1662 E Park Ter ACRS20-0358 2-17-2021 duct revisionALL
Revision Request/Correction to Comments
HIGHLIHIGHLIGHTED
ON
u: 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 14://('/-'S26 y G/;c_
ED Revision to Issued Permit OR n Corrections to Comments Date:
Project Address: /6 2 C 0i/c /ei ui e 'ii5/
Contractor/Contact Name: /A41/
141-1/ `< /Z 1`-etF "Y
Contact Phone: J(.'l.- "-
26?9 Email: /1-/a'k„C't°. TC i(e, GG^c t
Description of Proposed Revision/Corrections:
L-Li I U LULI
BY:
I affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Wi roposed revision/corrections add additional square footage to original submittal?
No Yes(additional s.f.to be added:
Wil roposed revision/corrections add additional increase in building value to original submittal?
o *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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