1853 Beach Ave RES19-0101 Revision ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 322334P F� p
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT 4:154 F-1
Corrections to Comments Date: 10 A.
Revision to Issued Permit OR
P
Project Address: f853 arNck A/If ATl_ HcIL BEat.N Ft 3 2,33
Contractor/Contact Name: Yinn cOQPA561K 0LI/M �
Contact Phone: I04 � �b /a550 Email: ,)LK6No6MPIRsI'EZ5. WfT
Description of Proposed Revision/Corrections:
P(LDO JG£,1j PRaD�eT ,{t PPIZd(L.Hi �x. �
I rim o NDS RSG . affirm the revisiocorrection to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision recti s add additional square footage to original submittal?
'`N0 El Yes(additional s.f.to be added: )
• //Will proposed revision/corrections add additional increase in buildingvalue to original submittal?
o ❑*Yes(additional increase in buildingvalue:$-)(Commaor mug sign if increase in valuation)
*Signature of Contractor/Agent:
/ (Office Use Only)
E Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Du $ Sc�00
Revision/Plan Review Comments
nit Review Required:
Building
Zoning p Reviewed By
Tree Administrator
Public Works V/2 /Vz011
Public Utilities
Public Safety Date
Fire Services upaoWI0117/19
OFFICE COPY
IV PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH. FLORIDA ('REQUIRED)
"Project Address: 1853 Beach Avenue Atlantic Beach, FI 32233 Permit#:—#9&s 19 — b/O/
•Owner/Project Name: Jim Konopasek
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.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging KOLBE ENTRY DOOR, CITY 2 10765.6
2.Sliding PGT 3 SECTIONS, 1 SLIDE 21179.2
3.Sectional
4.Garage Roll-Up
S.Automatic
6.Other
B.WINDOWS
1.Single hung
2. Horizontal slider
3.Casement
4.Double hung
5.Fixed KOLBE FIXED PICTURE 22242.4
6.Awning KOLBE OPERATING AWNING 222412
7. Pass-through KOLBE OPERATING CASEMENT 22235.2
8. Projected
9.Mullion
SO.Wind breaker
11.Dual action
12.Other
Pagel of 4 Updated IO117/18
OFFICE COPY
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):JAMES L. KONOPASEK *Contractor Signature: /
*Company Name: OWNER
*tvtailingAddress: 1853 BEACH AVENUE
*City: ATLANTIC BEACH *State: FL *zip Code: 32233
*Telephone Number: (904) 476-6550 *E-mail Address: JLKONO@MARIDES.NET
Cell Phone Number: (904) 476-6550 Fax Number: (904) 567-3428
Pap 4 of upeotea to/»/la