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1969 Brista De Mar Cir ACRS19-0409 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ` ACRS19-0409 PERMIT Y). ISSUED: 12/23/2019 CITY OF ATLANTIC BEACH EXPIRES: 6/20/2020 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 1969 BRISTA DE MAR CIR HVAC HVAC - 1 A/C, 1 AHU, 4 TON $4785.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169506 1670 SELVA NORTE UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. OWNER: ADDRESS: CITY: STATE: ZIP: KANE PHILIP B 1969 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525 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. 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 46000 $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: 12/23/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER f.-e-: -. PERMIT ACRS19-0409 ISSUED: 12/23/2019 CITY OF ATLANTIC BEACH EXPIRES: 6/20/2020 ITOTAL: $115.00 Issued Date: 12/23/2019 2 of 2 ALL Mechanical Permit Application **HIGHLI HIED I ON ��" HIGHLIGHTED IN fe- City of Atlantic Beach Building Departmen qVZ:11e,[0.1 GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 P 2 ! R e R S( "V`t V hh�/� Phone: (904) 247-5826 Email: ' ERMIT#: JOB ADDRESS: j 900 q (I Dc_ itI lky C 1 ( PROJECT VALUE $ /171�'S✓ ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) 4 Duct Systems: Total CFM p� �i REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# REQUIRED) oR 0393 3 b�Z/ ❑Air Handling Equipment Only 0 Condenser Onl. , Air Handling Unit& Condenser Air Conditioning: Unit Quantity , Tons per Unit Heat: Unit Quantity I BTU's Per Unit Lktt6OO Seer Rating (REQUIRED) 16-00 Duct Systems: Total CFM r1 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) 0FIRE 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 BOTHER: 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 co1nst�rucctiion,or the performance of construction. , I c� !r, Owner Name: r Il l' 1(.Q/, )14n Phone Number: �`tI" J�'t�Q Mechanical Company: OCEAN STATE HEATING&AIR Office Phone: (904)249-8251 Fax(904)249-8949 Co.Address: 1476 ATLANTIC BLVD. City: NEPTUNE BEACH State: FL Zip: 32266 License Holder: J. GLENN JONES ,.00 �� State rtifi on/Registration# CAC049310 Notarized Signature of License Hol, i ' `Rye The foregoing ialstrument was acknow -dged before me this, day of)€ 20 19 , in the State of Florida, County of U;Ju 0.. 9 11)&0(- 1 � — — — —-- — — — — ——� Signature of Notary Public t, ‘.0,;;;:z,..,,, YVETTE P.MORALES rNotary Public-State of Florida 1 r I personally Known OR [ ] P uced Identi kation Commission N GG 069102 I ,'� �!J� My Comm.Expires Mar 2,2021 1 Type of Identification: Bonded through National Notary Assn. I Updated 10/9/18 This combination qualifies for a Federal Energy Efficiency tax Credit when 1112.1:31.11 placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIED.' L,h7.nrq Certificate of Product Ratings AHRI Certified Reference Number:203938121 Date: 12-20-2019 Model Status:Production Stopped AHRI Type:HRCU-A-CB Series:COMFORT15 HP Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package) 25HBC548B'031' Indoor Unit Model Number(Evaporator and/or Air Handler):FV4CNBOO6L 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 2101240 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:48000 SEER: 16.00 EER(A2) r .r }_ rs { S Heating .et'+ • W .�c:... • ,ii'?'G I. 7�.r.i sh:: 'ys HSPF :9.00 �, 3s _ tr •t ? • t n awe ; t it t, 4.4:4s! ,. 1�..,h t _ s.r. fay k"—' p y�Vssr ,nomF• n-4 x4� ! rAr R� `b -tl ^s 4 - � J , �'� �*i 1 1NA!_r $. 3`!r ii e ��,.._.�F . - d- �. A qF 7, ,fA3 tri} ' _r'd�.� Tas.`"d� -'z+rF-:-'c jt4 �U i - -_t a h fAcWe'Model Status are floes that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale:CR new models that are being marketed but are not yet being produced.'Productlon Stopped'Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still siding or ofer*ig for sale. patrol that are accompanied 1n WAS indicate en involuntary re-rale. The new published rateuro a alum alon4 with the previous ti,e,WAST rating. DISCLAIMER Alia does not endorse the products)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 ecpressiy disclaims all liability for damages of arty kind arising out of the use or performance of the productts),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory st www.ahrldirectory.org. TERMEAND CONDoN8 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: lettered tette a computer database:or otherwise utilized,In any form or manner or by any means,except for the users Individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION 8 REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldlrectory.org,click on'Verify Certificate-link we make life better' and enter the AHRI Certified Reference Number and the date on witch the certificate was Issued, which is listed above,and the Certificate No.,which is listed at bottom right. --- ©2019 Air-Conditioning, Heating and Refrigeration Institute ATE NO.: 1322136.733162405 Mechanical Permit Application "ALL INFORMATION t HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. ;'i 800 Seminole Rd, Atlantic Beach, FL 32233 �e_J i 9 -01 ° 1 Phone:// (904) 247-5826 Email: / PERMIT#: // pp�� JOB ADDRESS: j�l0 q (-6(15 �� Ci ( PROJECT VALUE $ 77n�J� El NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!It(REQUIRED) D 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) 0 Duct Systems: Total CFM Qy / / REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# REQUIRED) oR iO3 ,3 b!2( 0 Air Handling Equipment Only 0 Condenser OnlAir Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTU's Per Unit 600 Seer Rating (REQUIRED) RIX Duct Systems: Total CFM flFIRE 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) MIRE PLACES 0 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 or the performance of construction. I I d/ Owner Name: jf 4.12 4/Ie- Phone Number: a,`fr"5Si-4 Mechanical Company: OCEAN STATE HEATING&AIR Office Phone: (904)249-6251 Fax(904)249-8949 CO.Address: 1476 ATLANTIC BLVD. City: NEPTUNE BEACH State: FL Zip' 32266 License Holder. J. GLENN JONES IP State • .�_••n/Registration# CAC049310 Notarized Signature of License Hol er 0.1._._.41-' The foregoing instrumept was acknow -dged before me this day of : •,.....641„,„ 20n, in the State of Florida, County of Clu qq,,�� .4 J — _ _ _ _—— — — ———4, Signature of Notary Public IA,t7W t s YVETTE P.MORALES I I ." - d ' I Personally Known OR i ) P�aduced Ident4 ication • GwanKslon 1 GG 069102 I . My( bviesme2.2021 � Type of Identification: ctn. Deeded trough Ip6enrNavy Min. 0 Updated 10/9/18