469 ATLANTIC BLVD SIGN23-0011 REV 12-10-24 (2) Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
;jl 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#: fjLll\12.3- Onl)
**ALL REVISION SUBMITTALS MUST BE [MAILED AS A PDF ATTACHMENT ONLY**
Li Revision to Issued Permit OR Corrections to Comments Date:- I (b /ZZE
Project Address: ij Vi (2V1-h c DIV(/)
Contractor/Contact Name: 1-6k.\110 V .113 Vi 61C/00 hi 6
Contact Phone: 4 G Li-34 Email: 41,A rJ' D4-0,‘I 1 o r ri GAN La• 6004
Description of Proposed Revision/Corrections:
At4nv n t'-1-C1i pa -f-z) 1,,(a yii OLS-+ fit)
(.1 06z
'f�f id Y f l4 VI 'i �f(t /) f II'C. affirm the revision/correction to comments is inclusive of the proposed changes.
II (Priv ed name) J
• VI proposed revision/corrections add additional square footage to original submittal?
No E. Yes(additional s.f.to be added:
• VI proposed revision/corrections add additional increase in building value o original submittal?
No [1*Yes(additional increase in building value:$ (Contractor must sign If increase in valuation)
*Signature of Contractor/Agent:
76—
(Office Use Only)
❑ Approved .11 Denied r I 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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