118 4TH ST - HVAC ,i� � , CITY OF ATLANTIC BEACH
, ' : f 800 SEMINOLE ROAD
J - ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
\\0.219!'
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ___
3OB INFORMATION:
Job ID: 15-MECH-2054
Job Type: MECHANICAL HVAC ONLY
Description: HVAC- 1 AC. 1 AHU, 4 TON
Estimated Value: $3,500.00
Issue Date: 9/2/2015
Expiration Date: 2/29/2016
PROPERTY ADDRESS:
Address: 118 4TH ST
RE Number: 170184-0000
PROPERTY OWNER:
Name: BERG ET AL. H BRADFORD
Address: 4606 YACHT CLUB RD 4606 YACHT CLUB RD
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
Address: 315 SIXTH AVENUE S 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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
T---- MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826)Faax�(904) 247-5845
FOB ADDRESS: J 1" U 5.4' AR 4 33 PERMIT#
PROJECT VALUE $ -3 503 ARI# --X W-1 REQUIRED
_Air Handling Equipment Only X Air Handling Unit & Condenser Condenser Only
JEW 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
2EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit �Ll
Heat: Unit Quantity 1 BTU's Per Unit l313 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)
TIRE 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
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
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 I Gc )1 c-C., Phone Number 70 Li- IS y 4
mechanical Company rr-� k-Va� c)-- 1\\c Office Phone\ =-11S'SFax
:o. Address: 31 t 1-R.. J\v c S4Lfi 1-. C itS7rstk 1Z,eo(N., State EL Zip-ZaD 43
,icense Holder(Print): k.,. \, \\\Nsx '-bSO\W State Certification/Registration# X76 I
iotarized Signature of License Holder \
an k:„, RICHARD TOMPKINS Before me this 31 day of )\1)•. 20 i -)
.'•' Commission#FF 040399 Y2f\ --- --
.--,,17-.a Expires July 29,2017 Signature of Notary Public
/l jid f q bonded Thru Troy Fen Iro...m.38 a,,
• A !9 CERTIFIED
wenv.ehridirectory.nrci
Certificate of Product Ratings
AHRI Certified Reference Number: 7420207 Date: 8/31/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 4TWR4048D1
indoor Unit Model Number: GAM2A0C60S51+TOR
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name:XR14
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 Alr-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
girt '•1':' '.r•;• °
Cooling Capacity(Bath): • 46006 •
BE1 Rating '(Cooling): '.: :,;'. 11.5D•' .: •
•
SEER•Rating(Cooling):::]...:••:::!..: .••1.4.00': • ..
- i r••KKes Ping•C aoity(Btuh): ':4 . 4:45500 •„i• •
•Regioh IV WSPF•,Rating(Heatng): .:B:
Heating Capacity(Btuh)@ 17 F: 29400 i •
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•Ratlnee followed by an tstnrlsk(`)Irxilcntr.a volunlary resit)of previously publiehnd caln,unln:z acrompnnind with n WAS,which Indicates on Involuntary rf•ntn,
DISCLAIM ER
AHRI does not cadetso 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(c,),or the
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unauthorized alteration of data listed on this Certificate.Cortified ratings are valid only for models and configurations listed In the
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directory at www.ehridlrectory.org.
TERMS AND CONDITIONS AHRI
This Certificate and Its Contents are proprietary products of AHRI.This Certificate shall only be used for Individual.earspnal and
confidential reference purposes.The centonts of this Certificate may not,In whole or in Dart,be reproduced;copied;disseminated;
entered into a Computer database;or otherwise utilized,In any form or manner or by any mean:.except for the ust:r•s Individual.
personal and confidential reference. AIR•CONDITInNINA.HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information for the model Cited on this certificate Can be verified at www,ahrldlrectory.nrg,click on-Verify Cnrtlflcate”link we make life basal"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
Whleh IS listed above,and the Certificate No.,which Is listed at bottom right. ' 130855084239846991"
X2014 Air-Conditioning Heating,and Refrigeration institute F TI ICA ENO.: •
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