160 15TH ST HVAC PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
U ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 41IM FOR NDIT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1434
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 2 TON
Estimated Value: $2,009.00
Issue Date: 6/22/2016
Expiration Date: 12/1912016
PROPERTY ADDRESS:
Address: 160 15TH ST
RE Number: 171865-0000
PROPERTY OWNER:
Name: HOLLOWAY DANIEL M & PATRICIA S,
Address: 160 15TH ST
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT&AIR,INC.
Address: 1476 ATLANTIC BLVD CA JAMES GLENN JONES
Phone: - -
PE-RMIT 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:
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $75.00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AXIZ93
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
900 Seminole Rd Atlantic Beach, Fl,32233
ph(904j 247-5826 Fax(904)247-5845
-OR ADDREss: 131�1 Sit(e,.eV — PERlVffr#
PROJECT VALUE$--2-D-0-9(�2 ARIX- 9 �� 1 C)Utf REQUIRED
Air Handling Equipment ORlY __,Air Handling Unit& Condenser _zcondenser 04
4EW AIR CONDITIONING & HEATlNG SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit .I
Heat. Unit Quantity— BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons per unit 2--tyn
Heat: Unit Quantity BTU's Per Unit Seer Rating— I`-fS
Duct Systems: Total CFM REQUIRED
--M PREVENTION
Fire Sprinkler System quao�ty (Requires 3 sets of plans)
Fire Stwx1pipe 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
3 sets of plans)
File suppression Systems, Quantity (Requires 3 sets of plans)
,IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty— Aidernabi[le Lifts ' ,
Gas Piping Outlets Boilers BTU's
Elevator&T-scalators
i,LL OTHER GAS-PI-PING Heat FAchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Reffigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
wells
)THER:
Six fwix�dm I b=by��dwl I h.
dsapplkaiimwxlkmwthc�tobc�=W� Ail provision ofims mW ordi�gowming this wvrk will he�plicd with wbptha six
3t ii,prnit d�mi giw audwity W violsiz the P�islow Ora"oil= I;i 10cal law Fell"lafiw��climovthpfomwweof��i(
'roperty Owners Name lttr� h � PhoneNumber 2M-12qy
4echanical Company OCCCID kVfrj-j(l. j J�y Office Phone Olik -ZTjj��
L -3�,o
.o.Address: city Ne0a Fuh state
,icense Holder(Print): I CA Sune,Certification/Registration#CffjjLq,�D-
lotarized
STATE OF F =me -L7�— day of 20
ConvnMINEE 74
EM**m 17 Si a Public
AMU CERTIFIEDc)
law nw..hridi re,,fory,rg
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Certificate of Product Ratings
AHRI Certified Reference Number: 7810806 Date: 6/2212016
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HCE424A**30
Indoor Unit Model Number: FV4CNF002L
Manufacturer: CARRIER AIR CONDITIONING
TradelBrand name; CARRIER
Series name: COMFORT SERIES PURON
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 Unite Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHWI�ponsoread,independent,third
party testing:
Cooling Capacity(Stuh): 22000
EER Rating (Cooling): 12.00
SEER Rating(Cooling): . 4 o- 14.50
Heating Capacity(Btuh)@ 47 F: 21600
Region IV HSPF Rating(Heating): 8.20
Heating Capacity(Btuh)@ 17 F: 13100
Hear,aracereal I an arreark('1annewe a valems,..in A Inevicarry Finished data unless recom,wasso with a WAS,werch Indicates an mai Areas
DISCLAIMER
AHIN does net endorse the moduedo broad on ther cartificau,and rianes no repneventatuals.warranties or guarantees as or,and Garber no responsibility foe,
the moduche)listed an this Cedtficats.AHRI romwely doarlairs.all Liability far damages of any kind amang out 0 the use or berformance,of me productes),or the
anectinmonal Will of data listed an this Cartifficate.Candfled rmc,y are mild only for models and configurations listed In the
directory at wer-amidirectory.or&
TERMS AND CONDITIONS
IN aCerthicate and hicontence are proprietany dnxl.At4AC"AV�6 Unit...stall only W unandforkadividual seasonal and
confidentral riderencer purposes,The contents of this caniflcut,may not,In whole An In Fell be eproduccest vcpled�disseminated;
�,Wr�inmacomWteidoWb��OrGthemiseutilizeaL an any former manner or by any Aware.except for me user s Individual,
Favored and confluderatual reference. AIR-CONDITIONING.HEATING,
Is REFRIGERATION INSTMTE
CERTIFICATE VERIFICATION
The information for me marked cited on this camiffirms can be normal mewar-.1addlectory.org.click an-verify Certificate-link in",I.,
am enter the AHRI certified Refeadme,Number and the data on which the cartlykale was Issued.
which Is listed above,and the Crimeare NA,.which Is listed at bottom right, 131110721995574914
02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: