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118 Seminole Rd HVAC permitCITY 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 306 INFORMATION: Job ID: 17-MECH-3641 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 A/C, 1 AHU, 3.5 TON Estimated Value: $4,874.00 Issue Date: 3/30/2017 Expiration Date: 9/26/2017 PROPERTY ADDRESS: Address: 118 SEMINOLE RD RE Number: 170589-0110 PROPERTY OWNER: Name: FORREST, SIMON Address: 118 SEMINOLE RD 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: Stidter 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 AC and Refrigeration $28.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $111.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TRE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 I Ph (904) 247-5826 Fax (904) 247-5845 17 - Pff-- C -i -A - 3 (7 4 4 JOB ADDRESS: We) PERMIT # PROJECT VALUE $ LV%n y ARI # REQUIRED _Air Handling Equipment Only 1. Air Handling Unit & Condenser NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Condenser Only 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 I-. Tons Per Unit 3.3 BTU's Per Unit k 21 Seer Ratin 5 • 5; Heat: Unit Quantity _.7- 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 Prefabricated Fireplace Qty Gas Piping Outlets ALL OTHER GAS PIPING Quantity of Outlets # Vented Wall Furnaces # Water Heaters OTHER: MISCELLANEOUS: Automobile Lifts Boilers BTU's Elevators/Escalators Heat Exchanger Pumps Refrigerator Condenser BTU's Solar Collection Systems Tanks (gallons) Wells Permit becomes void if work does not commence within a six month period or work is suspended or abandoned tar six mons. t hereby cemty matt nave this application and know the same to be true and correm. All provisions of laws and ordinances governing this work will be complied with whether sped not. The permit does not give authority to violate the provisions of any other stale or local law regulation construction or the performance of construction. Property Owners Nam Mechanical Company Co. Address: _2 License Holder Phone CigJoyyet�. State Zips l7 State Certification/Registration Notarized Signe a License Holder NOTARY PUBLIC Before ethis da of 20�� STATE OF FLORIDA Guam FF12MM Signature of Nota ublic Expires 6/4/2018 This combination qualifies for a Federal Energy _ • , Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9155389 Date: 3/30/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 25HBC542Ae030e Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: COMFORT15 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): 42000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15.50 Heating Capacity(Btuh) @ 47 F: 42000 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 25800 Foods rouowea by an aalensk I') indicate a aauntan areas of previously pebuaheb dataumoaa accompemea wou a whs. whah Inaiwus an Invaonlary anale. DISCLAIMER AHRI does not endorse the productls) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility toy the produchs) listed on this Certificate. AHRI expressly Chattel ma all liability for damages of my kind ansing out of the use or performance of the producks), or the freealteration of data listed on this Certificate. Cranked ratings are valid only for models and configurations hard In the mree Cry atwww.e hrldhectcry.org. XS TERMS AND CONDITIONS ERCertltlND and its Contents are proprietary products of AHRI. This Cerllfl[cele aball only be used for Indlvldual personal antl Tel its Co confidential reference purposes. The Contents of the Commode may not, in whale or in part, be reproduced [ogled: disseminated; jNRM entered into a computer database; or otherwise chimed. in any form or manner or by any means, except for the userns individual, personal and confidential reference. AIR-CONDITIONING. HEAtINO, CERTIFICATE VERIFICATI ON A REFRIGERATION INSTn11TE The andmnd"uh to the model cited on this celtlflcate can be venfied at wer-aM1tldbedpry.org. click on 'Verity Certificate- link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, whior Is Ilstetl above, and the Certificate No., winches listed at bottom right 131353]18]]698$135 CERTIFICATE NO.: ©2014 Air-conditioning, Heating, and Refrigeration Institute