358 PLAZA ERES20-0294 REVISION Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
p, i City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233
V Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: g " -?-0"(
❑ Revision to Issued Permit OR Corrections to Comments Date: 12729/2-6
Project Address: 351 P l g 2 a
Contractor/Contact Name: N41-10v1 Wide- )ectrlc Th c, �c h War rev
Contact Phone: y0y--.2, I9' ^ 'i `1 q Email: TA"4RA CA/ °,(4 O,1Ir1Ide electric .,647-
Description of Proposed Revision/Corrections: n n
Med A4 e a54 to McHt5 r0 P 10± Pig
a
rai affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• II proposed revision/corrections add additional square footage to original submittal?
i No ❑ Yes (additional s.f.to be added:
• W)11 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
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Albert Holt Res ;oleo ce
35 6 Plaza
AilaAt1c Bege. 4 FLL132133