1638 W Park Terr HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NE)17 DAY INSPECTION: 247-SS14
306 INFORMATION:
Job ID: 16-MECH-2404
Job Type: MECHANICAL HVAC ONLY
Description: replace one (1) 2.04on AHU
Estimated Value: $4,000.00
Issue Date: 10/26/2016
Expiration Date: 4/24/2017
PROPERTY ADDRESS:
Address: 1638 W PARK TER
RE Number: 172020-0166
PROPERTY OWNER:
Name: CLEMENS, EUGENE M
Address: 1638 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING &AIR
,CAC059398
Address: 532 S 3rd ST
Phone: 904-241-3785
PERMrr INFORMATION: Sticlier for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply vvill result in a failed inspection and reinspect fees. No
exceptions.
FEES:
AC and Refrigeration $16.00
Furnaces and Heating $20.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
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
800 Seminole Rd Atlantic Beach, Fl, 32233
Ph(904) 247-5826 Fax (904) 247-5845
[OBADDREss: /& M loatl Z—ewa(e We�-)L PERmrr
PROJECT VALUE $ 2�'
000 ARI# 0 '0 ('0'7 REQUIRED
__Air Handling Equipment Only YAir Handling Unit & Condenser —Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tom Per Unit —
Heat: Unit Quantity BTU's Per Unit— Seer Rating_
Duct Systems: Total CFM — REQUIRED
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2
Heat: Unit Quantity I BTU's Per Unit Seer Rating /q,
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)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
7IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers — BTU's
Elevators/Escalators
�LL 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:
emit becomesvoid if work do.not commencewithin.six month period or work is suspended or abandoned for six months.I harmycertify dim I have mad
us application and know the sarne to be true and comeolt. All provisions of laws and ordinances governing this work will be wouplied with whether specified or
or The permit does not give authority W violate the provisions of my other state,or loeal law regulation construction or the per tomm,ce of consomation.
Impterty,O�vners Name &ejr- PhoneNurnber Zyq-�3719-7Z-
Acchanical Company DOA�ya� wga+- �, AN,,- flice Phone 1AL,-nK.5" Fax 57--
0
'o. Address: 315- 6+� City DAY, Gee,(l state L zip ;7-z
,icense Holder(Print): "I)VOLA State Certification/Registration#
Votarized Signature of License Holder /J��� 4o et, 20 16
RICHAR17T2-�t-�-,n--�efbre in,this—2&tWdaY-f
Tq
Commission
ExpresJtq2�120'147.3" u jignature of Notary Public
am
Certificate of Product Ratings
AHRI Certified Reference Number: 8282609 Date: 10/26/2016
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HCE424A--30
Indoor Unit Model Number: FB4CNP025L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Series name: 14 SEER PURON HP
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-2008 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) 14.50
Heating Capacity(Btuh)@ 47 F: 22200
Region IV HSPF Rating(Heating): 8.20
Heating Capacity(Btuh)@ 17 F 13200
-naive.firfigived 0,an comemak C)Inckware-Indic may ounin"Pinviturse puleficalland date,hossis accompanied wool a WAS,which incomes an innichunter,image
DISCLAIMER
AHRI does not endorse the produces)listed on this Carifficate,and makes no representations,warranties d,guarantees as to and assury.no reatermultallity fell
the producro ated on this certficate,AHRi exprionly disclaims all liability for damages Of any kind arising out of the use or pernormance of the pooducks),or the
one thonced alteration of date listed On this Certificate.Declared ratings,are valid only for models and configgrationS listed in the
he
it maim,At anne.filirldract.,ing.
TERMS AND CONDITIONS e
This certificate and its contents are propritim,products Of AHRL This Cartifficete their only be used for individual,them=18 dt.d;
cc is contents of this Certificate may not,in whole or in part,be reprocueed;cepled;ifins PJM
nfidenthal reference purposes,In by any means except for the ustar V iffividinuall,
is
acheadinto computer database or orthronage utilized,in any form or manner or AIR�ONDIPONING,HEATING,
be radical and counfidecting reference. &REFRIGERATION INSTITILITE
CERTIFICATE VERIFICATION
no information for the model cited an this certificate can to,varried at www.ahridirectory.org,click on-verity certificate'link [If,6n.,
and On.,the AHRi carifived Reference Number and the date on which the certificate was Issued, —— —
which Is listed above,and the Certificate NO.,which Is listed at hot..right, 131219%9521481748
CERTIFICATE NO.:
92014 Air-Conditioning, Heating,and Refrigeration InStitute