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265 Magnolia St ACRS19-0394 (01..Q.,-„,e, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER firik sf PERMIT ACRS19-0394 3 ": ISSUED: 12/5/2019 �;; ,; CITY OF ATLANTIC BEACH EXPIRES: 6/2/2020 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: 265 MAGNOLIA ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $3024.00 HVAC TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170543 0000 SALTAIR SEC 03 COMPANY: ADDRESS: CITY: STATE: ZIP: OCEAN STATE HEAT&AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. OWNER: ADDRESS: CITY: STATE: ZIP: SMITH PAMELA A TRUST 265 MAGNOLIA ST ATLANTIC BEACH FL 32233-4007 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 3 $24.00 FURNACES AND HEATING 455-0000-322-1000 22800 $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: 12/5/2019 1 of 2 /J4Eur , MECHANICAL RESIDENTIAL HVACPERMIT NUMBER PERMIT ACRS19-0394 ' CITY OF ATLANTIC BEACH ISSUED: 12/5/2019 " i�/ EXPIRES: 6/2/2020 TOTAL: $107.00 Issued Date: 12/5/2019 2 of 2 ' , **ALL INFORMATION rtlApi,�, Mechanical Permit Application o AR. 11 ALL INFORMATION TED IN City of Atlantic Beach Building Departm WM ;/L,i's?J GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 R e_i_�I -0 -c) -i_ . ---,,,"r Phone: (904) 247-5826 Email: i.i Jiiir, _.;,i:@coab.us PERMIT#: �-t JOB ADDRESS: . �S a-�; 11 4-- PROJECT VALUE $ 3O2-.2.4 � `I" ❑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 ""/ _ REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) /(fi Cf/L ❑Air Handling Equipment Only 0 Condenser Only ,) it Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit l� Heat: Unit Quantity I BTU's Per Unit 2,'AF100 Seer Rating (REQUIRED) Duct Systems: Total CFM EFIRE 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) 0FIRE PLACES 7MISCELLANEOUS: 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 DOTHER: 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 fle(off construction. Owner Name: Y 104._ S -F'�'1 Phone Number: L - (C� i Mechanical Company: OCEAN STATE HEATING&AIR Office Phone: (904)249-8251 Fax(904)249-8949 Co.Address: 1476 ATLANTIC BLVD. I City: NEPTUNE BEACH State: FL Zip: 32266 License Holder: J. GLENN JONES IState a fication/Registration# CAC049310 Notarized Signature of Lice a Holder The foregoing instrumcnt w s acknowle.::• •efo e meVhis5- day of c ,20 �`i, in the State of Florida, County of Dov v. Signature • Notary Public U(,�it{_ in os;ei 4;::..,, YVETTE P MORALES t ' ;a. o: NotaryPublic-State ci Florida L •: •`- CommissionN00069102 [ )Personally Known OR[ ] oduced Identification '; ' / My Comm.Expires Mar 2,2021 Type of Identification: IBonded through National Notary Assn. I Updated 10/9/18 AI9 CERTIFIED® D www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:9661021 Date: 12-04-2019 Model Status:Active AHRI Type:HRCU-A-CB Series: 14 SEER HP Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):25HCE436A*031* Indoor Unit Model Number(Evaporator and/or Air Handler):FB4CNP036L 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:33000 SEER: 14.00 EER(A2)-Single or High Stage(95F):11.50 Heating Capacity(H12)-Single or High Stage(47F):33800 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.ahridlrectory.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, 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 ,k„ 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.: 132199586594404904