359 PLAZA DR HVAC PERMIT r ,a 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: 247-5834
JOB INFORMATION:
Job ID: 16-MECH-1560
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TON
Estimated Value: $3,375.00
Issue Date: 7/12/2016
Expiration Date: 1/8/2017
PROPERTY ADDRESS:
Address: 359 Plaza
RE Number: 170010-0000
PROPERTY OWNER:
Name: RAISER, VICTOR N
Address: 359 PLAZA
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 /
Ph(904)24`7-5826 Fax(904)247-5845
OB ADDRESS: 61 l I G 7 c, '7� PERMTT#
PROJECT VALUES _MS ARI#_ `1 "9*01 5 REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _Condenser On
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ,Tons Per Unit
Heat: Unit Quantity - BTU's Per Unit Seer RatingREQUlRED
Duct Systems: Total CFM
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit �2•� Az7nS
Heat: Unit Quantity T— BTU's Per Unit-�5'�� Seer Ratma _150
Duct Systems: Total CFM REQUIRED
i IRE PREVENTION (Requires 3 scab of plans)
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fin Standpipe •Quantity
Underground Fin Main Value (Requires 3 sets of Plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (RegMires 3 sets of plum)
'. Fire Suppression Systems•. - Quantity - •(Requires 3 sets of plans)
TIRE PLACES. .. MISCELLANEOUS:
Prefabticated Fireplace Qty Automobile Lifts
Gas Piping Outlets. Boilers BTU's
Elevators/Escalators -
I,LL OTHER GAS-PIPING of Outlets Heat
Eifchanger
#QVeentted Wall Furnaces - Refriiggerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks'(gallons)
.. ..Wells ,
)THER:
e It=wid irwork doe not wnahrme withm asix emoth period m work pkampe ded orabardwrmd Por six months 1 hereby cWKY amt I ha
is application and know the same to be rue and carred. All provisions ofkws®d oldht governing This work will be complied with whgthcr spe
x Tim pmroitdoe ootgiveamhmtry toviomm the CoP�®,ry otltersftle ar local lav regulation wnswdion or the perfom rm of con ,unit
Toperty Owners Name VltAlr�Ic� QI�F - PhoneNumber2 - )-Dr47
—T
4echanicalCompany `ems �}r, C� -F/r,�.' {� . '� 1� OtFicePhone2` }jRRFax2`IgAdq
;o. Address:_Nn /-iT r'-u'tl1 131L�t city stawry— Z
20
.feense Holder(Print): �- ` - tate Certification/Registration
lorarized Signature ofLicense Ho
yVETrEP MORALES
AWAIL
r1arARy nllel.lc ore me this day of 20
@TATE OF FLORIDA 1 A. c✓'✓�__
Derma Eee7e174 Si nary Public
Explree 917/2017
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
AHRI Certified Reference Number: 7599075 Date: 7/8/2016
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 4TWR503OG1
Indoor Unit Model Number: TEM6AOB3OH21+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
DISCLAIMER
AHRI does not entloree the prin uct(sf listed oa this Certificate antl makes no mprasentatlo...wava,mes or gua antes,as to.end asumes no responsibllpy m,.
the produetlsl Iktetl an this Conforms.AHRI eeavabo,disclaims all liability for damages of any kind analog out of the use ar pedprmmera of the omdurr,or tllo
unauthorized alteration of data Iktetl 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 Cori 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 temporal or otherwise utllism.in any term or manner or by any means except for the user a individual
pronamed and concordat reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at .click an "link
and niter the AHRI Candctl Reference Number and the date on which the certificate was issued
A11 ch is listed abo.e:md the Certificate No.,which Is listed at bottom right.
,'2014 Air-Conditioning. Heating,and Refrigeration Institute CERTIFICATE NO.: 13112469171508307