1777 MARITIME OAK DR - REVISION 12/15/17 'y u CITY OF ATLANTIC BEACH
800 Seminole Road
DEC 1 5 2017
;� Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
,4 r
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: I; )5• /4- Received by: Resubmitted:
Permit Number: ?E V 1 -co 89
Original Plans Examiner: Project Name: qLs - H u�2qy
Project Address: 1444 NAZmKE G1q , t . 4B 327.33
Contractor: M�.%IEZ. Contact Name: 5E114G i ye
Contact Phone : 24.3. 14• Co - � }(J N of Eae-(kSTO - -kY 1 E5 • �IET-
Revision/Plan Check/Permit Fee(s) Due: $ 3'D•DO
Description of Proposed Revision to Existing Permit:
1-1AO C ?ZEck Lt3TEzJ �� b�.l�il t, PEZHTT 566.11a41-1 a,7- /440 l't-Seo6
• DUGT ►•¢- • W . � o g'760 cr - ' • .•. , • .
tjtIALL AllaZr i ZE l‘.) 0 G c.. lep,4
Additional Increase in Building Value: $ 9 Additional S.F. 44
Site Plan Revised: Public W/U Approval:
By signing below. I (print name) 50:7-1 (. HEf . affirm that the above revision
is incl ive of the proposed changes.
4715./7
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
Office Use Only
Date /g-'3-C/".- r7 Approved: x Rejected: Notified M
Plan Rev'ewomments:
�'c./j f j
ac b Cor c - '71-ri1)/71e- 1 01, _ 4
pelertment review required Yes No
Building
Planning Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities / 2-1-g-17
Public Safety
Fire Services Date crated4/13/16 to 3
REVISION
Bp# / 7-c o ?? OFFICE COPY
DATE /2- / Z q 17
SIGNED /'I1
PRODUCT APPROVAL INFORMATION SHEET OF ATLANTIC BEACH,FLORIDA
Project Name: EL V-ELlkac Mc,rz.l?A1 Permit # EEO/7-0069
Project Address: 177 !JAW-Pit. OAv.- Q
As required by Florida Statute 553.842 and Florida Administrative Code Rule 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.ol.
Category/Subcategory Manufacturer Product Description 1 Limitation of Use State# Local #
A. EXTERIOR DOORS
1. Swinging
2. Sliding PGT BOJ 1470 '5/
3. Sectional
4. Roll up
5. Automatic
6. Other
B. WINDOWS
1. Single hung P6T 5[.1 1L c;23
2. Horizontal slider 1-\¢_ n-f l o
3. Casement
4. Double hung
5. Fixed P(71- PIA)6u,b 7143
6.Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other
Category/Subcategory Manufacturer Product Description !Limitation of Use State# Local#
C. PANEL WALL
1. Siding
2. Soffits
3. EIFS
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
Category/Subcategory l 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
Category/Subcategory Manufacturer Product Description (Limitation of Use State# Local#
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
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) tET)-1 � �y ti (Signature
Company Name: H�4EL 4.5- s
Mailing Address: 396QS e.,EtAz •
City: -3-A,c !EACH State: Zip Code: ,3Z2..56
Telephone Number: (gash ) 7b7-3317 Fax Number:( )
Cell Phone Number: ( ) - 331 E-mail Address: --T11 1-fE`+EQ CcST6r1J-Io,-IES-'C