724 ATLANTIC BLVD PPI24-0004 REVISION FOR UNIT 7 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233 E L,P P Z L-- -CDO
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ppL2q-000 /4
**ALL REVISION SUBMITTALS MUST BE EMAILED AS A PDF ATTACHMENT ONLY**
XRevision to Issued Permit OR Corrections to Comments Date:- (l 13j /2 (')
Project Address: 72 5 A 4 18n L vol .1:11- I r ` i )43/1. ►c -&..-,
Contractor/Contact Name: N/y(,Q,y)5 Zvi ��S 14-1 C /1c71.--7 / g ivl P63`)
Contact Phone: 1 U I 2:Q1 _ 6 017 Email: r-(t Ili I oc, Q/YI 5}-Tvt CSS 1 v-ticjiirb
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 additional square footage to original submittal?
49 [I Yes (additional s.f. to be added:
• Will proposed revision/corrections add additional increase in building value . . iginal submittal?
No *Yes (additional increase in building value � ) )Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: Fr
C6)c 15061-9 .4)
(Office Use Only)
Li Approved H Denied Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required:
Building
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services
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