320 10th StPOOL19-0039 Revision JOB COPYo
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Revision Request/Correction to Comments "HIGHLI HIGHLIGHTED
ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 y//�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMITII: 4 Oo L. 19
<Re sion to Issued Permit OR / El �(
Corrections to Comments Date: /,) -3 '
Project Address: f J Z
�7=o f�` ST// Z .71- 44
7 f9 1E/L
Contractor/Contact Name:
Contact Phone:X13 -es 60 Email:
Description of Proposed Revision/Corrections:
Ou 27 1
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 ❑ Yes(additional s.f.to be added: )
• roposed revision/corrections add additional increase in building value to original submittal?
W ❑-Yes(additional increase in building value:$ / l lcomaaor min sign it increase m•awaownl
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*Signature of Contractor/Agent
� (Office Use Only)
'Approved 11 Denied ❑ Not Applicable to Department Permit Fee DuSQ•Ot�
Revision/Plan Review Comments
Department Review Required:
uildin
lanning&Zoning Reviewed By
Tree Administrator
-CTiublic Works �1
PubPubl s' le - V '19
Public Safety Date
Fire Services Updo 10/17/18