350 3rd St HVAC permit for guest house 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-3111
Job Type: MECHANICAL HVAC ONLY
Description: GUEST HOUSE - HVAC 1AC, 1 AHU, 3/4 TON
Estimated Value: $5,000.00
Issue Date: 1/26/2017
Expiration Date: 7/25/2017
PROPERTY ADDRESS:
Address: 350 3RD ST
RE Number: 169784-0000
PROPERTY OWNER:
Name: MERENDINO, ROBERT D & JANET,
Address: 350 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT &AIR,INC.
,CAC049310
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
Phone: -
PERMIT INFORMATION: Stidter 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 $5.60
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $88.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CETY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
L C MECHANICAL PERMIT APPLICATION c_Mc s} �u�) CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: ' jrj Stfe'P_+ PERWr# lle-ACS-1Z365
PROJECTVALUES 5*V00 C2 ARI# 2i8?)1)14 ,6 REQUIRED
_Air Handling Equipment Only ✓Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ) Tons Per Unit 3/Lj tt�, I C're�
Heat: Unit Quantity�— BTU's Per Unit,�Omd Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT 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
I FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
I Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requims3 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers -- BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets - Pumps
#Vented Wall Fumaces _ Refrigerator Condenser BTU's
j # Water Heaters Solar Collection Systems
( Tanks(gallons)
Wells l--
4 OTHER: FAX F n
Puma beconla void if work docs not commence within a six month period or work is sespended or abandoaud for six months. e I Malty 11W I h..h.nod
this application and know ilk some to be[me and correct. All provisions of laws and ordinances governing this work will be complied with whether sp. cIfwd e
f ;wt. Ile permit docs not give auth"in vioIl_ate the pmv¢ions of any of r Mac or loaf law regulation conctmmion or the performance of anstmetion.
i' Property Owners Name III -brtrGl �G„O() �✓1L- Phone Number 1r0J-2.CI1bS
R
Mechanical Company We an l fvkp r� Office Phone i_Z Fax � 85,t
j; Co.Address: I�f/lle1-i•I ct.n}iL B�VtQ • City nC Statefil�.�Zi`P
j License Holder(Print): C T ication/Registration#�{ r�rM�
9�)ID
Notarized Signature oJLicense Holder
WETTE P.MORALES ore me this 7Cf.h 20
NOTARY PU&10
STATE OF FLotanA WNX
carona EESmT4 Signa of Notary, blit
Exdros 302017
Certificate of Product Ratings
AN
AHRI Certified Reference Number: 3837466 Date: 1/2612017
Product: Variable Speed Mini-Split System: Heal Pump with Outdoor Unit-AlrSource, Ducted
Outdoor Unit Model Number: SUZ-KA09NA
Indoor Unit Model Number: SEZ-KD09NA
Manufacturer:MITSUBISHI ELECTRIC COOLING&HEATING
Trade/Brand 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
parry testing:
Cooling Capacity(Btuh): 8100
EER Rating(Coding): 12.00
SEER Rating(Cooling): 15.00
Heating Capaoity(Btuh)Q 47 F: 10900
Region IV HSPF Rating(Holding): 10.00
Heading Capacfty(Btuh)@ 17 F: 6700
CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTISPUT SYSTEMS ME VALID FOR ALL COMBINATIONS OF INDOOR UNITS
(BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE MRI DIRECTORY OF CERTIFIED
TEHQUIUIPMENT.VISIT W�WprW�AHMDDa CTORY.MG TOO gVEHRRIIFY THAT THIS COMBINATIONS ISS AN ACTIVE LISTING AND THE DATA LASTED ON
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DISCLAIMER
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02014 Air-Conditioning,Heating,and Refrigeration Institute CERTMATE NO.: Ta12BSla0TZalti80T1