705 Bonita Rd ACRS21-0047 RevisionRevision 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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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:
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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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DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $50.00
ACRS21-0047 Address: 705 BONITA RD APN: 171140 0000 $50.00
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
TOTAL FEES PAID BY RECEIPT: R15167 $50.00
Printed: Thursday, March 11, 2021 4:31 PM
Date Paid: Thursday, March 11, 2021
Paid By: AVALON HEATING AND AIR LLC
Pay Method: CREDIT CARD 432405022
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15167