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1918 Creekside Cir HVAC permit '?l �� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD CODATLANTIC 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-3643 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 A/C, 1 AHU, 4 TON Estimated Value: $7,424.00 Issue Date: 3/30/2017 Expiration Date: 9/26/2017 PROPERTY ADDRESS: Address: 1918 CREEKSIDE CIR RE Number: 172020-1218 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: Furnaces and Heating $24.00 State Mech DBPR Surcharge $2.00 State Mach DCA Surcharge $2.00 Trade Permit Base Fee $55.00 AC and Refrigeration $32.00 Total Payments: $115.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904)247-5845 I`7 [4 - 3 X04-3 JOB ADDRESS: C t, \L PERMrr# PROJECT VALUE$ 1 y 2 ARI# �'1 1'S 1a55t 1 REQUIRED Air Handling Equipment Only y_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 Heat: Unit Quantity BTU's Per Unit cop 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 Qty Automobile 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 read this application and know the same to he 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 N �L ti gPhone Numbko 2^�OOS Mechanical Comp 'ax 44Fi=$`T8� Co.Address: -t)* N Citi_ � StatC Zip-:51Z ib License Holder(Print): �1o„�aan_ ��lY State Certification/Registration#CAC\q k\.'1�1f Notarized Signature of License Halder t A X(1 TRACY POOR NOTARY PUBLIC Before a this Z>0 020 k n STATE OF FLORIDA Comm#FF129498 Signature of Notary Pub Expires 6/4/2018 7M This combination qualifies for a Federal Energy MWILI CERTIFIED Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9156554 Date: 3/30/2017 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HCB648Ae031' Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: PERFORMANCE 16 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): 47000 EER Rating (Cooling): 12.50 SEER Rating(Coaling): 16.00 Heating Capacity(Btuh)@ 47 F: 46500 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh)@ 17 F. 29200 Ratings mllowed by an asterisk(')Indicate a.owmery estate of peewously published data,unless accompanied with a was.which Indedus an In-unary rerale. DISCLAIMER AHRI does not endorse the produchig hated on this Certificate and makes no representation,wanantles or guarantees as to,and assumes no responsibility for, the producing listed on this Certificate.AHRI expreasly disclaims all liability for damages of airy kind ariling out Of the use or performance of the pmduccu.or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Carfiftcarts and contents are proprietary product.of AHRI.This Certificate small only be used for individual,pupersonal antl confidential reference purposes.The comeMrtl s of this Ceticate may not,in whole or in part,be reproduced;copied;aisseminated: entered into a computer southeast or othezwlse utilized.in any forth or manner or by any means.except for the user's individual, personal and confidential reference. AIR-CONDRIONINO,HEATING, CERTIFICATE VERIFICATION 6 REFRIGERATION INSTRUTE The information for the model cited on this certificate can be verified at www.aMldhectery.arg click On`VeOfy Certificate'link lit,bel',er" and enter ine AHRI Certified Reference Number and the date on which the coo ifical¢was issued, which la listed above,and the Certificate No.,which is listed at bottomright @2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 13135351 719616028