452 OSPREY KEY RFNC21-0117 REVISION 9-15-21 Revision Request/Correction to Comments **ALL INFORMATION
,'s 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#: i"<,I \`,`,_.., - _'
n Revision to Issued Permit OR ❑ Corrections to Comm-ntsDate: h/ X/
Project Address: cJ l/ J y
Contractor/Contact Name: .IZ -- /((17/7 7 1 I /77/—
Contact Phone: 96;57- 4 ?"-- , ,) Email: Oh,&,/-Ut/ A / -'
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Description of Proposed Revision/Corrections:
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I p, / 77W744affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will posed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
• Will pr osed revision/corrections add additional increase in building value to original submittal?
o ❑*yes (additional increase in building val - $ ) (C. tr. or must sign if increase in valuation)
*Signature of Contractor/Agent: //ff��,`i /,/
/ . _
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(Office Use Only)
❑ Approved ❑ Denied LI 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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CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
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