530 SHERRY DR POOL23-0026 Kulik Permit Revision Sheet 10-24-23E
Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us pERMiT#
Revision to Issued permit OR
Project Address:
I Corrections to Comments
Contractor/Contact Name
Contact Phone:
Description of Proposed Revision / Corrections:
affirm the revision/correction to comments is inclusive of the proposed changes.
additional square footage to original submittal?
increase in building value to original submittal?
) (Contractor must sign if increase in valuation)
(printed name)
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•Hi*.propoEE;::i(s:::(,c,:mr:,c.:i::esaas:d,na::i,:::::'vi:,cur::a;
*Signature of Contractor/Agent:
I Approved
(Office Use Only)
I Denied I Not Applicable to Department Permit Fee Due s
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Updated 10/17/18
By Toni Gindlesperger at 10:16 am, Oct 24, 2023