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274 Poinsettia St HVAC 2015 t r�111� 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-705 Job Type: MECHANICAL HVAC ONLY Description: 1 cu 1 ahu 2.5 Estimated Value: Issue Date: 3/26/2015 Expiration Date: 9/22/2015 PROPERTY ADDRESS: Address: 274 POINSETTIA ST RE Number: 170569-0010 PROPERTY OWNER: Name: YOUNG, LINDSEY E Address: 274 POINSETTIA ST GENERAL CONTRACTOR INFORMATION: Name: AIR SOURCE AMERICA INC Address: 2615 CRYSTAL COVE CT RICHARD E EPPERSON JR Phone: 904-233-8831 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 $20.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $103.00 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 JOB ADDRESS: 2—1`1 �o, �, ; �„ �� PERMIT# PROJECT VALUE $ '-t 5 0 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 Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit 2.5 Heat: Unit Quantity \ BTU's Per Unit 30��00o Seer RatingrJ 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 QtyAutomobile 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 Phone Numberlo4-'N'Vo-\,L-V%x) Mechanical Company Office Phone133%%3\ Fax'512.Q3-1°� Co. Address: City�laX `4t,&� Stat- Zip322-�b License Holder(Print):-- o. State Certification/Registration#CAC \mob\ln`l\). Notarized Signature of License Holder TRACY POOR Before me this 26, da o 201�5 NOTARY PUBLIC STATE OF FLORIDA Signature of N tart'Public . Camra FF120W Ern 6/412018 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service CERTIFIED9between Feb 17, 2009 and Dec 31, 2014. r i rectory.or Certificate of Product Ratings AHRI Certified Reference Number: 6938134 Date: 3/26/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HBC530A*"30 Indoor Unit Model Number: FV4CNF002L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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 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 or, 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.ahrid!rectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and JU MEN confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated: entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, AIR-CONDITIONING,HEATING, personal and confidential reference. &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION y we make life better'" The information for the model cited on this certificate can be verified at www.ahriate was issued, ssu g,click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certificate was issue which is listed above,and the Certificate No.,which is listed at bottom right. 130718445836526359 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: