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Permit 1895 N Sherry Dr 2011 HVAC �'; CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001514 Date 1/03/11 Property Address . . . . . . 1895 N SHERRY DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KIDDER, CYRIL ARLINGTON A/C AND HEATING 1895 N. SHERRY DRIVE 1433 ROMNEY ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 103 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . 0 Expiration Date . . 7/02/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 103 . 00 103 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 107 . 00 107 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. * This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17,2009 and Dec 31,2010. Certificate of Product Ratings AHRI Certified Reference Number: 3670872 Date: 12/30/2010 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: NXH542GKA* Indoor Unit Model Number: FXM4X42**A* Manufacturer: TEMPSTAR Trade/Brand name: 15 SEER N SERIES R410A HP Manufacturer responsible for the rating of this system combination is TEMPSTAR 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): 41500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh)@ 47 F: 36800* WAS 41500 Region IV HSPF Rating (Heating): 8.70 Heating Capacity(Btuh)@ 17 F: 26400 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 doss 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 Iiabillty for damages of any kind arising out of the use or performance of the product(s),or the unauthorized akeration 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 thWontents are proprietary pApart, of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes. The contents of this ate may not,in whole be reproduced;copied;disseminated;entered into a computer database;or otherwise utlllzed,In any form or manner or by any means,except for the user's Individual,personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahridlrectoryorg, Air-Conditioning,Heating, click on"Verify certificate"link and enter the AHRI Certified Reference Number and the date on A. ���' 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.: 129382188522614689 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(( (904) 247-5826 Fax(904)247-5845 TOB ADDRESS: r S� �l D =S �� PERmrr# PROJECT VALUE $ �9 �L� > O�) NEW 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 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# Air Conditioning: Unit Quantity % Tons Per Unit 3, REQUIRED Heat: Unit Quantity BTU's Per Unit 3 ,-s- Seer Ratting /S__ Duct Systems: Total CFM REQUIRED 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 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 I have re 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 specifie, 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 Phone Number Mechanical Company c- Office Phone9 ax Co. Address: 5 = City 5 State F=� Zip3�� 1 License Holder(Print): Lo Ili c, State Certification/Registration# Cv cv S �2 Notarized Signature of License Holder Sworn and subscribed be me this „ •,, 20./ MY COI 15 ION IF DD 957760 Signature of Notary Pub L. I br'Iruary N U IC MIII