1828 ATLANTIC BEACH DR RES25-0208 Revision Correction Form 9-23-25Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
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 q:
"ALL REVISION SUBMITTALS MUST BE EMAILED AS A PDF ATTACHMENT ONLY**
Revision to Issued Permit OR 1 Corrections to Comments Date:- C y-) h' 5-
Project Address: `(�) U'.� L be ,
Contractor/Contact Name: ��y`QCS GLQ �yL'-e' y�— UDrA"k-� IFVUf � AV--
Contact Phone: 3�'S40Email: QCCL S►) k,\_c -\Q4(`t jd V VVnI-AX- Co V\,
Description of Proposed Revision /Corrections:
AA A �'pS-zi n r A ir)
C
IC A-iJ c. of fr G `� S 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?
o ❑ Yes (additional s.f. to be added: )
• Wi proposed revision/corrections add additional inc se in building value to original submittal?
❑*Yes (additional increase in building e: $ ---+r—oomctormustsi if increase
*Signature of Contractor/Agent: -1,6-14 // I--,'
❑ Approved ❑ Denied
Revision/Plan Review Comme
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
(Office Use Only)
❑ Not Applicable to Department Permit Fee Due $
Reviewed By
Date