery • Outdoor Unit Model Number: MUZ-HE12NA Indoor Unit Model Number: MSZ-HE12NA 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 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 Cdpacity(Btuh)t 120 ::a.• ff ' EI Ii Rating..(Cooling) SEER Rating(Coblilig): 18.00 . ": •':•' Heatin'g Capacity(Btuh) Q-47.F: 12200 •• • • Region iV HSP1.Rating;(Heating)::'u8.50. >• • • Heating Capacity( tGlij x'.17 F .�, •8800:: CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMI3INATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON T�iIS CERTIFICATE IS ACCyRATE,SEARC!-I ON THE AHRI REFER NCE#TO QUICKLY LOCA E. rtalinn;fot•ow"r1 by nn ntarl:k I !�ru cafe a voiunlnry wrnle of prev ugly r mine u dnln.ur'Ott OCCempaN9d wlt n AS.T wHhIS Ms NnAON tIN THD. IRECTORY. DISCLAIMER AHRI dots not endorse the product(s)listed on this Certificate and makes no representations.warranties or guarantees an to,and armumen no responsibility for, the product(s)listed on thin 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 TERMS at D CONDITIONS TERMS AND CONDITIONS This Certificate and Its contents arc 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.enceot for the users Individual, IR CbNDITfONINO,HF.nTINn, personal and confidential reference, g A RERRfG6IONIN INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.uhridlrectory,org,Click on"Verify Certificate"link wa make life letter" and enter the AHRI Cortlflod Reference Number and the date on which the certificate was Issued. which Is listed above,and the Certificate No.,which Is IIsted at bottom right. —` ' ��••:�,,4, :.:.;�...�;.. f3osetsa�sssaaaorr.�`;•:, ©20i4 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO "":'•°"