295 BELVEDERE ST DWAY22-0034 REVISION 6-10-22 e 1,1r
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ?Ai02^
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: —/2—..Z
Project Address: (9� 7CJ�%/ ' Ji tl- 57-
Contractor/Contact Name: 7*/e ( ?tivetr /1/f-L „r/ ? ,,,(4
Contact Phone: `7 9 5'—,,/9— vc 6. Email:J /r fc 4B T?op R I'p fv? cJ A/ef t. GO'`----
Description of Proposed Revision/Corrections:
/ MOS %A��) df c " f y r1 2--6, l- my
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will propos:. revision/corrections add additional square fgotage to original submittal?
❑No 'Ed -s (additional s.f.to be added: .07-) Q 1� )
• Will propose revision/corrections add additional increase in buildin value to original submittal?
❑No Yes (additional increase in building value: /.6. e, ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: l�
(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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F—‘.,/,v SURVEYOR'S NOTES: 30
e FENCE OWNERSHIP NOT DETERMINED. Cot
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GRAPHIC
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SURVEYORS CERTIFICATION: POINTS OF INTEREST:
NONE VISIBLE
-F`VvD-I. .s-.-,.. I hereby certify that:his Survey of the lards
`- SC IV(,k'$',F,
�cps' described hereon was made under my direct
p\ supervision,and to the best cf my knowledge
6132 and belief is a true and accurate representation
of said lands and meets the Standards of
Practice set forth in Chapter 5J-15.050 through
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""" '(� xC 'y '" ' ^`' 5J-15.053, Florida Administrative Code, EXACTA
_t: pursuant to section 472.027, Florida Statutes.
c This survey is not valid without the signature and V Lend Swtirro.S LLC
Fs STATE OF fir' original raised seal of a Flonda licensed surveyor
.s , FLORIDA
i� • and mapper,except when the electronic
NA1. .I.TRC •0 signature and seal of a Flonda licensed surveyor
RAYMOND J. SCHAEFER and mapper is a`fixed hereto. � �� Florida Land
Store or rwnde roendProlessroi surveyor& Mapper — - ..Title Associ
License Number 6.132 ■■
Exacta Land surveyors,LLC!LBS 3291 ---F L-TA -
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