778 Vecuna Rd RES18-0382 New Turf Revision Request/Correction to Comments **ALL INFORMATION
1lrJ�' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 Rr p
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES Ig. 03F2-
tL!I Revision to Issued Permit OR ❑ Corrections to Comments Date: q11 2-11'1
Project Address: Z7 Z> V eC V(/� CA,_ 9D /41 /au Az
/Contractor/Contact Name:
Contact Phone: /Dj/-SQ��'Zo Email: y►1,^S�Or
Scoff Jams "1��(o �5M� l .co m _
Description of Proposed Revision/Corrections:
\
211 c1P4Wr� 13 � �
vL I hG ``7 7 5+
I M&50- PD( affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• VN
proposed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
• VKsedproporevision/corrections add additional increase in building value to original submittal?
No ❑*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
Department Review Required:
Building
Planning&Zoning T" : '' eviewed By
Tree Administrator
Public Works x2 2019
Public Utilities SEP j
Public Safety bate
Fire Services ��' Updated 10/17/18