1853 BEACH AVE - HVAC r J_,,
-_): ' P �`, CITY OF ATLANTIC BEACH
'- 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
\fi1219r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2925
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU. 2.5 TON
Estimated Value: $3,500.00
Issue Date: 12/21/2015
Expiration Date: 6/18/2016
PROPERTY ADDRESS:
Address: 1853 BEACH AVE
RE Number: 169723-1110
PROPERTY OWNER:
Name: KONOPASEK, JAMES L
Address: 1853 BEACH AVE
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
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 I S—f'Y\E (—( —'Z'cj ZS
•
fOB ADDRESS: I s' 3 )3c.e ck AU-e PERMIT#
PROJECT VALUE $ 3Gin ARI# REQUIRED
_Air Handling Equipment Only _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
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit (9.6
Heat: Unit Quantity I 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
kLL 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 construption._
'roperty Owners Name I A.0( (6 ew er 1\ �� N. Phone Number a�D O(11�o�< \
Mechanical Company \1 \ .�I\ Office PhoneD1) 2 cFax
;o. Address: G 6 /\J c S-o-oor, City State,} 1 Zip e-
Acense Holder(Print): \; \
N\\\ems moo itty, State Certification/Registration#/e c o 3j 7 rj
Notarized Signature of License Holder \. \,'' -- p,..--- -
� Y:iyk, RICHARD TOMPKINS Before me this ,r 1 day of 7•N e L 20 1 S
I. ,•, Commission#FF 040399
'%% ,�?° EBoodod xpires July ak,9 ,o Signature of Notary Public
14112111 CERTIFIED°
l':vnv.;,hridirectory.nr(
Certificate of Product Ratings
AHRI Certified Reference Number: 7419151 Date: 12/21/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 4TWR4030D1
indoor Unit Model Number: CAMSBOB30M21
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 Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
-.41. ,`!iA .r •ir •
'Cdoling Capiacity(lltuh): .. 28200 7,r,: >:;.r° °r :! .ti ;::
t R"Rating;'(Coolirigj : =`.• , . 12. � I , •
SEER•R titing(Cooling) ;14.50: •. , y,•
'•.J: 4
Heating Capecity($tuh) , 7`F : •••28O00. , '
Reeglon*HSPFJ atlng.(IrEating): 8• : : ','�` s • ; :;
Heating Capaclty(Btuh) @ 17 P; 18000 •
•
•
•
•RnHnps followed by an aclnrlek('1 Inciesie o veluntory rorele of;revioucly published darn,unless accompanied with a WAS,which indicates an Invo•vmtery rerale,
•
• DISCLAIMER •
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warrenties or guarantees as t0,and assumes no responsibility for,
the product(s)listed on thin Certificate.AI•IRI exprosSly disclaims all liability for damages of any kind arising Out of the use or performance of the produdt(S),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the
directory et www.ohrld)reotory.orC,
TERMS AND CONDITIONS no
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and .mkt
confidential reference purposes.The contents of this Certificate may not.In whole or in part,be reproduced;copied:disseminated;
entored Into a computer databanC,or otherwise utilized,in any form or manner or by any means,except for the user's Individual,
personal one confidential rcforonce. AIR•CONDITIONING,HEATING.
CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE
The Information for the model cited on this certhNCate can be verified at www,ahridirrrotory,org,click on"Vnrlfy Cortlfloate"link we radkc life hem''
end OntOr the AHRI Certified Reference Number and the date on which the certiRrnte was Issued.
which is listed above,and the Certificate NO.,which Is listed at bottom right "•'*ems- .^,-^.— "-- --
02014 Air-Conditioning, Heating,and Refrigeration Institute I CERTIFICATE NO 130851777214532601