1625 N LINKSIDE DR RFNC21 rev. 6-7-21 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 a: N� N( L - _
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: 7/Z Z (
Project Address: ! (,) 1 v Z 5 N . NDI< ( L /
Contractor/Contact Name: 0( --)KpeI �-
Contact Phone: 4 CD~ 4 ( / Email:
Description of Proposed Revision/Corrections:
•` iA
I— e--1A a L cA_ 0
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• ;toposed revision/corrections add additional square footage to original submittal?
❑ Yes (additional s.f.to be added:
• Wi proposed 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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AS RECORDED IN PLAT BOOK 47 PAGES 45.856, OF THE CURRENT PUBLIC RECORDS OF DUVAL CO.. FLA
FOR: CF/ rex //O/ E5 CORAORA>X't4N
NOTE: BEARINGS SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT.
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