1735 BEACH AVE HVAC2015 11UP �
I' ll SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-233
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2 tons
Estimated Value:
Issue Date: 1/29/2015
Expiration Date: 7/28/2015
PROPERTY ADDRESS:
Address: 1735 BEACH AVE
RE Number: 169668-0000
PROPERTY OWNER:
Name: LANE 111, EDWARD W
Address: 1735 BEACH AVE
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
806 Seminole Rd Atlantic Beach, FL 32233
.40
ililt-`Ph(904)247-5926 Fax(904)247-5945
F,�Z ;2-3 PERMIT#
JOB ADDRESS:
PROJECT VALUE Aju# -7 —REquiRED
Air Handling Equipment Only X AirHandling Unit & Condenser Condenser Only
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
Air Conditioning: Unit Quantity Tons Per Unit 2- —I&-c!r -7
Heat: Unit Quantity 11 BTU's Per Unit ;�-Ii lvoe7 Seer Rating
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
CJ :j X V--j
OTHER:
7P1;rmi�t"1:7c`o`mes void 770'r—kdoes not commence within a six month period or work is suspended or abandoned for six months.I hereby certi7that I 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 i
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 C-,4L,141, 01 L,"Cive Phone Number yq-yy,?q
Mechanical Company 0(-,0-i:4C '51'aie deet+L. Office Phone 9tcf'VS-1 Fax!—t1`9qq 41
--a6 &
e4 State F I zip 3 o
f7 I city
Co. Address:
n#
License Holder(Print): -,--_.State Certification/Registratio
Notarized Signature q
Licei e H4
p2tWL
YVET77E day of
Y M,_f
Z 20
NOTARY lRefore me"-
STATE OF FLORIDA
Comm#EE8791Sjj4aM--�j
it, Expires 3/2/2017 o Notary Public
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
#%ONE ILA CERTIFIED , between Feb 17, 2009 and Dec 31, 2013.
Lwww,ahridirectory.org
10ft
Fritificate of Product Rabng,�..
�;e
..........
AHRI Certified Reference Number: 7914525 Date: 1/27/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HCB624A*031
Indoor Unit Model Number: FV4CNF002L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Series name: PREFERRED 16 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): 24000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 17.00
Heating Capacity(Btuh)@ 47 F: 25000
Region IV HSPF Rating (Heating): 9.00
Heating Capacity(Btuh) @ 17 F: 15300
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
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and A."12
confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied:disserninated; hou film ILI
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. REFRIGERATION NSTITUTF,
CERTIFICATE VERIFICATION
T f
he in ormation for the model cited on this certificate can be verified at www.ahridiroctary.org,click on"Verify Certificato"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 bottom right 130668616166666942
02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: