1786 SELVA MARINA DR - RESO22-0021 revision 6-1-22 **
Revision Request/Correction to Comments ALL INFORMATION
r1y� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
"a 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: F'S — 00•
❑ Revision to Issued Permit OR Lel Corrections to Comments Date: 5
Project Address: I 1$ isz Set v G Mare-
Contractor/Contact Name:
Contact Phone: 764—KcC) —515 < Email: — '-t t r�� rc,c CA Y`--
Description of Proposed Revision/Corrections:
'S)4v'er5 e•ClS��� Com✓'c
/ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed evision/corrections add additional square footage to original submittal?
❑No 2Q Yes (additional s.f.to be added: J(p • 5—
•
• Wil roposed 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
MAP SHOWING' BOUNDARY SURVEY OF
LOT 11, BLOCK 9. SELVA MARINA UNIT NO. 5, AS RECORDED IN
PLAT BOOK 30.PAGE 29 AND 29-A,OF TrTE CURRENT PUBLIC 7-
/ RECORDS OF DUVAL COUNTY,FLORIDA.
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LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS