579 CRUISER LN - HVAC J-\ \
��, CITY OF ATLANTIC BEACH
< :.• 800 SEMINOLE ROAD
� <- = --, r ATLANTIC BEACH, FL 32233
�� INSPECTION PHONE LINE 247-5814
'�Jlil9`'
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2673
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2.5 tons
Estimated Value:
Issue Date: 11/16/2015
Expiration Date: 5/14/2016
PROPERTY ADDRESS:
Address: 579 CRUISER LN
RE Number: 170703-0336
PROPERTY OWNER:
Name: FLETCHER. SCOTT D
Address: 579 CRUISER 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:
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $103.00
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
/ PERMIT#
OB ADDRESS: 5 r` 1 Cruiser L a n
P ROJECT VALUE $ 2 ARI# 75 9' 5 REQUIRED
_Air Handling Equipment Only J1Air Handling Unit & Condenser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity
Tons Per Unit Seer Rating__—._ BTU's Per Unit
Heat: Unit Quantity _ REQUIRED
Duct Systems: Total CFM
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity
Tons Per Unit a•5
Heat: Unit Quantity �— BTU's Per Unit 30,_2 oO Seer RatingR U RED
Duct Systems: Total CFM
IRE PREVENTION uantit (Requires 3 sets of plans)
Fire Sprinkler System Q y (Requires 3 sets of plans)
Fire Standpipe Q uantit y (Requires 3 sets of plans)
Underground Fire Main Value
Fire Hose Cabinets Quantity
(Requires 3 sets of plans)
uantit (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems . Quantity
■IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Boilers BTU's
Gas Piping Outlets 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:
inapt becomes void if work does same not commence and correct. MI provisions sions off laws and ordinances governing this for
ork will be complied with whether pecilieddi
its application Te mi and know the same tr be true
vi
at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
.0 I f— ��,,h-er- Phone Number 71(p -9.-I(#
'roperty Owners Name S � -i �1
geean Ali ' 1_) -' 4'A✓ Office Phone a '-kaS/ Fax � 1'1'y`�9I
Mechanical Company - L 61 / ,, / �,��
i ' ai I L 61 U d a City IL1 `2 M State Q., Zip 3Z2Ce�/
'o. Address: _ �(' //�
e Holder(Print): �J- 4 P— �t�'!" i�� a e e i Iri a tion/Registration# C `t`l 10
,>tcens ( pig lotarized Signature o License Holder � 2U P.MORALESi ���rn NOTARY PUBLIC Bef',re me this �:. : . e { N �/(/�
.:��A,, :,STATE OF FLORIDA Notary C blic - '"
�"�' '` Comm#EE879174Sig iture of
Expires 3/2/2017
11/13/2015 08: 48 FAX 9042498949 OCEAN_STATE_A/C: 4 ATLANTIC-BEACH Z002/002
This combination qualifies for a Federal Energy
A uU■PI CE RTI Fl E D'' Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2014.
www.aftridlreclnry.nitl
Certificate of Product Ratings
AHRI Certified Reference Number: 7599075 Date: 11/13/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 4TWR5030G1 • - - - --.
Indoor Unit Model Number: TEM6A0B30H21+TDR SCOTT FLETCHER MC1129
Manufacturer: TRANE 579 CRUISER LN DAD DAVID
AB, FL 32233 CALL 716-2104
Trade/Brand name: TRANE 1 SYS C10 11/13115
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:
is
Cooling Capacity (Btuh): 30000
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00 •
Heating Capacity(Btuh) @ 47 F: 30200
Region IV HSPF Rating (Heating): 9.00
Heating Capacity(Btuh) c 17 F: 18500
f�allnps rcllawnd by an asterisk;Imamate a voluntary rornln of previously pubiishec data,unless accompanied vnlh a WAS w!-ch tdlcreec nn .voluntary retain.
DISCLAIMER
AHRI loos not endorse the product(s)listed on this Certificate end mokoe no representations,worrhntles or guaruntoos as ro,and assumes no responsibility tor,
the product(s)listed on this Certificate.AHRI expressly disclaims ell liability for damages of any kind arising out of the use or performance of tho product(s).or the
unauther'zod alteration of data listed On this Cortlflcate.Cortlfled ratings are valid only for models and configurations listed In the
directory At www-Iehridirr!.ctery,urt;.
TERMS AND CONDITIONS
This Certificate and Its contents aro proprietary products of AHRI.This Certificate shall only bo used for Individual,personal and
conlleentlttl reference purposes.The contents of this Certificate may not,In whole or In part,be reproduced;copied:disseminated;
entered Into 3 computer database:or otherwise utilized,In any form or manner or by any means,except for the user's individual,
porsonnl and confidential rofereneo. Ant cONOITIONIN(i,ill.A'rlNC,
CERTIFICATE VERIFICATION IterHIG.i)ATION INSTITUTE:
Tho Information For Ito modal cited on this cartlflcoto can do verified at www.nhridirectnry,orrt,click on"Verify Certificate(link
and enter tire AHRI Certified Reference Number and Ifs data on which the eertiticete was{ssuotl,
which Is listed above.and the Certificate No.,which is listed at bottom right. """ "- "'_"' - " -- "
(02014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130916962425790914
A