631 AMBERJACK LN RES23-0181 Revision to Permit 10-13-23_1Yf{l f:k Revision Request/Correction to Comments '"ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
7 ' Phone: (904) 247-5826 Ema1l:.Building-Dept@coab.us PERMIT#: RES23-0181
0 Revision to Issued Permit OR ❑ Corrections to Comments Date: 10/13/2023
Project Address: 839 Ambedack Lane
Contractor/Contact Name: Beaches Habitat for Humanity / Josh Jared
Contact Phone: (904} 334-'(201
Description of Proposed Revision / Corrections:
Email: construction@beacheshabitat.org
After exposing wall, found termite infested lumber. Revision is to tear out and replace the termite infested lumber.
(Beaches Habitat for Humanity I Josh Jared 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?
MNo ❑ Yes (additional s.f. to be added: )
• ill 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:`,
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18