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1841 Selva Marina Dr ACRS20-0103 HVACOWNER:ADDRESS:CITY:STATE:ZIP: HARRIGAN BRIDGET K ET AL 1841 SELVA MARINA DR ATLANTIC BEACH FL 32233-5619 COMPANY:ADDRESS:CITY:STATE:ZIP: FLORIDA HEATING & AIR INC 13720 Old St Aug RD STE 8-189 JACKSONVILLE FL 32258 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172020 0770 SELVA MARINA UNIT 10B JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1841 SELVA MARINA DR MECHANICAL RESIDENTIAL HVAC HVAC - 1 A/C, 1 AHU, 2.5 TON $3500.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00 FURNACES AND HEATING 455-0000-322-1000 27800 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 6/15/2021 PERMIT NUMBER ACRS20-0103 ISSUED: 6/15/2021 EXPIRES: 12/12/2021 MECHANICAL RESIDENTIAL HVAC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 2 of 2Issued Date: 6/15/2021 PERMIT NUMBER ACRS20-0103 ISSUED: 6/15/2021 EXPIRES: 12/12/2021 MECHANICAL RESIDENTIAL HVAC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD DESCRIPTION ACCOUNT QTY PAID PermitTRAK $99.00 ACRS20-0103 Address: 1841 SELVA MARINA DR APN: 172020 0770 $99.00 MECHANICAL $95.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 3 $16.00 FURNACES AND HEATING 455-0000-322-1000 27800 $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: R16077 $99.00 Printed: Tuesday, June 15, 2021 8:59 AM Date Paid: Tuesday, June 15, 2021 Paid By: FLORIDA HEATING & AIR INC Pay Method: CREDIT CARD 468332504 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R16077 Mechanical Permit Application City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 ••ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Buildin g-De pt @coab .us PERMIT#: ______ _ JOB ADDRESS: 1841 Selva Marina Dr. Atlantic Beach, Florida 32233 PROJECT VALUE $_~_soo_._oo _____ _ 0 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# (REQUIRED) _______ _ El Air Handling Equipment Only □ Condenser Only El 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# (REQUIREDJ_20_1_64_208_1 ___ _ 1:1 Air Handling Equipment Only [J Condenser Only ■ Air Handling Unit & Condenser Air Conditioning: Unit Quantity 1 Tons per Unit _2_.5 __ _ Heat: Unit Quantity 1 BTU's Per Unit _2_1aoo __ _ Seer Rating (REQUIRED) _1_4.oo __ _ Duct Systems: Total CFM □FIRE PREVENTION Fire Sprinkler System Fire Standpipe Underground Fire Main Fire Hose Cabinets Commercial Hoods Fire Suppression Systems □FIRE PLACES Quantity Quantity Value Quantity Quantity Quantity Prefabricated Fireplace (Qty) __ _ Gas Piping Outlets □ALL OTHER GAS PIPING Quantity of Outlets # Vented Wall Furnaces # Water Heaters --- (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) 0 MISCELLANEOUS: Automobile Lifts Boilers Elevators/Escalators Heat Exchanger Pumps Refrigerator Condenser Solar Collection Systems Tanks (gallons) Wells BTUs __ _ BTUs --- 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: Michael & Bridget Harrigan Mechanical Company: Florida Heating &Air 1nc. CAC1819817 Co. Address: 13720 Old St. Augustine Rd. Sia ~189 License Holder: Chris D. Wood ________ ___,,...,...,.,.... ____ _ Phone Number: (904) 333-8462 Office Phone: (904) 993-3342 Fax ------- City: Jacksonville State: _A_Zip: _32258 __ _ te Certification/Registration # _CAC_1..,.s1_98_1_1 ____ _ Notarized Signature of Ucense Holder-f-7'-W~lL.~~----1LLtE.~~(.,_ _______________ _ Signature of Notary Public if at~ ~ ~~~oregoing instrument was acknowledged before me this J.b!kdh~f Arr~ezl . 20 lJ). in the State of Florida, ( ] Personally Known OR ~ed l~n Type of Identification: De" 1 e O I I C..½S e Updated 10/9/18 ~~!!I CERTIFIED® www.ahridirectory.org Certifi cate of Product Ratin gs AHAi Certified Reference Number : 201642081 Old AHAi Reference Number : 7995113 AHAi Type : HRCU-A-CB Series: GSZ14 Outdoor Unit Brand Name : GOODMAN Date: 04-16-2020 Outdoor Unit Model Number (Condenser or Single Package): GSZ140301K• Indoor Unit Model Number (Evaporator and/or Air Handler): ARUF31B14A• Model Status : Active 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 AHAi 210/240 with Addendum 1, Performance Rating of Unitary Air-Conditioning & Air-Source Heat Pump Equipment and subject to rating accuracy by AHAi-sponsored, independent, third party testing: Cooling Capacity (A2) -Single or High Stage (95F), btuh : 28000 SEER: 14.00 EER (A2) -Single or High Stage (95F): 12.00 Heating Capacity (H12) -Single or High Stage (47F) : 27800 HSPF (Region IV) : 8.20 r Al;tive" Model Status are those that an AHAi Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being markel8d but are not yet being produced. ?Production Stopped? Model Status are those that an AHAi Certification Program Participant is no longer producing BUT is still selling or offering for sale. . . . . . . . . . Ratings that are aaxmpanied by WAS indicate an involuntary re-rate . Toe new pubhshed rating IS shown along with the prey10us h.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.ahr ldlrectory.or g. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certiftcate 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate• link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, MRI AIR-CONDITIONING , HEATING , 6 REFRIGERATION INSTTT1JTE we make life better• which is listed above, and the Certificate No., which Is listed at bottom right. ~--------------------- -<C>2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132315196495058504