106 Seminole Rd HVAC permit Al
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
I
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3388
Job Type: MECHANICAL HVAC ONLY
Description: replace 3-tan 36K-BTU AHU
Estimated Value: $4,500.00
Issue Date: 3/1/2017
Expiration Date: 8/28/2017
PROPERTY ADDRESS:
Address: 106 SEMINOLE RD
RE Number: 170590-0130
PROPERTY OWNER:
Name: MURPHY, JAY
Address: 106 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: AIR SOURCE AMERICA INC
Jason M. Buehler,CACIS16716
Address: 2615 CRYSTAL COVE CT RICHARD E EPPERSON JR
Phone: 904-233-8831
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:
AC and Refrigeration $24.00
Furnaces and Heating $20.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDBNG CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1 -7 _M GC�l_ -3-3,-58JOBADDRESS: loy �ur.�'+-.e\t- e �. _PEINDT�R #
PROJECTVALUE $ ARI# C1%S51'1 !� REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity t Tons Per Unit _
Heat: Unit Quantity I BTU's Per UnitZA2 cry c Seer RatingREQUIRED
Duct Systems: Total CFM
FIRE 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets fps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby coatify Nat 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 complied 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 , ...•- Phone NumbelatoY-'+ZS'`6te°�>,
Mechanical Company A` So t Office Phone293At07s1Fax';
Co. Address: City,r State Zipb O
License Holder(Print): State Certification/Registration#CA•� k%kOUIt
Notarized Signature of License Ho[
TRACY room , 20
rwTAREJ8UC Be me this
STATE OF FLORIDA
CcimtlIPF129498 Signature of Notary blie 'O .
Expl=8I4r2018
A "log
rilun,sm CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number: 9155179 Date: 311/2017
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 25HBC536A`030'
Indoor Unit Model Number: FX4DN(B,F)037L
Manufacturer: CARRIER AIR CONDITIONING
TradelBrand name: CARRIER
Series name: COMFORTI5 HP
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-2006 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): 34800
EER Rating (Cooling): 12.00
SEER Rating(Cooling): 15.00`
Heating Capacity(Btuh)@ 47 F: 34600
Region IV HSPF Rating(Heating): 8.50
Heating Capacity(Btuh)@ 17 F: 21400
Ronnie followed by an aslensM(')indicate a volume,rerale of previously returned dataunless accompanied Mtn a WAS,lurch indicates an Involuntary rerale.
DISCLAIMER
AHRI does not endorse the prodm(sl listed on this certificate and makes no representations,warranties or guarantees as to,and auumes no respmemnity tm,
the producgsl listed on this Certificate.AHPI esprculy disclaims all liability for damages of par kind arising out of the use or performance of the products).or the
,authorized alteration of data listed on this Certificate.Certhed ratings are valid only for models and configurations listed In the
elderTERMS
atD CONDITIONS
TERMS AND CONDITIONS
TM1Is Certlflcate and Its contents are propdelA products AHRI.This not,in
whole
onlybeusetl for Indlvltlual,perwnal and
confidential reference purposes.The contents of this Certificate may not,in whole ar in Yameanse¢xrcept ed,copietl:diueminale4
JUN
entered Into a computer database;orotherwise utilized,In any form or manner or by an far the users individual, AIR-CONDmONING,HEATING,
personal and Confidential reference. 6 REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The themafon for the model cited on this certificate can be venfied at www.ahridirectory.org,click on`Vetlly Certlflcate-Ilnk urn eke ilk l.v.mi
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above,and the Certificate No..whim is listed at bottom right. CERTIFICATE NO.: 131328531aztezR43o
@2014 Air-Conditioning,Heating,and Refrigeration Institute