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10 10 TH ST #12 - REVISION REMODEL CITY OF ATLANTIC BEACH ss 800 Seminole Road Atlantic Beach,Florida 32233 j r Telephone(904)247-5800 FAX(904)247-5845 tr1;31,� REVISION REQUEST SHEET Date: Li - L0 kb Received by: Resubmitted: Permit Number: /6- (Z c A R Zy i Original Plans Examiner: nii Project Name: H IXoij Project Address: io- i o 12 (c/..0).7.00 Are--g47 32243 Contractor: AM14 TACc i30i-oc. , LLC. Contact Name: Jo H/v f Ni<<,w.s Contact Phone : 9 0 - 2,0 o- 7 S 3O Contact e-mail: NA iDLE5 pI 1 A*1 G YAW gyp.coPli Revision/Plan Check/Permit Fee (s)Due: $ Description of Proposed Revision to Existing Permit: PCC,Dnic)C-uK F l Yf1NG Lo4i) 13F.P121r1G- WALL L© E ll p n E APR 8 2016 Additional Increase in Building Value: $ /00. °J Additional Site Plan Revised: 4p Public W/U Approval: AvA By signing below.I(print name) i ouN IZ i 1 ; I�5 72 affirm that the above revision is inclusive of the proposed changes. p Signatur f Contractor/ gent(Contractor must sign if increase in valuation) Date / / Office Use Only Date: '' [ ( /6 Approved: X Rejected: Notified by: Pla Review Comments: rov4, a S S u ,yr, ?lied ict - • • ent review required Yes No ldin. Planning &Zoning Tree Administrator Public Works Plans Examiner Public Utilities _ L1/rl/// Public Safety O Fire Services Date Created 8/20/15 Rev.2 4 PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: /-1i XD h/ Permit # I(r ,RAQR LMlt Project Address: 10 It)Ti 51 Aloit111C, &4-1, 32233 , irk 1 r. # 12. (11.4c (-LOiSTCR) 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.o 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 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 REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH r��� copy SEE PERMITS FOR ADDITIONAL �° REQUIREMENTS AND CONDITIONS REVIEWED BY: ,DATE: l -I 1 !.4) 12.Other Category/Subcategory Manufacturer Product Description 'Limitation of Use State# Local# • C.PANEL WALL 1.Siding 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 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 (EC'H �Up COMPONENTS �,� 1.Wood connector/anchor ,5/M L/ Ps ON In§ Its n1vrA 6/oys b•311 4 !o$5z 2.Truss Ogles S ap s 51M1PSoN N 2.-CA 10456. 12 3.Engineered lumber ttEsiklqUtlg M a c .oi 14at LV. b S 17.Z 4.Railing 5.Coolers-freezers 6.Concrete admixtures 7.Material 8.Insulation forms 9.Plastics 10.Deck-roof 11.Wall 12.Sheds 13.Other G.SKYLIGHTS 1.Skylight • a 2.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. (Contractor Name) (Print Name) cIs)1�� 1` l 312- (Signature) V'` ellt Company Name: At*J$VtAG LLb6RS, tJ_c- Mailing Address: 3el`6 811f S caR City: 34cokivi L6 State: FL Zip Code: 3l2 a -433 Telephone Number:( ) Fax Number:( ) IN/A Cell Phone Number:(104 ) 106 -7S3o E-mail Address: NtipLe5 M Aftt C X443D-0011