178 PINE ST - HVAC r't;. \s CITY OF ATLANTIC BEACH
v 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1668
Job Type: MECHANICAL HVAC ONLY
Description: install new 2-ton AHU
Estimated Value: $2,662.00
Issue Date: 7/26/2016
Expiration Date: 1/22/2017
PROPERTY ADDRESS:
Address: 178 PINE ST
RE Number: 170628-0000
PROPERTY OWNER:
Name: JONES, RUSSELL A & ELIZABETH, *
Address: 380 GARDEN LN
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
Phone: - -
IIPERMIT 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 APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
- •• CITY OF ATLANTIC BEACH FAX E
- 800 Seminole Rd Atlantic Beach, FL 32233 ingEggi -`!
• Ph(904) 247-5826 Fax (904)247-5845 MIN
'OB ADDRESS: / 7 U P/11-e- "��: PERMIT#
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PROJECT VALUE $ 0�(��0�--
ARI#. 7g10575 REQUIRED
_Air Handling Equipment Only FX.Air Handling Unit & Condenser Condenser On
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity i Tons Per Unit _
Heat: Unit Quantity_ ' BTU's Per Unit ! Seer RatingREQUIREDDuct Systems: Total CFM
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit
Heat: Unit Quantity BTU's Per Unit /3`2O0 Seer Rating l J7�1
00
Duct Systems: Total CFM REQUIRED
IRE 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)
7. _ Fire Suppression Systems. . Quantity . (Requires 3 sets of plans)
?IRE PLACES. • MISCELLANEOUS:
Prefabticated 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
)THER:
-
•
- omit 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 Ila
us application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether spt
at_ The permit does not give authority to violate ye,provi ' of any otherr state or local law regulation construction or the performance of constructic
'ro rtOwners Name �i�iiz -b `� P �s -ii or S Phone Number 247"W5,/
PeY r- . � �
4echanical Company Deaf' & ik.4 M0 Office Phone0144-8 Fax_OPA
Q � `' M� /� rr,A� )2244
;o. Address: I(/ �1a V k] City )t U State> v Zip
,icense Holder(Print): J . e) j State Certification/Registration#t �� uiO
lotarized S•; o
7 ',STATE OF FLORI I: 9day ,,4, 20
"eloor tLoe Comm#EEa7s17a' 'ore me this of
Expires 3/2/2017Sign• f 1A-t,', '
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AHRI Certified Reference Number: 7810575 Date: 7/25/2016
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HCE424A**30
Indoor Unit Model Number: FB4CNP030L
Manufacturer: CARRIER AIR CONDITIONING
ITrade/Brand name: CARRIER
Series name: COMFORT SERIES PURON
4
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): 22200
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
Heating Capacity(Btuh) @ 47 F: 22200
gib,
. Region IV HSPF Rating (Heating): 8.20
Heating Capacity(Btuh) @ 17 F: 13200
I ( '
'Rahnys•dllused I.,an as:en'k nai.ate a va ir.:3, ,,,...,-less accompanied vote 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 products)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 r',:,
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,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at ,click on` 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, 131139280574728906
(x)2014 Air-Conditioning. Heating, and Refrigeration Institute CERTIFICATE NO.: