972 Ocean Blvd ACC23-0011 Revision Request 9-5-23_1Revision Request/Correction to Comments ALL INFORMATION
s HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.is,
800 Seminole Rd, Atlantic Beach, FL 32233
qc9,'
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:AL«J-)//
Revision to Issued Permit OR Corrections to Comments Date:
Project Address: 970/- C7Gcip,, Q lv J.
Contractor/Contact Name: go+ v- 13,4 140r s c>1 NJ-, ctcv-,v;I le C - / )y l "`vt ' 1 i
Contact Phone: b 5 0 )
Ay614-1-, V)(J-
11
Description of Proposed Revision/Corrections:
Ke c
d- r y p,tr..P. r 044 ty-N d 5 4. r I y\.,J DOC), RWei/r 4,-y w 11 d- 5-11,,,c,,,.
I /_y/e.. TU fr-,.s,'// affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
vyyt proposed revision/corrections add additional square footage to original submittal?
QNo Yes (additional s.f.to be added:
A3.1 proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent: J.t,f t/'
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