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221 PINE ST - HVAC S y1,y �f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD '` v ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS17-0075 Description: replace 4-ton 29.2K-BTU AHU Estimated Value: 5242 Issue Date: 6/22/2017 Expiration Date: 12/19/2017 PROPERTY ADDRESS: Address: 221 PINE ST RE Number: 170564 0000 PROPERTY OWNER: Name: Judy Sprague Address: 221 PINE ST ATLANTIC BEACH, FL 32233-4013 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: OCEAN STATE HEAT &AIR,INC. Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES NEPTUNE BEACH, FL 32266 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. . fYnCA ( MECHANICAL PERMIT APPLICATION • CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: (aa l 12i n� S-(-. PERMIT# PROJECT VALUE$ 5 ama .00 ARI# onI 33LA 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 I REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity \ Tons Per Unit _`_r� Heat: Unit Quantity BTU's Per Unit Seer Rating 1 0 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: FAXED — 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 provisionsnsof any other state or local law regulation construction or the performance of construction. Property Owners Name J U OJP'Q c,c.,e Phone Number( `,5 1j�M . I Ie_ea( A- r Office Phone a- 2g-51 Fax -st�f9 Mechanical Company 0�2�� t H • Co.Address: 1Z-\110 V++lC is 1 C A‘V(A' City State ��. Zip, -lo(o y .. �� a License Holder(Print): J ' C-71 - Ia m ication/Registration 40104930 Notarized Signature of License Ho!r er '' - met`*'i► e .yof, UAL. 20 e5;;;';'",„, YVETTE P.MORALES . t t If Nota Public k/, VA/ //)/i `.,2.4,,1 i Ts My Comm.Expires Mar 2,2021 1 fl... Bonded through National Notary Assn. `-1 This combination qualifies for a Federal Energy Au■�i CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 9156554 Date: 6/21/2017 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HCB648A*031* 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 party testing: Cooling Capacity(Btuh): 47000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh) @ 47 F: 46500 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 29200 •Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data.unless accompanied with a WAS.which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for. the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),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.ahrldirectory.org. TERMS AND CONDITIONS /11 11111:11, This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced:copied;disseminated: " .. `l entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better' and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above,and the Certificate No.,which is listed at bottom right. 131425349693613233 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: