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1760 OCEAN GROVE DR - MECH �I, CITY OF ATLANTIC BEACH _ � 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 j--4,0.7;19''' r J1;1 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-MECH-1159 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1AC, 1 AHU, 3.5 TON Estimated Value: $6,100.00 Issue Date: 5/20/2016 Expiration Date: 11/16/2016 PROPERTY ADDRESS: Address: 1760 OCEAN GROVE DR RE Number: 169618-0000 PROPERTY OWNER: Name: ACKERMAN LVG TRUST, JOHN Address: 1760 OCEAN GROVE DR 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 $28.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $111.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND TILE FLORIDA BUILDING CODES. 904 777 9599 Florida Home AC 02:42:34 p.m. 05-18-2016 2/4 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax(904)247-5845 1 6— i E Q H- i s C) r� JOB ADDRESS: 1 / Z 0 0 C 1fA4) ( A o 1,14 L 'Z PERMIT# PROJECT VALUE$ C/0 - ° J 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 I ARI# 1;70a/ /yJd Air Conditioning: Unit Quantity ! Tons Per Unit 3. REQUI�tED Heat: Unit Quantity / BTU's Per Unit '1' J'`' Seer Raking 1 Y• 3 Duct Systems: Total CFM 1 REQUIRED I; FIRE PREVENTION ,i Fire Sprinkler System Quantity (Requires 3 sets of plans) ns) 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: i Prefabricated Fireplace Qty Automobile Lifts t,), Gas Piping Outlets Boilers BTU's Elevators/Escalators 6`i ALL OTHER GAS PIPING Heat Exchanger il Quantity of Outlets Pumps II #Vented Wall Furnaces Refrigerator Condenser BT1J's #Water Heaters Solar Collection Systems !I Tanks (gallons) is Wells LI I OTHER: / >c i.1 tN G C /7,1-✓/ Z. 6 0 i /v G i‘l Y.! Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six month's.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!romplied 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 4 c /C EA.A/A'✓ .7011-1 c 4 ct/ I L Zvi'G 72 c/1 i Phone Nur fiber?a`, 2 V 6- 770-/ Mechanical Company o1iD9 /f° 70id p1/C Office Phone?7,1,yJ-o Fax 7 77- 71 Y 9 Co. Address: yZ / 4 M‘A. ' ''i J ) City "7 4'� State PL Zip 12 z License Holder(Print): ��Y., _.. • Sta - Certification/Registration# INotarized Signature of License Holder — 1 4<� /_ ,,., 80NNIE R.TURKNETT worn and subscribed before me ' •s i , day of fEl // 20 �w Notary Public-Stale of Florida ` U : : Commission,r FF 200032 ignature of Notary Public t ile t`' = %'f, a nM�y�Coomm.Expires May 5,2019 \ a _o(,,) -L�JJ il CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PHONE (904) 247-5855 Cashier Id: atlbcld\atlbbja Receipt Date: 5/20/2016 9:15:02 AM Receipt Number: OS-69933 Job ID: 16-MECH-1159 - HVAC - 1AC, 1 AHU, 3 .5 TON M1B - Furnaces and Heating $24.00 Job ID: 16-MECH-1159 - HVAC - 1AC, 1 AHU, 3 .5 TON M2 - AC and Refrigeration $28.00 Job ID: 16-MECH-1159 - HVAC - IAC, 1 AHU, 3 .5 TON MDBPR - State Mech DBPR Surcharge $2.00 Job ID: 16-MECH-1159 - HVAC - 1AC, 1 AHU, 3 .5 TON MDCA - State Mech DCA Surcharge $2 .00 Job ID: 16-MECH-1159 - HVAC - 1AC, 1 AHU, 3 .5 TON TP - Trade Permit Base Fee $55.00 Amount Due: $111.00 Tender Information: Cash $111.00 Tender Type: CC Tender Amount: $111.00 Change Due: $0.00 904 777 9599 Florida Home AC 02:42:55 p.m. 05-18-2016 3 '4 i A.#R CERTIFIED .; w iw.ahridirertory.org il: I. Certificate of Product Ratings AHRi Certified Reference Number: 7021408 Date: 5/18/2016 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HCC542A'"30 indoor Unit Model Number: FV4CN(B,F)003L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: PERFORMANCE 15 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: i; 3 Cooling Capacity (Btuh): 40500 EER Rating (Cooling): 12.00 1 i SEER Rating (Cooling): 14.50 . Heating Capacity(Btuh)@ 47 F: 41000 Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh)@ 17 F: 25800 I I 1 'Ratings followed by an asterisk C.)Indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which Indicates an Involu 1 ry rotate. DISCLAIMER AHRI does not endorse the productis)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the productis)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.ahridlroctory.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, Ii personal and confidential reference. AIR-CONDIT1oNING,HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTrrtTE The information for the model cited on this certificate can be verified at www.ahrldlrectory.org,click on'Verify Certificate'link [i ut MAC WI`hinter' 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. ©2014 Air-Conditioning,Heating,and Refrigeration Institute i CERTIFICATE NO.: 11080677565189435 1