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1793 ATLANTIC BEACH DR REV REQ .4 r -.! , ATLANTIC BEACH �� Vr PERMIT RECEIPT PERMIT DESCRIPTION: NEW SINGLE FAMILY RESIDENCE PERMIT NUMBER: 16-SFR-624 ADDRESS: 1793 ATLANTIC BEACH DR OWNER: DATE ISSUED: FEES DUE: ENG REV RESIDENTIAL BLD $0.00 PLAN CHECK FEES $0.00 UTIL REV RESIDENTIAL BLDG $0.00 BUILDING PERMIT FEE $0.00 STATE DCA SURCHARGE $0.00 STATE DBPR SURCHARGE $0.00 SEWER SDC-SYSTEM DEV CHG $0.00 WATER CONNECT/TAP & METER $0.00 WATER CROSS CONNECTION $0.00 WATER SDC-SYSTEM DEV CHG $0.00 BD PLAN REV. 2ND SUBMITTAL $250.00 �'S=rL��rte`tCITY OF ATLANTIC BEACH f ''J�.,, r) i 800 Seminole Road IA --. 't.., . •- , : J Atlantic Beach,Florida 32233 '-' r Telephone(904)247-5800 U FAX(904)247-5845 , _________/ '-101319' REVISION REQUEST SHEET Date: 06/24/16 Received by: Resubmitted: Permit Number: 16-SFR-624 Original Plans Examiner: Project Name: Atlantic Beach Country Club Project Address: 1793 Atlantic Beach Drive - Lot 40 Contractor: Toll Brothers,Inc Contact Name: Ashley Rogers _ Contact Phone : 904-595-5243 Contact e-mail: arogers@tollbrothers.com Revision I Plan Check/Permit Fee(s) Due: $ 2.s c off' Description of Proposed Revision to Existing Permit: r` =© E .{! Added windows to bonus room and garage. See attached revised struct fZ , t .: , , s for IT L . Lli! ' 1 ' 4 '..I ' Inn — 4 '`/ Additional Increase in Building Value: $ 0.00 Additional S.F. 0 Site Plan Revised: Public W/U Approval: By signing below. I(print name) Ashley Rogers affirm that the above revision is inclusive of the osed changes. 06/24/2016 Signature of Con actor/Ag nt( iLD tractor must sign if increase in valuation) Date Office Use Only Date: T_ 6- /6 Approved: f{ ` Rejected: - Notified by: .. Pan Review Comments: U -/ 1 I rove j_QS Svior1;7110(� / Corr/Vac7Ore_ ca el b-e c41/.J 413 pick` v10 cc ' s 7.10,71 s, g'-6/'/'ty 'v/ -t 'v RovtSiU,,, co,„ /4.00,e)(1 51)ns 1/.0,7•11/' S P c5-. Depa ment review required Yes No _'.. 7)11(4%/ �- Building _— oiling Tree Administrator Plans Examiner Public Works Public Utilities 7 6' / .° Public Safety . Fire Services Date Created 8/20115 Rev 2 r