1852 Sea Oats RES23-0076 -FFE - Revision 5-30-23ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
IN HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Bl�lidin -Dept@COab•us PERMIT #:
0 Revision to Issued Permit OR Corrections to Comments Date:
Project Address:
Contractor/Contact Name: t�LC� YV\ cAJV
Contact Phone: CA01- cl6(� Email: r1 0JM� a-eak C -C, '
Description of Proposed Revision / Corrections:
[6s' cyc- 1( ,i C-
.syw" (�� C'owr- 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?
F INo Yes (additional s.f. to be added: )
•ill proposed revision/corrections add additional increase in building value to original submittal?
No EI*Yes (additional increase in building value: $ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent: 0-1 -� 6
(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
Reviewed By
Public Utilities
Public Safety Date
Fire Services
Updated 10/17/18
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