ACRS18-0263 SAY
r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0263
Description: replace 2.5-ton 27.8K-BTU AHU
Estimated Value: 3787
Issue Date: 6/19/2018
Expiration Date: 12/16/2018
PROPERTY ADDRESS:
Address: 1974 BEACH AVE
RE Number. 169702 0000
PROPERTY OWNER:
Name: DEWEY ROBERT H III
Address: 1974 BEACH AVE
ATLANTIC BEACH, FL 32233-5935
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OCEAN STATE HEAT&AIR,INC.
Address: 1476 ATLANTIC BLVD CA 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$7,500.
MECHANICAL PERMIT APPLICATION Jf U I
CITY OF ATLANTIC BEACH
800 Seminole Rd.Atlantic Beach.FL 32233 n
/n
Ph(90/4)247/�58226 Fax (904)247-5845 l.. 8 -0?_ G3
JOB ADDRESS: 1�q 6&c J4) /IV� —PERMIT#
PROJECT VALUE$ V e7 ARI# _0300 REQUIRED
_Air Handling Equipment Only XAir 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 I Tons Per Unit a-s I ! '1 L
Heat: Unit Quantity I BTU's Per Unit —'LI Seer Rating J, o'J
.
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantiq (Requires 3 sets of plans)
Fire Standpipe Quantit}' (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:
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) '
Wells
OTHER:
Perron becomes void if work does not commerce,nithin a six month period or worl:is suspended or abandoned for six months.1 hereby cenify that I have read
thisapplicatim=dknowthesamctohctmemdcom t. Ni provisions oftaws and ordinances governing this w'ort:will he complied with whether specified or
not The permit does not give outtlm t> o vwrw N row p cions of any other smtc or local Lac regulation construction or the performance of canstmction.
Property Oumers Name nQPhone Number a2�f-5,567
Mechanical Company OVA,-\ 9 r')c"I'� Ottice Phone.7y_ 4ftax a
n ),�/u/ o
Co.Address: WA (/ �N� Cintatef/ Zip,322_Ub
License Holder(Print): S State Certification/Registration# 31U
Notarized Signature of License Holder.
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Commkslml000691a1 Signat Ure 0 is I ,rs I I I
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This combination qualifies for a Federal Energy Efficiency tax Credit when
cam,
placed in service between Feb 17,2009 and Dec 31,2016.
Certificate of Product Ratings
AHRI Cerified Reference Number:9033590 Date D6-15-2018 Model Status:At%ye
AHRI Type:HRCU-A-CB
Sens:XR15
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TViR503OH1
Indoor Unit Model Number(Evaporator and/or Air Handier):TEM6MB30H21+TDR
The manWacturer of this TRANE product is responsible for the rating of this system Combination.
Rated as follows in accordance with the latest edNon of ANSUAHRI 2101240 with Addenda 1 and 2,Performance Rating of Unitary
Air-conditioning 8 AirSource Heat Pump Equipment and subject to ra Ing accuracy by AHRI-sponsored.independent,third party testing
Cooling Capacity(A2)-Single or High Stage(95F).btuh:29DOD
SEER:15.25
EER(A2)-Single or High Stege(951 12.50
Heating Capacity(H12)-Single a High Stage(471 27800
27800
HSPF(Region IV):9.50
f"Active"Modd Status are Mose that an AHRI Gasification Nogrsm Participant is currently producing MND selling or cases for sale;OR new models Me Na being
marketed but are not yet WIN producad'ProCuction Sapped'Model Status are those MM an AHRI Comical Program Ferrari s no longs an dudng BUT Is still
Ratinua this ere eorr themed by WAS Ndicele an invdunWry re-rale. The new oulahshed faire Is ahawn alma with the ohnnous li.e.WAS)retina.
DISCLAIMER
AHRI does not endorse me producks)listed on this Cmllflwte and makes no representations,warranties or guarantees az to,and aumre
ues no spensibNlryr,
fo
the products)listed on this Comficate.AHRI expressly disclaims all liability for damages of any kind arising out of the use on mor omrance of the pmduons).or the
nauthome l alteration of date listed on this Certifimts.Certified amngs are valid only for models and configurations listed in the
directory at www.afirldlectory.ofg.
TERMS AND CONDITIONS
This Cerllflwte and Its contents are proprietary products at AHRI.This CadlOcate shall only Ue used for Indlvlduel,Personal and
confidential reference purposes.The contents of this Certificate may not,In whole or In pan be reproduced;copied;dlsseminated:
AM
entered roto a computer dambese;or otherwise ancient.In any form or manner or by any themes,except for the users Individual,
personal and confidential rerorenca. AIR CONOMONING,HEATING.
CERTIFICATE VERIFICATION b REFRIGERATION INSTITU E
Thelnlormatlm for the model cited on this eemNeate can be vedfled at wwwafitldireetoryArg,click on'Verify CerDfleW link �.,make in beue,^
and enter the AHRI Cetllfied Reference Number and the date on which the cannons was Asued.
which b listed abase,antl the CoWINA ,No.,which 611sted at bmtom for.
m2018A1r-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 1317356925199110795