1638 Maritime Oak Dr RES18-0185 Revision 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#:
L!Q Revision to Issued Permit OR ❑ Corrections to Comments Date: 9130M
Project Address: (a ,3 D 10 ar-4)ime rA-V� `C�.r
Contractor/Contact Name: (,0 BV-041►e.-S
Contact Phone:_-432-RID-0030 Email: MheU9l.eC6 Jn11be0+ erg . lo✓"
Description of Proposed Revision/Corrections:
0 u�J(-),f Sk ower 010(4ed S l dc. of h o rne-
I MegaV+ 14e?q le, 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?
L ' Jl�o ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
Qfqo- ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: IF �/�FY,l,AO
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
p q
Department Review Required: RECEIVED,,
Building
affarming&Zon ni 'Reviewed By
TSes
IVE MAY 3 0 2019
Public
9 20�
Date
Building Department
City of Atlantic Beach, FL Updated 10/17/18