615 Atlantic Blvd ROW23-0005 Correction to Comments_3-9-23Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.City of Atlantic Beach Building Department
800 Seminole Rd,Atlantic Beach,FL 32233
Phone:(904)247-5826 Email:Building-Dept@coab.us PERMIT #:_____________________
Revision to Issued Permit OR Corrections to Comments Date:________________
Project Address:____________________________________________________________________________________
Contractor/Contact Name:____________________________________________________________________________
Contact Phone:______________________________Email:_________________________________________________
Description of Proposed Revision /Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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 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:_______________________________________________________
__________________________________________________________________________________________________
(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
X 3/7/23
ROW23-0005
615 Atlantic Blvd
Jeff Finch
(567) 377-9277 jeffrey.finch@cbvrtelecom.com
We are providing the heights of existing poles on Pine st.
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