314 12th St POOL23-0001 Revision request 3-14-23- _ Revision Request/Correction to Comments *'"ALL INFORMATION
HIGHLIGHTED IN
_ City of Atlantic Beach Building Department GRAY rs REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: BLlildin -Dept coab.us PERM IT#: 1~Z5`00ai
0 Revision to Issued Permit OR 0 Corrections to Comments Date: ?1 ul 1 Z�
Project Address: '-� i � l �2-- *\ �2'-
Contractor/Contact Name:
SC' vCce
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Contact Phone: L009) Z4
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I – -7
Email:
haQ 8 00 Uk f2ui
Description of Proposed Revision / Corrections:
KAMA— IM
IRWIN
I KpV2 &VA d 2�rS o r1 affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
a WiWi""ll'� proposed revision/corrections add additional square footage to original submittal?
ONNo 0 Yes (additional s.f. to be added: }
111 proposed revision/corrections add additional increase in building value to original submittal?
No 0*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 10/17/28