56 17th St FNCE20-0091 Revision Submittal Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
itit ' City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233
It 91- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: FIVc F 2G —an?l
Revision to Issued Permit OR ❑ Corrections to Comments Date: //23/2v
Project Address: cit / 7.7--e- ST 32 2 33
Contractor/Contact Name: PH j(//PS ?U( I AF>QS
Contact Phone: 904-/— 7SS —,`196 Email: Q(1►II PS ZU;i0EASe60"-ACetS7. NET
Description of Proposed Revision/Corrections:
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affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name) r r IVE
• Will proposed revision/corrections add additional square footage to original submittal? r. NOV 2 3 2020
/kNo ❑ Yes (additional s.f.to be added: ) F
• 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 ❑ 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