760 Redfin Dr ACC22-0022 Guest House REVISION 5-25-22_1Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
••ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
D Revision to Issued Permit OR Corrections to Comments Date: 'i /t 'f [-J,,jfi'p'l;
Project Address: 160 /Zed/;"' Ur ive /\f-(an./--ic., 8ev,d, F1,,,
Contractor/Contact Name: Bo l)t,1-{(;e, U}t,-111 W)
Contact Phone: 3~/ -'2,.Z,'( -~6</Z,,
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(:jp~d OtA //;e affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• ~II proposed revision/corrections add additional square footage to original submittal?
J)(J No D Yes (additional s.f. to be added: ___________ _,
• ~II proposed revision~~orrec~ions ad~ add'.ti~nal increase in building value to original submittal?
>K)No D*Yes (add1t1onal increase in building value:$ ________ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _____________________ _
(Office Use Only)
D Approved D Denied D Not Applicable to Department Pennit Fee Due$. _____ _
Revision/Plan Review Comments, ____________________________ _
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18
I
ACC22-0022
By Toni Gindlesperger at 4:09 pm, May 25, 2022
By Mike Jones at 1:23 pm, Jun 09, 2022
50.00