295 BELVEDERE ST DWAY22-0008 revision 5-2-22 X11 1,,,, Revision Request/Correction to Comments *"ALL INFORMATION
HIGHLIGHTED IN
rs `l City of Atlantic Beach Building Department GRAY IS REQUIRED.
li ,: 800 Seminole Rd, Atlantic Beach, FL 32233 /�
``, 'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:�W /4'/ 22- 000?
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: 6 - Z- 2 2
5 13e) �ciea.e.i S\-- c.�1-�. , Fi— 39 33
Project Address: 1�j
Contractor/Contact Name: Vit`n St&eV `'`S t art,- L.-e'
Contact Phone: >eo +O 'aLJ a Email: k -t� �'Lhen tea'L. ( 0_Ait
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Description of Proposed Revision/Corrections:
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I 1 r IllVt I✓\ affirm the revision/correction to comments is inclusive of the proposed changes.
inted name�)9
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givill proposed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
•%proposed revision/corrections add additional increase in building value to original submittal?
o ❑*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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SURVEYOR'S NOTES: "' t5 su
FENCE OWNERSHIP NOT DETERMINED. 407.46e
-
GRAPHIC SCALE(In Feet)
• 1 inch=30'ft.
SURVEYORS CERTIFICATION: POINTS OF INTEREST:
NONE VISIBLE'
-''‘.0- P.--•- Sc. - ; hereby certify that;r.is Survey of the lards
, sE• NUyFFdescribed hereon
was made under my direct
Z, cV., BR supervision,and to the best of my
6132 , and belief is a true and accurate representation
of said lands and meets the Standards of
•
Practice set forth in Chapter SJ-15.050 through A
176.,....,—,----..' -.../ / -2cis.,--d"-----7--; 5J-15.053, Florida Administrative Code, v��—r/� L
�: .y; pursuant to section 472.027, Florida Statutes. /\ 1 t—� xactaLand Sur vo•
.-0, .`• L and Surveyors.LLC
This survey is not valid without the signature ane ao-.,,9;,,,;.;,,
'FS '1\
STATE OF ,' original raised sea!of a Florida licensed surveyor 33•64r.Gne 3ouk•ard.:actzrm.•re.
s'` FLORIDA . t- and mapper,except when the electronic
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•- U L g `rtit•`' signature and seal of a Florida licensed surveyor
RAYMOND J.SCHAEFER and mapper is a fixed hereto Rooridaj[Land A F F I LI A
,..of Florida Professional Surveyoru
Surveyor and Mer — :..�l ie Association p
License Number 5132 � � M E M B E
cxaa Land Surveyors,LLC I t.s 8291
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