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Permit Mech 1650 E Park Ter 2010 4 4 4 , -".:G\ CITY OF ATLANTIC BEACH ` "' , 800 SEMINOLE ROAD �t — ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 J i3 )'" Application Number 10- 00001450 Date 12/09/10 Property Address 1650 E PARK TER Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc change out 3 ton system Owner Contractor HOLLWARTH, STEVEN B. OCEAN STATE HEAT & AIR, INC. 1650 PARK TERRACE E. 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249 -8251 Permit MECHANICAL HVAC PERMIT Additional desc . CHANGE OUT 3 TON SYSTEM Permit Fee . . . 99.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/07/11 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 99.00 99.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 103.00 103.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. $ ir3), MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 AZ,r6 JOB ADDRESS: 1 6 5 Feld k T c°.d d`a C e E PER # /c) —A PROJECT VALUE S g f R .5 ©o NEW AIR CONDITIONING & HEATING SYSTEM INST'ALLAT'ION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REDUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION $ ON Air Conditioning: Unit Quantity 1 Tons Per Unit 3 -Tevt REQUIRED Heat: Unit Quantity 1 BTU's Per Unit 36 R. 2 Seer Rating 15 Duct Systems: Total CFM MEE 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) PA/:1-"A° 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 Elevators/Escalators - 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 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 1 have read this application and know the same to be true and correct. All 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. Property Owners Name ►D m ©-Ut ! '. j 4 1 < Wctp -th Phone Number Mechanical Company t. ) �c...z �-�� <- f4°e ,-:.1). K J a_ , 4-i r Office Phone Z i i -.zrt Fax 2. YS - y Co. Address: f k 7(e .44Aoa, Vic, 6 1. tii - City irl , r., 8., c State FL Zip License Holder (Print): G- I ,,,�� ; / 1 • • e Certification/Registration # CA.G c? v 9.? i e) Notarize4Sig+s r ff fp�aV4oTaTe �a ��� (� ` , h l iP! Comm# DDosso w and .:To e me day of !JCL .4. 20 O vi o Notary Assn. ' ° .t ore of ■ start' Public v tEL e ift17 tit _. - i-;-...::::::;.:,... This combination qualifies for a Federal Energy w V./ Efficiency Tax Credit when placed in service ilil"�■ ...1 CERTIFIED TM between Feb 17, 2009 and Dec 31, 2010. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 3257805 Date: 12/9/2010 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: 25HPA536H31 Indoor Unit Model Number: FV4BN(B,F)005 Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: PERFORMANCE 15 PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240 -2006 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 36000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15.50 Heating Capacity(Btuh) © 47 F: 36000 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 21800 ' Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 forth or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION ilk The information for the model cited on this certificate can be verified at www.ahridirectory.org, �D Air- Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on rill - and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129363756003129819 12/09/2010 12 23 FAX 9042498949 OCEAN_STATE_A /C ' ATLANTIC -BEACH 4h001/001 NOTICE OF COMMENCEMENT /� \ p (PREPARE IN ouPUCATE) Permit No. 000o ' Tax Folio No. S law of atNaes— County of 'vut r..dr ( _ To whom It mey concern: The undersigned hereby Informs you that improvements will be made to certain real pro . erty, and In accordance with Section 713 of the Florid') Statutes, the following Information Is stared In th a NOTICE OF COMMENCEMENT. Legal deacrIpUon of property sin. proved: ‘ A - �' . /(� gem io 0 Address of properly being Improved: ` (o S P k J ti 1 jm a A? - . 3 General description of Improvements: Rpp l & e f41/ A C 5y F-2410441 CSI Owner • ,i, C ' . LLw' 4-4 a �� Address ' 519 �!' "rra� +'e 6 19e PI . 3. 3 r Owner's Interest In elte of the Improvement YJ1/4) • '`, Fee Simple Titleholder (if the than owner) �� Name - �p y Address iNo(Y / Contractor otO • •' ' -....1 Address w • (4 =Zltg:>��riggrtr .2.6 Phone No. Fax No. Surety (If any) Address Amount of bond $ Phone No Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. _ Name of person within the State of Florida, other then himself, designated by owner upon whom notices or other documents may be served; Name Address Phone No, Fax No. In addition to himself, owner designates the following person to receive a copy tithe Lrenor's Notice es provided In Section 713.06 (2) (b), Florida Statutes. (Fill In at Owner's option). Name Address Phone No. _ Fax No. Expiration dale of Notice of Commencement (the expiration date Is one (1) year from the date of recording unless a different date to specified). - THIS SPACE FOR RECORDER'S USE ONLY ( O W ER ] A '\ ' Signed; ( .1 �N DATE 1 ` 'V B.tor. me this dray or �. ant i Ns Doc 12Ut 028:9099, UN SK 'I 345'1 Page 2245, County or Duval. isle of Flon°e, n e cenonally ado rod e Number Pages: 1 Ntaeslf/ nereelr and eMrma I1•1 ail eleiaTenu CM neUerouene neh rs aY.o..1.ol.n.u. Recorded 12I0912010 at 11:31 AM. ar° true ' "d °eA"`°te qty WET7E P ' °1"^^ JIM FULLER CLERK CIRCUIT COURT DUVAL C omb 000860534 I t^ COUNTY I �, E RECORDING 5/0.00 -9„v mom 013 M y l o IIla a e re arg, a or 2 IT717 , County or 1tiv.JL • n Hsu �• •,',. n N., Pomo 1 Kndwn or Produrotl Ideniricallon r.