1536 Ocean Blvd Fence Revision Submittal Revision Request/Correction to Comments **ALL INFORMATION
ei7",* HIGHLIGHTED IN
In City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
` 9- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
❑ Revision to Issued Permit OR LJ Corrections to Comments Date: 2_ ---2-02--/
Project Address: 1 5 3 4 O (9--a `ia.v43
Contractor/Contact Name: -1RG►. --
Contact Phone: g 9 - 9.b s I Email:
Description of Proposed Revision/Corrections:
-EQ_A-c-t2
V
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
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