593 TIMBER BRIDGE REV REQUEST J
F ATLAN�-JC MACH
800 SEMINOLE r�J+319� FILE COPY ATLAN'f'CBEACH,F 32233
(904)247-.SA00
� '� Revision Re uest Sheet
Date:-9,
ate: S j
Received by:
Permit Nimlbe:S -r0 ------�Resubmitted:
Original Pl �� Cleazance Sheet N —��—
ans Examiner: 1 i umber: �A
A'ojectgddress: C/ ?) MBS Project Name:
Contractor: �lG�E �'�"y ? , _
'� / JItDI G r (pr7b3
. Contact Phone Nwnber: 9t7e/ S%� Contact
-!US NIE ia�
Revision/plan Check/Permit Feels)Due:-- Contact Pax Number: -�-
$
Descri tion of pro osed Revision to (r u D
Pending Hold: ug Permit: D
MA 14 . .
Struchual:
�� —
Plumbing:
Mechanical: --
Elechical:
Misc.: tJj,> S
Additional Increase in Building Vale;$ O ��
7�C
Clearance sheet/site Plan Revised: Additional Square Footage: r
By signing below,T Environmental Health A
proposed changes. �� PProval:
affirm that the above revision is inclusive of the
Signature of Contractor/Agent(eoae„erm.muatsign umcre,mta rataanoa
1 Daf--.-�—
Date: -�-� 5+ Of$ce Use Only
APProved:_ X
Plan Review Co `-`-�_ Rejected:
mmenls: ---�— Notified
Plans Ex„/al. ------ -
Date