161 MAGNOLIA ST #165 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FIE 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-1247
Job Type: MECHANICAL HVAC ONLY
Description: UNIT#165 2 TONS 24K BTUS
Estimated Value:
Issue Date: 5/27/2015
Expiration Date: 11123/2015
PROPERTY ADDRESS:
Address: 161 MAGNOLIA ST
RE Number: 170625-0510
PROPERTYOWNER:
Name: FOSTER, WILLIAM C
Address: 1862 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: SNYDER HEATING &AIR
Address: POBOX16826 CIA SCOTT EDWARD SNYDER
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2,00
Trade Permit Base Fee $55.00
Total Payments: $95.00
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
.1 .
JOB ADDRESS: I to I rA.I e,+, (AM- WHOS PERWr#
PROJECTVALUE $ q(oS;I — ARI# ?V56LfX5�j REQUIRED
__Air Handling Equipment Only _X_Air Handling Unit& Condenser _ CondenserOnly
.`I[EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating—
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tom Per Unit 2
Heat: Unit Quantity t BTU's Per Unit Z�qoo() Seer Rating---L7,
Duct System: 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
4LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
9 Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
lennit Imconses void if vork does not commansca within a six month period or vork is sospended or abandoned for six months.I hemby cerfify then I have mad
his applimon and know the sameto betrue and comem. All pro�isicms of lanvs and ordinances governing this work will be complied with nhedher specified or
mt The permit does not give authority to violate the provisions of my other�state or local la,v regulation construction or the performance of constroction.
?roperty Owners Name S+� PhoneNumber
qcchanical Company rl: —Office Phone WI-OLoo Fax LItl-zr,7,9—
"0.Address: F-0 . GQ� City -T,.. k,.nv%ilt State �-L Zip 11:Lq5,
License Holder(Print): CL,;- I-A;llt�- A $tAteCertification/Registration# (� WW3
Votarized Signature ofLicense Holder
HOLLY A FOUI Before me this �_T day of (LU 20 1 f)
My COMMISSION*EE 204856
EXPIRES Ju112l 2016
Signature of Notary Public Qk�
V
AMU CERTIFIED"
a I,,i d� a,I,it.c I,
Certificate of Product Ratings
AHRI Certified Reference Number: 7084854 Date: 5/27/2015
Product: Split System: Heat Pump with Remote outdoor Unit-Air-Source
Outdoor Unit Model Number: GSZ130241B'
Indoor Unit Model Number: ARUF24B14C*
Manufacturer: GOODMAN MANUFACTURING CO., I.P.
Traideffirand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Series name:GSZ13
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(13tuh): 23000
EER Rating (Cooling): 11.00
SEER Rating (Cooling): 13.00
Heating Capacity(Btuh)@ 47 F: 21600
Region IV HSPF Rating (Hehfillngt� 7.70
Heating Capacity(Btuh)@ 17 F 13500
-Ratings fropenewe by an trial I-)indicate a voluntary romw of harvests patershad nal unless recominunked afth a WAS wherindicusearou'rovokurearryande
DISCLAIMER
AHRI does not endorse the produces)listed on this Certificate and makes no representation&.warranties or guarantees safe,and assume,no responsibility for,
the produffish listed on this Certificate.AHRI arevereekly disclaims all liability for damages of any kind arising out of the des,or performance of the deadheads),or the
unauthorized allyration of data listed on this Canonicals.Centifled ratings am valid only for models and configurations listed In the
directory at
TERMS AND CONDITIONS used 'ua P muu�
a I only be for nad�stpfl.drad=ol Vlai
figh centificate and Its contents are proprietary produces of Ann'.This Cauldron,all I it ..
confidential reference Calcines,The contents of this Cartifficate may not,In whole or In part.be rep 09or"Iff'"
entered into a com puter database;or othernalike utilized,In any form or manner or by am means,except for the plays individual, AN,C914101110fifiress.HE�NG,
purrimad pad confidential reference. &REFIRIGERALION INSFITUTE
CERT FLOATS VERIFICATION
The hn�orrzuaflfim for the model cifted on this conditions,tan be verfifted ad everve.alarldire0ory.or"dicli a-badly Cmfificxdb�link .-A, ,arn,"
and enter the AKRI confused Reference Number and the data an which the cedificate was named.
ch election a,and the Carliffints No.,which is Listed at reform night. 130772186445,110603
1 0 a"Ste CERTIFICATE NO.:
ID2 14 Air-Conditioning,Heating,and Refrigeration Institute L