2277 SEMINOLE RD - HVAC ``' s\ CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
+j "` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-875
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1AC, 1AHU, 5 TON
Estimated Value: $5,109.00
Issue Date: 4/13/2016
Expiration Date: 10/10/2016
PROPERTY ADDRESS:
Address: 2277 SEMINOLE RD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
Phone: - -
PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Furnaces and Heating $24.00
AC and Refrigeration $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $123.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION WC.i t (n
• • CITY OF ATLANTIC BEACH
' - 800 Seminole Rd Atlantic Beach, FL 32233
. -- •'Ph(904)247-5826 Fax (904)247-5845 1/_VA,ECH - e.75
OB ADDRESS: 22.77( 5e1,-,inô/e 1 i -i PERMIT#
PROJECT VALUE$ : 5/0 7 ARI# 155 35(41 REQUIRED
__Air Handling Equipment Only Air Handling Unit & Condenser Condenser Onl'
1EW 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
• tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 5 1' f �--
Heat: Unit Quantity 1 BTU's Per Unit St,c)be Seer Rating 't
Duct Systems: Total CFM REQUIRED
IRE 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 equires 3 sets of plans)
'• . Fire Suppression Systems. _ Quantity . (R Requires 3 sets of plans)
!IRE PLACES • MISCELLANEOUS:
• Prefabricated Fireplace Qty .— Automobile Lifts
Gas Piping Outlets Boilers BTU's'
Elevators/Escalators
kLL OTHER GAS PIPING ;_ . Heat Exchanger
Quantity of Outlets' . Pumps
#Vented Wall Furnaces • - ' Refrigerator Condenser BTU's
#Water Heaters . . - Solar Collection Systems . ,
- • - Tanks(gallons)
"� ® ells
)THER: • F�
ennit 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
us application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether sped
at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
`roperty Owners Name L 'ReRl41 CO. (rn0.uiY)Phone Number502•'121.02.1 19
Mechanical Company Oe„eat,. -4-N r Office Phone 24q-g)5)Fax A5-04',
:o. Address: I l Lr 4 — )k 1 -- i City Nge e-elitsh State FL Zip 322[
.icense Holder(Print): 3 el • . -nonv State�ertification/Registration#Cite.# 3/l1
iotarized Signature o License Holder /11111M�W
_Mt YV E P.MORALES '�
NOTARY PUBLIC Befo - me this�M, `�I • of 1 20 1 c0
:er S STATE OF FLORIDA
Comm#EE879174 Sig • ► e of Notary 'ublic L ∎,x,1,(4 114,raiLt
s '1e Expires 3/2/2017
04/13/2016 12 : 05 FAX 9042496949 OCEAN_STATE_A/C + ATLANTIC-BEACH Z002/0(12
11
.a , � CERTIFIED`
www. hrldlreatury.urg ' F k°1
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Certificate of Product Ratings
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i AHRI Certified Reference Number: 7553547 Date: 4/13/2016 i
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
1,17
Outdoor Unit Model Number: 4TWR5061 E1 ,,:,ii
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Indoor Unit Model Number: TEM6A0D48H41*TDR r i^
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Manufacturer: TRANE r:,��
1 Trade/Brand name: TRANE
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Series name: XR15 j
IManufacturer responsible for the rating of this system combination is TRANE
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Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source ,
° Heat Pump Equipment and subject to verification of rating accuracy by AHRI sponsored, independent,third b ,1
party testing: k'
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Cooling Capacity (Btuh): 58000 ,/,
.,4 . j l
EER Rating (Cooling): 12.00
SEER Rating (Cooling): 14.75 I I
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a , Heating Capaclty(6tuh) @ 47 F: 56500 '
, Region IV HSPF Rating (Heating): 9.00 li;
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Heating Capaclty(Btuh) @ 17 F: 35800 i trl
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l alInyls lolluwee by ru'�asterisk(') ndlcere a voiwnary rernte of prsvioualy pubiishad dale],unless acoompanled with a JAG.which IndlCalQA nn Invnluntary rurntei.
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DISCLAIMER i
AHRI does not endorse the product(e)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, i' ,,i
the preduct(S)listed on this Certificate.AHRI expressly disclaims all ilattllity for damages of any kind arising out of the use or performance of the productfs),or the ',
unauthorized alteration of data Ilstee on tni9 Certificate,Certified ratings are valid only for modals and configurations listed In the {
directory at wws�.al:rldIreetorv.org. i''
TERMS AND CONDITIONS st• This Certificate and Its contents ere proprietary products of AHRI.This Cordflcate shell only be used'for Individual,personal and i a,h �!
eenfldentlal reference purposes.The contents of this Certificate may not.In whole or In part,be reproduced;copied;disseminated: imiI 154, i
entered Into a computer database;or otherwise utilized.In any form or manner or by any means.except for the users Individual,
personal and confidential reference. it II Ct)NiCT Il( iIl4 hi:l,Il iv;t
g CERTIFICATE VERIFICATION t �r�a,cl-�rrso,r swcr r:!-r•
ell:, The Information for the model cited on this certificate can bo verified at www,,,lrrlrtrrraaeny,or�l,click on"Ifi'ru',t�r'rilf,n;ntr°link !'
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, S.:a�
which is listed above,and the Certificate No.,which Is listed at bottom right, t�ill:
0)2014 Alr Condltionin . Heating.and Refrigeration Institute CERTIFICATE NO.: 131050282335783163 lI p