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2335 FIDDLERS LN - HVAC (---- \S, CITY OF ATLANTIC BEACH '' - 800 SEMINOLE ROAD J 'J N 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-1989 Job Type: MECHANICAL HVAC ONLY Description: 2 CU 2 AHU 6 TONS Estimated Value: Issue Date: 8/25/2015 Expiration Date: 2/21/2016 PROPERTY ADDRESS: Address: 2335 FIDDLERS LN RE Number: 169463-0116 PROPERTY OWNER: Name: LASCH, WAYNE D Address: 2335 FIDDLERS LN 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 $28.00 AC and Refrigeration $48.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $135.00 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 OB ADDRESS: 2335 , C ale/'S Lam-, PERMIT# PROJECT VALUE $ 12, 21/11 ARI# (9 !7' S6 REQUIRED _Air Handling Equipment Only X Air Handling Unit & Condenser Condenser Only 4EW 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 • tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 2. Tons Per Unit 3 /a ` Heat: Unit Quantity a BTU's Per Unit 33,416•47 Seer Rating 7 .7 Duct Systems: Total CFM REQUIRED SIRE 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) ■IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty . Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators kLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells 9 )THER: • /_� ermit 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 its 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 at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name Wal r1—e— C.2-5G1 Phone Number (.t3/- '/165 Mechanical Company t�C�G r t .1-14-i•K Office Phonee?7v-fl IFax.2(1q- I yf 'o. Address: Pit& $/evaiL 3 Vd City N4 4 -e l State Zip2'2 .1.4 .icense Holder(Print): :/ C f&i State ification/Registration # C 4''l Jotarized Signature of License Holder VIIre7, \NEVE P.MORALES Before 'e this Ale • (-)11-4.0-\A CI— 20 I NOTARY PUBLIC �,� STATE OF FLORIDA Signature o otary ' blic - ';� Qti "'ii+, Comrrd�EE879174 V,,VI E xPI tbs 3/2/2017 / This combination qualifies for a Federal Energy AiI9112111 11 CERTIFIED~ Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahriditectory,org Certificate of Product Rat81 AHRI Certified Reference Number: 6749943 Date: 8/18/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWV0036A1 Indoor Unit Model Number: `AM8C0C36V31 Manufacturer: TRANE Trade/Brand name: TRANE Series name: XV20I Manufacturer responsible for the rating of this system combination is TRANE 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: 11 Cooling Capacity (Btuh): 35000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 19.75 Heating Capacity(Btuh) @ 47 F: 33400 Region IV HSPF Rating (Heating): 10.00 Heating Capacity(Btuh) @ 17 F: 25200 I 'Ratings followed by an asterisk(')indicate a voluntary relate 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 s� ' 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; rail '. , entered into a computer database:or otherwise utilized.in any form or manner or by any means.except for the users individual, �� personal and confidential reference. Atrt.CONDITIONING.HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at 4 x,u-<,r:rI€ , , ,, click on"Verify Certificate"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. 130844004991648894 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of Ftoyi t•U . County of f 00 r S. 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. 711r/ Legal description of property being improved: 42--I-U3 —c,R.S -.29 e 09-,z.S dye �� Address of property being improved: 233 5 l CicI/e/3 Let r 1--e2... -tic,' i 41c `Sect-c1 ? f 'L 37_2-3 3 C� General description of improvements: "R pry L P , , jV Co:1 C�� , y GhrrZc� Sc/�%st�� >,� 0` Owner tC'z.-'- �t D. LG<S -) �\ J/ Address �--".E� d4i-Ei .s LGir)>� , 141- ill L. -(L 32-23'3 J4\!)��� \r, Owner's interest in site of the improvement j/V1 1 1(f- . O . C `\ JJJ Fee Simple Titleholder(if other than owner) .. v �'1 ' Name Address • / , Contractor Ct e e a i 1 S ,- — lie._. -4-2/i �t #-LY C G•'d-/ 1 rc c'� :;;.0. Address /�7(F �/-�/Gi)-4 iC.._ &4,-/d /L l> -( REc:c:J 4�- 3CL(F Phone No. 9GY ;k(/'/' 8'4 5 f Fax No. '90(r Q ffG!'&'TS/ / . Surety(if any) • Address Amount of bond S . 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. ' Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): • THIS SPACE FOR RECORDER'S USE ONLY ' ' / OWNER • rt-0.5- Signed. Ad DATE Before me this ti! . =X. in1911 ,. h . Sourktyy f Duv�i,�at .t 5 as pgr • at ahpeare: 4 (fit (�� here• •, himself;he and affirms that all statements and deciarations here *1,:1 YVETTE P.M c Doc#2015195322,OR BK 17280 Page 222, are true and accurate = �` '1 NOTARY �RALE� Number Pages: 1 STATE PUBLIC Recorded 08125;2()15 at 09:11 AM, '�+S'.s' FLORIDA Ronnie Fussell CLERK CIRCUIT COURT DUVAL /� p �' COmrrl#�E87917a •COUNTY Notary blic at large.s e of Count of t A >t k, S w°NAT RECORDING 510.00 My mission expires: ���i �� y C- Personally Kno:•n or' Produced Identification p 1_ T, )i_-