1732 SEA OATS RES22-0258 revision 9-26-22 Revision Request/Correction to Comments **ALL INFORMATION
��'; HIGHLIGHTED IN
\ City of Atlantic Beach Building Department GRAY IS REQUIRED.
7 800 Seminole Rd, Atlantic Beach, FL 32233
'
' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1 \ S22-0Z S e
LYJ Revision to Issued Permit OR n Corrections to Comments Date: '
Project Address: I n7.- -._..A• Os
•
Contractor/Contact Name: LAAAetrktOtir IRsjlid",1 4761i( COrt --11/W, (ir
Contact Phone: 14014--1S-- X73 Email: lies/ t%owL c•o•c)--)
Descript'on o� osed Revision/Corrections:
�.t-- :>/ - A - AtA - . C2 .LILi ,,i_I 4IIP -'. -1-1
forl
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Wil roposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• Wiloposed revision/corrections add additio a increase in building value to original submittal?
Vfio ❑*Yes (additional increase in build ng 11.1 e: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent !�'LA ._. / ,A
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