1668 E PARK TER 2016 HVAC 11 SS% 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-SS14
JOB INFORMATION:
Job ID: 16-MECH-1 53
Job Type: MECHANICAL HVAC ONLY
Description: 1 CLI 1 AHLI 3 TONS
Estimated Value: $4,507.00
Issue Date: 1/21/2016
Expiration Date: 7/19/2016
PROPERTY ADDRESS:
Address: 1668 E PARK TER
RE Number: 172020-0314
PROPERTY OWNER:
Name: MARVIN JR, MARION F & SONIA M,
Address: 1668 E PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY HEATING AND AIR INC
Address: 6491 S POWERS AVE RYAN C ZABINSKY
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
JOB ADDRESS: 100 91, 4 9 —PERMIT#
PROJECTVALUE $ 446'-b-I.,36- ARI# 90'7c2/9 I 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 Ratin2
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity 0 C) Seer Rating
__:T ::: BTU's Per Unit_5��
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Q1 ets of plans)
Fire Standpipe QL ets of plans)
Underground Fire Main Va As of plans)
Fire Hose Cabinets QU !ts of plans)
Commercial Hoods Qu., ts of plans)
Fire Suppression Systems Qu, ts of plans)
FIRE PLACES
Prefabricated Fireplace Qty_
Gas Piping Outlets BTU's
ALL OTHER GAS PIPING
Quantity of Outlets
#Vented Wall Furnaces b-T—ITS
#Water Heaters
OTHER:
Permit becomes void if work does not commence with: 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 correez. 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 pnMsions of any other state or local law regulation construction or the performance of construction.
Property Owners Name �SOC'N I CA- lf_�)a rt/i n Phone Number goq,2
_bprU j j) - -rivig , /q_,7aeo
Mechanical Company , 5� A I p,- —Office Phone Wq� '761-1 t Fax Ya 4-
Co. Address: 6P 4q I _P0 Lkw e- city State Ft-- Zip 3-221'7
License Holder (Print): _M
31 State Certification/Registration#
Notarized Signature of License Holder
R40 N Notary Public State of Florida efbwme��s dA of 20
LaSheicawilson
%T/ My Commission FF 180366 ignature of Notary Public CIL--
Expires 01/04/2019
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C E RT I F I E DD
www.ahridirectory.org
Certificate of Product Ratings
AHRI Certified Reference Number: 8072181 Date: 1/19/2016
Product: Split System: Heat pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HCE436A**31
Indoor Unit Model Number: FB4CNP036L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Series name: 14 SEER 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): 33000
EER Rating (Cooling): 11.70
SEER Rating (Cooling): 14.00
Heating Capacity(Btuh) @ 47 F: 33800
Region IV HSPF Rating (Heating): 8.20
Heating Capacity(Btuh) @ 17 F: 21000
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 pro duct(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 ial and
Thi Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,persol
s ntial reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;dissl
confide aminated:
entered'nto a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual,
AIR-CONDITIONING,HEATING,
personai and confidential reference. &REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we mak,life beu,r-
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, —I
which is listed above,and the Certificate No.,which is listed at bottom right. [CERTIFICATE NO.: '30976933254934334
@2014 Air-Conditioning, Heating, and Refrigeration institute