1661 E PARK TER FNCE20-0141 rev 1-14-21 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
__■r_ 800 Seminole Rd, Atlantic Beach, FL 32233 /,
+ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1—NQ . -6 I -T" I
❑ Revision to Issued Permit OR Corrections to Comments Date: / - C 3 - z r
Project Address: lip(P I PA
Contractor/Contact Name: 6/.5T A:o(k6 -
Contact Phone:
67 OUcj' / 7S-5 Email: 7-UCF� -l/�C_ r1L .
Description of Proposed Revision/Corrections:
I SJU��,Q v t y : affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Wil�.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?
kif-go ❑*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
MAP SHOWING FINAL 'AS—BUILT" SURVEY OF
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AS RECORDED IN PLAT 800K J4 PAGES 51-518 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLA CERTIFIED
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THE LOT SHOWN HEREON IS N THE SPECIAL FLOOD HAZARD ZONE"X-AS SHOWN
ON FLOOD INSURANCE RATE LMP 0409 H FOR OWN.COUNTY. FLORIDA.DATED 06-03-13
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