665 SAILFISH DR RESO24-0013 revision 2-26-24 Revision Request/Correction to Comments **ALL INFORMATION
rt""�'`' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
.. (1 S a LI -00 i3
Phone: (904) 247-5826 Email: PERMIT#: t`e O
51 Revision to Issued Permit OR ❑ Corrections to Comments Date: O (3 l L L
Project Address: (S `SC\i f 1 S C Q., kQ\3
Contractor/Contact Name: 1 , C\I (._e___ \ 0 L i�
Contact Phone: dI` � ���' �L) Email: bc\iLe_bs-oli)(1lA,y O 0, i I, C Opn
Description of Proposed Revision/Corrections:
Li\0 A,k� C:-CAMIA) A.r(illrIt )
V c`} `.C, SS'iinlilY 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?
VNo ❑ Yes (additional s.f. to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
F_XNo ❑*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
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