2434 Seminole Rd FNCE20-0121 Revision App Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
,1172410nCity 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#: FJy C�.?_O - 0l 2.1
Revision to Issued Permit OR ❑ Corrections to Comments Date: 11175 j
Project Address: O '5 y 6e 4ie /e kms/
Contractor/Contact Name: y AN ,t 1c c ,(-effi
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Contact Pho7S Email: '7
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Description of Proposed Revision/Corrections:
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I b i/d gae 4-re affirm the revision/correction to comments is inclusive of th o d an es.
(printed name) I t1E
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• W. I proposed revision/corrections add additional square footage to original submittal? NOV 1 3 2020
o ❑ Yes (additional s.f.to be added: ) i 6
BY:
• ' proposed revision/corrections add additional increase in building value to original submittal?
o ❑*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 Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
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Home Depot U S A Inc 2455 Paces Ferry Road N W BNse 0.3 Atlanta Georgia 30339
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