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200 5th St ACRS19-0208 Replacement MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0208 PERMIT ISSUED: 6/17/2019 CITY OF ATLANTIC BEACH EXPIRES: 12/14/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF . . PLEASE . 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: MECHANICAL RESIDENTIAL 200 5TH ST HVAC replace 2-ton 24K-BTU AHU $3618.00 TYPE OF • • GROUP: 170174 0000 ATLANTIC BEACH COMPANY: ADDRESS: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. • ADDRESS: RIPLEY MARGARET J TRUST 200 5TH ST ATLANTIC BEACH FL 32233-5312 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF . . • Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 455-0000-322-1000 24000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date:6/17/2019 1 of 2 MECHANICAL PERMIT APPLICATIONEc" nECITY OF ATLANTIC BEACH --- LA D 800 Seminole Rd Atlantic Beach, FL 32233 Ph (9014) 247-5826 Fax (904) 247-5845 Ne," IC1_ DQ oy JOB ADDRESS: OZ V V 45SrL_ PERMIT# PROJECT VALUES g ARI# ���Loi,3 REQURED Air Handling Equipment Only XAir Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: y Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit 1C U� Heat: Unit Quantity�— BTU's Per Unit oI bbU 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 BTLi_s Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps 0 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 tiork is suspended or abandoned for six months.I hereby certify that I have read this application and know 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 authon v to violate the Provision.,of any other state or local la,.% regulation construction or the performance or construction. Property OvNrners Name � G�"" �'p Phone Number aN.' 10119 =' Mechanical Company QCW S� - �� LOffice PhonO- -�' Fax 2`{9�Isjc 11 ' Co.Address: N-14 4t c,4_�b L Nyd City'1�I L±m L14 1 State Z "Lip - — License Holder(Print): e State Gert if ication/Registration#�qC1 a(b d e s Hol Spµr'i YVETTE P.MORALES r°,�e;�o:} Notary Public-State of Florida efore me this �' ' Commission 9 GG 069102 My Comm.Expires Mar Sign e of Nota ubltc Bonded through National Notary Alan. F11W ,T_ V CERTIFIEDAMMON ° C3WAR ,r r , D Certificate of Product Ratings AHRI Certified Reference Number:9156931 Date:06-14-2019 Model Status:Active AHRI Type:HRCU-A-CB Series:PERFORMANCE 15 HP Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):25HCC524A'030' Indoor Unit Model Number(Evaporator and/or Air Handler):FV4CNF002L The manufacturer 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-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh:23800 SEER:15.00 EER(A2)-Single or High Stage(95F): 12.00 Heating Capacity(H12)-Single or High Stage(47F):24000 HSPF(Region IV):8.50 t"Active"Model Status are those that an AHRI Certification Program Participant is currently 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 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 ratina is shown along with the previous(i.e.WAS)rating 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.ahridirectory.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; entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, viiiinsm 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 lli,Ix urr" 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 ----- -- ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132049984846178331