1505 Richardson Lane -RES21-0 187 Revision Request (Prod added for windows) - 11-15-23_1Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ 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
City of Jacksonville Planning & Development
Building Inspection Division
Permit Number
PRODUCT APPROVAL INFORMATION SHEET (PAIS)
Project Address:
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, 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/ Manufacturer Product Description Code FL# Expiration
Subcategory Version
A. Exterior Doors
1. Swinging Masonite International Exterior Fiberglass Door 2020 5507.1 5/31/2025
1. Swinging Masonite International Fiberglass Side Hinged Door Unit 2020 22363.3 5/31/2025
Opaque Ins swing single or
double w/or w/o side light
2. Sliding 910/3910 SGD 2020 17880.1 2/25/2024
Garage Doors 5120/6100/9100 9'w/8-9' max h 2020 9174.1 12/31/2035
Garage Doors 5120/6100/9100 16'w/8-9' max h 2020 9174.2 12/31/2035
B. Windows
1. Single Hung 3540 SH 2020 17676.1 04/12/2027
2. Single Hung 3540 SH 2020 17676.7 04/12/2027
Ml Window and Doors General
Aluminum Company
Wayne Dalton Garage Doors
Wayne Dalton Garage Doors
Ml Windows and Doors
General Aluminum Company
Ml Windows and Doors
General Aluminum Company
3. Single Hung MI Windows and Doors 3540 SH 2020 41886.0 04/12/2027
C. Panel Wall
1. Siding Fiber-cement Lap Siding 2020 13192.1 12/31/2023
2. Siding Hardie Fiber Cement Panel Siding 2020 13223.2 12/31/2023
3. Siding Hardie Fiber Cement Shake 2020 13192.4 12/31/2023
2. Soffits Vinyl/Aluminum series 2020 16503.1 12/31/2023
D. Roofing Products
1. Asphalt Shingles 25 year Elite 2020 18355.1 06/01/2026
2. Underlayments Synthetic roof underlayments 2020 16453.1 03/30/2024
E Shutters
F. Structural Set Epoxy/Epoxy Adhesive 2020 17449.1 12/08/2023
Components
James Hardi Bldg. Products
James Hardi Bldg. Products
James Hardi Bldg Products
Kaycan LTD
Tamko Shingles
Barricade RoofPro
Wood Connector/Anchor Simpson
Strong Tie Co
Truss Plates MiTek Industries, Inc. Mii 16 2020 2197.2 12/31/2024
Truss Plates MiTek Industries, Inc. MT20 2020 2197.4 12/31/2024
Engineered Lumber Weyerhaeuser TJl210 2020 1630.2 03/31/2025
Engineered Lumber Weyerhaeuser T JI 110 2020 1630.1 03/21/2025
Engineered Lumber Boise Engineered Wood Products Versa-Lam 2020 1644.1 01/01/2035
Wood Connectors Simpson Strong-Tie Co. HTT4, HTT5, HTT5-3/4 2020 10655 12/31/2023
Hurricane Tie Simpson Strong-Tie Co. H2A, H2.5T, H8, HGA 10 2020 10446.6 12/31/2023
Straight Strap Simpson Strong-Tie Co. LSTA9,LSTA12,LSTA15, 2020 10852.5 12/31/2023
LSTA18,LSTA21,LSTA24,
LSTA30, LSTA36
Post Base Simpson Strong-Tie Co. ABA44, ABA44R, ABA46, 2020 10860.1 12/31/2023
ABA46R,ABA66,ABA66R
Medium Twist Straps Simpson Strong-Tie Co. MSTA30, MSTA36, ST6215, 2020 13872.12 12/31/2023
ST6224,ST9,ST18,ST22,ST12,
MSTC28, MSTC40, MSTC52
Girder Tiedown Simpson Strong-Tie Co. LGT2, LGT3-SDS2.5, 2020 11473.7 12/31/2023
LGT4-SDS3
In addition to completing the above list of manufacturers, product description and State approval number for the products used on
this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed
instructions, along with the list above, on the job site available to the inspector.
Contractor/ Authorized Agent: Roger Zeigler
Company Name:American Classic Homes LLC
Mailing Address:4550 St Augustine Rd
City: Jacksonville State:Florida Zip Code:32207
Telephone Number: (904) 351-0308 Fax Number: (866) 329-6692
E-mail Address:Office@achllc.net