85 W 2nd St RES24-0009 revision 3-12-24 .s,y1,, Revision Request/Correction to Comments **ALL INFORMATION
# 3.,- i" HIGHLIGHTED IN
' City of Atlantic Beach Building Department GRAY IS REQUIRED.
T.5 z1 800 Seminole Rd, Atlantic Beach, FL 32233 �/
tun 9''' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: REZ`C -0005
,7Revision to Issued Permit OR ❑ Corrections to Comments Date: 1/2/Z4--/
Project Address: �.� I4" i 2./t/CI cr' A /?,
Contractor/Contact Name: fil,) IA04 ii.. /v,/j /4>&I/Z-3
Contact Phone: 94L/_�J iC?Q3 Email: —7.--T,m,ray` i, /1(44 ) �C�af J,(gym
Description of Proposed Revision/Corrections:
tam — A li, V oN
4, 41140 „ A_ , 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?
No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
L Approved — Denied I 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