1644 MARITIME ACC22-0006 REVISION 6-13-22 r:-.
�rRevision Request/Correction to Comments *"ALL INFORMATION
�",,, HIGHLIGHTED IN
"� City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 n�1
`�',~ V Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: l_` Z-O
❑ Revision to Issued Permit OR I2(orrections to Comments Date:-.3-0 v\e__ 13 I a 7--
Project Address: 1 b'-\"1--\ is.r 1� Sw'.. Oa.Y- -Dr
Contractor/Contact Name: rJ v'e_v\. /�
Contact Phone: °(t)4 - (a 3- 01 Z 2 Email: -e-�t�-v1(w 1-10,NJY-6-11)vS O4-&or . CQw.
Description of Proposed Revision/Corrections:
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I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• W,ill,proposed revision/corrections add additional square footage to original submittal?
L3LiVo ❑ Yes (additional s.f.to be added: )
• ...SIIIKoposed revision/corrections add additional increase in building value to original submittal?
Mho ❑*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