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MECH1412-0051-ApplicationPERMIT NO SUB -PERMIT SUB -PERMIT SUB -PERMIT MECH1412-0051 ,,a16/e7/ PERMIT TYPE STATUS FEES CHARGED JOBVALUE A/C CHANGE -OUT APPROVED $62.72 $6,645.00 DESCRIPTION APPLIED ISSUED FEES PAID BALANCE DUE OWNER A/C CHANGE OUT 12/08/2014 $0.00 $62.72 TANNARIELLO,LOUISE A 1 $62.72 $0.00 $62.72 i•NOtSlitOrr-% Printari• Tnacriav (14 flaramher 7l1 1 1 of 1 $6,645.00 ret .74.1v)rk ‘04, Contact Person: Nicole Ingersoll City of Parkland Building Permit Application www.citvofDarkland.org Phone #: (954) 312-2934 E-mail: nicolei@lindstromair.com ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135 Pompano Beach ,UP l,Ije Lindstrom Air COnditioning 3581 W McNab Road FL 33069 954-312-2934 TQnnCr-i 7Ito Mw ii (jn.(d EL 3 3601 45 --75 7 --74o4 (0 014 N 0,3-640t Block C Change Out 1,1�isfi,aivk Ida 45 vv - Application Is hereby made to obtain a permit to do the work and installation as Indicated. I certify that no work or installation has commenced prior to the issuance of permit and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Notification E-mail: nicolei@lindstromair.com Print Name of Qualifier/Builder: Douglas Lindstrom License nu CA Signatur 056703 of Qualifier: On this "--c1ZrotaCerilbar20 (9 before me, the undersigned tary Public of the tate of Florida, personally appeared 10 S L_ r15't7't i' nd whose name is subscribed to and within the i r rper�t, and he/she acknowledges that he/she executed It. NOTARY PO/!)i3LTC, STATE OF FLORIDA PRINTED OF NOTARY PUBUC— DI OTAR PUBLIC— lI Personally known to me O Produced identification O Oath taken NOTARY PUBLIC SEAL OF OFFICE: Application Approved By: Permit Officer O Oath not taken Nicde Ann Ingersoll NOTARY PUBLIC STATE OF FLORIDA Cornn FF164208 E t' Expires 9/29/2018 Notification E-mail: nicolei@Iindstromair.com Print Name of Property Owner: 4ouisk' Ti-nJ &4R///O Owner's Address: r` -) V 6 (�Q n N .1- (u �, r�RaC�1B oll,i Signturp-t Property 0 ner: On this .. day of areA& PY, 20 1 4 f , before me, the undersigned Notary Public of the State of,Flor)da, personally appeared Tonna r IP Qwhose name is subscribed to and within the instru nt, and he/she acknowledges that he/she executed it. NOTARY PUBLIC, STATE OF FLORIDA 16.1 COI(rww_r. sr,11 PRINTED NAME OF NdTARY PUBUC O Personally known to me 0 Oath taken NOTARY PUBLIC SEAL OF OFFICE: Date: 151 Produced identification 0 Oath not taken Nicole Ann Ingersoll NOTARY PUBUC STATE OF FLORIDA Conn* FF164208 Expires 9/29/2018 „ I") 1P City of Parkland Building Division 6600 University Drive Parkland, FL 33067 Phone 954-753-5447 Fax 954-753-8838 A/C & Mechanical Replacement Information This form and ARI Listing must accompany each permit application for the replacement of Air Conditioning or Mechanical Equipment. Please supply a separate data sheet for each Unit being replaced. Contractor L( n Sft3r'r\ Rt* lam' Permit Number Job Address (0( /J W -75. • Lot JCZ Block Subdivision 71L±' al Parkpaid .1 -OLD UNIT { —rrrax l0 14) /n) YES YES YES YES YES NO NO NO NO )C NO ********************** ********************** Package Unit / / Contractor Signature State License / Registration (.P C ,6 to- V -3 Broward County Certificate of Competency DATA Manufacturer C.U. Model # A.H.U. Model # Package Unit Model # EER/SEER ARI Reference Number KW Heat Nominal Tons Max Fuse / Breaker Thermostat Smoke Detector Heat.Recovery Modify Ducts Stand / Curb / Slab Change Disconnect Need Ladder'For Inspection Miscellaneous Electric Application Approved by: Rev. 1/09 NEW UNIT xAc A- 4 (3 (IOU t_ 701c4'5 104 C2t) YES NO YES NO y YES NO YES NO YES NO YES NO .)< YES NO Package Unit / Date Allui•Fri CERTIFIED® www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 7019483 Date: 12/3/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB748A**31 Indoor Unit Model Number: FV4CNBOO6L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: PERFORMANCE SERIES PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: • Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary cerate. 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 Certiflcate. 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. CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on 'Verify Certificate' Zink 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: ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make Iifc letter" 130621118186753203, .\\\0 • ,/ \\\\\17(\0. • A /.1,.1:�16''.1{ •t •• .xgjyYfi9HMI OwR7d'O matitia1 *MU Y •t4 m Cq� i4• � •�'1dO]'dX39N3•MMM m1 :!' 4dC(Is6) 099045C (1,561:141 �L �J 92020.4 'Howe G19xd so �ikXCOV3nN3Ad'IiV MS 09T G� SAEJdx t ameNa • 9YAO IddV 30VA31YiS YOnW U Sam NMOCI 311133JS 11NS IV3INYHD3W CT9T•LLS (LLQ IHd TLDCC •W'flIg0S11333d'1S ILLYON 133SIS IiIAL OUP 'ONI'1VNOLLVNIIBINI dIAIS •mnI•mmma•wwmamPMln.m.M I a 0 1wylMme•RW mOiJ..141PYO�•W� ns1•Jm aria 1g u1•t1K1 !1 .au� A 1YO 0f610 WNW F 1� N ;16 �iaZ .•. 2 W typ.-E My� ZtiM�V � 1J q� �•x F•NeJ; �42g]xW!�W9K °� � 8 1 0 1V W6 .1i 13 2 g ;=`z 111 .A"REE $d(�QQ(�� a e°<i•� liv pa�� 4 2 S.T' W N rx 5Eil F Ora �•y�S F b 1111 SWC a s� aR !P,, O� s°r3�Im°Oei °_ 911' f�'5 Wa02 r °.wg w/`2WWP m^� Il; Sr ili ti$Osd: 8g5 10 140 1 1 iy 1EI°Q'li El d'i'm octSo a gm kt .g .gz`fa'Z€AO�i tom" air -00: shiEgl_uo El :1-2 °O° 105 '� gii,�4g W°KWV14y L OL,. e e^1.�SFEb �} = ^� W3p ssgI a c ooe^'.aZi 8YZto:.%0� Y�� VVi11 Ed zgi�{�•m ilei a2ys1C1.iiLL�� = woog p.�5 _ 2ry u1y gy�yyy 1Y1�1 .a4 0 •p02 N time < te; 1 �`j' st-ZCxgi `Fg o Y�IE�-t3 .... .cCT1 `6=i0°W ill' ,y' + Bgl Ss z °� '� °I�m z O W W O �. c �.axpe� o ga z WdoN =my.- 8� W � d: N y1y�a o =Rui xx m g •o x o O � g a6Gm 12}yr� ri�`eP n v�> � .r �rOA'�'� $ N iti3s ° q .aczoy : of skeS,..g {6i h$ s m.m8 Sj tp5 $=SAw_�Rik W Pah ''ligr dhltaki. 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