51 BEACH RES19-0058 revision 6-29-22 Revision Request/Correction to Comments **ALL INFORMATION
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"'' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
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`"`�� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:\ J�— S L �' " Db.c
LJ Revision to Issued Permit OR Corrections to Comments Date: L� ' ! ' q
Project Address: <r ..4t..74-Ci/ 17 UL\
Contractor/Contact Name: A Ai 6 Z-z) Vz L `1 e at4 LJ�- /-0 U
1773
Contact Phone: 9?) V " V5 ' `? � .) Email: G 01/JC�e_____Aa/G& C.-(2O "P , C 6 ni
Description of Proposed Revision/Corrections:
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IC11al' S/-f Doe affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Willosed revision/corrections add additional square footage to original submittal?
lANo ❑ Yes (additional s.f. to be added: )
• Will wed revision/corrections add additional increase in building value to original submittal?
L�No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:' ` c
(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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PE# 53311
06.23.22
PROTECT Sl BEACH AVENUE
g n ' Lou Pontigo and
L Il Associates , Inc , CLIENT THEANGELOGROUP
A 4745 Sutton Park Ct.,Suite 204
Jacksonville,Florida 32224 loo NO. SHTNO
Ph.(904)242-0908 RSO R-19-00392 . .
—r -- - I FL:CA#8344 SC:CA#3579 DATE 06.23.22
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