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377 4th St ACRS18-0343 HVAC permit Np CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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: ACRS18-0343 Description: replace 3-ton 36KBTU AHU Estimated Value: 7453 Issue Date: 8/3/2018 Expiration Date: 1/30/2019 PROPERTY ADDRESS: Address: 377 4TH ST RE Number: 1698460100 PROPERTYOWNER: Name: FOPPIANO THOMAS D Address: 377 4TH ST ATLANTIC BEACH, FIL 32233-5343 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 affached 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 8GO Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 foB ADDRESS: PERMIT# PROJECT VALUE S--7—/S AR, _REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only qEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AirConditioning: 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: UnitQuantity Tons Per Unit Heat: Unit Quantity I BTU's Per Unit 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) '11RE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators Iii,LL OTHER GAS PIPING Heat Exchanger Quanfity of Outlets Pumps #Vented Wall Furnaces Reffigerstor Condenser BTU's #Water Heaters Solar Collection Systems Tanks(gallons) )THER: Wells ermit becomes void if work does not commcn=within asix month period or work is napendcd or n for six months I hereby certiry(has I have read iis application and know thcsumc to bc true and commi. All provWosu of laws and ordinances governing this work will be complied with whether specified or oc The permit don not give authority to violate the p(uvisions or any other state or local law regulation construction or the perfornmncc of cmitruction. Iroperty Owners Name j Phone Number-210tl- 4echanical Company 0 — 4:,�, 2*- 60Y4 ffice P ne Fax -7 'o. Address: State/,�,;-'- zip -? z city ,icense Holder(Print): z5�) /-C State CertificatiorL/Registration# C-*�G/-�I"-OJ 7q 101arize K ature ofjv% r State of Florid Commission 0 FF ZON] fore me this dav 0,uel - 0' 7; N.t,,y P.b'll,':'U Mf#(? 2 of 20j- )Ay Comm.Expires May 5,2019 S ature of Notary Public L �2 U I or--w--W W Is — - / -11, L-1 ANHICERTIFIED' al,fidifer.tory.Dig L__ �L� Cieftificate of Product Ratings AHRI Certified Reference Number. 10483441 Date 08-01-2018 Model Status Active AHRI Type HRCU-A-CB Series PERFORMANCE 16 HP Outdoor Unit Brand Name CARRIER Outdoor Unit Model Number (Condensor or Single Package) 25HPB636A-30 Indoor Unit Model Number(Evaporator and/or Air Handler) FV4CN(B,F)005L Ttw manufacture(of this CARRIER product is responsible for the rating of this system combination Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning&Air-Souice Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent third party testing. Cooling Capacity(A2)-Single or High Stage(95F),btuh 35800 SEER 16.00 EER(A2)-Single or High Stage(95F) 13.00 Heating Capacity(H12)-Single or High Stage(47F) 35000 HSPF(Region IV) 9 00 I-Aclivu-moctei status are those that an AHRI Can rication Program Parlic pant is currently producing AND voilitig or offering for sale.OR new models that are being marketed but are not yet being produced-Pfoduclon Sicippe(I'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is stili setting or ofiering lot salu Raft no%That are accome amed by WAS i wicatu an involuntary re-(ale The now oub�iighed rallingis shown alorigwilh the previous 0 e WASIraling DISCLAIMER AHRI does,not endorse the productis)listed on this Certificate and makes no representations.warranties or guarantees as to,and assumes no responsibility for, the pwducl(s)listed on this Cernficale.AHRI expressly disclaims all liability for damages of any kind affsIng out of the use or performance of the product(s).or the unaultionledaltelailon of data listed on this Certificate.Certified ratings ate valid only lot models and configurations listed In the directory at"ww AtifidIfuctOlY Oig. TERMS AND CONDITIONS r d "lop This Certificate and its contents are proprietary products of AHRI.this Certificate shall only be used for Individual,pe sonal an ronfidential reference purposes,The contents of this Certificate may not.in whole or in part,be repfOdUCed;copied;disseminated, riss No IL9 en:e,ed,nio a computer database or otherwise utilized,in any form or manner of by any means,except lot the user's Individual, AIR CONDITIONING HEATING p e sonal and confidential reference. &REFRIGERATION IN'.111TUTT CERTIFICATE VERIFICATION Themfoirriation for the model cited on this certificate can be verified at www.ahridlrectory,ofg.click on'Vo;lty 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 tionom light 131776280991999630 2018Air-Conditioning.Heating,and Refrigeration Institute CERTIFICATE NO.: Cash Register Receipt Receipt Number City of Atlantic Beach R5922 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $107.00 ACRS18-0343 Address: 377 4TH ST APN: 169846 0100 $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 36000 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R5922 $107.00 Date Paid: Friday, August 03, 2018 Paid By: FLORIDA HOME AIR COND DBA ARS Cashier: CB Pay Method: CREDIT CARD 020950 00, Printed: Friday,August 03, 2018 9:31 AM 1 of I