1905 SEMINOLE RD - PERMIT ACRS18-0191 (2) 05/0412018 18:33 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH la0011002
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC ]BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826Fax(904)247-5845
JOB ADDRESS: I �V PERMIT# Ces I25-o/q
1'WOJECT VALUE
Air Handling Equipment Only -.XAir Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYS'T'EM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Chit
Heat: Unit Quantity._ BTU's Per Unit Seer Rating
Duct Systems-, Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEA'T'ING SY TEM INSTALLATION
Air Conditioning: Unit Quantity, I Tons Per Unit �t
Heat: Unit Quantity I ` BTU's Per Unit-. Seer Ratin •�
Duct Systems: Total CFM REQUIRED
FME PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of pMans)
i 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)
I TIRE 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:
r
Permit becomes void if work doss not commence within a six month period or work is suspended Or nbandonod Cor six,months. [hereby certify that 1 have read
this application and know the same to be true and correct. All provision,t or lave and otdinanees governing this work will be complied with whether Specified ur
not, The permit does not give authority to violate the prow'•ions of any other sla[c or fecal Inw regulation conSutretion or the performance f construction.
i
Property Owners Name G.. /r� �.�#�tJl0P_ Phone Number�J�r1'7
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Mechanical Companyi —Office Phone err Faa, 6-X141
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II Co.Address: City /t/ State Zip5,4*0_
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License Holdert
1 (P ) Y1/Z 4� ertifieation/Registration# /D
Not
WE �`�'�
NotaryPUNIC-MSR of Florida erfo me this--` day of 20
Cornmi
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'v, f Myeamm.aplrmm4r2,2021 nature of Notary Public
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05104/2018 18:33 FAX 8042488848 OCEAN-STATE-A/C # ATLANTIC-BEACH 180021002
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Certificate of Product Ratlng�_
AHRI Cerdflad Reference Number:9893287 hate;05-04-2018 Model Status:Active
AHRI Type;HRCU-A CS
outdoor unit erend Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Paokage);25VNA945A'030'
Indoor Unit Model Number(Evaporator and/or Air Handler);FE4AN(6,F)005L+U1
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
Rated as followe In accordanoe with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2,Performance Rating of Unitary
Air-Conditioning&Air-Source Heat Pump Equipment and subjeot to rating aocursoy by AHRI-sponsored,Independent,third party testing:
Coaling Capacity(A2)-Single or High Stage(95F),btuh:46000
SEER:18,00
EER(A2)-Single or High Stage(95F);11,00
Heating Capjafty.(Fi12)'.Single oiHigh'$tage(47F):50500
HSPF(Reij!an•11/) 1,1�t90i
,
f"Active"Model statue are those that an AHRI Cortiricatlon Program Participant Is currently producing AND selling or offering for sale;OR now models that are being
marketed but are not yet being produced."Produclion Slopped"Model Statue are those that an AHRI Certification Program Particlpent In no longer producing BUT Is still
selling or offering for sale,
nae that are aocsmeanissl by woc`r dffigde=n i.,,.�!�,,W9 r�"ale dsatlna_is_ahcwn elonlLwlth the nrevloue�i,e.WASlratinD�__
DISCLAIMER
AHRI does not sndome the product(s)lutea on this Certlflcote anal makes ho repro ontatlons.warrentles or guarahlocs os to,and assumes no responslblllty for,
the product(d)listed on this Certificate.AHRI expressly dleclolms nil liability for damages of any kind arising out of the use or performance of the product(s),or the
unauthorized alteration of date listed on this Certificate.Certified ratings are valid only for models and configurations listed In the
directory at www,ahrldirectaryartt.
TERMS AND CDIo
This Certificate andd Its Its contents aro proprietary products of AHRI,Thtg Certlflcetd sh811 only be used for Individual,personal and
aehfidentlal reference purpooea.The contents of this Certificate may not,In whole or In part.be roproducodl copiodi dissul Itod;
entered Into a computer database;or otherwise utilized,in any form or manner of by any means,except for the user's IhdluldUal, AM
personal and confidential reference. AIR-CONDITIONING,HEATING,
CERTIFICAT9 VERIVICATION $,REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.uhridiirectory.org,click on"Verity Certllloato'link we rnakv life better'*
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
which Is listed above,and the Certlficnte No.,which Is listed at bottom right,
0201SAIr-Conditioning,Heating,and Refrigeration Institute -���it�F;f(OATE NO.: 13169994469970442023
,