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1096 HIBISCUS ST HVAC PERMIT CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-M ECH-1815 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 AC, 1 AHU, 2 TON Estimated Value: $5,315.00 Issue Date: 8/15/2016 Expiration Date: 2/11/2017 PROPERTY ADDRESS: Address: 1096 HIBISCUS ST RE Number: 171002-0000 PROPERTY OWNER: Name: DELOMAS JR, WILLIAM THOMAS Address: 1096 HIBISCUS ST 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 ovemurrent protection must be an 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 $16.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $90.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES MECHANICAL PERMIT A?PLICATION CITY OF ATLANTIC 3EACH 300 Seminole Rd Atlantic Beach FL 32233 / '1Ph(904)247-5826 Fax (904) 247-5345 C.�H -1 g IS JOB ADDRESS: Io 6 /i/�/SUS S PER-NIrr0 PROJECTEALUES S1/S- do \E«'AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit QuantityTons Per Unit _ Heat! Unit Quantity_._ _ _ BTU's Per Unit Seer Ratina Duct S)siem,. Total CFNI REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM IN STA LLA Ob\T 7 f Air Conditioning: Unit Quantity Tons Per Unit oZ REQUIRED Heat: Unit Quantity BTU's Per Unit 7. t to u Seer Rating / ,,71 Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler Svstem 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) Fire Suppression Systems Quantity (Requires 3 sets of plans) =IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers _ BTU's_ Elevatorsl!:scalators kLL OTHER GAS PIPING Heat Exch roger Quantity of Outlets Pumps T Vented Wall Furnaces Refrigerator Condenser BTU's a Water Heaters Solar Coll,.rtion Systems Tanks(gal ons) Wells )THEA: emelt becomes said if work dols not consistence,within a six month period w work is saspen led or abondmcd for six months.I hereby certify that I have mad tis application and know the snme to be true and corrce All pmvuions of laws and andiron,a governing this work will be camplied with whether spetified ruoL The permit does not give authority to violate the provisions army other stem or local an,regulation construction or the perfotmonce of enstmcdoa. 'roperty OwnersName U/et/sfnn QArX 0-410) Phone Number 74f'1'h'IY-00 Aechanical Company V Gux/D/7 /1L ,d Aq. _Office Phone'!' -rfldw Fax 7) 169 71,1 :o. Address: y) If R741 uta J.J s T e ry -j � stated zip )z� 31'1 Acense Holder(Print): — I., Stite CertificationAtegistration# CAkc/lY 9PJ9' Votarized Signature i 2 r WXIR1 R.nmm&TT Me No"Public•atao w rArwb om and subscribed before m 20 Caaawaaloa I FF 2000311 ' ?v't+• � �a attue of Notary Public CERTIFIEEr Certificate of Product Ratings AHRI Certified Reference Number: 7810575 Date: f/812016 Product:Split System: Heat Pump with Remote Outdoor Unit-AI Souris Outdoor Unit Model Number:25HCE424A"30 Indoor Ung Model Number:F84CNP030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: COMFORT SERIES PURON Manufacturer responsible for the rating of this system combine Ion Is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-20(8 for Unitary Air-conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accu acy by AHRI-sponsored,Independent,third party testing: Cooling Capacity(Bluh): 22200 EER Rating (Coding): 11.50 SEER Rating(Coding): 14.00 Heating Capacity(Btuh)@ 47 F: 22200 Region IV HSPF Rating(Heabrlg): 8.20 Heating Capacity(Btuh)@ 17 F: 13200 Rlleps tmoww Iry n arudexl•I kan+k a w.wry mme.m..kaalrlmnam.a eau.enter.seem amen»nn a was.»IVAInalreke InkvtlunkryrnW. AHRI Wws rruteMwen IM pehide,11NW m Uta CnlMon and maNee.renewr. ,wt.nelks orµaranlees as ro,and aarwnea no reyonaWMtY tor. the produces) had on UH CeNflno.Ah.ayrouh dbcplma alIIaEYNy Weinman 0 anyY no antler out Mtne use w perlornn anof 1N prWucNM,or the mullwtlad alnnlIrn ddais l4led an NNGNMIe.Cw111bd nunµue veltl mF/Ia model art n.flor wons lbnd M the din..,al.-anndbactory.mg. TERMS AND CONDITIONS Ink TERMS one onceMena ere 0roprlelarypnutls MAHRI.TNSCeNlbb start haltart us d he lndMMLL penny and &4 `' wnWdenlWl relater Wrenn.The[..tens N IN,CerllWnle may not N.0.a In"M be r proof eM:capled:dlannalnend; entered Imo a cwnpuln da ratan.or otnerwly i fi laed In eery ler.or manmr or by an,....meet Ior the user.IMhldual. plf5.al and[MIIdNIkI./stenos. aIR4d.Dr..hr..HEMI., CERTIFICATE VERIFICATION A REIR.rpand.na. The,InlmmeOon for the handed cIW pr INr tewMON[ante vadned dl www.aMldbe[lory.erg,:II[N on'Voory CetlNkete'hen and enter the AHRI CarllWed Reference Number and the dw on wNch the[er ffole area Issued wNN Is Read acne,and the CaNWrab Na whkh Is INIM At bodan rlrnt 131151467205602512 ©2014 Air-Conditioning,Healing,and Refrigeration Institute CERTIFICATE NO.: 7'- I ATLANTIC BEACH r > PERMIT RECEIPT u PERMIT DESCRIPTION: HVAC-1 AC, 1 AHU,2 TON AU6 15 2016 PERMIT NUMBER: 16-MECH-1815 TIG BEACH OF PT1.AN ADDRESS: 1096 HIBISCUS ST CI OWNER: DATE ISSUED: FEES DUE: Furnaces and Heating $24.00 AC and Refrigeration $16.00 State Mech DBPR Surcharge $2.00 CRY OF ATIANRC BEACH State Mech DCA Surcharge $2.00 $00 SENDIOLE RD ATLANTIC BEAC,R 32233 OB;1512016 09:17:36 Trade Permit Base Fee $55.00 CREDIT CARD MC SAIF CARO n XXXX=9176 INVOICE 0003 totals: $99.00 SEQ q: 0002 Nph A: 000379 Approval Cade: 029195 Entr M*tlnd: Maul Mxk 011ie Tax knout: $0.00 Ost Code: Card Code: M SALE AMOUNT 02 CUSTOMER COPY