122 6th ST RES21-0351 revision 12-7-21 Revision Request/Correction to Comments **ALL INFORMATION
"TA. HIGHLIGHTED IN
x 1. City of Atlantic Beach Building Department GRAY IS REQUIRED.
OBI 800 Seminole Rd, Atlantic Beach, FL 32233
t,� C
"0" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1 \C `2)Z t -O3E3
Revision to Issued Permit OR ❑ Corrections to Comments Date: t — 7- at/
Project Address: / )-)- G 7`ii. 5 I-- 4- 1-L./- n,7-1'C / (,_,4 c../4-
Contractor/Contact Name: /,i4-/t/. :/,1,- TPAJ /-k° '1-'1(-- /Z 'Iwo 4-1,4 7Q,✓S' . 1.1-0-1 /-'1 44i',,6.uv >
Contact Phone: ?oy, c-7/ 1--(7- ?-a— Email: cj- fes, /ti/2 t A4/4 ,.L / Pc-7
Description of Proposed Revision/Corrections:
/ /' S h/ -/– -7 .v _5-7- - L L c R etir s /474A- /z 6 /''r`
I LIE C f 1/4 f ,,1cp-D,'J affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
/ No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: �/
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
RECEIVED
By Toni Gindlesperger at 4:52 pm,Dec 03,2021
Building Permit Application
City of Atlantic Beach Building Department ••ALl INFORMATION
800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
lob Address: 122 6th St Atlantic Beach,FL Permit Number. RES21-0351
legal Description 5-69 16-?S-29E ATLANTIC BEACH E112 LOT 6 BLK PEN /22 / .1 '7 - O 1t0
Valuation of Work(Replacement Cost)S 31800.00 Heated/Cooled SF 30/0 Non.Heated/Cooled_ ___365
• Class of Work. °New °Addition °Alteration °Repair °Move (Memo OPool L3Window/Door
• Use of existing/proposed structure(s): °Commercial t2Residential
• If an existing structure,is a fire sprinkler system installed?: ClYes C1No
• Wal trees he remover(,n ascot iahon with rn seri.ro'e t' 'Pres m,s ubm e•ara Tr R•moval Peri rt N,
Describe in detail the type of work to be performed.Ramove existing windows and doors and install new vinyl windOWS and
fiberglass doors in existing openings as per Florida code and Mfr
onnineorirq.
Florida Product Approval p for multiple products use product approval form
Property Owner Information
Name Candace Noll Address 96 Ocean
City, Atlantic Beach state FL zip FL Phone 113.705.2323
E-Mad rnn3125H.lrp;iil rnm
Owner or Agent(If Agent,Power of Attorney or Agency letter Required)
Contractor Information 4 Eicf'l�y A2������
Name of Company Harrington Home Renovations Inc. Qualifying Agent C 0 f N S
Address 403 Upper 3utr,Ave City Jax Beach State FL Zip 32250
Office Phone 904.372.03123 Job Site Contact Number 904.571.4722
State Certification/Registration N E-Mail jeff.hhr@gmall.com
Architect Name&Phone N esti NSS 17
Engineer's Name&Phone N
Workers Compensation Insurer OR Exempt a Expiration Date 04/2/23
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instaliation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING.SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. 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,are
there may be additional permits required from other governmental entitles such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with ail
applicable laws regulating construction and zoning.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCI CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING O ICE OF COMMENCEMENT.
t 11 t r r r �l• (SInature of Owner or Agent) (Signature of Contractor)
CEF
.s1' e t try,fi'exj.oaffirmed) !_vJ- Y g (orday of
t r before me this da of Signed and sworn to affirmed►before me this
by Cdndl(e fVOIIle-N Z�2t ,by_
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I arc Nut- girw.y..,.. •..--
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(yvejdgat�rifi>qT�l► I I t r sir ced kJKnow:,L , •N.� $ Jst Tkv tray Ft.1 w:.a'
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RECEIVED
!' �` By Toni Gindlesperger at 4:54 pm, Dec 03,2021
(f�
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: 1 22 Mantic Beach, Permit#:
*Owner/Project Name: Candace Noll
As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging Jeldwen 4 Full view inswing +501-50 13541.2
2.Sliding Fiberglass doors
3.Sectional
4.Garage Roll-Up
5.Automatic
6. Other Jeldwen 1 Outswing French doors +50/-50 13541.4
B.WINDOWS
1.Single hung Simonton Profinish Contractor +45/-45 5167.9
2. Horizontal slider Double Hung
3. Casement
4. Double hung Simonton 5500 Double Hung +60/-60 5161.1
5. Fixed
6.Awning
7. Pass-through
8. Projected
9. Mullion
10.Wind breaker
11. Dual action
12.Other
Page 1 of 4 Updated 06/21/21
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C. PANEL WALL J1ti1iS 1 j f,gam& 1319).
1. Siding /4v4-A-z-err-4.t G.4p
2.Soffits .5 C'et.f- 7 `.
3. EIFS G20,A,.. *wee_
4.Storefronts
5. Curtain walls
6.Wall louvers
7.Glass block
8. Membrane
9. Greenhouse
10.Synthetic stucco
11.Other
D. ROOFING PRODUCTS
1.Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7.Single ply roofing
8. Roofing tiles
9. Roofing insulation
10.Waterproofing
11.Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14.Cement-adhesive
coats
15. Roof tile adhesive
16.Spray applied
polyurethane roof
17.Other
Page 2 of 4 Updated 06/21/21
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
E.SHUTTERS
1.Accordion _
2. Bahama
3.Storm panels
4.Colonial
5. Roll-up
6. Equipment
7. Other
F.STRUCTURAL
COMPONENTS
1.Wood
connector/anchor
2.Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11.Wall
12.Sheds
13.Other
G.SKYLIGHTS
1. Skylight
2. Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 06/21/21
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
*Contractor Name (Print Name): Jeffery Harrington *Contractor Signature/ ��
Harrington Home Renovations Inc.
*Company Name:
*Mailing Address: 403 Upper 36th Ave
Jacksonville Beach FL32250
*City: *State: *Zip Code:
*Telephone Number: 904.571.4722 *E-mail Address: jeff.hhr@gmail.com
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 06/21/21