1291 BEACH AVE RESO21-0048 REVISION 2-16-23_1Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Buildin -Det cr
Revision to Issued Permit OR Corrections to Comments
Project Address: 1 �--14 1 – ( � � �� AcAk Ai t✓ -
Contractor/Contact Name: �T�1p11� �6r
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT#:
Date: 1�2-1 t-i'a� J
Contact Phone: —9014-70--,z,-7-77 ? Email: R�'C4-\ C-)
DescriptionI`nnof Proposed Revision / Corrections:
A/a) CX9F 6 Vr,-(J GAIZIN G -r-- �CM�
I �(CKA RJ –7–RF–NZtt– 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 F1, Yes (additional s.f. to be added: )
e.2411 proposed revision/corrections add additional increase in building value to original submittal?
No M*Yes (additional increase in building value: $ , j =:zz ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved Denied ❑ Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Permit Fee Due $
Reviewed By
Date
Updated 10/17/18