470 Garden Ln RESO21-0070 Revisionit '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
1ProjectAddress: 1O (:)1e-04-,-) LA.,.)E f11.A.c- V M(. 6 tp•sc'µf'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 CPA tFz__() " M Es..At, 7 4Ni " f—.— Si _ - i:.40,-Ste-lisz3 .P+
3rssk,•..)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/
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I RECEIVED
By Jonnoho Johnston at 1:19pm,hog 09,2021
RES021-0070l'.
BOUNDARY SURVEYp,JOB COPY "il
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SURVEYNOTES
C-1 R=25.001UONCRETFORTvECROSSINGINTORiV.
L= 9 94
ON SOUTHERLY SIDE OF LOT
NOT ARE FENCES NEAR THE 600NDARY
L1=22°46'49"D«THE PROPERTY
AA 15
SURVEYORS CER nrICATE
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5 A 1111.1 MD cantecr rs.mschrimm co ASURVEYAlkEPARWt.gAerAA VY CIPECT9)9 SURVEYING LLCA,,,,4000,4 AN AAI rotot a CATE 0 91it*k LICTA'f'4 Awatoit AN0 Aln.,EnirAluaiCT,1041::V A.
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SERVING FLORIDA04,1.1y LI,Te3 ByKennethJ., , , .
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WEST PA1338EACH EL 31407r-K_..ft_ Osborne i(wow mom(501,,i40,...a*
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S'ATEMOE P1412NE CON 2244937KENNETH,i OSBORNEmortsv)...1:UN,/r,<,, ...- '=- i'.`Wli, Oki.;&kW, ATEMOEFACSMit,C 400)r41.457,,
WESSETEh111
RECEIVED
By Toni Gindlesperger at 1:14 pm,Aug 30,2021
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $125.00
RESO21-0070 Address: 470 GARDEN LN APN: 172020 5220 $125.00
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING $75.00
BUILDING PERMIT 455-0000-322-1000 0 $75.00
TOTAL FEES PAID BY RECEIPT: R18036 $125.00
Printed: Monday, November 15, 2021 4:08 PM
Date Paid: Monday, November 15, 2021
Paid By: IVINS THOMAS J
Pay Method: CREDIT CARD 546320906
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18036