1067 BEACH AVE ACC18-0049 REV WINDOWS 1`yL�r Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
YRevision to Issued Permit OR ❑ Corrections to Comments Date:
Project Address: /0,,liO -7 9t<e-`' ,Ai&
Contractor/Contact Name: / 5� Tr✓�ff.�-•� &/C
Contact Phone: Email:
Description of Proposed Revision/Corrections:
MAR 13 2019
(.c�, ',��ast/S
130ding Department
C tY of Mantic Beach, FL
I Pa rrall 5ni ,'AF? affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• proposed revision/corrections add additional square footage to original submittal?
VN 0 ❑ Yes (additional s.f.to be added: )
• W' proposed revision/corrections add additional increase in building value to original submittal?
No El*Yes (additional increase in building val $ ) (Contractor must sign ifincreaseinvaluation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Du<$
S� O�
Revision/Plan Review Comments ficin TtO 'Pi G,� - "/p = eoQy i2oLl,POP-%
fl QAJ
ent Review Required:
Building
P anning&Zoning eviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updofed10/v/is
REVISION
OFFICE COPY DATE
e1ao ` 1
SIGNED
61
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH FLORIDA
r--
Project Name: /0 C? Permit # L)41
Project Address: G l-)
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval numbers)
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 a roval may be obtained at:www.floridabuildin .or .
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local #
A.EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional -
4.Roll up
5.Automatic
6. Other � ----- --� -B. WINDOWS
-------------
1. Single hung I
2.Horizontal slider
le62
4.Double hung P5/l q
5.Fixed ��g
--- ---
s as
-, `, y
f' 2Z
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
OFFICE COPY
2. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE PRODUCTS
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) ignature)
Company Name: -�T ,e f COO -57L - -
pc
Mailing Address: f r,37 - A f�n rv� .q
City: cTaq _ State: l Zip Code: 3 2Z SU
Telephone Number: (Q V Y r Gj ! U? Fax Number: ( )
Cell Phone Number: ( ) E-mail Address: Y B Sol �✓