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730 Plaza RES19-0280 Int Remodel ri'"''''r�c i_______ RESIDENTIAL PERMIT PERMIT NUMBER oS ' ;\ RES19-0280 J ` CITY OF ATLANTIC BEACH '� V~ 800 SEMINOLE ROAD ISSUED: 2/6/2020 ~ 1���; EXPIRES: 8/4/2020 ATLANTIC BEACH. FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: I VALUE OF WORK: RESIDENTIAL ALTERATION INTERIOR REMODEL 730 PLAZA REMOVE WALLS, DOOR AND $30000.00 RESIDENTIAL 3 WINDOWS ADD DOOR TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171290 0000 ROYAL PALMS UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: BOUTWELL DESIGN BUILD 5353 Ramona Blvd #4 JACKSONVILLE FL 32205 OWNER: ADDRESS: CITY: STATE: ZIP: Rachel Martin 730 PLAZA ATLANTIC BEACH FL 32233-3932 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. I DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $205.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $102.50 BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.36 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.58 Issued Date:2/6/2020 1 of 2 11-'4ri,„ RESIDENTIAL PERMIT PERMIT NUMBER 1 CITY OF ATLANTIC BEACH Us� RES19-0280 � �" ISSUED: 2/6/2020 r'3 ,� 800 SEMINOLE ROAD EXPIRES: 8/4/2020 ATLANTIC BEACH. FL 32233 I TOTAL:$366.44 Issued Date:2/6/2020 2 of 2 City of Atlantic Beach APPLICATION NUMBER c;s Building Department (To be assigned by the Building Department.) tla Seminolec Road 1 E C `� - 0 7 p " Atlantic Beach, Florida 32233-5445 l�J Phone(904)247-5826 • Fax(904)247-5845 -art )r E-mail: building-dept@coab.us Date routed: Q it :?, 11. 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: `73 PLA Depart ent review required Yes/No uildin� Applicant: F2> Q DTLt.1EU DE--,S1 Q-10 Planning &Zoning Tree Administrator Project: Te--12_102 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ['enied. ❑Not applicable (Circle of-. Comments: BUILDING PLANNING &ZONING Reviewed by: / Date: 9'?-419' TREE ADMIN. Second Review: F i proved as revised. ❑Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: ill)._ Date:a2'3'c? FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 y • • r� _� City of Atlantic Beach Building Department ; ' , ' **AllINFORl ATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: 730 ptZg-- Permit Number: Legal Description RE# 1 71 XO-- 0000 Valuation of Work(Replacement Cost)$ - Heated/Cooled SF//200 Non-Heated/Cooled • • Class of Work: ❑New Addition (Alteration DRepair DMove ODemo DPool [,Window/Door • Use of existing/proposed structure(s): OCommercial Stitesidential • If an existing structure,is a fire sprinkler system installed?: DYesNo • Will tree(s)be removed in association with proposed project?DYes(must submit separate Tree Removal Permit) ONo Describe in detail the tvpq,of,wnrk to beper formed-RGw.ove 1. )JOA)-4 to (oe' (..4.241 Fc F'(,( t GtJ)'n�Q�-f5 w rc ti ba-r lc door-cu,-re t-t n cmn t >F V beLac Ian a ibc - Florida Product Approval# • for multiple products use product approval form Proper Owner Information Name i, ''E1 j-;K Address WO p,24„..._ City 1 0-10-1( {&.- .t State i Zip a1 Phone,-4 3 • E-Mail p4 A.+'1'fcNexce " i 1 e L�ci L Owner or Agent(if Agent,Po r o Attorney or Agency Letter Required) Contractor Information �`� Name of Com any I Ul" 6i�...r 1 Sl G`.) i ()IL Qualifying Agent P') t'-Mfti Address C. .PL 14 , ST 4 City a &hI t.;,-6 State Ft. Zip ?22br. Office Phone 't.4 364^$?,O"�, Job Site Contact Number ^3e,/^'1207 State Certification/Registration# (' C.(D/71 6, E-Mail SPl..&5 Q irt .,L 4s 1(y-) " ..,/j t 0 C(fy.., Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exe i t- Expiration Date 1" /Z,o Application is hereby made to obtain a permit to do the work and iinstallations as indicated.I certify that no work or installation has I commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws relating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING- IGNS, N WELLS,POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirentint-ofth permit,there may be additional restrictions applicable to this property that may be found in the public records of this coetiii aid- c6 there may be additional permits required from other governmental entities such as water management districts,state arn efp6 ti.i federal agencies. 0 Cry O Q OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance witlel0 0 CI applicable laws regulating construction and zoning. n d m Q WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Ptki � z RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTIDw TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE w0. m REC DiNG 3IRTtCE OF COMMENCEMENT. v Li p / RhYi-te,/4c?L4I _ (Signature of Owner or Agent) (Signature o ontractor) LU 5 UJ EC CC Signed and sworn to(or affirmed)before me this 13 day of Signed and sworn to(or affirmed)before me this (3 day of S Ing, 2,-G, ici ,b QV\U, £ ('�l ( �(l/- & l 1..MIOK, a-J 1C1 , b !'14(4`0iSbvlkV•J•1.it (nignnature ofNotary) Notary) ature of Notary) a.wsrrw�. �lanrw'•%.. JENNIFER JOHNSTON .�,:pYY,••.. JENNIFER JOHNSTON PersonallyKnown OR ...V I MY COMMISSION It GG 042984 [ )Personally Known OR ;g• . '06t:: L I .; :*; � ;*' .. = MY COMMISSION#GG 042984 N EXPIRES:October 27,2020 kXroduced Identificatio =*: t; c* (.Produced identification ; --k• EXPIRES:October 27,2020 •,;;ift.t .• Bonded Thru Wan/Public Underwriters A ( ^ ;;: Banded Thru Notary Public Underwriters f L.0 i 6 u Aiks ,cia L --.— - b Ail.J0-1'SCO ,Q_ OFFICE COPY 730 Plaza, Atlantic Beach Structural Changes, as seen on drawings: 1. Fill in Window leading to Carport.This needs to be a TV wall, and is an inappropriate place for a window. 2. Fill in the Back Door and Window closest to the Back Door. This wall is needed for Cabinetry and Appliances. 3. Add a new French Door, which will become the back door, and be placed under the overhang outside, which is better for rain drainage than its current location. 4. Take out the non-load bearing walls: one separating the Kitchen and Living area, and one perpendicular wall dividing the Kitchen and Laundry, to open the space and support the new kitchen layout. My licensed contractor, Bart Boutwell, has gone into the attic crawl space to assure that these are not load bearing walls. 5. Add a wall at current opening into laundry, and a door to make a hall closet. 6. Widen the Master Bath to support a wider vanity with 2 sinks. Space will be taken from the current closet and entryway from Master Bedroom to Master bath. 7. Add an additional closet to the Master Bedroom on the wider wall. 8. Fill in the window on Master Bedrooms wider wall to make a headboard wall for the Master Bedroom. NW .. Dr 13ka,( T 1(A4-\ r--------------- --.1-,') ---...-h . w' .t w 1,1eiti- 7`( It 134 �x * vki \k,,ac(/\' L000tri CD 2. t �'') MOW' Mw �� Z qo'� �} Croom 7`/l)`(''11. C ox d1/ ir J. - XtS' - .1. HALL = 3x ts5/8 A2C 1,4 f,______ ,, ir cy5f 32..c I 3,1-,,3, , ((AI X 9 — Lc v�N 6 c be)fvorn W X 32 2 io vv " T L G -- i 0 1.----- t �� ---t- t I -• ----. .--.-_____ w i.._—. as. , = W►jvw ait 0= 0 Dv •4 ,,l,�s-„�,�gt = C(\ -ms's - . ? c1 °/M 4 "-t-`''"6 -dl` \Ja°Q yes- ^ C� , -)a0 r0 ;M r > It 099)17vicr)140 r riti _ • 7 M %°L )(,tQ vg Qa'r1 2”' '01) Og x 9/95)(E.7 -rzvt) / 1 ". t--r:siX1841 - - — —,_11— ;II ! —Yal 1i n . iii. yago\n/ _.);r c) 4,-131-vc1)9(v•iN10/ i/P-t!>1 (NA c:-.0 grzt.-t' It k ...' H) 1 ) )“,IIIT, i,b 100-7-1 A4-1916 To CN Ac10331Id® 1.1M ---C)--r thatdkad e5 OFFICE COPY 4 S t1ea Q i v� o Q°r F r\ ' °'-' L. 100001 .4,. .. _42_ 1 . I I .,,, t 1- P 1 f 6r11).66-o. l 1 6 - r ,- 1 /pi nii nl6 ea il 52 1,eifiN,, A i. `+ '°„,) l0 ' DI a ; p � '3x3) �.h,. "I'� .c��,�. ( Ivx 12 S , ,,-. `18 )06'".1 I, i ..f... 4:11110) Pe;‘.° Nom+-lc ter. lXea C. iiiitsi Wa-1 .1 1 ' ri r. Al_____—_,. \‘))q),'' ' -.4 viA) t.t\ w-d 32:--i. su 6 1 )4'(\ SI!' I o •• ki vf►J6- A.G ©0!'Yl 'Lb°rA r oat 3l c, ' \ S _;_ re k CJ „,.t? i /a I ' CITY OF ATLANTIC BEACH - _ 800 SEMINOLE ROAD Vr OFFICE COY ATLANTIC BEACH, FL 32233 (904) 247-5800 @;319`" BUILDING REVIEW COMMENTS Date: 1/29/2020 Permit#: RES19-0280 Site Address: 730 PLAZA Review Status: Denied RE#: 171290 0000 Applicant: BOUTWELL DESIGN BUILD Property Owner: Rachel Martin Email: sales@boutwelldesignbuild.com Email: radinteriors@gmail.com _ Phone: 9043618207 Phone: 4802094393 9043618207 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: I. Elie Notice of Commencement submitted has no information written in the space titled "General V description of improvements". Return to the Building Department and fill in the information on the NOC document. o 1 ) E ( /30 / 2 c= Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach )-_ �'7- c) 800 Seminole Road ! Atlantic Beach, FL 32233 (904) 247-5844 Email:mjones@coab.us Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. OFFICE COPY cy1.Jr1 Revision Request/Correction to Comments *ALL INFORMATION # ri.'� HIGHLIGHTED IN �' City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 JI � Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 0E.519—OR.Or ❑ Revision to Issued Permit OR Corrections to Comments Date: I/2 1p2D Project Address: '�S `7L-AZ4 7 1 lC. `BL 1 f / rL, &2.,...22.x_ I Contractor/Contact Name: (FA:1r 0791.c_I&/SL- Contact Phone:rgC )36,i- eA()--7 Email: ' c7 , , 4 4-fL,, ' Description of Proposed Revision/Corrections: JAN 2 2 77 4-` vi1 RFlo>`/-F� �XJ I affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Wi1.proposed revision/corrections add additional square footage to original submittal? VNo ❑ Yes (additional s.f.to be added: ) • Wil ,proposed revision/corrections add additional increase in building value to original submittal? o ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent /427.4".2 _ L /9P-7 1/)71Vt,le-u— (Office Use Only) 4:proved VAI, I Not Applicable to Department Permit Fee e$ d. r / Revision/Plan Review Comments Iliac his no #71.hr o./i eR - 6-{of rig De artment Review Required: Buildin Planning&Zoning viewed By Tree Administrator Public Works Q ,� Public Utilities i'2-1- a6 Public Safety Date Fire Services Updated 10/17/18 r \S, OFFICE COPY CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 BUILDING REVIEW COMMENTS Date: 10/24/2019 Permit#: RES19-0280 Site Address: 730 PLAZA Review Status: Denied RE#: 171290 0000 Applicant: BOUTWELL DESIGN BUILD Property Owner: Rachel Martin Email: sales@boutwelldesignbuild.com Email: radinteriors@gmail.com Phone: 9043618207. Phone: 4802094393 9043618207 tt% THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. N Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: Vl! A second set of drawings signed and sealed from the Architect is required to complete this application in order to receive a permit. Submit the second copy with the next revision/correction submittals. W From the first review comments dated 9/20/2019, comment#2,requesting the Construction Compliance Method/Alteration Level, has not been met. Please resubmit with information on the Architect of record's drawings under the applicable code information block. 3. Comment#3 from the first review has not be met either. New doors and windows require that the Building Department's Florida Product Approval Information Number Sheets be filled out. 2 copies. 4. Comment#4 has not been addressed either concerning the Notice of Commencement. Corrected NOC is needed, 2 copies. Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (904)247-5844 Email:mjones@coab.us Resubmittal Notes: Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN \ City of Atlantic Beach Building Department GRAY IS REQUIRED. 1 • }'' 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 12M ❑ Revision to Issued Permit OR Corrections to Comments Date: jt)—a--71 7 Project Address: 730 qi. Contractor/Contact Name: 80._..p-4ct7i" Q( / ..A.F-Ifl..c.j Mi Contact Phone: -07.--/4-b�,3 Email: o. b -i a('ae, ,,_r I , C C:VK Description of Proposed Revision/�IC�orrections: A re-1,x I-'C.-C* d.1 c 6 , .. I GF.tYI_ I _ 4 • .1. _i . Y� t y�E4EC : / -1 G.t ��4�Q t° _ 1 OCT 1 8 2019 I' � �t� affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) Building Department • ill proposed revision/corrections add additional square footage to orig A�ljofnAUqntic Beach, FL kk.No ❑ Yes (additional s.f.to be added: ) • Will proposed revision/corrections add additional increase in building value to original submittal? )4No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: LA),G�,—� u .>C -r,- (Office Use Only) SO4 ElJ Denied ❑ Not Applicable to Department Permit Fee D - $ 40 C) Revision/Plan Review Comments • --. -nt Review Required: /71 Building P arming&Zoning Reviewed By Tree Administrator Public Works l Public Utilities <2 - '--3—) v Public Safety Date Fire Services Updated 10/17/18 rf J1 r ` �. <� CITY OF ATLANTIC BEACH Sy 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING REVIEW COMMENTS Date: 9/20/2019 Permit#: RES19-0280 _ Site Address: 730 PLAZA Review Status: Denied RE#: 171290 0000 Applicant: BOUTWELL DESIGN BUILD - Property Owner: Rachel Martin Email: sales@boutwelldesignbuild.com Email: radinteriors@gmail.com Phone: 9043618207 Phone: 4802094393 9043618207 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: 1. Submit a Cover Page for your business. A PDF will be attached for some guidelines that this Department is looking for. 2. From the 2107 6th Edition of the FBC-Existing Building Code, choose a method of construction compliance/alteration level. Place this information on your cover page under Design Criteria. 3. Any new door installation will require that the Florida Product Approval Information Sheets be filled out and installation instruction be submitted for windows/doors. 4. There was a Notice of Commencement submitted with the permit application package with the address number of 1932 Tierra Verde Drive, Atlantic Beach, FL. To repair a roof. That will have to be replaced with the correct NOC. 2 copies. Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach,FL 32233 (904)247-5844 Email:mjones@coab.us Erna iI-ec/ Co.-r• r,,,-en+S 9• x0 . 19 i-v ry Resubmittal Notes: /2E S/9-0,2C9e) jJICEQWY NOTICE OF COMMENCEMENT ,, 6 oo° State of �1— Tax Folio No. Ii ` �, D County of Nk\) AL- To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following informat' ' sated in this NOTICE OF COMMENCEMENT. c Legal Description of property being improved: e-b 3" UN1TS C0—9 q j� ��'-7`n� E Address of property being improved: ( T 0 PLA- A. A e , 1.-L d .Z 31 General description of improvements: IN 10 ►._aa► . _ ' (10J . ‘yA It_.. if/'c, V' ti. diri. • .Vast .'4 i t Owner: 12AC L.L , rn+ycttki.)l LLQ Address:r ��0 "� ' r or, 1" F ,)-AK, �1� ) Owner's interest in site of the improvement: i Ve d ( Y'1I Vy, Fee Simple Titleholder(if other than owner): Name: 1 -WU f-Buvh�}�,(wrl�,��l/�n—`f /� Contractor: ?'p',� vv LL ` 1 6(J u v U�J `/, c Address: 3s vu No kik 0 td 6 SA( ) t V � 2V S Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ — Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may J Q > I: Name: D O v 1- Address: cr0) 7 a i 0 Telephone No: Fax No: o) U a 5 on to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section (b), Florida Statues. (Fill in at Owner's option) a U Name: — Y N Y CO CE Li- „, &i J Address: 0 oO 8 u8 N_, o Telephone No: Fax No: 8 LI-I 674 a)o V) 0 n date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is z Boa�w}� ): 212 o E b3 18 Z Ov ICE FOR RECORDER'S USE ONLY OWNER o = a)0Ow OZXCLUCC Signed:( "NaAitel1 44-(o. . i ;,/j Date: I— () --?_e7 Before me this JClr1 1'day of . if l`' in the Coun y f Dyual State •Y•.... Of Florida,has personally appeared �et�YYlvr1e ' , e ;01 �eL.: JASMINE R.MOVE Notary Public at Large,State f Florida,County of Duval. ' `• Notary Public-State of Florida ��� Commission k GG 362066 My commission expires: ()LA. . 7 L9, O"2:5 My Comm.Expires Oct 26,7023 Personally Known: or Produced Identification: -V.)Y\V e'C,25 \\t e.`C-1 j ¶ \ �SUed M! .4r PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: 73 LT ATI 11TI L 79C)- 1 FL .3Z—zTPermit#: /? 02,F5 *Owner/Project Name: 'i LMA l t3, LL CAIN1 I 6217:44-- oVXD �1.D 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 ec�t�e\ihlio r L.k'�D )4.4w13137- 1.Swinging 2. Sliding 3. Sectional 4. Garage Roll-Up 5.Automatic 6'44 er fg-Ei IC1A'bot(Z.. R6L/4& / ►c.>a - a4CoFe // B. WINDOWS (3ao S6U 1.Single hung 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed 6.Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 10/17/18 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL - ' 1.Siding 1/4—\AmEsS 1.1141ioi o C6PLA,vic_C4P 5141►`qz l�Z /31 Z. f 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 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 17. Other Page 2 of 4 Updated 10/17/18 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E.SHUTTERS 1. Accordion 2. Bahama 3.Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F.STRUCTURAL COMPONENTS 1. Wood connector/anchor 2.Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11.Wall 12.Sheds 13. Other G. SKYLIGHTS 1. Skylight 2. Other H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. Page 3 of 4 Updated 10/17/18 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): T:::412:1--60177T:::412:1--601771J._.)<-1-/L' *Contractor Signature: °=• � � *Company Name: Tv &' QU *Mailing Address: RAIY314 -BEAU p-44 *City: -pc* r V ILS) *State: *Zip Code: 32-2-(=>5 *Telephone Number: l�'f -3(O J— UZ 7 *E-mail Address:S4 �7- 5'SIGIPJ ISvIUD • CA.Y> Cell Phone Number: ° Fax Number: Page 4 of 4 Updated 10/17/18