1595 LINKSIDE DR RES23-0105 REVISION 6-29-23_1+ _
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RESIDENTIAL PERMIT Pmr�
ERMIT NUMBER
CITY OF ATLANTIC BEACH RES23-0105
ISSUED: 5I23l2023
SOD StiMINOLE ROAD 1ExpIRES: 11/19/2023
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Revision Request/Correction tO Comments
City of Atlantic Beach Building Department
800 Sem'lnole Rd., Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building -Deni
Revision to Issued Permit
Project Address :
it
Contractor/Contact ire:
Contact Phone:
Description of Proposed Revision Corrections,
4
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Corrections to Comments
Email:
"ALL INFORMATION
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HIGHLIGHTED IN
GRAY 15 REQUIRED.
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Date;
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t affirm the revision/correction to comments is inclusive of the proposed changes.
1111 {printed name}
IN Will roposed revisi�on/correctior�s add additional square footage to original submittal?
0�'Nv Q Yes (additional s.f. to be added: �
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Willoposed revision/corrections add additional increase in building value to original submittal?
❑*Yes(additionalincrease in building value:$ (contractor must sign if increase in vaivatton)
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*Signature of Contractor/Agent:
(Office Use Only)
Q Approved Denied Not Applicable to Department Permit dee Due $
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safely
Fire Services
Reviewed By
Date
fJpdoted 10/I7118
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