1785 BEACH AVE HVAC PERMIT (2) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1616
Job Type: MECHANICAL HVAC ONLY
Description: replace one (1) 2.5 ton AHLI
Estimated Value: $3,500.00
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 1785 BEACH AVE
RE Number: 169677-0000
PROPERTY OWNER:
Name: PIATAK, THOMAS
Address: 1785 BEACH
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING &AIR
Address: 315SIXTHAVENUES CIA 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 few. No
exceptions.
FEES:
AC and Refrigeration $20.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2,00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERNTY IS APPROVED ONLY IN ACCOMIANCE WITH ALL CITY OF A�IC BEACH ORDINANCES AND THE FLORIDA
BUILDINGCODES.
ATLANTIC BEACH
PERMIT RECEIPT
PERMIT DESCRIPTION: replace one (1)2.5 ton AHU V)xxv
PERMIT NUMBER: 16-MECH-1616 10— J� I0
,
ADDRESS: 1785 BEACH AVE N
OWNER:
DATE ISSUED:
FEES DUE:
AC and Refrigeration $20.00
State Mech DBPR Surcharge $2.00
State Mech DCASurcharge $2.00
Trade Permit Base Fee -�55 00 CITY OF ATLQMC BEACH
800 SEMINOLE RD
ATLMUC BEAC,R-32233
07,19;2016 0843:41
CREDrr CARD
ASA SU
CARD U=XXXXX9607
INVOICE 00111
SEQ#: ODDI
Balofip: 000360
Approval Codt 002718
Ety*M: MIMI
Mok Win!
Tax Aawt, $0.00
Card Code: M
SALE AMOUNT $n.w
CUSTOMER COPY
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5926 Pax (904)247-5845 1(oltv
rOB Animus: S-S 71,_ A_ K,,, -- RWT
PR OJ'ECT VAL UE$—'3, 6�bC:� A J U Al IV391LI I —�"QUIRED
__Air Handling Equipment On-ly---_4Air Handling Unit& Condenser —CondenserOnly
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quant�ty Tons Per Unit Sw
Heat: Unit anftty:�r= BTU's Per Unit Seer Rattin 114.
Duct Systems: Tota]%FM NEQUIRED
kEPLACEMENT AIR CONDITIONING & HEATINGASXSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit amJ&
Duct Systems: BTU's Per Unit
Heat: Unit Quantity SeerPating
Total uk;m REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity R 3 sets of plans)
Fire Standpi antity ee 3 sets of plans)
Undervoung'Fire M ?aulue ""w"s
4
ain rare
q - 3 sets of plans)
Fire Hose Cabinets Quantity !R q ruses 3 sets of plans)
Commercial Hoods q ur"
Quantity uires 3 :ets of plans)
Fire Suppression Systems Quantity (Requires 3 ets of plans)
?IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers rTU�s—
Elcvator,�Eicalators —
kLL OTHER GAS PIPING Heat Exchanger
Quantity Of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser --U,$
#Water Heaters Solar Collection Systems WT —
Tanks(gallons)
Wells
OTHER:
onitbeWootIvoidlfworkdo not commence within a3b,nooth Period or work Is nspcnded or
mdonedflershtrom .�Jhcmby Mftifytbat T have read
�soppli=iftudk�owthe�owbonondcormt. All Provisions oflaws and ordinmocs g,worning this work will be co"lied with whetherspwifled or
t The Pmort does not give authority m violate the p�isions of my other swo or local law regulation construation"c Perfernmice orconstraction.
WertY Owners Name I
Phone NumbtT 31k:-�rm
echanical Company&.-��--, r� Office Phori
).Address:?. t 52 City !SSNQL—statcggL zip
cause Holder(Print): k State Certification/Registration
Marized Signature of License Holder
Before me this day of
196
0m:k1flie"Mmoo Signature of N tary Public....
as
Certificate of Product Ratings
AHRI Certified Reference Number: 7839141 Date: 7/18/2016
Product Split System: Heat Pump with Remote Outdoor Unit-Air-Source,
Outdoor Unit Model Number: N4H430GKG*
Indoor Unit Model Number: FEWX30�1211-
Manufacturer:TEMPSTAR
Trade/Brand name: TEMPSTAR
Series name: 14 SEER N SERIES R4110A HP
Manufacturer responsible for the rating of this system combination is TEMPSTAR
Rated as follows in accordance with AHRI Standard 210/M-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of ralling accuracy by AHRI,sponsoned,Independent,third
party testing:
u Im 1 1....... tI 1 0.1
Cooling Capacity(Btuh) 28600
EER kating (Coollni;)�
SEER,Ratln
ii (Ciataling):,
J
I'M
Heating Capacityi(Blult) 17 F; 17100
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DISCLAIMER
Ate do .net V.Some the aroduVt(n)all on this Cralloete And nemm�.
DOO"'Oh")"won flasCa"VIII Alan opmady desdoons oil"ability for damageho 0 day kml Bral O4tM me use Or lininioname,Of the ManduedI;),orthe
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Pin
denneral.no.oltdOntlidOnns., MR�MMING.�"Mg.
CERTIFICATE VERIFICATION &RMIGERMON hannothai
n. mormartion ror as Made Chad an Ildsce"Cate am Ce Ornmed,at enertAhrldIneeti dlck.h Ndly Condflook.-link 1.nIrke I'lik Who-
and Ohio me AHRI Canthl"others...N.Orkher and the ftlm,a.meltit this certhdoeth, . 01
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@2014 AI�Condltlonlng,Heating,and Refrigeration Institute 131133154D37048M