1551 OCEAN BLVD -REVISION 12-17-18 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#:
0 Revision to Issued Permit OR ❑Corrections to Comments Date: d-
Project
Address: LU
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Contractor/Contac Nam 47
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Contact Phone: Email:
Description of Proposed Revision/Corrections:
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2-OS
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• WKNoM-
osed revision/corrections add additional square footage to original submittal?
Yes (additional s.f.to be added: )
• proposed revision/corrections add additional increase in building value to original submittal?
&N o *Yes (additional increase in building value:$ )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
V Approved ❑ Denied ❑ Not Applicable to Department Permit Fee D e$ 6 0
Revision/Plan Review Comments nI Lac-1 plz -VvI L co .pV irJ� S
D!p9LtmeW Review Required:
anning&Zoning eviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services SCANNED
CAA/p QED Updated 10/17/18
Date: 7