477 E. Sailfish Dr ACRS19-0222 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0222
PERMIT
ISSUED: 6/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/22/2019
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 PERMIT APPLY, PLEASE READ CAREFULLY.
___ _ _ -1
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: I VALUE OF WORK:
477 E SAILFISH DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2 $7450.00
HVAC TONS
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1712710000 ROYAL PALMS UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA HOME AIR COND 4211 EMERSON ST JACKSONVILLE FIL 32207
DBA AIRS
ADDRESS: CITY: STATE: ZIP:
POTTE R M I CHAE L J 477 SAILFISH DR E ATLANTIC BEACH FIL 32233-4163
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 CONDITIONS
Roll off ontainer company must be on City approved list . Container cannot be placed on City right-of-way.
0
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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 $2.001
Issued Date:6/25/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0222
PERMIT
ISSUED: 6/25/2019
HIT, CITY OF ATLANTIC BEACH EXPIRES: 12/22/2019
TOTAL:$99.00
Issued Date:6/25/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTic BEACH
800 Seminole Rd Aflantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 1A
10B ADDRESS: /',-"J/7/ PERMIT#
PROJECT VALUE S 7 c,,-LO ARI# zj ULRED
—Air Handling Equipment Only �fAir Handling Unit& Condenser Condenser Only
qEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UnitQuantity Tons Per Unit
Heat: Unit Quantity BTU's Per Ur�t Seer Rating
Duct Systems: Total CFM REQULRED
;LEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2
Heat: Unit Quantity BTU's Per Unit Seer Ratin
Duct Systems: Total CFM QUIRED
ZIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets or plans)
Underground Fire Main Value (Requires 3 sets or 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:
Prefhbricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/F-scal ators
�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: DI) T 1i
crtMt becomes void If work does not commcnee within a six month period or work is intspended w ab=doned rer six m".I hereby certify that I have read
lis application and know thcsmme to be true tmd correct. All proyWons or laws and ordinances sommint this work will be complied with wktha sPc6r'cd Or
Di. Thc pemit does not givc authouiry to violate the provisions orany other state or local law rcpintion co"ruction or the Performartcc ofconstruction.
.roperty Owners Name pao f < Phone Number 9-0 �'- -7,)l Z<) Y 4
4echanical Company 0 ffi c e P h o rl,�"//– /�'p Fla
Zip.YL--Z,)
:o. Address: city Sta r
,leense Holder(Print): State Certification/Registmtion
(otarized Signature of License Holder DZ" q_,�
efore me this day of
BONNIE It TURKNE17
S"j
t'.Moricla
3092 56
y 5, 023
Notary Public State of Flo
rida ignature of Notary f`ublic
i Commission#GG 309256
;*Ni
Pr Fy.- My Comm.Expires Kay 5,7023
Son
E ded through Nat""' N�t ,y As',.
"IMF
r"'11111.111INES1 CERTIFIECr
ww iv.3hr I director V.0 r 9
Certificate of Product Ratings
AHRI Certified Reference Number:10502935 Date:06-24-2019 Model Status:Active
AHRI Type:RCU-A-CB
Series:16 SEER AC
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Numlber (Condenser or Single Package):CA16NA024*0**A*
Indoor Unit Model Number(Evaporator and/or Air Handier):CAP-2414AL'
Fumace Model Number:58PH'045—**'12
Region Southeast and North(AL,AR,DC,DE,FL,GA,Hl,KY,LA,MD,MIS,NC.OK,SC,TN,TX,VA,AK,CO.CT ID,IL.
IA.IN,KS,MA,ME,M1,MN,MO,MT,ND,NE,NH,NJ,NY,OH,OR,PA,Rl,SD,UT,VT,WA,WV.Vyl,WY,U-S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015 are eligible to be installed in all regions
until June 30,2016.Beginning July 1,2016 Central air conditioners can only be installed in region(s)for
which they meet the regional efficiency requirement.
The manufacturer of this CARRIER product is responsible for the rat.ing of this system Combination.
Rated as follows in accordance with the latest edirtion of ANSI/AHRI 2101240 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),biuh:24000
SEER:16.00
EER(A2)-Single or High Stage(95F) . 1100
,r'Active"model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for saje�OR new models that are being
marketed but are not yet being produced"Prod uction Stopped*Model status are those 1hat an AHRI Certification Program Partic4pant is no onger producing BUT is still
r:6rvg or offenng for"e. is shown along With the Previous(I e WAS)rating.
-lings that are a=rnPanied by WAS indloal,19 a'Invo4urn&-V re-rate, The nn,w outirishad rating
DISCLAIMER
AHRI does rot endorse the product(s)listed on Oils Certificate and makes no representations.warranties or guarantees as to,and assumes no responsibility for.
,or the
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 productW
unauthorized alteration of data listed on this Certificate Certified Fatings are valid only for models and configurations listed In the
directory at www.ahfidirectory.org.
TERMS AND CONDITIONS A.
This Certificate and its contents are proprietary pro�ducts of AHRI.This Certificate shall Only be used for individual,Personal and
confidential reference purposm 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 cw manner of by any means,except for the user's Individual, ALIR�CONDITIONING,HFATING-
personal and confidential reference. &REFRIGERATION INSTF"E
CERTIFICATE VERIFICATION rifled at www.ahridirectory,ofg,click on"Verify Certificate"link
The information for the model cited on this certificate can be ve
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 righL CERTIFICATE NO.: 1320SW8136737038
@2019Air-Conditioning,Heating,and Refrigeration Institute J
This furnace qualifies for AMACF Federal Energy Efficiel-il tax Credit
AN!12L SCERTIFIEW I'I when placed in service between Feb 17 2009 and Dec 31 016.
w vv w.a hridi rectory.a,y
Certificate of Product Ratings
AHRI Certified Reference Number:8032654 Date:06-24-2019 Model Status:Active
Brand Name:CARRIER
Model Number:58PHBG45-12
Rated as follows in accordance with Department of Energy(DOE)fumace test procedures as published in the latest edition of the Code
of Federal Regulations,10 CFIR Part 430
AFUE.(%) :80.0
Output Heating Capacity(MBTUH):36
The following data is for reference only and Is not coi by AHRI
Input Rating(MBTUH):44
Ef(MMBTU/yr) :39.4
Eae including Eso(kVVhtyr) :186
PE(watts) :43
Configuration:Downflow,Horizontal,Upflow
Lowboy:No
Mobile Home?.No
Single Package Unit:No
Elec�trorhic Ignition:Yes
Electro-Mechanical Vent Damper(s): No
Power Combusbon or Power Vent :Yes
Condensing Type :No
Direct Vent :No
Electronically Commulated Motor(ECM) Yes
Fuel Type Natural Gas,Propane Gas
Footnotel This furnace is equipped with an Electronically Commutated Motor(ECM)
t"Active"Model Status are those that an AHRi Certification Program Participant is currently producing AND&ailing or offering for sale OR new models that are being
marWed 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
Rai nos that are accompanied by WAS indicate an irvoluntery re-r8i The new published rati,Q is shown-along vvith the pre�ous-b e WA$)rfifin—C!
DISCLAIMER guarantees as to,and assumes no responsibility for,
AH Rl does not endorse the prDdi listed on thIS Certificate and makes no representations,warranti&S or
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 prodi or the
un uthorized alteration of data listed on this Certificate.Certified i are valid only for models and configurations Usted In the
dlr:ctcry 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 MR]
confidential reference purposes.The contents of this Certificate may not.in whole or In part be reproduced:copled;disseminated; �L 93
entered into a computer database;or otherwise i in any form or manner or by any means.except for the user's individual, ALIR-CONDITIONING,HEATING.
personal and confidential reference. &REFRIGERATION INSTMUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.shridirectory.org,click on'Verity Certificate*link life betio,",
and enter the AHRI Certfied Reference Number and the date on which the certilicate was issued.
which Is listed above,and the Certificate No.,which is listed at bottorn fight FCERTIFICATE NO.: 13205W9oe8926470
(9)2019Air-Conditioning,Heating,and Refrigeration Institute
Cash Register Receipt Receipt Number
V City of Atlantic Beach R9395
DESCRIPTION ACCOUNT QTY PAID
PerrnitTRAK $297.00
ACRS19-0221 Address: 373 5TH ST APN: 169873 0000 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
FURNACES AND HEATING 455-0000-322-1000 18000 $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
ACRS19-0222 Address: 477 E SAILFISH DR APN: 1712710000 $99.00
MECHANICAL $95.()o
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
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
ACRS19-0223 Address: 1203 HIBISCUS ST APN: 171010 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 34400 $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: R9395 $297.00
Date Paid: Tuesday, June 25, 2019
Paid By: FLORIDA HOME AIR COND DBA ARS
Cashier: CB
Pay Method: CREDIT CARD 1
Printed:Tuesday,June 25, 2019 8:38 AM 1 of 1
Cash Register Receipt Receipt Number
City of Atlantic Beach R9572
DESCRIPTION ACCOUNT QTY
7r TRAK $55.00
ACRS19-0222 Address: 477 E SAILFISH DR APN: 1712710000 $55.00
MECHANICAL HVAC FINAL"07/15/2019 RBE $5S.00
MECHANICAL HVAC FINAL"07/15/2019 455-0000-322-1002 0 $55.00
RBE
TOTAL FEES PAID BY RECEIPT: R9572 $55.00
Date Paid: Tuesday, July 16, 2019
Paid By: FLORIDA HOME AIR COND DBA ARS
Cashier: CB
Pay Method: CREDIT CARD 2
00,
I
Printed:Tuesday,July 16, 2019 8:59 AM 1 of 1 4