1755 Beach Ave product approval revision f"�tJi CITY OF ATLANTIC BEACH
r p\ 800 Seminole Road
~ ) OFFICE COPY Atlantic Beach,Florida 32233
Telephone(904)247-5800
... . �� FAX(904)247-5845
REVISION REQUEST SHEET
Date: 28-17 Received by: Resubmitted:
Permit Number: 16-RAAR-2136
Original Plans Examiner: Mike Jones Project Name: Swanson Residence
Project Address: 1755 Beach Ave, Atlantic Beach, Fl-
Contractor: Bosco Building Contractors, Inc. nlact Name: Todd Bosco&Josh Rolla
Co ntH hone : 904-241-0320 _ Cunutcl a-m. d BoaeoCB_C.mm;Jwh@BoaeoCBC.mm
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evi Plan Check/Permit Fee(s)
Description of Proposed Revision to Existioe Permit:
Protlud approval information
Additional Increase in Building Value: $ 0 Additional S.F. 0
Site Plan Revised: N/A Public W/U Approval:
By signing below.l(prim name) Josh Rolla affirm that the above revision
is inclusive of the proposed changes.
2-8-17
Signature of Co a ctor/Agent(c. must dd, i.e.m valuawn) Dat-I� f , I c.a �
IS 0 V L`,
Omea nm Only
Dale: e �! f{ —I 7 npwa•a: �(_ _ .._-._. a iKt d __------- Netir FEB - 6 2017
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Plan Review Comments:
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yJ)epatltlnent review rengulmd Yes No
Buildil
Panning&Zoning -
Tree Administrator Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date
OFFICE COPY
AN, osco Building Contractors, Inc. ----
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REVISION
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BP# /6—R)9 R- 213� -- -
DATE—�I�I�_ - - - --
SIGNED
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH FLORIDA
Swanson Residence I6-RAAR-2136
1755 Beach Ave,Atlantic Beach,FL 32233
As required by Florida Statute 553.842 and Florida Administrative Code Rule 96-72, 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.floridabuildine.ore
Manufacture Description State 11
Exterior Doors
PGT Industries Exterior Slider 21179
Anderson Corporation I Exterior Slider 13069.8
Anderson Corporation Exterior Swing 13074.1
Windows
Anderson Corporation Casement 12496.3
Anderson Corporation Double Hung 15752.2
Anderson Corporation Double Hung 1091.3
Anderson Corporation Fixed 15905.6
Anderson Corporation Fixed 13080.1
Anderson Corporation Fixed 15905.3
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.
Todd A.Bosco,President
Phone:904.241.0320 Fax:904.241.0326 Email: Info@BoscoCBC.mm CBC 1250212
www.BoscoCBC.com