1079 ATLANTIC BLVD # 6 HVAC 1 i,
y411 � 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: 16 -MECH -1039
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3 TONS
Estimated Value: $2,836.00
Issue Date: 5/4/2016
Expiration Date: 10/31/2016
PROPERTY ADDRESS:
Address: 1079 ATLANTIC BLVD
RE Number: 177416 -0000
PROPERTY OWNER:
Name: HARBOUR PLACE PROFESSIONAL
Address: 13133 PROFESSIONAL DR STE 100 13133 PROFESSIONAL
DR STE 100
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 f 1 2-L2__,
• • • CITY OF ATLANTIC BEACH • FA ><E E D
' 800 Seminole Rd Atlantic Beach, FL 32233 EMI= . -- • 'Ph (904) 247 -5826 Fax (904) 247 -5845
4 OB ADDRESS: 1 0 19 (\4 VC:1- 4 - PERMIT #
PROJECT VALUE $ 2 ARI # 7(t4 5i 3 RE
Air Handling Equipment Only ) Air Handling Unit & Condenser Condenser Onl;
dEW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit _3
Heat: Unit Quantity 1 BTU's Per Unit 33. y 6 b Seer Rating
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)
7 . . Fire Suppression Systems . Quantity (Requires 3 sets of plans)
?IRE MISCELLANEOUS:
• Prefabricated Fireplace Qty " '
• Automobile Lifts
Gas Piping Outlets • Boilers BTU's'
. • 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: .
ennit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. t hereby certify that 1 have
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 speci
at. The permit does not give authority to violate the proyisions of any other state or local law regulati n construction or the performance of construction.
`ro rty Owners Name b I(tkoY1 '� e$ g: Iv 1 s U Phone Number �n s
Mechanical Company 0 S 4 - ( Office honed Fax
o. Address: 1414
<c_ 4
City II /6 State f Zip s
(Print): J (2 ..tn - ' ' j -- -State Certification/Registration # J � 310
.icense Holder - � "
lotarized Signature of License Hot, = jf ` �---
MORALES . - YVETTE P. MO .' fore me 1 . midi d of ,L .• . 20 d
NOTARY PUBLIC te, I I
f _ STATE OF FLORIDA Si _ a ,1 .... a . otary Public , , ... _ ,.. _
e all: �+= cam* EE879174 "
Expires 312!2017
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AHRI Certified Reference Number: 7645939 Date: 6/24/2015
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: PA14NCO36 * * * *A
Indoor Unit Model Number: FB4CNP036L
Manufacturer: PAYNE HEATING AND COOLING
Trade /Brand name: PAYNE HEATING AND COOLING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: 14 SEER R410A AC
Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING
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): 33400
EER Rating (Cooling): 12.00
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
• Palings followed 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
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.
02014 Air- Conditioning, Heating. and Refrigeration Institute CERTIFICATE NO.: 130796487344594512
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