1780 ATLANTIC BEACH DR - HEADER RIVISIONT • • e � Y�:V
;3 : . . j` �:� CITY OF ATLANTIC
800 S '
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ATLANTIC Js�1> v� REACH, 32233
. (904)247-5800
Revision Re nest Sheet >E
Date:__________t44 Z4//S FILECOpy Received by:
Permit Number: f rie_ . Resubmitted:
Clearance Sheet Number:
Original Plans Examiner:_
Project Address: f ' Project Name: --
Contractor: 4� �C4 L .d.-. _
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Contact Phone '(r� �✓e_fUler 'L_____Contact Naine:
Number: 0`i-Yef-2- /oc. r. S C
Contact Fax Number:
Revision/Plan Check/Permit Fee(s)Due:$
Descri tion of Pro•osed revision to)Existing
Permit:
Pending Hold:
Structural:
Plumbing: t✓ 7 r�
•
Mechanical:
ID E C -f-t-ifj--- i
Electrical: _ 1111 YI
Misc. i--- g
•
Additional Increase in Building Value:$ 4
Clearance Sheet/Site Plan Revised: ----- Additional Square Footage:
BY signing below, I
Environmental Health Approval: •
proposed changes. a"•n•n•m��
affirm that the above revision is inclusive of the
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Sig tnre of Contractor/A g ent(contractor l� 5
actor must sign if increase in valuation) D _
ate
Date: �a cl /s— Office Use Only
Approved:
1Plan Review Comments:
Rejected:
-----.-_ Notified by:
Plans E� e —_.--�_
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PROJECT 68 ATLANTIC BEACH
Lou i' ontigo and L P 1 Associates , Inc . B11LDER TOLL BROTHERS
' - --" 420 Osceola Avenue
1 &IA lax.Death.Florida 32250 JOB NO. SHT.NO.
I TOLL-15-00107! I'h.242-0908 Fax.241-9557
__��_ FL:CA#8344 SC:CA#3579 DATE S K-2
06.26.15