14 DUTTON ISLAND RD HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2095
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1AHU, 4 TON
Estimated Value: $4,500.00
Issue Date: 9/3/2015
Expiration Date: 3/1/2016
PROPERTY ADDRESS:
Address: 14 DUTTON ISLAND RD
RE Number: None
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
TotalPayments: $115.00
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 0q- C
1011 ADDRESS: j j rm\,\ PERMIT#
PROJECT VALUE $ �;C)Cj ARI#—):�:2 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
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit L
Heat: Unit Quantity I BTU's Per Unit Seer Rating 1 -3.S
Duct Systems: Total CFM REQUIRED
TIRE 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
ILLL 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
iis 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.
Iroperty Owners Name H 0 Cj CN �c� Phone Number D Cl 9 - 0_T6-
Aechanical Company J z�Mbt, KV Office Phone a�il- Z-)91EFax
'o. Address: R�' c-- '5�Q)Qk�, City�-- �) StateFl- Zip
,icense Holder(Print): State Certification/Registration#CNC-O ",>A')4 k
Votarized Signature of License Holder 7 Jw=,
0..... day of -S-t? 20
4R,- RICH7RD TOMPKJNS Before me this
Ganmission#FF 040399
Fxpires July 29,2017 Signature of Notary Public
�48nk, 8WdWThmTmyF&hkmrwmWDWM8 I
ran onal C E RT I F I E D"
�i I,r i It i,ecto c�,.n r(I
Certificate of Product Ratings
AHRI Certified Reference Number: S763276 Date: 9/212015
Product:split System: Heat pump with Remote outdoor Unit-Alr-Source
Outdoor Unit Model Number. 25HCD348(A,"**31
Indoor Unit Model Number; FX4DN(B,F)049
Manufacturer,- CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Series name- PERFORMANCE SERIES PURON HP
Manufacturer responsible for the rating of this system combination Is CARRIER AIR CONDITIONING
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:
p6c1ty'(8tuh): . 48000
0601ing da'
11.60 %
katin
661ing)
0000
ng j
.0
HS�Flutlh4(.meet qg
Heating CapecitY(Btuh)@ 17 F: 28400
Ramos Tonowea by an PiMotitk(')Indicate a voiuniary rerpin of ptavlously pulmishec!dM
Unt(j&..accompenlAd with a WAS,which;ndicales An InMuotmly rarate.
DISCLAIMER
AHRI does not ondO so the pToduct(s)Imed on thiS CeIrtMa9te and makes mo representation%,warminties of gu-,IMntcesn to,and assumes no responsibility for,
the product(s)listed on this Certificate.AHRI expressly dis4isims all liability for dimages of any kind I Ofting out of the use or performneice of the product(s).of the
unauthorized alteration of d,%ta listed on this Certificate,Cortifled ratings are valid only for models and configursdons listed In the
directory.1t w%rw.nhrIdIrectorY,6r9,
TERMS AND CONDITIONS Person I and
This 0"ItIflWe Ord Its contents-Me proprietary pradUets al AKRI.This cowicate shell only be used for Individual, - 81"Intirt
.contents of this Certificate may not in whole or In part be reproduced;cooled;dissen ad; MM
confidential roWerice purpos"The except for the ulat'n ftlViduol,
ontrred into a computer datal)Ma;or otherwise utilized,In any form or moinnof of by any MORM AW-CONDMONIN0,"11CATI1401,
porgonril and confidential reference, RJIFAIGERMON INSTnVTR
CERTIFICATE Vr;RIFICATION
The Information for the model cited on this Certificate can be verified at www,0hfIdIf8e`t0YY-0f9,ClIek on'Verity CeFtIfICOW link niARe lif�brMr-
on which the certifICA10 was Issued,
and enter the AHRI Cf)rtlflrd Reference Number and the date
which is iisteoobovo,and the Cortlft%No.,which Is listed at bottom right 130858951214W54-0
c F-911FICATE NO.-
@2014 Air-Conditioning,Heating,and Refrigeration Institute