1225 HIBISCUS ST DWAY23-0039 REVISION 9-6-23 Revision Request/Correction to Comments **ALL INFORMATION
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
51
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: C UAL(Z•J "c3 1
❑ Revision to Issued Permit OR IA"Corrections to Comments Date: tX--- <'-3
Project Address: /r.v? S ////g/ SC 4'. c
Contractor/Contact Name: ,F17'°7*5Ce--, ', ./ S
Contact Phone&42
73 �- 6 /k,F Email:
Description of Proposed Revision/Corrections: 4s
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I STEV,6 0S/3 D affirm the revision correction to comments is inclusive of the proposed changes.
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(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
Vo ❑*Yes (additional increase in building v. ue: $ _ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/A:-. ./- _ ,/�O___Ar___Ar:"..2.,49___46,
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
RECEIVED
By vangers at 12:15 pm.Aug 14.202
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