1611 W LINKSIDE DR - HVAC CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
1 � 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: ACRS18-0246
Description: HVAC - 1 A/C, 1 AHU, 3 TON
Estimated Value: 0
Issue Date: 6/6/2018
Expiration Date: 12/3/2018
PROPERTY ADDRESS:
Address: 1611 W LINKSIDE DR
RE Number: 172374 6300
PROPERTY OWNER:
Name: HAMMESFAHR JACQUELINE C
Address: 1611 LINKSIDE DR W
ATLANTIC BEACH, FL 32233-7318
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA HOME AIR COND DBA ARS
Address: 4211 EMERSON ST QA DENNIS M BROWN
JACKSONVILLE, FL 32207
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Bench, FL 32233
/ / Ph(904) 247-5826 Fax (904)247-5845 �/
IOB ADDRESS: /b f l G-/^'4 S D" IV PERMIT# e.R 18 CZ `�
PROJECT VALUES 7 2 g 0 ARI#2-o/6- -2 9 9 / / REQUIRED
__Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
4IEW 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
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 7 l �/
Heat: Unit Quantity / BTU's Per Unit 13 y1. u , Seer Rating
Duct Systems: Total CFM REQUIRED
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER: '1-1`.^' AL Q (/`--- ---i /'l-'� -
unlit becomes void if work does not commuter within a six month period or work is suspended or abandoned for six months I hereby certify that I have read
tis application and know the same to be true and correct. AU previsions of laws and ordinances governing this work will be complied with whether specified or
04. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name 3u)4 N G /`c Ear'7 -IY�--i.`"/s r-4/pit k-,l"t Phone Number 17° y- y"3 i`'t 7
4echanical Company ' ' 't :do d//u — ' C Office Phone 77 Fax Fax 777' -r9 5
b. Address:
..-.c;,2ll�l/CJa !' T City 719-,' 4S e zip 7722
,tense Holder(Print): - -"'``'4 S Z-ce-k State Certification/Registration#C'''''',C/..7 n 7 S f
notarize fr. s - , -• t • ,,,�- •
P�r�'� BONNIE R.TURNNEr�, i
7" N�+r'Y Public•State of Frl oaf• e me this 3day of �'V`A-- 20 (ix
n tommistbn l FF 2000 r. --1
My Comm,Expires May 5, , •+ =lure of Notary Public Yr•—' _ ='�'
t
CDt(VCr--
i
u9.1 CERTIFIED°
www.ahridireCtory.org
Certificate of Product Ratings
AHRI Certified Reference Number 201629911 Date 06-05-2018 Model Status Active
Old AHRI Reference Number 7489178
AHRI Type HRCU-A-CB
Outdoor Unit Brand Name RHEEM
Outdoor Unit Model Number (Condenser or Single Package)•RP143GAJ1
Indoor Unit Model Number(Evaporator and/or Air Handler):RH1T3617STAN
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the lales!edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary
Air-Conditioning&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing:
Cooling Capacity(A2)-Single or High Stage(95F),bluh 35200
SEER 14 00
EER(A2)-Single or High Stage(95F)• 11 50
Heating Capacity(H12)-Single or High Stage(47F):34800
HSPF(Region IV) 900
1'Aci ve'Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or oltenng for sale;OR new models that are being
marketed but are not yet being produced,Production Slopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings That are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown alone with the previous(i.e.WAS)rating.
DISCLAIMER
AHRI does not endorse the products)listed on this Certificate and makes no representations.warranties or guarantees as to.and assumes no responsibility for.
the products)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
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; A/ �■ ��
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.ahrldirectory.org,click on*Verify Certificate'link
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,
(D2018Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 1317267404175e1720
J 1 Cash Register Receipt Receipt Number
V City of Atlantic Beach R5270
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS18-0246 Address: 1611 W LINKSIDE DR APN: 172374 6300 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34800 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5270 $107.00
CITY OF ATLANTIC BEACH
800 SENdNOLE RD
ATLANTIC BEAC,FL 32233
06;06!2018 13:52:03
CREDIT CARD
MC SALE
Cards XXXXXXXXXXXX9176
SEQ#: 5
Batch;: 621
INVOICE 5
Approval Code: 097813
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Cust Code:
Card Code: M
SALE AMOUNT $107,00
CUSTOMER COPY
Date Paid: Wednesday,June 06, 2018
Paid By: FLORIDA HOME AIR COND DBA ARS
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Wednesday,June 06,2018 1:52 PM 1 of 1
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