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685 AMBERJACK DWAY22-0061 revision 1-5-23 Revision Request/Correction to Comments *'ALL INFORMATION HIGHLIGHTED IN IS REQUIRED. City of Atlantic Beach Building Department G Vfflv800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ADLo �' 2� COG, I ❑ Revision to Issued Permit OR Corrections to Comments D4 U\ 20 2-3 Project Address: Ccc(-c_50c 1c Contractor/Contact Name: Q0. -.)e<i' S C Q_.( Contact Phone: (*)46) — 1(_0(1Q Email: S2©— \ 7 2-~ �fok Description of Proposed Revision/Corrections: Ize0‘..3t 6 s\ Qoa.\ c- ccm cnen-S 1 eoy \- \\ affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed vision/corrections add additional square footage to original submittal? ❑No 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 buildin e:$ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: C9,17-E-3E (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 /�/ -U II �,f: , L V t_/ W/ C �1' L YAir� ,ti K . „1 li,r✓;r I Mthe Current 1'u1;1 is 5 , ,>,sshow" `hcPlatu ut b , BIULU , yn�;us bU anc1160A u1 �1at guuk cker Bros .:loricla. L. Kaj,1-To For : l'.uy I t,.I r 0 -.1 '' . : - 4-0 ,--- a \ \ . �// r I i y,,,, -<,, t. �� .I �e Ad IQ h �` • , . \ T - Q _ 4 \ \L • P° •q. y;or� : \ o ti _ rte* o� '�*� kki y • ' \ \ t 'Cpm lt1 W �_ N 44 a \ 1 41 ex V 3 ec. 1. SOO \......3 Si' ° --11-47 ---- -x y 82• .`VA e T 1 O L Q \ . PAVERSCAPE PROS www.paverscapepros.com I Gary Rogers n (904) 888-7663 I paverscapepros@gmail.com 'i?Dl'OSAL tt: .. , ,. Customer: 1 'k A , / ' Address: `.vc:'::J A 4 i( �t:.i' , j i <---k. , 'ver scape Phone#: Y-4- 2.69 "/r. 72 A%7 • 6e/-E X922 E-mail: .. ( _ 'y L. !-t A LL. (T iv a' n h•,4 ,(,. ,:'1).,,:i "i Area below for additional description and/or drawings for HOA/Client Approval: t ' F , H ;-t-? I i i I } N f : __:_ . _ l 1tji- Mil [ 1--r . t i i 1 i. l ? i f /t / , li �. I. ��1 : Q.l rri f f , i i / / 1 MRS INN H• III. 1 .4 . 1 / ': •! ' , r, , 1 1 i i , u Description: �^ (:: (—)f=a(,t1 11.I (f Color: O ,` ,1-(e,)IG Cr: All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: cif__ 1,W ,1-. -, Dollars($ I(.2 G'/ij C/D )with payments to be made as follows 4 e r' 50%DEPOS -), -i 3 50% DUE UPON COMPLETION$ )4 IT$ liO. • 4/:,:1 ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made as outline above: Company Rep.Signature: r— / 1,,,,____)/ ‘1 .•l/e.--- (1 i Date: 7/2. (/ , Home Owner Signature: r / 1