1710 BEACH AVE RES18-0410 revision request 8-17-20 1 OF 6_1Revision Request/Correction to Comments
3i City of Atlantic Beach Building Department
1s , 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Buildin -Q
e t COab.US
Revision to Issued Permit OR 0 Corrections to Comments
Project Address:
Contractor/Contact Name: / t!/G
**ALL INFQRIVIATION
HIGHLIGHTED IN
GRAY Is REQUIRED.
PERMIT #:,/ 'Me—
Date:44 ,��61
Contact Phone: r/� �V_1=/ %
mail: `7 j 1.�j��l� ll. �07M...
Description of Proposed Revision / Corrections:
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(printed name) affirm the revision/correction to comments is inclusive of the proposed changes.
-L&P,proposed revision/corrections add additional square footage to original submittal?
No 0� Yes (additional s.f. to be added:
• ' proposed revision/corrections add additional increase in building value to original submittal?
No CI*Yes (additional increase in building value:$ (Contractor must sign 'sfincrease invaluation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department
Revision/Plan Review Comme
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Permit Fee Due $
Reviewed By
Date
N�
Updated 10/17/18