1917 SEVILLA BLVD ACC20-0046 REVISION 11-2-20 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
fi-41111.1P 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#: /4 CCa0 -daVIo
V1 Revision to Issued Permit OR ❑ Corrections to Comments Date: ///a Jia 4
Project Address: / 9 /7 II a 8 / Jd, a), c 121.ea c1, cc.
Contractor/Contact Name: ,4)&. ) Crea_vcils ('�hflan
Contact Phone: 904- - ,Sd 9 - ,? ,3 9 Email: P.(A1 C(CCG-/'/ ONS C,i,iSt 6 y A ,0041
Description of Proposed Revision/Corrections:
•
i. I Iii 1 G0. 2 _ 1 / 114 iL"�I i 8,
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affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will propos revision/corrections add additional square footage to original submittal?
❑No Yes (additional s.f.to be added: 2)a .c? .- • )
• Will proposed revision/corrections add additional increase in building value to original submittal?
SNo ❑*yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: c .11(4y)c:44
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated10/17/18
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MAP SHOWING BOUNDARY SURVEY OF g . E G O P Y
LOT 10, SEVILLA GARDENS UNIT ONE, AS RECORDED IN PLAT BOOK 45, t i
PAGES 6 & 6-A. OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. - 4-1,9A- _,_, _ -- 4,.
CERTtFTED TO: `4 444.` .
JOSEPH BOYLE & BONITA BOYLE
PONTE VEDRA TITLE, LLC
\ HATHAWAY &REYNOLDS. PA
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OLD REPUBLIC NATIONAL T1111 INSURANCE COMPANY
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JOB N 21908 i DATE OF FIELD SURVEY: 12-17-2012 1 SCALE: I" . 20'
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