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1813 Seminole Rd 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 NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-MECH-3642 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 2 A/C, 2 AHU, 5 TON TOTAL Estimated Value: $6,982.00 Issue Date: 3/30/2017 Expiration Date: 9/26/2017 PROPERTY ADDRESS: Address: 1813 SEMINOLE RD RE Number: 169633-0000 GENERAL CONTRACTOR INFORMATION: Name: AIR SOURCE AMERICA INC Jason M. Buehler,CAC1816716 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: Furnaces and Heating $28.00 AC and Refrigeration $40.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $127.00 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)24`7-5845 1 '7- r\A c-,c N. 5G4Z JoB ADDREss: , , .� S R,....: AA r- PERMIT# PROJECT VALUE $ ARI# 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 Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Q.5 QQ.-QJ" Heat: Unit Quantity BTU's Per Unit_j(L) ries Seer Rating Duct Systems: Total CFM -- REQUIRED 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 Pumps #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 certify that I have mad ,this application and know the same to be me 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 m violate the provisions of any other state or local law regulation construction or the ple�,017 construction. Property Owners Name e M o Phone Numb Mechanical Company �r �w..a At\%� %e. OffiTe hon$3&!U-4, F Co. Address: '2b"I �.e�'+ rS-,�tr�l—�C cjuLr x �1_ state zip322-T License Holder(Print):, �(w�k��lY State Certification/Registration#Crt.L Notarized Signature of License Holder TRACY POOR NOTARY PUBLIC Before me this day 20 STATE OF Cam#FF129491DA Signature of Notary u Expires 6/4/2018 whs,all rid ire ency.are Certificate of Product Ratings AHRI Certified Reference Number: 9677496 Date: 3/30/2017 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HCE430Ae030' Indoor Unit Model Number: FB4CNP030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: 14 SEER HP 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 parry testing: Cooling Capacity(Btuh): 28600 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 Heating Capacity(Btuh)@ 47 F: 28600 Region IV HSPF Rating(Heating): 8.20 Heating Capacity(Btuh)@ 17 F: 17100 Ratings followed by an asterisk(')Inarnata a voluntary mote of p,evbusly pubGsn N data,unless accompanied with a WA9,whim Indlicales an Involuntary anile_ DISCLAIMER AHRI does not endorse the fiscal listed on this Certlflcate and makes no representation,warranties or guarantees as to,and assumes ntPmdud(a), lity for, the pmtlucgs)listed on this Certificate.AHRI expressly disclaims all liability for damages of arty kind arising out of the use or performance of s),or thenauthorized alteration of data listed on this Certificate.Created ratings are valid only for models antl configurations listed in the directory at www.ahrldhectory.mg TERME AND CONDITIONS This CerlAND and IIscontents are proprietary produclzofAHRI.TM1Is Cetllticafe shall only be usetl for Intllvltluel,personal and confidential refereoas purposes.The contents of this Certificate may not,In whole or in pad,be reproduced copled;disseminated: JU RMentered into a computer database;or otherwise mnized,in any form or manner or by any means except for me users individua, personal and confidential reference. AlaC .HEATING.CERTIFICATE VERIFICATION 8 REINSTITUTEThe inlormation for the modelcited on this certificate can be verified at www.andddedaryul click on-Verity Certlflcate'rink tr 1,1and enter the AHRI Cre ited Reference Number antl the date on which the certificate was leaned. whicM1 is listetl above,antl the CertificMe No.,whicM1 is Ilstetl at bottom nghL©2014 Air-Conditioning,Heating,and Refrigeration Insttutetaos7esss