386 2nd sT RESA22-0017 REVISION 3-1-23 Revision Request/Correction to Comments **ALL INFORMATION
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1--��� HIGHLIGHTED IN
r " City of Atlantic Beach Building Department GRAY IS REQUIRED.
'' f 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: s z z -bc'( r)
revision to Issued Permit OR ❑ Corrections to Comments Date: Z ' Z tl Z 3
Project Address: eb(O ,Z '
Contractor/Contact Name: M i Gie+ (,, qV+,ID- - tat-7-
Contact Phone: 9(A,3.154-- -(v7'-4-1 Email: ),A)Cit(4kLM0/14C-(6-6ekin ML. c01
Description of Proposed Revision/Corrections:
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1141 U-/AttL, aU(`4(`& affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will posed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• Will osed revision/corrections add additional increase in building value to original submittal?
L�SNo ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: 71w --------- _
(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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FIS' ••'• ROOF REVISION Christopher ) Sabourin PE
S/ONA1-E�,,0% FL PE#71461
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PROJECT
= CA#32529 386 2ND ST.
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0 BEACH, 0 JOB NO. FIELD SKETCH No.
904 712 5750 21-0492
ENGINEERING CHRIS@SABOENG.COM __ 4
02.22.23