314 12TH ST POOL23-0001 - revision request 5-19-23"ALL INFORMATION
IfE. Revision Request/Correction to Comments HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
+ 800 Seminole Rd, Atlantic Beach, FL 32233
OR Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: V--23-A0O4
MRevision to Issued Permit OR El Corrections to Comments Date: 15-17 'Z4
Project Address: 221 q ICY" 6A
Contractor/Contact Name: A 2Yt d fL t ?0 DO Sel\fC(ej d w on
Contact Phone: (0011) Zy l — 7 (D � Email: 6080001 �uyx"C 0n0kA a 111"
Description of Proposed Revision / Corrections:
R,
I?,p,¢j V�e,Rd 2b(;on 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?
o Yes (additional s.f. to be added: )
• ill proposed revision/corrections add additional increase in building value to original submittal?
No ; E*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
Revision/Plan Review Comme
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