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349 3rd St ACRS19-0260 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER r PERMIT ACRS19-0260 ISSUED: 7/31/2019 CITY OF ATLANTIC BEACH EXPIRES: 1/27/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' !A BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 349 3RD ST MECHANICAL RESIDENTIAL instal two 1.25-ton 22K-BTU $4764.00 HVAC AHUs TYPE OF ZONING: :D • • • GROUP: 169823 0000 ATLANTIC BEACH COMPANY: ADDRESS: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. • ADDRESS: HOFFMAN DAVID A 349 3RD 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 • • Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. 7ACDESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AND REFRIGERATION 4SS-0000-322-1000 23 $16.00 FURNACES AND HEATING 4SS-0000-322-1000 22000 $24.00 MECHANICAL BASE FEE 4SS-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00 Issued Date: 7/31/2019 1 of 2 MECHANICAL PERMIT APPLICATION T � CITY OF ATLANTIC BEACH v O 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: �� I �� PERI 1T# AnSIG-Q)(QZ PROJECT VALUE $ Aff �1�-5, REQURED Air Handling Equipment Only _y_Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity---JP�—_ Tons Per Unit Heat: y Unit Quantit} -' BTU-s Per Unites Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM TEM INSTALLATION Air Conditioning: Unit Quantity l "Ions Per Unit Heat: Unit Quantity a BTU's Per Unit 0 7 Seer Rating �t Duct Systems: • Total CFM cl- 9,Ivu P)Tl,, REQUIRED CJ 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: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elex,ators!Escalators ALL OTHER GAS PIPING Heat Exchan;er Quantity of Outlets Pumps 0 Vented Wall Furnaces Refrigerator Condenser BTU's ;u Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoncd for six months.I hereb}-certify that I have read this application and know the same to be:true and correct. Alf provisions of laws and ordinances governing this work will be complied with whether specified or not. 'lite permit does not oive authority to violate the uvs uns of ani.other state or local la« regulation construction or the performance of construction. Property Owners Name 1I1 A 1T i1��VA Phone Number 4_12-_34✓yS ;, Mechanical Company -CO Office Phone 'S2� Fax z` L � StatFL- Zip�� Co. Address: .' License Holder(Print): lWi State G rtificatn/ReDistration +- 9 Notari d ' ► Ider. YVETTE P.MORALES 70 I C .' tit 1 v lll„ Notary Public-State ofFlonda Before me this Cpttlrttission M GG 069102 My Comm.Expi,esMar 2, 021 gun Stromnature ofNy ' 'EoFF gwdedthra9bhsbOnalNo" This combination qualifies for a Federal Energy Efficiency tax Credit when X9 ,o placed in service between Feb 17,2009 and Dec 31, 2016.01123 CERTIFIE r Certificate of Product Ratings AHRI Certified Reference Number:201754642 Date:07-31-2019 Model Status:Active AHRI Type:HRCU-A-CB-O Series Name:M-Series Outdoor Unit Brand Name:Mitsubishi Electric Outdoor Unit Model Number:MXZ-2C20NA2 Indoor Type:Non-Ducted Indoor Units Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Condifioning&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(9517): 18000 EER(95F): 12.70 SEER:20.00 High Heat(47F):22000 Low Heat(17F):13500 HSPF:10.00 Sold in?:USA,Canada 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 published ratina is shown along with the previous(i.e.WAS)rating. 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.ahridirectory.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, AMi personal and Confidential reference. AIR-CONDITIONING,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 w—mike Iii,;b,tterC 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. — —"--- 132090553661414179 ©2019Air-Conditioning, Heating,and Refrigeration Institute ;CERTIFICATE NO.: