301 Pine St ACRS20-0226 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
MARTIN TOM 301 PINE ST ATLANTIC BEACH FL 32233-4015
COMPANY:ADDRESS:CITY:STATE:ZIP:
SNYDER HEATING & AIR P O BOX 16826 JACKSONVILLE FL 32245
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170458 0000 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
301 PINE ST MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, 1 AHU, 2.5
TON $5095.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.08
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.05
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 7/29/2020
PERMIT NUMBER
ACRS20-0226
ISSUED: 7/29/2020
EXPIRES: 1/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $210.13
2 of 2Issued Date: 7/29/2020
PERMIT NUMBER
ACRS20-0226
ISSUED: 7/29/2020
EXPIRES: 1/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $210.13
ACRS20-0226 Address: 301 PINE ST APN: 170458 0000 $210.13
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
STATE SURCHARGES $5.13
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.08
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.05
WORK WITHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL FEES PAID BY RECEIPT: R12488 $210.13
Printed: Wednesday, July 29, 2020 1:21 PM
Date Paid: Wednesday, July 29, 2020
Paid By: SNYDER HEATING & AIR
Pay Method: CREDIT CARD 348995512
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12488
Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email: Buildine-Dept@coabJl:
JOB ADDRESS: 9A I ' y'T"-*_ *.
I ruew AIR coNDrroNlNG &trEATrNG sysrEM rNsrALLATroN ARt # (REeutRED)
8 nir Uandling Equipment Only
Air Conditioning: Unit Quantity _
fl Condenser Only
Tons per Unit
Heat:
Duct Systems:
PROJECT VALUE S QtiS-"s
il Air Hondling lJnit & Condenser
Unit Quantity _ BTUs per Unit
Total cFM
Seer Rating (REQUIRED)
&4ir Handling Unit & Condenser
Unit Quantity f BTU's Per Unit Zoo.sc Seer Rating (REQUIRED)
**AIL lNFORMATION
FIIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT f:
t.(
ffine encEMENT ArR coNDrnoNrNG & HEATTNG sysrEM rNsrALLATroN AR, # (REeutRED)
I nir Handling Equipment Only tr Condenser Only
Air Conditioning: Unit QuantitV I Tons per Unit %-f
Duct Systems: Total CFM
Innr PREVENTToN
Fire Sprinkler System ,
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
Quantity
Quantity
Value
Quantity
Quantity
Quantity
Heat:
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
f]nne PLAcES
Prefabricated Fireplace (aty;
Gas Piping Outlets
Inll oruER GAs PtPING
Quantity of Outlets
# Vented Wall Furnaces '
# Water Heaters
! rursce ILANEoUS:
Automobile Lifts
Boilers BTUs
Elevators/Esca lators
Heat Exchanger
Pumps
Refrigeratgr Condenser
Sola r Col lection Systems
Tanks (gallons)
Wells
BTUs
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby
certifythatlhavereadthisapplicationandknowthesametobetrueandcorrect. All provisionsof lawsandordinancesgoverningthis
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 construcljpn or the performance of conitruction.
owner Name: flroptt<.s ftL.-d'*phone Number: Z(co: tS/V.
MechanicalCompany: 4 y/U &- Office phone:(er{t-oteo o loLfi - L9?4
Co. Address: F.J. Bcr /b 6?,<0 ' citv: fZ./,aonttt'fc'state: ?L.zip: 3224f
License Holder: (4r*n |fl ilil'/er State Certification/Registration #lAusre3o+
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this lt day of
County oJ Furn^t
State of Florida,
Signature of Notary Public
HruYA"FOI'ST
Gdmt@SlE82
EolorJrS2l,2O4Eodlilrlo$tllltSrb
l;{Personally Known OR [ ] Produced ldentification
Tyie of ldentification:ffi updoted 10/9/18
ACRS20-0226
SeN*$$mm*m mf Froduct Rm*$m
AHRI Certified Reference Number :202576424
^
AHRI Type : HRCU-A-CB (Split System: Heat Pump
Series : Merit ML14XP1 Series
Outdoor Unit Brand Name : LENNOX
Model Status : Active
Outdoo| Unit Model Number (Condenser or Single Package) : ML14XP1-030-irOO*
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA25UH-030-230--'
The manifacturer of this LENNOX product is responsible for the rating of this.system combination.
Rated as follows in accordance with the latesl edition of AHRI 2101240 with Addendum 1, Performance Rating of Unitary
Air-Conditioning & Air-Source Heat Pump Equipment and subject to rating accuracy by AHR|-sponsored, independent, third party testing:
Cooling Capacity (A2)- Single or High Stage (95F), btuh 29600
SEER: '14.00
EER (A2) - Single or High Stage (95F) : 11,50
Heating Capacity (H12) - Single or High Stage @7F) : 27,A00
HSPF (Region lV) : 8.20
J
t"Active" Model Status are those that an AHRI Certificatioi Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced."Production Stopped" Model Status are those thal an AHRI Certification Program Participant is no longer producing BUT is still
Daie: Q7-28-2020
with Remote Outdoor Unit-Air-Source)
DISCLAIMER
AHRI does not endorse the product(s) listgd on this Certificate and makes no represdntations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly didclaims all liability for damages of any kind arising out of the use or performance of the ptoduct(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 !yww.ahridirestory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used lor 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,
oersonal and confidential reference.
CERTIFICATE VERIFICATION .
The information forthe model cited on this certificate can be verified at www.ah/irlirectory.org, click on'Veritv Co.lifii:at{:" link
and enter the AHRI Ce(ified 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.
@2020Air-Conditioning, Heating, and Refrigeratioh Institute
AlR, CON DtTtON tf.tG, |lEATiNG.
&'ISFRIG[RATION INSTiTUTE
tc ntllie i:ie heritr"
CERTIFICATE NO.:. 132404137296995617