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1833 SHERRY DR - REVISION WINDOW CHANGE t 0r,- r Jr� eJqj; u( ,-Ati z J; CITY OF ATLA NTIC BEACH q '` s), 800 SEMINOLE ROAD,'.'.:44;_,,, TIC BEACH,FL 32233 J F31>'� (904)247-5800 r Revisx_ques_ t_ Date: 3 6 1, (� Received by:- Resubmitted: Permit Number: l S l-A 104 I (I ( Clearance Sheet Number: Ni. � Original Plans Examiner: ,/� Project Name: Project Address: L$3 3 .S CL Q.,. /ter O'�T C\ Contractor: C�..r a(I Cpµ • "C..• Contact Name: I •e_(o'e � ( �, Contact Phone Number:�(VA(- 2SN 9 rj 22— Contact Fax Number: • Revision/PIan Check/Permit Fee(s)Due:$ ---- Description of Proposed Revision to Existing Permit: Pending Hold: Structural: Plumbing: Mechanical: idf 1 El/F >n .. . Electrical: �i ►� 1 Misc.: w t Ad Sot.4.4 CN.otar a 4-O A .•.. d- C . 4t. ( e_ Ul e Ki. rk # ttaco2. 4 . r `'%Additional Increase in Building Value:$ rej Additional Square Footage: Clearance Sheet/Site Plan Revised: Environmental Health Approval: By signing below,i(prin/name) Rt,Cr -0 ( _ (y . affirm that the above revision is inclusive of the proposed anges. Signature of Contractor/Agent(Contractor ust sign if increase in valuation) Date .gyp �/ Office Use Only Date: ! - 3 0 •-')7 A roved: /� Approved: Rejected: Notified by: Plan Review Comments: 0-0¢S G- " to/1 -/-O -E ti e pert- ', 4 i' a t:)V.42-, Plans Eer —_--�---- Date Created 01/05/08 j to I