163 BELVEDERE ST RES21-0345 -Revision Cover Sheet 3-21-23_1-1 Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
'"3'9r Phone: (904) 247-5826 Email: Buildin -Dept coab.us
❑ Revision to Issued Permit OR El Corrections to Comments
Project Address: 163 Belvedere Street, Atlantic Beach, FL 32233
Contractor/Contact Name: American Classic Homes, LLC
Contact Phone: (904) 351-0308
Description of Proposed Revision / Corrections:
Email: permit@achllc.net
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #: RES -21-0345
Date: 03/17/2023
Attached updated PAIS with Installation Instructions and Evaluation Reports for Siding and Soffits
American Classic Homes, LLC 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: )
�
■ ill proposed revision/corrections add additional increase in building value to original submittal?
No Q*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 Comme
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18