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641 David St Revision Cover Sheet Revision Request/Correction to Comments **ALL INFORMATION . ,--_,,- HIGHLIGHTED IN L-j City of Atlantic Beach Building Department GRAY IS REQUIRED. �� >' 800 Seminole Rd, Atlantic Beach, FL 32233 4u:.:,_ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#1444aI O©B 61f ❑ Revision to Issued Permit OR Corrections to Comments Date: 7////7,1 Project Address: 6 c( / 641/t jI sr Contractor/Contact Name: /(GJ nJ(....-7P-- MA-RL, L_r i Contact Phone: qO li 4P.6 g)qi-i Email: 441412-e.44442— Li}2(I4'2h(2_.e.TCLev!).(-vf1 Description of Proposed Revision/Corrections: CMA.I O .<ALeI. Sc'F' c,F ( LA-riS, f(.2.eb,c j e, 1v/Z G /-27.-4 I ISEE,t) re,aziri (9U3/3 rI^ q.G33 / (.0., ,2L,,Lywe/J ( LlGRt,NA iz !i. al g 't ► My✓c Etc/51 OW, 6 ' VIA)y I Fc'rfCC Li'G i1 16,t.�� ,9 t S r. imAi c 4 LAZA-rZ 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? TNo ❑ Yes (additional s.f.to be added: ) • Will 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: G(.1 ,4i,,r (Office Use Only) E 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