631 BEACH AVE REV RESA18-0033 "ALL INFORMATION
Revision Request/Correction to Comments
e" HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
ri 9 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Yqf�sj) i ?-.co33
Revision to Issued Permit OR Corrections to Comments Date:
Project Address: �3 Bs,��x A Ve,
Contractor/Contact Name: Arc- No WS
Contact Phone: �0 4- _75 5_1 9 Email: rc S 0 lv�z S'l 'CL-F-1'H
FEB 2 0 2019
Description of Proposed Revision/Corrections:
ciix t' Lr3gC.Q0e_
I 9(ax (odllayv3 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?
�K No 11 Yes(additional s.f.to be added:
• W' I proposed revision/corrections add additional increase in ilding value to original submittal?
RN o El*Yes(additional increase in building valu - $ (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
/)V
(Office Use Only)
VApproved El Denied El Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments -?14fv5 —too ��qc_ -(p r- krAc.A c.
D!R
—artment Review Required:
Reviewed By
Tree Administrator
u Mic a ety Date
Fire Services Updated 10/17118
Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
9'
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: co;? b cz�
F-1 Revision to Issued Permit OR Corrections to Comments Date-2—
Project Address:
Contractor/Contact Name:
Contact Phone:— -15,1 — —Email:—
Description of Proposed Revision Corrections:
f4of-__ q- (0-b<��
tj b-'J A-L_
L-) affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
0 11 proposed revision/corrections add additional square footage to original submittal?
No El Yes(additional s.f.to be added:
9 Will proposed revision/corrections add additional increase in building value to original submittal?
0 []*Yes(additional increase in building value:$ (Contractor must sign if increase in valuation)
*Signature of Contractor/Agen;���
(Office Use Only)
)KApproved 11 Denied El Not Applicable to Department Permit Fee Due 0
J_ -- (i 0::
Revision/Plan Review Comments e&44rd— pv:!�, ye, la i1i r,_at -1
Depaaraerit Review Required:
L j�hevievvecl By
Tree Administrator
Public Utilities V!z 1.2 01
Public Safety Date
Fire Services Updated 10/17118
"ALL INFORMATION
Revision Request/Correction to Comments
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: !�L-SA ! LcI033
Revision to Issued Permit OR F-1 Corrections to Comments Date:
Project Address: A-3
Contractor/Contact Name: \1 i�f Arc NO Nx--s
1' 75 S
Contact Phone: Email:
FEB 2 0 2019
Description of Proposed Revision Corrections:
I 6h 0 Go k,t�Acy,
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• VVill proposed revision/corrections add additional square footage to original submittal?
KNo 11 Yes(additional s.f.to be added:
• W' I proposed revision/corrections add additional increase in ilding value to original submittal?
RN o EI*Yes(additional increase in building valu -$ (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
1�4pproved El Denied El Not Applicable to Department Permit Fee Due$
" I.
Revision/Plan Review Comments 14.0-4 7*&VA O&IC
Ila W/
Y — –V
139ALtalent Review Required:
—CB 00L
RevieweUi
4 Tr e Admirdstrato
p
M ECEIVE
Pub ic Utilities FEB 2 2 2019
Public Safety Date(
Fire Services Updated 10/17118
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#: RGS P, b 0:�3
0 Revision to Issued Permit OR F-1 Corrections to Comments Date-2-
Project Address:
Contractor/Contact Name:
-1 qiig
Contact Phone: Email:
Description of Proposed Revision Corrections:
-T OG 3
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
0 11 proposed revision/corrections add additional square footage to original submittal?
No El Yes(additional s.f.to be added:
* Will proposed revision/corrections add additional increase in building value to original submittal?
Y�o E1*Yes(additional increase in building value: (contractor must sign if increase in valuation)
*Signature of Contractor/Agen;���
/tOffice Use Only)
11 Approved El Denied F/Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments NA5--�to �Wqk +b Losw-�Ae'
Depavtrapant Review Required:
17Ry&"
Tree Administrator
irks
,-�Pu b 11ii c 7Wo r k
Public Utilities
Public Safety MAR U 1 2019 Dilte
Fire Services Updated 10/17118
BY.
"ALL INFORMATION
Revision Request/Correction to Comments HIGHLIGHTED IN
S s
I AY IS REQUIRED.
City of Atlantic Beach Building Department GP
800 Seminole Rd, Atlantic Beach, FL 32233
-foil Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Reswco�:) — bozx.:
El Revision to Issued Permit OR El Corrections to Comments Date-2—
Project Address:
Contractor/Contact Name:
Contact Phone:— —15-1 — q Email:
Description of Proposed Revision Corrections:
Lk ,
W)_T� '�_e rJ 6,J AL, 6E�2i:�d _T E. - 0 OG 3
F)" ID) �L-)��5 affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
11 proposed revision/corrections add additional square footage to original submittal?
No 11 Yes(additional s.f.to be added:
9 Will proposed revision/corrections add additional increase in building value to original submittal?
MINCI E1*Yes(additional increase in building value:$ (Contractor must sign if increase in valuation)
*Signature of Contractor/Ageln :�����......
(Office Use Only)
/��Approvecl El Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
D uv4raep�Review Required:
'00� Reviewed By
C C-11-
Tree Administrator
Public Utilities
Public Safety Date
Fire Services Updated 10/17118
OFFICE COPY
-----------------------
EXHIBIT A: LETTER OF AUTHORIZATION
Cill of Affamic Ileac,
V
community Development Department
800 Seminole Road Atlantic Beach,FL 32233 FOR INTERML OFFIcE uSE
.-Will (P)904-247-5800
PERMIT
OWNER INFORMATION
NAME PHONE
ADDRESS ko
CITY CELL
STATE ZIPCODE
AGENT INFORMATION
NAME
PHONE#
ADDRESS -----------
CELL#
CITY
STATE ZIP CODE I
P&10 jW is hereby authorized to act on behalf of
the owner(s)of those lands described
&i'
I in the attach pnI ti
n the attached application and as described in the attached deed or other such Proof of ownership as may be required
in applying to the City of Atlantic Beach,Florida,for an application related to a Tree and Vegetation Removal Permit,
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
S1 XURE IF OW PRI OR L IApimr-
DA
W)
SIGNATURE OF OWN'ERR#2
—111011�TY E DATJ�11
Signed and sworn before me on this day of —
01 PEI,
�2-01 by Stateof Elov)cli-
----------- County of Duva I
Identification verified:
Oath Sworn:
13 Yes No
ANN TABOR
NOTARY pUBUC
An bor
STATE OF FLORIDA10tary Signature
WConwrilli FFIS6353
E)Ores 4/1/2019 MY Commission expires
02 TREEREMOVAL-EXHIBITA:Letter ofAuthorization 03-01.2018
Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
T)
800 Seminole Rd, Atlantic Beach, FL 32233
Q'a 9' ?-co33
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
Revision to Issued Permit OR Corrections to Comments Date:
Project Address: �3 &A�, Ve.
Contractor/Contact Name: Arc 0 W--!� �-A
Contact Phone:3 0 4- 75 S Email:
FEB 2 0 2019 1 J
Description of Proposed Revision Corrections:
"9 C,Q Pe- fl,-V\ i's,L S . Fey%cf- I r-o Ly-iAAcA�s
I 9ex �JJAIAW-3 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?
�Q No El Yes(additional s.f.to be added:
• W' I proposed revision/corrections add additional increase in ilding value to original submittal?
RN o El*Yes(additional increase in building valu (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:;77
(Office Use Only)
El Approved /2'-Denied El Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments Eeen '-'e He-i:rinf -s
D!p_artn3ent Review Required:
nning&Zonin Reviewed By
t . . . 13
Tree Administrator
Public Safety Date
Fire Services Updated 10/17118