330 1ST ST - HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"}w INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
lob ID: 16-MECH-715
]ob Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3 tons
Estimated Value: $3,500.00
Issue Date: 3/30/2016
Expiration Date: 9/26/2016
PROPERTY ADDRESS:
Address: 330 1ST ST
RE Number: 169741-0000
PROPERTY OWNER:
Name: JOHNSON, EDWARD S & LAURA J, *
Address: 1825 BUCCANEER CIR
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING &AIR
Address: 315 SIXTH AVENUES 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:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Furnaces and Heating $24.00
AC and Refrigeration $24.00
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
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
FOB ADDRESS: F - cS� S4-C.CGS-- PERMIT# 13(21i0Ott
PROJECT VALUE $ ARI# S619(146 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
JEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 3
Heat: Unit Quantity BTU's Per Unit Seer Rating I
Duct Systems: Total CFM REQUIRED
ZEPLACEMENT 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
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
UAL 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
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 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. /
Property Owners Name LTS.0 St E8 �C� Phone Number 7 - T i- 63(1
✓Iechanical Company \-\\e A`t Office Pho 3 ax
:o. Address: -3 f 6-1-R -(_, ,S(4)1)44 City State_Zip t ",O
Acense Holder(Print): t)::sv»per—, State Certification/Registration#CB.C� SA U 1
Notarized Signature of License Holder
RICHARD TOMPKINS Before me this day of Combs 20
* . ■ '__ Commission#FF 040399
�. L. Expires July 29,2011 Signature of Notary Public
Aka" Bonded Thu Troy Fein Ines 800-385.701
11111111•111•11111M1111M1111111111.1111111111111=111111111111111■111111111.111■111111111. 1111111111111111 .,
This combination qualifies for a Federal Energy
. I Efficiency Tax Credit when placed in service
��r� C ���F Q between Feb 17,2009 and Dec 31, 2016.
�;",.1•.hridirootnrV.0r'4
Certificate of Product Ratings
AHR1 Certified Reference Number: 8639945 Date: 3/2412018
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: NXH536GKA
Indoor Unit Model Number: FXM4X36'*AL
Manufacturer: TEMPSTAR
Trade/Brand name:TEMPSTAR
Series name: 15 SEER N SERIES R410A HP
Manufacturer responsible for the rating of this system combination is TEMPSTAR
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:
'Codling Capacity(Btuh): 34800
EER'Rating(Cooling); '12:50 • ,
SEER Rating(COblinM:
.15.00 >:
Heatifg Cadedi Htuh):� ..47 F:: 348600 .
�= P ty( ).
Region IV:lSPF Reting:(Heating):',
i .'8,50
Heating Cepacity(Btuh)@ 17 F: 21400
Rating,:followed by en e.lkriak(")indIeein n voluntary mfola of previously pubBrned data uniraa accompenind wan a WAS,which Indicates an Involuntary ramie.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to and assumes no responsibility for,
the unauthorised)nitteeration of date listed on this Certificate,Certified aratings aroovalid only for modals and configur do the listed In ttheorntantc of the produtt(S1 or the
directory at www.ahridlrectory.ofg.
TERMS ANI)CONDITIONS
This Certificate and I%contents are proprietary products of AHRI.This Certificate shell only he used for individual,personal and
confidential reference purposes.The contents Of this Certificate may not In whole or in port,be reproduced;copied;dlssemintod;
entered Into a computer database;or otherwise utilized.In any form or manner or by any means,except for the user's individual, AIp coNOftIONINti,HEATIna,
personal and confidential referente. Rn.coNemoNIN ,Kansa,
CERTIFICATE VERIFICATION we make lift l,tttar"'
The Information for the model cited on this certificate can by verified at vwrw.ehritltrectory.orfi.Click on"Verify CartlHeate"hnk
and enter the AHRI Certified Reference Number and the date on which the Certificate was issued. _...._ r
which I listed above,and the Certificate No.,which is listad et bottom right. : ;.°' .' 131038030769065 79'
02074 Air•Condltioning,Heating,and Refrigeration Institute "i t• iltFt6A E NO": 1 1 • ,...,,
'Milli• misomerer-