183 Seminole Rd RESA19-0021 Public Works Rev RECEIVED
By Jennifer Johnston at 6:00 pm, May 11, 2020
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 RESA19-0021
Phone: (904) 247-5826 Email: Building-DeDt( coab.us PERMIT St: ,9)9.-
ri Revision to Issued Permit OR ri Corrections to Comments Date: 5-4
Project Address: `j3 -1- /-414/04-e, /?!) •
Contractor/Contact Name: OosaJ $U IL.-D14'/ CPerefl'ere1 I _ 4k '
Contact Phone: ?624--' 1'0 32-0 Email: TUD1.2tL *s'co C eG•Gtr
Description of Proposed Revision/Corrections:
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'aod #175e/0 affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
ONo Yes(additional s.f.to be added:.
• Will proposed revision/corrections add additional increase in building v e to original submittal?
ElNo E*Yes(additional increase in building value:$ ){c rtractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
V/ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
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Revision/Plan Review Comments /r t`
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Department Review Re‘uired:
Building /
Planning&ZoningReviewe y Y
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
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IEA19-0B71
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