362 6th St 2015 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
9
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-186
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1AHU 3 TONS
Estimated Value:
Issue Date: 1/26/2015
Expiration Date: 7/25/2015
PROPERTY ADDRESS:
Address: 362 6TH ST
RE Number: 169869-0000
PROPERTY OWNER:
Name: BACKFISCH, STEPHANIE A
Address: 362 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: AIR FLOW DESIGNS NORTH, LLC
Address: PO BOX 180308 QA TERRY HILE BURD
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 $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
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
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JOBADDRESS: 9--Oant'c- 1-3eacAi -F1 PERMIT
PROJECTVALUE $ 5 -72-5 "'
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 3 ARI#REQUIRED
Heat: Unit Quantity I BTU's Per Unit 3 40 0 0 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
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 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 i PC 10 4,; Phone Number qoq
Mechanical Company R-r —Off1cYfh%ne3YS-5333oFax 131--I-YU
Co. Address: city J,,�) -)4, State-EL Zip 3Z-2-tfl
-7;,;vr-I State Certification/Registration# eir IgNo-
License Holder(Print):
Notarized Signature of License HoLer
Sworn and subscribed before me h
:t,��day of 20-L�
Signature of Notary Public
DONNA L.THOMASON
# N
4 N, m
ssi�n EE'202'1
E )ir s v � r 6
e No e be 2 201
w, Troy . r_ rp ,
Commission#EE 020281
xpires November 2,2014
4, Boded Thru Troy Fam Insura , 3111M
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CERTIFIED'
L www.ahridirecory.org
Certificate of Product Ratings
AHIRI Certified Reference Number: 5824853 Date: 1/23/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HCD436A**31
Indoor Unit Model Number: FB4CNP036
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Series name: COMFORT 14 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): 33600
EER Rating (Cooling): 11.50*
SEER Rating (Cooling): 14.00
Heating Capacity(Btuh) @ 47 F: 34000
Region IV HSPF Rating (Heating): 8.00
Heating Capacity(Btuh) @ 17 F: 20400
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 A-"
_?n
onficlential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;di&serrI inated;
Centered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, Aurim
AIR-CONDITIONING,HEATING,
personal and confidential reference. &REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The in formation for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link Nve 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. 130665142084586628
@2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 30-60 38-2S-29E
ROYAL PALMS UNIT I
Address of property being improved: 695 Sailfish Dr Atlantic Beach, FL 32233
General description of improvements: Re–roof
Owner East Coast Ballet Inc
Address 1401 Penman Rd Ste E
Owners interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Prime Roof Contracting, INC.
Address PO Box 50247 Jacksonville Beach, FL 32240
Phone No. 904-452-8440 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 than 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 of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No. M
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a 0 C)
different date is specified): E
THIS SPACE FOR RECORDER'S USE ONLY �ER 22 u-
U) M c,
IS
S ne� DATE_jZ�� -S
E for. =-j E
me;th, ay. a- E 0
County of Duval,State of Florida,has personally appeared ;I-,A? 0
herein by M.�0
himself/herselfand affirmsthat all statementsand declarations herei oz -
Doc#2015018077,OR BK 17044 Page 1577 Cf)
are true an ur.
Number Pages:
Recorded()1/26/2015 at 12:23 PIVI,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL 91
COUNTY No Ic u ty of
RECORDING$10-00 My commission expires:
Personally Known LI-1 I —or
Produced Identification r ---