650 Sailfish Dr HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0196
Description: HVAC - 1 A/C, 1 AHLI, 3 TON
Estimated Value: 7495
Issue Date: 10/13/2017
Expiration Date: 4/11/2018
PROPERTY ADDRESS:
Address: 650 SAILFISH DR
RE Number: 1712140000
PROPERTY OWNER:
Name: CURRELLEY FREDDIE
Address: 650 SAILFISH DR E
ATLANTIC BEACH, FL 32233-4233
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA HOME AIR COND DBA ARS
Address: 4211 EMERSON ST QA DENNIS M BROWN
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see aftached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
8GO Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5945
L) —5,q/z / /_S
foB ADDRESS: PERMIT#
PROJECT VALUE S -7 "72; L APJ# '�677yld' UIRED
—Air Handling Equipment Only Air Handting Unit & Condenser Condenser Only
qEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditionin& Unit Quantity Tons Per Unit
Heat: Unit Quantity_ BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
tEPLACEME,NT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning- UnitQuantity Tons Per Unit 2
Heat: Unit Quantity BTU's Per Unit Seer Rating_
Duct Systems: Total CFM REQUIRED
'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 (Requ es 3 gets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
1IRE PLACES NUSCELLANEOUS:
Prefabricated Fireplace Qry Automobile Lifts
Gas Piping Outlets Boilen BTU's
ElevatorsfEscalators
iLL 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: C4,,, C3,/;7
crTnit becomcs void If work does not conurvatcewilittin osix monlik period orwork is initTended orabandmed for six months.I hemby cmify that I havc read
iis application and know thcsamc to be truc and coffcct, All provisions of laws and ordinarums goveming this work will bc cornplied with whcther specificd or
o4. The permit do,=not givr authority to violate the provWons ofany othcr statc or local low rtgulation construction or the pCrl`bmmncc orcmi"clion.
.roperty Owners Name 11--Ie- e C Phone Number.FD �1-37y�-170 J'
4echanical Company t1,011 �2/a-%,r X Office Pho-nTe (�-Y(, Fax-7;2)- ?04_1
city -3 Z Ed-?
V Address: S J State Zip
,kense Holdev(Print):,P-ew)v) j Z,� _e Pt State ClertificationfRegistration# (f 1,2YO-771
Lj
Notary Public State Ul
fore me this. day of 20—/
commission # FF 20003;2"
fjy Cojn�m Zxpiies Mai 5.20 11 S, rure of Notary Public
jed National laaly Ass..pna
sma CERTIFIEEr
ki v�ri.;Ih rid�r C Our V.a rq
Certificate of Product Ratings
AHRI Certified Reference Number: 9679818 Date: 9/26/2017
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: PHI 4NB036*0—B*
Indoor Unit Model Number; FB4CNP036L
Manufacturer: PAYNE HEATING AND COOLING
Trado/Brand name:PAYNE HEATING AND COOLING
Series name: 14 SEER HP
Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING
Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitary Air-Condltlonlng and Air-Source
Heat Pump Equipment and subject to verlfication of rating accuracy by AHRI-sponsored,independent,third
party testing:
Cooling Capacity(81uh): 33000
EER Rating (Cooling): 11.50
SEER Rating(Cooling): 14.00
Heating Capacity(Bluh)@ 47 F: 33800
Region IV HSPF Rating(Heating�: 8.20
Heating Capacity(Btuh)@ 17 F: 20BOO
-Rot"(oft"d by-a SUMI,I')WOKAW 41&V03-WA1Y(a rate of""OV.1y pt"&hd U1,Wve2%a ccionVonsed�Ilh a WAS hCh Wid"let on MICIWV34Y relate
DISC LAI ME R
AHF"does r�oi endome the ploduc(Ifil Usird On this CefliflMll and Makes no mpiesentaouns.warranties of guarant"3 as to.end assumes no tesriDnsiaility Ioc
the prWkK%4%)listed OQ this Cetilfkate,AHRI e4piaWy disclalms all latiLlilty Ic,Lismages of any kind airsing out all the use or"rfo�m.nca Of I"PodL�I(slf.Of the
unuthoritee alteration of able listed on this Catilkale.Caitiflird Wings ate valid only for models 3nd configurations listed IA the
difecioly at----1101i I 1000"r W9
TERMS AND CONDITIONS A% "EDP
This Caltimrate one its contents are ixoptietary prochicis of AHRI.This Cert1ricatt:shift Only be USL4 for intinnoutil.personal a"
Lmrioentwl onlerince purpo�The contents of this CaltifIcate may not,in hoov or in parL be leguccuiced;coplecL dissemlinated; 13M 'Md
en�eted�nto a computes database;Of DthV(WI%c utilued.in any form Di manner or by any means.etcepi lot the user's AIR.001(01110MING,"LATIMO,
pa sons anti covindentlailrefetence. L 111FRKERATION I1WttUT1
CERTIFICATE VERIFICATION 6ck on*verity cattificate,link
The I faimaLlom to,the nVocket Cited on fills cerillicate can be vefIlled at ww—ariddiiactory eig.
.1 enter the AM Ccillfled Releierv-C INUmbel and the date on whkh the ceoikate was tswe
.hichislist" tiove,and the Cerittl cola No--hlCA Is Wall at bo"orn righL CERTIFICATE NO.: 31,,09017423G43379
@2014 AlZriditionIng,Heating,and Refrigeration Institute
Cash Register Receipt Receipt Number
City of Atlantic Beach R3145
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS17-0196 Address: 650 SAILFISH DR APN: 171214 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 $2.00
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3145 $107.00
CITY OF ATLANTIC BEACH
BOO SEMINOLE RD
ATLANTIC BEAC,Fl.32233
10 13 2017 09:40:22
CREDIT CARD
MC SALE
'ARD;;
MXX=9176
INVOICE 0003
3EQ;: 0003
13ath;: 000656
tWoval Code: 054727
Enty Method: Maul
4ode. Onliv
'Tax knount: $0,00
Ist Code
'ard Code:
Z M
�AIE AMOUNT $1071
CUSTOMER COPY
Date Paid: Friday, October 13, 2017
Paid By: FLORIDA HOME AIR CONE) DBA ARS
Cashier: ME
Pay Method: CREDIT CARD 2
00,
I
Printed: Friday,October 13,2017 9:42 AM 1 of 1 4
TRAM