815 ATLANTIC BLVD COMM32-0055_1Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
.. ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
Phone: (904) 247-5826 Email: ildin -De t coab.us PERMIT#: ______ _
D Revision to Issued Permit OR Corrections to Comments Date: / / l ]--1:}?
Project Address: 1$ \ S i\:t\ ~Jc , L ~L-~ 31.1-3 3
Contractor/Contact Name: n/1,N' ;,,, 1 61. ve;t\; /_ )'/\ ' T vr 7
/
Contact Phone: q C)Gj __, ~3 r-3 L-'f () Email: ;vl -t-e..r I 1@ e ccd l ( C, • G0 "('v--
Description of Proposed Revision / Corrections: --
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____________ affirm the revision/correction to comments is inclusive of the proposed changes.
(Printed name)
• Will proposed revision/corrections add addition.fGuare footage to or~inal submittal?
D No ll:hies (additional s.f. to be added: G, S:: 1 MR L..x-L<---)
• Will proposed revision/corrections add additional increase in building value to original submittal?
l3No D *Yes (additional increase in buildin • .--) (Contractor must sign if increase in valuation)
t.
*Signature of Contractor/ Agent:t..X.~:.::..._--,4;:::::=7==~~--------------
(Office Use Only)
D Approved D Denied D Not Applicable to Department Permit Fee Due $ ------
Revision/Plan Review Comments. ___________________________ _
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18
COMM23-0055