645 ATLANTIC BLVD COMM24-0049 Revision-Request-3-10-25Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
**ALL REVISION SUBMITTALS MUST BE EMAILED AS A PDF ATTACHMENT ONLY**
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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_______________________________ affirm the revision/correction to comments is inclusive of the proposed changes.
(Printed name)
x Will proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added: _____________________________)
x Will proposed revision/corrections add additional increase in building value to original submittal?
No *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
3-6-25
645 Atlantic Blvd. Atlantic Beach, FL 32233
Ramion Partow
904-294-6094 rpartow@gmail.com
The revised quote for the project includes all labor and materials for this project at the
agreed sum of $43,500 and shall be completed according to the plans provided by Doherty Summers
Architects and Engineers. This sum repesents the removal of contractor consulting fees, profit , and project
coordination from the original contract.
Ramin Partow
Docusign Envelope ID: B204C9C7-A3B0-4533-B2B6-0F8CF934E3C5