295 BELVEDERE ST DWAY22-0008 revision 5-25-22 Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
s'` City of Atlantic Beach Building Department
f
rGRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
°''' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:t 'A./22- -Oo0C'
I I Revision to Issued Permit OR K Corrections to Comments Date: C-2'4 - 2 2-
Project
Project Address: (9-6IC7 c-" -e )vett erc Sv • A•\-, t,rti c 15,ec� a,
t i
Contractor/Contact Name: 1)c-,nSLp.1-Jv L.C,1\-.1,c CG
Contact Phone: _`04 ' 9 le 1 - 7-22'1 Email: V\f D Q.. thknSCac) .1(^x- (.DA&
Description of Proposed Revision/ Corrections:
l}...J(en+ 11Lks h{ ,1ernovC,d d ✓yla« l A ,ne„u ,`bc,InS. Ntvo od+-s. vu.-((
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\)-e -,n T ;lb e <;644'vvK,(k Grl.d cam,A-ri ,'le Lt h.A )t.r1a C (a1� -h �• tRO - Vrd-e71
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,ro.� �. hv.vc (lei/ c�1fs ✓c.,.)U� 0-a ti-t� b. -o-`?,ho,.%
IVi' 1 do v )t a it the revision/correction to comments is inclusive of the proposed changes.
(pjinted name) J
• Mill proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f. to be added: )
• ill proposed revision/corrections add additional increase in building value to original submittal?
❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: < /l\—
- ---
(Office Use Only)
❑ Approved ❑ Denied LI 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
UUVHL L VUIV t Y J anu acceptea on rJ�i f
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SURVEYOR'S NOTES: 3Q
FENCE OWNERSHIP NOT DETERMINED. 4OT4EC
GRA
SURVEYORS CERTIFICATION: POINTS OF INTEREST:
_ V NONE VISIBLE
t
s Survey of
e
.....-3.„-.04s, Ng.N ...4,,,. described hereon cwas i made under hm lands direct
/-47t-':,\;...� U eF4' ', supervision,and to the best of my knowledge
• 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 throuch A
17(....,-------(..../ s`f -' 5J-15.053,Florida Administrative Code, n n
°` .�; pursuant to section 472.027,Florida Statutes. ®�X1'l�TY1
.f, •,;' This survey is not valid without the signature anc V Lend Su...eyo,s,LLC
Fs. STATE OF /.4.''';'. original raised seal of a Florida licensed surveyor
5, FLORIDA •
!pA . S•• and mapper,except when the electronic ,
•'.AL SUR .-•' signature and seal of a Florida licensed surveyor
and mapper is affixed hereto.
RAYMOND J.SCHAEFER 4-::.9-
_ Ronda La
Suite of Fiona Professional Surveyor end Mapper . :.ti ...
Liar.se Number 5132 ' Title-A,:
Exacta Land Surveyors,LLC I LBO 1291 _
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