920 Orchid ACRS18-0419 ReceiptCash Register Number
City of Atlantic Beach 80
DESCRIPTION
-PermItTRAK $119.00
ACRS18-0419 Address: 920 ORCHID ST APN: 1709470560 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AN D HEATING 455-0000-322-1000 24000 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1000 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-07000 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL • : 1 $119.00
Date Paid: Wednesday, October 03, 2018
Paid By: FLORIDA HEATING &AIR INC
Cashier: CB
Pay Method: CREDIT CARD 903050
Printed:Wednesday,October 03, 2018 10:07 AM 1 of 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS' 920 orchid Street Atlantic Beach, Florida 32223 PERNUTB iws� -d
PROJECT VALUE$ 4264.00 ARI# 9674447 REQUIRED
_Air Handling Equipment Only x 4ir 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 2 Ton Ia sera
Heat: Unit Quantity 1 BTU's Per Unit 74noo Seer Rating REQUIRED
Duct Systems: Total CFM Inns rca
FUM 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:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevatots�F.scalators
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:
Permit besoma VOW of dors not mmmeme within a ser month period or work is suspended or abandoned for Fix nnndtt.l hereby catify deer I have read
thisapplicadim and maw thesome to be true and tonact. All pmvisio®of laws and o�nmccs governing this work Will be m�lied aPoh whether gRdfied or
.OL The permil doer out&. ow tym viola the povLsions of my oWa smm orlocal lsw regulshun mnsmrctim or the pafamance ofammtatim.
raSzr , ANDREW 248-892-2793
Property Owners Name Phone Number
Mechanical Company FLORIDA HEATING & AIR INC Office Phone904-993-3347.
Iacksonvil le f
Co Address. 13720 old St. Augustine Rd. suite 8-189 City State Fl Zip 322$8
License Holder(Print): Donalcr.B. Chapean State Cesfifica*n/Rcgurt ation# cACI917553
Notarized Signature ofLicmee Hilda
,sa Nar.y wu�see>Evm Before me this�day of e-TD ' 20f _
F aCGPam1
" Nycwavl si aesaso
Signature of Notary Public
lea,� E.oaa oarrm2o
ANIRLI CERTIFIED*
Certificate of Product Ratings
AHRI Certified Refs..Number:9674447 Dale:10.02-2018 Model Status:Aalve
AHRI Type:HRCU-ACB
Series:14 SEER W SERIES R41M HP
Outdoor Unit&and Name:GRANDAME
Outdoor Unit Model Number (Condenser a Single Package):WCHA2"GNB"
Indoor Unit Model Number(Evaporator and/or Air Haller):WAHE244C
The manufacturer of this GRANDAIRE product is responsible lst the rating of this system combination.
Rated as tdwwa in accordance with the latesl edition of ANSVAHRI 210240 with Addenda 1 and 2,Performance RaOng at Unitary
AirCalipwtirg a Air-Sante Heat Pump Equipment and mbiw to rating securest,by MAI-sponsored,independent,third parry testing:
Ceding Capacity(A2)-Sm&a High Stage(95F),bah:22200
SEER:14.50
EER(A2)-Single or High Stage(95F):11.50
Hearing Capacity(H12)-Single or High Stage(479:22200
HSPF(Region IV):9.20
t- E ModelStatue ere these UM an AHRI Cer4liratlon Pmgram PNtitipnt In currently aoducing AND selling or,olleiny err sale;OR new male4 Mat Am being
madded pal aro rot yet pda9 pnduced.P�odmbon StappeT Madel Stamm ere these suet an AHRI Comficatlan Pies.PA146panl a no lecher Peal lg BUT k Oil
selll"¢ag,°nntarhg bf Serb. ,a wes 4lrmre An'moamav The ,' mea rat' - mown atom At,the worus(ie.WM)mton,
DISCLAIMER
AHRI does not es Ands, t1N Produot(A)INAW on Nb CITMARIA Ars,Mendes rte mlymun omers-wamaNs m Eperwlises esto,and..ho reesanMplllty 1a.
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urounlatrad SNwaNn 0 dock I AM,on wA CArtfllmb.eaakd rallnp Ars wiw only far rlpdNA AM olimpraMNN IMAd In 1N
AlmA wy At www.ah rlEmectomor6.
TERMS AND CONDITIONS A lingThkCwllMalA Art,N mnknb Am pmpdetary pnnduck of ANRL This CMIMaM1 MMII only N wad fa lndMdwl,ps,AaWW (r&
On,,dklm moo,WmOsh,TN es,
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emooW into A.,W detebaw,orAntolini Wlbad.In Any,form a monrerw by Aa,..,Asespt 1st tow,uOr,Individual,
pammal Are W India w to... AIRAlONDITPNVIO,Hienum,
A REMIOEMTON 1N111Nre
CERTIFICATE VERIFICATION
N mMw
Tlo,o n W tm=dkd on this esdlNeek pan N MNed 0wwwAhlIdIme.ry..,9,ANN,on Ys,Ny,CAefflum A'link Myisgyryna.
and Ants,tha AHRI carONd ROMAO A Numbs,And OR ds,on AWAN Ore bwtMO Asia WIW,
~is DOW abort,AM Oa CAruNnk No.,Alroh M IMW 0 belle ill".
0201RAlr-CondRloning,Heating,and Refrigeration Institute CERTIF NETAC,O.'