386 2nd St RESA22-0017 revision 9-22-22 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
P' `f City of Atlantic Beach Building Department GRAY IS REQUIRED.
911111,-� 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: GS(k z Z VX( (
❑ Revision to Issued Permit OR LTJ Corrections to Comments Date:
Project Address: 3 q' 207
Contractor/Contact Name: IAL CL PlAh ' — 4(0 6-6:2a
Contact Phone: IDA- ,3oL; (,74f Email: (✓ 11/44Q1vPhNC1 -Ce 6AA7L,Coh
Description of Proposed Revision/Corrections:
R-6-I/I 5 PA s 17611W-kr4t Pi-4-1 3kO0l'ri/ < 2-6b 5F /‘l�T(LtP -k UI 0,A A- v 071P14
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I PI kR IA 'Nki affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• W.('proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• W. proposed revision/corrections add additional increase in building value to original submittal?
No ❑*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 27, FLOYD AND CAMPS REPLAT, AS RECORDED IN PLAT BDOK 22.
PAGE 80, OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED TO:
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LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS