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501 Atlantic Blvd DEMO19-0023 Revised 5.15.20 rS %1 Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN " City of Atlantic Beach Building Department GRAY IS REQUIRED. i r� 'ffi 800 Seminole Rd, Atlantic Beach, FL 32233 �' _ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: LTh C-VV'\C; )-L-( N.' Revision to Issued Permit OR ❑ Corrections to Comments Date: //2C)1i Project Address: © / 4 r-`v i1 J/L 4 U e- Contractor/Contact Contractor/Contact Name: /( e tI-4 c5- e2 /"S Contact Phone: /'n L'( 5 '1'5-V26-3 Email: ig/S /4417L.. 0 Description of Proposed Revision/Corrections: /) Or r/--44c" oPi-G�r.4 I -� -i 4',r 1-�5� .5' rd'a 4/`OU L4/f''*"dc--'c f�e,�L«e C>5Qp %i 1.✓e-sY- S / ire e-L4.c e s- 1// /'1 d p 1......).s rc. 5 l 11 . t A41— .r-/t 5 1---- -2 e c 'e G/- ; -e I , -7_ -.- - ' 1,e j f-X -S /'C_-e} affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) pti5 • Will proposed revision/corrections add additional square footage to original submittal?•��S �`0.- ‘-' ov0 o ❑ Yes (additional s.f.to be added: )1i14j 11 • l proposed revision/corrections add additional increase in building value to origio*& 'tt yN o ❑*Yes (additional increase in building value: $ k(j 0 ) (¢gor must sign if increase in valuation) *Signature of Contractor/Agent: A47- / V‘ (Office Use Only) �-7-� �1 lldApproved ❑ Denied ❑ Not Applicable to Department Permit Fee Due v v. vd Revision/Plan Review Comments . /1. 1 -b1 2- iitiA C Urn IA- I tet/ e'e- 6 -r !q 7 r o 11 j ,be gilt-t 1,i. r Le ti-01 to n moi.. 5845 t• [ '6�4, K De artment Review Required: Buildin g&Zoning eviewed By Tree Administrator Public Works SCANNED Public Utilities 7 `J a 1f Public Safety DaL,.OI Date Fire Services '— ( � Updated 10/17/18 .17 f 4 1 �`t O%; 1-- 2j ,,.,,,,alt.,,, ��`� // J 5�`CEr.„.26: 4;....:....� , /2-fr- PERSON:. 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