122 S OCEANWALK DR RESO24-0009 REVISION 3-22-24 Revision Request/Correction to Comments **ALL INFORMATION
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"� City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233
�""'/ Phone: (904) 247-5826 Email: Building-Dept@coab.us ` �
P-Dep@coab.us PERMI T#. �i°5� �U (7 q
❑ Revision to Issued Permit OR K Corrections to Comments Date:
Project Address: 12 2 dCt A/41000L K Dc. S'
Contractor/Contact Name: S0&itA'r,•i/ 1-
Contact Phone: �/ Y 3 0 - Y7 V 7 Email: 7d' / /7 i/i7G//C' 0
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Description of Proposed Revision/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 increas:;in buil',ing value to original submittal?
Ni,i4Clo ❑*Yes (additional increase in building..vO e: ) (Contractor must sign if increase in valuation)
*Signature of Contractor/A nt:
(Office Use Oniy)
❑ 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