1876 Beach Ave RES19-0134 Interior Remodel OFFICE COPY
Revision Request/Correction to Comments **ALL INFORMATION
;SYS ori. HIGHLIGHTED IN
4Vrt!' 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#:RES/9'c1'3y
-'1 R ve ision to Issued Permit OR ❑ Corrections to Comments Date: 670 0//�f
Project Address: /876 6 13 A-1/
Contractor/Contact Name: PQL)
Contact Phone: q b ^�-��i 03q mail: 7--- -- _ 4✓(y-,Jeii/b u� nu
Description of Proposed Revision/Corrections:
PA-T-
I
ccJ i etLeof affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will oposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added:
• Wil oposed revision/corrections add additional increase in building value to original submittal?
No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office U - a
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due 0.0,
Revision/Plan Review Comments O4/UC % i / 2b' cc, t •p
pov
rtr>�ent Review Required:
Building
Planning&Zoning Revie d By
Tree Administrator
Public Works
Public Utilities 7- !U —/0
Public Safety Date
Fire Services Updated 10/17/18
OFFICE COPY
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
fS
*411, 'ri° City of Atlantic Beach Building Department GRAY IS REQUIRED.
VW/0V
800 Seminole Rd, Atlantic Beach, FL 32233 /— 7
o Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: _bt.3
Revision to Issued Permit OR ❑ Corrections to Comments Date:
Project Address: i .a QUI V
Contractor/Contact Name: 3I CJ bG.)ecV c k (/; /4--$ C
1 r1 C
Contact Phone: elo y^� 7 3 '- 0 (1�7 Email: e 6/t„ bl„ ve. �Ui ��o Ls Cflw
Description of Proposed Revision/Corrections:
QQAJ V / affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will osed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added:
• Will posed revision/corrections add additional increa - i Building value to original submittal?
No II*Yes (additional increase in building . ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ ^�..
RECE1VD
Revision/Plan Review Comments
JUP) 2 2019
Department Review Required: ,
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
B L U E W A V ECGC009032
904-248-0395
822 North Al A Suite 310
BUILDERS, INC. Ponte Vedra Beach, FL 32082
Revision to PAIS
1876 Beach Ave
Manufacturer Product Description State#
Simington Horizontal Slider 10160.11/
Simington Horizontal Slider 10160.3 f
Jeld-Wen Sliding glass door 21705
Jeld-Wen Sliding glass door 2170611
Simington Fixed Window 228.1 /
Simington Casement Window 224.1 ✓
(1mington Horizontal Slider 10160
Simington c.a�sertiett-Window 5419.1 V
Oo ie-
/Y1) SSS)/S ih six /4 /0,1
- Paul Zebouni j h n S-
904-248-0395 -904-248-0395
OFFICE COPY
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
REVIEWED BY: ///1, DATE: ?la /
Luke
Revision
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
1876 Beach Avenua
*Project Address: Permit#: /2 O! 3y
Farid Hakim / Beach Ave
*Owner/Project Name:
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
2. Sliding Please see attached page -
3. Sectional did not have enough room of
4. Garage Roll-Up this page for all products
5. Automatic
6. Other
B.WINDOWS
1. Single hung
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6. Awning
7. Pass-through RECEIVED8. Projected
9. Mullion
10. Wind breaker
Jill - ft 2019
11. Dual action
Rt�itdirtg rlepartryert
12. Other City of Atlantic Beach, FL
Page 1 of 4 Updated 10/17/18
vrriv ' ru,
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.
Paul Zebouni
*Contractor Name (Print Name): *Contractor Signature:
Bluewave Builders, Inc.
*Company Name:
822 A1A N Suite #310
*Mailing Address:
Ponte Vedra Beach FL 32082
*City: *State: *Zip Code:
904-248-0395 PZ@bluewavebuilders.com
*Telephone Number: *E-mail Address:
Cell Phone Number: 904-248-0395 Fax Number:
Page 4 of 4 Updated 10/17/18