469 ATLANTIC BLVD SIGN23-0011 REV 12-10-24 Revision Request/Correction to Comments *'ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
r I 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: J bl\j2 Onl)
**ALL REVISION SUBMITTALS MUST BE EMAILED AS A PDF ATTACHMENT ONLY**
Revision to Issued Permit OR LI Corrections to Comments Date:- I e) /Z4
Project Address: y (1L 1 hi I 6tin-h c g
Contractor/Contact Name: '1-.01l DI( 1 13 N )9(f(91/1 i 11/1
Contact Phone: i U LI 430lt 4LiS ZEmail: 41, rPe -Ct11 JQ r.n117)6Q• (OW)
Description of Proposed Revision/Corrections:
�U n (J o-Ci pa )) 06(aVY1 n‘Lottr' kti
cI ( V1 e oi6z
Tiilo v,f) vl 4 19.Cif Y' I[7(. affirm the revision/correction to comments is inclusive of the proposed changes.
(Prided name) y
• W}11 proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes(additional s.f.to be added:
• Wj1l proposed revision/corrections add additional increase in building value o original submittal?
1:1No [1*Yes(additional increase in building value:$ ,) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: !�
(Office Use Only)
❑ Approved 11 Denied 11 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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