1643 Atlantic Beach Dr sgd revision . . .... CITY OF ATLANTIC BEACH
J 8 2017 800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUE ST SHEET
Date: Received by: Resubmitted:
Penult Number-11L--—5p:R=1 Ciq-LL—
Original Plans Examiner: Project Na : finytf-iL QV401 01)LI" C1 LIJ6
Project Address:I ULi
Contractor:
Contact Phone ; Con
Revision/Plan Check/Permit Fee(s)Due: S 57V,470
Description otProposed Revision to Existinit Pemitt
7 ff In-V 1 ax�-
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: "0 Publk;W/U Approval:
By signing below.I(print 'em affirm that the above revision
is inclusive of th 10 changes, 9V
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Signature of Contractor/Agent(eiiimc-wrmtistsigiiifinem�involualionI Date
015-�,J 61117—
rt., I Appnd! NotiflWby:
Plan Review omments:
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