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1215 Selva Marina Cir ACRS19-0309 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0309 PERMIT ISSUED: 9/11/2019 19; CITY OF ATLANTIC BEACH EXPIRES: 3/9/2020 MUST CALL • • • • • 1 BY 4 PM FOR • • ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' 1 CODE, ' OF • OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, 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 1215 SELVA MARINA CIR HVAC HVAC - 1 A/C, 1 AHU, 4 TON $0.00 TYPE OF • • GROUP: 1719110000 SELVA MARINA UNIT 01 • ADDRESS: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. • ®1® . ' SAUNDERS SAMUEL 1215 SELVA MARINA CIR ATLANTIC BEACH FL 32233-5742 PALMER 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 4SS-0000-322-1000 42500 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $SS.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 Issued Date:9/11/2019 1 of 2 Mechanical Permit Application **ALL INFORMATION pp HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. " 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 12-15 Se Ws- W anna. PROJECT VALUE$_ A,5'2—/9 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM �j (REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) Z0 l 70 ❑Air Handling Equipment Only ❑ Condenser Only1 `XAir Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit �• /` 5 D� Heat: Unit Quantity 1 BTU's Per Unit !42-c� Seer Rating (REQUIRED) Duct Systems: Total CFM ❑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 BTUs Elevators/Escalators ❑ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #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 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 authority to violate the provisions of any other state or local law regulation construction orperformance of construction. Owner Name: 3c, t a rn (im VJ , 's Phone Number: Mechanical Company: ocean state Heating a Air conditioning,Inc. Office Phone: (904)249-6291 Fax(904)240-6949 Co.Address: 1476 Atlantic Blvd. City: Neptune Beach State: FL Zip: 32266 License Holder: J. Glenn Jones ification/Registration# CAc049310 Notarized Signature of License Holde The foregoing nstrum nt was ackn wledged before t Is day of - nt 20), in he State of Florida, County of V V ignature of No ry Public Via;'P YVETTE F..MORALES NotaryPuWic-State of Florida [ personally Known OR [ ] oduced Iden cation " Commission#GG 069102 •`� My Comm.Expires Mar 2,2021 Type of Identification: Foc Banded through National Notary Assn. Updated 10/9/18 Au9RICERTIFIEEr r Certificate of Product Ratings AHRI Certified Reference Number:9207704 Date:09-10-2019 Model Status:Active AHRI Type:HRCU-A-CB Series:XR15 Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TWR5048H1 Indoor Unit Model Number(Evaporator and/or Air Handler):TEM6AOC48H41+TDR+DF The manufacturer of this TRANE 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:46500 SEER:15.00 EER(A2)-Single or High Stage(95F):12.50 Heating Capacity(H12)-Single or High Stage(47F):42500 HSPF(Region IV):8.55 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, AM personal and confidential reference. AIR-CONDITIONING,BEATING, 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 «;,,snake I •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.: 132126265844336379