161 MAGNOLIA ST 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 NE]ff DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1237
Job Type: MECHANICAL HVAC ONLY
Description: 2 TONS 24K BTLIS
Estimated Value:
Issue Date: 5/27/2015
Expiration Date: 11/23/2015
PROPERTY ADDRESS:
Address: 161 MAGNOLIA ST
RE Number: 170625-0510
PROPERTYOWNER:
Name: FOSTER, WILLIAM C
Addrvsa;: 1862 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: SNYDER HEATING &AIR
Address: POBOX16826 QA SCOTT EDWARD SNYDER
Phone: - -
PERMIT INFORMATION: Sticker for overcunrent 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 $1600
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
05/26/2015 16:55 9046412329 SNYDER A/C PAGE 04/05
MECHANICAL PERMIT APPLI �ATION
CITY OF ATLANTIC BEA ,H
800 Seminole Rd Atlantic Beach, FL 32 Z35
Le I Ph(904)247-5826 Fax(904)247-584 5
ToB ADDREm-� elk-4)--%; ft 5+�
PROJECT VALUE S___tj AM#
An# -40 REOULRED
--Air Handling Equipment only jL-Air Handling Unit & C 3ndenser —Condenser only
NEW AM CONDITIONING & BEATING SYSTEM INSTAI LATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat; Unit whatity BTU's Per Unit Seer Rating
Duct Systems: TOUITFM )(EQUIRED
REPLACEMENT AIR CONDITIONING & BEATING SYST I'M INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit
Heat: Unit Quantity—W BTU's Per Unit
Duct Systems: Total CFM Seat Radn&_jA,_
REQUIRED
FIRE PREVENTION
Fire Sprinkler System Qu (Requivs 3 sets of plans)
Fire Standpipe
Underground Fire Main =ItY (Requi es 3 sets of plans)
Value Ila, 3setsofplans)
Quantity a a Ees
Fire Hose Cabinets ((Lq 1 3 sets of plans)
Coxamenial Hoods Quantity
Fire Suppression systems (Requi 3 sets of plans)
Quantity (Requi es 3 sets of plans)
FIRE PLACES MISCELLAM �OUS:
Prefabricated Fireplace Qty
Gas Piping Outlets Automobile Lifts
Boilers — — BTU's
ALL OTHER GAS PIPING tlevatorsM_sWato; 8
Quantity of outlets Heat Exchanger
4 Vented Wall Furnaces Pumps
#Water Heaters Refrigerator Conde mer B-T-078—
Solar Collectiou S3 items
Tanks(gallons)
Wells
DTHER;
'trinit bcoorheiVild-If_�k do
es not commem within a six month Psticd or work is suspaded or absno mod rat six nhontb&I hereby c"a at I haw read
his 3PPRufflim had know the'Me to be ttJC erd carteM AH per,4siow of htft md ordidances gaveroio :this work TAII be complied with whether qpftifled or
M The perth,do"not gi"wthority to violets the pmvl$iom of my other stut or ioew Im msolition Dostriction or the perforatumoo of=�doo.
'roperty Owners Name
-Phone Number
dechatural Company :5^vla r AD Offic : Phone jjgEtg�Fax_w!j�
V Address: flo . �n X city—L. r__ state EL_zip S.L"
Icense Holder(Print): e�
State Certiffistion/Registration#
ofariZed Signature of Li�c�ense Holder
mycOaRMIIEEn" Before me this C.16 dayof- 2015
EXPIRES:July 21,2018 Signature Of Notary Public
05/26/2015 16:55 9046412329 SNYDER A/C PAGE 05/05
r -- I
it "Imp
le"Sel CERTIFIED'
Certificate of Product Ra ings ONE
AHRI Certified Reference Number: 7084854 Date: 51261201�I
Product;Split System: heat Pump with Remote Outdoor UnIt-Air-Sourcs,
Outdoor Unit Model Number: GSZ130241B.
Indoor Unit Model Number:ARUF24E314C-
Manufacturer; GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN;JANITROL;AMANA DISTINCTIONS; EVE RREST; ONE HOUR AIR
CONDITIONING AND HE.ATING; ENERGI AIR
Series name: GSZ13
Manufacturer responsible for the rating of this system combination is G( ODMAN MANUFACTURING CO.,I.P.
Rated as follows In accordance with AHRI Standard 2101240-2008 for Un Air-Conditioning and Alr-Source
Heat Pump Equipment and subjee to wification of rating accumerby I-iEport1dored,independent third
party thrithfg:,
Al�aoilno CUCNY�*uhj: 239EI
11
i,
'p,
Heafln9CWdWuh1*1T-F:. 135M
Relnge Jakkad o,� W000k 4-1 Indkolo. d,,aW, of ad,,o,,,y do,aMW aW,Vwo a.on,Pd,,.d Ildn Indkodian,an nnoumvy norok,.
ofeculmeR
AHR I does not and onad End Wdoucksl W,an ,,a,,and an 2",no "Mrodo a r Sao
find Frodurt(s)Wad On flol.Co,nalow..A Man owdonaly dfacia Inas all fledity for do..,,or 11,kind and,out Indeed It W,and=Tr.n ods
IfirdLIZODFadfid Ih:`.'.*d1 IL
dined.nsto,ano,olarldirecto,org, :0%listed In th.
TERMS AND CONDITIONS
Tral nflad.dad
ka--'nota Idn'laaaridn"Irnakdoo I AHRI IN calffland-nM d.11 a. ad ftr Ind.1d..
0 doo C"Cokand ar-1 adr4 In ankol--11-111,1 11111aed;1,11
,M.d IM�A oonnf,ut,,detabod,or Iflh.rodta.1fidea,in or,fora,d,na.1rar proadd, WIvidual,
old relM,o..
CIORTIFICATA WRIFICATION OR��ING�NIATIN11,
Tn.lnf."I.n Mr.."I'dof at"-IIIII'"flooto�,be naffi.ol W vroholdf A hadaM.A.M.hermind
ord...th.AHRI�kftff%d looddlo...Nuarber and in.d.an rokavy.,E,no -vul"lly "'Iffidat.-A.1,
M10I 1.Wad 0�....d,,,cerim-o No,�hl,h.AM �I-h ah-ofai o,0v 19s.dd.
ad adood'd"L
IL 0 2014 Air,Conditioni ng, Heating,and Refrigeration Institute