1761 Ocean Gove Dr RESO21-0074 Revision Submittal Revision 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#: Itc3 007/-ODT
I Revision to Issued Permit OR , Corrections to Comments ���� Date:
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Project Address: l76/ ��e�re D� /y% fiC 424 • / �- ,327?3_3
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Contractor/Contact Name: /✓O,5�Z /C��.a2) 2t 1 '1 .5C• /���LG!
Contact Phone: (9,04/) A37-5.560 Email: v /'0 go5co /C .Grk
Description of Proposed Revision/Corrections:
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04041f6 (G ox) ithird rfebta ,too Lail ( -
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I ,6 e '1 / ✓�/T/►�L�C� affirm the revision/correction to comments is inclusive of the proposed changes.
(prin d name) EC EVE .
• I proposed revision/corrections add additional square footage to original submittal? SEP 2 3 2021
No ❑ Yes (additional s.f.to be added:
BY:
• W. 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 Updated 10/17/18
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SURVEY NOTES I ~ CC\
CONCRSTETR1VE CROSSING INTO RNV
ON WESTERLY SIDE OF LOT. CX)
to lib, •
THERE ARE FENCES NEAR THE BOUNDARY .
OF THE PROPERTY. `_ C
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u� No.5415 lR s SURVEYORS CERTIFICATE /TARGET
' • I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY SURVEYING,'' "- - - - -- TT
o . IS A TRUE AND CORRECT R DIRECTION OF A
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SURVEY PREPARED UNDER MY DIRECTION.
• NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC
i SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL.
STATE OF v:
'Y4s( °RI 0)‘0*. ORARAISED EMBOSSED SEALAND SIGNATURE LB#7893
Digitally igned SERVING FLORIDA
Kenneth by Kenneth 6250 N.MILITARY TRAIL 02
WEST PALM BEACH,FLL 33407 33407
Osborne PHONE(561)640-4800
(SIGNED) STATEWIDE (600)PHONE (800)226-4807
KENNETH J OSBORNE O s ( T f 2020.06.09 STATEWIDE FACSIMILE (800)741-0576
PROFESSIONAL SURVEYOR AND MAPPER 05415 1) WEBSITE:httpJ/targetsurveyUg.net
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