992 OCEAN BLVD RES21-0156 REVISON SHEET 6-11-21 Revision Request/Correction to Comments **ALL INFORMATION
Aek7HIGHLIGHTED IN
p .' 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#: r\ e ( -c'1 (r"
❑ Revision to Issued Permit OR Corrections to Comments Date: (p//I/24
Project Address: eti 2 4c-EA).) %1t1 b
Contractor/Contact Name: i tlt r&itl e g--_S
Contact Phone: °Oil-349 ^ 2fSt Email: ?4-‘;llia?S'Bult)E 5 Ecan'cc r ',ler
Description of Proposed Revision/Corrections:
1.-Er1'E2 aP A tTE 2 Kl d 1%1 C..E VEL 92-00-'\ 6-1\1C-rt
I AM jE guns i i 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?
El*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