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1753 MARITIME OAK DR - REVISTION STEM WALL ATLANTIC BEACH 800 SEMINOLE 3 si 3y9 . , FP:__7 COPY ATLANTIC BEACH,FL 32233 ��J131> (904) 247-.5800 � ,I� IC / Revision Re nest Sheet Date: ( `� Received by: Permit Number: 5- 5FR- is Resubmitted: Original Plans Examiner:_r ,�L J Clearance Sheet Number: I /A G Project Name: ,.4- n > K10 Project Address: 53 MA-1'1"-c- 621,k Or.COltiaCtOr: T A I ,t ' Contact Phone Number: Q ^nC=Contact Name: A.bevx C�a� LIY ` 4.3 _ Revision/Plan ChecldPermit Fee(s)Due:$ Contact Fax Number: �,^t'41-4., �,�o, f� Descri•tion of Pro osed Revision to Existin• Permit: Pending Hold: Structural: C ■Sio+-1- {p P-x. /7-0/ Plumbing: Mechanical: Electrical: — � Misc.: • . Additional Increase in Building Value:$ 0-___ `-`-____ Clearance Sheet/Site Plan Revised: 4 �/ Additional Square.?~Dotage: By signing below, >( f� Environunental Health Approval: N proposed (pr t nnu,e) it✓►•C S �vtCi P osed changes affirm that the above revision is inclusive of the Signs Contractor/Agent(e of Contractor/ ��(�1(s Contractor mustsign ifincreasein valuation) D _ ate Date: 6 *--/ `Fs office Use only Approved:__ __ Rejected: Pla/n Review Coanments: ` ------ Notified by: -�__-- Plans Exami ----------------------- __._-__.__—__ __ _- ------ -- —_- CreatedOS/OSPoSjIo r (S -6 -/ J Date