1719 BEACH AVE REVISION Yt � Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
i City of Atlantic Beach Building Department GRAY IS REQUIRED.
n
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:Fl Ce 1$-
LTJ Revision to Issued Permit OR ❑ Corrections to Comments Date: f
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Project Address:
Contractor/Contact Name: 6QCA&)-&n1 vl
Contact Phone: -;21 '7 - SO t-{ Email: L-c_ M c )P)tJ- , j ATT, td 67
Description of Proposed Revision/Corrections:
h/4 0. C —7-6 1230 SPG LAJ BVI �4 b v�`t ►9 n7 6> ('�����4�
�dbnJ�21� C' MCI�Ub N claffirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
❑No LIL es (additional s.f.to be added: L , )
•
Will roposed revision/corrections add additional increase in building value to original submittal?
C�No El*Yes (additional increase in building value:$ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
proved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Buildig.—
`
�anning&Zoning 0 0 Reviewed By
Tree Adm' ' trator
ublic Works S)
ublic Safeti �/ Date
Fire Services l Q ( /\ Updated 10/17/18
�� 410
Revision Request/Correction tQ Comments **ALL INFORMATION
HIGHLIGHTED IN
-- I'.,
City of Atlantic Beach Building Depalf ffierit GRAY IS REQUIRED.
OU
800 Seminole Rd, Atlantic Beach, E ,.3� 11 219
Phone: (904) 247-5826 Email: Buil -Det(@coab.0 PERMITM F1 QQ -
BY:
2 Revision to Issued Permit OR ❑ Corrections to Comments Date:
17 M
Project Address: W e/,
Contractor/Contact Name:6QCA,4J4rJ L-C iVcJ� ;MSA s\S�r.1 t
Contact Phone: 1C1 - 300 t{ Email: (_L (Y1 C 1AtJ,6-aIq7- , A-)6T
Description of Proposed Revision/Corrections:
I �c�bnt Qx2 l� Ct_ M(-A+ j-C 4J `-f affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposedrgvision/corrections add additional square footage to original submittal?
❑No IL es (additional s.f.to be added: I L
• Willproposed revision/corrections add additional increase in building value to original submittal?
PNo ❑*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 _/ 444 z
40 2 'C IV x
Department Review Required:
Buildito-fwr-
n F
anning&Zoning (;� Reviewe By
Tree Administrator lJ _
ublic Worksop
p�
'Jbli .i
e T,
c Date
Fire ServiceslQVIs � � 9� Updated 10/17/18
5�