992 OCEAN BLVD - REVISION 1/18/18 ilk „.:-. . .., _ ,( ,'
CITY OF ATLANTIC BEACH
J 800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date I 1 1 it 1$ Revision to Issued Permit Corrections to Comments Permit # R ES(7 - OZ(4
Project Address 7 9 2 a G -'0 '/ lit vO
Contractor/Contact Name P t LA.,0P1 t'liil / Li,C--
Phone
Phone q 61 34/-2./9 9 Email pm wi/e 2 ti{Gl eri pC47 J0p-, i(J
Description of Proposed Revision/Corrections: Permit Fee D e$ SO,Oa
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-t . M c)(Aw t L... PaN`Q LP---
Additional Increase in Building Value $ Additional S.F. ___________
By signing below,I M, k -/ affirm the Revision is inclusive of the proposed changes.
ince )
•
A 87/8
Signatu of Contractor/Agent(Contractor t sign if increase in valuation) Date
(Office Use Only)
Approved )c Denied Not Applicable to Department
Revision/Plan Review Comments on Ta c T ti z1- ve -3.;6 c py a ply re'e—
Department Review Required:
di n9_...... m
tanning & Zoning eviewed By
Tree Administrator
Public Works
Public Utilities _ /— 41—wl r
Public Safety Date
Fire Services
t.
1 is
' l �PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH1 FLORIDA
Project Name: t' �"� t $ �/' �(rs" LL C' Permit # ee'S 17 —0,1q
Project Address: / 92 CCE 4",J 6l EJO / j f(. 3 Z 23.5
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
roduct approval may be obtained at:www.floridahuiidinyg`or&
Category/Subcategory Manufacturer Product Description I Limitation of Use State# Local# I
A.EXTERIOR DOORS N.� , n l J , c- l . Z 1-) O. 7
1. Swinging
2. Sliding riiVISION
3. Sectional
BP# 61ES/7 —D,2/f
4.Roll up DATE�'.I 1$e/ 2cv -
5.Automatic SIGNED /7't �_
6.Other
B. WINDOWS
1. Single hung ,j C'(,C,A A^1 l.. 1 4°9 1 z ,
2.Horizontal slider
, q0 OFFICE COPY
3. Casement
4.Double hung
5.Fixed
6.Awning
7.Pass-through
8.Projected r
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 ui-j-ICE C I Py
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
1
17. Other
Category/Subcategory Manufacturer Product Description imitation of Use ; State# Local#
E. SHUTTERS
1. Accordion
2.Bahama
3. Storm panels
4. Colonial
5.Roll-up
6.Equipment
7. Other
F. STRUCTURAL r
COMPONENTS
1.Wood connector/anchor
2.Truss plates
3.Engineered lumber
4. Railing
4
5. Coolers-freezers
6. Concrete admixtures
7.Material c
8.Insulation forms Or �.E COPY
9.Plastics
10.Deck-roof
11.Wall
12. Sheds
13. Other
G. SKYLIGHTS
1. Skylight
a
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) dee
(Signature)
" P/A.L0
Company Name:
j�1-�-1��t Ps ') r u G >9:
Mailing Address: 9 9 z UGC'/0A) ' 09, OFFICE C 0PY
nn � 12
City: /v. J• /• State: ! �� Zip Code32'133
Telephone Number: ( ) 3449'0949g Fax Number: ( )
Cell Phone Number: ( Pot(ii ',9ii)Ir Cc*o0 ArLJ
) E-mail Address: