530 Sailfish Dr Carport submittal Building Permit Application Updated 10/9/18
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,,.....'' City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�tii� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 53 o S„' / , c G, Or. [ y 444G^,i,'c be''Permit Number:
Legal Description L o-f .1 / 13(o ck q / 1?0), ( P4 /.'s vn if fw 0 RE# /7 / 2/ 6 —006 6
Valuation of Work(Replacement Cost)$ 2 0, 0 u C) Heated/Cooled SFNon-Heated/Cooled *
• Class of Work: ❑New ❑Addition IR<teration ❑Repair ❑Move Z6S�emo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial 121 sidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes E�o
• Will tree(s)be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) IZNo
Describe in detail the type of work to be performed: 4-(e-c r.3, F,.)" d .?'<,'c,f N c``4•-f7 a r*,. EMI cAd t RS''
dT,G ' d f� (•0 >l e_ OvC-r L+an9 1'v / S- ZD r Rd(,/1Fr'o�, c9L per-c� ..r-cef<uL
KS WC-(1 A5 G'oc den de<!0.
*Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 13,..a, r-.-.,ecceicC. S Address S3 0 541((,'s f' Dr, F
City ,34-(4.,14-,'(- Reccf, State F[ Zip 322 3 3 Phone b--.6 (- ryc(f-- 7,1y$'
E-Mail g,-,'4.--, (.rtal e,ic(-s & 10",1. i o-.-1
Owner or Agent(If Agent, Power of AttornSy or Agency Letter Required)
z Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt S'Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING OUR NOTICE OF COMMENCEMENT.
` •
(Si_ ature of Owner or Agent) (Signature of Contra(tor)
-• and sworn toor affirmed) beforepe this 1 .ay of Signed and sworn to(or affirmed) before me this day of
‘{,�J\- , T O Z k. ,by GA t \Q.r.' • 1n . , ,by
(Si:.. /of Nota (Signature of Notary)
., ,,G ENRIQUE A.FLORES
[ ]Personally Known OR = ,�, m� Notary Public,Stat- �IQridon. ly Known OR
n�u Commission#G(f3 app i
[ ]Produced Identification F� Uwe' My comm.expires Adr. j rc:• Identification
Type of Identification: •• • •: tification:
LL
'�t;r Owner Builder Affidavit **HIGHLIG INFORMATIONEDIN
/* HIGHLIGHTED IN
/- `i 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#:
I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 53 0 .SA 1 L 1=I S N Qg
Owner Name: Ecrs'Art Fri c d eri'd? S Phone Number: 56 /- YYS-9 /`f it
Mailing Address: 130 Sr4/t FISH GA g• City: /TLa'ric S& Cht State: F'/ Zip: 3223 3
Notarized Signature of Owner ' „ .
The fokkegoing,instrument wa(acknow :.ged be • -- me this 1 day of Se t� , 202 in the S - - of Florida, County
of 1)p ' .
F/
" " "�"` Signature of Notary Public
ENRIQUE A.FLORES
,- `1 Notary Public,State of Florida [ ) Personally Known OR (Produced Identification
ic-,, Commission#GG 328087
pw,, My Comm,expires Apr:25.2023
Type of Identification: t L cDLi
Updated 10/24/18
ri(, TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY
s �,�. ' o City of Atlantic Beach PERMIT#
I? Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
!)' (P) 904-247-5800
SITE INFORMATION
ADDRESS 5 3 C) s Or_ E= / i4W4/ C RC 4 et, F l ?ZZ 3 3
y
SUBDIVISION go a Pc, (wt S �jN r �w c� BLOCK y LOT j
RE# /7( Z 9 6(- 0 0 d 0 ESIDENTIAL ❑ COMMERCIAL ❑ OTHER
APPLICANT INFORMATION
NAME $jr,•4l r, e Je,1 C (S PHONE#
ADDRESS S- 30 3-41.1 ASG pr. E CELL# S6 1- 4(1 5- -)LI y
CITY AHA 'A't C r C C 4 7C'( STATE Fl ZIP CODE 3 Z Z 3 3
EMAIL � i5� f-' de,-;c _s C )(4.k<11 1NER ❑ LEGAL AUTHORIZED AGENT
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of
the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre-
application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated
trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described
property and/or adjacent properties including right-of-way.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
011.
lc A RE OF '' ICANT PRINT OR TYPE NAME DATE
SIGNATURE OF APPLICANT(2) PRINT OR
RRTYPE NAME DATE
1
Signed and sworn before me on this day of CCS icV(., 141(, '( , 20 Z 1 by State of&Vile\ r 1 Y s e .� (r Al!�VS- Co ty of i U Salk
Identification verif d: �`o A - NOV kv \r\Cen�C.
Oath Sworn: Yes ❑ No ENRIQUE A.FLORES
oQ� '5% Notary Public,State of Florida
ml " Commission#GG 328087 tary Signature
d~" My comm.expires Apr.25,2023
My Commission expires ' -5 1702-3
04 TREE AND VEGETATION AFFIDAVIT 03.01.2018
LIG Engineering, Inc.
Principal Engineer: Louis Gabriel PE
419 Sophia Terrace
Saint Augustine, Fl. 32095
Ph # (904) 982 1935
8/ 16 / 2021
Mr. Mike Jones
Building Inspector/ Plan Reviewer
City of Atlantic Beach, F1.
Subject: Alteration level classification for Porch addition to 530
Sailfish Dr. E., Atlantic Beach, Fl.
Dear Mr. Jones;
The subject residence roof will receive new porch roof framing
addition that will replace an older, outdated low existing porch roof
with almost the same footprint area.
Per Chapter 6, section 602 of FBC-2020 "Existing Structures",
alteration level 1 (one) will be designated to the subject work since
the new porch will basically replace an older one with no altered
roof dead load or live load and no increase in the existing
foundations structural loading.
Please let me know, if further clarifications are needed.
Best Regards,
..4.,._(„.... ,
..GENS'
s
Loui _ �'abN�l P 6
* i * 1 * _
- -o STATE OF cc.
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LJG Engineering, Inc .
Principal Engineer : Louis Gabriel PE
419 Sophia Terrace
Saint Augustine , Fl . 32095
Ph # (904) 982 1935
8/ 16/ 2021
Mr . Mike Jones
Building Inspector/ Plan Reviewer
City of Atlantic Beach , Fl .
Subject: compliance method for addition to 530
Sailfish Dr . East , Atlantic Beach , Fl .
Dear Mr . Jones ;
This letter is to certify all repairs and alterations
of the subject remodeling will comply with "method
301 . 1 . 1 Prescriptive Compliance Method Existing
Structures of chapter 3 of FBC-2020 Existing
Structures" .
Also , the level of alterations to the subject
structure are deemed to fall onto level 1 per chapter
6 of FBC-2020 `Existing Structures" since the new
porch addition is basically replacing an older one
with almost the same footprint .
I Sincerely ,
Baa J. G
Louis e7 I�s
. B4761 ,:
*
STATE OF ' `
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This item has been electronically signed and sealed by Louis Gabriel on the .
nate adjacent to the-,seal using a SHA authentication code. C-..) M CJ!
Printed copies of this document are
e not consi dered signed and Z a_I
Baled and the 5.5 authentication must be verified on any electronic Ca" [)
sealed
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1.live Loads(Per Section 1607 of FBC 20201
Roof pef
2. Dead Loads(Par Section 606 of FBC 20201
Bottom of deck joists....psi, Top of deck Joists 10 psf s
8/18/2021 C
3.Wind Loads(Per Section 1609 of FBC 20201
Ultimate Design Wind Speed,VWt=132 mph,Wind Exposure"B",Risk \
Category"II"Structure,GCPI=(+)Or(-)0.0(OpenStructure),Deck Pitch
Ise 10 degrees,Structure MRH is less than 15 ft
This item has been electronically signed and sealed by Louis Gabriel on the
3.1 Components.5 Cladding Design Pressures ' . Date adjacent to the seal using a Scat authentication code.
Roof: a=3 n
Zone Effective Wind Area(sq.ft) vii hied copies of this document a not considered signed igand Pressure1.3 -2 7.0sealed and the sea authentication code must be verified on any electronic
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1.Cast in place concrete mix shall exhibit minimum ,W Z c0 r4
compressive strength of 3000 psi(minimum) at the eye dddssF
CO
of 28 days. = el o
2. footings shall bear upon undisturbed soil or upon �,ec' °'1'�yr o� W v' ~ -.
structural fill compacted to • density of at 97% of vena stsrlt4w USE(2)ONYrS L 'I�1 ♦ CO W
Q toe2)ROO
11.
Standard Proctor Maximum Dry Density (ASTM D7557) for • to Peau OP cane weer etY o.c.
depth of at least one foot (1') helot the bottcm of the wa-a•s'on00 C.
I
footing.
1tP1c[ta(T)2.3 iAN(2)2a 12
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1 a O 6ne 9 L®pen 9dlb Sa1N UAW'3. Reinforcing steel shall be A97N A-615 grade 60 raatmlL®aearaw» i
steel conforming to ACI 301, ACI 315, ACI 316 and CRSI _ r�LTa2ntoaca a/
! O•a-v11O TO Plates v II' O
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Manual of Standard Practice, latest editions. _ t'
" 5 usf(3)soar
4, All continuous vertical and horizontal reinforcing B `)V(II)I uo 12e suss
steel. in footings shall bet lap spliced a minimum of 48 - - • aAzs•12'oc ,
bas diameters or 30", whichever is greater unless Nor sraccrn acts
en..cvr ws v 1i/ os Soto sues.
otherwise noted. 4 It
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'Plant wren ro Tsmr '�"- C,t
minimum concrete cover shall be Laae facer T1HC'u OF(7)2 (3)2 a 12 I,
p. The following rel f wsnee•'0'oc 9OID
provided for reinforasnent: IL
WM LOWER
3 inches ' MULTIPLE MEMBER
footings 3A
Slab on Grade Centered LEDGER DETAIL AT OVERFRAMING RAFTER - CONNEC I IC1TTAIL_ "M" z
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aTe) KW (UNLESS NOTED OTHERWISE ON PLANS) 0.- ,
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5. Horizontal hem and footing bars shall be bent 1'-
0" around corners or corner bars with 2'-0" lap shall be - ,,,,,-_...e. aee,eee<.,w,• d W,
provided. r ... - J
TABLE 42 RAFTERS-20 PSF LIVE LOAD,15 PSF DEA,LOAD.240 DEFLECTION,CO c 1.25 W a
6. Contractor shall provide spacers, chairs, bolsters, Size• Spacing Grade C 1W ` ,
etc. necessary to support reinforcing steal. Support Sive won �� m teo.MO �,u.nayaur.gaal'
items which bear on...posted concrete surfaces shall have moor Os
ends which Sr.plastic tipped or stainless Steel. ii
3 men ret. rarse tw•tre ism-is/ aw(w.n.mets sn1et4
f 1r 18-4 15-8 14-6 10.11 18-6 15-2 15-8 15-9 15-9 15-0
ROUGH CARPENTRY t. jae 14.11 14-1 12.6 9-5 1® 18-9 1® 14.4 1® 13-3
14-1
1. Ali sawn lumber shall be visually graded No.2 Southern pine Q 19%mu moisture ars iN I®' 13-3 11-5 s-g ��L�alams 13-6
��� 12-6 18.6
content. ) sae 11-10 7-9 y
1rA 29 5 13 g 20•10 20 5
2. Provide light gauge metal fasteners indicated.Secure per fastening schedule publish k. [me 18 4 11-11 18-n to-8 t
in the MFG.catalogue for the muimum capacity U.N.O.Fasteners exposed to [Q pas 18-5 16-9 l0-m 17-9 17-5 • ^ wa b.
ambient conditions shall be stainless steel and secured with stainless steel nails. 1 1ss�.0 ®����� f�af®1001 le-2 V1111-..
WeO
Fasteners at all other'occident shall be galvanized sled.Substitutions are permitted ," ^ 24,1'��® 113011 26-0 - t»•oaat
provided that they have an equal or greater capacity then the specified fasteners r jay 21.6 to-g a-s ® ® -e • u
saw /u 234 17-, a-2 ��7FE7 � 22-3 wee
and catalogue data in submitted t for approval by the architect. ���®® 20.8. AUG, 3 2 0z)
3. Imtall rough carpentry work to comply with N.F.P-A.11"Manual for wood frame see 0:1311031021311031103100_284-
2r�1.le 15.4
12.0 iiY���� 28-0' 20-0' , 280' K.,1.•
construction,"Form E36"APA Design/construction tietere Guide Residential and ; _ ;0 A 5 f'10"TE'fl
tag � 26.01 25.8 22-1 17.1 29.0' 28-0' 28.0' 264 28-0'' 26-0'
commercial,"and the recommendations of eoginrered wood products t aYta teem 28-0" 23-3 -20-2 15.7 26-0' 26-0` 28-0' 26-0' 26-0' 280' I '� Set
manufacturer. .AO 26.0' 20-to' 18-0 I 14-0 26-0' 24-7 26-1 25-7 25.7 25-1 214h421
4. Use pressure treated lumber with water borne proervativm to comply with AWPA iti wwarywl•w ewe5a.54 aewtsreYweewlWtte ye 5s.,eiSl Atme+M niePoo.ai's. 2i55 '-r VOMIT
C2
C2 for all members in contact with masonry or concrete,exposed framing,and all Jsrwrww.l ernseparri ran*IR woo ewe is Wenna e,aler le MN NOW OPPAo�01.....10a 5_�
Ir...,rate Yampa level•r'ee M Sew tw sµ'•ss••Yea•Yee•ane Mal le est mea a tr r a Yw w w mea nab,
curbs and blocking used is connection roofing and waterproofing. lsw•. cg.•u.rrra.•tee,a,atee w,s„tr mere Useat.awrerwst
1edess rnYiY
t • Flef
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Weenie Mdie.+iii•eerrcart new ed sac wlYrY rwresmrnerYesisea on-Oren we Weis tfw,
5- Provide continuous wood framing members of size and'poimg indicated.90001 Mew NK M..wY.+um+unYa'w"+ween`te^r'n"°a""sn'enw.,rreranwaa!IA!4pr,!1.!tn 1
awMww •ens .. eve 3 .»..?.
splice structural members between supporta. - , ♦ /
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VPri PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
tL3E
*Project Address: S- 3 a SS 96 Dr. L Permit#:
*Owner/Project Name: g,--1? re-; �c�icLrl
As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product pproval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. ?pu 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 a State# Local#
A. EXTERIOR DOORS
1.Swinging
•
2. Sliding
3.Sectional
4. Garage 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
12. Other
Page 1 of 4 Updated 06/21/21
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 far-CO P51doirr !y- (10 S. 0,5-
3.
53. Roofing fasteners
4. Nonstructural metal €or`^"c v'e? ( f"s
roof _s4-e"43 5 F!. (7022_ I
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 06/21/21
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 06/21/21
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): , Fr-: e )Lei c-let S *Contractor Signature:
*Company Name: jJ
*Mailing Address: f; 0 STS ( A c V,.,
*City: c- g of�c.„ *State: Fl *Zip Code: 3 Z Z 3 3
*Telephone Number: 5-6 ( Y 5 7cf Y *E-mail Address: (aft 4-^1 F� �o(c- c�S a� q 4i� . <0
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 06/21/21