1525 BEACH AVE RES23-0148 DaveyPermitRevision 9-13-23_1Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
s' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: (SEs 23-0148
EDRevision to Issued Permit OR ® Corrections to Comments Date: 13 23
Project Address: 52S vc� ¢R F� �u�c-�'`} 51- 32A33
Contractor/Contact Name:RSSt,I( C,-,S{aM TJ1L
Contact Phone: qQ� 241 Email: &6.14 [d decaA+'�s5c.(t40AS4-,-..4,4-ton, r-os+i
Description of Proposed Revision / Corrections:
well-$
(printed name)
470
affirm the revision/correction to comments is inclusive of the proposed changes.
• Will proposed revision/corrections add additional square footage to original submittal?
E]No M Yes (additional s.f. to be added: )
•ill proposed revision/corrections add additional increase in building value to original submittal?
nNo ®*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 Permit Fee Due $
Revision/Plan Review Commen
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18