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920 SAILFISH DR HVAC %'j r \1 , 1 f JS' � CITY OF ATLANTIC BEACH Ss� 800 SEMINOLE ROAD +, e 0 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 \Jljl> MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16 -MECH -967 Job Type: MECHANICAL HVAC ONLY Description: MECH - 1 1C. 1 AHU. 3 TON Estimated Value: Issue Date: 4/26/2016 Expiration Date: 10/23/2016 PROPERTY ADDRESS: Address: 920 SAILFISH DR RE Number: 171164 -0000 PROPERTY OWNER: Name: PAGE, RAYMOND Address: 920 SAILFISH DR 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 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 Mc1 233 • CITY OF ATLANTIC BEACH . - 800 Seminole Rd Atlantic Beach, FL 32233 q � Ph (904) 247 -5826 Fax (904) 247 -5845 M,6 e (- (g 7 I> � .OB ADDRESS: C 'i " L. , mil I , DCI � PERMIT P ROJECT VALUE $ 55 to b ARI # ( 7 0215 REQUIRED _Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Tons Per Unit Conditioning: Unit Quantity BTU's Per Unit Seer Rating Heat: Unit Quantity REQUIRED Duct Systems: Total CFM - tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Tons Per Unit 3 Tbl1 Seer Rating l Air Conditioning: Unit Quantity � BTU's Per Unit 31 Heat: Unit Quantity 1 REQUIRED Duct Systems: Total CFM IRE PREVENTION uantit (Requires 3 sets of plans) Fire Sprinkler System Q y (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value uanti (Requires 3 sets of plans) Fire Hose Cabinets Q �' (Requires 3 sets of plans) Commercial Hoods Quantity Requires 3 sets of plans) 7. Fire Systems . - Quantity ■IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty - Automobile Lifts Boilers BTU's Gas Piping Outlets 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 KE )THER: Ds its p li c ion void if wort: da not commence t e and correct. All provisions of laws and ordinances governing this work w months. l be complied wi h whether specific us a The permit t and know the same not give authority to be true violate The pemi authority to violate the provisi9r3f any other state or local law regulation construction or the performance of construction. � � A c� . Phone Number 24 lv - Toperty Owners Name ` � ]� �iechantcal Company f " � c 11 + A v Office Phone Fax 24c1-1( tic 'o. Address: t 41 to +l L Nyd . City NP, IelBC State Zip /D'o Print): T , - a � • Alt- State Certification/Registration # 04C0 t ,icons e Holder ( � ' Iotarized Signature of License Holder __r MEM wETTE P. MORALES Be ore me ' day of PrPri ) 20j_k___ -- ,� It ` NOTARY PUBLIC Signa of M ary Public (,L �XG� -4-� �f '_ STATE OF FLORIDA :� i.�! �-� Comm* EE87917 . Expires 3/2J2017 This combination qualifies for a Federal Energy LICIIP ■ 1 CERTIFIE Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7021505 Date: 4/26/2016 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: 25HCB636A * *31 Indoor Unit Model Number: FV4CN(B,F)003L Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: CARRIER AIR CONDITIONING Series name: PERFORMANCE SERIES PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as folows in accordnce with AHRI Standard Heat Pump I Equipment and subject to verification of rating accuracy acy n byAHRI-sponsored, independent, dent, Air-Source third party testing: Cooling Capacity (Btuh): 35200 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh) @ 47 F: 34800 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 22400 . • Ratings followed by an asterisk (') indicate a voluntary rerate of previousry. data, unless accompanied with a WAS, which indicates an involuntary rerate. i s 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 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; 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 The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ;,,: `er lifr becrt 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. 131061476050467883 ©2014 Air- Conditioning, Heating, and Refrigeration.lnstitute CERTIFICATE NO.: