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332 8th St ACRS19-0375 , 0% -t MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER _ PERMIT ACRS19-0375 ,� ISSUED: 11/12/2019 CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020 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: 332 8TH ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 4 TON $4990.00 HVAC TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169925 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: HAMMOND AIR 3412 GALILEE RD JACKSONVILLE FL 32207 CONDITIONING INC OWNER: ADDRESS: CITY: STATE: ZIP: ENNIS GAILYA G 332 8TH ST ATLANTIC BEACH FL 32233-5436 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 4 $32.00 FURNACES AND HEATING 455-0000-322-1000 46500 $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: 11/12/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0375 PERMIT ISSUED: 11/12/2019 , CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020 TOTAL:$115.00 Issued Date: 11/12/2019 2 of 2 Mechanical Permit Application • **ALL INFORMATION �� HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 kO_PS1,9 07. 75 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 332 8th STREET PROJECT VALUE $4,990.00 E 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 El REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9652738 0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 4.0 Heat: Unit Quantity 1 BTU's Per Unit 46,500 Seer Rating (REQUIRED) 16.00 Duct Systems: Total CFM 7FIRE 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 n MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators GALL 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:BETH ENNIS Phone Number: (904)616-8380 Mechanical Company: HAMMOND AIR CONDITIONING Office Phone: (904)398-8488 Fax Co. Address: 3412 GALILEE RD City: JACKSONVILLE State: FL Zip: 32207 License Holder: BRANDON HAMMOND g State Certification/Registration# enC1a16450 k° q j Notarized Signature of License Holder 141041911-"d( The foregoing instrument was acknowledged before me this I/-1"day of NG'Yre rubs'— ,20 i`a , in the State of Florida, County of Signature of Notary Public ---`‘ --J str Pi4,, NANCY JANE DEMPSEY Commission M GG 301072 (.1 Personally Known OR [ ) Produced Identification M f Explies February 12.2023 Type of Identification: „n04 6MMMnolo Budget NOW/SWV0,11 Updated 10/9/18 .111i CERTIFIED' www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:9652738 Date: 11-06-2019 Model Status •Active AHRI Type: HRCU-A-CB Serres• EVOLUTION SERIES COASTAL HP Outdoor Unit Brand Name :BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package):286BNC048'0"B' Indoor Unit Model Number(Evaporator and/or Air Handler): FV4CN(B,F)005L The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS 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 :47000 SEER: 16.00 EER(A2)-Single or High Stage(95F): 12.50 Heating Capacity(H12)-Single or High Stage(47F):46500 HSPF(Region IV):9.00 f"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. Retinas that are accompanied by WAS indicate an involuntary re-rate, The new published retina is shown along with the previous(i.e WAS)retina. 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 productisl.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 con, 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 m part.be reproduced;copied;disseminated: 11119111 .. ,' 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"4e ih C,'rtiii r:,trr"link we make lih hewer" 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. 132175424321029051 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: ri�`i'rJ,„ 6i . J Cash Register Receipt Receipt Number �'� City of Atlantic Beach R11043 \0;;1v) DESCRIPTION ACCOUNT I QTY PAID PermitTRAK $115.00 ACRS19-0375 Address: 332 8TH ST APN: 169925 0000 $115.00 MECHANICAL $111.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 4 $32.00 FURNACES AND HEATING 455-0000-322-1000 46500 $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: R11043 $115.00 Date Paid: Tuesday, November 12, 2019 Paid By: HAMMOND AIR CONDITIONING INC Cashier: CT Pay Method: CREDIT CARD 277801 S Printed:Tuesday, November 12,2019 4:00 PM 1 of 1 i Fn: j 10j _,wv Recei t Number Cash Register Receipt pCity of Atlantic Beach R11827 \013ir DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $55.00 ACRS19-0375 Address: 332 8TH ST APN: 169925 0000 $55.00 MECHANICAL HVAC FINAL** 11/25/2019 RBE $55 00 MECHANICAL HVAC FINAL** 11/25/2019 455-0000-322-1002 0 $55.00 RBE TOTAL FEES PAID BY RECEIPT: R11827 $55.00 Date Paid: Tuesday, February 25, 2020 Paid By: HAMMOND AIR CONDITIONING INC Cashier: CT Pay Method: CREDIT CARD 7 Printed:Tuesday, February 25, 2020 1:45 PM 1 of 1