470 GARDEN LN RESO21-0070 revision 11-1-21 it �'J��. Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
Al= City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 {�
f''r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1 E.oZI -0 010
Revision to Issued Permit OR ❑ Corrections to Comments Date: l/0l/2.0 2
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Project Address: '1O (:)1e-04-,-) LA.,.)E f 11.A.c- V M(. 6 tp•sc'µ f'L. ';2!!Z S
Contractor/Contact Name: t ��'•• =� 1' - k• k.g.f 0 ',.. .- N - fe-- cL
Contact Phone: X04 '4 Z(4- ' 5`74( Email: ft ( El?S Ej...,Floc,QPtT-2r(c„„P#s,-,t• c
Description of Proposed Revision/Corrections:
t 1. Ps-C7 91 1l c,,.— 'MAL O g'6 i N.Pr -- C kL l(sN S`1 .cs-Ac,- I C-.x...,1 S)
oc' A ft(lc u --rz_Az-f" ----D "Mt Qizck --ni 6 i\sic T1,ef 5A.,,,, tc \s
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I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will propo ed revision/corrections add additional square footage to original submittal?
❑No aYes (additional s.f.to be added: '"-- 475 Sc.t F cdf- Ki_ent NW& 4\ -r 1 f
• Will propoKfit revision/corrections add additional increase in building value to original submittal?
❑NoYes (additional increase in building value: $ 1O)c. ) (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
I RECEIVED
By Jonnoho Johnston at 1:19pm,hog 09,2021
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RES021-0070
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RECEIVED
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