452 OSPREY KEY 2015 HVAC \�s 'SS, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ;r 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-616
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS
Estimated Value:
Issue Date: 3/18/2015
Expiration Date: 9/14/2015 .
PROPERTY ADDRESS:
Address: 452 OSPREY KEY
RE Number: 172027-5092
PROPERTY OWNER:
Name: HUTCHINSON, DEBORAH CASIMO
Address: 452 OSPREY KEY
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 $24.00
State Mech DBPR Surcharge $2.00
Work W/O Permit Mechanical $0.00
Trade Permit Base Fee $55.00
Total Payments: $105.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
„ $06 Seminole Rd Atlantic Beach, FL 32233
..'Ph(904)247-5826 Fax(904)247-5845
Jos ADDREss:
L( S� ®S c ' _ PERMrr#
PROJECT VALUE ARI# ,REQUIRED
Air Handling Equipment Only ✓Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tons Per Unit Seer Rating Heat: Unit Quantity_ BTUg's Per Unit_ _.- _REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning; Unit Quantity Tons Per Unit `r�
Heat: Unit Quantity�� BTU's Per Unit 006 Seer Rata& ,'Y -
Duct Systems: Total CFM 1 REQUIRED
FIRE PREVENTION (Requires 3 sets of cans)
Fire Sprinkler System Quantity _ (R�l P
Fire Standpipe Quantity (Requires 3 sets of plaints)
Underground Fire Main Value (Requires 3 sets of pians)
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 playas)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fire&6a Qty Automobile Lifts
Cas Piping Outlets Boilers ]BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat,Exchanger
of Outlets
PUMPS
Quantity
Wall Furnaces -Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Wanks (gallons)
Wells
OTHER:
Bormit beootnes void if work docs nut commence within a six month period Ar work is suspended or abandoned for six months.I hereby certify that I have rel
this application and know the same to be true and oorrect All provialom of laws and ordinances g6verning this work will be complied with whether specifier
not The permit does not give authority to violate the provisions of any other state 4r local law regulation construction or the perfon Trace of construction.
Property Owners Name 4° e (ntu G t �t 5'�Gt -Phone Number ��1-�� -DSS✓
Mechanical Company LSCS `� t7��' tfc°► �' 6� - -Office Phone �Q`
Co. Address: CLf -)6
City Le we Fc� _ State FY' Zip
License Holder(Print).• State certification/Registration# Cfi(dk 43169
Notarized Signature Livens Vere f
Befo me s day of 20
of Notary Public
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EThis combination qualifies for a Federal Energy
CERTIFIEDEfficiency Tax Credit when placed in service n
f between Feb 17, 2009 and Dec 31, 2014.icdLe of Produit.. M'-fttl
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AHRI Certified Reference Number: 7021654 Date: 3/18/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 28HCC536A 30
Indoor Unit Model Number: FV4CN(B,F)003L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING H7
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Series name: PERFORMANCE SERIES PURON HP
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Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 4
Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source k
n verification f rating accuracy b AHRI-sponsored, Independent,thir
Heat Pump Equipment and subject to ve ification o g y y spa p d
party testing:
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Cooling Capacity (Btuh): 33800
EER Rating (Cooling): 12.50 �I
SEER Rating (Cooling): 15.00 °3H
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Heating Capacity(Btuh)@ 47 F: 33600
Region IV HSPF Rating (Heating): 8.50
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k Heating Capacity(Btuh) @ 17 F: 21200 "
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RAhn r.followed by an asterisk )Indicate a voiunla rerale of rnviousl ubliahed dole,uNea5 aeeompanind wllh i WAS,which IndlaniOn An involunlar rerala.
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DISCLAIMER l t
AHRI does not endorso the product(s)listed on this Cortlficato And nn;iwos no reprasentatlons,warrantles or guarantors as to,and assumes no responsibility for
the predwet(s)listed on this Certificate.AHRI expressly digefalm9 sill liability for damages of any Mind arleing out of the use or performance or the product(s).or the ;h
F unauthorized alteration of data listed on this Certificate.Certified ratings are vans only for models and configurations listed in the d
directory at wwiv ghri itlrr:r.l+rr y.nilti, d'+
TERMS AND CONDITIONS
{ This CeRtflcate and its contents aro proprietary products of gHRf.This Certificate shall only be used for indlvltlual,personal and .1' itrt,w 1��'111
ii confidentler roforanca purposes,The contants of this CertlflCM may not.in whole or In part,be roproduCed;copled;disaominated;
entered into a computer database;or otherwise utilized,in any form or manner or by any maoins.except for the user's individual, AAii1l" ACi'S1N kit° rr
) personal and Confldontlal reference.
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CERTIFICATE VERIFICATION
The information for the model Cited on this certificate can be verified at w”w,�ihrlWrommhl v.org,click on"Vrrifv i.lnrW,CAfO'link „i „i..p;,;••, i I�1
and enter the AHRI Cortlflod Reference Number and the 110110 on which the certificate was Issued,
1 which is listed above,and the Cartlllcato No,,whlch Is 119ted of bottom right. 1 y
1?, 02014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130711524137771643
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