Fillable Permit Revision Form Permit Revision/Plan Modification Re-Submittal (Response (City of Edgewater Florida)

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Permit Revision Form Permit Revision/Plan Modification Re-Submittal (Response (City of Edgewater Florida)

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The Permit Revision Form Permit Revision/Plan Modification Re-Submittal (Response (City of Edgewater Florida) form is 1 page long and contains:

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  • 10 check-boxes
  • 14 other fields

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File type: PDF

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CITY OF EDGEWATER
BUILDING DEPARTMENT
104 North Riverside Drive
Edgewater, Florida 32132
Permit Revision Form
Phone: (386) 424-2400 X 1514 FAX: (386) 424-2423
☐ Permit Revision/Plan Modification ☐ Re-Submittal (Response to plan review comments)
Job Information
Permit #
Address:
Scope of Revision/Re-Submittal:
Valuation of Revision/Re-Submittal:
☐ Residential ☐ Commercial
Type of Revision (Check all that apply)
☐Building (Change in floor plan, footprint, envelope, and/or exterior)
☐ Structural ☐ Electrical ☐ Mechanical ☐ Plumbing
☐ Other (describe):
Contact Information
Name:
Phone: Fax:
Email:
Fee: $
Revised 09/2018
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Permit Revision Form Permit RevisionPlan Modification Re-Submittal (Response (City of Edgewater Florida)

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Completed 3 August 2020

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