2303 FIDDLERS LANE - REVISION 5/18/18 REr` t R ' '
.
}SOF ATLANTIC BEACH
to
t44, MAY800 Seminole Road
8 2018 Atlantic Beach,Florida 32233
H ment
REVISION REQUEST/CORRECTI IS-T.O`FL T fl WLCOMMENTS
Date I ( ? Revision to Issued Permit (r.
Corrections to Comments Permit# S i f o ► 0 5—
Project Address
303 didle_r s i,ctvt.& ,
Contractor/Contact Name 5J vx C k I(1 C, • Plo/ e--
Phone
go. y 82 to - 0 6 E$ Email
Description of Proposed Revision/Corrections: Permit Fee D e $ sd•U,J
E.,)a_ l v ki- ta,.1 e1,��rt" -C,er 5rr�1 �,u_ L� ex (i '�c•-•
Additional Increase in Building Value $ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved ) Denied Not Applicable to Department
Revision/Plan Review Comments COti hecl. Jr.. pi-de -1.) -7,,t, Cciel x pe47 F-r-c
Department Review Required:
Building
Planning &Zoning eviewed By
Tree Administrator
Public Works
Public Utilities S 126/2oLS/
Public Safety Date
Fire Services
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ICC-ES Evaluation Report ESR-1826
ICC-ES (800)423-6587 1 (562)699-0543 I www.Icc-es.org Reissued 02/2011
This report is subject to renewal 02/2019.
DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION
SECTION:07 2100—THERMAL INSULATION
OFFICE COPY
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL REPORT HOLDER: 61RNELY
REQUIREMENTS AND CONDITIONS
REVIEWEDDATE: $ )2420/ r ICYNENE, INC.
6747 CAMPOBELLO ROAD
MISSISSAUGA, ONTARIO L5N 217
CANADA
EVALUATION SUBJECT:
ICYNENE CLASSIC, CLASSIC ULTRA, CLASSIC ULTRA SELECT AND CLASSIC PLUS
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r s , %*,rr nn h le"t' Fs-ash:Mtnn J..rriee. LLl' eS 5r.•s.t .,r rntplis'.1. at to am finding or oilier matter in this
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report, or ut to sant t.rralu.1 ruts.Yrcl l's the repos t.
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