1660 Beach Ave #1 HVAC permit 'vj, ,
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: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3079
Job Type: MECHANICAL HVAC ONLY
Description: replace two (2) 2.04on 24K-BTU AHUs
Estimated Value: $7,469.00
Issue Date: 1/24/2017
Expiration Date: 7/23/2017
PROPERTY ADDRESS:
Address: 1660 BEACH AVE UNIT#1
RE Number: 169575-0000
PROPERTYOWNER:
Name: RUTTER TRUST. ELAINE
Addrew: 3955 TORREY PINES BLVD
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT &AIR,INC.
,CAC049310
Address: 1476 ATLANTIC BLVD CIA JAMES GLENN JONES
Pho
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
eIIceptIons.
FEES:
AC and Refrigeration $32.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERIWIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
TFUI-C,
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(%4)247-5826 Fax(9N)247-5U5
JOB ADDRm: 16W- I Beach AAnLA_-C- PERMT#
PROJECT VAL UE$ 9 4 6 9 ' ARI# 956qW3 REQUIRED
—Air Handling Equipment Only ___Air Handling Unit& Condenser _CondenserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning. Unit Quantity Tom Per Unit —
Heat: unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 Tons Per Unit 2--IlhS
Heat: Unit Quantity BTU's Per UMLZ�=, Seer Rating � (4
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Req im 3 sots of plaml
Fire Standpipe Quantity (Require,3 sets of plans)
Underground Fire Main Value (Requires3 sets of plans)
Fire Host�Cabinets Quantity (Requirres 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elcvatori/'�Bton
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Holders Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
==emd if worl,does not wnjama,,A�work is suspended or abandoned forsix months.I hereby cedify that I have read
this appliestion and 1,no,the c to he true and cooreef. All pmvismas,or Iowa and ordinances governing this work will be complied with winether SPOCified or
.at. Th. .it does not h�e authority to the provi Lite or Ineal law re,olation consmaction or the perlbaraince of construction.
Property O%vners Name Ela�it `Kw� Phoneblumber
-t CkI _ lkd�b +A'L office Phone _qn-k2S) Fax
Mechanical Company- 00Pax AAt
Co.Address: I LfnIip L City State
_�j�-Zip
License Holder(I Certification/Registrationii
rin,". 21_flu�_fl���_�
Notarized Signatw� f LicenseWb-Ider_LP_�L�
YVETTE P MORALE
\ Before me thi�" day of on ,
NOTARY PUBLIC — , 3��
STATE OF FLORIDA a Public
Co�EES79174 tary
Expim 3r2=i 7
This combination qualities for FecleralEnergy
CERTEfficiency Tax Credit when lacedinservice
IFIEW op
L ,,�.ahridrectory.org between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number:7SS4003 Date: 1M=17
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 4TWX6024H1
Indoor Unit Model Number:TEM6AOB24H21+TDR
Manufacturer:TRANE
Tradeffirand name:TRANE
Series name: XL161
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): 24200
EER Rating(Cooling): 13.00
SEER Rating(Cooling): 16.00
Heating Caplacity(Btuh) 0 47 F: 22000
Region IV HSPF Rating(Heating): 9.00
Heating Capacity(Btuh) (9 17 F: 14100
Rlin,.fskmed as an adersk(I lindicala.voiasars smadixessxmi, milnes&ra,uriess a�sxasix, Ms.ar� an mrAinmry rams.
DISCLAIMER
ANRI Oses n,essami ov, maicks)Rossi an Ras cianiticsits anO aralies ass raresentalmrs,ma al ies ar sam- samamilassumasnorimpasaftiliftylas,
am produd(s)Used W DOS�AHRI expressly disdains,all liability Wr darmaxas 0 ary Wait staing nA 0 the wis W Wiftirmarms al Ne passings),as Dos
Ramm,,fl,,
TERMS AND CONDITIONS
nis Cam"'me and its saflests am m,fielaq PmOuds W AHRL Ras stall only W amcl for indiMital, arimm.
rfldemal retanarri Mrsams,The cisimarts 0 Wis iostdamm rnas mA,in virmle.in part,am �nmd;dissiaz.;
Mrsoral it nfidantmi relfarnme. Am�...Gmml,
CERTIRCATE VERIFICATION REPlasmWN NS
and onteri�MRi�Rde�Num�and�dWeonwNchtM��IMMIL
�NO is istod 3�.arn Ahe Ceftificam No..which is islad at hostorn Opt 131296771899274980
02014 Air Conditioning, Heating,and Refrigera Han Institute ' CERTIFICATE NO.: