Loading...
1291 BEACH AVE RESO21-0048 REV. 5-1-23_1Revision Request/Correction to Comments "*ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 1. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab., PERMIT#: i2ES ©21— � EIRevision to Issued Permit OR Corrections to Comments Date: Project Address: -129( J _ c� F] [vl:j Contractor/Contact Name: (� Contact Phone -7O- Email: \w "fLA�1�i�.•COt�(1 Description of Proposed Revision / Corrections: r Lj , • L: � :rte � � � •� � V 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? E]No M Yes (additional s.f. to be added: __ ) 6111/oro posed revision/corrections add additional increase in buildir)g value to original submittal? n*Yes (additional increase in building val - - ) (contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) 1J Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due $ Revision/Plan Review Comments Department Review Required: Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date Updated 10/17/18