2216 ALICIA LN RES23-0227 REVISION 10-23-23_11,E,, 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
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 5. -3-e)zz r
Revision to Issued Permit OR titE Corrections to Comments Date: 6CII1 b ec Z3.
Project Address: 22..lk /4/Pci i--,..c4,-
Contractor/Contact Name: LU/fI/4i" 043210
Contact Phone: Jlt 24/
f'- 90TV Email: 6C./5"-esk a kAstioc cor c 4s7— A,..277—
Description QTDescriptionofProposedRevision/Corrections:
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I 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?
No Yes(additional s.f.to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
0 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 Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18