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2223 ALICIA LN - HVAC ,� 'r 1 J; r':/ r 1 ''... '''' \S CITY OF ATLANTIC BEACH 114 �°'"' 800 SEMINOLE ROAD 1 l -mot ,, ,,. , S) 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-1622 Job Type: MECHANICAL HVAC ONLY Description: 1 AC, 1 AHC, 5 TON Estimated Value: Issue Date: 7/21/2015 Expiration Date: 1/17/2016 PROPERTY ADDRESS: Address: 2223 ALICIA LN RE Number: 169519-0775 PROPERTY OWNER: Name: LIPINSKI JR, JOHN & DOROTHY, * Address: 2223 ALICIA LN GENERAL CONTRACTOR INFORMATION: Name: FLORIDA HOME AIR COND DBA ARS Address: 4211 EMERSON ST QA DENNIS M BROWN Phone: 904-803-9329 -- 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 $40.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 State Mech DBPR Surcharge $2.00 TotalPayments: $123.00 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: 222 2�.J e L1 C1 /4 i PERMIT# PROJECT VALUE $ JO COO, NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATI 0ves7 Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit 11 oen -f Duct Systems: Total CFM ED &nn' �v REPLACEMENT AIR CONDITIONING & HEATING SYSTEM II ARI# Air Conditioning: Unit Quantity I Tons Per Unit 31-0n REQUIRED Heat: Unit Quantity t BTU's Per Unit Seer Rating cc / 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: 5 70 )1 C V�C'r?,s tc1 c9/ S ec ice' L-&<vr'k Cpl✓ 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 _3 O n I_.1 p ► n Phone Number 607)-q3 2 Mechanical Company (Rs F '(Z\Cikl Horne Office Phone rn')-q_WFax 904-1'11-9,5 1 Co. Address: '42..) t(5a\ 3-+, City AX State Zip?O 7 License Holder (Print): , _ t.. . c.v State Certification/Registration# Notarized Signature of License Holder -I� "worn and subscribed befo me tills day of JL&J 20 VT) ✓' CANDACE NICOLE BLUME amc t DJOLQ •- My COMMISSION x t=F2201 gnature of Notary Public bbAJM-1-- EXPIRES Apit 14.2019 .40/134n14165 F4ond.Nouys.rvfoe oo,r Permit No. Tax Folio No. )9 - 0-7-75 NOTICE OF COMMENCEMENT This Instrument prepared by: K i er lor*JcK State of Florida County of to d__ Property Appraisers parcel Identification (Folio) Number(s): y Lo- QL1- C' a 5 - q The undersigned hereby gives notice that improvement will be made to certain real Property and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property (include street addres , if available):T ny bJ �'1 e <�E Ig_ LI „.„ - • 2s- . ciE - af aa3 A-I ► L1q Lane i ATk +l C' 13(iJ l= I 3?-3--3- 2. General description of improvement: • Al I c I a - •, r 3. Owner information-name a laddress: ,e r). Li p n sr I, -aaa 19-4_i o- a0J'N F1 3 , a3 - • , Interest in property: OW( e r Name and address • -- _• ple titleholder (if other than Own 4. Contractor-name and address: -- / ' a. _ -C. F 32- O •m. - - Al n S-�. Phone number • CC Fax number ♦ - -111- q c-cici 5. Surety-name and address: Phone number Fax number Amount of bo •• , Q 6. Lender- n- -nd address: D rn o Phone number Fax number, a o 7. Persons within the State of Florida desi• • . -• by Owner upon whom noti :- or other docum N Q be served as provided by Section 71 . .(i)(a)7., Florida.Statutes (n-.-..- and.address): rte)V co cr Phone number •. ,_r o c, o 8-In adilion • mself, Owner designates 5 V (O N.2 N . • to receive a copy of the Lienor's Notice a ide '-a -E,2>-a 713.13(1)(b), Florida Statute #. P-.-,T 12 o x 8 8 o W Phone number• Fax number O Z a o V a 9. Expiration dale of Notice of Commencement (the expiration date is 1 year from the d; recording unless a different date is.specified). r 1 / 1 , . • Z -_J ,z_' Printed name of Own ✓�Srg aiur: . ' viper � i S':VORN TO and subscribed before me this I y_h day of C,, Li j , 2016 , by (name) ' U L.I PI C j H=:slle is uersonztlly t:no:,'to me , or IIas produced FL, ' ((ypa of iienti ica'ion) - Signature of Notary n P �, T 12u12.: A 711).LL. 1 J--- •': MY OMIAISSI• • 20196 Printed name: ,. , n Stab:of Fk iil :, Commission E.niration L7:l0-1—ILI— 1 J This combination qualifies for a Federal Energy �. MI CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7017319 Date: 7/7/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25VNA060A**30 Indoor Unit Model Number: FE4ANB006L+UI Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: INFINITY 20 HP WITH GREENSPEED INTELLIGENCE 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): 56000 EER Rating (Cooling): 12.70 SEER Rating (Cooling): 18.00 Heating Capacity(Btuh) @ 47 F: 55500 Region IV HSPF Rating (Heating): 12.00 Heating Capacity(Btuh) @ 17 F: 52500 •Ratings followed by an asterisk I')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 L111:0 This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated: .■ all 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. AIR-CONDITIONING,HEATING. CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make lite 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. 130807743932679853 ©2014 Air-Conditioning. Heating,and Refrigeration Institute CERTIFICATE NO.: