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555 Aquatic Dr 2015 wdo repairs siding windows 11 SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 19 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-70 Job Type: RESIDENTIAL ALTERATION Description: wdo repairs Estimated Value: $14,600.00 Issue Date: 1/26/2015 Expiration Date: 7/25/2015 PROPERTY ADDRESS: Address: 555 AQUATIC DR RE Number: 171818-5330 PROPERTY OWNER: Name: IBARRECHE, GERARD Address: 555 AQUATIC DR GENERAL CONTRACTOR INFORMATION: Name: ELITE BUILDING CONTRACTORS INC Address: 55 FORRESTAL CIR QA RICHARD R ECHEVARRIA Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $61.50 BUILDING PERMIT FEE $123.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments- $188.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r* ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SIDING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SIDE-71 Job Type: SIDING PERMIT Description: Estimated Value: $5,000.00 Issue Date: 1/26/2015 Expiration Date: 7/25/2015 PROPERTY ADDRESS: Address: 555 AQUATIC DR RE Number: 171818-5330 PROPERTY OWNER: Name: IBARRECHE, GERARD Address: 555 AQUATIC DR GENERAL CONTRACTOR INFORMATION: Name: ELITE BUILDING CONTRACTORS INC Address: 55 FORRESTAL CIR QA RICHARD R ECHEVARRIA Phone: PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $75.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $79.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-S814 JOB INFORMATION: Job ID: 15-WIND-69 Job Type- WINDOW AND/OR DOOR Description: window replacement Estimated Value: $4,000-00 Issue Date: 1/26/2015 Expiration Date: 7/25/2015 PROPERTY ADDRESS: Address: 555 AQUATIC DR RE Number: 171818-5330 PROPERTY OWNER: Name: IBARRECHE, GERARD Address: 555 AQUATIC DR GENERAL CONTRACTOR INFORMATION: Name: ELITE BUILDING CONTRACTORS INC Address: 55 FORRESTAL CIR QA RICHARD R ECHEVARRIA Phone: PERMIT INFORMATION: FEES: STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 BUILDING PERMIT FEE $70.00 PLAN CHECK FEES $35.00 Total Payments: $109-00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION JAN 12 CITY OF ATLANTIC BEACH (ZQ IFILE 800 Seminole Road, Atlantic Beach, Fl, 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 555 Aquatic Drive, Atlantic Beach,.FL 32233 Permit Number: Legal Description 38-71 38-2S-293 Aquatic Gardens Parcel#171818-5330 P loor Area ot Sq.Ft. Sq.Ft Valuation of Work$_ �00 Proposed Work heated/cooled 1321 non-heated/cooled Class of Work(circle one): New Addition Alteration x Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(�ire e one): Commercial X Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes X No N/A Florida Product Approval# Iq C)q-7. 1 For multiple products use product approval form Describe in detail the type of work to be performed: - Q0_A(P_ Property Owner Information: Name: GERARDIBARRECHE Address: 555 AQUATIC DRIVE, City ATLANTIC BNEACH State FL Zip_1223 3 Phone E-Mail or Fax#(Optional Contractor Information: Company Name: ELITE BUILDING CONTRACTORS, INC.Qualifying Agent: RICHARD ECHEVARRIA Address: 55 FORRESTAL CIRCLE - City ATLANTIC BEACH -State FL Zip 32233 Office Phone 904-247-6551 —Job Site/Contact Number 904-63 5-2113 Fax#904-24�_5_362 State Certificaii-o FiRegistration# CBC 1254650 Architect Name&Phone# Engineer's Name& Phone Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A icat, is e eb 'nade btan a er-i'to do the work tify that no work or installation has commencedprior to the 11 be pe 0 ed to thisjurisdiction. This permit becomes null to 0 p y d tha al 'k , f r- a period ofsixj6,)months at any time after i PP a p r_t a r n it in ), t , or, h 6 on W 0 wl d id fwork not co, e ,com",is me c rk, ced. I understand that separate Per t, ells, Pools, urnaces,Boilers, Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be comp Recift'ed herein or not. The granting of a permit does not pres e to give aut violat ancel the 11/1 lied vqth wh7ether um ;ve au, v,, provisions of any otherfederal,state 0 locals w�regulating const"ruction o the pe�fo�mance of construction. NJ/ Signature of Owner r\ Signature of Contractor \j Print Name d cc_ Print Name ........................ ............. ...................................................................................... ... .......... I Sworn tp and subs�xi*bed before i te ............ tp and subs d efore me YN MOTI "'.70,5 L -N thisj&'!!—Davof 11P('_emhA JENJIM0i ES his 1,4, T -,r A.. 4217 A.� - Commission#EE 20 Pynlrpq lunp 15.201 MY COMMISSION#FF064576 1=XF?1R17S_0cUAw,"0,2017 7 �V_>O TIOYFqi�IW�WanCeBOOWJUIV T,- N)o ar'y—4P u 6lic _(40`7")'398-0153 FlorldallotaryService.com Public I It City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building De artment.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Cityweb-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: J �Lteview required Yes No -( Building----.-, Applicant: f'773�-_ -+4-anning &Zoning 72� i Tree Administrator Project: - Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Pen-nit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation — St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Wpproved. E]Denied. (Circle one.) Comments: =BUILDIN PLANNING &ZONING Reviewed by: Date: TREE ADMIN. L9 Second Review: [—]Approved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. [:]Denied. Comments: Reviewed by: Date: Revised 07/27/10 > CD n p'. cp cr > ZI r CD 0 0 cr" 9-- 0 C UQ CD N — 0 C, Cy' =s CD UQ (D 0- do Ga uo a, -t) = Ln rim CD CD k�o a- Cl, 0.� ti-o p OTJ A 0 1:3 c CD CL fro- CD CD ta'"o CD -0 1 CD 00 V-9. 8� = ft szz EL zol CD < S= m 9 0 UQ rA . ... > 0 ar CD th (A m 4 ID -TI CD cn o CD =$ 0 Q. CD :51 0 p 0 o S o" !Z A o 0 q E5. ;r (D --N ta. =$ C UQ q 0 0 CA = -0 k--, V) V) Or aq p A CD UQ 0 ct. (D a� 0 :3 — cr CD S* Ei w CD -1 -- 0 vo 0 =r P UQ r- (A :3 0 0 0 g — — (D F* Z3 co C) 0 0 ca, (IQ Pit, 00 C-A ro 0 0 0 0 CD 0 o CD 0 0 U) CD Co 0 CD CD CID cr r CD 0 to ft ml (D COD 42, p Ei. 0 Uq =3 =% > On 0= (D CD CL Z 113 cr CD 'a CD CD n :5. CD 0 TO aq o CD > 0 -< CD CD CD 0 CD p Cl. CD 15 :2 CD p 9-1 Lrk 0. 0 r- 0 CD UQ 0 =4 cn =r a co 0. CD C) tz 0 0 CD 0 CD =3 CD (10 0 0 CD CD CD co C) CD < od 0) fp. =r CN oi CD (D CD 1- 51 0 0 CD CP a CD -t 'COD P) CD CD 0 0 CD (D X+ CD r+ CD CD M Petn?,I) # 15--f-AW-70 NOTICE OF COMMENCEMENT State of—FLORIDA Tax Folio No. 171818-5330 County of–DUVAL To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 38-71 38-2S-29E AQUATIC GARDENS Address of property being improved: 555 AQUATIC DRIVE,ATLANTIC BEACH,FL 32233 General description of improvements:—REPAIRS AND IMPROVEMENTS Owner:–GERARD IBARRECHE Address: 555,AQUATIC DR,ATLANTIC BEACH,FL 32233 Owner's interest in site of the improvement: PERSONAL RESIDENCE Fee Simple Titleholder(if other than owner): Name: _NA Contractor:—ELITE BUILDING CONTRACTORS,INC. Address:55 FORRESTAL CIRCLE,ATLANTIC BEACH,FL32233 Telephone No.: 904-247-6551 Fax No:904-246-5362 Surety(if any) NA Address: Amount of Bond S Telephone No: Fax No: Name and address of any person maldng a loan for the construction of the improvements Name: NA Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner. designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fitl in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date i specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 8,�00 Seminole Road, Atlantic Beach, FL 32233 12 Office (904) 247-5826 Fax (904) 247-5845 1 By Job Address: 555 Aqu ic Drive, Atlantic Beach, FL 32233 Permit Number— Legal Description 38-71 38-2S-293 Aquatic Gardens Parcel#171818-5330 Vloor Area of Sq.Ft. Sq.Ft Valuation of Work$. 5/060 Proposed Work heated/cooled 1321 non-heated/cooled Class of Work(circle one): New Addition Alteration x Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial X Residential If an existing structure,is a fire sprinMr system installed? (Circle one): Yes X No N/A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: - q?40-wk c", kto� Property Owner Information: Name: GERARD IBARRECHE Address: 555 AQUATIC DRIVE, City ATLANTIC BNEACH State FL Zip 32233 Phone E-Mail or Fax#(Optional Contractor Information: Company Name: ELITE BUILDING CONTRACTORS, INC. Qualifying Agent: RICHARD ECHEVARRIA Address: 55 FORRESTAL CIRCLE City ATLANTIC BEACH —State FL Zio 32233 Office Phone 904-247-6551 Job Site/Contact Number 904-63 5-2113 Jax# 904-246-53-62 State Certification/Registration# CBC1254650 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address a e b ade a a ermit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the ,,be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null to 0" P f -11 work t f sixA months at any time a ter 7' 'e Y md tha d hi six(6)months, or if construction or work is suspended or abandonedfor aWeriod o ce ml t .an o a a- �'s " , Pk tot co, d id f_o " ,co'.'F " T"'c' w' Work,Plumbing,Signs, �-Ils, Pools, urnaces,Boilers, Heaters, v k, enced I understand that separate permits must be securedfor Electrical Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. rhere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this ,��work will be complied with whether, �ecified herein or not. The ra ting of a permit does not presume to give aut violat ancel the a )rovisions of any otherfederal,s7 te, or loca regulating construction o the pe�fbrmance ofconstruction. ;ignature of Owner Signature of Contractor Print Name h elavrl, rint Name &vc,// &C ( . ............................................................................................................ ........ I..................... .......................................�j.............................. .............4 3worntgandsubs *bed before Sworn tp and subs d before me — E I F KU _5 his TL )ay of %/ De . .......4 001VALLYN MOTES �his 1!t�-Qay of c 17 MY COMMISSION#FF064576 r-INIlu v­j%j­"_E2042 commission#E EXRRES-Octobe"O,2017 4- F:ypires Aline 15,2016 '7�hjL roy ��ary Pulflic Notary Fublic T Fain jn%r�Me 800-3&1-7019 3 FlorldallotaryServicexom It City of Atlantic Beach F APPLICATION NUMBER Building Department (To be assigned by the Building DeDartment.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: ro)it I Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes —No —Building :1) Applicant: Manning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit,Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation — St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: FlApproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FApproved as revised. OlDenied. Comments: Reviewed by: Date: Revised 071271110 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 555 Aquatic Drive, Atlantic Beach, FL 32233 Permit Number: $7`Rl�,412- 70 Legal Description 38-71 38-2S-293 Aquatic Gardens Parcel 9171818-5330 P loor Area ot Sq.Ft. Sq.P't Valuation of Work W Proposed Work heated/cooled 1321 non-heated/cooled Class of Work(circle one): New Addition Alteration x Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial X Residential If an existing structure,is a fire sprinMr system installed? (Circle one): Yes X No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Repair exterior wall due to termite darnage. r ii 1'r FILL bar I It Property Owner Information: Name: GERARD IBARREC14E Address: 555 AQUATIC DRIVE City ATLANTIC BNEACH State FL Zip_1223 3 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: ELITE BUILDING CONTRACTORS, INC. Qualifying Agent: RICHARD ECHEVARRIA Address: 55 FORRESTAL CIRCLE City ATLANTIC BEACH State FL Zip 32233 - Fax#904-246-5362 Office Phone 904-247-6'551 Job Site/Contact Number 904-635-2113 — State Certification/Regi tion# CBC1254650 Architect Name&Phone# Engineer's Name&Phone Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address here made b a-n a e n do h work and a' tions s ind�ic or installation has commencedprior to the ,ds a I I thisjurisdiction. This permit becomes null I i s fsix(6)months at any time after k a period o n or 01or Wells, P691s, Furnaces,Boilers,Heaters, tom tt nst '� ca' r it to or t ed stan t to 0 r p be e f 0 s by d h al k r n i, )in t or c (6 on ipp'i ce q a emit an at 1-0 -i I p d",d f Pk is not coin e, 'd _thin s 0 tru f I c ' ",k is c, 'eced. I understand that separate Per is" t be secured or E ec nc Tanks andAir Conifitioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING.) CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. lhere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this 1�work will be complied 'th whether ecift'ed herein or not. e ganting of a permit does not presume to give aut violat ancel the provisions ofany otherfedle . ,te, or local regulating consti:U the pe�fo�mance ofconstruction. ral, a r-ucti no Signature of Owner Signature of Contractor Print Name Cc- Print Name k.L0L/0,-r,'.q . ..................... ........ ..... .............0. ..........Gk4..................................................................................... ..... ................................................................. Sworn t2 and subseq*bed before 3worn tp and subscAbed efore me this IL,-, -Day of 10- JENIMR/iLLYN MOTES his .10�_ vay of Commjss on#FE 204217 MY COMMISSION#FF064576 BMW C_o)��P u 111 i c . .....- her 1 .2017 7d4" FXF?IRPS r)Cto -00 2016 L4otary Rublic N (407)398-0153 FloridallotaryServicexom I Revised 0 1.26.10 City of Atlantic Beach APPLICATION NUMBER yt uildin D (To be assigned b B "W epartment.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us Cityweb-site: hftp-://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D rtment review required Yes -No -�ruilding ,1 -�-Ma-n—Ning &Zoning Applicant: Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: BA--pproved. E]Denied. (Circle one.) Comments: PLANNING&ZONING Reviewed by: Date: '01 TREE ADMIN. Second Review: FApproved as revised. OlDenie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 07127110 NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. 171818-5330 FIL County of–DUVAL E COPY To Whom It May Concern: 11 ., .�_ , �­ The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMAIENCEMENT. Legal Description of property being improved: 38-71 38-2S-29E AQUATIC GARDENS Address of property being improved: 555 AQUATIC DRIVE,ATLANTIC BEACH,FL 32233 General description of improvements:—REPAIRS AND HAPROVEMENTS Owner:–GERARD 113ARRECHE Address: 555,AQUATIC DR,ATLANTIC BEACH,FL 32233 Owner's interest in site of the improvement: PERSONAL RESIDENCE Fee Simple Titleholder(if other than owner): Name: NA Contractor:—ELITE BUILDING CONTRACTORS,INC. Address:55 FORRESTAL CIRCLE,ATLANTIC BEACH,FL32233 Telephone No.: 904-247-6551 Fax No:904-246-5362 Surety(if any) NA Address: Amount of Bond S Telephone No: Fax No: Name and address of any person maldng a loan for the construction of the improvements Name: NA Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner. designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date i specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Sianed: Date: ,kk 9"Yrr F ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 AP )04) 247-5800 D.T119" I ILL g N " � !Je ELA jP Date: t4liest et FILE COPY Resubmitted: Permit Number<i Clearance Sheet Number: , j - " A Original Plans Examiner: Project Name: Project Addr�ss: 55S Contractor: Contact Name: Contact Phone Number:__ ?D4�-6-5 -.':pit o Contact Fax Number:_!?oy RevisiOn/Plan Check/permit Fee(s)Due:$ D Pending Hold: Structural: Plumbing: Mechanical: Electrical: Misc.: V_vv 9�4 Additional Increase in Building Value: Additional Square Footage: 2_ Clearance Sheet/Site Plan Revised: Environmental Health Approval: BY Signing below I proposed n S. affirm that the above revision is inclusive of the Sign ure of Contracto gent(Contractor niust sign if increase in vaivation) Date Date: Office Use Only Approved:—X------ Rejected: Notified by: r/A Plan Review Comments: *T &-31�A:P_A_ktt.-, C�* Q-o r r.#,77 by r._r1j#.r _Aa�, q�&# L.,e­r-e e4!� Plans i&_ammer CrCaled 03/05/osjlo Date Z_I_ 7, cP