360 5TH ST ACRS18-0499 MECHANICAL RESIDENTIAL PREMIT MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0499
ISSUED: 12/11/2018
r I CITY OF ATLANTIC BEACH EXPIRES: 6/9/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOT CE: 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
360 5TH ST MECHANICAL RESIDENTIAL HVAC- I A/C, 1 AHU, 3 TON $3777.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1698450270 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
OCEAN STATE HEAT& 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266
AIR,INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
LISA PETERSON 360 5TH ST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4S5-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 33000 $24.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
Issued Date: 12/11/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
-0499
ACRS18
PERMIT
ISSUED: 12/11/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/9/2019
TOTAL: $107.00
Issued Date: 12/11/2018 2 of 2
7R40
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FL 3223).3)
Ph(904) 247-5826 Fax (904) 247-5845 A(�,Rsl
JOB ADDREss: PERMIT
PROJECTVALUES ARI# REOULkED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: a! Unit Quantit;.- BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I 'rons Per Unit 3 X)
Heat: Unit Quantity I BTUsPerUnit 33,000/y,/,�g8cel-Rating )-15::c
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quant1tv, (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 BT17S
Elex,ators/E.scalators
ALL OTHER GAS PIPING Heat Exchan-er
Quantity of Outlets Pumps -U's
" Vented Wall Furnaces Refrigerator Condenser BI
ff
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit becomes void if Nvork does not continence within a six nionth period or work is suspen cd or abandoned for six nionths. I hereby certif�-that I have read
this application and know the same to I-,L true and correct. All provisions of laws and ordinance,governing this work m ill be contplied with whether specificd or
no'.. The pennit does not give authorit-, to violate the pro%ision,of an) other state or local [a%% regulation construction or the performance ofconstruction.
L j2ekl-,�
Property O,.vners Name I Phone Number 5�2-YXO
Mechanical Company Office Phone, 'Wi—OK
�4,237Fax
Co. Addres City &A State r zip
License Holder(Print): Certification/Reolstration 41
Notarized Sianature of License Hold
- - - - - - - - - -
YVETT ne this av of OCCevber i
E P.MORALES efore ct� 0-
Notary Public-State of Florida
M
P
Commission#GG 069102 n 5r
e of Not Public A f) na
Sian
My Comm.Expires Mar 2,2021
13wded through National Notary Assn.
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Neu Walid CER I IFIED j�
L www.atiridirectory.org
Cleftificate of Product Ratings
AHRI Certified Reference Number:9126462 Date: 12-10-2018 Model Status:Active
AHRI Type:HRCU-A-CB
Series:XR15
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TWR5036H1
Indoor Unit Model Number(Evaporator and/or Air Handler):TEM6AOC36H31+TDR
The manufacturer of this TRANE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary
Air-Conditioning&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing:
Cooling Capacity(A2)-Single or High Stage(95F),btuh:34800
SEER: 15.00
EER(A2)-Single or High Stage(95F):12,50
Heating Capacity(H12)-Single or High Stage(41F):33000
HSPF(Region IV):9.50
t*Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;OR new models that are being
marketed but are not yet being produced."Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re-rate. The new oublished ratino is shown alona with the Drevious(i.e.WAS)ratino.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations.warranties or guarantees as to,and assumes no responsibility for,
the product(s)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 are valid only for models and configurations listed In the
directory at www.ahridlrectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and
confidential reference purposes.The contents of this Certificate may not,In whole or in part,be reproduced:copied;disseminated;
entered Into a computer database;or otherwise utilized,in any form or manner or by any means.except for the user's individual, AM
personal and confidential reference. AIR-CONDMONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make 16 bettei—
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above,and the Certificate No.,which is listed at bottom right.
@2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131889568029301933