616 TIMBER BRIDGE LN - REVISION STEM WALL CITY •F ATLANTIC BEACH
•
LI•,J -•,:f"
800 S)E
FILE COPY ATLANTIC ®L>E ROAD
FL 32233
�`Jt31�� (904)247-5800
be / Revision Re uest Sjieet
Date:
Received by:
Permit Number: 15—5�jQ_ J�l6 Resubmitted:
\Q Clearance Sheet Nu nber:
Original Plans Examiner: J
L _ Project Name: i/ . , i
Project Address: 1,�be,, 6•:a KStk� vkn ��
Con -actor. �
-�—�O,hC/-S JT vt
Contact Phone Number: /P__L 7 {< Contact Name: \ , 0, Ad
Revision/Plan Check/Permit Fee(s)Due:$ Contact.F'ax Number: ,,,lL € +0l1 booy�
Descri tion of Pro•osed Revision to Existin. Permit:
Pending Hold:
Sti uctural: {✓ S'a+ .
if, 1-1 4-t 4a� at.a . L
— Clta�. c 11 SI-t... A.4.4.I
Plumbing: —�_
Mechanical:
Electrical: — t (? ;.;; ( �Th!,
1�
1 AUG 06
misc.
By_
`
Additional Increase in Building Value:$ N J
Clearance Sheet/Site Plan Revised: N - Additional Square Footage: /VS
By signing below,I(twin(mum) Environmental Health Approval: N AO
proposed changes. �at S `o'�`L �-
- affirm that the above revision is inclusive of the
gJSig -lure of Contractor/Agent(Cotrac .must sign if Increase in valuation)
Date —
•
Date: 6 'v - r office Use Only
Approved:
- Rejected:
Plan Review Comments: — Notified by: -- --
_ /_ CO for o r •fir (-e- -I AQ o,Gh_e
_-� -- �. -
Plans Ex - Date
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Created OS/OS/OS jlo �'"�