1625 ATLANTIC BEACH DR - SHED REVISION CITY OF ATLANTIC itEACIR
11-:',,,,V::-. ,..7v .2);?..)
' 800 SEMI OIL1E ROAD
ATLANTIC BEACH,FL 32233
1.!Js��, (904)247-5800
Revision Re uest Sheet
2,47S
Date: S
Received by:
Permit Number: /S--S f;<—`y Resubmitted:
Original Plans Examiner: Clearance Sheet Number:
�'k �,cS t..4
Project Address: )�S A Project Name: _
Contractor: a / ���,�j�v���4`"� '��.
�.t s .- .Sfev_e_n' �t Contact N ^
Contact Phone Number: 90 -- teeu.. c S C6�.1 C'
• 7 �` 3 Contact Fax Number:
Revision/Plan Check/Permit Fee(s)Due:$
Descri tion of Pro,osed Revision to Existin.
Permit:
Pending Hold:
Structural: 1
Plumbing:
>f%
Mechanical: ���
�.,. Y
Electrical:
t=om/�_
tical:
Ova 4 LA. 114.l, r 04 Additional Increase in Building Value:$ G
Clearance Sheet/Site Plan Revised: Additional Square Footage:
Envirormiental Health
By signing below, I(Print nnmo ~= /� A C proposed changes. ~` `oL Approval
I
affirm that the above revision is inclusive of the
Sign,tyre of Contractor/Agent /c9,3 ll •
g (Contractormust sign ifincieascinvaluation)
Date
Date: I,)
d/, - `x, Office Use Only
Approved:
— Rejected:
Plan Review Comments. -- Notified b
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1—PROJECT
5 ATLANTIC BEACH
!------_.; ---- i Lou Pontigo and
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[ . \ Associates , Inc .
420 Osceola Avenue
lax.lieach,Florida 32250
Ph.242-0908 Fax.241.9557
FL:CA 1/8344 SC:CAN 3579 WILDER
JOB NO.
DATE TOLL BROTHERS
COLL-15-00105 SHT.NO.
S K....... 5
0 6.16.14