28 SHERRY DR HVAC PERMIT r
; # ''. ATLANTIC BEACH
�
PERMIT RECEIPT
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1:/-01119'r
PERMIT DESCRIPTION: HVAC- 1 AC. 1 AHU, .5 TON
PERMIT NUMBER: 16-MECH-1496
ADDRESS: 28 SHERRY DR
OWNER: HARBA LLC
DATE ISSUED:
FEES DUE:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $4.00
Totals:
$87.00
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH ,
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 f , _ - -1 4 9
f OB ADDRESS: O iS4Ac 'bCPERMIT#
PROJECT VALUE $ Q SM,,, _ ARI# REQUIRED
Air Handling Equipment OnlyNk Air Handling Unit & Condenser Condenser Only
i*EW AIR CONDITIONING & HEATING SYSTEM INST�LATION
Air Conditioning Unit Quantity .1 Tons Per Unit
Heat: Unit Quantity 1 BTU's Per Unit 4MA Seer Rating
Duct Systems: Total CFM REQUIRED
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Heat: Unit Quantity REQUIRED
Duct Systems: Total. CFM
TIRE PREVENTIION e wires 3 sets of lana
Fire Sprinkler Sy cm Quantityti (Requires 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinet Quantity (Requires 3 sets of plans)
Commercial Hoo s Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
IRE PLACES MISCELLANEOUS:
Prefabricated Fire dace Qty Automobile Lifts
Gas Piping Outlet0 Boilers BTU's
Elevators/Escalators
#L.L 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 rcad
lis application and know the!ane 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.
'rop Y ert Owners Name .1 e-c _ L a
. Phone Number .16"'
Aechanical Company ^ �- �" �-C Office Phone tI ZYS Fax
;o. Address::1i r4 Le1,s. City , Stat - ZiplagQ,
,ieense Holder(Prin>): ki ��1--AV-- ` �'` � State Certification/Registration#
G I Cs.�
dotarized Signature oi►'License Holder \�\
40,0
' '"�P RICHARD T( iiPK1Ns Before me this `_]► day of ' V tin- 20 tie
1, ,k. 4 Commission FF 040399 ,�--
1,..-- --,. ' Expires July�,2017 Signature of Notary Public
annEEd 1T14 Tis'KA1 kwixMwl00'�7010
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A;:! CERTIFIED`
vdt,,,w,rtttridlrectory.org
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Certiocate e�f Product Ratings
•
AHRI Certif -d Reference Number; 7065526
Date: 6/29/2016
Product:Va able Speed Mini-Split Heat Pump,with Remote Outdoor Unit Air-Source, Free Delivery
Outdoor Uni l Model Number: MUZ-HE09NA
Indoor Unit + odel Number: MSZ-HE09NA
Manufactur.k MITSUBISHI ELECTRIC COOLING &HEATING
Trade/Brand'name: MR. SLIM
Series nam.:
Manufactur: responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING &
•
HEATING
Rated as fol •ws in accordance with AHRI Standard 210140 2008 forcuracy UnyAHRI sponsoded4independent,Air-ConitinIng and hird Air-Source
Heat Pump :quipment and subject to verification of rag
party testln
r:.
.
•
•
RBtuh 0000 • • • ' '; •
Carling CapaditV( )
•
•
12.00:•
EN• R Rating(Cooling) • -
S:�ER Rating (Cooling): • 18.00
H Iating.Capacity(BtUh)c '4 `P 10.900
R. ion MV•:HSPF �t iig.(-eatingj, $;50•
R, •
H,C ahs Ca acity(Btiuh}'@.17':F:.' •66l(1 • • • - •- •• ` ' ';
•
F
ED RATI GS FOR VARIABLE-SPEED,
SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OOF CERTIFUNITSIED
•
EQUIPMENT,
(BASED ON CO =IN WW. TYPES)WITH
ON
EQUIPMENT,VI-T S ACC RATIR SEARRY.ORG TO RRCH ON NE VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND
R FFTR NCE#Ta QUICKLY L?CATS THIS COMBiNA7 CIN N�DATA
DIREC ORY.
TI-�1 alegeBRTovrnCA en tefik(II I'rdlte.e a valuew rerate of pmwous y pu�+s e ain,unless atcompnn ed vn s L A wh c mica es er rove unify reraae.
DISCLAIMER
AHRI do05 net en. rse thc product(s)IIstod on this Certificate and makes no representations,warranties or guarantees as to,And n"n+tmes no responsibility for,
the product(s)liat:i on this Cortificete.AHRI oxpressig lCotpmdall liabillity fareor
da only fores oany kind rrtOdE s andreong out f the
Ilsted In theormn Ce of the produttta),or the
unauthorized alter tion of date listed on thls
directory at www, ridirectory.ord.
TERMS AND CO IbITtoNS
TER Certificate an Its contents are proprietary products of AHRh This Certificate shah only be used for Individual,personal andat
confldentl.l refer ce purposes.The contents of this Certificate may not.In whole or In port,be roproduced;copied;disseminated; nIA•coNvrraNlNts,HEATING.
entered Into a co utnr dotnbasel or otherwise utlllzed,in any form or manner or by any means,except for the user's Individual, A REFRIGERATION INSTITUTE
personal andE V IFILentiaTION reference.
CERTIFICATEfmation . IFI CATION V.'
The information f. the model cited on this certlfltotc can tx verified At www.nhrldirnrtnry.org,dick on"Verify Certificate'MK
and enter the AH Cortlflrtl Referonco Number and the date on whlth thc certificate was Iasuad. �� ,, t 131117676903277880
which is listaob. e,and the Certificate Ne.,which is listed;)t bottom right.
72014 A err[1�1'{ pl NO.:
o it-C. ditioning, Heating,and Refrigeration Institute I r[ 1