705 BONITA RD ACRS21-0047 rev 3-11-21 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City 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#: /'CRS 21— (00 L( 7
Revision to Issued Permit OR Corrections to Comments Date: j / /// t/
Project Address: 70 C (30n.. Ye( I Pi-1 G "' 7l c. e(„,, , cc. 3 2- Z 2 3
Contractor/Contact Name:,AV (v, 1-k6 /41 f "011 / /J,t/c p4 I 1(_,,-,
Contact Phone: fp', Z YS /Q I a' Email: ot/4 (an fe i 1t f! e ,,, .: / , (:40A-U,
Description of Proposed Revision/Corrections:
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I 61..a.A.1 Rte( 2 affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
YI No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
CNo ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: J
(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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