888 SEMINOLE RD DWAY22-0052 REVISION 10-21-22 Revision Request/Correction to CommentsC. **ALL INFORMATION
��� HIGHLIGHTED IN
`°� City of Atlantic Beach Building Department GRAY IS REQUIRED.
'' 800 Seminole Rd, Atlantic Beach, FL 32233
``` 9%-' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: b1/4-SLI 21- CS ,
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: k0/2t J ZZ
Project Address: PBSt✓rfns,alt<
Contractor/Contact Name: SCO—tr- -->Qr La J 0 L_S
Contact Phone: 9114-21°t'02_6c Email: AwD jCOMD,t,A j(:) N..41t_.COm
Description of Proposed Revision/Corrections:
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kpp itox.ktd 341-61/4 c:/ c OM t,E w 4i Na NoT CrTCND I kilt) c 11',. ZU LA.).
I S C-13tt Nfl4 1N affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name) J
• Will posed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
ez— ❑*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
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CHY7 JOB # 15-003 I DATE OF FIELD SURVEY: 01-17-15 DATE OF ISSUE: 01-20-15 I SCALE: 1" = 30' LEGEND:
ARLES K CERTIFICATE NOTES: • -PROPERTY CORNER
McI11TTOSH 7, I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE 7.BEARINGS ARE BASED ON THE PLAT BEARING OF S 0516.00'E ALONG THE OBSTRUCTED NO EVIDENCE
AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA EASTERLY BOUNDARY LINE OF SUBJECT PARCEL. FOUND OR SET
wi BOND OF PROFESSIONAL SURVEYORS AND MAPPERS M CHAPTER SJ-17,FLORIDA 2. BY GRAPHIC PLOTTING ONLY, THE CAPTIONED LANDS UE WITHIN FLOOD ZONE X AS
ADMINISTRATIVE CODE.PURSUANT TO SECTION 472.027•F�. A STATUTES. O-CONCRETE
PRO><ES.:,ONAC SURVEYOR / �---�
SHOWN ON THE NATIONAL FLOOD4INSURANCE MAP DATED JUNE 3,2013,COMMUNITY
&MAPPER 4--5502 e `fel/j /Jl NUMBER 120075, PANEL 0409 H —X— FENCE-
3. THIS SURVEY REFLECTS ALL EASEMENTS&RIGHTS OF WAY AS PER RECORDED PLAT UNLESS R - RADIUS
1692 Covtncron LAneOF OTHERWISE STATED, NO OTHER THIP VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.
o-,NCI PARK FL 32003 CHARLES K.McINTOSH 4. THIS SURVEY IS NOT VAUD WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE L LENGTH
IP.one)904-524-3411CERTIFYING SURVEYOR.
REGISTERED SURVEYOR AND MAPPER#5502 STATE OF FLORIDA