1761 Ocean Grove Dr RESO21-0074 Revision Submittal Revision Request/Correction to Comments **ALL INFORMATION
yS�1�;� HIGHLIGHTED IN
R . T' City of Atlantic Beach Building Department GRAY IS REQUIRED.
_ 1,
800 Seminole Rd, Atlantic Beach, FL 32233
^`°` V Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: V.&S°lI r 0C1+L
❑ Revision to Issued Permit OR Corrections to Comments Date: 2'1
Project Address: li-Ce t C3C 2PL) CQVC— DO lic
Contractor/Contact Name: C . i1A ‘nr
Contact Phone: _1a4,(02- I Email: 01- � r� ) l "l V)-e111'"" �e"� '
Description of Proposed Revision/Corrections:
1
I• de ct ••. C.e_ -t- 01,Li , ems- N ,d-i-- UIII _
c5 I- -i- yrAra ai h
yr -2c-is fx, gun ovt_c)( Gtostl, (,v_ 1 c_ Peile luvt )
I affirm the revision/correction to comments is inclusive o h
EE rccoEE iVE(printed name)
•2W' proposed revision/corrections add additional square footage to original submittal? SEP 2 9 2021
ElYes (additional s.f.to be added: )
BY: 1)
0 W' 'proposed revision/corrections add additional increase in building value to original submittal?
,7 .0.,
❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Age :
(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 `y �\
CONCRETE DRIVE CROSSING INTO RNV j
ON WESTERLY SIDE OF LOT. 0•.)t�s Z
THERE ARE FENCES NEAR THE BOUNDARY v ''
OF THE PROPERTY.
•
}.'` N°8415 '�' SURVEYORS CERTIFICATE T A R G E T
•
I HEREBY CERTFY THAT THIS BOUNDARY SURVEY
ISA TRUE AND CORRECT REPRESENTATION OFA SURVEYING,NG,T T C
• . SURVEY PREPARED UNDER MY DRECTON U V J,t L it <T JJLJV
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC
• SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, LB#7893
STATE OF to
'••Rl e R l V'•� ORARAISED EMBOSSED SEAL MID SIGNATURE Digitally Igned SERVING FLORIDA
1'":',- z,_,_< Kenneth byKenneth 6250N.MR.RARYTRAIL,L3340702
WEST PALM BEACH,FL ITE 1
Osborne PHONE 640.41800
(SIGNED) _-- STATEWIDE PHONE(800)728.4817
KENNETH J OSBORNE sC 2020.06.09 STATEWIDE FACSIMILE (800)741-0576
PROFESSIO,ALSURVEYOR ANOMAPPER*6415 �✓borne-4w;, WEBSITE:http/ttergetsurveying.net
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