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277 BEACH AVE - POOL REVISIONt , `'.„ t,,;Is\ CITY OF ATLANTIC- ) . \,-2 TVTIC BEACH `1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 Revision Request Sheet Date: ?-)3_/y— Received by: Z 3 / y L Resubmitted: Permit Number: /9-fio,/ d2 77 Clearance Sheet Number: /4\ ' Original Plans Examiner: Project Name: �6,col ti Project Address: i `AC_ � Contractor: o o , e,/. . 4, Contact Name: Contact Phone Numbe : 3- ro 5 o Contact Fax Number: 4.,2 3 -©73S- Revision/Plan Check/Permit Fee(s)Due:$ Description of Proposed Revision to Existing Permit: �r! Pending Hold: r,,, 1L e.- f °'a 44 5/0 wn Structural: Plumbing: Mechanical: Electrical: Misc.: Additional Increase in Building Value:$ Additional Square Footage: Clearance Sheet/Site Plan Revised: 7- Environmental Health Approval: /I By signing below, (printmune) affirm that the above revision is inclusive of the o sed chance . J . _Signatu fContractor/Ag actor must sign if increase in valuation) Date Office Use Only Date: k".6 .. 1 5 Approved: A Rejected: Notified by: Plan Review Comments: // ll� COP/ ej 710 be scO/7 ilo pTmy T P; I? . . Co AeS ,pdY r� R fa tck- top lo -iake j-, To i _ r P Plans Examiner G' Date Created 08/05/08j to ri ctiinr 1 111, 1 l > lJaiM a