545 Atlantic Beach Ct elec permit ,,,; --,,,'\-1\-1:7,-.,,s‘ CITY OF ATLANTIC BEACH
800 Seminole Road
J j. `s' Atlantic Beach,Florida 32233
Telephone(904)247-580014/ .--t: :_i_ ___ _)7 FAX(904)247-5845
s'. .- _'-'--1,0's . REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: (Z /Z17 Received by: Resubmitted:
Permit umber:(,-e/ec — Zc '57./
- r
Original Plans Examiner: Project Name:
Project Address:,'5 ; ATM s i ►'-
Contractor: i I ii A Contact Name: • , ' I S
Contact Phone : ty./-er 1-c91'/Z Contact e-mail:
Revision/Plan Check/Permit Fee (s)Due: $
De cription of Proposed R vi ion to Existing Permit:
am
Me/fly-A ier/f4,7of 4041 Of.0 01..yr
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(print name)
affirm that the above revision
is inclusive of the proposed changes.
Signature of Contractor/Agent(Contractor must sign if increase in valuation)
Date
Office Use Only
Date: Approved: Rejected: Notified by:
Plan Review Comments:
Department review required Yes No .
Building
Planning &Zoning Plans Examiner
Tree Administrator
Public Works
Public Utilities
Public Safety Date Created 4/13116 Rev.3
Fire Services