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160 15th St 2014 HVAC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Application Number . . . . . 14-00001175 Date 7/23/14 Property Address . . . . . . 160 15TH ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOLLOWAY DANIEL M & PATRICIA S OCEAN STATE HEAT & AIR, INC. 160 15TH STREET 1476 ATLANTIC BLVD. FL 32266 ATLANTIC BEACH FL 32233 NEPTUNE BEACH (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/19/15 ---------------------------------------------------------------------------- Special Notes and Comments 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 . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPL.ICATION MCO/7g' CITY OF ATLANTIC BEACH Seminole Rd Atlantic Beach, FL 3 223 3 Ph(904)247-5 826 Fax(904)247-5 845 JoB ADDRESS: (0o PERmrr# PROJECT VAL UE !r ARI# —REQUIRED 4Air Handling Equipment Only ____.,Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity_ Tons Per Unit Seer Ratin Heat: Unit Quantity__ BTU's Per Unit g— Duct Systems: Total CFM R E�QU �D REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit IE5.60 Heat: Unit Quantity___L_ BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM 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: y that I have read Permit becomes void if work does not commence within a six month periodor work is suspended or abandoned for six months.I hereby certif 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 ban Ud1bV,) Phone Number 'I I�j - ,&600 Y_ Office Phoneq�Xb� Fax._�q Mechanical Company Co. Address: City_Ae)___ StateA�- zip License Holder(Print): te Certification/Registration# t, Notarized Signature of License Holder FRWMA S.JONES e th da 20 _of Is NOTARYPUBW Befo r7 'f re' e this STATE OF FLOP" Comm#EE210M Signa of Notary Publ* Ex&u 7/1&12016 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 3645736 Date: 7/23/2014 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HBC530A**30 Indoor Unit Model Number: FV4CNFOO2 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: COMFORT SERIES PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 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): 28200* EER Rating (Cooling): 12.50* SEER Rating (Cooling): 15.00* Heating Capacity(Btuh)@ 47 F: 27800 Region IV HSPF Rating (Heating): 8.50* Heating Capacity(Btuh)@ 17 F: 16800 Rating,,followed by an aMerl,,I, irpjj(��jte a voluntary rerale of J)Ubl6hPd d;3t,,j.k1r;11,sF, with AIAS, DISCLAIMER AHRI does not endorse the product(s)listed oil this Certificate and makes no repre-sentations.warranties or guarantees as to,and asurnes no responsibility for. the product(s)listed 0 1 this Certifirate.AHRI expressly disclaims all liability for damages of arly kind arising out(It the use or performance of the Product(s).'or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for niodels and configu,a�ions listed in the, directory at www,ah'i d; TERMS AND CONDITIONS 11 only be used for individ,mi.personal and This Certificate and its contents are proprietary products of AHRI.This Certificate sha confidential reference purposes.The contents of this Certificate may'lot,in whole or in part.be reproduced;copied;disseminated, by any means,except for tile user's individual, entered into a computer database;or otherwise utilized.in any form or manner or personal and confidential reference, FRWERAION INS"W"K CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.-lido i re(jof y,o,g.click on"vcrif�C(�rtifico�c"link 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 bottonn right. 130505973842475236 @2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 07/23/2014 11 :06 FAX 9042498949 OCEAN-STATE-A/C 4 ATLANTIC-BEACH IM001/001 hup;//cac tax cred 1 tsA n fo/carri e max/hp_cert i fied.y ic%v 2.php?i d 88 10 CARRIER CORPORATION 73 10 West Morris SErcet Indianapolis, IN 46231 1-800-CARRIER Manufacturer's Certification Statement turn to the Split System Heat Pump The below identified split system heat pump(when matched with the below identified indoor unit and furnace, ifapplicable)achieves a seasonal energy efficiency ratio(SEER) of 13 or higher, an energy efficiency ratio(FER) of 12.5 or higher, and a heating seasonal performance factor(IASPF) or 8.5 or higher, and qualifies for the tax credit allowed Linder Section 25C of the Internal Revenue Code. The installation date and the make. model number, and other appropriate identifiers of the split system heat pump and matching equipment. as listed in the Air-Conditioning, Heating & Refrigeration Institute(AHRI) directory, are as follows: Make: Carrier -6\' O\kk'em Model: 25HBCS24A**30 �Zolo Matching Indoor Unit-, FV4CNFOO2 14 Matching Furnace (if applicable): N/A 0c,", AHRI Number: 3645567 Install Date: ri - ;L:3- I'+-- A taxpayer claiming a credit for Residential Energy Property Expenditures should retain this certification statement and the receipt of purchase as part of the taxpayer's records and should consult with a tax professional to determine eligibility for and application of the credit. Under penalties of pe�jury, I declare that I have examined this certification statement- and to the best of my knowledg�and belief,the facts presented are true, correct, -and complete. 30b fAL09K David Meyers V.P.. Sales—Residential Systems o C-z �er(n CW0 17111!IlAt A IA.In A%A I of I