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298 13TH ST - HVAC '• !v`=‘ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD uv ATLANTIC BEACH, FL 32233 1"7-1-•013 > INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS18-0104 Description: 1 AC 3/4 TON HEAT 1 UNIT 9000 BTU Estimated Value: 2225 Issue Date: 3/13/2018 Expiration Date: 9/9/2018 PROPERTY ADDRESS: Address: 298 13TH ST RE Number: 170370 0000 PROPERTY OWNER: Name: GALLI DONALD N Address: 298 13TH ST ATLANTIC BEACH, FL 32233-5714 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: OCEAN STATE HEAT &AIR,INC. Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES NEPTUNE BEACH, FL 32266 Phone: PERMIT INFORMATION: Please see attached 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. IFOO5.9 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 /A-CVS t — •D IOLi JOB ADDRESS: ( q U 13GA-t---6-e-4- PERMIT# PROJECT VALUE $ a� . GU r ;;!..',i,'-7J1'47,,f.. Air Handling Equipment Only Air Handling Unit& Condenser Condenser Only NEW 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 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 3)q 11.h... j /` Heat: Unit Quantity 1 BTU's Per Unit q UDI) Seer Rating ',A . 100 Duct Systems: Total CFM ) REQUIRED FIRE 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) FIRE PLACES MISCELLANEOUS: c Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems } Tanks(gallons) ells OTHER: rTAX F D Permit 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 this 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 not. The permit does not give authority to violatelthe provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name POP/ (5011/1 Phone Number (110 0 83j I-1 3t._ Mechanical Company C C-eCA--f-Th J oaa-RI r Office Phone az-t9'$)`j1 Fax 'DA 801149 Co.Address: \ -\7 In )44-1041,41C, IVO City N V U State R--► Zip 3 ' ��o License Holder(Print): -) 5 • - ' - / State Certification/Registration# (/�HC�3/() Notarized Signature of License Holder' / illik • •ti'YP"'••, YVETTEP.MORALES B; ore me this \.01A day of M Gv t,4� Xiji 1 .° ','4. NotaryPublk-State of Florida • Commission#GG 069102 Sl eofNot. Public0 (V)ix '•:. 11 My Comm.Expires Mar 2,2021 A"' Lit'V"7 1 4 1 ' °FF;.,•.• Bonded through National Notary Asfn. This combination qualifies for a Federal Energy Efficiency tax Credit when A ��! placed in service between Feb 17.2009 and Dec 31, 2016. •r+i Inaii CERTIFIED" www,altl idirf!nInry,olq certificate of Product Ratin s AHRI Certified Reference Number 201754648 Date:03-13.2018 Model Statue :Active Old AHRI Reference Number AHRI Type ; HRCU-A-00-0 Series Name ;M-Series Outdoor Unit Brand Name Mitsubishi Electric Outdoor Unit Model Number;MU2-OL09NA-U1 Indoor Type ; Mini-Splits Indoor Modal Number(s) :MSZ-GL09NA-U1 Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 end 2,Performance Rating of Unitary Air-Conditioning &Air-Source Heat Pump Equipment end subject to rating accuracy by AHRI-sponsored,Independent,third party testing; Cooling Capacity(95F);9000 EER(@6F) 1,15.40 SEER' „ ',, High Hbat10900 Low Heat,(1'TF) '16700 % •„ , Sold in?„ ,`,USI.;Canada';,y,' t f"Active"Model Statue are those that an AHRI Cenlficellen Program Renicipant Is currently producing AND salting or ofrering for sale;OR new models that are being marketed but are not yet beirg produced,"Production Stopped' Model Status are those that an AHRI Certlflcatlon Program Participant Is no longer producing BUT Is still selling or offering for sate, aaalaufaur n w ed ra show on wi he rev t i.e.w rating. DISCLAIMER AHRI dont not endorse the preduct(s)listed on this Certificate and makes no repreeontetione,werrentles or guarantees us to,and assumes no responsibility for, the product(e)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate,Certified ratings nre valid only for models end configurations listed In the directory at www.nhrtdlrectory,ortf, TERMS AND CONDITIONS This Certificate and Its Contents are proprietary products of AHRI,This Certificate shall only bo upon for individual,personal end confidential reference purposes.The contents of this Certificate may not,In whole or In pert,be reproduced;copied;disseminated; a-"•'= ='� entered Into a computer database;or otherwise utilized.In any form or manner or by any means,except For the user's IncNldual, personal and confidential reference, CERTIFICATE VERIFICATION AIR•cerypl NAI1ON INSTITUTE, The Information for the modal cited on this certificate con be verified at www.ahrldirectory,org,alick on'Verify Certificate"Ilnk &REFRra ik Iii and enter the Alli Coriffled Reference Number and the date on which the certlficete was Issued, nakr,lily luab i'• which is listed above,and the Certificate No.,which Is listed at bottom right, ©2018Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 1 31 654 1 6741 240875g daMEMP Z00/Z00H0V38-1IINV11V f 0/V 31V1S NV300 6tr686trZtr06 XV3 9E 60 81.03/C1./6012]