362 6TH ST - HVAC (----
• . . CITY OF ATLANTIC BEACH
1 YNR,.y. c) 800 SEMINOLE ROAD
� ;r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1720
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 1 TON
Estimated Value: $4,500.00
Issue Date: 7/29/2016
Expiration Date: 1/25/2017
PROPERTY ADDRESS:
Address: 342 6TH ST
RE Number: 169864-0000
PROPERTY OWNER:
Name: KIRK, ROBERT & CHRISTINE E, *
Address: 342 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
Address: 315 SIXTH AVENUES QA 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 fees. No
exceptions.
FEES:
Furnaces and Heating $24.00
AC and Refrigeration $8.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $91.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 F
Ph(904)247-5826 Fax(904)247-5845 I e,` E Cb4 - i -7 z D
FOB ADDRESS: t,1-C e-c 4' . :PERMIT#
PROJECT VALUE $ 41,jDCI ARI# REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
4TEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit I f
Heat: Unit Quantity 1 BTU's Per. Unit J_ Seer Rating
Duct Systems: Total CFM REQUIRED
ZEPLACEMENT 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
t 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
kLL 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: iiPS 2ql 37 c/
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 read
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 specified or
ot. The permit does not give authority to violate the provisions()fatly other state or local law regulation construction or the performance of construction.
'roperty Owners Name 11 t'cik ���o Phone
rrNumber G+41 'l/
Mechanical Company 2j+��+►� '\emit 1S s Office Phone�''1��4 'Max
;o. Address: 3\ Gari.. 1--. Cit> State 'Z. .Zip3 -4
Amuse Holder(Print): ' State Certification/Registration #Gb.C4 2 L 1
Holder
04: "' RICHARb
*_ . ,`' Commission#FP 0440399 Before me this .r,,,--
404.44
"day of 1S U t {S 20 1 C,
-.,-'_i g Expires July 29,2017
�,Rt; OMdalTAnrTroy PAM InWrnnn"°"6 " Signature of Notary Public_
NIIIMMINIMM 1111111111111111111. '111M111111=111=6.
1
AASem 10ERTIFIED
wtvw.ahridl'cctory.org
Certificate of• Product Ratings
• .
AHRI Certified Reference Number: 8914075 Date: 7/28/2016
Product: Variable Speed Mini-Split Heat Pump,with Remote Outdoor Unit Air-Source, Free Delivery
M
Outdoor Unit Model Number: MUZ-HM12NA2***
Indoor Unit Model Number: MSZ-HM12NA***
Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING
TradelBrand name: MR. SLIM
Series name:
Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING&
HEATING
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:
:Co'oling Capacity(Btuh): 12000 • : '" '
EER Rating {Cooling}: 9.90•• • :
- SEER Rating (Cooling)- 18.00 • • . •
Heating Capacity(Btuh)tcD.47 F:. . .'2200 Reginiin IV HSPF Rafting(Heatirii): :: 8:"50.
He titig.Gapacity.(BtOh):@ 17 F; ''7800. ...,•;,-,.,::•:'• ':: : : '.; ,
CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS
(BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED
EQUIPMENT,VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON
TR'S CERTIFICATE IS ACC RATE,SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY.
'RWtnes followed by an asterisk O indicate a voluntary rerate e.previously nunlahnc ants,unless accompanied wit n A ,wh c t I eaten on Involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate.end makes no representations.warranties or gunrontee„as to,and assumes no responsibility for,
the product(S)listed on this Certificate.AHRI expressly disclaims all Ilabnity for dnmeges of any kind arising out of the use or performance of the productts),or the
un;rutherlSCd alteration of data listed on this Certificate.Certified ratings are vend only fnr models and configurations listed In the
directory at www,rrhrldfrectory,org.
TERMS AND CONDITIONSIP
Tills Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be uSed for Individual,personal and
rposs. s s h ,beded; , "fill
entCrCdconndentlnl Into rCfcronco a computerpudatabease:Tho or otcontentherwiseof utilized.thiIn anyCertlflcate formmay ornot.maInnwnerole or byor anyInpartmeanser,exceptproduced:for the user'scopied; isseminat
Individual,
personal end Confidential reference, NR•CONDITfeNINO,HEATING,
CERTIFICATE VERIFICATION
Si REFRIGERATION INSTITUTE
The informnflon for the model cited on this certificate can be verified at www.ahridireetory,org,click on'Verify Cortlflcato-link er make lifebeit r"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, _
WhICI1 Is tlsled above,and the Certificate No.,which Is listed at bottom right. ^�^:• -
2014 Air-Conditioning, Heating.and Refrigeration Institute �``G i t1FICATE. NO,; 131142185779040452