2343 W Oceanforest Dr HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 17-MECH-2939
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - I AC, 1 AHLI, 4 TON
Estimated Value: $10,158.00
Issue Date: 1/6/2017
Expiration Date: 7/5/2017
PROPERTY ADDRESS:
Address: 2343 W OCEANFOREST DR
RE Number: 169463-1568
PROPERTY OWNER:
Name: TROST, THOMAS J
Address: 2343 OCEANFOREST DR
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME AIR COND DBA ARS
ZACE& DENNIS JOHN,CMC1249939
Address: 4211 EMERSON ST OA DENNIS M BROWN
Phone: 904-803-9329
PERMIT INFORMATION:Stidier 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:
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 $32.00
Total Payments: $115.00
PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH
PERMIT RECEIPT
January 6, 2017
PERMIT DESCRIPTION: HVAC- 1AC, I AHU,4 TON
PERMIT NUMBER: 17-MECH-2939
ADDRESS: 2343 W OCEANFOREST DR
OWNER: CM OF ATUNTIC BEACH
800 SEANOLE RD
$2.00 01,06,2017 0654�24
State Mech DBPR Surcharge ATWMC BEAC,R.32233
CREDIT CARD
State Mech DCA Surcharge $2.00 NIC SALE
CAD VXXXXU=9176
Trade Permit Base Fee $55.00 INVOICE 0001
SEQ#: DODI
B&#: D00472
Furnaces and Heating $24.00 Approval C& 062056
Erky V&W: Haul
Onlyx
AC and Refrigeration $32.00 Tar kwunt $000
C.5t C&
W CA: M
Totals: $11S.Clo SALE AMOUNT $115.W
CUSTOWR COPY
C3
pako JV�
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Ationtic Beach, FL,32233
Ph(904)247-5826 Fax(904)247-5845 7 -mect-( -z-9:3<�
foBADDRESS: PERMIT#
PROJECT VALUES REQUIRED
_.Air Handling Equipment Only j!fAbrHandling Unit& Condenser _CondenscrOnly
qEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UnitQuantity— TonsPerUnit —
Heat: Unit Quantity BTU's Per Unit— Seer Ratirm
Duct Systems: Total CFM REQ UIRED
1EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AirConditioning: UnitQuantity 7-- Tons Per Unit
Heat: Unit Quantity BTU's Par Unit Seer Ralina
Duct Systems: Total CFM AUIR—ED
tIRE 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 or plans)
Fire Suppretision Systems Quantity (Requires 3 sets or plans)
11REPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers — BTU's
Elevators/F-Rcalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wail Furnaces Refrigerator Condenser FT IT—a-
4 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER: �r C ///I'- f- 111�lf 6
emaltbeconno, mid Kworkdoos sm commismoc%!thin asix monthpaW"work Is raqwWodoralmodoned Corsi.mumbus.I h=t;byc"(yTj h=d
All pm,,woss.rims..d mcifirmarvi pt,orning this work will becitunphodith whedoospecincdor
w. The permit doos not givc itudwrity to violste 1he provisions ofany other onto or load low mgmtotion amstmotion or Lhe PI-T
,,party Omem Name 7-CP rxf zt� T —PhoneNumQ, -.2ye-,007e
'70 C". �--roo
dechanicalCompany 1A,-`44" Office Phone RX I - 11 1
�� /� ,t,-�j -eA jj� -::�4�-- ' Zip 7e,� o-7
:o. Address: city Sta(eF'- —
,leense Holder(Print): State CerfificationtRegistration C�i25031`1
forarized Signature ofLicense Holder llz��/� 2c�:CL
y
BOWNE a I into Me this 6--f do 0 k:7
=TT
."V Potts 7FWs
P, Fat
,7
ty Pr_ST
Commission 0 IF 200032 1 nature of Notary Publi
mr..si.�
My Comm.Expires MNY 5.2019
Th Is combination qualifies for a Federal Energy
Efficiency Tax Credit when placed In service
am between Fab 17,2009 and Dec 31,2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8950570 Date: 113/2017
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number:RP204SAJV
Indoor Unit Model Number:RHMV6021SEAC
Manufacturer:RHEEM SALES COMPANY,INC.
Trade/Brand name:RHEEM
Series name:
Manufacturer responsible for the rating of this system combination Is RHEEM SALES COMPANY.INC.
Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitaw,Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AM "ponsored,Independent,third
party testing:
Cooling Capacity(Btuh): 4650M
EER Rating(Cooling): 12.50
SEER Rating(Cooling): 20.00*
Heating Capacity(Btuh)@ 47 F: 35600
Region IV HSPF Rating(Heating): 13,DO
Heating Capaclty(Bluh)@ 17 F: 45500
.1 prol.a,rWA.do..U....I.aarr..S�-mromr "ammyroned-
DISCUIMER
Afflffld.,�A.I.W..Me rai Road.fla,Coaftele ad—k.nareprementallorm,�mmnuam or dMismonly na,and smamaa�no n�AWN11W W
Ih.p,W.ct(,)Mad�this QaTifflazed.AMIN Il disdadde,an IWAAMI,1.doon'.d A.,kind raire.i of a..or iftom..of the lonal lead
Unlema0dalol afteraflon at dalm IoM4 go whe CoOlicale.Ceollfled rigid,ors tallid only for mWels mad conflam,etior;Mad In the
dl,..,,a--hrldiv.dal.a.
TERMS AND CONDITIONS
all MA am Jim WeW.,. nMW,DW�0 APRIL all UnIfiCalm 0.11-11-lead harindlAdMi.pararned ad AUUM
enterwiAtoacomWWrdaMMw:arMhemi�utilli�.inm"totmorMonMrorbysMMeafls,..,ptf�th,..l'.Wdi�Wu.1,
,—W ad radfift.11W ad.a....
CERTIFICATE VERI FICATION
meo"am"Im far a.name, ,ed an all lmai�w_.be .aned At—hadiaMt......,ilkk c-MoId'a,link
onto,IM Mal C.,Wedl Rare,..,yl..W AM the data.. kh Me Orro.l.on.AmAdd.
e,"Ir le at.d iflma, ad Me N,"llh 1,Ratio at"Core fler.
0201.4 M,-Conditioning,Heating,and Refrigeration Institute Fc ERTIFICATE NO.: