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1507 Jordan St ACRS19-0348 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ' f ACRS19-0348 r ,aA , PERMIT ISSUED: 10/16/2019 CITY OF ATLANTIC BEACH EXPIRES: 4/13/2020 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. 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 1507 JORDAN ST HVAC HVAC - 1 A/C, 1 AHU, 2 TON $2750.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172296 0000 ED SMITH S/D COMPANY: ADDRESS: CITY: STATE: ZIP: Atlantic Coast Heating & 3599 Lenox Avenue #3 Jacksonville FL 32254 Cooling OWNER: ! ADDRESS: CITY: STATE: ZIP: DUNCLIFF TRADING 4240 FULTON AVE #112 STUDIO CITY CA 91604 COMPANY LLC 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 455-0000-322-1000 23200 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 Issued Date: 10/16/2019 1 of 2 S'`'' .,„ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER I 03 ACRS19-0348 ri PERMIT -6110-1: ISSUED: 10/16/2019 ��;; ,;� CITY OF ATLANTIC BEACH EXPIRES: 4/13/2020 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date: 10/16/2019 2 of 2 1'A'Jiie,aL. Cash Register Receipt Receipt Number OV City of Atlantic Beach R10753 DESCRIPTION I ACCOUNT I QTY PAID , PermitTRAK $99.00 ACRS19-0348 Address: 1507 JORDAN ST APN: 172296 0000 $99.00 MECHANICAL $95.00 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 23200 $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: R10753 $99.00 Date Paid: Wednesday, October 16, 2019 Paid By: Atlantic Coast Heating& Cooling Cashier: CB Pay Method: CREDIT CARD 5 Printed:Wednesday,October 16,2019 11:48 AM 1 of 1 „_.,- '2 Mechanical Permit Application **ALL INFORMATION i”r, • �' ~~ HIGHLIGHTED IN "'\' City of Atlantic Beach Building Department GRAY IS REQUIRED. ' 800 Seminole Rd, Atlantic Beach, FL 32233 �CRS t9 - Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 1507 Jordan St PROJECT VALUE$2,750.00 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM E REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED) 201640401 ©Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 2.0 Heat: Unit Quantity 1 BTU's Per Unit 23,200 Seer Rating (REQUIRED) 14.00 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 7 MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators fALL 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 or the performance of construction. Owner Name:DUNCLIFF TRADING COMPANY LLC Phone Number: (904)662-6206 Mechanical Company: Atlantic Coast Heating&Cooling Office Phone: (904)343-8934 Fax Co.Address: 3599 Lenox Ave Unit#3 City: Jacksonville State: FL Zip: 32254 License Holder: Lindsey Spillers State Certification/Registration# CAC1814841 Notarized Signature of License Holder 'A ,..._\( 9 Z1-) rl, The foregoing instrument was acknowledged before me this I b d y of Qcfv ber ,20 q in the State of Florida, lja� County of UVbt Signature of Notary Public �.� us°Nit Notary Public State d Florida Bnmdee Marie Post B� My Commission GG 101850 Personally Known OR [ 1 Produced Identification ae` Expires 05/07/2021 ype of Identification: Updated 10/9/18 CERTIFIED www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:201640401 Date:08-06-2019 Model Status:Active Old AHRI Reference Number:7995055 AHRI Type:HRCU-A-CB Series:GSZ14 Outdoor Unit Brand Name:GOODMAN Outdoor Unit Model Number (Condenser or Single Package):GSZ140241 K* Indoor Unit Model Number(Evaporator and/or Air Handler):ARUF25B14A* The manufacturer of this GOODMAN 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:23200 SEER:14.00 EER(A2)-Single or High Stage(95F):11.50 Heating Capacity(H12)-Single or High Stage(47F):23200 HSPF(Region IV):8.20 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.ahridirectory.org. TERMS AND CONDITIONS 11. 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, 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.ahrldlrectory.org,click on"Verify Certificate"link mike lith better- and i, ,..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.: 132095726326853749