178 11th St RESO22-0059 REVISION 10-25-22 „t,--'1; Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
ft- s2' :..City of Atlantic Beach Building: Department GRAY IS REQUIRED. -
7'3' / 800 Seminole Rd, Atlantic Beach, FL 32233
`, Phone: (904) 247-5826 Email: Building-Dept@coab.us p- O -OOS�tl
- @ PERMIT#:.;ItGs
El ��Revision to Issued Permit OR.
I .Corrections to Comments Date:i I 0l MI adaa,
Project Address:, { I TH STt ee r- f -2ANnc e•EArfi ) FL 3u33
Contractor/Contact Name:; CLIFF - TEK C a-:-m's SUZ.f / 6 (1 's-
Contact Phone:(90411103 --;77107” Email:[ IltPO0-CI4LC77iCSGe aGUhS•CoM
Description of Proposed Revision/Corrections:
f i-IOM &,OD642 Sue, POOL DC-LK. AM-TetiFk.: ToA-00e S 6.RTez- 2.ereviioN -
ISSuC. NE I,.1r 701.0 /1s 'FAR- As sokisN(' ISSN Ti-094- tws Sc 'N
i w14S t -pa-P--4- or tR-te t owle 13uiu6Ees PLA-k6 * - WEr- i -1e- ,mor ` 70- exC9FI3
TF-UC Ff io-FIr OF -NE E EVE or -1-14" fi DUSE•
ammooN K1 N(r i affirm the revision/correction to comments is inclusive of the proposed changes:
(printed name).
• Will proposed revision/corrections add additional square footage to original submittal?
❑No 0 Yes (additional s.f.to be added: )
• Will 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: c"C,C. (•.?!/C-1 413
(Office Use Only)
L.Approved ❑ Denied 0.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