888 Seminole Rd - revision sheet 6-11-20 �t u����
Revision Request/Correction to Comments **ALL INFORMATION
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m City of Atlantic Beach Building Department GRAY IS REQUIRED.
f, 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: P., E--
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XRevision to Issued Permit OR Corrections to Comments Date: / i l / 7C-')
Project Address: (.?)87 SC'M (r 01 P , (.C" ,
Contractor/Contact Name: 1---- (15-0.,(4...)CAI F-- C a
Contact Phone: (O l Co—7(07 4 Email: J f Q(,c)c I,./ C om p a n f cAnA0,:i ( „
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Description of Proposed Revision/Corrections:
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I 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?
❑No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/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 C Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
ul ding
anning&Zoning Reviewed By
Tree Administrator
i. ic 'Tor s
• • lc ti ities
Public Safety Date
Fire Services Updated 10/17/18