HomeMy WebLinkAbout17-18820 CITY OF ZEPHYRHILLS
' 5335-8TH STREET'
(813}780-0020 �$
� BUILDING PERMIT
- PERMIT INFORMATION - � � LOCATION INFORMATION
Permit Number: 98820 Address: 5920 GA�L BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.VaEue: Parcel Number: 11-26-21-0010-t}0200-0010
Improv. Cast: 3,400.00 OWNER INFORMATIQN
Date tssued: 8129I2017 Name: YOUNG GROUP INC THE
Total Fees: 55.00 Address: PO BOX 578
Amoun# Paid: 55.00 ZEPHYRHILLS FL 33539-0578
Date Paid: 8/29/2017 Phone: 813-312-6482
Work Desc: A/G CHANGE OUT 3 TON PAGKAGE UNIT
CONTRACTOR S APPLICATION FEES
AIR RESCUE AIR CONDITIONING INC A/C CHANGEOUT 55.00
R
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Ins ectians Re uired
D CTS IN TALL
DUCTS INSU TED�--
FINAL '
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R�INSPECTTON FEES: (c)With respect ta Reinspec#ion fees will comply with Florida 5tatute 553.80 (2)(c)the
local government shall impose a fee of four tirYtes the amount of the fee imposed for the initiat inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTiCE: In addition to the requirements of this permit, there maybe additional restrictians applicable to this property that
may be found in the public recards of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"1Narning to owner: Yaur faiture to record a notice of commencement may resalt in yaur paying twice for
improvements ta your properly. If you intend to abtain financing,consult with yaur lender or an attorney
befare recarding your natice of commencement.°
Complete Plans, Specifications Must Accompany Application.All wark shall be pertormed in accordance with
City Codes and Qrdinances. NO OCCUPANCY B�FORE CA.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MCiNTHS WITHO�UT APPR4VED INSPECTION
CALL FOR INSPECTTQN - 8 HOUR NOTICE REQUIREI�
PRt?TECT CARD FROM WE �'�'���
-�� ,�� ���-� ��ry or Gspnyrnnis r�ermit�+ppitc�Tic�n r'ax•ti��•�uu•uu�;i
BuAding Depar#ment � �
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Date�teceived ' �������, � � ��
� � '�'hor�e Cont�sct f.ar Pertnitting f �,�-RR�o m�o�,,� a�
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Owner's Name L Y 6�'�-Owner�Phone Number ��(3',�/2�y�� �
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Owner's Address�� 4 ,,�, QwneriPhon�Number [ ; _���
Fee 8lmple Titlehold�r Name C��U`�C ,�?�j ��� pwner.Phone Numbar C� ; ^���
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Fee 5lmple Tftlehald�r Add�ess �i'� I
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JOB/ADDRESS ����iA I l �1 UC� G'�h�Yh;/f�5 �C �3,z�� � �.aT# 'C�+g.��
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SUBDi111S10N ��,�� ,2 ' .5 PARCEI.iD# i Z�-�.1 -OG�/�S - 2c�D -pc�1��� _._._.��
' (OB,TAlNIcD FROM PROPLRTY TAX NOTlGE} �
WOR44:RROPOuED �� NEW CONSTR� . ADDIA�T �� � 51�N C� "[� DEM01_ISH
INSTAI.L REPAIR i
FRQPUSED USE. [� SFR � GOMiv1 • � OTI-IER [ _ ' �,_��
TYP�OF CONSTRUCTION C] BLOCK C] FRAME � STEEL [� [--�� _�_��]
DESCRIPTION UFWORK C��C Gl1G,)AIA(� �4d�D-F I�.�L ��j,J ]''�Q �'"�(pDL PAC��i UNI� �
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eUILDING SIZE C ` ^� SQ FOOTAGE�____� HEIGHI' ��_� �
�G�� �:Fusrra
�BUILD(NG I$ � VAI.UATION OF TOTAL CQNSTRUC710N i
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� �E1.ECTR(CAC. $ � AMP SERVIGE � PROOFtEuS E:NERGY ; W.R.E.C.
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C�Pt�UM81N(3 , $ .. ^� ..
i �NiECHANICAG $ ' VAI.ItATI{)N OF iv1ECHANICAL 1NST�t�lr4T10N � �--"-'
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�c�As C� �ao��r�� � sPEc�A�TY�(� o�'H�� :: -ti;
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, F.INISMED FLOOR ELEcVATI(JNS � � FLOpp ZONE AREA, ��YES NO �
� ttt-H•11�H�htti�tittttil�tthf-t-H'ftfttH tH�t-F�Htifitti�i-tfiH-lltti�tt-FiitHittttttti-Fi-H-Ht�f-Fi-ftM
BUILpER � CqMPANY ���� i �„^.�,�
SIGNA7UR� " �� REGISTEREp Y/ fJ�' � FEE CURRE� Y!N �
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�Address � �� ^�. l.lcense# C '� �,���
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ELEC?'RICIAN � COMPANY � ^ "���
SIGNATURE ' RBGISTEREQ � Y/ N � FEE CURRE� Y/N ~
� Address ���� � l.icense# C ! !„� µ�
� —___.r _ i _____—
PLUMqER COMPANY C� � _,���
SIGN�ITURE _� ' REGISTEREp Y/ N � FEE CURRE� Y/N
Address C ,_� � L.icense# ��, i �,,,,�,��
MECHI�NiCAL � CQMPANY ���,9� r��G' `.�'c.U�.!S��! �-. ��S�..:�,��
, SIGNATURE �� REGISTERED Y/ N � FEE CURRE� Y/N �
Address ���fl'1t�.S"S/�.�/''�ca (3(u�17;'�.,ti�+�,. (-'�. `�3��"t L.Icense# I�A� ����.5' �i�~
OTHEF2 � COMPANY � ' � _,�,_�,�
SIGNATURE „_� R�aisrea�a Y/ N _]- FEE CUftRE� Y/N
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Address � �� ___ l,icense# �_, ,,,_,_,,�
fiii-fi-ttttttttt•Fti#tM-htH�t�ti'tttittt#-ttttt�t� l�ttt�Fh!-Hiittttt�tttt- ttfi-t�HH•ttf�ii
RESiDHNTiAi» Rttach(2}P(ot Plans;(2)sets of Bu11d1ng P1ans;(1}set of Energy Forms;R-O-W Perrnit for new construcfion,
Mlnimum len(10)working days after submlttal date, Required onsite,Constructlon Plens, Stormwater Plans w/Sili�Fence installed,
Sanitary:Facllltles&'S dumpster;Slte Work Perm(t(or subdlvlslonsilarge groaects �
COMMERCIAL Attach(3)complete sets af Bullding Plans plus 1 Life Safety P�ge;(1)set of E:nergy f�orms,R-O-W Permit for new con�;tn.rction.
Minimum fen(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SIItiFence instailed,
S�nitary Faclllfles&1 dumpster.S1ts Work Parmlf fvr a31 new pra�ecfs,A!1 commerclal rsqulrements must meet'comipliai}c�a
SIGN PERMIT Attach(2)sets of Engineored Plans, ,
"""PROP4cRTY 3URVEY required for all NEW constructlon. �
:�TU��FmzL� zI�t�tL��SC � tLIT�t:I�t�
Dlreatlons: �
Fil!out appllcation completely j
Owner&Cvntracfc�t slgn back af appllcatian,natarized �
If over$2500,a Notice��f Commencement is requlred. (A/C upgrades over$7500) �
"* Ac�or�t{for the ca�tractor)ar�ower of Attomey(for the avrner}would be someone wlfh notarized letter from owner authorizing sam;e
OVER THE COUNTER PERNIITTING (Front af Application Only)
Reroafs ff shingles Sewers Service Upgrades PJG F'ences{PIoUSurvsylFootage) �
Drfveways-Not aver Counter If on public roadways„needs ROW ' �
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NOYIC� OF D��D RE:ST'RICTIONS: The underslgned understands that thfs permlt may be► subject to "dEe;cl" restrictlons"
which may be rnc�re restrictive than County regulatloris. 'f he undersigned assumej;� resporislblllty for compii��n�,e.with any
applicable d�ed restrictlons, �
UNL.ICENSE'sD CONTIRACTORS �4ND CONTRACTOR RESPONSII�ILITIES: If the owner h�s hfred ai cantractor or
contractors to undertalce work, they may be requlred to be Ilcensed in accordanc� with state and local regulations, If tPie
contractor is not licen;�ed as required by law, both the awner and contract�r may� be clt�d f.or a misdem��n��r vlolatic�n
under state law, If th�3 own�r or intended tcontractor are uncertain as tu what Iice:nsing requirements may' aK>ply for tFie
intended work, ihey are advised to contact the Pasco Co�anty Building Inspection I:)ivfsion--Cicensing Seetlon �it 727�•84'l�
8009, Furthermure, if the owner fias hired a contract�r or contractors, he i� �dvised to have the contraator(s) sic�n
portfons of tl�e °contractor Block" of this appllcatlon for wh(ch they wlll be rospansible, If you, as the own'e;r ;�Ign.as tfie
contractor, that rriay be an indication that he is not prope;rly Iicensed and Is not Eritftled to permitting privileges in Pasc;o
County. . I
'fRAPdSPORTA'TVON IMPAGTIUTILITIES IMPACT AND �ESOURCE RE_COVEIRY FEES: The undersigned undersFancis
that 'fransportatiun Impact Fees arid Recourse Recovery Fees may apply to the cc�nstruction of riew buildings, c��ange of
use in existing bulldinc�s, or .expansion of existing buildings, as speclfied in I'aseo County Ord(nance nwmber 8�a-07 arid
90-C�'l, as amended. "fhe uridersigned also understantls, .that such fees, as may I�e due, will. be identifiedlat th�: time of
permitting. It is further understood that Tran�sportatic�n Irnpact Fees and Resourc�� F�ecovory Fees must b� p:aicf prior Qo
rec�iving a ucertiflcate of occupancy"or finallpower release, ,If the project does ric�t involve; a certificate of'oci�upancy ur
final power relea;�e, the fees must be pafd prior to permlt fssuance. FurthermorE3, If Pasco County Water/:3ewer Impact
fees are due, th�y mu�t be pald prior to permlt Issuance iri aecordance with applic��l�le I'asro County ordinanees,
GOh1STRUCTION LIEN L,AVV (Chapter 713, Florida Sta�utes, as amended); If v��luation c�f work i:� $2,500,0(► or more, I
certify that !, fihel applic�nt, have been provided with a copy of the "Florid�i C;onstruc;tion Lien Law!Hom��owner's
Protejction Guide" prepared by the Florida Dgpartment of Agriculture and Consumer Affair�. If the appiica�t i:� ;;omeorie
oth�r•than the "owner",�I certlfy thafi I have obtafned a copy of the above describ�;cl document and promise in guod faith.to
deliver it to the "owner" prlor to corrimenceme�nt. .
CONTRACTOR';310WNER';� AFFYDAVIT: I�certify that all the informatian In thi;� application is accurate an`cl tP�ai all work
will be done in cc�mpli<�nce with all applicabl� laws regulating construction, zoning and lanci devHlopment. Application is
here;by made to obtain a permit to do work and insta(latlon as Indicated, I rE�rtify that no work or Installation h��s
comrnenced prior to i:�suance of a permit and that all work will be performed to meet standards of all laws rE;gulatirig
con:�truction, County ��nd City, codes, zon(n� regulations, and land develo�ment regulations In the juris�ict(on, I al��o
certify that I undErstand that�he regulations of other gov�rnment agencies may apply to the intended work�, and that it Is
my r�sponsibllity fo Identify what actions I must.take tu be in compliance: Such agAr�cies Include but are not�lfmit�d to:
- Uepartment of E:nvironmental Protection-Cypcess Bayfiead�, 1Netland Areas and Environmenfally ;3ensitive
l_ands, W�ter/Wastewater Treatment, ;
� :3outriwest Florida Water Management Uistr(ct-Welis, Cypress E3ayheads, Wetland> A�i�as�, Altering
Watercourses. '
� /�rmy Corps of Englneers-Seawalls, Docks, Nav(gablo Wat�rways.
•� Department �f F�ealth & Rehabilftative Servlces/Environmental Health Unit-Welis, Wastewator 'Tr�:atrnent,
;>eptic Tanks, ;
�• US Environm�ntal Protection Agency-Ask�est�s abatement.
�- f=eder"al Aviation Autho�ity-Runways. , ,
I understand that the fallowing restrictions apply to th� use of fili; I
•• Use of fill is not allowed in Fiood Zone "V" unless expressly permitteci, �
•• If the flll materfal Is to be used in Flood lone "A", it is undorstoo� that a dr�inage plan ;addrE;ssing a
"compens�ting volume" wiil be submltted at time of permitting which i;� prepared by a professi;onsil i.nginef�r
iicensed by the �tate ofi F)orida, i
�- If the fill mat�;rial Is to be used in Flood Zone "A" in connE�ction with a permifted building using s�tem w�ill
construction, I certify that fill will be used only to fill the area withiri thEs stem wall. �
•• If fill material is to be used in any area, I certify that use of such fill will not advErsely affert adj�7cent
prop�rties, If use of fill is found to adversely affect adJacent propertiE�a, the owner may be cite�ci fc�r violating
the conditions of the building permit issued under the attached perm(t applic�tion, for lots less th.an one (�I)
acre�vhich ar� elevated by fill, an enginee:red drainage plan Is requir�ci. �
If I am the A�EN'T FOIR T'HE OWNER, I promise in good fa(th to Inform the owner• of the permittir�g condifio;ris set foi�th (n
this affidavit prfor to cammericing construction. I unclerstand that a sep�rat� pErinit may be required for eleciriral worlc,
piurnbing, si�ns, wells, .pools, air conditioning, gas, or olher installations not spoaifically included in the applics�tiori. A
permit issued shall be cor�strued to be a Ifcense to proceed with the worl< and not ��s authority to,uic�late, canc�;l, alf�r, or
set �iside any provis(ons of the teehnical codes, nor shail issuance of a p�rmit prev��nt fhe 13uildirig Official from triereaftE;r
requlring a correction of errors In plans, constructfon or violatlons of any oodes. Every permit fssued shall become Invalid
unless the work authorized by such permit is commenceci within s(x months of permit issu��nce, or if work ;authorized by
the p�rmit is suspended or abandoned for a period of six (6) months after the time the work fs commenced, !An exterision
-----may be_requested, in writing, from the Building .Official_for a perlod not to exeee:d ninety (90) days and w(I� de,monstrate
justifiable cause f.or the extensfon, If work ceases for ninety (90) consecutive tlays;-th�jo6 is considered abandi�ned.- - --
WAFtNING TA 0.'WNER: Yt)UR FAILURE TO RECORU A NOTIC� OF COMMIE:NCEME:NI' tVIAY RESU�T IPJ Yl7UIR
PAYING TWIC� FOR IMF'ROVEMl:NTS TO�YOUR PR'OI�ERTY, IF YOIJ�IN'TENL•) TO O�1'AIN FINANCIN.C�, I;CIN�ULT
W171� YOUR�LENDER OR AN ATT'ORNEY �EFORE RE�ORDING YOI�R NOTBCE? OF Cl7MM�N�C�MENT.
FLORIDA JURAT(F,S, 117,03) I
OWNER OR AGENI' CONTRACTOR_,__� I�__
Subscribed and sworn to(or afflrmed)beforo me this Subscribeci and sworn to(or afflrmed)beforH mo thls , !
bY— by----- --
Who Isl�re personaily I<nown to me or has/have produced Who Is/are personaliy known to me or has/lieve produced
_ �as Identlflcatlon, _ _ as IdentiFlcatlon.
_ _Notary Pubilc _ __� _ _ Nota,ry Public
Commisslon No, Commisslon No,`_____ __
, �
, Name��f Notary typed,�rinted or stamped Name of Nofary ryped,prliited oi stamped I
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Prc�posai Date_ � � (�" t� 9nstaR C)atE �` � � ` � � _�._�
Custc�rner Nar��e���,� t�? t'C���s�l t>; I
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Phone Numi�er(home) (celf)
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t�SEER 15 SEE� �6 SEER �S SEER � � ��r�s ��b��
�'"/�ir Conditioner ,�'' ❑ D CI ❑ � µ
❑ t�eat Pum� ❑ ❑ ❑ ❑ °�4`�'e�r' [�' 1 f}Y���' G
❑ Cond�nserlCoilOnly ❑ ❑ 3.5 t
Q Furnace Sysi-em C� Cl ❑ !l�rticaf .�3 5 Ye�r ❑ 5�`��o' O
�`Package Air Conditioner C� ❑ (� 2.5
❑ Package Heat pump ❑ � � ��rizontal
!=I 2 � Year ❑ 1 �l��s° �
❑ Li�e�asv�� a �Year ❑ �.s
Air E3eiivery System Green 5itver
I� 2,t}40 ❑ 1,600 [� 1,4(}{} ❑ 1,�00 ❑ 1,000 f� �OQ Q 600 ❑ Re�lac�Baots CI Gri(les ❑ Mastic 5ea3
� (t� :�°S;,R .�;m �.5�, �. �>;,� .. .�, �.r �. .C:'� • �r<.,,�rt,�'t
W:p,�`: :� �a�e '�" K.'4`.!a �d "'?�'r T. .,�. :�,;;�� i'' .;��'�.r�.�wti
- 3�l—Y—�\�
7'o abcerin maximum rat�d efficieney from c�ny h!4lACsyste�rn,the equipn�ent and ttte air dr�fribution systerr'i must eorraply avith rhe nra»u�atturer s
5(1EC6Dr'lCQfiUldS Aft(I PE()ddBY+BIftE�YS.APt RLSCtdE'1I17 C4l/0�8ClOd?tl€f.J LOt't QfJI,y ISe Y�'SJ)OJtSlE1'I��Of't't71St�S0712tlr5 lf7SfCfII2tI f?y Adl ReSCLdE'I�ld'CU1'tLlft%G1J7dT9f.J.
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Syst�m Price ���� Customer Sigr�ature `' /' � ��
`+�,, IC.` . � .'`-�,,..• -
Tq#��AC�C�ItI0t1S-from custvrrr2edpriring wcrksheef �US�OtTi�f({�Cltlty'
su��c���� n�t� �"
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TECOIFPL Rebate �RAC� ep(PrintG�_ _ __,
Mfg Reb�teiAHAC Giscount _ C�C� �VV_
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Total Pric.E ��,�.......�,''""r'-y C:h�c_k�
Nlinus Dawn Payment Financing Type F�mt Fin��nced
8al tJi�e Upon Start-Up i,/v.�e c�+rn the rcai pE•ot��rty in which,ftie eyuipmenf is To'rae insta�l�d anci ha4-e
a�iil�arity tcs ordec the�rrork as ou;lined at�ove.7ecros:B�.lanc<duc uE�on�t�iriu{�,
c�e in acecrdance�:�it4�financ,ing ayreer��nt.See reverse.ide for addikic�na!t+�rrcr-,.
Buyers RaghrCo Cancel:SL'I.03, 77:is is a norne sof;c'%tation saJe,arfcf if you c{o r>ot wt�n t the yoszds e�r servrcc s,i��u m�rv cr�rrcet tr!i�vg;Gemer,!by j�r��itStr7g v�ri!tFn t70rlr.e,;:f+�e
seller rn persan,�y celcc�rcrn,�>rf�y n�oii.This not�ce must inrlirate thttt you cia nac n•r�nt tt�e ao��cfs ar s�rvrc�,�anc�{rnust t�e delrrered or postmarked br fare rr,�dnrni:t of th+�cfi;rt
busr`ness dcty�Rer ynu ci�n this ac�te�rrleni.,'t ynu ce�nce/tiris a�reenv_>�;i,the se(ler;rac�y rrac keep;�,`7 or r�arF a(ar;y casi�do�vr7;�;�ymenf.
Tlae ir�sta41±2chnician revietived thi iiome tmprcavement A�re�rraertt far inscal�;�tian of t-1VAC sysfems by Rir E�Pscuc Air Cn��clitic�r7;n�-
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i, /t`(z t'f�.���. . e�J L L,f,��t�l�a�ree tl t tP��ayrPe i ..��lects r77y uncier�#andic�g af�he scope afi t17e j�b ai�c!;i7e�r��,�i�an�er�!
t�t��ir�stalled. Custumcr Sigra�ture �"~
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�V�� AHRt Certified Reference Number. 7615285 Date: 8/23l2Q17
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', � Praduc#:Single-Package Air=Condition�r!Air-Cooled ;�
`�� Model Number: P7RE-036K ��`;
{ � Manu#acturer:�RIGlDA[RE �°:
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`" Trade/Brand name: FRIGIDAIRE �''
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' ?::rt# RegiDn: All(AK,AL,AR,A�, CA, CO, CT, DC, pE, FL, GA, Hi,ID,iL, IA, 1N, KS, KY, LA, MA, MD, ME, i
I ��` M1, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, QK, OR, PA, RI, SC, 5D, TN, TX, '•
P�� UT,VA,VT,1NA,WV,W!,WY, U.S.Territor'ses} ;,�
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�.E` Region Note: Central air conditioners manufactured prior ka January 1, 2p15, are eligible to be �,. I
�� 'i� installed in all regions untit June 30, 2�18. Seginning July 1,2Q18,central air canditioners ' ,
can anly be instaiied in regian(s}far which they meet the regional efficiency requirement.
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':� Series name: FR16iDAIRE P7RE SERIES � =
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� Manu#acturer respansibie for the rating oF this system combination is FRlGi�AlRE
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:§� RateB as follows in accordance with AHRI Standard 2101240-200$for U.nita.ry Air�Conditioning and Air-Source �£
``� Heat Pump Equiprrsent and subject to verification of rating accuracy by ANRI-sponsored, independent,third �;,
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, l Caoling Capacity{Btuh}: 3500U };�
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�ER Raking{Coaling�: '11.00
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SEER Rating(Cooling): 14.a0 ;�;`
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�� AHRi does not endorse the produck{s)�isted on this'Cerliflcate and makes no repYcsentalipn5,warranties or guarantess a5 to.a+td assumes no responsibility fur, i;
„�; the product(s)listed on this Certific�te.AHRI expressly disclaima ail Iiahllity for damages of any kind arising out of tfie use ar performance of the product{s),or.the �;,
_s� unauthorized alteraiion ot data lisied on this Ce�ti(icate.Certffied ratings�re valid oniy far madels and eoaxfiguratio:�s listed in 2he
-r f directory at www.ahrtdirectory,org, ��r
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7ERMS AND GONDITIpNS ' � � � i�.,.r �;'
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This Certificate and its cantents are proprietary products of AHRI.TBis Certificate shali only be used tor individual.pers4nal and � = ,.,x. �.?E
;y� confidentiai refere�xe purposes.The cor3ten15 af this CeR�t"tcate may Eiot,i�t who9e ar in part.be reproduced;oopicd:dissami��ated: <..':"��Y�^,� ' �.. .=r �., 4 z I
entered into a campu#er database;or otherwise utitized,in any form or marnser or by any means,except for the user's individuai. �' m �''�`•� t'��"`- �;;
;,5 ( per5pnal and confidentigl referenca. ,a.T��C�``..€�_^#{�;�;,;:";�*_'-: ;�
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CERTIFICAT�Y6RFFIQATION F=
�'.� The infarmation for the modei cited ori ihis csrtif€tate can be vstr€ied at www.at�rtd(rectory.org,cflck on"Vorify Certificate"link ,,, ,
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i :F and enter the AHRI Certified Reference Number and the date an which[he cartitiC�le was i5sued, �
�• which is listed above,and tbc Certiticate Na.,which is listed at hnttmn righL - ----- --•--_.. .,. .�. .. ___.__. _ ..�.�_� ,___ � �
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¢;� fl2014 Air-Gondi#ioning,Heating,and Refrigeration 1ns#ituEe � CERTIFICATE NC}.. _
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