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370 PLAZA - HVAC r ifs , s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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: 16-MECH-620 Job Type: MECHANICAL HVAC ONLY Description: 1 cu 1 ahu 3 tons Estimated Value: $3,910.00 Issue Date: 3/15/2016 Expiration Date: 9/11/2016 PROPERTY ADDRESS: Address: 370 Plaza RE Number: 169976-0000 PROPERTY OWNER: Name: MCDONALD, MARY E & HUNT JOSEPH, * Address: 370 PLAZA 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: Furnaces and Heating $24.00 AC and Refrigeration $24.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $107.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION lit[ iY • CITY OF ATLANTIC BEACH • 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904)247-5826 Fax (904)247-5845 .OB ADDRESS: 370 kLZc& PERMIT# PROJECT VALUE $ 3?io ARI# 75'?C-85 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 REQUIRED Duct Systems: Total CFM tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 3 I e, Heat: Unit Quantity I BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM TIRE PREVENTION Fire Sprinkler System Quantity (Requires uires 3 sets of 3 sets of Tans plans) Fire Standpipe Quantity ( q p ) 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 ofa)>(E E) 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: . ennit 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 re tis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specific 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. ' 'roperty Owners Name o t, 1r11Ark • • Phone Number 52.5- �a ga4� Mechanical Company &tad\ it. u�G -44 ( Office Phone U t 4 -$J Fax y75�� t /� ilt e L b State I- 4icense o. Address: l'�I� � �c "'� � J City N Holder(Print): • . - ' ''=��5 State - - •'fication/Registration# e or/f�J lotarized Signature of License Hol' • e._ TTY P. •- Before me thi 101M day of mGU'[/in 20 NOTARY PUBLIC r I ' r�, `-�A�� _• atureofNo • Pub ' t.( +�bK f11uc._& 06.41 :Comm#EE879174 Expires 312/2017 This combination qualifies for a Federal Energy rnu"Darn 111 CERTIFIED Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. www,afiridirectory.org AHRI Certified Reference Number: 7599415 Date: 3/14/2016 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWR5036G1 Indoor Unit Model Number: TEM6A0C36H31+TDR Manufacturer: TRANE Trade/Brand name: TRANE 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: Cooling Capacity (Btuh): 35800 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 34000 Region IV HSPF Rating (Heating): 9.50 Heating Capacity(Btuh) @ 17 F: 21400 Kai r;ys i.rowed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the products)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(s).or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at TERMS AND CONDITIONS This Certificate and its contents are 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.except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION ,4 The information for the model cited on this certificate can be verified at ,click on- "link and enter the AHRI Certified Reference Number and the date on which the certificate was issued. which is listed above,and the Certificate No.,which Is listed at bottom right. 131024630276380452 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: