299 ATLANTIC BLVD COMM24-0039 REVISION SHEET 11-13-24Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
I City of Atlantic Beach Building Department GRAY IS REQUIRED.
li'4 800 Seminole Rd, Atlantic Beach, FL 32233
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Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:L.0I \(Y\ 224 -C(,,3 r
ALL REVISION SUBMITTALS MUST BE EMAILED AS A PDF ATTACHMENT ONLY**
Revision to Issued Permit OR M. Corrections to Comments Date:-(1/15 /202<71
Project Address: .2— / 7 79K4,( 8z-v 9
Contractor/Contact Name: .6/(..A._//4/v1.,‘ /402 rUW
Contact Phone: 40(/Email: chVE/3G 6 S,L-/ C-C4c-6/ e7/ 2 'CO1'14
Description of Proposed Revision /Corrections:
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Ol/LL/i9/l) (11 d2%C)G() 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?
No Yes (additional s.f. to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
610 Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved 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