1699 MARITIME OAKS DR - REV. FOUNDATION C ‘i',:'.‘'':,'\t,' CITX OF ATLANTIC BEACH
11, .
� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
J;31� (904)247-5800
Revision Request Sheet
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tr.'"/Pli -. a6 Resubmitted:
Permit Num s — -�
Clearance Sheet Number:
' Original Plans '
Project Name: L A O. A
Project Address: I 9" ." i 044— Ae`vs_
Contractor: 4 t
'w 4°C. 4✓; rd4 Contact Name: — 4, - t'■.ALt
Contact Phone Number: 'D4 Pt". ,
3 CI Contact Fax Number:
Revision/Plan Check/PermitFee(s)Due:$
Description ofProposed Revision to Existing Permit:
Pending Hold:
Structural: .—.
Plumbing: -
----------
Mechanical:
•.Electrical: p
Misc.: FDA%A til-r>` Ca.-,-4.41` -S
Additional Increase in Building Value:$_ yif
Additional Square Footage:
Clearance Sheet/Site Plan Revised:
By �.� �;l� ,.._ Environmental Health Approval:
y signing below,T i�.:.�...,�i 1'L.. affirm that the above revision is inclusive of the
proposed changes.
Signa , ,. 11i5 (Con ., . . T/�5I S
invnivatlon) Date
�� Office Use Only
���
Date: Approved: x Rejected:
Notified by:
Plan Review Comments:
Plans r — ?• / c'!
Date
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REVISION
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MODIFIED BY APEX TECHNOLOGY
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BLOCK ABOVE W.#4 OR#5 \r\\i\\i\\i\ A 6\//, �A /'\\/A//\
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TECHNOLOGY 4
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APEX TECHNOLOGY IS A FICTITIOUS NAME OWNED BY JAX APEX TECHNOLOGY INC..A FLORIDA CORPORATION FLORIDA ENGINEER BUSINESS NO.7547.4745 SUTTON PARK COURT SUITE 402.JACKSONVILLE.FL.32224-904.821.5200