147 MAGNOLIA ST 2015 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-822
Job Type: MECHANICAL HVAC ONLY
Description: 2.5 TONS 27K BTUS
Estimated Value:
Issue Date: 4/10/2015
Expiration Date: 10/7/2015
PROPERTY ADDRESS:
Address: 147 MAGNOLIA ST
RE Number: 170626-0010
PROPERTY OWNER:
Name, SMITH, RYAN W
Address: 147 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: CERTIFIED CLIMATE CONTROL LLC
Address: 3053 LAGOON AVE DAVID HILL
Phone: - -
PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Furnaces and Heating $20.00
AC and Refrigeration $20-00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JoB AiDDRESSA q-4 OC)I k CA Q CQ Ck�_PERMIT#
-� k- REQUIRED
PROJECT VALUE $ ARI# ?qq(� -
Air Handling Equipment Only 4�ir Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tons Per Unit
Heat: Unit Quantity_ BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM —
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit -,�) -5—
Heat: Unit Quantity N BTU's Per UnitZi,,.:��- Seer Rating
Duct Systems: Total CFM REQUIRED
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
at I have read
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 th
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.
Phone Numberqrj
Property Owners Name �Z-I-(0,szs
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Office Phone FaxS757-\-(Qq1
Mechanical Company V� 14
CitymA \\e Statea,,:.
Co. Address:\\0
License Holder(Print): State Certification/Registration#
N ud-Vignatw-eaf-lice der
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of
JODI DA SILVA efore me this day o
IF
NOIJKY Public-State of laida
MY Comm,Expires Fat 14.201 gnature of Notary Pub c
ab
N'I,ar Commission 0 FF 63611
PERMIT AUTHORIZATION
1, DAVID HILL hereby authorize e C�—
(License Holder) (Authorized Person)
To obtain a permit in my behalf under my license #
To the Atlantic Beach Building department for the
Job described below:
PERMIT TYPE DESCRIPTION
HVAC Owner
Site Address \\A-:� Ck
CG-\(�VN�ic
Tax Parcel Le) QS— Qo\f— CX-0
(License Holder Signature)
Date L4—
State of Florida
County Of
Affirmed and subscribed before me on this day of
20 me.
by DAVID HILL who is personally known to
11 ffJk�— j c Lee,--
4Signe o 4olic,State o orida Print,Type orStfimp Name of Notary
Notary Seal
JODY L MCLEER
My COMMISSION#FF039242
EXPIRES July 24,2017
(407)398-0153 FloridaN ot aryS e rvice,com
AL "ON
usal C E RT I F I E Y'
www.ahridirec to ry,org
Certificate of Product Ratings
AHRI Certified Reference Number: 7995113 Date: 4/9/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: GSZ140301K*
Indoor Unit Model Number: ARUF31B14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Series name: GSZ14
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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:
Cooling Capacity (Btuh)� 28000
EER Rating (Cooling): 12.00
SEER Rating (Cooling): 14.00
Heating Capacity(Btuh) @ 47 F: 27800
Region IV HSPF Rating (Heating): 8.20
Heating Capacity(Btuh) @ 17 F: 16200
Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates ail involuntary re ate.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations.warranties or guarantees as to,and assumes no responsibilityfor,
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.ahridirectory.org.
TERMS AND CONDITIONS f AHRI.This Certificate shall only be used for individual,personal and
This Certificate and its contents are proprietary products o te may not,in whole or in part.be reproduced;copied:disseminated;
confidential reference purposes.The contents of this Certifica r or by any means,except for the user's individual,
entered into a computer database;or otherwise utilized,in any form or manne AIR-CONDITIONING,HEATING,
personal and confidential reference. &REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION e verified at www.ahridirectory.org,click on-Verify certificate"link we make life better'
The information for the model cited on this certificate can b
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
o.,which is listed at bottom right. 130730681011489061
which is listed above,and the Certificate N
. CERTIFICATE NO.:
@2014 Air-Conditioning, Heating,and Refrigeration Institute