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50 OCEAN BREEZE DR - HVAC • , CITY OF ATLANTIC BEACH w, j 800 SEMINOLE ROAD K.1)1r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J131`) MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-MECH-1180 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 AC, 1 AHU, 2.5 TON Estimated Value: $4.995.00 Issue Date: 5/23/2016 Expiration Date: 11/19/2016 PROPERTY ADDRESS: Address: 50 OCEAN BREEZE DR RE Number: 168908-8245 PROPERTY OWNER: Name: GROSSBERG. MICHAEL & CYNTHIA. * Address: 50 OCEAN BREEZE DR PO BOX 330494 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: Total Payments: $0.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID:k BUILDING CODES. MECHANICAL PERMIT APPLICATION (vw • CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904)247-5826 Fax (904) 247-5845 .OB ADDRESS: 50 OCE-Gn rr&tee. --bK PERMIT# PROJECT VALUE $ L/995— ARI# 75 9 907S— REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only WW 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 i Tons Per Unit 2-5- �� Heat: Unit Quantity t BTU's Per Unit 3n0,1.00 Seer Rating I 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 toLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets . • Pumps # Vented Wall Furnaces ' Refrigerator Condenser BTU's # Water Heaters , - Solar Collection Systems . , Tanks(gallons) C Wells FAX C D )THER: _ L - .1_ • ennit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have re( us 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 docs not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name l \ttrha.1( C rOSSber9 • • Phone Number y02-277 Mechanical Company Oteit i +k" 4- flir Office Phone e Fax d Vfeff(i9 :o. Address: IL-11 it 14146 41L bid City AA State Zip P241(4' ,icense Holder(Print): 1• CAltt Si' ti ---- State Certification/Registration#e,-'`?'773/0 lotarized Signature of License Hold' II ../1 44YVETTE P.MORALES Be • - r41 •� day o20 0 • NOTARY PUBLIC / _,� STATE OF FLORU� Signature of Notary Public U \,U(. ipi gicok t.. Comm#EE879174 Expires 3/212017 This combination qualifies for a Federal Energy Ana Efficiency Tax Credit when placed in service ill 11 CERTIFIED" between Feb 17, 2009 and Dec 31, 2016. II www.ahridirectory.org Certificate AHRI Certified Reference Number: 7599075 Date: 5/18/2016 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWR5030G1 Indoor Unit Model Number: TEM6A0B30H21+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): 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) @ 17 F: 18500 ,! 'Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS.which indicates an involuntary rerate. z : 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 products)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 1. directory at WW.; ,, TERMS AND CONDITIONS 4" 1141110111 This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual.personal and t ?. confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated: rat , il I I 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. AR-CONDITIONING,HEATING. CERTIFICATE VERIFICATION &Rt!RIGFRftTlON INSTITUTE The information for the model cited on this certificate can be verified at;vv;w.af r3r, click on` link • and enter the AHRI Certified Reference Number and the date on which the certificate was issued, A which is listed above.and the Certificate No.,which Is listed at bottom right. 131080587712828135 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: