364 4th Street HVAC (----
�s11 CITY OF ATLANTIC BEACH
) ...4',. _. r 800 SEMINOLE ROAD
\ \ ATLANTIC BEACH, FL 32233
-v;31>r INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0158
Description: HVAC - 1 A/C, 1 AHU, 2 TON
Estimated Value: 6606
Issue Date: 9/7/2018
Expiration Date: 3/6/2019
PROPERTY ADDRESS:
Address: 364 4TH ST A
RE Number: 169824 0002
PROPERTY OWNER:
Name: FOX LAURA A ET AL
Address: 352 7TH ST
ATLANTIC BEACH, FL 32233-5434
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.
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$7,500.
04/17/2018 15 : 43 FAX 9042498949 OCEAN_STATE_A/C ÷ ATLANTIC-BEACH Z001/002
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax(904)247-5845 a ! j— b ( S E
JOB ADDRESS: _y PERMIT#
PROJECT VALUE$ 2QC)( 4,k,;;: ,:.�. . ".,:....:;;,�:.:..,��
�a
_Air Handling Equipment Only it Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity- 1 • Tons Per Unit /
Heat: Unit Quantity I BTU's Per Unit Seer RatinpIL _C")
Duct Systems: Total CFM REQUIRED
REPLACEMENT 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
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 PIPIN irAX E T) Heat Exchanger _ \\
Quantity of Outlets Refs s •
'
# Vented Wall Furnaces Refrigerator Condenser BTU's _
# Water Heaters Solar Collection Systems
Tanks (gallons) . .
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I herby certify that t have read
this application Serb brow the same to be 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 provisions of any Cr state or local law Marion cogcuuctian or performance of construction.
f cL
Property Owners Name LL-t`G-- C�'1 Lao'-`k- leo xA ay r" Ph:4cNumber -1 G _o 5_
Mechanical Company 00 (2.,,,,, c '`- -s-. 41r 114r Office PhoneQ4 Eca Fax DI-(t-kgq'L
Co. Address: \LT-7k 4- c----& =' isLy , —... it •tate ,Zip r Q�
License Holder(Print):3' G kQ� rte►41111
1 ,,. •tion/Registration# C• -a Ci3)O
Notarized Signature of License Ho►`' .v - y 1 __ I
t 20 t
vvETiEP.Mt)ttALES g: me this 4 't ay of Iy/.l
• ;1 :T NotaryPubilt-StatedFbrlda
Commissb�rGp 9102i:,. My Comm. plresMar],x�15i , ature of Notary Public .a r ._ '�� A
04/17/2018 15: 43 FAX 9042498949 OCEAN_STATE_A/C 4 ATLANTIC-BEACH 2002/002
This combination qualifies for a Federal Energy Efficiency tax Credit when
1-11•Piki CERTIFIED' placed in service between Feb 17,2009 and Dec 31, 2016.
www.ahridirectory.org
•
certificate of Product Ratings
AHRI Certified Reference Number:9892512 Date;04-14-2018 Model Status:Active
AHRI Type;HRCU-A-CB
Outdoor Unit Brand Name CARRIER
Outdoor Unit Model Number (Condenser or Single Package):25VNA024A*030.
Indoor Unit Model Number(Evaporator and/or Air Handler):FE4ANF002L+UI
The manufacturer of this CARRIER product is responsible for the rating of this system combination,
Rated ea follows in accordance with the latest 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-sponsorod,Independent,third party testing:
Cooling Capacity(A2)-Single or High Stage(95F),btuh;24200
SEER: 19.00
EER(A2)-Single or Hlgh Stage(95F);14.50
Heeling Capaalird'l12)•81nor High
• 8fape'(47p):24000
' 't,;t
HSPF 4 , •• •,
.L,;,e�,�' ,•I ,;i'•',F,' ��:,;,".,,fit, -,(• •, i i
4'41
f"till'~,
Irl ,,,, ''
4, 4'. .
"•, ' ,i,, , ,
't Aolfve"Model status ere those that an AHRI Certification Program Participant Is turrontly producing AND selling or offering for sale;OR new models that are being
Marketed but are not yet being produced;production Stopped"Model Status are those that en AHRI Certification Program Participant Is no longer producing BUT Is still
sell n-or offering for sale.
r•, r. _ .. tir a ' II! ; . •i • 51 - h; :. r.. ,1.. , ;1..1 , .j• . h 1" . .y•., • ,
DISCLAIMER
AHRI does not endorse the product(s)listed on Chia Certificate end makes no roprocontetlons,warranties or guarantees as to,and assumes no responsibility for,
the products)Hilted on this Certificate,AHRI expressly disclaims nil liability for damages of any kind arising out of the use or performance of the productls),or the
unauthorized alteration of data listed on this certificate.Certified ratings are valid only far models and configurations listed In the
directory at www.ehridlroctory,or`.
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 port,be reproduced;copied:disseminated;
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-CONDITIONINe,kCATING,
CERTIFICATE VERIFICATION &RePRierRA7tvN INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridirectory.org.click on"Verify Certificate"link W„mole!lila 1,•u'r`
and enter the AHRI Certified Reference Number and the date on whish the certlnoota won ieguett,
which la listed above,end the Certificate NO.,whit*Is listed at bottom right, 77. „ ," -r— 131662091362
02018Air-Conditioning, Heating,and Refrigeration Institute " KATE NO.: 1316132009/320B73061