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1940 W Sevilla Blvd ACRS20-0014 r `''r%. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ,'J ', = �� ACRS20-0014 ;S:0#1.:- , ,,.r� PERMIT ISSUED: 1/15/2020 „�;;,, CITY OF ATLANTIC BEACH EXPIRES: 7/13/2020 MUST CALL INSPECTION p 3 NE, INE (904) 24 x5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MIST CONFORM 1 T CURRENT 6 'H EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC ' D • TY OF ATLA TIC BEACH CODE OF ORDINANCES . . ALL CONDI }. S S' 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 thi,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: t DESCRIPTION: VALUE OF WORK: 1940 W SEVILLA BLVD MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 4 TONS $5061.00 HVAC VAC TYPE OF I REAL ESTATE BUILDING USE CONSTRUCTION. NUMBER: a ZONING;: GROUP. SUBDIVISION: 169462 0450 SEVILLA GARDENS UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: OCEAN STATE HEAT& AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. OWNER: ra DRESS: CITY: STATE: ZIP: HILLEGASS MICHAEL 1940 S' VILLA BLVD W ATLANTIC BEACH FL 32233-4578 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. : te.-R�'r r4 c t.Rin t a p. "7 f3;1X .... . ....._ Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. LLE_ { r .:2; ,:4w ''r:",; mi` V-_ Y. P. ,,- J,:,,, -fgt a'} i rr1- 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 Issued Date: 1/15/2020 1 of 2 r11-uir/,„, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER PERMIT ACRS20-0014 � , '" /" ISSUED: 1/15/2020 / CITY OF ATLANTIC BEACH i11 EXPIRES: 7/13/2020 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $115.00 Issued Date: 1/15/2020 2 of 2 Mechanical Permit Application **ALL INFORMATION �:Jlri,J• HIGHLIGHTED IN `4\ City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 P aR,S 2 0 — 0 0[4— •'2.71:%7' [¢ Phone: (904)�j`� 247-5826 Email:BLi`ldin - E•,ct@coab.US PERMIT a: /� JOB ADDRESS: f `T0 SeAlci._ t `J� �-�`'' ' PROJECT VALUE$ `�lJ (Q. / — D NEW AIR CONDMONING &HEATING SYSTEM INSTALLATION AR!#(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 __ REPLACEMEr1T AIR CONDITIONING& I iEATING SYSTEM INSTALLATION ARI#(REQUIRED) q(5465y 0 Air Handling Equipment Only 0 Condenser Only f lir Handling Unit& Condenser Air Conditioning: Unit Quantity�_1 Tons per Unit ,. • l Heat: Unit Quantity 1 BTU's Per Unit 'L •. Seer Rating (REQUIRED) (0'U0 Duct Systems: Total CFM MFIRE 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) MI FIRE PLACES [MISCELLANEOUS: Prefabricated Fireplace (qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators MALL 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 erforrnance of construction._\.1 f ( � Owner Name: \VQ. Phone Number:3f J I3Lk Mechanical Company: OCEAN STATE HEATING&AIR Office Phone: (904)249.8251 Fax( )249-8949 CO.Address: 1476 ATLANTIC BLVD. City: NEPTUNE BEACH State: FL Zip: 32266 License Holden J. GLENN JONES , State Certification/Registration# CAC049310 fitiNotarized Signature of License Holder The foregoing trumer t was ackna ledged before i e this "Aiay of •h ( 2020 in the State of Florida, C ` TTE P.MOgAtFS � �r+i� YVETSI attire of No •ry Public 1AJ t Li _ I (.41:V.' atY Public-Stated Rano.,° ++ission GG 069102 I [ ersonally Known OR[ ) Produced Identification "';for,, s Wcormup... Mar2,X12, ua,�eu.„4,u,�,,,,,,, ,,,�, � Type of Identification: . ��_ updated 10/9/18 ....i CERTIFIED . •,:diama,r7.orq Certificate of Product Ratgs AHRI Certified Reference Number:9156554 Date:01-14-2020 Model Status:Active AHRI Type:HRCU-A-CB Series:PERFORMANCE 16 HP 2-STAGE Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):25HCB648A'031' Indoor Unit Model Number(Evaporator and/or Air Handler):FV4CN(B,F)005L 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 7,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) . t R . 5• �T� Sk;,, 'i`'- *'.g# �r +�w1Mrr F•r Heating 74...-..::,../..,,-..,,•41.' r `? : ,�rg, x .',"1:.:.7.4.41:7-..,.. �,r,t r. :'.,� � S AT•e• s ,?. t y)arF�t w : 1 Phe-_!1 , s 7 HSPF ,t. ,•,,,,i,, :91001 ,�" i ,.C, Yy' ma r kr y Y itN � ' � j • d I. -4 '� ,_'14-,4031'' ',4,r ya ''�.F,Itii" , y+ti..+ n� y: „kms.!.. Ill t- 'yj s ,#a' -t 1 :i r r "rn.ilk rii tr d� k - F�� 3 r7— rkv t�c ' e • t'Acthre'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 produoed.'Productlon Stopped'Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still seeing or dieing for sale. Retinas that ass accomPanied by WAS indicate an involuntary re-rain The new published retina is.hewn alone w th the Previous ti.e.WAS)retina. DISCLAIMER At*l does not endorse the product(.)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, me product(.)listed on this Certlncate.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 end configurations listed In the directory at www.ahridlrectory.org. TAND CONDITIONS Thltea b Certificate rtlficMa 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 databese•,or otherwise utilized,In any form or manner or by any means,except fon the user's lndMdual, personal and confidential reference. AIR-COHOntONINO,HEATING, CERTIFICATE VERIFICATION e:REFRIGERATION INSTITUTE The Information for the model cited on this certMcate can be verificd at www.ahrldlrectory.ors,dock on'Verity Certificate'link WP make iif' 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. T;4 ©2020AIr-Conditioning,Heating,and Refrigeration Institute NO : 132235132290703364