2075 VELA NORTE CIR RES21-0147 revision form 5-19-21_1Revision Request/Correction to Comments
7 City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-S826 Email: Building-Dept@coab.us
1-1 Revision to Issued Permit OR
Project Address: —)0
Contractor/Contact Name:
® Corrections to Comments
91
"ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #: 14� 2,1 " 61 �A 2
Date: 2
III
Contact Phone: 2 �7 �� �l�w-I Email: _�,�(�5 % �,[1j • (r,}
Description of Proposed Revision / Corrections:
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
W01 proposed revision/corrections add additional square footage to original submittal?
No IF71 Yes (additional s.f. to be added: )
• ill proposed revision/corrections add additional increase in building value to original submittal?
No L�*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
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18