1661 Atlantic Beach Dr product approval sheet revision � �c� rudr
D .ITY OF ATLANTIC BEACH
800 Seminole Road
OCT ) 7 2016 Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
10 REVISION REQUEST SHEET OFFICE COPY
Date: 10/13/16 Received by: Resubmitted:
Permit Number: 16-SFR-1641
Original Plans Examiner: Project Name: Atlantic Beach Country Club
Project Address: 1661 Atlantic Beach Drive Lo )1
Contractor: Toll Brothers Contact Name: Ash)ey Rogers _
Contact Phone : 904-595-5243 Contact e-mail: arogers@toUbrothers.com
Revision/Plan Check/Permit Fee(s)Due: $ So,pD
Description of Proposed Revision to Existing Permit:
approval information sheet to reflect the correct windows installed and correct state
New�roduc[ .#
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(prim name) Ashley-Rogers _ affirm that the above revision
is inclusive of the p d changes.
` A:KiAMA � 10/12/2016
Signature o munactor/Agent(Craw vrt mull eiyn if increisc in valu4pn) Da[C
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