1852 SEA OATS DR RES23-0076 revision 9-15-23_1_1Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
w 4 r 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Quilding.-Dept coa .us PERM IT#:����� pcol6
ED Revision to Issued Permit OR Ej Corrections to Comments Date:
Project Address: I � S��) C�C"Ts 10 (-
Contractor/Contact
Contractor/Contact Name: `r", QSCCj,
Contact Phone: Email: �r1 C� i�V� i @�AV�U, i `�s�� •��
Description of Proposed Revision / Corrections:
I Q lY kS, C'r\ m c, 'f\ 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?
1ZNo E] Yes (additional s.f. to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
}No 0*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contra ctor/Agent:����"
Approved ❑ Denied
Revision/Plan Review Commen
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
(Office Use Only)
❑ Not Applicable to Department Permit Fee Due $
Reviewed By
Date
Updated 10/17/18