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1957 OCEAN BLVD ACRS22-0212 j1 lr�' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER PERMIT ACRS22-0212 ISSUED: 6/23/2022 4, CITY OF ATLANTIC BEACH EXPIRES: 12/20/2022 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. 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: 1957 SEMINOLE RD MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 4 TON $8206.00 HVAC TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169542 0512 BEACHSIDE COMPANY: ADDRESS: CITY: STATE: ZIP: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. OWNER: ADDRESS: CITY: STATE: ZIP: NICHOL WILLIAM 1957 SEMINOLE RD ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\ 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. R LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 4 $32.00 FURNACES AND HEATING 455-0000-322-1000 48000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.32 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.21 Issued Date:6/23/2022 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ' PERMIT ACRS22-0212 ISSUED: 6/23/2022 ton,� CITY OF ATLANTIC BEACH EXPIRES: 12/20/2022 WORK WITHOUT PERMIT I 455-0000-322-1000 I 0 $110.00 TOTAL:$226.53 Issued Date:6/23/2022 2 of 2 "' Obi (.2_,s0[Ltq r> -,/,. Mechanical Permit Application **ALL INFORMATION City of Atlantic Beach Building Department HIGHLIGHTED YREQUIRED.E ‘'J‘ �J GRAY IS REquIRED. 800 Seminole Rd Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email:Building-Dept �, �Ll�S ZZ 02 ( Z - --..._.._____ G071. US PERMIT JOB ADDRESS: 1 9S- 3-e • tt, 1))0cul PROJECT VALUE$..... . (oDU 0 NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only IRED1 Air Conditioning: Unit Quanti� Tons Condenser Only 0 Air Handling Unit& Condenser Neat: ons per Unit Unit Quantity_ _ BTUs per Unit Du Systems: Total CFM Seer Rating (REQUIRED) I EPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#1(REQUIRED) 0 Air Handling Equipment Only 1 p Condenser Onl Air Conditioning: Unit Quantityy 0 Air Handling Unit& Condenser Heat: Unit --�..;� Tons per Unit Li{ -i-Ly) I I- Quantity__;_____i___ BTU's Per Unit ( C.)00 ` Seer Rating(REQUIRED)�lp Duct Systems: Total CFM OFIRE PREVENTION Fire Sprinkler System Quanti Fire Standpipe � ' (Requires 3 sets of plans) Underground Fire Main Quantity 1 (Requires 3 sets of plans) Fire Cabinets Value (Requires 3 sets of plans) Fire Hoselal Hoods Quantity I (Requires 3 sets of plans) Quantity (Requires 3 sets oflans Fire Suppression Systems Quantity (Requiresp ) 3 sets of plans) []FIRE PLACES ! . , Prefabricated Fireplace (Qty) El MISCELLANEOUS: ( I Automobile Lifts Gas Piping Outlets Boilers BTUs CALL OTHER GAS PIPING Elevators/Escalators I Heat Exchanger Quantity of Outlets Pumps if vented Wall Furnaces #Water Heaters Refrigerator Condenser BTUs Solar Collection Systems Tanks (gallons) I Wells OTHER: Permit becomes void if work does not commence with n a six month period or work Is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct Al!provisions of laws and ordinances governing this work will be complied with whether specified or not. the permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction_ 1 Owner Name: Ile. N i G �1 Phone Number: C qd ' G 10- 6"11 Mechanical Company: OCEAN STATE HEATING&AIR Office Phone: (904)249-8251 FaX(904)249$949 Co.Address: 1478 ATLANTIC BLVD. City: NEPTUNE BEACH FL State: Zip: 32266 license Holden J, GLENN JONES / State Cimif+cation/Registration it CAC049310 Notarized Signature of License Holder The foregoing strum,nt was acknowledged be re e this ay of l 20 Z? i the State of Florida, County of Du tk Public v Yy�p MORA!FS e:\ Notary Public-State of Florida Cemmissior. u�-1 097967 ( ersonaliy Known OR f I P uced Ident is tion „P,d° My coTr.:..,:ire:Mar 2.2025 Type of Identification; ( Boncoc throosih ranona.rotary assn, • (77E d3o7J/t8 — ♦ ,;32-44-i.,a ` " . '- Lr" . t/ _ r., 3 t 41 .1 f � • ig 'X t I1 r 4 4 `` -•may 4 Y x, :.. t {4..,it •.ft .Z}: y - Q ii . ,i i,. ,.._:.-2..N., ,wS iva a� l . .} L. .i4-,4. 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Eligible for Federal Tax Credit .:i .. l CERTIFIED`, www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:9156554 Date:06-23-2022 Model Status:Active AHRI Type:HRCU-A-CB(Split System: Heat Pump with Remote Outdoor Unit-Air-Source) Series:PERFORMANCE 16 HP 2-STAGE Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):25HCB648A'031' Indoor Unit Model Number(Evaporator and/or Air Handler): FV4CN(B,F)005L The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240-2017 with Addendum 1,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:47000 SEER: 16.00 EER(A2)-Single or High Stage(95F): 12.50 Heating Capacity(H12)-Single or High Stage(47F):46500 HSPF(Region IV):9.00 f'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 rating 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 rectory.ii 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, 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.ahrldirectory.org,click on"Verify Certlficate"linkMit make life better"' 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. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 133004704960832681