920 SAILFISH DR RESO23-0110 REVISION 11-28-23 ''I: „� Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
r '' City of Atlantic Beach Building Department GRAY IS REQUIRED.
r 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:'RESO23 .0 I I V
Revision to Issued Permit OR ❑ Corrections to Comments Date: // /20Z 3
Project Address: I20 SA Dg_ /a-TLMJTIC 6E ct2( FC_ 322-3�j
Contractor/Contact Name: L ISA 5-i-G.\/GN5
Contact Phone: .60 glp I 3125 Email: LAPS1tVei\-1S & a- _ C 0 ,
Description of Proposed Revision/Corrections:
op 3 p L 5 y>Jroci1c -1L) e-650vAccs /-tam AGF.►) AP-P2OV 6L
,W 2 v S g IN IN Pi ► o,_ yAeD 1t/ PPP4o /A( - 61-/ 2 Ei Eic _ .
Pgekliou3 (N S iiosc_t,_ vv/k, coot P L Gui (.-(../f}44 toa L6
L-)5A STEN-1 S affirm the revision/correction to comments is inclusive of the proposed changes.
(Printed name)
• W' I proposed revision/corrections add additional square footage to original submittal?
o ❑ Yes(additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
10No ❑*yes(additional increase in building value: $ )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: ((Ca
(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