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582 COASTAL OAK LN - TOPO a=1 V OF ATLANTIC BEACH FILL _ -T 800 ATLANTIC BEAM CHI L ROAD r1lJs) FILE COPY Sgoo c Revision Reag eet Date: rJ / �/ /� 11111LII _. .. Received 6y: MAY 19 Permit Number:, Resubmitted; Original Plans Ex Clearance Sheet N ber: B Examiner. ) Project qd .r Project Name: 1/ — QSIa © L G Conhactor: � ^ - t- Contact phone Nwnber: -- Contact N. - ` / spa Revision/plan Check/p¢ Confect Fax Number: C` - =---- nnit Fee(s)Due:$_ Deseri ton of Pro osedRevision to Existin Permit: Pending Hold: _--_— —0 6 '... Structural: N'�'EOk.- 'T'hQ yl.�Jt Plumbing: Mechanical: --- Electical: M sc.: r Additional Increase in Building Value:,$ Clearance Sheet/Sit,Plan Revised: --- Addtional Square Footage:_ BY signing below,I —�� Environmental Health Approval: proposed ch o""'""""r ei,i. affirm that the above revision is inclusive of the a� signs eof Co �//_--c rsgn ifinercnsc in vnlusnun) Def¢ Date: — Otflce Uae Only Approved: Rejected: Plan ReviR,Com�eo(s: —.._ Notified by:________.___ Plans Fxam -- ,r.__� �mmosrosmaii" O '/��.� Date