70 Jackson Rd RFNC21-0048 Revision Submittal 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#:
❑ Revision to Issued Permit OR Corrections to Comments Date:
4/77/a.
Project Address: ?O JGICK SOh KocA /4-T( 0.4:c. ( CLi
Contractor/Contact Name: ...Y1 r--/
Contact Phone:(qo )(4,c� -( J Q — Email: k iQ eau ;u o7 Z.q � Y�'koo • c)v-
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Description of Proposed Revision/Corrections:
C'12tykro: r5 J bTA- TR to ;
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?
❑No ❑ Yes (additional s.f. to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*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
w S�Ay"f Fence Addendum Updated1/14/2021
ti." ` e�rrr City of Atlantic Beach Building Department
1800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
76 Jot kso,-, � � /4-iz . ,i6G A 4 //1/21
Property Type: Lot Type/ Features:
Ltesidential D/One Street frontage(interior lot)
O Commercial 0 More than one street frontage(corner lot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fence Height (select all that apply):
od 0 Four Foot(4ft)
O Chain Link Foot(6ft)
O Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
❑ Other,8LK AL V
Fence Location:
Please submit an accurate and current boundary survey showing all existing improvements (including building footprint,
driveway,swimming pool,etc.)and location of fence/wall and any gates. Plan details required for block wall footings and/or
retaining walls and any portion or fencing above 6ft in height.
Will the fence be built in an easement?
❑ Yes (must submit separate Revocable Encroachment Agreement)
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
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Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• All old fencing and debris must be removed from job site by contractor or homeowner.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.