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1850 Live Oak Ln ACRS19-0288 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER J ACRS19-0288 � PERMIT ISSUED: 8/22/2019 CITY OF ATLANTIC BEACH EXPIRES: 2/18/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ` BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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: 1850 LIVE OAK LN MECHANICAL RESIDENTIAL HVAC- 2 A/C, 2 AHU, 2 TONS $8718.00 HVAC EACH TYPE OF • • GROUP: 172020 1426 SELVA MARINA UNIT 12C R/P COMPANY: ADDRESS: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. OWNER:- ADDRESS: CITY: STATE: ZIP: SHELLENBERGER ROBERT 1850 LIVE OAK LN ATLANTIC BEACH FL 32233-4510 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 container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 4 $32.00 FURNACES AND HEATING 455-0000-322-1000 50000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-20840700 0 $2.00 Issued Date:8/22/2019 1 of 2 MECHANICAL PERMIT APPLICATION �� d ��� CITY OF ATLANTIC BEACH p ZI 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 C R s 0 Z�� JOB ADDRESS: 00-k- L i PERMIT 1# `�J PROJECT VALUE ARI#. 915 5 REQUIRED Air Handling Equipment Only '(_Air 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 a "Tons Per Unit Heat: Unit Quantity a BTU's Per Unit a 52?0U 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 PIPING Heat Exchanc er Quantity of Outlets Pumps Vented Wall Furnaces Refrigerator Condenser BTU's Water Heaters Solar Collection Systems Tanks(gallons) Wells OTHER: Permit becomes void if wort:does not commence within a six month period or work is suspended or abandoned for six months.E hereby'certify that I have read this application and know the same to he 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 ntv to violate the provisions of any other state r local la%N regulation construction or the periorrnance of construction. Property Oumers Name T 10 S other Phone N umber a q 9' G g I Mechanical Company 11� h COY - Office PhoneA 4 ,15 Fax aq - M Co. Address 41 � C— V City 4 State. Zip3� License Holder(Print): : os-�e-5 7State Ce 'fication/Registration� older. �: Notary Public-State of Florida - - - �- 20 • Commission100069102 Before me this day of ` My Comm.Expires Mar 2,2021 ewaeatn r nao�air+otarya:sn. mature 0—ota Public AN0013 CERTIFIED" Certificate of Product Ratings AHRI Certified Reference Number:9155757 Date:08-21-2019 Model Status:Active AHRI Type:HRCU-A-CB Series:PERFORMANCE 16 HP 2-STAGE Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):25HCB624A*031* 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:24000 SEER: 17.00 EER(A2)-Single or High Stage(95F):13.00 Heating Capacity(H12)-Single or High Stage(47F):25000 HSPF(Region IV):9.00 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 rating 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.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal andAM 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, 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 aV,.make lifc better- 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.: 132108946213701176