780 ORCHID ST FNC24-0017 REV. 2-21-24 s==isir; Revision Request/Correction to Comments *`ALL INFORMATION
` HIGHLIGHTED IN
s City of Atlantic Beach Building Department GRAY IS REQUIRED.
ugly 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: /�/C.o�7 U /
`x Revision to Issued Permit OR El Corrections to Comments Date: -2(5 -,V7
Project Address: 70 �7/) S7•
Contractor/Contact Name: xijok 1/ ,4i//),fie(i./
Contact Phone: s',V 3-06c* Email: /(/ CioT/U 5-7/@gifop�
Description of Proposed
PropossedRevvision/Corrections:
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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?
ONo ❑*Yes(additional increase in building value: $ )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied C 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
MAP SHOWING SURVEY OF
LOCK 155, ATLANTIC BEACH SECTION "H" , AS RECORDED DEINORIDAPLAT.BOOK 18 , PAGES
4, OF THE CURRENT PUBLIC RECORDS
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