1484 LINKSIDE DR DWAY20-0001 rev. 8-23-21 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
+i " City of Atlantic Beach Building Department GRAY IS REQUIRED.
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'' ;. 800 Seminole Rd, Atlantic Beach, FL 32233 af,,
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I+Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT p y 2^A40/
�I Revision to Issued Permit OR ❑ Corrections to Comments Date: g �3',.9('cAi
Project Address: i4& 4 L lA k S C{ e., Dr
Contractor/Contact Name:,,l!
Contact Phone: gO`1-(A()g_ 55 Email: IA)ZIM 1 V' k. e_ A.p I , C,Orb-...
Description of Proposed Revision/Corrections:
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I w 4 0 A— VIA RK1 S affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• 01.0oposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• Wj.U-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: IN 44.,xd(,L al a bio,
(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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PAGE 2 OF 2 PAGES
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6250 N.MILITARY TRAIL,S I.II'TI?102
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' CLYDE.Mr:NEAI.PROFESSIONAL SURVEYOR AND MAPPER 1/28,73 STATEWIDE FACSIMILE (666)741-0576